DHS gathers over 270 dental professionals from MEA region during Dubai Dental Week / Biofilm Removal- An Innovative Approach / The Relationship between Periodontitis and Atherosclerosis and Diabetes / CAPP Calendar 2017
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DTMEA_No.6. Vol.6_HT.indd
www.dental-tribune.me
PUBLISHED IN DUBAI
November-December 2016 | No. 6, Vol. 6
DHS gathers over 270 dental professionals
from MEA region during Dubai Dental Week
By Dental Tribune MEA / CAPPmea
DUBAI, UAE: Dental Hygienist Seminar was organized as a new partnership between CAPP and Colgate Oral
Care Academy on 05 November 2016
at Jumeirah Beach Hotel in Dubai.
The event was organized as part of
the 8th Dental Facial Cosmetic Int’l
Conference on 04-05 November
2016 under the constantly expanding umbrella “Dubai Dental Week”
- November edition which gathered
over 2,500 dental professionals from
around the world.
Dubai Dental Week – November edition incorporated several continuing
dental education events organized
by CAPP. Over 15 multidisciplinary
hands-on courses, 2-day Conference
& Exhibition and the Dental Hygienist Seminar all took place between
01-07 November 2016 at Jumeirah
Beach Hotel with over 49 CME attainable from local health authorities as well as ADA CERP CE credits
as CAPP is an ADA CERP Recognized
Provider of continuing education.
During 04-05 November 2016, The
Jumeriah Beach Hotel in Dubai was
enlightened by the positive energy
of the dental experts who came here,
for brightening and modernizing
their independent dental practices
during the two days of conference
and exhibition. Its stunning and inspiring structure was the main location where professionalism meets
quality in a spectacular way.
Colgate was the title sponsor of the
Dental Hygienist Seminar which
took place on 05 November 2016 and
will be remembered as remarkable
for all dental hygienists from MEA
region, Pakistan, India and several
other countries who were treated to
a lineup of interesting lectures. The
event was organized as a joint partnership between CAPP and Colgate
Oral Care Academy with the support of the International Federation
for Dental Hygienists (IFDH). It was
designed to increase the level of enlightenment of all passionate dental
professionals. Dental virtuosos from
around the world featured throughout the day including:
- Mrs. Robyn Watson, IFDH, Australia
(President of the International Federation of Dental Hygienists)
- Dr. George Sanoop, UAE (Dental
Faculty Higher Colleges of Technology, Dubai & Sharjah Women’s College)
ÿPage D2
www.dme-medical.com
[2] =>
DTMEA_No.6. Vol.6_HT.indd
D2
hygiene tribune
Dental Tribune Middle East & Africa Edition | 6/2016
◊Page D1
Delegates during Pannel Discussion at the Dental Hygienist Seminar
- Dr. Nijad Mina, DDS, MSc, MRDM,
Lebanon (PHD from Saint Joseph
University Lebanon, Al Maghrabi
Dental Clinics - Dammam - Saudi
Arabia)
- Dr. Lara Sawaya Jammoul, UAE
(Consultant for HAAD, Tajmeel Dental Center Abu Dhabi, UAE)
- Assist. Prof. Nadim Mokbel, Lebanon (Head of Periodontology Department, Saint Joseph University
Lebanon)
- Dr. Maroun Dagher, Lebanon (Senior Lecturer at Saint Joseph University Lebanon)
Seven lectures took place throughout the day with each session finishing off with heated debates at the
Panel Discussion which was hosted
by the chairman Professor Crawford
Bain, Professor & Program Director
in Periodontics at Hamdan Bin Mohammed College of Dental Medicine
in Dubai, in UAE.
Dental hygienists, as part of the dental team enjoyed this event under
the seminar theme “Dental Hygiene
– Challenges and Opportunities for
the Dental Professionals”. A total of
273 dental professionals expanded
their knowledge with the scientifically based topics and the modern
concepts in dental fields. To reach
the goal, the initiator had included
pre- and post- seminar hands-on
courses in distinct dental topics.
The dental hygienists were able to
practice and master new techniques
applied which will be imperative in
their future work.
CAPP will once again organize this
masterful event on 03-04 November
2017 at the Intercontinental Hotel in
Dubai Festival City and all international dental professionals interested are cordially invited.
Title sponsor and patron of this occasion was Colgate through its Colgate
Oral Care Academy, with vast experience in education and is recognized
amongst the leaders in the industry.
Dr. Lara Sawaya Jammoul, UAE
Dr. Maroun Dagher, Lebanon
Assist. Prof. Nadim Mokbel, Lebanon
Dr. George Sanoop, UAE
Robyn Watson, IFDH, Australia
Dr. Nijad Mina, DDS, MSc, MRDM, Lebanon
Biofilm Removal- An Innovative Approach
Air polishing with the appropriate powder: Its indications have been extended from biofilm removal
for natural teeth to a new state of preventive, efficient and comfortable care in implant maintenance
and management of peri-implantitis.
By Dr. Wong Li Beng , Singapore
Biofilm revisited
It would not be an exaggeration to
say that without the formation of
biofilm in the mouth, oral hygienists
and periodontists would never have
existed. The oral cavity is a dynamic
environment, where there is a constant accumulation of microorganisms, embedded within an extracellular polymeric matrix, that adhere
to the tooth surface or any hard nonshedding material [1]. Within the biofilm, the microorganisms interact
via quorum sensing, pretty much
like how we exchange greetings,
marketing tips, and Christmas gifts
with the residents living nearby in a
neighborhood setting. This “friendly
exchange” among the microorganisms may increase their virulence
level and antibiotic resistance in
multiple folds compared to them existing separately in planktonic state.
Thus, mechanical removal is still the
mainstay of treatment for biofilminitiated conditions like caries, gingivitis and periodontitis.
Dental plaque represents a true biofilm, and its existence can easily be
revealed to the patients using plaque
disclosing agents (Figure 1). Its potential to calcify to form calculus
increases the difficulty for removal
and makes it all the more important to eradicate it in a timely or
prophylactic manner. Conventional
removal of sub-gingival plaque includes the use of ultrasonic scalers
or hand instrumentation, while rubber cups with prophylaxis polishing agents can be used to remove
Figure 1
Figure 2
supra-gingival plaque. The types of
abrasive particles incorporated in
the polishing pastes include pumice, aluminum oxide, silicon carbide,
garnet, feldspar, zirconium silicate,
emery, perlite etc. These conventional treatment modalities have
been shown to be effective in plaque
removal and restoring patients back
to gingival health. However, there
have been concerns regarding extensive tooth hard-substance loss
and patient comfort and experience
during treatment which may affect
patient compliance to proceed with
the maintenance phase after initial
periodontal therapy. Thus, extensive
research and technological innova-
tions have been carried out in recent
years to come out with a more novel
approach for biofilm removal.
ÿPage D4
[3] =>
DTMEA_No.6. Vol.6_HT.indd
HYPERSENSITIVITY DUE TO TOOTH EROSION
CAN BE GONE WITHIN SECONDS*
WITH COLGATE ® SENSITIVE PRO-RELIEF™ TOOTHPASTE
The risks that carbonated soft drinks, alcoholic mixers
regular toothpaste‡ to sensitive teeth. Change in hyper-
and wine pose to your patients’ teeth are well-known –
sensitivity was assessed using air blast sensitivity
increased consumption of acidic food and drinks can
scores, where a lower score indicates better pain relief.
lead to tooth erosion and hypersensitivity.
Not only did Colgate ® Sensitive Pro-Relief™ provide
However, even your patients following a healthy life-
instant relief of dentine hypersensitivity, both immedi-
style may be at risk due to the acidic nature of fruit
ately after direct application and after 3 days of use,
juices and sports drinks.1 Hypersensitivity results when
but it also provided superior pain relief when compared
the tiny dentine channels directly linking to nerves in
with the other toothpastes.
the tooth become exposed and is associated with pain and discomfort triggered
INSTANT AIR BLAST SENSITIVITY RELIEF IN VIVO
by heat, cold or touch.
Air blast sensitivity score
Addressing hypersensitivity is crucial for
3
providing relief to your patients.
COLGATE SENSITIVE PRO-RELIEF™ TOOTH-
2.5
*
FAST PAIN RELIEF* 2
The Pro-Argin™ Technology of Colgate ®
Sensitive Pro-Relief™ toothpaste physically seals dentine tubules with a plug
Sensitivity relief
®
PASTE TARGETS HYPERSENSITIVITY FOR
Ayad et al. 2009b,
Mississauga, Canada
*
*
*
2
*•
1.5
*•
1
0.5
that contains arginine, calcium carbon-
0
ate and phosphate. The plug effectively
Baseline
reduces dentine fluid flow reducing sen-
Control with
KNO3 and NaF
sitivity and relieving pain in seconds.* 2,3
Immediately
Control 2
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† Containing 5% potassium nitrate and 1450 ppm fluoride as sodium fluoride.
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#
1
References:
BY DENTISTS
1. Cummins D. J Clin Dent 2009; 20 (Spec Iss): 1 – 9
2. Ayad F et al. J Clin Dent 2009; 20 (Spec Iss): 115 – 122
3. Petrou I et al. J Clin Dent 2009; 20 (Spec Iss): 23 – 31
BRAND RECOMMENDED
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BRAND MOST USED BY DENTISTS
[4] =>
DTMEA_No.6. Vol.6_HT.indd
D4
hygiene tribune
Dental Tribune Middle East & Africa Edition | 6/2016
◊Page D2
Figure 4
Figure 5
Figure 3
a) Distance between
nozzle and treated surface
b) Angulation of nozzle
c)
Instrumentation
time
Table 1. Mohs hardness of various dental restorative materials
To explain briefly, for
example, the higher
the air pressure, the
higher the efficacy for
substance
removal.
Larger grain size, more
angulated edges and
higher mohs hardness
value will result in
higher abrasivity.
The tables below (Table 1,2,3) illustrate the
mohs hardness values
of various materials
used for polishing, and
how they compare
with the hardness of
tooth structures as well
Table 2. Mohs hardness of various tooth structures
as the common restorative materials. Conventional material used as
polishing agents like
pumice, silicon carbide, emery, zirconium
silicate etc all have a
higher mohs hardness
value than tooth structures and restorative
materials. Prolonged
usage can result in irreversible and iatrogenic
removal of enamel,
dentin and cementum.
Table 3. Mohs hardness of various polishing materials
In addition, restorative
materials can be abraded and roughened,
and
this
can
cause
them to be more
Air Polishing Devices:
plaque retentive in the long run.
Basic Principles
The basic concept for air polishing
is nothing new. In fact, it was first Sodium bicarbonate powder (eg EMS
introduced in the dental market in Classic Powder) has been used in the
1945 for cavity preparation using market since the 1980s. It is non-toxaluminum particles [2]. Modern air ic and water soluble, although up to
polishing devices use pressurized 0.8% of silicium oxide or tricalcium
air and water to deliver a controlled phosphate is usually incorporated to
stream of powder in a slurry through enhance hydrophobicity, an impora handpiece nozzle. There are usu- tant characteristic to sustain powder
ally 2 concentric openings, with the flow when mixed with water. It is
air and powder through the inner commonly used for removal of suone and water through the outer one pra-gingival stains and plaque from
[3] (Figure 2). This is directed towards intact enamel surface because it is
the tooth surface to remove surface safe and efficient without causing
stains, dental plaque and other soft clinically significant surface alternations or substance loss [5]. In fact, it
deposits.
has been shown that air polishing
The ability of the combination of using sodium bicarbonate takes
air, water and powder to remove only one third the time required for
substances on the treated surface is supra-gingival stains and plaque redependent on several factors and we moval compared with hand instrucan broadly classify them under hy- mentations or rubber cups with poldropneumatic factors, abrasive me- ishing paste [6]. However, sodium
dia related factors and user-related bicarbonate powder should not be
used for sub-gingival plaque removfactors [4].
al. Experimental results have demonstrated substantial root substance
Hydropneumatic factors:
loss when it is directed towards dea) Amount of water
nuded root surface [7]. In addition, it
b) Air pressure
has also been documented to cause
severe epithelial erosion when it is
Abrasive media related factors:
directed towards the soft tissues [8].
a) Emitted powder mass
Thus, usage of sodium bicarbonate
b) Grain size
for sub-gingival plaque removal
c) Grain shape
should always be avoided.
d) Grain hardness
User-related factor
Glycine powder (eg EMS Perio Pow-
der, 3M ESPE Clinpro Prophy Powder) came into the market during the
mid-2000s to address the clinical
limitations of using sodium bicarbonate powder. It allows sub-gingival
plaque removal while minimizing
trauma to the root surface and soft
tissues. Glycine is a non-essential
amino acid and an important component of most polypeptides. It is
also commonly used in the food industry as a flavour enhancer because
of its light sweet taste. The mean
particle size of glycine powder used
for air polishing is less than 45 µm,
4 times smaller than conventional
sodium bicarbonate particles, which
accounts for its lower abrasive nature.
Erythritol powder (EMS Plus Powder)
was recently launched in 2013 to incorporate the stain removing capability of sodium bicarbonate powder
together with the gentle characteristic of glycine powder on both hard
and soft tissue. It is being promoted
as the powder to be used both supraand sub-gingivally at the same time.
Erythritol is a sugar substitute (polyol) that is commonly used as a food
additive. It is currently the air polishing powder with the smallest mean
particle size of 14 µm available in the
market. Although the impact per
particle is extremely low due to its
small size, the high powder flow density allows it to effectively remove
moderate stains. Figure 3 illustrates
the stain removal effect of erythritol
powder on a quail egg surface.
Indications
The indications for air polishing can
be summarized below:
Primary indications:
a) Biofilm removal both supra-gingivally (Sodium bicarbonate, glycine
or erythritol powder) and sub-gingivally (Glycine or erythritol powder)
b) Stains removal especially at misaligned teeth and interproximal areas
c) Implant maintenance (to be covered in the next issue)
Extended field of application:
a) Cleaning of tooth surface before
bonding of orthodontic brackets as
well as around orthodontic brackets
during review appointments
b) Cleaning prior to bleaching treatment
c) Cleaning prior to fissure sealant
application
d) Cleaning prior to placement of
prosthesis eg inlays, onlays, crowns,
acid-etched bridge
e) Cleaning prior to fluoride application
Clinical evidence
and consensus
In the modern world of evidencebased dentistry, no product can
stand the test of time if its perceived
clinical efficacy, benefits and safety
cannot be substantiated through
research data. Numerous studies
have been carried out over the years
to demonstrate the use of air polishing technology as a modern reliable treatment modality for biofilm
removal and the results have been
mostly positive.
In a clinical trial conducted on patients undergoing supportive periodontal therapy, using a split-mouth
design, sites with residual probing
depth of 5-8mm were randomly assigned to either ultrasonic instrumentation or sub-gingival biofilm
removal using air polishing device
with a special sub-gingival nozzle
(Figure 4) and glycine powder [9].
Both treatments resulted in significant reductions in orange and red
microorganism complexes as well
as probing depth and bleeding on
probing after 2 months, and there
were no significant differences between the 2 treatment modalities.
Perceived treatment discomfort,
however, was lower for air polishing
than ultrasonic instrumentation.
In a recent in-vitro study involving
the use of erythritol powder, 4 different treatment modalities were compared in terms of biofilm removal
and reformation, surface alterations,
tooth substance and attachment of
periodontal ligament (PDL) fibroblasts [10]. Using an experimental
pocket model, hand curettes, ultrasonic scaling, sub-gingival air
polishing using erythritol powder
with or without chlorhexidine were
compared as shown in Figure 5. Results from this experiment demonstrated highest bacterial reduction
when treated with air polishing using erythritol and chlorhexidine,
highest tooth substance loss when
treated with hand curettes, significant roughened surface when treated with curette and ultrasonic and
highest PDL fibroblast attachment
when treated with ultrasonic and air
polishing using erythritol.
Based on the results obtained from
various studies, the following consensus was reached during the 7th
Europerio congress [11]:
a) Air-polishing devices have been
shown to be efficacious in removing
supra- and sub-gingival biofilm and
stain
b) Indications for the use of air polishing devices have been expanded
from supra-gingival air polishing to
sub-gingival air polishing
c) The development of low-abrasive
glycine-based powders and devices
with sub-gingival nozzles provide
better access to sub-gingival and interdental areas
d) Mineralised deposits (calculus)
have to be removed by power-driven
or hand instruments
Conclusions and future
directions
Based on current evidence, the use
of air polishing device with the appropriate powder may have opened
a whole new horizon in preventing
dentistry. With a sound track record
of clinical efficacy and comfort in
biofilm removal for natural teeth, its
indications have also been extended
to preventive care in implant maintenance and management of periimplantitis. With heightened aware-
ness and proper training among the
dental professionals and Oral Health
Therapists on the use of air polishing
devices, better dental care, especially
preventive measures can be provided for the public for years to come.
References
1.Socransky SS, Haffajee AD. Dental
biofilms: difficult therapeutic targets
Periodontol. 2000;2008(28):12–55.
2. Black R. Technic for nonmechanical preparation of cavities and
prophylaxis. J Am Dent Assoc 1945:
32:955-965.
3. Petersilka G J. Subgingival air-polishing in the treatment of periodontal biofilm infections. Periodontology 2000, Vol. 55, 2011, 124–142
4. Horowitz I. Oberfla¨ chenbehandlung mittels Strahlmitteln. Essen:
Vulkan Verlag, 1982.
5. Kontturi-Narhi V, Markkanen S,
Markkanen H. Effects of airpolishing
on dental plaque removal and hard
tissues as evaluated by scanning
electron microscopy. J Periodontol
1990: 61: 334–338.
6. Weaks LM, Lescher NB, Barnes CM,
Holroyd SV. Clinical evaluation of
the Prophy-Jet as an instrument for
routine removal of tooth stain and
plaque. J Periodontol 1984: 55:486–
488.
7. Horning GM, Cobb CM, Killoy WJ.
Effect of an air-powder abrasive system on root surfaces in periodontal
surgery.J Clin Periodontol 1987: 14:
213–220.
8. Kontturi-Narhi V, Markkanen S,
Markkanen H. The gingival effects of
dental airpolishing as evaluated by
scanning electron microscopy. J Periodontol 1989: 60: 19–22.
9. Wennström JL1, Dahlén G, Ramberg P. Subgingival debridement of
periodontal pockets by air polishing
in comparison with ultrasonic instrumentation during maintenance
therapy. J Clin Periodontol. 2011
Sep;38(9):820-7
10. Hägi T, Klemensberger S, Bereiter
R, Nietzsche S, Cosgarea R, Flury S,
Lussi A, Sculean A, Eick S. A biofilm
pocket model to evaluate different non-surgical periodontal treatment modalities in terms of biofilm
removal and reformation, surface
alterations and attachment of periodontal ligament fibroblasts. PLoS
One. 2015 Jun 29;10(6)
11. Sculean A, Bastendorf KD, Becker C, Bush B, Einwag J, Lanoway C,
Platzer U, Schmage P, Schoeneich B,
Walter C, Wennström JL, Flemmig
TF. A paradigm shift in mechanical
biofilm management? Subgingival
air polishing: a new way to improve
mechanical biofilm management in
the dental practice. Quintessence Int.
2013 Jul;44(7):475-7
Dr. Wong Li Beng, Consultant Periodontist, Director of Preventive Dentistry,
Departement of Dentistry, Jurong Health
Adjunct Lecturer, Diploma in Dental
Hygiene & Therapy.
MDS (Periodontology) (Singapore), MRD
RCS (Edinburgh), BDS (Singapore), FAMS
(Periodontics).
[5] =>
DTMEA_No.6. Vol.6_HT.indd
PATIENT SENSITIVITY
CAN BE GONE
IN SECONDS.
BEFORE
Open tubules
AFTER
Closed tubules in
60 SECONDS
with Colgate®
Sensitive Pro-Relief™
Toothpaste*
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PROVIDES INSTANT AND LONG-LASTING RELIEF.
Extensive scientific research has shown that Colgate® Sensitive Pro-Relief™ protects against the triggers
and causes of sensitivity, and is proven to occlude dentin tubules in 60 seconds.*
Finally, a way to quickly improve your patients’ satisfaction and comfort.
YOUR PARTNER IN ORAL HEALTH
www.colgateprofessional.com
*When toothpaste is directly applied to each sensitive tooth for 60 seconds.
Ayad F, Ayad N, Delgado
et al. J Clin
Dent. 2009;20(4):115-122.
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1 BY DENTISTS BY DENTISTS
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www.colgateprofessional.com
[6] =>
DTMEA_No.6. Vol.6_HT.indd
D6
hygiene tribune
Dental Tribune Middle East & Africa Edition | 6/2016
The Relationship between Periodontitis
and Atherosclerosis and Diabetes
By Sunstar GUM
professionals’ work: “Oral health
professionals should be aware that
periodontal therapy may positively
impact these conditions,” Jepsen
points out.
Heart attack is the leading cause and
diabetes is the sixth-leading cause
of death in the United States.1 What
goes relatively unnoticed, however,
are their respective relationships
with oral health especially periodontal bacteria that breed inflammation.
This Sunstar E-Brief explores the cellto-cell interactions behind the inflammation process and features insight from an expert on the subject.
Inflammation and Arteries
In exploring how periodontal bacteria trigger inflammation in tissues
far removed from the oral cavity, oral
health professionals need to understand several underlying concepts
and the direct role they play in periodontal diseases. Jepsen, DDS, MD,
MS, PhD a professor and chairman of
the Department of Periodontology,
Operative, and Preventive Dentistry
at the University Hospital of Bonn in
Bonn, Germany says three things are
most important to understanding
cell-to-cell communication relative
to this oral-systemic link.
these bacteria are able to thereby
elicit so-called systemic inflammation.”
First, periodontal bacteria are disseminated into the body’s circulation. “Especially in cases of advanced
periodontitis,” Jepsen notes, “and
The second key component of this
cell-to-cell communication, according to Jepsen, is that systemic inflammation can promote atherosclerosis.
“Systemic inflammation can also
lead to impaired blood sugar control,” Jepsen says, “which may have
negative effects on the periodontium.”
And, the third consideration concerns the effects of oral health
In periodontitis, the inflammatory
response is caused by the spread of
microbes. These microbes can trigger
a similar inflammatory response in
arterial tissues that sets the stage for
the hardening of the arteries, or atherosclerosis, which can lead to heart
attack. Additionally, fatty streaks
are caused by white blood cells that
travel into blood vessel walls and become macrophages. Macrophages
assist in the uptake of low-density
lipoprotein (LDL) cholesterol, or “bad
cholesterol.” The absorption of LDL
cholesterol, facilitated by periodontal bacteria, creates foam cells that
eventually die and form a dead core
within the fatty deposits. Other immune cells are added to the deposits,
which causes the artery to narrow
further. This process gradually robs
heart tissues of vital nutrients and
oxygen.
The substances created by periodontal bacteria can harm the underlying
connective tissue within the arteries. The vascular deposits eventually
break up and leave a wound that allows blood to coagulate, facilitating
blood clot formation. The blood vessel is increasingly narrowed by the
clot formation and can completely
close the blood vessel, raising the risk
of heart attack and stroke. The bloodstream continues to transport the
inflammatory substances produced
by the damaged endothelial cells
throughout the body, triggering a
generalized inflammatory response.
Effect on Sugar Metabolism
Periodontitis and diabetes tend to
exacerbate one another. Type 2 diabetes is also related to the general inflammatory reaction caused by bacteria associated with periodontitis.
Such inflammation can negatively
affect the regulation of blood sugar,
or glucose.
Blood sugar levels are regulated by
the hormone insulin, which is produced in the pancreas. Insulin binds
to insulin receptors located on cell
membranes. In turn, the binding
activates glucose transporters that
take blood sugar into cells, where it is
processed for energy or storage. In a
healthy body, this mechanism causes blood sugar levels to drop. This
mechanism is disrupted, however, in
the presence of generalized inflammation, which creates substances
that inhibit the binding of insulin
and reduce the cell’s uptake of sugar.
This leaves the body’s glucose levels
high. Inflammatory substances that
are by products of periodontitis appear to play a special role in this disruption.
Even when diabetes is absent, a
severe case of periodontitis can increase the body’s blood glucose levels. This condition eventually can
make the body’s cells unresponsive
to messengers, leading to insulin resistance.
Diabetes not only affects blood glucose levels, it can also negatively impact periodontal status. For example,
when blood sugar remains elevated,
significant numbers of proteins adhere to the excess sugar that has attached to hemoglobin in red blood
cells. This process creates advanced
glycation end products (AGEs). Glycation occurs when insulin does not
properly metabolize sugars, thereby
promoting the destruction of collagen in blood vessels. In turn, this
causes blood vessels to become brittle and form plaque.
AGEs also promote periodontitis by
crosslinking fibers of the connective
tissue, impairing periodontal wound
healing. The body’s white blood cells
and vascular wall cells also recognize
AGEs, triggering the formation of
messengers that encourage inflammation. The messengers summon
inflammatory cells, while disturbing
the wound healing process accelerating the destruction of periodontal
tissues.
Seeing Is Believing
Sunstar has created a three-dimensional (3D) video to better explain
these concepts. The 3D video, Cellto-Cell Communication Oral Health
and Systemic Health, for which
Jepsen was a creator, outlines specific benefits that are important to
oral health professionals. “The film
illustrates how periodontitis may
contribute to systemic conditions
such as atherosclerosis or diabetes,
or negatively influence their course.
It also shows how diabetes negatively impacts the periodontal tissues,”
Jepsen says.
Jepsen describes the video technology as an excellent example of modern science transfer. “It is hoped that
[this video] will help oral health professionals communicate these findings to their patients,” Jepsen adds.
There is more to be learned about
cell-to-cell communication that will
be an asset to oral health professionals, according to Jepsen. He says
that in the future it may be possible
to visualize the physio-pathological
processes involved in the development of peri-implant infection/
inflammation. “The prevalence of
peri-implant disease is dramatically
increasing, posing an emerging public health problem,” Jepsen says. “The
prevention and resolution of periimplant inflammation is a new challenge for the oral health care team,”
he adds.
With periodontal diseases affecting
more than 70% of some adult populations in the US,2 the challenge of
holding periodontal bacteria at bay
persists. Oral health professionals,
equipped with the understanding of
how these microbes affect the entire
body and trained with the clinical
skills to address them at the source,
will continue to shoulder a considerable responsibility in helping at-risk
patients maintain their oral health.
References
1. Centers for Disease Control and
Prevention. National Center for
Health Statistics. Leading Causes of
Death. Available HERE. Accessed October 27, 2016.
2. Centers for Disease Control and
Prevention. Periodontal Disease. Oral
Health. Available HERE. Accessed October 27, 2016.
[7] =>
DTMEA_No.6. Vol.6_HT.indd
[8] =>
DTMEA_No.6. Vol.6_HT.indd
CAPP CALENDAR 2017
ACCREDITATION:
HAAD | DHA | ADA C.E.R.P.
INNOVATIVE DENTAL SOLUTIONS
CLINICAL ENDODONTICS
Postgraduate Diploma Programme
MODULE 1 - APR 2017
MODULE 2 - JUL 2017
MODULE 3 - OCT 2017
MODULE 4 - JAN 2018
MODULE 5 - APR 2018
MODULE 6 - JUL 2018
MODULE 7 - JAN 2019
DUBAI, UAE
www.cappmea.com/endo
DUBAI DENTAL WEEK
Full week of CME dental hands-on events
MAY 01-08, 2017
NOVEMBER 01-07, 2017
May | November
DUBAI, UAE
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12TH CAD/CAM & DIGITAL DENTISTRY CONFERENCE / EXHIBITION
CONFERENCE / EXHIBITION: MAY 05-06, 2017
HANDS-ON COURSES: MAY 02-08, 2017
DUBAI, UAE
www.cappmea.com/cadcam
DENTAL TECHNICIAN INTERNATIONAL MEETING
Part of
12th CAD/CAM & Digital Dentistry Conference/Exhibition
CONFERENCE / EXHIBITION: MAY 05-06, 2017
HANDS-ON COURSES: MAY 02-08, 2017
DUBAI, UAE
www.cappmea.com/cadcam
4 th ASIA - PACIFIC EDITION
CAD/CAM & DIGITAL DENTISTRY INTERNATIONAL CONFERENCE
Joint Meeting with
Dental Technician Parallel Session
CONFERENCE / EXHIBITION: AUGUST 19-20, 2017
HANDS-ON COURSES: AUGUST 18-21, 2017
SINGAPORE
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RESTORATIVE & AESTHETIC DENTISTRY
Certificate, Diploma and Fellowship Programme
MODULE 1 - SEP 2017
MODULE 2 - NOV 2017
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MODULE 8 - FEB 2019
DUBAI, UAE
www.cappmea.com/capptipton
9TH DENTAL - FACIAL COSMETIC CONFERENCE / EXHIBITION
Joint Meeting with
6th AAID Global Conference
Dental Hygienist Seminar
CONFERENCE / EXHIBITION: NOVEMBER 03-04, 2017
HANDS-ON COURSES: NOVEMBER 01-07, 2017
DUBAI, UAE
www.cappmea.com/aesthetic
Contact Us
Mobile: +971502793711
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