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Worldental Daily Madrid 2017, 30 August

news noticias 30 August 2017 30 de agosto de 2017 Working together for change Trabajando juntos por el cambio | An interview with NCD Alliance Executive Director Katie Dain | Entrevista con la directora ejecutiva de NCD Alliance, Katie Dain First, we can work together to raise the profile of oral health in the NCD/ SDG agenda. Secondly, together we will be a stronger voice in advocating for adequate, sustainable resourcing for NCDs, including oral health. How does working across diseases and risk factors make advocacy more effective? The four traditional NCDs share many risk factors with oral health, and to continue addressing these is both scientifically and financially logical. For example, alcohol, tobacco and un- healthy diets can be strikingly re- framed as the ‘commercial determi- nants of health’, and the lessons learnt from the successes in tobacco control (warnings on packaging, taxation and legal battles) can be applied effec- tively elsewhere. How can we fit the concept of trans- forming life years into healthy life years into the NCD agenda? This topic is increasingly relevant. Living longer is not enough, we have to make the NCD response also about living healthier. Making the connec- tions between NCDs and ageing strengthens the case for taking NCDs seriously within the global health and international development communi- ties. How should FDI and the NCD Alli- ance be approaching reducing risk factors in resource-constrained set- tings? The costs of NCDs—in terms of both direct costs of treatment and the indirect impacts on the economy— are often high and spread over many years, so we need to find ways to pre- vent or delay their onset by reducing exposure to risk factors. Advocating for taxation of tobacco, alcohol and foods that are high in sugar, salt and fat can help shift consumption to healthier products and encourage food reformulation—and the funds that are generated can be reinvested in health systems, education and com- munities, tackling the social determi- nants that drive NCDs. How do you respond to the claim that NCDs are diseases of the rich? This is simply not true. It is an urgent development issue. Of the many millions of people in the world with an NCD, four out of five live in a low- or middle-income country. In high-income countries, too, social de- terminants of health (such as educa- tion and income) increase vulnerabil- ity to NCDs. The risk factors are more prevalent among the less well-off, and NCD rates are higher. Los avances en materia de enfer- medades no transmisibles (ENT) han sido desiguales e insu(cid:2)cien- tes, a pesar de que existe amplia evi- dencia sobre la magnitud del daño que causan a personas, familias y eco- nomías. World Dental Daily habló con la Directora Ejecutiva de la Alianza para las Enfermedades No Transmisi- bles, Katie Dain, sobre por qué el com- promiso y colaboración con organiza- ciones de salud bucal como la FDI ace- lerará la adopción de medidas antes de la tercera Reunión de Alto Nivel de las Naciones Unidas sobre este tema en 2018. World Dental Daily: ¿Cómo va a avan- zar la reunión entre FDI y NCD Alliance en Madrid (30 de agosto, 11:30–13:00) la salud oral y la agenda contra las ENT? Katie Dain: La salud oral y las enfer- medades no transmisibles no existen aisladas unas de otras y la sesión FDI- NCD Alliance aumentará la conciencia de los vínculos entre nuestras comuni- dades, a saber, las comorbilidades y los factores de riesgo comunes, al igual que los beneficios de trabajar conjunta- mente. ¿Cómo puede esta colaboración avan- zar la agenda de salud oral y el pro- greso hacia el Desarrollo Sostenible (SDG3) de la Organización Mundial de la Salud? En primer lugar, podemos trabajar juntos para elevar el perfil de la salud oral en la agenda de NCD/SDG. En se- gundo lugar, juntos seremos una voz más fuerte para pedir recursos adecua- dos y sostenibles para enfermedades no transmisibles, incluyendo la salud oral. ¿Trabajar en diferentes enfermedades y factores riesgo es más efectivo? Las cuatro ENT tradicionales com- parten muchos factores de riesgo con la salud bucodental, por lo que es lógico abordarlas así tanto a nivel científico como económico. Por ejemplo, el alco- hol, el tabaco y las malas dietas pueden redefinirse como los “determinantes co- merciales de la salud”, y las lecciones aprendidas del éxito en el control del ta- baco (advertencias en paquetes, im- puestos y batallas legales) pueden apli- carse eficazmente en otros lugares. ¿Cómo encaja el concepto de transfor- mar años de vida en años de vida salu- dables en la agenda contra las ENT? Este tema es cada vez más relevante. Vivir más tiempo ya no es suficiente: te- nemos que buscar que la respuesta a las ENT sea también vivir más sano. Conec- tar las enfermedades no transmisibles con el envejecimiento refuerza el caso de tomar las ENTs en serio a nivel de la salud mundial y en las comunidades de desarrollo internacional. ¿Cómo deben la FDI y NCD Alliance re- ducir los factores de riesgo en entor- nos con recursos limitados? Los costos de las enfermedades no transmisibles, tanto en costos directos de tratamiento como en impacto indi- recto en la economía, suelen ser altos y se extienden durante muchos años, por lo que necesitamos encontrar formas de prevenir o retrasar su aparición redu- ciendo la exposición a factores de riesgo. Solicitar altos impuestos para el tabaco, el alcohol y los alimentos ricos en azú- car, sal y grasas puede ayudar a llevar al consumo de productos más saludables y fomentar la reformulación de los ali- mentos, y los fondos que se generen pueden reinvertirse en sistemas de sa- lud, educación y en las comunidades, abordando así factores determinantes de las ENT. ¿Cómo responde a que las ENT son enfermedades de ricos? No es cierto. Es una cuestión urgente del desarrollo. De los muchos millones de personas en el mundo con una ENT, cua- tro de cada cinco viven en un país de in- gresos bajos o medianos. En los países de ingresos altos también, los determinan- tes sociales de la salud (como la educa- ción y los ingresos) aumentan la vulnera- bilidad a las ENT. Los factores de riesgo son más frecuentes entre los menos ricos y las tasas de ENT son más altas. |Katie Dain |Katie Dain Despite all the evidence on the extent of the harm to individ- uals, families and economies, progress on noncommunicable dis- eases (NCD) has been uneven and in- sufficient. World Dental Daily spoke with Noncommunicable Disease Alli- ance Executive Director Katie Dain about why better engagement and collaboration with members of the oral health community such as the FDI will accelerate action, particu- larly in the lead up to the third United Nations High-level Meeting on NCDs in 2018. World Dental Daily: How can events such as the FDI-NCD Alliance joint session in Madrid (30 August, 11.30 a.m.–1.00 p.m.) advance both the oral health and NCD agenda? Katie Dain: Oral health and NCDs do not exist in isolation from one an- other, and the NCDA/FDI session will raise awareness of the links between our communities, namely the co-mor- bidities and joint risk factors, and the co-benefits of working together. How can FDI’s collaboration with the NCD Alliance advance the oral health agenda and ensure progress towards achieving the World Health Organi- sation’s Sustainable Development Goal 3 (SDG3)? Successful outcomes and satisfied patients with CAD/CAM dentistry El CAD/CAM: buenos resultados clínicos y pacientes satisfechos | By Dr Julián Conejo, Costa Rica | Por Dr. Julián Conejo, Costa Rica The 2017 FDI World Dental Con- gress is finally here. After my experience as a speaker at the FDI event last year in Poznań in Po- land, I am looking forward to shar- ing my latest research and clinical work again in such a great venue with an outstanding scientific pro- gramme. I will be presenting three lectures from 29 to 31 August and participating in the prosthodontics and digital dentistry hot topic ses- sions. CAD/CAM systems are gaining in- creasing popularity both in dental laboratories and in numerous dental clinics worldwide. With the use of intraoral scanners and small milling units, practitioners are able to deliver definitive monolithic restorations in one visit. Dental clinics can easily fab- ricate single units and short-span fixed partial dentures to realise highly successful restorations. However, when the patient requires a full- mouth rehabilitation, some clinicians may feel intimidated making the res- torations by themselves. In my lec- ture titled “Minimal full mouth rehabilitation with chairside CAD/CAM technology”, a protocol utilising the chairside approach for the fabrication of full-mouth resto- rations will be presented. Key princi- ples in occlusion for the manage- ment of patients with diminished ver- tical dimension caused by parafunc- tion or non-carious lesions will also be assessed. invasive CAD/CAM When the dentist is challenged with accomplishing a full-mouth re- construction for his or her patient, chairside technology should be considered. This technique is not complicated, especially when proper diagnostic and planning pro- cedures are accomplished. In applying a thorough knowledge of ceramic ma- terials and adhesive and occlusal con- cepts, combined with detailed clinical procedures, the clinician will achieve the desired treatment outcomes and have a very satisfied patient. Intraoral CAD/CAM technology with a clear se- quence protocol produces high suc- cess rates with predictable results. I look forward to making new acquaintances with peers from all around the world and sharing new concepts and ideas here in Madrid. Editorial note: Dr Julián Conejo is a vis- iting scholar at the University of Penn- sylvania’s Department of Preventive and Restorative Sciences in Philadelphia in the US. Among other things, he con- ducts research on CAD/CAM technol- ogy, prosthodontics and implant den- tistry. From Tuesday to Thursday, Conejo will be presenting three lectures as part of this year’s congress programme in Madrid. F inalmente, ha llegado la hora del Congreso Dental Mundial FDI Madrid 2017. Tras mi experiencia como ponente el año pasado en el Congreso de FDI en Poznan (Polonia), 6 www.world-dental-congress.org |Dr Julián Conejo |Dr. Julián Conejo (cid:5) page página 8

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