today ISDH International Symposium on Dental Hygiene Seoul July 11–13, 2024

today ISDH International Symposium on Dental Hygiene Seoul July 11–13, 2024

ISDH puts dental hygienists at the centre of oral health / “We recognise that our societies are changing, and we ask how we can adapt to meet the evolving needs of our communities” / The hidden factors behind oral health behaviours / News / Treatment of patients with severe periodontal disease in general dental practice / Industry / What’s on in Seoul, ISDH 2024, 11–13 July / Service

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N TA L T R

N
R

& 2

. • 30 Y

0 YEA

INT
S

OEMUS

interview

clinical

Dr JoAnn Gurenlian (American Dental Hygienists’
Association) outlines the transformative role
of dental hygienists in both oral and general
health.
» page 4

Prof. Nam-Hee Kim of the Department of
Dental Hygiene at Yonsei University in South
Korea explores the application of behavioural
economics to dental hygiene. » page 5

A comprehensive treatment plan using antibiotics
to improve severe periodontitis, highlighting
the significance of microbial testing and
antibiotic resistance.
» page 10

ISDH puts dental hygienists
at the centre of oral health

Welcome
from the president

2024 symposium gathers dental hygiene experts from across the globe in Seoul.
n This year, the 2024 International
Symposium on Dental Hygiene (ISDH)
has brought dental professionals
specialising in dental hygiene from
around the world to Seoul. Organised
by the International Federation of
Dental Hygienists (IFDH) now held
every two years, this symposium
serves as a crucial platform for dental professionals to discuss the latest
research, practices and global perspectives in dental hygiene and provides
a premier forum for the under
standing and discussion
of issues pertaining to
the field.
5

I mpressions from past symposia. (All images: © ISDH)

Since its inception in
Oslo in Norway, in 1986,
ISDH has grown in prom
inence. The 2019 sym
posium in Brisbane in
Australia attracted about
1,200 participants from
more than 35 countries.
In 2022, almost 800 participants
from 40 countries attended the event
in Dublin in Ireland—at which the
35th anniversary of the IFDH in 2021
was celebrated.
 page 2

anda Fedora, President of the International F ederation
W
of Dental Hygienists.

Dear colleagues,
On behalf of the board of directors and staff of the International
Federation of Dental Hygienists,
I am thrilled to welcome you to
the 2024 International Symposium
on Dental Hygiene, here in beautiful Seoul. South Korea is both a
country of rich cultural traditions
steeped in history as well as a leading force in electronics and the digital era, so your visit will certainly
be one to remember! The local culture offers quite the experience,
especially the cuisine, having dishes
to please every palate. The country
is also known for its blooms—keep
an eye out for the flowers! There
will be an intricately designed and
colourful displays throughout the
venue.
I would like to thank the
chairperson of our local organising
committee, Jeong-Ran Park, and
her committee for their hard work
and commitment over the past
two years. The Korean Dental
Hygienists Association’s attention
to detail will ensure a seamless
conference that will satisfy all of
your professional interests. It has
been a delight to work with the
committee.
The symposium’s scientific
committee, under the leadership

of Kyung-Hee Kang,
has been diligent in
creating a programme
that meets our expectations. The team has
invested many hours
reviewing and studying possible presentations to provide a symposium that addresses
us as dental hygienists—
pivotal figures in oral
health. A huge thank
you—or gamsahabnida
as they say here. I hope
you have learned a few
phrases that may help
smooth your exploration of
this remarkable city.

The conference will feature
a number of special events, such
as the fourth Global Oral Health
Summit, the presentation of the
World Dental Hygienist Awards and
of the inaugural IFDH Innovation
Awards, the always inspiring
IFDH Social Responsibility Award
ceremony and presentations, an education seminar and an International
Journal of Dental Hygiene session.
This is in addition to the 18 invited
speakers and over 80 presenters
who will be giving lectures over
the three days of the conference.
This weekend promises to be
very rewarding. You are going to
meet dental hygienists from many
different parts of the world, offering the opportunity to engage with
your fellow colleagues and find out
about the profession in their area.
Our hope is that you will return
home with many memories and
already looking forward to the
next International Symposium on
Dental Hygiene.
But for now, welcome to Seoul!
We hope you will enjoy its amazing
culture and charm. 7
Sincerely,
Wanda Fedora
President of the International
Federation of Dental Hygienists

Seoul © boonkerd – stock.adobe.com/Shutterstock.com

ISDH International Symposium on Dental Hygiene • Seoul • 11–13 July 2024

[2] =>

news
THE GLOBAL DENTAL CE COMMUNITY

 page 1
The 2024 edition, hosted in partnership with
the Korean Dental Hygienists Association, marks
the 14th symposium. The organising committee has
worked tirelessly to ensure a warm welcome for the
dental hygienists expected from over 30 countries
who will be participating in the three days of intensive academic sessions at the COEX conference and
exhibition centre.
According to the IFDH, this year’s call for
abstracts was met with enthusiasm, yielding over
250 submissions. Eighteen distinguished speakers
from seven countries were invited, and the symposium features two plenary lectures. The first plenary
speaker, Dr JoAnn Gurenlian, the director of education,
research and advocacy for the American Dental
Hygienists’ Association, will outline the transformative
role of dental hygienists in both oral and general
health, positioning them as key collaborators with
patients and other healthcare professionals to
foster preventive care and integrate oral health into
broader healthcare. Her presentation will highlight
the importance of leveraging the latest research,
technology and innovative approaches to empower
dental hygienists, advocating for inclusivity
and equality in providing comprehensive
oral health services to all individuals.
[Read the full interview on page 4]

www.dtstudyclub.com
@DTStudyClub

ISDH 2024 focuses on four central themes:
collaboration, optimisation, reimagination and
equality (CORE). The event will cover topics related
to collaboration and communication with patients,
colleagues and other professionals in fulfilling the
dental hygienist’s role in improving public oral health.
Additionally, discussions will address how dental
hygienists can achieve optimal job performance by
enhancing their capabilities. It will also explore
innovation and new technologies in dental hygiene,
including research, education and clinical aspects.
Finally, the conference will highlight special treatments,
oral health services and public oral health policies
needed for vulnerable populations such as infants,
children, the elderly, pregnant women and individuals with disabilities and special needs.
Beyond the scientific programme, a diverse social
agenda provides ample opportunities for networking,
such as the welcome reception on Thursday night
and the gala dinner on Friday night.
For more details about the programme and
speakers, please visit www.isdh2024.com.
The next ISDH will take place in Milan in Italy
from 9 to 11 July 2026. 7

In her plenary address, Prof. Nam-Hee
Kim of the Department of Dental Hygiene
at Yonsei University in South Korea will
explore the application of behavioural
economics to dental hygiene, aiming
to redesign oral health interventions to
encourage long-term behaviour change.
Her lecture will focus on understanding
why people often fail to maintain healthy
behaviours and how dental hygienists can
use insights from behavioural economics
to develop effective, sustainable inter
ventions that bridge the gap between
knowledge and action in oral health.
[Read the full interview on page 5]

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today will appear at the ISDH International Symposium on Dental Hygiene
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[3] =>

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[4] =>

interview

“We recognise that our societies are changing, and we ask how we
can adapt to meet the evolving needs of our communities”
© Unai Huizi Photography/Shutterstock.com

Dr JoAnn Gurenlian advocates for a more inclusive and diverse dental industry.
Fraser Macdonald, Dental Tribune International

r JoAnn Gurenlian is the director of education,
D
research and advocacy at the A merican
Dental Hygienists’ Association.

n ISDH 2024 kicks off on Thursday
afternoon with a plenary session by
Dr JoAnn Gurenlian, the director of
education, research and advocacy
for the American Dental Hygienists’
Association. Dr Gurenlian’s presentation promises to shed light upon the
repositioning of the dental industry
within a society that increasingly
demands a critical understanding of
socio-economic inequality and cultural
diversity.
A key part of your presentation will
concern the creative rethinking of
dental hygiene to drive positive
change in the profession. In what
ways do you see this innovation
unfolding, and what practical changes
do you envision?
Rethinking dental hygiene requires a shift in the mindset of all
dental hygienists. We must move
away from the silos we find ourselves
in and the limited perspectives of those
who endeavour to control the pro
fession. We are long past the point
where another profession even needs
to control the dental hygiene profession.
It is important for dental hygienists to
recognise their relevance as preventive oral health professionals who
can function in a variety of settings
with many other healthcare providers.
This change in philosophy begins
with dental hygiene education programmes teaching students to be
autonomous and accountable. It begins with dental hygienists envisioning themselves beyond the four walls
of a dental operatory and creating
their own facilities, their own
environments of care. The practical
elements of this are accepting respon
sibility as a licensed healthcare
provider and not burdening other
professions with that role, as well as
collaborating with other providers
and stakeholders to create opportu
nities to increase access to care and
provide oral healthcare following
the standards of the dental hygiene
profession.
Your presentation will also engage
with the highly significant issues of
inclusivity and accessibility in dental
hygiene settings. What current challenges exist in this regard, and what
do you see as the best way forwards

“Rethinking dental hygiene requires a shift in the mindset of all dental hygienists.”

to achieve parity for diverse patient
groups?
When I speak with dental hygienists, they pride themselves on the
manner in which they care for their
patients—and they do care greatly.
They are passionate about their
service to humanity. However, we do
know that some are better than others and that there is tremendous
need to ensure that equity and access
are achieved. How do we do that? We
open our eyes. We see what is occurring in our communities and in the

world. We strive to take a world view
instead of a private-practice view of
the needs before us. We recognise
that our societies are changing, and
we ask how we can adapt to meet the
evolving needs of our communities.
Offering language applications and
flexible appointment schedules is a
good first step. Additional steps might
include examining the social deter
minants of health for those we serve
and those within our community
that we have yet to meet, developing
hygiene clinics separately or as part

of other wellness centres within
areas of need, partnering with dental
therapists and other caregivers, and
working with other stakeholders to
lay the foundation for change, all of
which will look different for each
community. Hygienists must be the
leaders in creating change in this
area and legislate for recognition that
equity is essential and possible.
A vital aspect of your paper is that
knowledge is power, particularly as
regards the ability of dental hygienists

ISDH International Symposium on Dental Hygiene 2024 · Seoul

to deliver the best possible care
through staying abreast of the latest
research and innovations. How do
you see greater access to knowledge
and technology resulting in better
patient outcomes?
First, I have to say, I can’t imagine
living in a world of science and
not having the benefit of discovery.
Dental hygiene is a science. We want
to help our patients prevent, not just
manage, their oral health conditions.
How can we do that if we stay the
same and don’t use the benefits of
knowledge and technology? Gone
are the days when we provide a prophylaxis and tell patients to brush
and floss at home. We know so much
more than that former approach to
patient care. When a patient sits in
our chair, we are using science and
technology to determine whether it is
safe to treat that patient, whether the
patient needs care coordinated with
other health specialists and whether
the patient is at risk of other diseases
because of his or her oral health
status, and we can determine what
preventive and therapeutic options
will work best for that patient to
return to health.
Thanks to technology, we can
make the patient experience better
and the patient’s home care experience more productive, efficient and
effective. Thanks to research and
technology, we can personalise oral
healthcare, instead of mechanising it.
If a patient is at risk of oral cancer,
we can provide education and solutions such as a recommendation for
a human papillomavirus vaccine. If
a patient is undergoing cancer treatment, we can offer recommendations
for managing mucositis, xerostomia,
caries, etc. If a patient is smoking or
vaping, we can provide counselling
techniques and tips to work towards
smoking cessation. If a patient has
gingivitis, we can help reverse that
process, thereby preventing the
patient from getting periodontitis.
If a patient does not want to floss—
and most people don’t like flossing—
we have many other options for
interproximal biofilm management
thanks to research and technology.
Knowledge, whether it is based on
technology or otherwise, helps us
advance our care approach and give
our patients the best possible opportunities for attaining and maintaining
oral health. 7

Session details
Title
Revolutionising dental hygiene:
A central focus for oral
and general health
Date and time
11 July 13:30–14:30
Room
Auditorium

[5] =>

interview

The hidden factors behind oral health behaviours
An interview with Prof. Nam-Hee Kim.
Fraser Macdonald, Dental Tribune International
According to your current
understanding, what are
some of the psychosocial
and behavioural factors that
prevent people from maintaining healthy dental care
practices, and how might
these be redressed?
Several psychosocial and
behavioural factors hinder
individuals from maintaining healthy dental care practices. One significant factor
is explained by the dual process theory, according to
which people have two systems of thinking: System 1,
Your current research exwhich is fast, impulsive and
plores the intersection of
behavioural economics and
emotional; and System 2,
public oral health. What is the
which is slow, deliberative
significance of this connecand logical. Often, immediate
tion, and what outcomes can
desires and comfort drive
research in this area yield for
System 1, leading to decipatients and public health in
sions like skipping brushing
5
P rof. Nam-Hee Kim, Department of Dental Hygiene at Yonsei owing to tiredness, despite
general?
University in South Korea.
Behavioural economics in
knowing the long-term benefits of oral hygiene. Present-
the context of oral health
biased preferences also play a role,
effective. This research can lead to
provides valuable insights into
immediate rewards being favoured
improved patient outcomes by enhow individuals make health-related
over long-term benefits, making it
decisions. By understanding the cog
couraging preventive behaviours and
difficult for individuals to maintain
nitive biases and decision-making
better adherence to dental care recommendations, ultimately reducing
processes that influence behaviours,
healthy practices consistently. For inthe incidence of oral disease and prowe can design interventions and
stance, people may choose to indulge
moting overall public health.
in sugary snacks now, even though
public health policies that are more
n The final day of ISDH starts
with a fascinating plenary session featuring Prof. Nam-Hee Kim
of the Department of Dental
Hygiene at Yonsei University
in South Korea. Based on her
research interests in the social,
economic and political factors
underlying oral health outcomes, Prof. Kim’s talk will
elaborate upon several specific
clinical and public health strategies that can help mitigate
a range of entrenched patient
habits.

they know it will harm their oral
health in the future. Additionally,
emotional states and commercial advertising may compound these biases,
making unhealthy choices more
appealing. To address these issues,
we can implement strategies like
simplifying health messages, using
emotional and visual appeals in our
communication and creating sup
portive environments that make
healthy choices more convenient and
attractive.
Your paper sheds light on what you
call the gap between knowledge and
action in oral health. What is the
nature of this gap, and how might it
be closed?
The gap between knowledge and
action in oral health refers to the discrepancy between what people know
about maintaining good oral health
and their actual behaviours. This gap
exists because, even though individuals may understand the importance
of oral hygiene practices like brushing,
flossing and regular dental visits,
they often fail to act accordingly
owing to their cognitive biases and
emotional factors. For example, people
may intend to maintain good oral hygiene (System 2 thinking), but when
they are tired or stressed, they may

opt for immediate comfort, such as
going to bed without brushing their
teeth (System 1 thinking).
To close this gap, we need to redesign interventions to make healthy
behaviours easier and more automatic. This can be achieved by using
behavioural cues to create habits, by
making healthy choices the default
option, by leveraging social norms
to influence behaviour and by
employing frameworks like CAN
(convenient, attractive, normative).
By integrating these strategies, we
can help individuals consistently
follow through with healthy oral
practices and achieve better health
outcomes. 7

Session details
Title
A behavioural economic approach
to dental hygiene: Redesigning oral
health interventions
Date and time
13 July 9:00–10:00
Room
Auditorium

AD

[6] =>

news

Special programme highlights
Global summit, awards and social responsibility at ISDH 2024.

Global Oral Health Summit

 Date & time: 12 July, 13:45–15:15
 Location: Auditorium
The Global Oral Health Summit is
a prestigious event that gathers in
fluential leaders and stakeholders from
around the world to discuss the critical
role dental hygienists play in mitigating
the global burden of oral health disease
and its economic impact. The 2024
summit will focus on the evolving

demands of oral healthcare, addressing
awareness, policy, technology and
opportunities within the field. Esteemed
speakers from Australia, South Korea
the UK and the US will share their
insights on revolutionising dental
hygiene, the future roles of oral health
practitioners and rebranding the oral
health workforce.
One of the primary goals of the
summit is to support the World Health
Organization’s global oral health initiatives
by showcasing successful programmes
and advocating for governmental sup
port of the World Health Assembly’s
resolution on oral health. Additionally,
the summit aims to educate dental
hygienists on the impact of poor oral health
on global warming and to promote
sustainable practices. Summit speaker
Dr JoAnn Gurenlian of the American
Dental Hygienists’ Association encapsu
lated the summit’s essence, stating:

“The Global Oral Health Summit will
focus on future opportunities for dental
hygienists and dental therapists. This
summit provides a chance to gain perspec
tive on influencing factors that can shape
the landscape for oral health professionals
and determine how to evolve within the
healthcare system.”

World Dental
Hygienist Awards

 Date & time: 12 July, 11:45–12:45
 Location: Auditorium
After a two-year hiatus owing to
the COVID-19 pandemic, the World
Dental Hygienist Awards, sponsored by
Sunstar Foundation and organised
by the IFDH, have returned with new
vigour. These prestigious awards rec
ognise dental hygienists who have
made significant contributions in various
areas, including research, education
and patient care. Underscoring dedication

and excellence within the dental hy
giene community, these reimagined
World Dental Hygienist Awards spot
light those who have significantly ad
vanced the field and improved public
health outcomes.
The 2024 awards introduce re
gional awards of distinction in Europe
and North America, serving as qua
lifying rounds for the global awards.
Categories for recognition include public health, academia, entrepreneur and
research. Honourees will be celebrated
with trophies, cash prizes and travel
reimbursements to attend ISDH 2024.

Social Responsibility
Workshop

 Date & time: 13 July, 11:45–12:45
 Location: Room 201–202

The Social Responsibility Workshop
focuses on the IFDH initiative Sharing

Oral Health Knowledge for Sustainable
Smiles, which emphasises the critical link
between oral health and overall health.
Recent studies have highlighted the
connections between oral health and con
ditions such as cardiovascular disease,
pneumonia, diabetes and Alzheimer’s
disease, particularly in populations with
limited access to oral healthcare.
This workshop will present various
projects developed by IFDH members
aimed at spreading oral health knowl
edge to teachers, caregivers and com
munities. By educating these groups,
the initiative seeks to improve health
outcomes for underserved populations,
fostering a greater understanding of
the importance of oral health to overall
well-being. Selected projects will be
showcased at ISDH 2024 to illustrate
the impactful work being done to
promote sustainable health practices
worldwide. 7

“ECC has been tolerated as a regular childhood disease for many years”
Study highlights alarmingly high caries prevalence in Filipino toddlers.
Iveta Ramonaite, Dental Tribune International
n According to the World
Health Organization, 514 mil
lion children have caries of
the primary dentition. Ad
ditionally, data from 2021
shows that early childhood
caries (ECC) affects almost
half of preschool children
worldwide. Official surveys
from the Philippines have
reported consistently high
prevalence rates of ECC for
5-year-olds, but the rate for
younger children has not
been well documented. Con
cerned by this lack of data,
researchers have recently
investigated the prevalence
of ECC in the country in
children under 2 years old.
They found that nearly a third
of the children examined
suffered from ECC.

Early onset of caries
in children

There are different rea
sons why a child might de
velop caries from an early
age. For example, research
shows that mothers with
poor oral health habits can
pass on Candida albicans
to their infants, possibly
through skin-to-skin contact
or through feeding, contrib
uting to the development of
caries. Unfortunately, having
caries early on may lead
to hospital admissions, and
poor oral health habits could
later affect a child’s perfor
mance in school.

“While parents may not
realise that dental caries
alone may have detrimental
effects on their children’s
quality of life, having ECC
“ECC has been tolerated
5
D

r
Waranuch
Pitiphat
is
a
senior
author
of
the
recently
published
study.
as a regular childhood dis
or severe ECC in very young
ease for many years. Parents
children who are not yet able
tend to overlook it because of the
seems to be a universal pattern of
to speak and properly express any
high prevalence of ECC. Published
misconception that primary teeth
kind of discomfort will have a nega
studies from this region appear un
are less important compared with
tive impact on their growth and
permanent teeth,” senior author of
derstated in literature, presumably
development, aside from the more
because of the lack of regular offi
obvious consequences,” Dr Pitiphat
the study Dr Waranuch Pitiphat, as
cial reports. When reports are avail
said.
sociate professor of dental public
able, prevalence rates are often con
health at Khon Kaen University in
firmed to be alarming, and carious
Thailand, told Dental Tribune Inter
Strong need for baseline data
teeth are usually left untreated. In
and ongoing research
national. She is also the director
Thailand, for example, ECC is also a
of the clinical and public health
Dr Pitiphat explained that
significant public health issue. Stud
research training in oral health
public healthcare workers in the
ies indicate that the prevalence of
for South East Asia project, a pro
Philippines have been providing
ECC among preschool children is re
gramme aimed at enhancing and
preventive and interceptive proce
supporting skill development and
markably high. According to a na
dures to combat ECC, such as
tional oral health survey, over 50%
knowledge of clinical research in
pit-and-fissure sealants and topical
of 3-year-old children in Thailand
dentistry in the region.
fluoride application. However, they
suffer from ECC. This high preva
appear to have had minimal effect
lence underscores the urgent need
Discussing the prevalence of
on prevalence rates reflected in
for preventive measures and public
ECC in South East Asia, Dr Pitiphat
official surveys. She says that, for
health interventions.”
planning and policy-making to be
noted: “In South East Asia, there

6

successful, proper baseline data
and ongoing research are essential.
“To catch the attention of stakeholders—
including parents, healthcare workers,
teachers and policymakers—valid
and comprehensive data must be
presented,” she noted.

throughout the day, parents must
recognise the importance of regu
larly cleaning milk residue from
both the hard and soft tissue in the
oral cavity.

“Our findings indicate that
Filipino toddlers often feed at least
Frequent eating and poor
six times in a day without sufficient
oral care as the main culprit
oral cleaning. Visible plaque was ob
served by caregivers and confirmed
In the study, the researchers
during dental examination. These
sought to determine ECC prevalence
and its association with socio- factors—frequent feeding and visible
plaque—are strongly associated with
demographic indicators, feeding prac
tices and oral health behaviours
ECC,” Dr Pitiphat noted.
among children aged 24 months
and below in the Philippines. For
In light of the findings, the re
searchers believe that healthcare
that purpose, they observed healthy
providers should prioritise appro
young children aged 4–24 months
in primary health centres. Each
priate oral healthcare education
child’s caregiver was interviewed,
of caregivers and prioritise pre
ventive measures in the first two
and all the children underwent dental
years of a child’s life or earlier.
examinations.
Additionally, they noted that care
givers’ understanding of the imThe researchers found that
pact of dietary and oral hygiene
29.2% of the 703 children in the
study had already developed ECC,
patterns is key to preventing the
including both non-cavitated and
disease.
cavitated lesions, and had an aver
age of 6.7 erupted teeth. Factors
“Successful implementation of
significantly influencing ECC pre
correct early oral healthcare will
help prevent ECC from the outset,
valence included the child’s age,
caregiver’s low educational level,
as well as mitigate risks of mal
continued breastfeeding, frequent
nutrition, stunting, obesity and other
eating and visible dental plaque
serious chronic illnesses later in
observed by the caregiver and by
life,” Dr Pitiphat stated. “This study
the paediatric dentist who performed
underscores the need for early
the oral examination.
intervention and ongoing education
to improve long-term health out
comes,” she concluded.
“This shows that ECC starts very
early after tooth eruption, especially
in babies with frequent eating
The study, titled “Prevalence and
patterns and poor oral care habits,”
risk indicators of early childhood caries
Dr Pitiphat commented. She explained
among toddlers in Caloocan City,
that, although, understandably, infants
Philippines: A cross-sectionalstudy”,
and babies usually have incremental
was published online on 31 May 2024
in BMC Oral Health. 7
feeding schedules every 2–3 hours

ISDH International Symposium on Dental Hygiene 2024 · Seoul

Seoul © boonkerd – stock.adobe.com/Shutterstock.com

n ISDH 2024 promises to be an event
of immense importance and innova
tion, presenting a rich scientific pro
gramme complemented by a special
programme. Offering global discussions
on oral health, celebrating excellence
in dental hygiene and emphasising
social responsibility, this year’s special
programme is designed to inspire
and educate. Read on for the key high
lights.

[7] =>

dental-tribune.com

dtstudyclub.com

E-newsletter

For 20 years,, Dental Tribune
International has been at the
forefront of dental media, education,
and events, shaping the global
landscape of dental knowledge
dissemination. With a presence
in over 90 countries,
countries Dental
Tribune International stands as
the world’s largest dental
network, connecting profesThe global voice in essential dental media
sionals and industry representatives across the globe. Our
commitment to providing
essential information to the dental
community is unwavering. Since our
inception in Leipzig, Germany, in
2003, Dental Tribune International
has flourished into a powerhouse.
Our integrated approach merges print,
digital, and educational media,
offering a myriad of marketing
channels to engage with the vast
dental community
worldwide. As we celebrate this
milestone, we proudly
merge our anniversary with our esteemed German forerunner
company, OEMUS MEDIA. With roots dating back to 1994, OEMUS
MEDIA has evolved into a pivotal player and trusted partner in the dental
landscape, setting trends and standards in the German-speaking markets.
Together, Dental Tribune International and OEMUS MEDIA bring forth over
50 years of collective industry expertise, reflecting our commitment to
14
15
innovation, quality, and service excellence.

Celebrating 20 years of

16

Interview
Prof. Phoebus
Madianos disclose
s what attendees can look
forward to at
this year’s
EuroPerio.

News
The European
Federat
has made sustaina ion of Periodontology
bility a central
EuroPerio10.
focus of

» page 4

EFP welcome
s attendees
to EuroPerio1
0 in Copenhag
More than 130
en
speakers from
to present
over 30
on advances in

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» page 6

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Products
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the opportunity
to see and
try out the most
current innovat
ions in periodontics and implant
dentistry.

» pages 17–2

“We aim to ins
pire excellenc
e
during this ye
ar’s EuroPeri
An interview with
Holger Essig, chief
o”
marketing officer

countries
periodontics and
implant dentis
try

of BioHorizons

THE GLOBAL DENTAL CE COMMUNITY

 Organised by
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 As dental profess
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to 18
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their conhagen in Denma June at Bella Center Copen
other dental
reached out to
International
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rk. EuroPerio,
plines.
Holger Essig,
discithe leading congress in period
chief marketing
ficer of BioHor
ontics and implan
ofizons Camlog
With its wide
is usually held
and
t dentistry,
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triennially, but
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s Global Oral Recons a member of
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linerio10 look forwar
130 experts from
ists, dental nurses odontists, dental hygien
BioHorizons Camlog
d to at the
tries who will
over
,
Mr
30
other
Essig, in 2018,
counbooth?
dental and medica
cover the latest
CAMLOG’s theme
We are offerin
trends in periol
was “Perio-friendly
for EuroPerio
g an Expert
gramme, and
and
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with CAMLOG”.
throug
` page 2
Does BioHorizons restorations
renowned expert hout Thursday and Friday,
congress theme
Camlog have a
s are holding
for this year’s
live presentashow? Which
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[8] =>

news

Matcha: A new ally in the fight against periodontal disease
Study has demonstrated that using matcha may help prevent and treat periodontal disease.
Iveta Ramonaite, Dental Tribune International

In the study, researchers from
Japan conducted a series of in vitro
experiments to test the efficacy of
a matcha solution against 16 oral bacterial species, including three strains
of P. gingivalis. They discovered that
the matcha extract eliminated the
cultured P. gingivalis cells 4 hours
after intake.
Subsequently, the researchers
recruited 45 people with chronic

plan for people with periodontal
disease.

n Extensive research shows that
Porphyromonas gingivalis is linked
with the initiation and progression
of periodontal disease. The antimicrobial activity of the tea plant Camellia
sinensis against a wide range of pathogens has been studied; however, there
is little information on its effect on
P. gingivalis. Owing to the scarcity of
data, researchers from Japan have explored the clinical effects of matcha—
made from the raw leaves of C. sinensis—
on periodontal disease and found that
it inhibited the attachment and survival of P. gingivalis, suggesting its
effectiveness for the prevention and
treatment of periodontitis.

“Elimination of P. gingivalis in
the oral cavity has been at the
centre of attention for more than
three decades in periodontology,”
the authors wrote. “In the present
study, we report that matcha, a product of C
amellia sinensis, hampers
Porphyromonas gingivalis, a major
periodontal pathobiont, in not only
a series of in vitro experiments but
also a pilot intervention clinical trial
of patients with periodontitis, in
which matcha mouthwash statis
tically significantly reduced the
P. gingivalis number in saliva, as compared to the pre-intervention level.
Taken together, we suggest that matcha may have clinical applicability
for prevention and treatment of periodontitis,” they concluded.

periodontitis at the Nihon University Hospital School of Dentistry at
Matsudo in Tokyo for a follow-up
clinical study. They randomly
assigned the patients to three
groups and provided them with
mouthwash containing barley tea,

matcha extract or sodium azulene
sulfonate hydrate to treat the
inflammation. Participants were
instructed to rinse twice daily,
and the researchers analysed
their saliva before and after treatment.

They reported that, unlike the
other two groups, patients who
used mouthwash containing matcha
showed a significant reduction in
the level of P. gingivalis. Given the
findings, the study supports the use
of matcha as part of a treatment

The study, titled “Multimodal
inhibitory effect of matcha on
Porphyromonas gingivalis”, was published online on 21 May 2024 in
Microbiology Spectrum, ahead of
inclusion in an issue. 7

Oral health among minority populations
US study links lack of supervised brushing in childhood to caries.
Dental Tribune International
tion on the participants’ oral hygiene behaviours, such as brushing
habits, dental visits and diet, as
well as historical data on their oral
hygiene habits as children. They
then compared the participants’
responses with the occurrence of
self-reported dental health problems.
According to the findings, more
than 40% of the participants
reported untreated dental caries
or gingival bleeding. Additionally,
63% of those who reported dental
caries said they had experienced
caries in adolescence. A further
59.3% of the students with caries
and 56.0% of those with gingival
bleeding had not been supervised
when brushing their teeth as
children.

The researchers found that poor
oral health affected the participants’
quality of life. Namely, gingival
bleeding was associated with dif
ficulty chewing, pain, impaired
speech, and school and work absences. Similarly, dental caries was
linked with all of the aforementioned factors as well as with xerostomia, disturbed sleep and the
avoidance of smiling.
n Although many college students
recognise the impact that lifestyle
choices have on oral health, minority students often have limited
access to dental health information
and services and thus their oral
health can be overlooked. Seeking
to investigate the link between oral
hygiene behaviours, oral health attitudes and oral health problems in

minority undergraduate students,
a recent study found that certain
self-reported oral health issues had
an impact on the participants’ quality of life and on their attitudes towards oral health. The findings indicate a need to enhance oral hygiene
practices among minority students
and to ensure that they regularly
visit the dentist in order to reduce

dental problems and improve their
quality of life.
The study included approximately 150 students attending a
state university in Florida in the US
who identified themselves as either
Black, Hispanic, Asian, Native American or Pacific Islander. In the study,
the researchers collected informa-

It was also found that diet
during childhood was linked to
caries prevalence in adulthood.
More than a third of the participants
with caries (39%) reported a high
consumption of sweets in childhood.
After enquiring into participants’
brushing habits, the researchers
found that those who brushed for

ISDH International Symposium on Dental Hygiene 2024 · Seoul

1 minute or less were more likely to
report gingival bleeding.
The researchers also found
disparities among various ethnic
groups. For example, only 9% of
the Hispanic students reported untreated dental caries, whereas the
proportion was much higher for
Black students, at 32%. Additionally,
Hispanic and Black adolescents
were found to be more likely to
have multiple missing teeth and
untreated caries.
Given the findings, the study
called for increased access to oral
health education and preventive care
for minority students. “Improving oral
health education resources for minorities and free preventative care beginning in adolescence may help improve
oral health practices among minorities over their lifetime,” the authors
wrote. They then concluded: “Furthering education on the importance of
preventative oral care and providing
financial equality of dental care would
ideally improve oral health among
minority populations.”
Since the study relied on self-
reporting, the researchers cautioned
that there was a potential for bias,
as some students might have been
unable to recall certain past events
accurately.
The study, titled “Examining
oral hygiene behaviors, oral health-
related quality of life, and attitudes
toward oral health among minority
students”, was published online on
13 May 2024 in Cureus. 7

[9] =>

news

Indian paediatricians want to know more about oral health
In a survey, over 90% agreed that medical curricula should feature more oral health topics.
Dental Tribune International
agreed that their role in providing
dental healthcare advice to parents
was essential.

n Nearly half of all children in India
have early childhood caries (ECC), and
research shows that reducing ECC in
cidence requires the participation of
healthcare practitioners who work with
children and caregivers. Researchers
at Manav Rachna Dental College in the
northern state of Haryana recently sur
veyed paediatricians to assess their per
spectives and knowledge relating to oral
care, and they found that older clinicians
working in hospitals or universities had
a more positive attitude towards paediat
ric dental care, and most respondents
agreed that medical curricula should in
clude more oral health education.

Discussing the results, the re
searchers highlighted “an encouraging
pattern: a significant proportion of
practitioners had deep expertise in crit
ical facets of child dental treatment”.
Nonetheless, they pointed out that just
80.05% of participants agreed with
incorporating oral health check-ups
into daily paediatric practice, indicating
that integration of dental care into
broader medical practice remains a
topic of debate.

The study focused on paediatricians
working in the western regions of the
northern state of Uttar Pradesh, and
it drew 600 respondents, who mainly
worked in hospital or university settings.
Nearly half had ten or fewer years of
clinical experience.
The vast majority (87.00%) knew the
correct age for a child’s first dental visit
and 83.57% accurately identified ineffec
tive methods of alleviating teething dis
comfort. The primary causes of caries were
recognised by 72.59%, and 85.59% under
stood the factors that contribute to bottle

“The data underscores a commend
able understanding and positive atti
tude toward the preventive aspects of
dental health among participants. Yet,
it also pinpoints areas, like knowledge
about critical pH levels for tooth demin
eralisation, where continued education
is imperative,” the researchers con
cluded.
mouth caries. Gaps in knowledge were
identified relating to the bacteria involved
in bottle mouth caries and the critical pH
level for tooth demineralisation, which was
correctly identified by just 79.76%.

In the area of dental hygiene, 90.8%
supported the inclusion of oral health
education in medical curricula for chil
dren, and 81.8% recognised the need
to educate healthcare providers about

caries prevention and infant oral
health. The vast majority (88.70%)
favoured collaboration with paediatric
dentists to combat ECC and advance
children’s oral health, and 95.74%

The study, titled “Reconnoitering
the dental knowledge and attitude of
pediatricians in the Western Uttar
Pradesh region of India, was published
online on 10 May 2024 in C
ureus. 7

Microbial-level functionality of mouthwash
New journal supplement explores the role of mouthwash in oral care.
Iveta Ramonaite, Dental Tribune International
© aslysun/Shutterstock.com

ciated with the COVID-19 pandemic.
However, more clinical research is
needed to show a clear benefit,” he con
tinued.
Besides its potential benefits, mouth
wash has been shown to have adverse
effects. For example, DTI has previously
reported on research that indicates that
mouthwash may impede the benefits of
exercise and raise blood pressure.

n The value of mouthwash as part of
routine oral hygiene has often been
questioned in the literature. Seeking
to provide the most current data on
the role of mouthwash in oral care,
FDI World Dental Federation has curated
a topic-specific International Dental Journal
supplement that includes six peer-
reviewed articles looking at the effec
tiveness of mouthwash in managing
oral disease, the effect of mouthwash on
the oral microbiome and on systemic
disease, and alternatives to mouthwash
and its potential future development.
Discussing the importance of the
supplement, a co-author of three of
the articles, Dr Michael McCullough,

who is professor of oral medicine at the
Melbourne Dental School, told Dental
Tribune International (DTI) that the lack
of consensus worldwide regarding the
use of mouthwash prompted FDI to form
a task team to further explore the topic.
“This supplement provides an easy-
to-read guide on mouthwash use based
on the current best available evidence,”
he said.
The efficacy of mouthwash use in
maintaining oral health is well docu
mented in the literature. However, it often
shows varying degrees of evidence.
“Mouthwash use decreases plaque and
gingivitis in many short-term studies,
most of these studies assessing chloro

hexidine-containing mouthwashes. How
ever, the evidence for their effectiveness
in preventing periodontal disease is not
currently available,” Prof. McCullough
explained.
“There is moderate evidence for
the adjunctive use of fluoride-containing
mouthwashes for the prevention of cor
onal caries in children and adolescents
but not in adults. Further, there is lim
ited evidence of the effective use of
mouthwashes to aid healing post sur
gery, chemotherapy-induced mucositis
and the management of alveolar osteitis.
Finally, there has been a great deal
of interest in the antiviral properties of
mouthwash recently, particularly asso

“There is increasing evidence, par
ticularly using modern tools assessing
bacterial metagenomics, to suggest that
mouthwash use can result in a dysbiosis
in oral bacteria as well as potentially
lead to antimicrobial resistance. Fur
ther, links between mouthwash use and
cardiovascular disease, diabetes mellitus,
oral cancer, Alzheimer’s disease and
pre-eclampsia have been proposed, how
ever with variable and limited levels of
evidence,” Prof. McCullough explained.
The supplement also delves into the
future directions of mouthwash, includ
ing alternatives to conventional mouth
washes. In this regard, DTI has reported
on a study that examined the effectiveness
of cannabinoid-infused mouthwashes
in fighting plaque, comparing them with
chlorhexidine mouthwashes.
Discussing the emerging role of mouth
wash in dentistry, Prof. McCullough
commented: “There are currently sev
eral types of mouthwash being devel
oped that may be able to modulate oral
immune reactions for the treatment of
oral mucositis, as well as nanoparticle-

r Michael McCullough, who is professor of
D
oral medicine at the Melbourne Dental School
in Australia.

containing mouthwashes that have the
potential for more-targeted antimicro
bial action. There are also the impacts
on the environment of widening mouth
wash use with more new products,
including increased use of packaging,
potential antimicrobial resistance and
possible detrimental effects on marine
life, that need to be considered.”
“The long-term use of mouthwash
has to be recommended with a balance
between the known benefits and these
potential adverse effects,” he concluded.
On its continuing online education
platform, a webinar on the role of
mouthwash in oral care is available on
demand and free of charge. Please visit
www.fdioralhealthcampus.org.
The journal supplement, titled
“The role of mouthwash as part of
routine oral care”, is available online at
www.fdiworlddental.org. 7

ISDH International Symposium on Dental Hygiene 2024 · Seoul

[10] =>

clinical

Treatment of patients with severe periodontal disease
in general dental practice
Dr Yana Witschel & Ioana Brandlmeier, Germany

1
5

2

Fig. 1: Panoramic radiograph before treatment. Fig. 2: Measurement before treatment.

n According to current data, approx
imately ten million people in Ger
many have severe periodontitis. This
condition leads to tooth extractions
and loss of dental and facial aesthet
ics and may require complex pros
thetic planning for dental rehabili
tation. Nevertheless, treatment rates
remain low, and treatment falls short
of what is necessary to address the
existing periodontal cases.
We know that one of the reasons
for severe periodontal disease is
highly aggressive bacteria that re
quire treatment with antibiotics.
However, we are now encountering
another problem that has been grow
ing in recent times—antibiotic resis
tance—which has become a major
global health issue. While antibiotic
therapy for periodontal disease is
often unavoidable, a microbiological
test and the use of antibiotics with
the narrowest spectrum of action
in correct doses should always be
considered.
In this article, we discuss the
treatment of a 51-year-old male pa
tient with severe generalised chronic
periodontitis. After thorough exam
ination and treatment planning,

3a
5

along with adjuvant antibiotic ther
apy and closely monitored follow-up,
a stable and satisfactory outcome
was achieved.

Case description

The patient presented with pain
in tooth #36. A panoramic radiograph
revealed general horizontal bone loss
and pronounced vertical bone loss
around teeth #13, 36, 33, 43 and 47.
While taking the medical history,
it was noted that the patient was not
a smoker and had controlled high
blood pressure, for which he took
ramipril and hydrochlorothiazide
(RamiLich, Zentiva Pharma). The pa
tient had received periodontal treat
ment in another practice in 2001,
during which the extraction of teeth
#36, 43 and 47 was recommended
but not performed.
Clinical examination found red
ness and bleeding of the gingivae, as
well as pain on biting. Teeth #18, 17,
11, 21, 26, 28, and 32–42 were found
to be missing, and there was a bridge
from tooth #13 to tooth #23 and one
from tooth #33 to tooth #43. The peri
odontal screening index values were
3, 4, 4, 4, 4 and 4 for teeth #16, 27,
36 and 46 (mesiobuccal, mesiopalatal,

3b

distobuccal and distopalatal), respec
tively. The patient’s oral hygiene was
found to be average, there being
some calculus and plaque, especially
in the proximal areas.
A panoramic radiograph showed
no radio-opacity in the maxillary
sinus and no changes to the tem
poromandibular joints. There were
radiopacities suggestive of fillings in
several teeth. Horizontal bone loss
of moderate extent (approximately
50%) was generally present, along
with very pronounced vertical bone
loss mesial to tooth #13, distal to
tooth #36, mesial to tooth #33, distal to tooth #43, and mesial to and
in the bifurcation of tooth #47
(Fig. 1).
Owing to the elevated perio
dontal screening index values, an
other appointment was scheduled to
assess periodontal status. Both peri
odontal pocket probing depth (PPD)
and bleeding on probing (BOP) and
mobility measurement were per
formed on all teeth (Fig. 2). Tooth #37
had a mobility of Grade I and no
probable bifurcations, and teeth #36
and 47 had radiographically visible
bifurcations. Given the periodontal

status findings, which included PPDs
of up to 12 mm (tooth #13) and sev
eral PPDs of 7 and 8 mm, along with
purulent exudate from the perio
dontal pockets of teeth #13, 27, 36,
33 and 43, an additional micro
biological investigation was initiated
(Fig. 3). The analysis results showed
an elevated concentration of bacteria such as Tannerella forsythia,
Treponema denticola and Prevotella
intermedia and a very high concen
tration of Porphyromonas gingivalis
and Aggregatibacter actinomycetemcomitans (Fig. 4).
Based on the radiographic find
ings, periodontal status and micro
biological findings, the patient was
diagnosed with generalised severe

chronic periodontitis with acute ex
acerbation in teeth #13, 36, 33, 43
and 47.

Treatment planning

The following treatment steps
were discussed and established as
the treatment plan:
1. r emoval of all supragingival and
clinically accessible subgingival
plaque and calculus (closed
approach);

3c

Figs. 3a–c: Performing a bacteria test. Fig. 4: Bacteria test results.

10

ISDH International Symposium on Dental Hygiene 2024 · Seoul

4

2. adjuvant antibiotic therapy based
on the microbiological analysis
results;
3. repeated assessment and mainte
nance therapy as part of supportive
periodontal therapy (SPT); and
4. if necessary, surgical therapy (open
approach).

Treatment progress

The first appointment included
an informative and therapeutic dis
cussion about the findings, diagnosis
and risk factors related to periodon
tal disease. Detailed guidance was
provided on topics such as nutrition,
stress management and potential in
teractions with the patient’s high
blood pressure medication. A mouth
hygiene check, documented according
to Lange’s approximal plaque index
(60%) and sulcus bleeding index (50%),
was also conducted, followed by in
struction on home oral hygiene.
Finally, non-surgical periodontal
therapy with corresponding antibi
otic treatment according to the Van
Winkelhoff1 schema 500 mg amoxi
cillin three times a day and 400 mg
metronidazole three times a day for
seven days) was performed. Addition
ally, antibacterial therapy in the form

[11] =>

clinical

5
5

Fig. 5: Panoramic radiograph after treatment. Fig. 6: Periapical radiograph of tooth #36 after treatment.

of a 0.2% chlorhexidine solution twice
a day for seven days was recom
mended. To enhance the treatment’s
success, a full-mouth disinfection was
performed in one session for each
visit of the periodontal therapy.

Follow-up examinations

The first follow-up examination
showed a positive healing trend.
No redness, swelling or pain was
observed. At the second follow-up,
slight probing at the gingival margin

9 mm to 6 mm mesially). The mouth
hygiene check (approximal plaque
index according to Lange) showed
a 20% improvement in oral hygiene.
The sulcus bleeding index had also
improved by 25%. Home oral hygiene
instruction was given again. Positive
progress regarding the gingiva was
observed in both jaws. Subsequently,
periodontal therapy was performed
on teeth with PPD ≥ 4 mm, along with
professional tooth cleaning for all
teeth.

home oral hygiene instruction. Ex
cept for a slight improvement in PPD
(approximately 1 mm), all values re
mained stable. Subsequently, another
periodontal therapy session was per
formed on all teeth with PPD ≥ 4 mm,
along with professional tooth cleaning
on these teeth.
During the semi-annual dental
examination, a panoramic radio
graph was taken to enable a compar
ison of bone structure. A significant

teeth with PPD ≥ 4 mm, along with
professional tooth cleaning for all
teeth (Fig. 7).

Summary and prognosis

The radiographic findings, in
cluding 50% horizontal bone loss and
severe vertical bone loss around
teeth #13, 36, 33, 43 and 47, along
with attachment loss of up to 12 mm,
considering the patient’s age, led to
the diagnosis of generalised severe
chronic periodontitis. Microbiological
diagnostics were initiated on the
basis of the periodontal findings,
revealing a high bacterial load, espe
cially of the A.a. complex (A. actinomycetemcomitans) and red complex
(P. gingivalis).
An appropriately administered
anti-infective therapy in combination
with suitable antibiotic treatment
resulted in a significant improvement
in PPD. Clinical improvement was
also observed: no swelling or redness
in the gingival area and no more pain
on biting. Subsequent re-evaluation
appointments consistently showed
improvement in both PPD and BOP,
as well as at-home plaque control.
The radiographic control images re
vealed bone defect filling, especially
around the prognostically problematic
teeth.

Fig. 7: Measurement after treatment.

resulted in no bleeding. The appear
ance of the gingivae showed no
abnormalities. Exact PPDs were
planned to be measured for the first
assessment about three months later.
Subsequent appointments were
made according to the SPT frame
work.
At the first SPT session, a peri
odontal evaluation was conducted,
involving two PPD and two BOP mea
surements per tooth. A general im
provement was observed, especially
positive progress regarding tooth #13
(reduced from 12 mm to 6 mm dis
tally), tooth #27 (reduced from 6 mm
to 3 mm mesially), tooth #36 (reduced
from 8 mm to 5 mm distally), tooth
#33 (reduced from 8 mm to 5 mm me
sially) and tooth #43 (reduced from

The patient reported no pain
when biting, and there was no red
ness or swelling. The patient’s be
haviour showed a positive trend in
terms of oral hygiene and manage
ment of risk factors. According to
the patient, dietary changes had
been made, including daily con
sumption of fruits and vegetables
and water as a thirst-quencher.
A healthy diet, specifically one low
in the glycaemic index and rich in
omega-3 fatty acids, fibre, micronu
trients and secondary plant com
pounds that reduce inflammation in
the body, can positively influence
host response.
The next SPT session included
a re-evaluation of the periodontal
status, a mouth hygiene check and

improvement in bone density was ob
served, especially around teeth #13,
36, 33, 43 and 47, where severe ver
tical bone loss was initially present.
Clinical improvements were also
noted, including inflammation-free
gingivae with slight recession
(Figs. 5 & 6).
The third SPT session included
a re-evaluation of periodontal status
(PPD and BOP), another mouth hy
giene check and home oral hygiene
instruction. An improvement in the
approximal plaque index of 60.0%
to 33.0% and in the sulcus bleeding
index of 25.0% to 12.5% was noted.
The PPD profile also showed slight
improvement in some areas of ap
proximately 1 mm. Periodontal ther
apy was performed on all remaining

About

The patient attended all appoint
ments on time and showed interest
in improving stress management and
dietary habits. PPDs of 5 mm and
6 mm still exist at teeth #36, 43 and 47.
A close recall system as part of SPT
thus remains necessary and will
enable potential recurrence to be de
tected and treated early. Based on all
the findings, the long-term prognosis
is considered to be very good.
It is important to note that in a
specialist periodontics practice differ
ent treatment planning and methods
would be implemented for such a
patient, but these were not suitable
for discussion here. With this case,
we aimed to report a successful treat
ment in general dental practice,
emphasising the importance of micro
bial testing and appropriate anti
biotic therapy, given the rising issue
of antibiotic resistance. 7
Reference

1. Van Winkelhoff AJ, Rodenburg JP, Goené RJ, Abbas F,
Winkel EG, de Graaff J. Metronidazole plus amoxycillin
in the treatment of Actinobacillus associated periodontitis. J Clin Periodontol. 1989 Feb;16(2):128-31.

Dr Yana Witschel studied dentistry
at Stavropol State Medical University
in Russia and worked at the state
dental polyclinic in Stavropol. In 2012,
she gained her licence to practice in
Germany and worked at the University
of Leipzig Medical Center in Germany
and later at a dental practice with a
focus on prosthetic and conservative
dentistry. Since 2015, she has been
in practice at her own clinic in Windorf
in Germany.

Ioana Brandlmeier initially studied
at the Faculty of Medicine of the
“Lucian Blaga” University of Sibiu in
Romania and then undertook training as a dental assistant. She has
completed various further education
courses in the field of prophylaxis
and periodontal therapy. She worked
as a dental assistant and thereafter
as a specialised assistant in the field
of prophylaxis and periodontics at
a dental practice in Landshut in
Germany. Since 2021, her main focus
has been on supporting periodontal
treatment and providing individualised prophylaxis and sustainable
education on health promotion and
disease prevention and awareness at
Dr Yana Witschel’s dental practice in
Windorf in Germany.

ISDH International Symposium on Dental Hygiene 2024 · Seoul

[12] =>

industry

CURASEPT: THE FIRST CHLORHEXIDINE WITH ANTI-DISCOLORATION SYSTEM
attention to the needs of its customers have been the cornerstones of
Curasept’s development and achievements. Its ADS line has achieved
a market share of 65% in Italy.
Founded in 2001, Curasept now
operates in 40 countries through
a network of distribution partners.
The company is currently seeking
distributors in Asia. 7
References

n Chlorhexidine is the gold standard in antimicrobial oral rinses.
However, the consequent development of dental discoloration and
taste disturbance are well-known adverse side effects of its use and can
lead to reduced patient compliance.
The patented chlorhexidine anti-
discoloration system (ADS) developed
by the well-known Italian company
Curasept is able to interfere with
the two main reactions that are responsible for staining: the Maillard
reaction and the protein denaturation
process. Furthermore, because the
ADS line does not contain alcohol or
sodium lauryl sulphate, the risk of
developing side effects related to the
prolonged use of alcohol-based mouth-

washes is mitigated, further increasing
patient compliance.
The efficacy of Curasept ADS
has been confirmed by numerous
in vitro and in vivo studies. For
example, a study with 48 patients1
and another with 70 patients2
showed that gingival inflammation
can be controlled more effectively
by constant use of Curasept ADS.
In addition, a systematic review
and meta-analysis3 on the efficacy of
chlorhexidine mouthwash with and
without ADS, which was presented
at the EuroPerio9 congress, concluded: “The addition of ADS to
[a chlorhexidine mouthwash] is in
favour of its use regarding tooth

s urface discoloration and it does not
affect its properties with respect to
gingival inflammation and plaque
scores. The recommendation emerging from this review is that in order
to avoid tooth surface discoloration
[a chlorhexidine mouthwash plus ADS]
should be considered with respect to
plaque and gingivitis reduction.”
The line was later enlarged with
the creation of a specific treatment
line which combines chlorhexidine
with an additional functional in
gredient, hyaluronic acid, for faster
tissue regeneration. Chlorobutanol is
also added for immediate pain relief,
as is Hamamelis virginiana to treat
bleeding gums.

Curasept is dedicated to improving oral health and has become a
leader in the field over its more than
20 years of commitment to research
and development aimed at creating
functional, reliable and innovative
solutions. The company produces
both chemical and mechanical oral
hygiene solutions, and all its products are made in Italy. Since its foundation, Curasept has been working
alongside dental professionals, sharing innovative techniques and instruments to treat oral disease while
also supporting patients and consumers by offering a complete range
of solutions for prevention and daily
dental care. High-quality science,
perseverance, detailed analysis and

1. C
ortellini P, Labriola A, Zambelli R, Prato GP,
Nieri M, Tonetti MS. Chlorhexidine with
an anti discoloration system after periodontal flap surgery: a cross-over, randomized,
triple-blind clinical trial. J Clin Periodontol.
2008 Jul;35(7):614–20. doi: 10.1111/j.1600051x.2008.01238.x.
2. Graziani F, Gabriele M, D’Aiuto F, Suvan J,
Tonelli M, Cei S. Dental plaque, gingival
inflammation and tooth-discolouration with
different commercial-
formulations of 0.2%
chlorhexidine rinse: a double-blind randomised
controlled clinical trial. Oral Health Prev Dent.
2015;13(2):101–11. doi: 10.3290/j.ohpd.a32827.
3. V
an Swaaij BW, Van der Weijden GA, Bakker EW,
Slot DE. PD085: the efficacy of chlorhexidine mouthwash, with and without an anti-
discoloration-system (ADS), on the parameters
plaque, gingivitis and tooth surface discoloration: a systematic review and meta-analysis.
J Clin Periodontol. 2018 Jun;45(S19):71. doi:
10.1111/jcpe.87_12914.

Curasept, Italy
www.curaseptworldwide.com
Grand Ballroom 3–4

The world's
dental
e-newsletter

International Newsletter – 10 November 2022

news
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Dental Tribune e-newsletter

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twitter.com/DentalTribuneIn

linkedin.com/company/dental-tribune-international

[13] =>

[14] =>

travel

What’s on in Seoul, ISDH 2024, 11–13 July
Eight exciting things to do in the city this week.
Gyeongbokgung Palace. © ONRUECHA WASAN/Shutterstock.com

 When: 11–14 July
 Location: Hall B, COEX
 More information and tickets:
urbanbreak.com
Now in its fifth year, URBAN
BREAK is Asia’s largest urban and
street art festival, and this year’s
event is taking place right alongside
ISDH 2024. The event showcases
a wide range of artists whose work
appears in and around cities and
public spaces and encourages the
audience to question traditional definitions of modern art. Far more than
a graffiti affair, it integrates visual
arts with music, fashion and street
dance, presenting innovative art for
easy enjoyment. URBAN BREAK 2024
is offering a sensory art experience for everyone’s tastes—and the
installations will even include
robots!

Seoul International Garden
Show 2024

 When: 16 May to 8 October
 Location: Ttukseom Hangang Park|139,
Gangbyeonbuk-ro,
Gwangjin district
 More information: sigs2024.com
 Ticket price: Free admission

If you’re looking for something
relaxing, aesthetically pleasing and

close at hand, the Seoul International
Garden Show 2024 is showcasing
gardens—created by experts, citizens
and various organisations—that encourage the cultivation of a profound
appreciation of and connection with
nature. One garden invites the visitor
in to be soothed by the flowers,
grasses, water and wind. Another
offers a place of rest, nostalgia and
memory. The many immersive gardens explore topics like urban coexistence between humanity and nature,
sustainable landscapes and companionship, drawing the visitor in with
visual intrigues such as the earth
dragon.

Gyeongbokgung Palace

 When: All year round
(closed on Tuesdays)
 Address: 161, Sajik-ro,
Jongno district
 More information:
www.royalpalace.go.kr
 Ticket price: KRW 3,000
For a glimpse into Korea’s rich
past, visit the famous Gyeongbokgung
Palace to learn about its incredible
600-year history. It is the largest
and arguably the most beautiful of
all the royal palaces. Many kings of
the Joseon dynasty were crowned
here, and it is also the very place
where Hunminjeongeum—the modern

Korean alphabet—was created and
distributed. Also within the palace
grounds are the National Palace
Museum of Korea—which even houses
royal treasures among the many
relics—and the National Folk Museum
of Korea, where visitors can learn
how Koreans lived from the past to
present.

Mediterranean Tales:
Pasquale Stafano
and Gianni Iorio

 When: 13 July
 More information and tickets:
korea.stripes.com
If you’re looking to wind down
at the end of the
symposium with some
soothing music, the
internationally renowned classic jazz
duo Pasquale Stafano
and Gianni Iorio are
putting on a concert.
Featuring Stafano
on the piano and Iorio
on the bandoneon—
a kind of accordion—
the concert promises
to immerse listeners
in a relaxing soundscape that perfectly
concludes a trip to
Seoul.

THE BOYZ world tour:
Zeneration Ⅱ

 When: 12–14 July
 Location: KSPO Dome|424,
Olympic-ro, Songpa district
 More information and tickets:
ticket.yes24.com
 Ticket price: KRW 150,000

 When: All year round
 Address: 105, Namsangongwon-gil,
Yongsan district
 More information:
www.nseoultower.co.kr
 Ticket price: KRW 21,000

At the other end of the musical
spectrum is a concert by the wildly popular THE BOYZ, a K-pop boy band, who
have just released their second fulllength album and have a massive, adoring fan base. Kickstarting the group’s
third world tour, the concert promises
to be an unforgettable cultural experience in the land of K-pop!

Opened to the general public in
1980, the iconic N Seoul Tower is one of
the most famous landmarks in the city
and offers spectacular panoramic views
of Seoul as well as of the surrounding
mountains. Besides its observation decks,
the tower boasts a range of restaurants,
cafes and shops. Visitors can enjoy a scenic
cable car ride up the mountain or take a
leisurely hike through Namsan Park.

“Utopia: Nowhere, Now Here”

Myeongdong Shopping Street

 When: 29 March to 13 October
 Location: Ground Seesaw Seongsu|49,
Achasan-ro 17-gil,
Seongdong district
 More information and tickets:
en.groundseesaw.co.kr
 Ticket price: KRW 15,000
Looking for an experience that
will transport you to an otherworldly realm? “Utopia: Nowhere,
Now Here” is an exhibition of 200
pieces by seven surrealist artists,
whose objective is to take viewers
beyond their everyday worlds and
into the fantastic, imaginary and
dreamlike. Discover more than a
typical exhibition, one which draws
inspiration from cinematic direction
and literary techniques. Encounter
emotions that extend beyond the
confines of the gallery space. Within
the artists’ creations, find the utopia
that mirrors the ideal world you
envision.

N Seoul Tower

URBAN BREAK 2024

ISDH International Symposium on Dental Hygiene 2024 · Seoul

 When: All year round
 Address: 1–5, Myeong-dong,
Jung district

Arguably Seoul’s most famous
neighbourhood and definitely one
of its most popular, Myeongdong is
a shopping and eating mecca with
hundreds of densely packed shops
and eateries. The increasing popularity
of Korean cosmetics and fashion
has made this area a must-see for
visitors, who come and marvel at
Myeongdong’s often frenetic pace
and energy. The massive LOTTE
and Shinsegae department stores
are also popular drawcards for
both their Korean and luxury
products. 7

For more information about things happening
in and around Seoul during ISDH 2024,
download the Visit Seoul app from the
Google Play store or App Store or check out
the website visitseoul.net.

[15] =>

service

Useful information
Key details for ISDH 2024 and the city of Seoul.

Organisers

 International Federation of Dental
Hygienists and Korean Dental
Hygienists Association

Venue

 C OEX | 513, Yeongdong-daero,
Gangnam district

Useful info about Seoul
Public transportation
Seoul has an extensive and efficient public transportation system,
including subways, buses and taxis.
The Tmoney card is a rechargeable
card that can be used on all forms
of public transportation and can also
be used for purchases at convenience
stores.
Language
While Korean is the official language, English is commonly spoken
in major tourist areas. However,
learning a few basic Korean phrases
can be helpful and is appreciated
by locals.
Currency
The currency of South Korea is
the South Korean won. The currency
symbol for the won is ₩, and its ISO
code is KRW.
Time zone
South Korea operates according
to the Korea Standard Time (KST)
time zone (UTC/GMT+9). The country
does not observe daylight saving
time, so KST remains consistent
throughout the year.
Emergency numbers
 Ambulance and fire: 119
 Police: 112
Credit card acceptance
Visa, Mastercard and American
Express are widely accepted at major
hotels, restaurants and shops in
South Korea, particularly in urban
areas. However, it is advisable to
carry some cash, as smaller establishments and markets may prefer cash
payments.
Tourist information
VisitKorea is the official app provided
by the Korea Tourism Organization,

and it offers a wide range of information and services for tourists, including travel guides and itineraries,
maps and navigation, information on
attractions and public transportation
details. The app is available for both
iOS and Android devices and can be
downloaded from the respective app
stores.

Platz, on the second floor of COEX.
At this event, set in a venue known
for its unique industrial design,
connect with dental hygienists

from all over the world and enjoy
an evening featuring traditional
Korean performances and electrifying
K-pop beats. Tickets for symposium

par
ticipants and exhibitors cost
KRW 179,000, and those for ac
companying persons are priced at
KRW 272,000. 7

Climate
In July, Seoul experiences hot
and humid weather, the average
daily high temperatures ranging
from 25 °C to 30 °C. The city is in the
midst of its monsoon season, resulting in significant rainfall, frequent
showers and thunderstorms. High
humidity levels, often exceeding 80%,
make the heat feel more intense.
Cloudy and overcast conditions are
common, but there are occasional
periods of sunshine. Visitors should
prepare for wet and humid conditions
by packing appropriate clothing and
rain gear.
Food and dining
Korean cuisine is diverse and
flavourful, and some dishes may be
familiar to you already, like the popular kimchi and Korean BBQ—or even
bibimbap. The street food is a must,
and there are many vendors offering
delicious snacks like tteokbokki
(spicy rice cakes) and hotteok (sweet,
filled pancakes). Tipping is not customary
in South Korea.

ISDH 2024 social events
Welcome reception
The ISDH 2024 welcome reception will take place on 11 July from
18:30 to 21:00 in the auditorium
lobby on the third floor of COEX.
With a stunning view of Bongeunsa
Temple, this memorable evening
promises lively conversations, delightful refreshments and a warm,
welcoming atmosphere. Full-day registration includes a ticket to the reception. For other registration options
and for accompanying persons, tickets
are priced at KRW 99,000.
Gala dinner
The ISDH 2024 gala dinner will
be held on 12 July from 19:00 to
21:00 at the newly renovated The

17-19 APRIL

2026

MARINA BAY SANDS, SINGAPORE

THE LEADING DENTAL
EXHIBITION AND CONFERENCE
IN ASIA PACIFIC
www.idem-singapore.com

Connect with us

Held in

Supported by

Endorsed by

Organised by

IDEM Singapore
IDEM Singapore
idem.sg
Singapore Dental Association

[16] =>

– TOOTHBRUSH CS 5460 –

GENTLE
ON TEETH
AND GUMS
Visit us:
Grand Ballroom
101-103

www.curaprox.com

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[cover] => today ISDH International Symposium on Dental Hygiene Seoul July 11–13, 2024

[toc] => Array ( [0] => Array ( [title] => ISDH puts dental hygienists at the centre of oral health [page] => 1 ) [1] => Array ( [title] => “We recognise that our societies are changing, and we ask how we can adapt to meet the evolving needs of our communities” [page] => 4 ) [2] => Array ( [title] => The hidden factors behind oral health behaviours [page] => 5 ) [3] => Array ( [title] => News [page] => 6 ) [4] => Array ( [title] => Treatment of patients with severe periodontal disease in general dental practice [page] => 10 ) [5] => Array ( [title] => Industry [page] => 12 ) [6] => Array ( [title] => What’s on in Seoul, ISDH 2024, 11–13 July [page] => 14 ) [7] => Array ( [title] => Service [page] => 15 ) ) [toc_html] =>

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