DENTAL TRIBUNE The World’s Dental Newspaper · South Asia Edition Published in India www.dental-tribune.in 7/19 Orthodontics & outcomes Orthodontic treatment does not guarantee better psychosocial functioning later in life ” Page 02 Periodontal diseases Family characteristics affect the periodontal diseases in children and adolescents ” Page 03 Growing teeth FEFU scientists may have found the cell type needed to grow new teeth for patients Food choices New study reveals that our food choices are decided by how our tongue perceives the food texture ” Page 04 ” Page 05 Smylist bite can treat not only the dentition but also many medical problems - Dr. Maria Csillag, creator of Smylist by Dental Tribune South Asia chief facial Dr. Maria Csillag is the inventor, instructor, and owner of Smylist® Ltd. Dr. Maria’s key achievements include the development of the Smylist® concept and the software, the gnatho ageing technique, the body balance technique, the MyActiveFace Smylist® muscle exercises and the Smile to go by Smylist® technique. Since 2008, she has been delivering training sessions on the use of the Smylist® Design Software and general smile design all over the world, adding courses in 2012 on her unparalleled, new, step-by-step complex approach, the Smylist® concept. This interview is an attempt to give the readers a better idea about Smylist, and how its principles can be applied to diagnose and treat even the musculoskeletal and medical problems. Good morning, Dr Maria, and thank you very much for agreeing to spend time on this interview. Let me start by asking you about the genesis of Smylist. How did the Smylist journey begin? Ahh my journey with Smylist. Very honestly, I think it all started from the moment I became a dentist and started treating patients. This would be about 20 years ago when I began my professional career. As I began to work on patients and started focusing on aesthetics and a few advanced cases, I soon realised that there were some aspects which were missing. Initially, I began observing patients and realised so much was evident from a person’s face and body, how the person stood, how the person talked, how the person walked. In the beginning, it was a vast amount of information that was coming to me on observing the signs and symptoms in every patient that I saw. My experience as a teacher and a researcher at the University in Budapest was a tremendous help to me in this entire creative process. Then I started systematically putting the information in my head and thus was born the basis of the Smylist concept. I soon realised that the facial midlines, the earliest of the major Smylist principles, need not necessarily be straight down the middle. It was then that I thought of creating a software that would design smiles based on the skeletal system rather than a hypothetical vertical midline. Since I had already started my private dental clinic, where I was the head honcho, it let me put my principles into practice and then there was no looking back at all. I was successfully treating patients the Smylist way. That is very interesting, indeed. Could you tell me what Smylist is now - just a technique that you have developed or also a commercial entity? How are you training the dentists about its application? Smylist represents the entire technique and methodology I have created to help dentists design very objectively planned smiles and aesthetics, and also at the same time bring the mandible into an ideal position, which eliminates a variety of musculoskeletal and a few other disorders. But Smylist is also the company that I started over a decade ago, and it is through my company Smylist that I make the Smylist Aesthetic Software available for dentists to purchase and use it effectively in creating the smile designs based on the logical principles created by me. Besides, I started the Smylist Academy many years ago and have been imparting training on the entire Smylist concept Lab Software, which takes input of the patients‘ design and then generates 3D STL files for all the maxillary teeth that can be imported into any CAD/CAM laboratory software to make the definitive teeth for the patient. That really sounds very impressive, Dr Maria. We have also heard something about how Smylist explains about the impact that the mandible can have on the entire body and how we as dentists can now treat much more than teeth, and also resolve problems in the musculoskeletal system and even beyond that. Can you please elaborate on that? Yes, indeed. I have realised that the mandible forms the most critical and vital joint in the body. It is the only bilaterally connected joint, and this needs it to move in unison. There are small muscles that are involved in the movement of the mandible. When they get into a state of overstretching or contraction, there is an imbalance of these muscles, which leads to a cascade of reactions in an attempt by the body to compensate for the imbalance. It is very mind boggling as to the harm it can cause to the entire body all originating in the musculoskeletal system and posture of the patient. The beauty is that all this can be usually resolved by bringing the mandible into the most relaxed position, which is called the G space by Smylist. This is the process of deprogramming the mandibular muscles, which one can achieve in a matter of minutes rather than months. I can see Smylist dentists doing this kind of rehabilitation using the “Smylist Bite” and not just treating the dentition, but also, resolving migraines, neck aches, shoulder aches, shoulder movement restriction, upper backaches, mid back aches, lower back aches, unilateral knee pain, body posture, chronic acidity, reduced vital capacity and even more. I am extremely passionate about how Smylist brings about dramatic changes and helps people live much better lives. This is very exciting, and the future for dentists looks fantastic because Smylist can broaden their horizon/ scope of work. Could you give our readers some idea as to how you are planning to take this concept further in the very near future? I realised some time ago that the Smylist concept has become exceedingly vast and extensive. With each passing day, I find small nuances and enhancements that I can put into this concept and how to deliver the treatment in an even better way. It is then that I decided to document everything and the natural process is to write down all my thoughts on Smylist. This led me to the process of writing a textbook on Smylist which I have titled “Occlusion, Function and Aesthetics”. Writing a textbook is a very tough and arduous task, especially if it is based on entirely original and new thoughts. It is no different for me, and as of now, I have about 80% of the writing work completed. I am aiming to get it published by the end of 2019. I have the assistance of my friend and colleague Dr Ajay Kakar for collating the data and information for my textbook. There also are new additions, which are taking place in the Smylist basket of products. The Smylist Laboratory software was added a couple of years ago. Now we are on the verge of releasing the history and examination analytics diagnosis component. We are also set to make available the Smylist bite and Dr. Maria Csillag The inventor of Smylist® system lecture around regularly in Budapest, Hungary. I the world on Smylist, and over the past two years, the Academy has conducted training programs and workshops in Dubai and India. Could you tell us a little more about how the Smylist software benefits the clinicians in their day to day practice? Yes, of I course, can give you more details. The Smylist software has evolved considerably since the time it was first developed. This is the only software that digitally designs the patients smile from a picture taken of the face of the patient in what we call the “Cheese A” position. After providing some basic information about and marking the picture the required landmarks, the software will generate a digital smile of the patient. This smile can be tweaked based on the other parameters observed by the clinician. There are up to 60,000 different permutations possible and for recreated individual smile. The software will also generate before- after pics of the patient, which can be used to motivate the patient into getting the smile done. The software has now added a very powerful extension - the Smylist combinations the digitally
2 News 7/19 recording wax and are also working on a couple of other devices, which will be excellent diagnostic tools for assessing the mandibular rotations, the severity of the rotations as well as the damaging effects it can have on the body. I have also planned programs all over the world in the near future and hopefully will soon have the Smylist flag flying in over 25 countries. Excellent. As the final question could you tell us something about what you feel about all this at a personal level and where do you see yourself after ten years? Haha. This is an interesting question for you to ask. At a personal level, Smylist is my complete passion, and it means everything to me. Of course, my family is primary, but Smylist is a part of my life, and I cannot imagine anything without Smylist. I have lived, breathed, taught and practised all these principles over the past decade and a half, and today I feel that Smylist is now poised to take the dental profession by storm. About seeing myself in ten years, I would love to relax a bit more, take it easy and enjoy a balanced life, but I also know that I will always be evolving and adding to the Smylist concept and its methods of diagnosis and therapy. I suppose it could be said that my life stays balanced and in harmony with all the chakras, courtesy Smylist. Thank you very much, Dr Maria, for sharing these excellent insights and your thoughts and your journey with Smylist. I wish you the very best and hope to see thousands of Smylist dentists spread all over the world very soon. Thanks once again. Orthodontic treatment does not guarantee better psychosocial functioning later in life by Dental Tribune International ADELAIDE, Australia: Researchers at the University of Adelaide examined whether an orthodontic treatment has any positive impact on psychosocial outcomes later in adulthood. The study revealed that the therapy, contrary to popular belief, does not result in better psychosocial functioning later in life. A first of its kind study in Australia and only the second to have been conducted globally studied whether fixed orthodontic treatment done earlier in life resulted in a higher amount of happiness later in life. It was a longitudinal study in which the researchers followed up a total of 448 children from Adelaide. These children were 13-year-old at the time of the launch of this study, and they had participated in an oral epidemiological study earlier between 1988 and 1989. More than a third of them had received A recent study has demonstrated that previous orthodontic treatment does not automatically boost the patient’s self-confidence or guarantee happiness in adulthood. (Photograph: sujit kantakat/Shutterstock) orthodontic treatment by the time they turned 30 in 2005 -06. Those who didn’t receive braces had varying levels of malaligned teeth, just like those who had received braces, ranging from mild to very severe. Dr Doğramaci, lecturer in orthodontics at the Esma university’s School of Dentistry and a co-author in this study said: “There was a pattern of higher scores in people who did not have orthodontic treatment, meaning people who hadn’t had braces fitted were significantly more psychosocial optimistic than the ones that did have braces.” The researchers studied four psychosocial aspects. First, how well the participants felt they coped with newer challenges and associated setbacks. Next, they investigated how confident the participants felt about taking care of their health. Third, they assessed the amount of support the participants felt they received from their network and, lastly, the level of their optimism. “These indicators were chosen because they are important for psychosocial functioning and are relevant to health behaviours and health outcomes, since the core research question was the impact of braces treatment on patients’ self-confidence and happiness in later life,” Dr Esma Doğramaci added. and in “A lot of people are convinced that if they have braces, they will feel more positive about do well, themselves psychosocially, later life. This study confirmed that other factors play a role in predicting psychosocial as adults—braces as a youngster was not one of them,” Doğramaci concluded. functioning PRINT EVENTS EDUCATION DIGITAL Ad Dental Tribune International The World's SERVICES Largest Dental Marketplace www.dental-tribune.com
3 News 7/19 Family characteristics affect the periodontal diseases in children and adolescents by Dental Tribune International an BRISBANE, Australia: We have enough literature to demonstrate association between dental caries and family characteristics. However, the same is not true about periodontal disease, where the evidence is limited. Therefore, a review assessed the influence of family characteristics on periodontal diseases and adolescents. recent systematic children in Although there is insufficient information on the extent of periodontal diseases in younger age groups, gingivitis of different degrees of severity is believed to be present among most children and adolescents globally. for which A review of the literature was done, the researchers selected 32 relevant studies published worldwide. Although there was a wide variation observed in the factors included in different studies, researchers considered the income, socioeconomic family status, status and occupation, and parental knowledge, practices and clinical status. educational revealed The study that the socio-economic status of the family was significantly associated with periodontal diseases children. Also, children who were exposed to passive smoking and had parents with diseases were more likely to develop periodontal diseases. periodontal in are “Similar to dental caries, three commonly used indicators of parent’s socio-economic status namely income, education and occupation significantly associated with periodontal diseases children with better periodontal status being observed in children of parents with socioeconomic status than those children whose parents are of lower socio- economic status,” said the lead higher in A recent systematic review demonstrated that the socio-economic status of parents influences the prevalence of periodontal diseases in their children. (Photograph: MilanMarkovic78/Shutterstock) author of the study Dr Santosh Kumar Tadakamadla, Senior Research Fellow at the School of Dentistry and Oral Health at Griffith University in Brisbane. “However, there was not much research done to explore the effect of parental psychosocial variables on periodontal diseases in children,” he added. “It is important to understand which parental characteristics influence periodontal disease in children to plan health promotion prevention preventing programmes or for periodontal diseases in children,” concluded Tadakamadla. Ad Relax your patients and make them feel more comfortable during dental procedures Matrx Nitrous Oxide and Oxygen Conscious Sedation Systems There are many good reasons to use nitrous oxide sedation in your dental practice: • Safe - N2O/O2 has been used globally for over 100 years • Relieves patient anxiety and discomfort • Patients remain awake, yet more relaxed, making it an excellent patient management tool • Improves patient experience, resulting in return visits Matrx is made in the USA 210 Udyog Mandir 1 7-C Bhagoji Keer Road Mahim West, Mumbai 400016 India Phone: +91 22 61 46 47 48 Email: email@example.com www.lifecare.in
3 News 7/19 New study reveals that our food choices are decided by how our tongue perceives the food texture The team, with these insights, now wants to go a step further and conduct research on foods other than chocolate. This time they would like to enrol participants who are older and perhaps less healthy, who will be tested for. The study will test their ability to experience oral sensations and explore their food rejection behaviour that may have severe health and nutrition implications. Ad A new study has revealed that food texture and the ability to detect different particle sizes influence whether we eat, like or reject a certain type of food. (Photograph: Roman Samborskyi/Shutterstock) by Dental Tribune International STATE COLLEGE, Pa., U.S.: It is a well-known fact that individual differences in taste and smell perception decide whether a person likes or dislikes a particular type of food. A recent study used chocolate to investigate how our tongue reacts to different food textures, and influences us to eat, like or reject different types of food. in the A group of 111 volunteer tasters, who had their tongues checked for physical sensitivity, were recruited into this study conducted Sensory Evaluation Center at the Penn State University College of Agricultural Sciences. They were then asked to describe how their tongue perceived different textures of chocolate. The objective of the study was to test whether there was a relationship between oral touch sensitivity and the perception of particle size, for which the researchers used Von Frey Hairs (VFH) - small calibrated monofilaments that deliver a specific amount of pressure on the tongue surface. This is a quick way to gauge whether the participants could discriminate between different amounts of force applied to their tongue surfaces. Researchers that when the participants were split into high- and low-acuity groups based on pressure point sensitivity, they observed a significant relationship between stated chocolate texture discrimination and pressure point sensitivity on the centre of the tongue in the high-acuity group. However, a similar association was absent for the lateral surface of the tongue. Dr John Hayes, Director of the Sensory Evaluation Center, said: “These findings are novel, as we are unaware of previous work showing a relationship between oral pressure sensitivity and ability to detect differences in particle size in a food product.” He further added, “Collectively, these findings that texture detection mechanisms, which underpin point pressure sensitivity, likely contribute to the detection of particle size in food such as chocolate.” suggest feeding As the study was conducted by a cross-disciplinary team involving both food and speech scientists, it also provided new insights about swallowing. “An important aspect of speech- language pathology is helping people with and swallowing problems. Many clinical populations— ranging from young children with disabilities to older adults with dementia— may reject foods based on their perception of texture. This research starts to help us understand those individual differences,” said assistant Dr Nicole Etter, the Department professor of Communication Sciences and Disorders at the Penn State College of Health and Human Development. in LifeCare Devices Private Limited210 Udyog Mandir 1, 7-C Bhagoji Keer Marg, Mahim West, Mumbai – 400 016.Phone: +91 22 6146 4725 / 27 | E-mail firstname.lastname@example.orgYour distributor:INDICATIONS:► Oral surgery► Implantology► Plastic surgery► Bone grafts► Sinus lifts► Wound closure► Soft tissue surgery► Socket preservation► Regenerative medicine► Dermatology► Orthopedics► AestheticsDuo Quattro Centrifuge‘’Strictly physiologic!and6 Protocols:Position 1: A-PRF + : 1300 rpm / 14 min Position 2 : i-PRF : 700 rpm / 3 minPosition 3 : i-PRF M : 700 rpm / 4 minPosition 4 : i-PRF + : 700 rpm / 5 minPosition 5 : A-PRF Liquid : 1300 rpm / 5 minPosition 6 : Custom : 1300 rpm / 3 minPosition 7 : Manual : Free settings+tubes(Red) 10ml To Obtain: - PRF Clots - PRF Membranes - PRF Plugstubes(Purple / Lavindine) 13mlFor injectable PRF, only for:- Aesthetics- OrthopaedicsBlood CollectorsBlood collectors are used to draw blood.tubes(Green) 10mlFor Liquid PRF, for:- Sticky Bone- Large Membranes- Intra oral Injections(Pre-Op. Flap Injection / Papilla / TMG / Endo)S-« PRF Box » allow you to get the membranes always hydrated and of constant thickness, but also to recover the exsudate rich in proteins: Vitronectin and Fibronectin. You can also produce ‘‘plugs’’ of PRF.PRF box with a crusher in Teflon, with compartments of differentsizes to easily create large membranes and sticky bone.
6 News 7/19 Clinicians can now “see” a patient’s pain in real time using advanced technology by Dental Tribune International ANN ARBOR, Mich., U.S.: One of the biggest challenges in clinical dentistry is pain management during even the simplest of procedures. In a recent study, researchers from the University of Michigan (UM) have created a technology to overcome this challenge. Their special innovation augmented glasses through which clinicians can “see” and map a patient‘s pain in real time. The researchers consider this innovation as the first step in the advancement of pain management technology, although it may still take some more years to get integrated into dental practices. innovation is called CLARAi - Clinical Augmented Reality and Artificial Intelligence, which allows clinicians and researchers to intuitively see, in real-time, how their patient‘s pain levels are responding to treatment. The Augmented involves reality The location Reality and advanced sensor technology enables the clinicians see inside a patients brain and „visualize“ the pain intensity and using Deep Learning AI. The technology uses neuroimaging to combine visualization with brain data and helps the clinicians to navigate through a patient’s brain. “It’s very hard for us to measure and express our pain, including its expectation and associated anxiety,” said Dr. Alex DaSilva, associate professor at the UM School of Dentistry and Director of the Headache and Orofacial Pain Effort Laboratory. The researchers tested the technology on 21 volunteer dental patients to measure the patients‘ reactions to cold stimuli applied to teeth. The patients seated on dental chairs wore caps fitted with sensors that were used to detect changes in blood flow and oxygenation. The researchers wore reality glasses to view the subject’s brain activity in real time on a augmented Dr. Hassan Jassar (seated) tests out the new technology that helps a clinician better understand a patient’s pain. (Photograph: University of Michigan) reconstructed brain template. The study allowed them to collect pain data from the brain and develop algorithms that could be coupled with new software and neuroimaging hardware, and predict the presence or absence of pain about 70% of the time. could enable CLARAi practitioners to understand a patient’s pain better while still remaining focused on the procedure at hand. “Right now, we have a one to ten rating system, but that’s far from a reliable and the objective pain measurement,” noted DaSilva. Although current research has focused only on dental pain, researchers hope to include other types of pain and different conditions in the future. THE FIRST AND UNIQUE DENTAL IMPLANT IN THE WORLD MANUFACTURED THROUGH DIRECT LASER METAL FORMING TECHNIQUE BY MICROFUSION OF TITANIUM PARTICLES SURFACE l SPONGY l TRIDIMENSIONAL l ISOELASTIC CAVITIES l INTERCONNECTED l 2-200 µm Cleared! ACTIVE POROUS SURFACE l THICKNESS TO 250 µm l DESIGNED TO PROMOTE BONE GROWTH MORE THAN 15 YEARS OF EXPERIENCE BY DOCTORS ALL AROUND THE WORLD OVER 250.000 UNITS SOLD WORLDWIDE References available upon request ONE STEP BEYOND LifeCare Devices Private Limited 210 Udyog Mandir 1, 2nd Floor, 7-C Bhagoji Keer Marg, Mahim West, Mumbai - 400 016 Phone: +91 22 6146 4725 / 27 E-mail: email@example.com
7 News 7/19 Dr. Jayant Palaskar receives US and European Patents for his invention– a device for Centric Relation (CR) Dr. Jayant Palaskar receives US and European Patents for his invention– a device for Centric Relation (CR) (Photo: Wikimedia Commons) Relation (CR) as well, published in the latest edition of Glossary of Prosthodontic Terms (GPT -9), released in May, 2017. We congratulate Dr Jayant Palaskar on this achievement and wish him all the luck in this endeavour, and also hope that this will inspire many to come up with their inventions & innovations in the near future. edentulous subjects. The device can advantageously transfer the centric relation record to any semi-adjustable articulators or non-adjustable articulators. Dr Palaskar has received two patents - European and US - for this invention. Dr Palaskar‘s patent details: US Patent No.: US 10,327,879 B2 (Date: 25th June 2019) Click here for details European Union Patent No: EP 3145664 (Date: 19th June 2019) This device remains valid for the current definition of Centric Dr Jayant Palaskar and orientation jaw relation simultaneously. The tool guides the mandible in such a way that, its condyle head achieves the most superior and anterior position as defined in the GPT-8. It helps the operator to obtain an accurate and precise recording of centric jaw relation as well as orientation jaw relation recording and transfer, in dentulous as well as edentulous subjects. The device designed by Dr Palaskar includes a central bar, a centric relation recorder, a dentulous adjustable fork or an edentulous fork, a semi-circular frame, a nasion pointer and an orbital pointer. The central bar is received by a plurality of clamping assemblies that adjustably position the nasion pointer, the adjustable fork or the edentulous fork and the centric relation recorder respectively. The device can be used in case of both, dentulous as well as and superior position in the glenoid fossa and not the most retruded unstrained position. of the jaw Centric relation remains complex because the Glossary Prosthodontic Terms (GPT)-8 continues to give seven definitions for centric jaw relation and some of the definitions contradict each other. CR is defined in the GPT-8 as, „the maxillo-mandibular relationship in which the condyles articulate with thinnest avascular portion of their respective discs with the complex in the anterior- superior position against the slopes of the articular eminences. This position is independent of tooth contact. This position is clinically discernible when the mandible is directed superiorly and anteriorly. It is restricted to a purely rotary movement about the transverse horizontal axis“. Another problem with the definition of GPT-8 is that it relates CR to so many clinically invisible parts making it difficult for the operator to follow its description in clinical dentistry. There is no device available right now that can help the operator to guide the head of the condyle to attain the position described in the definition. The invention by Dr Jayant Palaskar, Professor and Head, Dept of Prosthodontics, Sinhgad Dental College & Hospital, Pune, relates to a device for recording centric jaw relation by Dental Tribune South Asia is Pune, India: Centric Relation (CR) is a complex and controversial topic in dentistry. The primary reason for the controversy the frequent modification of its definition in the last so many decades, based on our understanding of the condylar head position during centric jaw relation. The clinical challenge is that there is no device available right now that can help the operator to guide the head of the condyle to attain the position described in the definitions given by Glossary of Prosthodontic Terms (GPT). Dr Jayant Palaskar‘s invention attempts to solve this problem by making the whole process objective and achievable. Centric jaw relation (CR) is of considerable significance in prosthodontics, as it happens to be the only relationship of the mandible to the maxilla, which is repeatable, reproducible and recordable. CR is a complex and controversial topic in dentistry. The primary reason for the controversy frequent modification of its definition in the last so many decades, based on our understanding of the condylar head position during centric jaw relation position. With the advancements in the field of oral radiology now it is understood that the condylar head attains the most anterior the is