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2017(cid:9) Pakistan Edition(cid:9)DENTAL TRIBUNE(cid:9) 15 May Nishtar Dental Conference ... Continued from front page for professional growth should be promoted and encouraged, and a culture propagating simplicity and focus on continuous professional development should be set in place. He also advocated that conferences should be organized by institutions purely for educational purposes. Well trained, modernised doctors serve communities better, and prevent wastage of resources.(cid:9) Guest of honour Mr. Rana Saleem congratulated Nishtar Institute of Dentistry for taking up a lead role in the field of dentistry in southern Punjab. Organizing Secretary Dr. Waqas Ahmed said that the Nishtar Dental Conference is a tremendous initiative. Events like these can be a great platform for not only knowledge and skill-sharing, but also for discussing ways to improve services for the patients.(cid:9) The pre-conference workshops were also organized, the first workshop titled “conscious sedation in dentistry”, was conducted by Dr. Waqas Ahmed and Dr. Amir Furqan. The workshop comprised of lectures about methods of anxiety management, different techniques of sedation, the drugs involved, their actions, adverse effects, and patient selection. In addition to that, participants practiced IV access hands-on, on mannequin arms. There was also a live patient demonstration of sedation procedures by the facilitators, and a concluding discussion of history taking, consent, and post-procedure care.(cid:9) The second workshop was on “crown preparation on phantom heads with natural jaw positioning” and it was facilitated by Dr. Mehmoud Hussain, HOD Prosthodontics at Hamdard College of Dentistry, Karachi. Workshop on class III composite build- ups was conducted by Prof Dr. Arshad Hasan, Principal Dow Dental College Karachi and HOD Operative Dentistry.(cid:9) Lastly, a workshop on “rotary endodontics by endosequence system” was done by Dr. Saqid Rashid, PDA President, Dr. Naghma Parveen, Dr. Syed Abrar Ali, and Lt. Col. Muzammil Rana.(cid:9) The highlight of the conference was its participation including senior faculty members from all specialties. In maxillofacial surgery sessions, Prof Riaz Ahmed Warraich, Dr. Zubair Khan Durrani Prof Dr Noor-ul-Wahab, Prof Ghazanfar Ali, and Prof Dr Azhar Sheikh delivered presentations among many other distinguished speakers. Experts from the medical field also presented papers. Representatives included Prof Dr Salman professor of anaesthesia, Prof Dr Ahmed Ijaz Masood professor of oncology, Dr Husnain Khan professor of plastic surgery, and Prof Mustafa Kamal Pasha, who chaired the session. (cid:9) A lecture on “Clinical Audit” was given by Dr. Waqas Ahmed. Dr. Waqas who has substantial exposure to the British Healthcare System, talked about the usefulness and practicality of clinical audits. He was the pioneer in establishing the clinical audit department at Nishtar Institute of Dentistry, Multan. He hoped that this quality improvement process will be adopted by dental practitioners nationwide. There were also poster and table clinic competitions held, judged by Brig. Azad Ali Azad, Dr. Naghma Perveen, and Prof Azhar Sheikh. (cid:9) At the concluding ceremony of the conference, life-time achievement awards were given to Prof Dr Shabbir A Nasir Chairman of Multan Medical & Dental College (MMDC), Prof Dr Muhammad Saeed, and Prof Dr Riaz A Warriach, in the presence of senior faculty of dentistry and 900 delegates. (cid:9) (cid:9)(cid:9)(cid:9)(cid:9)(cid:9)(cid:9)(cid:9)(cid:9) The delegates stood up in honour of the life-time achievement award recipients, giving them applause and appreciation.(cid:9) The closing ceremony was chaired by Mr. Jalaluddin Roomi with Dr. Syed Bilal Haider DC Multan, who has remained health department secretary for government of Punjab. A Vote of thanks was issued by Prof Dr Pervaiz Iqbal.(cid:9) Shields were presented to the following: Dr. Waqas Ahmed, secretary organizing committee, Dr. Ahmed Sadiq, Dr. Maliha M, Dr. Sehrish Waqar, Dr. Ahsan, Dr. Saeed, Dr. Hajra; Principal MMDC, Dr. Muhammad Zulfiqar; the faculty members of the o r g a n i z i n g c o m m i t t e e ; t h e representatives of dental exhibitors; as well as the chief guest, patron in chief, p a t r o n , a n d l a s t l y, m e d i c a l superintendent of NID, Dr. Ilyas Tanveer.(cid:9) It was a well attended and well managed event with participation of more than 1000 professionals with excellent presentations and hands-on workshops to add academic flavour to the event. Dentistry 13,000 Years Ago ... Continued from front page Daily Mail, primitive dentists use sharp stones to scrape away the diseased tissue inside the cavity of molars. Most of the operations involved completely scraping the cavity up to the pulp chamber, which meant a lot of pain during the operation. Dentistry spread throughout the ancient world and have made considerable improvement over the years. Archeology also discovered dental operation in Pakistan, India and various Middle Eastern countries. The Egyptians have used gold wire to attach dentures and also practiced the use of beeswax as filling in cavities. This made sense as honey is a powerful antiseptic and antioxidant which would retard the rate of tooth decay. The oldest evidence for dental operations were also found in Italy, which dated almost 14,000 years old. It was only during the invention of anesthesia that dental operations became bearable and no longer place people under unbelievable levels of pain. - By Francis Trance, This was first published University Herald Reporter Essential communication ... Continued from page 07 the dentist can capture a photograph of the patient’s teeth, document the width of the centrals (Fig. 6), and record the occlusion.[20] The accurately mounted casts provide information that can be used for diagnoses and treatment planning and offers an easy reference for the mounting of models.[18,19] Using MaxAlign with a LabStand, the lab can easily use photographic overlays to mount the models, anatomically referenced on the patient.[20] Ultimately, the increased accuracy and accessibility in patient data reduces lab guesswork on cases and delivers predictable results efficiently.[20] As MaxAlign is a mobile, tablet- based technology, many barriers to utilisation are eliminated. For instance, as the technology is mobile, it does not require any office space consideration. It is also cost-effective, possesses negligible radiation concerns for the patient and has a gentle learning curve for the clinician and staff. Merging virtual technologies(cid:9) Recent research has investigated a new application utilising MaxAlign with the True Definition Scanner by merging and correlating the intraoral images (Fig. 7). MaxAlign provides the reference and frames the 3-D intraoral digital impression with the landmarks of the patient’s face, providing crucial information to the lab in anterior aesthetic and complex prosthodontic cases. Additionally, early investigation has also merged images from digitised wax-up scans with the referenced patient image from MaxAlign (Fig. 7). By applying the transparency control on MaxAlign, the patient and other third parties, can now have the ability to immediately 'try-in' the proposed restorations and view a before and after effect within the context of the patient’s face. This can aid in patient communication and understanding of planned treatment. Conclusion (cid:9) Records will continue to have a significant requirement in the diagnoses, treatment planning and delivery of predictable and successful prostheses. With the growing pressures on the dental profession, including economics, office space limitations, patient concerns and skill acquisition, it is crucial to develop accurate and informative technologies to maximise patient information acquisition and communication. Although CBCT and virtual planning remain the ‘gold standard’, there are real patient and clinician limitations to the technologies. The utilisation of low-radiation, mobile, tablet-based technologies to merge patient information, has become an exciting avenue that will continue to have an increasingly important role in implantology and dentistry. - DT Canada Kinesiographic analysis ... Continued from page 14 through kinesiographic analysis (functional masticatory angle of Planas and functional horizontal masticatory angle) in seeking to observe their mutual relations with respect to those planes. Materials and methods(cid:9) The study was performed on 115 patients who presented with asymmetrical laterality movements. The sample was made up of 32 males and 85 females aged between 17 and 84. Results(cid:9) Ninety-eight (85%) of the lateral tracings examined showed a consistency between the inclination of the tracings on the frontal and horizontal planes. Seventeen (15%) showed an inconsistency between the inclination of the tracings on the horizontal and frontal planes. Conclusion(cid:9) The study found a correspondence on the working side between a steep laterality on the frontal plane and a posterior trajectory on the horizontal plane. The reduction of the steepness of the functional masticatory angle of Planas tends to reduce the posteriorization of the functional horizontal masticatory angle, promoting the recovery of alternating unilateral masticatory function. - DT