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D E N TA L P R O FESSIO N A LS O N LY PUBLISHED IN DUBAI ENDO TRIBUNE XP-endo® Shaper Plus 'sequence www.dental-tribune.me January-February 2018 | No. 1, Vol. 8 LAB TRIBUNE Familiar and yet completely different HYGIENE TRIBUNE Emirates Dental Hygienist Club welcomes over 40 dental ... IMPLANT TRIBUNE Augmentation and implant treatment ORTHO TRIBUNE Virtual reality and orthodontics: A new patient experience ÿA1-8 ÿB1-4 ÿC1-4 ÿD1-4 ÿE1-8 Stabilized Stannous Fluoride dentifrices are toothpastes of choice: Middle East dental consensus By Dental Tribune MEA / CAPPmea DUBAI, UAE: On 02-03 November 2017, a selected panel of ME elite den- tal academicians gathered for a two- day scientific consensus to discuss recommendations for best choice of toothpaste. This unique assem- bly took place at The Address Hotel, Dubai Marina, UAE. The results were presented live on stage at the 9th Dental Facial Cosmetic International Conference which took place at ICH in Dubai Festival City on 03-04 No- vember 2017. The consensus was led by Professor Hien Chi Ngo, Dean of College of Dental Medicine of the University of Sharjah and Dr. Elias Berdouses, Board Member of Emirates Pediat- ric Dental Club. The consensus was achieved by the Delphi methodol- ogy (A structured survey approach conducted in multiple rounds of questionnaires and answers. It is re- garded as a systematic, interactive forecasting method relying on a group panel of experts1), resulting in an unbiased evidence based conclu- sion on the best type of toothpaste available. The panel of experts in- cluded: Introduction An ideal toothpaste should protect gums, teeth and the oral environ- ment with minimal side effects and environmental impacts. In addition to the body of evidence support- ing fluoride effectiveness, evidence suggests that Stabilized Stannous Fluoride, with verified bio-availa- bility, has additional benefits. In association with sustained patient compliance (daily use) and effective mechanical debridement; this group recommends the following: Gum Health There is emerging scientific evidence supporting the anti-inflammatory action of Stabilized Stannous Fluo- ride. In Patients with gingivitis, which can predispose to periodon- titis, there is evidence that a tooth- paste with Stabilized Stannous Fluo- ride has distinctive advantages in restoring and maintaining gingival health by reducing plaque and calcu- lus deposition. Tooth Health There is strong evidence to support that Stabilized Stannous Fluoride is superior to other forms of fluorides in anti-bacterial efficacy and the re- duction in acidogenicity of plaque. Stabilized Stannous Fluoride based toothpaste has been found to be ef- fective in managing dental caries. A Stabilized Stannous Fluoride based toothpaste, in addition to addressing all etiological factors helps reduce progression of erosive tooth wear. There is strong evidence to support that the use of Stabilised Stannous Fluoride toothpaste is effective in re- ducing dentine hypersensitivity. General Based on the recommendation of the European Academy of Paedi- atric Dentistry (2009), the dosage for toothpaste for children is twice daily: Up to 2 years of age: a pea size of 500ppm, 2 to 6 years of age: a pea Consensus Group; Standing from left to right Dr. Eleftherios Kaklamanos, Prof. Khaled Balto, Dr. Elias Berdouses, Prof. Crawford Bain, Prof. Hien Chi Ngo, Dr. Ajay Juneja, Dr. Montaser Al-Qutub. Sitting from left to right: Dr. Samira Al-Osailan, Prof. Nada Naaman, Prof. Arwa Al-Sayed, Dr. Naif Al-Moosa size 1000ppm and 6 years and above 1450ppm fluoride: 1-2cm. Where higher concentrations of Fluoride toothpastes are not available, larger amounts and longer exposure to toothpaste may be recommended based on individual needs. It is rec- ognized that patients with fixed orthodontic appliances may have an increased risk of gingival inflam- mation and dental caries. We rec- ommend further scientific studies in the areas of peri-implantitis, root caries and dentine erosion. To in- crease compliance, oral health care providers should consider the ef- fectiveness of products and patient specific needs regarding age, medi- cal conditions, taste and texture. In conclusion, based on current litera- ture we recommend that a Stabilized Stannous Fluoride based toothpaste is the toothpaste of choice.2 Over the two days, the consensus culminated in the above recommen- dations which are agreed and signed off the by expert panel: Prof. Hien Chi Ngo – Moderator, Dean of College of Dental Medicine, University of Sharjah, UAE Dr. Elias Berdouses – Moderator, Board Member Emirates Pediatric Dental Club, UAE Prof. Crawford Bain – Chairman Peri- odontics Department, Hamdan Bin Mohammed College of Dental Medi- cine, UAE Dr. Arwa Al-Sayed – Chairman of the Saudi Fellowship Program in Im- plant Dentistry, Saudi Commission for Health Sciences, KSA Dr. Eleftherios Kaklamanos – As- sistant Professor of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, UAE Dr. Naif Al-Mosa – Chairman Depart- ment of Pediatric Dentistry and Or- thodontics, King Saud University, KSA Dr. Montaser Al-Qutub – Head, Divi- sion of Periodontics and Postgradu- ate Program Director in Periodontics, King Saud University, KSA Dr. Ajay Juneja – Specialist Prostho- dontist, Dental Studio, UAE Prof. Khaled Balto – Director of Post- graduate Endodontic Programs, King Abdulaziz University, KSA Dr. Samira Al-Sailan - Oral & Maxil- lofacial Surgery Consultant, King Ab- dulAziz University, KSA Prof. Nada Naaman – Honorary Dean, Professor Department of Peri- odontology, Saint-Joseph University, Lebanon Reference 1. Bernice B. Brown (1968). "Delphi Process: A Methodology Used for the Elicitation of Opinions of Experts.": An earlier paper published by RAND (Document No: P-3925, 1968, 15 pag- es) 2. Further information on the evi- dence, references and methodolo- gies used can be obtained from Prof. Hien Chi Ngo – Moderator of the Consensus. Please email dtmea@ dental-tribune.me with your en- quiry. The consensus moderators. Left: Prof. Hien Chi Ngo, Right: Dr. Elias Berdouses The consensus was achieved by the Delphi methodology