PUBLISHED IN PAKISTAN www.dental-tribune.com.pk JANUARY, 2020 - Issue No. 01 Vol.7 An exclusive interview with Dr Prof Amjad Conventional and immediate loading with final n!ce ... An exclusive interview with Dr Ashar Jamelle INTERVIEW Page 6 CLINICAL IMPLANTOLOGY Page 8 INTERVIEW Page 10 PMC ordinance null and void by IHC DT Pakistan Report I SLAMABAD - The Islamabad High Court recently declared Pakistan Medical and Dental Council (PMDC) dissolution null and void and restored the dissolved Pakistan Medical and Dental Council (PMDC) by setting aside the presidential ordinance that had replaced the PMDC with the Pakistan Medical Commission over three and a half months ago. Giving a short verdict, which had been reserved in PMDC dissolution case on Jan 8, Justice Mohsin Akhtar Kayani declared that the ordinance that repealed the PMDC was ultra vires, held that the PMC formation was not authorised by the law and directed the federal government to reinstate the sacked employees of the PMDC. President Arif Alvi had promulgated the PMC Ordinance 2019, dissolving the PMDC and establishing the PMC, on Oct 19 last year. The presidential ordinance had paved way for the establishment of a new nine-member body namely the Pakistan Medical Commission. Following the promulgation, the Ministry of National Health Services (NHS) through the federal capital's district administration and police had n a t s i k a P T D : o t o h P taken over the possession of the PMDC building and shut down the office. Raja Saimul Haq Satti, who represented the CPSP, told the court that the organisation supported the stance taken by the Ministry of National Health Services. The ministry in its written reply to the petitions stated that the ordinance had been promulgated in the larger interest of the stakeholders, which provided for the restructuring and re-organisation of the regulatory body, pertaining to and dealing with regulations and control of medical profession. Additional Attorney General Tariq Mehmood Khokhar argued that the legislation for the subcontinent empowered the British government to issue ordinances in the Acts of 1861 and 1935.The petition contended that although the Parliament was empowered to dissolve the PMDC but the president, vice-president and the executive committee of the council would stay till a new commission was elected through annual elections. It also pointed out that the government was unauthourised to appoint an official below grade 20 to head the executive committee. Representing the petitioners, Babar Sattar, however, argued that it was a matter of basic rights of the erstwhile PMDC and the IHC had all the powers to examine this presidential ordinance. The petitioners maintained that the PMDC employees were terminated without an opportunity for hearing and expressed reservation over the newly-formed PMC that it may hire employees on sanctioned and contractual posts through varying modes which may jeopardise chances of previous PMDC employees. Dr Irfan recognized among the Worlds top 100 Doctor in Dentistry K ARACHI - Dr Irfan Qureshi, who is rapidly becoming a talismanic presence for Implantology in Pakistan, once again represented Pakistan on an international level earning more accolades. He is given a Lifetime Achievement Award by the Regents of the Global Summit Institute. Dr Irfan Qureshi has also been named among the 'World's top 100 Doctor in Dentistry.' He also recently secured third position in poster competition at World Dental Symposium (DWS) 2019, Dentis & Gt-Medical, held at Madrid. He also won grant of 500$ as a grand prize. This is a testament to the high quality international standard, and state of the art implant dentistry that Dr Irfan passionately delivers and preaches in Pakistan. Dr Irfan is the first Pakistan based clinician to earn the Diplomate Implant Dentistry from Royal College of Surgeons, Edinburgh. Dr Irfan also has a Master's Degree in Prosthodontics (Crown & Bridge Dentistry) from King`s College London and is the only Pakistani to be appointed an examiner for Implantology by the prestigious Royal College of Surgeons, Edinburgh. -PR Coronavirus reaches Pakistan as first case reported DT Pakistan Report K ARACHI - Two coronavirus cases recently surfaced in Pakistan, one from Karachi and the other one from Islamabad, confirmed top health officials. A young man, who recently arrived in Karachi from Iran, is the first confirmed coronavirus case, informed a Sindh Health Department official. Coordinator to the Sindh Health Minister, Meeran Yousuf, noted that a 22-year-old youth, Yahya Jaffri, recently traveled to Iran, where he Photo: DT Pakistan contracted the virus. He traveled from Iran to Karachi by plane. Yahya and his family have been placed under quarantine at the Aga Khan Hospital. The Sindh Health Department is currently examining all the passengers who traveled with them. Advisor to Prime Minister, Zafar Mirza, confirmed the two coronavirus cases in Pakistan out of which one was from Karachi, and the other one was from PIMS Islamabad. Both cases are being taken care of according to clinical standards and protocols. Both patients are stable, the PM advisor further noted. There is no need to indulge in panic as things are under control, he said. Globally, 81,291 people have been diagnosed with the coronavirus, out of which 2,770 have died while 30,359 have recovered from the disease. The sign and symptoms of coronavirus include fever, cough, sore throat, pain in the body, nausea, pneumonia, and infection in the lungs. No sign appears in the infected patient in the first five days. Continued on Page 13
4 DENTAL TRIBUNE Pakistan Edition January 2020 Photo: DT Pakistan NEWS Photos: DT Pakistan Interactive session held at LUMHS J AMSHORO - A one-day Interactive session on dento-facial deformities and Exam techniques in Oral and Maxillofacial surgery was recently held at Liaquat University of Medical and Health Sciences (LUMHS). The session was conducted by Prof Dr Muslim Khan, Head of Department (HoD), Khyber College of Dentistry, Peshawar. Large number of post graduate trainees of Masters of Science (MSc) and Fellow of College of Physician and Surgeon (FCPS) attended the program. The interactive sessions was deformities. He also gave an i n s i g h t r e g a r d i n g h i s experience with orthognathic surgery especially the Bilateral Sagittal Split Osteotomy (BSSO) technique. By the end of the session he shared his wisdom regarding exam techniques that would help students ace the part 2 of FCPS and Msc exam. He answered all the queries regarding theory exam of part 2. Post graduate trainees actively participated in the session and the efforts of the organizers were deeply appreciated by all students. -PR moderated by Prof Dr Syed Ghazanfar Hassan, Chairman a n d H e a d o f O r a l a n d M a x i l l l o f a c i a l S u r g e r y department, LUMHS. Dr Muslim Khan shared his expertise on managing patients with different dento-facial Delegation from Pakistan Dental Association (PDA) comprising of Dr Mahmood Shah, President PDA, Prof Nasir Ali Khan, General Secretary PDA, Dr Inayatullah Padhiar (SI) and Dr Kamran Vasfy (Sitarah-e-Imtiaz designate), recently met the Honourable President of Pakistan, Dr Arif Alvi to discuss the matters pertaining to dentistry in Pakistan. RCD conducted workshop on prosthodontics P ESHAWAR - Rehman College of Dentistry (RCD) conducted workshops on various topics of Prosthodontics. The workshops were organized as part of the 7th International Pakistan Prosthodontic Association (PPA) Conference held at Sardar Begum Dental College (SBDC), Gandhara University. Participants participated from different cities of the country. The workshops helped the participants to excel their skills in the course taught. The topics of the w o r k s h o p s w e r e "Chairside indirect onlays; preparation, f a b r i c a t i o n a n d c e m e n t a t i o n " f a c i l i t a t e d b y Professor" which was facilitated by Dr. Nasir Saleem and "Ceramic veneers, preparation designs and treatment strategies" conducted by Associate Professor, Dr Syed Hammad Hassan, Head Of Departement, Prosthodontics, Dental College, Margalla Institute of Health Sciences, Rawalpindi. DT Pakistan Photos: Dr Kulsoom gives guest lecture on oral health K c ARACHI - Imamia M e d i s International (IMI) is a global medical p r o f e s s i o n a l organization that pledges to devote time and resources f o r h e l p i n g u n d e r p r i v i l e g e d Photos: DT Pakistan progress & advancement through knowledge, integration, science, technology and network". Many renowned national and international delegates from around the world participated in the conference. Dr. Kulsoom Fatima Rizvi, Vice principal and Head of Community Dentistry department, Bahria University Medical & Dental College (BUMDC) was amongst the few honored to present their insights on the said theme as a guest speaker in the conference. After the workshops, certificates were distributed among the participants and souvenirs were presented to the facilitator. The efforts of organizers of RCD were encouraged and more workshops in this regard were promised. -PR communities world-wide with acquisition to quality healthcare. The 10th International Conference by Imamia Medics International was recently for the first time in Pakistan at local hotels in Karachi and Islamabad. The theme of the conference was "Pakistan - Dr. Kulsoom presented her lecture on the topic of "Oral Health- Millennium & Sustainable Development Goals". Dr. Kulsoom focused on how Millennium & Substantial Goal Development (MGD & SGD) links oral and Continued on Page 14 Best performing teacher scoops award in SSCMS K ARACHI - Prof. H R S u k h i a , Principal, Sir Syed College of Medical Sciences (SSCMS) recently presented Sir Syed Best Teacher Dental Award in a ceremony held recently. The recipient of the award was Dr. Suraiya Hirani, Oral Biology Department. Photo: DT Pakistan The criteria of the Award was based on outstanding contribution towards merit, research and teaching methodology. The Principal SSCMS, Admin, faculty & students congratulate Dr Suraiya on this well- deserved milestone achievement. -PR Dental Research: Workshop conducted at IMDC I SLAMABAD - A workshop on "How to publish in indexed journal?" was recently conducted at Islamabad Medical and Dental College (IMDC). The activity was conducted under the umbrella of Pakistan Association of Dental Research (PADR) and Pakistan Prosthodontic Association (PPA). A total of 27 registration were made from different colleges of the city. Photos: DT Pakistan The facilitator for the workshop was Dr. Abdul Samad Khan, Associate at Imam Abdulrahman Bin Faisal University, Saudi Arabia. After recitation of Holy Quran, an introduction to Pakistan Prosthodontic Association was given by Prof. Dr. Tayyaba Saleem. Later, Dr. Abdul Samad introduced the audience to the core purpose of Pakistan Association of Dental Research. The primary aim of the workshop was to deliver the importance and ways to get articles published in indexed journal. The facilitator talked Continued on Page 14
6 DENTAL TRIBUNE Pakistan Edition January 2020 DT Staffer Dental Tribune Pakistan: It is so nice to meet you Professor Dr. Amjad Wyne. First, please tell us a b o u t y o u r e d u c a t i o n a l b a c k g r o u n d ? Dr Amjad Wyne: Well, thank you so much for having me. I consider it an honor being interviewed by Dental News Pakistan, a medium which has kept us informed about dental fraternity in Pakistan and around since decades. I completed my BDS degree from deMontmorency College of Dentistry, Lahore in 1981. Then, obtained BSc Degree from the University of Punjab in 1984. I went to Australia in early 1988 and completed my MDS Pediatric Dentistry there. In 1997, I received a Fellowship (FADI) from International Academy of Dentistry. In the same year I obtained an earned Fellowship (FASDC) from American Society of Dentistry for Children. In 2018, at the age of 59 years, I fulfilled my long-time dream of obtaining a Doctorate Degree (Dr Med Dent) in Pediatric & Preventive Dentistry from University of Greifswald, Germany. So, it has been a life long journey of continuous teaching and learning for me. DTP: Prof. Wyne, now please tell us about journey of your professional career so far? AW: Well, after graduation, I completed my Internship/House Job from de Montmorency College of Dentistry. Then, I was recruited in April 1983 by Department of Health through Punjab Public Service Commission. After couple of postings in Sub- Divisional Headquarter Hospitals including two and a half year in Civil Hospital Murree, I got PAPD is making efforts to train quality pediatric dentists in Pakistan to serve increasing oral health needs of our Nation's children appointed as Demonstrator in my alma mater. This indeed was a great honor for any young dentist in Pakistan. I decided to return to Pakistan after completing my MDS in Australia, in spite of excellent opportunities to stay and work there. I started working in my alma mater again with full determination to serve my country. However, I ended up working soon in the Kingdom of Saudi Arabia. I am back to my country now and working as Professor and Head, Department of Pediatric Dentistry, Institute of Dentistry, CMH Lahore Medical College. DTP: How come a person who came back after completing his Masters in early 90's with full determination to serve the country, ended up working somewhere else? AW: Actually, I was not alone in this situation. A whole bunch of my friends came back after completing their postgraduate trainings in various specialties abroad during the same period. We were all very enthusiastic and full of hope in changing existing old practices of undergraduate dental training. We were also keen to start new postgraduate training programs. But then most of us, soon started feeling resistance from the system and inability to implement and practice what we had learnt abroad. All of us except very few moved abroad midst severe disappointment. In my case, I had additional pressure from parents especially my late father that I must work and spend some years in Saudi Arabia. An exclusive interview We need to join hands to improve the dental health of our children; Prof Dr Amjad P rofessor Dr. Amjad H. Wyne is known as one of the pioneers of Pediatric Dentistry in Pakistan. Dental News recently spoke to him in regards to his contributions to dental profession and representing Pakistan on International level. After completing BDS from deMontmorency College of Dentistry, Lahore in 1981, Prof Dr Amjad Wyne joined Punjab Health Department. He was appointed as a demonstrator in his Alma matter, in 1985. Later on, he moved to Australia for his Masters in Dental Surgery (MDS), Pediatric Dentistry. On returning, Prof Amjad shifted to Kingdom of Saudi Arabia (KSA) after a brief stay in his home country. With his dedication and hard work, Prof Wyne slowly climbed up the ladder and became Professor of Pediatric Dentistry at King Saud University College of Dentistry (KSUCD). Amjad received a Fellowship from the International Academy of Dentistry (FADI) and earned a Fellowship (FASDC) from American Society of Dentistry for Children in the same year. Later in 2018, Dr Wyne fulfilled his lifelong dream and obtained a Doctorate Degree (Dr Med Dent) in Pediatric & Preventive Dentistry from University of Greifswald, Germany. He jointly founded Pakistan Academy of Pediatric Dentistry (PAPD) in 2018. Currently, Prof Wyne is the Head of Pediatric Dentistry Department, at Institute of Dentistry, Combined Military Hospital (CMH) Lahore Medical College. He is also part of editorial board in Journal of Pakistan Dental Association and Co-Editor of Pakistan Oral & Dental Journal in order to sustain his passion for spreading knowledge. INTERVIEW DTP: Tell us about your professional journey in Saudi Arabia? AW: I started my job there as a Lecturer in King Saud University College of Dentistry (KSUCD), Riyadh, got promoted to Assistant Professor, Associate Professor and finally full Professor in due course. The promotion criteria (teaching load, publication points, research projects and community services) are very strict in KSUCD and includes international review of the promotion application by three referees. I think it was so fortunate to get I had little background in scientific research and writing However, working with seniors helped me improve my scientific research and writing an opportunity to work in KSUCD as a beginner in academia. I learnt a lot from experienced faculty working in KSUCD, trained from various parts of the world including North America, Europe and Australia. DTP: Were there any other Pakistanis with you in KSUCD? AW: In the beginning, I had the honor of working alongside legendary educators like Dr. Bashir Zulqarnain (a North American qualified periodontist) and Late Dr. Mian Khalid Iqbal (a North American qualified Endodontist). Then, along the way, I was joined by my friends mostly from deMont like Dr. Khalid Almas (periodontology), Dr. Mohsin Ali (Proshthodontics), Dr Arham Chohan (Pediatric Dentistry), Dr Shahid Mahmood (Operative Dentistry), Dr Naveed Khawaja (Oral Surgery), Dr I learnt a lot from experienced faculty working in KSUCD, trained from various parts of the world Irshad Afzal (Prosthodontics) and briefly by Dr. Muhammed Usman (Oral Surgery) and Dr Jamroze Khan (Prosthodontics). From younger lot, Dr. Fahim Vohra and Dr Rashid Habib (both Prosthodontists) also joined there. I resigned from KSUCD in July 2018 due to personal circumstances, though I still had 11 years of possible service left. DTP: Tell us a bit about King Saud University (KSU) and King Saud University College of Dentistry (KSUCD)? AW: The King Saud University is the oldest university in the Gulf Region with its main campus in Riyadh and satellite campuses in several other cities. The university has separate campuses for male and female students. The College of Dentistry started in 1957. The College of Dentistry (COD) is a large institution having more than 250 full time, faculty members. It has a five year BDS program, one year internship program and three postgraduate programs in eleven dental specialties. It has a 14 story Dental Hospital with state of the art treatment and educational facilities including separate operation theaters each for Oral Surgery and Pediatric Dentistry. The Pediatric Dentistry Department has separate units for postgraduate students and faculty practice. The department has special care facilities and special rooms for pediatric dental sedation. The department enjoys the services of dedicated team of anesthesiologists. Other than Continued on Page 13
8 DENTAL TRIBUNE Pakistan Edition January 2020 CLINICAL IMPLANTOLOGY Conventional and immediate loading with final n!ce screw-retained crowns By Dr Luis Cuadrado de Vicente, Dr Cristina Cuadrado Canals, Dr Andrea Sánchez, Luis Cuadrado Canals T hanks to the very high accuracy of modern intra-oral scanners, excellent design software and reliable production systems, restoring an implant with a chairside model is now a reliable treatment with numerous advantages for the patient. The same-day solution with final materials produces excellent implant crowns in a chairside environment. Modern implantology is headed in the direction of the emerging concept of immediacy. This comprises different treatment tools and protocols aimed at providing the patient with minimally invasive surgery and, where possible, a same-day temporary or final restoration. A reliable implant system, from the nano-molecular level to a complete restorative portfolio, is mandatory to provide this treatment. The core of the treatment is a fully digital workflow, starting with optical impressions recorded with an intra-oral scanner. To provide same-day treatments, the chairside model is essential. A digital intra-oral impression and the corresponding design and production software and hardware enable the treatment team to obtain high-quality temporary or final restorations on the same day, without the use of a model. The key elements of this immediate treatment are correct implant placement based on a correct implant selection, macro-design, to achieve a safe immediate stability and a proven implant surface for biological stability, digital intra-oral impressions, and immediate design of the crown, which is then sent to a milling machine to produce the implant crown in a final material. Pushing the boundaries of the one abutment, one time concept, the provision of the final implant crown on the immediately loaded implant offers many advantages for the treatment team and the patient. In demonstration thereof, we present a clinical case in which two different chairside approaches were applied. For the maxilla, a conventional delayed protocol was employed. This involved the placement of a Straumann Bone Level Tapered (BLT) implant, followed by a two-month healing period and, finally, the recording of optical impressions with a 3Shape TRIOS 3 intra-oral scanner for the subsequent design and production of the final crown. During the same treatment period, for the mandible, an immediate loading protocol was employed for a just placed Straumann BLT implant. Optical impressions with the TRIOS 3 were also immediately recorded and sent to the computer with the chairside 3Shape TRIOS Design Studio software to produce an immediate crown in a final material. To provide this chairside model, the new screw-retained crown module for Straumann in the TRIOS Design Studio software was used to design the implant crown on Straumann Variobase. This software provides the proven connection with the Straumann CARES C series chairside milling unit, allowing the design software to be connected directly to the CAM module of the C series. The CARES C series is a robust and compact four-axis wet milling and grinding unit for in-house processing, especially designed to provide reliable and predictable precision when milling glass-ceramics and hybrid materials. It employs intelligent four-axis technology and improves the daily practice routine in terms of efficiency and productivity. In this particular case, Straumann n!ce blocks were milled on the C series to obtain the final crowns. The new n!ce material is a high-tech glass- ceramic solution that delivers fast, aesthetic single-tooth restorations. Requiring no crystallisation firing, it can be milled, polished and seated. We selected a final material based on the case characteristics, used a minimally invasive approach and provided the patient with a screw- retained crown on the same day to obtain excellent healing and to shorten treatment time. Treatment planning A BLT implant (Regular Neck, Roxolid, 4.1 × 12.0 mm) was placed in position #15. As the insertion torque value and Implant Stability Quotient (ISQ) level were not optimal for immediate loading, a delayed protocol with a healing cap was selected. Two months later, a panoramic radiograph showed an excellent situation for the BLT implant and Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 9 Fig. 10 Fig. 13 Fig. 14 Fig. 7 Fig. 11 Fig. 15 Fig. 8 Fig. 12 Fig. 16 Fig. 17 Fig. 18 Fig. 19 Fig. 20
CLINICAL IMPLANTOLOGY January 2020 Pakistan Edition DENTAL TRIBUNE 9 Fig. 21 Fig. 22 Fig. 23 Fig. 24 Fig. 25 Fig. 26 Fig. 27 Fig. 28 Fig. 29 Fig. 30 Fig. 31 Fig. 32 Fig. 33 Fig. 37 Fig. 34 Fig. 35 Fig. 36 Fig. 38 Fig. 39 Fig. 40 Fig. 44 Fig. 41 Fig. 42 Fig. 43 correct healing of position #36 (Fig. 1). Following a chairside protocol, it was decided to load implant #15 and provide an implant treatment with immediate loading in position #36 on the same day. This involved the design of two screw-retained crowns with the TRIOS Design Studio software, and their production in n!ce material on the C series milling unit. Surgical procedure Under local anaesthesia, a flapless implant surgery technique was performed in position #36. Owing to the quality of the bone, staged drilling with continuous saline irrigation was performed in order to obtain a proper, safe insertion torque (Figs. 27). One implant (BLT, Regular Neck, Roxolid, 4.8 × 10.0 mm) was placed, and a torque of 42 N cm was applied (Figs. 811). The ISQ level was determined with the Osstell unit. After connecting a Type 54 SmartPeg, a score of 82 was obtained (Fig. 12). The decision to employ an immediate loading protocol has to take account of the surgeons personal experience and skills, the insertion torque value, the ISQ levels a n d t h e m e d i c a l a n d d e n t a l characteristics of the patient. In this case, all these parameters were evaluated as excellent, and the immediate loading protocol was selected. A BLT scan body was connected at implant level on both implant #15 and implant #36. An optical impression was obtained with the TRIOS 3 intra- oral scanner after selecting the screw- retained crown indication for BLT implants on the TRIOS Design Studio order form (Figs. 1315). Five scans were needed: mandible without the scan body (emergence profile scan), mandible with the scan body, maxilla without the scan body, maxilla with the scan body and, finally, the occlusion (Figs. 1620). During the prosthetic procedure, healing caps were placed to keep the gingiva in position. Prosthetic procedure The screw-retained crown module of the TRIOS Design Studio software is designed to be easy to use. Once the scanning steps had been completed, the best fit between the virtual scan body and the intra-oral scan body was determined using the three-point matching function, thus creating a digital model with the implant in its correct position (Figs. 21 & 22). Once the alignment had been approved, the next step was to use the auto-crown tool, through which the software proposed an ideal crown design. The software has excellent tools to shape and improve this initial auto-design (Figs. 23 & 24). After the crown had been designed, the appropriate Variobase was selected and the emergence profile designed. We chose the Straumann RC, H3.5, GH 1 mm Ti-base (Figs. 2527). After the emergence profile design, a final sculpting step was done with automatic tools, adjusting the contact points and the occlusion in order to make the final adjustments to the full restoration (Figs. 28 & 29). The screw hole was established, and the crown was correctly placed and oriented in the virtual block (Figs. 30 & 31). The computer was connected directly to the C series milling unit so that, after placing the n!ce block in the holder, the milling of the crown could be started. Within approximately 20 minutes, the crown had been milled, including the screw hole and the connection to the Variobase (Figs. 3235). Once the crown was ready, the selected Variobase was cemented in the correct orientation in relation to the crowns. The crowns were stained and polished manually, and the whole process was finished about 1 hour after scanning (Figs. 3639). Returning to the patient, the healing caps were removed, and the crowns were placed. The occlusion was checked and contacts were inspected (Figs. 4043). Screw holes were sealed with PTFE and a temporary filling material. Treatment outcome The patient and dentist were completely satisfied with the final result regarding aesthetics, health and function. The patient returned for a check-up one week later and was very satisfied with the aesthetic and functional outcomes of the treatment (Fig. 44). The overall treatment time per crown was about 1 hour from surgery to final crown delivery. In this case, the same- day crown and one abutment, one time concepts could be pushed to the limits in a simple and predictable manner thanks to a proven chairside workflow.
10 DENTAL TRIBUNE Pakistan Edition January 2020 INTERVIEW Toothpaste tubes are being portrayed as a magic wand that can fix anything, but the reality is different; Dr Ashar Jamelle DT Staffer D r Ashar Nizamuddin Jamelle graduated from Fatima Jinnah Dental College (FJDC), Karachi. Following his graduation, Dr Ashar joined Aga Khan University Hospital to complete his residency program in Operative Dentistry. Dr Ashar then went on to pursue Master's in Clinical Dentistry (MClinDent) Periodontolgy from Queen Mary University of London. He was also practicing, meanwhile, at The Royal London Hospital. After returning from the UK, Dr Ashar joined his alma mater, FJDC, as an Assistant Professor and Head of Department of Periodontology. Dr Ashar also runs his own private dental practice in DHA, Karachi. He actively participates in various curriculum activities in dental education sector to sustain his passion for dentistry. Recently he sat down with us to talk about his journey as a practitioner and discuss some pointers pertaining to Periodontology. Dental Tribune Pakistan: How and when did you decide that you wanted to become a dentist? Dr Ashar Jamelle: Well, it was quite a journey. My parents are doctors, so I did have an idea about the direction in which I was to head. However, I noticed how hectic their schedules were. My mother is a gynecologist, and my father is an orthopedic surgeon, and they were away day and night. I initially thought dentistry would be a bit more relaxed in that capacity because there were no day-night shifts. However, as it turns out, that I had to work equally hard because same rules apply to dentistry more or less. DTP: Take us through your journey from dental school to your current position? AJ: After graduating from the Fatima Jinnah Dental College, I realized that everything that I had envisioned was a fallacy. As a young graduate, you think that you have conquered everything after As a young graduate, you think that you have conquered everything after graduating, but in fact, you are met with new challenges every step along the way. graduating, but in fact, you are met with new challenges every step along the way. I was considering post-graduation at that time as well because it is very important. I was deciding on heading to the US, so I took my National Board Exams with the initial idea of wanting to settle there. However, I realized that if I pursued that path, I would have had to repeat two years of dental school. I decided to head back home and sit for my FCPS- I exam, after which I joined the Aga Khan University for my residency, where I trained in Operative Dentistry for four years. That period was a very rich learning experience for me. After completing my residency, I headed to the UK for two years. I was studying at Queen Mary University and working at the Royal London Hospital as well. Following graduation, I moved back to Pakistan, where I have been working for the past five years as the Assistant Professor and the Head of Department of Periodontology at my alma mater, the Fatima Jinnah Dental College. DTP: Why Periodontology? And, was it a calculated decision? AJ: When I was training at the AKU in Operative Dentistry, Periodontology was an area of study that always presented itself as an enigma to me. It was a mystery I wished to solve. Questions were being asked with no proper answers to them. Even during Our religion teaches us to go to any length to attain whatever knowledge you can. my undergraduate studies, I noticed that not much light was being shed on this area of study. I wanted to try and solve this puzzle. I was determined to even head to China to achieve my goal. Our religion also teaches us to go to any length to attain whatever knowledge you can. So, I decided to go on this path because it is very dear to me and so that I may understand it better and disseminate my knowledge further to others. DTP: What are the current trends in periodontal treatment techniques? AJ: Dentistry is continually progressing. New techniques are being introduced day in and day out. A lot of the current trends now focus on using non- surgical methods such as lasers for gum regeneration and perio-endoscopes to visualize calculus and other lesions. Surgeries are also moving towards being as minimally invasive as possible, which allows reduced blood loss and present with a greater overall success rate. DTP: Between FCPS, MDS, and postgraduation from abroad, which option would you recommend to young dentists, and why? AJ: Well, all of them have their own pros and cons. I have undergone the FCPS journey. It is a very structured and inclusive curriculum that incorporates everything from hands-on clinical work on patients to research work like dissertations. FCPS is a very strong learning curve, and as a practitioner, you go through a lot to understand everything step by step. It was, in fact, very similar to my experience in the UK. While I was pursuing my Masters in Periodontology, I was practicing as well on patients. Overall, it was an excellent learning experience. MDS is a good option as well because it still has a way to go until it becomes a standard mode of study. DTP: Practicing abroad and now in Pakistan, what would you say are the key differences? AJ: When I was practicing abroad in the UK, I learnt a new system that I had not experienced back home where they had referrals and more of a Never give up. It takes time, yes, but if you keep working hard, you will get the results. Keep at it and slowly, but surely, you will get there. specialist clinical system prevailing. They send you patients specifically depending on your specialty. Over here, we do not have that system, and I think it is something we need to really work upon. Despite such setbacks, clinics have progressed immensely and become very technologically sound. We have seen a lot of developments here in recent years. I encountered them back then abroad, but I am glad to see them making their way in our healthcare system as well. I believe it is a very positive progression in dentistry in Pakistan. DTP: What is the best advice that you can pass on to young dentists? AJ: The most important thing I believe is to always work hard. You should always devote yourself to whatever you are doing. Whenever the opportunity presents itself, it is best to observe and learn because learning, in any shape or form, will benefit you. You never know when or where you might catch something new. I would highly recommend considering post- graduation because it will really develop your skills and enhance your personality with time and experience. Never give up. It takes time, yes, but if you keep on working hard, you will get results. Keep at it and slowly, but surely, you will get there. DTP: Broadly, how do you think oral health relates to overall health? AJ: The mouth is the gateway to our system. Whenever we examine the mouth, we always find something or the other that potentially relates to another internal condition. If there is a better system where people start visiting dentists regularly, we can screen a lot of things and work towards preventing it. It is all about prevention nowadays. Social media and television should be used to invoke this concept in the masses and bring the matter of Continued on page 14
12 DENTAL TRIBUNE Pakistan Edition January 2020 Annual Sports week celebrated by KMDC K ARACHI - Karachi Medical and Dental College (KMDC) recently organized Annual Sports week with full zeal and zest. The event was their daily life routine in order to stay active. The medical students need to be mentally and physically healthy. Hence, they should take some time out from their studies team of the event and appreciate their efforts. W h i l e a d d r e s s i n g t h e audience, Dr S. Mahmood Haider said "under the umbrella of KMDC, many Photos: DT Pakistan inaugurated by Pakistan's renowned hockey play, O l y m p i a n I s l a h u d d i n Siddiqui. The event was chaired by KMDC Principal, Prof. Dr S. Mahmood Haider. Along with faculty members, students and their parents witnessed the inaugural event. In his inaugural speech, Mr Islahuddin noted that students should inculcate sports in and participate in sports related activity, Siddiqui said. Olympian Islahuddin suggested that KMDC should start a hockey team, which could get trained at his training institute. He said, "I expect that the hockey team will produce better players that can later make Pakistan proud." I s l a h u d d i n S i d d i q u i congratulated the organizing events are organized annually to give platform to students. This gives an opportunity to them to actively participate and demonstrate their skills. The aim of such events is to give 'Future of Pakistan' a platform." P r i n c i p a l K M D C appreciated the efforts of organizing team headed by Sports Incharge, Prof. Nasir Ali Khan. -PR NEWS Students Annual Sports Week kicks off at DUHS K ARACHI - The Students' Annual Sports Week was recently organized at Dow University of Health Sciences (DUHS). The evet was inaugurated by the Vice-Chancellor of the Dow University of Health Sciences (DUHS), Prof Dr Mohammed Saeed Quraishy. Pro-Vice-Chancellors, Prof Zarnaz Wahid and Prof Kartar Dawani, Registrar Dow University, Prof Aman Ullah Abbasi, Principal, Dow Medical College, Prof Amjad Siraj Memon, Director Sports, Prof Syed Mukarram Ali were also present on occasion. Prof Nisar Ahmed Rao, Prof Nawaz Lashari, Prof Subbul Shameem, Prof Saeed Khan, Prof Shaheen Sharafat, Principal, DCOB, Prof Shoukat Ali, senior faculty members and a large number of students also attended the ceremony. Photo: DT Pakistan Prof Saeed said this while speaking said that the Dow University has a tradition of encouraging healthy activities and in the spirit of tradition; the DUHS has been organizing this sports contest for the past many years. He noted that this time the contests would be better than the previous ones, and the sports committee would conduct the Continued on page 13 M I LT O N , O N T A R I O , CANADA - Dental crowns are available in a variety of materials, making it difficult for dentists to decide which material will best restore a tooth that has been broken or worn down. While it has been proved that stainless-steel crowns (SSCs) are highly effective in restoring posterior primary teeth, their efficacy in restoring posterior permanent teeth has not yet been scientifically proved. Now, a recent study has examined the long-term clinical outcomes of using SSCs in a special needs population and confirmed that SSCs are a viable and durable option for the treatment of both types of dentition. In the retrospective cohort study, the researchers performed a clinical and radiographic analysis of 271 patients who showed a poor level of oral hygiene, were at high risk of dental caries and had at least one SSC restoration. A total of 2,621 posterior permanent tooth restorations were documented: 766 SSCs, 1,651 amalgam restorations and 204 composite resin restorations. "I noticed that many adults with and without special needs who had their dental care provided by dentists in the community were presenting to our hospital emergency department with posterior permanent teeth restored with very large multisurface amalgam or resin restorations that had failed. The persons were usually in pain and the teeth were, in many cases, unrestorable or required endodontic therapy," Dr. Alison Sigal, a pediatric Study proves effectiveness of stainless-steel crowns in restoring permanent teeth Researchers have recently confirmed that stainless-steel crowns are as successful in treating posterior permanent teeth as they are in restoring posterior primary teeth. (Image: Krezodent/Shutterstock) dentist and founder of the Little Bird Pediatric Dentistry in Milton, told Dental Tribune International. "I knew from my training in pediatric dentistry that SSCs were very successful in primary posterior teeth and wondered whether they could be equally successful in the permanent posterior dentition," she added. The findings showed that new SSC and amalgam restorations had a ten- year survival rate of 79.2% and 63.5%, respectively. Although the researchers recorded 91 SSC failures, Sigal gave the assurance that the majority of the crowns that were lost were due to generalized periodontal disease and not due to the failure or loss of the restoration. Of the 528 failed conventional restorations that were replaced by the dentists, 60% were replaced with SSCs. After the defective restorations had been replaced, the patients had a mean alveolar bone loss at mesial and distal sites of 1.36 mm and 1.40 mm, respectively, which was deemed healthy. "SSCs are full-coverage restorations and as such will add strength to the remaining tooth and are generally not at risk for dental caries, whereas amalgam and composite resin restorations both weaken the remaining tooth structure and are susceptible to recurrent caries and fracture or margin failure. Further, as found in our study, teeth that had failed amalgam and/or composite resin restorations that would otherwise be deemed nonrestorable with a larger surface restoration and to be extracted were able to be preserved with the placement of the SSC restoration," she noted. Since the study was conducted on persons with special needs, Sigal cautions that the findings cannot be generalized. However, she believes that SSCs would be similarly successful in restoring permanent posterior teeth in the general population. "SSCs are durable long-term restorations that are less expensive than other full-coverage restorations and should be considered as a potential restoration for both primary and permanent posterior teeth, especially in persons with special needs and those with limited finances or failing oral hygiene," Sigal concluded. According to the American College of Prosthodontists, an estimated 2.3 million implant-supported crowns are produced annually in the U.S. The study, titled "Stainless steel crowns as a restoration for permanent posterior teeth in people with special needs: A retrospective study," was published online on Dec. 27, 2019, in the Journal of the American Dental Association, ahead of inclusion in an issue. - Dental Tribune International
Coronavirus reaches ... Continued from front page Experts have advised citizens to practice the best hygiene, and wash their hands frequently and thoroughly for at least 20 seconds, or use alcohol-based hand sanitizer if soap and water are not available. Citizens must cover their coughs and sneezes with a tissue and then throw the tissue in the trash. Infected patients need to avoid touching their eyes, nose, or mouth with unwashed hands, and sick people are required to stay at home. An exclusive interview with Prof Dr Amjad Continued from page 6 regular undergraduate and Interns' training, the department runs three postgraduate programs; a three years' Masters, a four year Doctor of Science and a four year Saudi Board clinical program. DTP: What was your contribution in KSUCD, in general and pediatric dentistry, in specific there? AW: First few years were my learning years from my seniors. Once you feel confident, then it is time to contribute. In KSUCD, undergraduate pediatric dentistry curriculum is extensive. It starts with a half-year preclinical course in 3rd year, followed by full year clinical and didactic course in fourth year. It end with a full year clinical course in final year. I served as course director of all these undergraduate courses from time to time. I participated in developing three Years Master Program in Pediatric Dentistry in early nineties. I served as course director of various postgraduate courses in the Master Program. Then, I also taught in the four-year clinical training program named Saudi Board in pediatric dentistry started by Saudi Commission for Health Specialties. A four-year Doctoral program (DSc) was started in 2015 at KSUCD. I served as course director of various didactic and clinical courses of the Board and Doctoral programs in Pediatric Dentistry. DTP: Did you work in leadership/ administrative positions? AW: In Adelaide Dental School Australia, I worked as a member of the School Board representing postgraduate students for two years. In KSUCD, I was given responsibilities of directing various undergraduate and postgraduate preclinical, didactic and clinical courses. I served as Head of the Pediatric Dentistry Division, which had about thirty faculty members, with several units including undergraduate training, Interns' training, postgraduate programs, pediatric dental sedation unit, special care clinics, community outreach program and comprehensive oral rehabilitation of pediatric dental students under general anesthesia. I also headed many academic committees. DTP: Tell us some more about your postgraduate teaching activities? AW: I contributed towards writing the Master of Dental Surgery Program in Pediatric Dentistry. As a young academician then, I was given challenging tasks such as supervision of special care clinics and pediatric dental general anesthesia for postgraduate students. I was one of the pioneers in starting comprehensive oral rehabilitation of pediatric dental patients under general anesthesia there. I also directed almost all the postgraduate pediatric dentistry courses. I was also asked to contribute in some postgraduate core courses. I supervised several postgraduate students in their theses research projects. I was a member and/or Head in many research proposals and thesis Examination Committees. I served as Representative of the Department in Joint Council for Postgraduate Education of KSUCD for several years. I also served as Director of the Pediatric Dentistry Postgraduate Program for a three year term. I lead revision of the existing Master program and wrote the DSc Program in Pediatric Dentistry. DTP: Prof. Wyne; what about your research endeavors along the way? AW: Well, as you know, like most of my contemporaries that time, I had no idea about what research was and why it was important for a health care professional. My first exposure to it came when in Adelaide Australia my clinical supervisor asked me to write an essay on serial extraction. I ended up presenting my essay without any reference to a classical or contemporary literature. Gradually, I started learning about research during my core courses on research methodology and bio- statistics. I was so fortunate to have a research supervisor like Professor John A Spencer (Ex-Editor of Journal of C o m m u n i t y D e n t i s t r y & O r a l Epidemiology) for my Master thesis. I started learning scientific writing from him. Then, I was also fortunate to work in Advisory Board of the same journal with Professor Brian Burt of Ann Arbor Michigan. Then, in KSUCD also, environment was very conducive for faculty research. I completed several funded research projects as principal investigator. I also participated as a team member in funded research projects. I have presented my results in national and international conferences. My work has been published in national and international peer-reviewed scientific journals. My primary areas of interest include dental caries in preschool and schoolchildren, pediatric dental sedation, oral health status of disable individuals, oral health of individuals with special care needs and oral health knowledge and practices in children and their parents. My two current projects include; "Genetic predisposition of preschool children for early childhood caries" and "Parental opinion regarding healthy weight screening/counseling by dentists". DTP: Tell us about your journey in medical/dental journalism? AW: It has been an exhaustive journey. I had no background in scientific research, and no idea of scientific writing, really had to struggle in this area. However, working with seniors gradually started having ideas of scientific writing. I was invited for manuscript reviews by scientific journals. Then impressed from my honest efforts 2020 Pakistan Edition DENTAL TRIBUNE 13 January in scientific writing and manuscript reviews, some editors started asking me to join their editorial and advisory boards in late nineties. Distinguished among these were my affiliation with leading international dental journal "Community Dentistry and Oral Epidemiology" and a regional journal "Indian Journal of Dental Research". I am currently in editorial board of Journal of Pakistan Dental Association and Co-Editor of Pakistan Oral & Dental Journal. I am also affiliated with these journals since very long as an author and reviewer. I am a regular reviewer for most of our Pakistani journals. I also have close affiliation with Pakistan Journal of Medical Sciences since more than a decade. DTP: What are your current activities in Pakistan? AW: I am working in Institute of Dentistry, CMH Lahore Medical College as Professor and Head of Pediatric Dentistry. It is one of the main centers i n t h e c o u n t r y t h a t p r o v i d e s comprehensive dental care to pediatric patients including those with special care needs under local and general anesthesia. I am Founding President of Pakistan Academy of Pediatric of Pediatric Dentistry (PAPD), which is a sole representative organization of all pediatric dentists and those who have interest is providing oral/dental health care to children. We have Professor Dr. Hashim Khan, Professor Dr. Arham Chohan and Dr. Sajjad Ahmad as founder Vice President, General Secretary and Secretary Finance respectively. The PAPD was formed in August 2018 by a group of like-minded people with major objective of better oral health for Pakistani children. PAPD is making efforts to work with Pakistan Medical & Dental Counciland College of Physicians and Surgeons Pakistan to train quality pediatric dentists in Pakistan to serve increasing oral health needs of our Nation's children. Considering that Pediatric Dentistry is now a major examinable subject in final year BDS Program, and that demand for qualified well trained pediatric dentist will increase in future, efforts are underway to gradually provide adequate number of faculty by starting Fellowship and Master Programs in the subject. In the international arena; Pakistan is now a Nation member of International Association of Pediatric Dentistry (IAPD) and regionally that of South Asian Association of Pediatric Dentistry. PAPD has already organized a one day seminar for general dental practitioners (GPDs) in Peshawar. The plans are to provide Continuing Dental Education (CDE) to general dental practitioners through CDE p r o g r a m s a t e v e r y D i v i s i o n a l Headquarters in our country. This is to enable GDPs to provide primary preventive and restorative dental care to the children of our Nation whose dental needs are on the increase. We all need to join hand to improve the dental/oral health of our children. I encourage all those who care about oral/dental health of our children to join PAPD and contribute towards betterment of treatment and prevention services for the children. DTP: Finally, any message to our younger generation of dentists in the country? AW: Wherever and in whatever position you work, do not forget that you belong to noble profession of health care. If you are a general dental practitioner, always keep abreast with latest in the field. If you like to be a specialists, choose a specialty based on your interest and not on the amount of money you will make. Most importantly, no matter what your main interest is always save sometime for research (clinical, lab, field) and presenting your results to your colleagues. It is only through research that development of a profession, Nation and Country takes place. DTP: Thank you Professor Amjad Wyne for taking time to talk to us? AW: It was all my pleasure. I am thankful to Dental News Pakistan Team for providing me with an opportunity to communicate with dental fraternity about myself, pediatric dentistry and most importantly dental health of our Nation's children. Students Annual Sports ... Continued from page 12 competitions with zeal. The students' enthusiastic participation in such events not only enhanced their capabilities but also alleviated the pressure of studies and provides comfort. Prof Quraishy said that the sports committee organized this event despite their limited resources, which was commendable. Faculty members should also participate with their teams in such events, he recommended. Furthermore, sports were an essential part of a student's life as it helps teach them endurance and tolerance. Dr Saeed said that University days were always memorable for the students, and every year these sports activities enabled students to foster mutual interaction and develop stronger social ties. "We always try to provide a pleasant environment for our students so that they can make these days more beautiful and memorable," he added. In conclusion, Quraishy praised the efforts of the Director of Sports, DUHS, Prof Syed Mukarram Ali, and his team for organizing such events. Speaking on occasion, Prof Syed Mukarram Ali said that 3,500 students and their teams participated in the competitions held between the 13 institutes of the DUHS along with 200 faculty members. He further noted that six coordinators, 17 event in-charges, and 35 focal persons were responsible for arranging this event. Furthermore, Prof Mukarram said that we select the best students for the competitions. We hope our students demonstrate the same excellent sportsmanship in their lives as well. In the end, Prof Saeed Quraishy inaugurated the annual sports week with a ribbon-cutting ceremony and distributed shields to the heads of all of DUHS's institutes and the faculty members who contributed to the sports week's success. -PR
14 DENTAL TRIBUNE Pakistan Edition January 2020 BUMDC welcomes new BDS Batch - K A R A C H I A Commencement day and white coat ceremony of 8th batch of BDS was recently organized by Bahria University Medical and Dental College (BUMDC). This inaugural day was of greatest importance in a dental student's life making headway towards the noblest profession of all times. Rear admiral Retd. Imtiaz Ahmed, (HI) M, Director General, BUMDC honored the ceremony by his presence as a Chief Guest. The ceremony proceeded with a welcome address by the Principal Dental Section, Prof. Dr. Wahab Buksh Kadri. This was followed by a detailed overview about the academic years of study program of BDS, infrastructure of the institute and its accomplishments by Vice Principal Dental Section, Dr. Kulsoom Fatima Rizvi. She further enlightened the audience about the faculty development programs through workshops and seminars that are conducted annually. A short video clip of a journey towards 8 years of establishment in making of the institute was displayed before the audience. The chief guest addressed the gathering giving students a warm welcome and further guiding parents and guardians to remain vigilant with Photo: DT Pakistan the policies and rules set by the system and keep an eye on students' performance throughout their academic period. He advised students to remain devoted to the profession by showing hard work and discipline. Senior faculty of Bahria University Medical and Dental College presented white coats to the newly inducted students in the world of dentistry as a tradition. Oath-taking was also an integral part of the ceremony. Dr.Mushtaq Ahmed, Head of Department Periodontology took oath from newly inducted dental students. Later, a Sign-In ceremony was held for students along with their parents, as a symbol of becoming part of this institution. The ceremony ends with a group photograph and refreshments. -PR An exclusive interview with Dr Ashar Jamelle Continued from page 10 regular dental visits forward our system. Whenever we examine the mouth, we always find something or the other that potentially relates to another internal condition. If there is a better system where people start visiting dentists regularly, we can screen a lot of things and work towards preventing it. It is all about prevention nowadays. Social media and television should be used to invoke this concept in the masses and bring the matter of regular dental visits forward. DTP: Discuss gum disease prevalence in Pakistan. How do these problems vary with the ascent of age? AJ: Gum diseases are on the rise in Pakistan, and it is because of the causative factors that are highly prevalent in our society. Diabetes, especially if uncontrolled, can pose a significant threat to gum health. Patients should get their HbA1C levels checked regularly to assess their status better. Another highly prevalent risk factor in our society is stress. We have a lot of people who smoke, which also contributes to gum disease. Genetics also play a role in causing gum diseases. People generally tend to neglect tooth brushing, so poor oral hygiene is also a critical factor contributing to gum disease. We, as a society, do not stress the importance of hygiene. Islam states that cleanliness and hygiene are half of your faith. Therefore, we must take measures to bring such things to light and educate the masses. We should have a specialist referral system so patients can come to us, and we can find the underlying diseases that might cause more serious problems in the future. DTP: How do gum problems in women vary from that in men? Discuss the effects of puberty (boys and girls), pregnancy, and menopause on an individual's oral health. AJ: In women, there are surges of estrogen and progesterone during pregnancy. I have had patients come to me with enlarged and swollen gums. It can be quite a challenge to treat for the doctor and deal with for the patient. It is quite a prevalent occurrence. There are chances of bleeding and inflammation, as well. So, a pregnant patient should essentially go for her checkups more often so we can catch issues before they progress to an advanced stage. If oral hygiene is maintained and regular checkups are scheduled, we will be better able to prevent such conditions. Even during puberty, the body goes through a lot of hormonal changes that present themselves in the form of various lesions. So, if patients notice something out of the usual, they should consult their dentist at their earliest convenience. DTP: Discuss some of the early signs that point towards developing gum disease. What could be done about them? AJ: Some of the early signs include wobbly teeth, which is something we find at a much later stage of the disease. Additionally, you can experience bad breath, bleeding gums, sensitivity, teeth drifting, and more. Sometimes, patients do not present with any symptoms. This is why checkups are essential because factors like genetics might come into play. So, essentially, you might be experiencing something in a very silent and seemingly harmless way, but you only realize the seriousness of the situation after it has gotten quite severe. It is good to have a biannual checkup so we can work towards prevention. DTP: What are the reasons behind the gum recession commonly encountered among our mature demographic? How can it be avoided? AJ: Gum recession can happen if you have gum disease and periodontitis. Bone loss accompanies gum recession. The most common reason behind gum recession is overzealous tooth brushing. We tend to be very enthusiastic with tooth brushing, which tends to cause more harm than good. Therefore, if you know someone who has a habit of brushing their teeth vigorously, as a dentist, you must counsel them and tell them what they are doing wrong. Teach them the right way to brush their teeth because if they continue to do so, it can result in recession. Recession further leads to aesthetic issues as well as sensitivity, which require surgeries to fix. Thus it is better to counsel them at the right time so things can work out in their favor better. DTP: Can toothpastes (advertised with tall claims) really CURE bleeding gums, tooth sensitivity, and toothache? AJ: No, because I believe that toothpaste tubes are being portrayed as a magic wand that can fix anything, but the reality is that they cannot. If there is an underlying problem, it must be looked at and fixed by a dentist or a specialist. If the problem is not fixed, it will get worse, and things might progress into a very detrimental state, so again, instead of patients trying to diagnose their own symptoms, they should head straight to a professional. DTP: In your own way, bust the age-old myth: Scaling loosens the teeth! AJ: Scaling does not loosen the teeth. This is a fallacy that needs to be busted. The reason why this issue comes up is because people come to get their scaling done at a very late stage. It is something they opt for only on special occasions like anniversaries, weddings, etc. If you are a regular patient, you will not experience any such thing because your problem will be fixed before it advances into a more damaging state. If people continue to neglect their oral hygiene and do not come to the dentist, then they are basically inviting problems over, so just be regular with your appointments. DTP: Are you engaged in any kind of volunteering activities? Tell us about them. AJ: I have been doing a lot of workshops to engage young dentists into Periodontology so they can learn about it. I have a passion for promoting this because, again, Periodontology is a field very close to my heart. There are a lot of awareness campaigns that I frequently attend as well because I wish to push this idea as much as I can. Our masses lack awareness, so my goal is to do the most to support the cause and bring more and more dentists into Periodontology as specialists. DTP: Are you engaged in any kind of volunteering activities? Tell us about them. AJ: I believe that we should enhance our knowledge as much as we can. Read, Go through articles. Learn about the techniques that you can use to help your patients, whether it is in diagnosis or treatment or anything in between. This will benefit everyone. That is how I reached where I am today. Dr Kulsoom gives guest ... Continued from page 4 general health, and contributes to overcome the neglect of oral health. She further highlighted that MGD and SGD provide a conceptual framework for encouragement, funding and action undertaken to ensure healthy lives and health for all. The conference and speakers received great acclaims for its successful sessions and event. Dr. Kulsoom was awarded with a memoir souvenir as a token of gratitude and remembrance for her valuable participation in the conference towards a better and more enlightened Pakistan. -PR Workshop conducted at IMDC Continued from page 4 about EndNote®, Features of Microsoft Word® and Excel®. At the end the participants were given group exercises that put their learning into practice and refined their thinking and research skills. The participants also volunteered for future research activity and gave a highly positive feedback. -PR
24th edition of the UAE ... Continued from front page roadmap for dentistry practice in the region and abroad. Over the years, GSDA has played a pivotal role in coming up with appropriate policy recommendations and robust solutions for the most pressing dental challenges facing dentistry professionals and patients alike." "We are delighted that GSDA is being held on the sidelines of AEEDC Dubai 2020, which has recently been declared the largest annual international scientific dental conference and exhibition in the world and we believe that the presence of world-renowned dental experts and associations at this global dental platform will be greatly helpful in highlighting the latest dental challenges, raising awareness and improving understanding about the latest in the field of dentistry," Prof Abdullah stated. From his side, Dr. Abdul Salam Al Madani, Executive Chairman of AEEDC Dubai and Global Scientific Dental Alliance (GSDA) said, "I extend my warmest regards and gratitude to the participating members in the 17th Annual Alliance Meeting of the GSDA for their valuable participation in the activities of this prominent event. The GSDA meeting has become one of the most important forums that feature a rich scientific program discussing the most pressing topics in oral and dental care and enriches the knowledge and experience of the participants in this sector." He added, "At the 17th edition of this alliance, we are very pleased to meet with the most prominent international societies and institutions specialized in dentistry with the aim of unifying our efforts and endeavors to support scientific researches and elevate the professional level of dentistry. We are immensely proud to host this alliance on the sidelines of AEEDC Dubai 2020, which has been recognized recently as the largest International Annual Scientific Dental Conference in the world after a long journey of hard work and fruitful cooperation." On his part, Dr. Tariq Khoory, Honorary Chairman of AEEDC Dubai Conference and Exhibition said: "Today, we have announced (AEEDC Global Education), as INDEX Conferences and Exhibitions, the official organizer of AEEDC Dubai, saw the importance of transferring the AEEDC Dubai experience to the whole world by sharing their expertise with dental institutions, associations and bodies all over the world. Through AEEDC Global Education Conference and Exhibition, we aim to hold an event at par with AEEDC Dubai in terms of the scientific and educational content. This unique event is expected to take place in 2021 and will include a scientific agenda featuring a number of challenging topics in dentistry through workshops, lectures, and scientific sessions. Furthermore, AEEDC Global Education will also feature an exhibition that will showcase the latest medical equipment and technologies in the dental field." Commenting on the occasion, Dr. Robert Edwab, Executive Director, Greater New York Dental Meeting (GNYDM) said, "The Global Scientific Dental Alliance Meeting has special significance as it serves as a forum to develop programs to help further educate dentists. AEEDC Dubai 2020, as the world's largest international annual scientific dental conference and exhibition, is best equipped to hold this gathering. As the GSDA Meeting w i t n e s s e s t h e p r e s e n c e o f representatives of various dental organizations from across the globe, this diversification greatly helps to maximize ideas that could foster educational topics and initiatives for the member countries. By sharing and cooperating, this collaboration brings dentists from around the world to a forum where they can learn from hands- on experiences that were successful in their fellow member countries and bring it home to educate their members." Dr. Edwab added, "One of the main focus areas for participants at GSDA is to identify and share the best dental educators from each country, as by identifying these superior educators, and having them present at such programs as AEEDC Dubai, the GSDA helps to elevate and maximize the availability of oral healthcare to all populations. This is extremely important today as studies are providing significant evidence to suggest how oral health is intricately related to systemic health. If each country can raise the level of its oral healthcare, they can directly elevate the general health of their citizens." Dr. Edwab concluded, "The most significant challenge facing patients across the globe is access to affordable care. Today, newer materials and technology are playing a significant role in overcoming the challenge posed by affordable care. Consequently, by using new advances in technology, more care can be distributed to larger populations. With better access to affordable care, we can lower the levels of tooth decay and tooth loss which hugely impact the long-term health of patients. Access to oral healthcare and medical healthcare will then lead to lower levels of mortality and higher life spans." On the sidelines of AEEDC Dubai 2020 Conference and Exhibition, a Memorandum of Understanding and cooperation (MoU) was signed between INDEX Conferences and Exhibitions - a member of INDEX Holding, and Al Farabi Private College in the Kingdom of Saudi Arabia, as part of their endeavors to cooperate and coordinate in various events, exchange experiences via scientific and educational publications, and to promote the events organized by INDEX. The Agreement was signed by Eng. Anas Al Madani, Vice 2020 Pakistan Edition DENTAL TRIBUNE 15 January President and Group CEO of Index Holding and Prof. Dr. Ali Habiballah Akbar, Dean of Al Farabi Private College in Jeddah, Kingdom of Saudi Arabia. On the second day, AEEDC Dubai 2020 conference featured a number of discussions on highly scientific topics i n d e n t i s t r y s u c h a s ' D i g i t a l Implantology: The Modern Approach in Implant Rehabilitation', 'Tips & Tricks In Implant Guided Surgery', 'Aetiology & Epidemiology of Dental Trauma', 'Dealing with the Pediatric Dental Trauma Patient', 'Bioactive Root Canal Fillings: Are We There Yet?', 'The Input of CAD-CAM Technologies for Endodontically-Treated Teeth', 'Predictable Use of Rigid Membrane in Ridge Augmentation' and 'Extreme Atrophy of the Jaws: Which Treatment?' among other topics. AEEDC Dubai 2020 ... Continued from front page equipments that are revolutionizing the field of dentistry. With such an outstanding legacy, AEEDC Dubai has witnessed a huge success this year, with over 3.5 billion dollars in business deals signed during the 3-day event. On this occasion, I would like to thank all our supporters, speakers, key stakeholders, industry, exhibitors and our ambassadors of AEEDC Dubai, who have collectively made this gathering, the world's largest annual scientific dental conference and exhibition in the world." Commenting on his participation, Dr. Jose Manuel Navarro, Certified Periodontist and Implantologist, Spain, said, "During my lecture, I spoke about the way we envision the future of orthodontic treatment with aligners by non-specialist orthodontists. My area of focus is dental implants, bone reparations and prosthetics and recently, with the aid of recent breakthroughs in cloud dentistry, we have been able to treat complicated dental cases with aligners. Today, we are able to take all preliminary images using digital smile technologies and share them in the cloud, which is allowing us to plan for the orthodontic phase from a distance digitally using jointly designed aligners." He added, "The introduction of cloud dentistry, telemedicine and the imminent way in which we are able to diagnose digitally is certainly changing the dental profession and the way it is practiced. It has indeed become a necessity to deliver the gold standard of dentistry in years to come." Commenting on his participation, Dr. Paul Ashely, Senior Clinical Lecturer, United Kingdom, said, "AEEDC Dubai 2020 presented a broad and varied set of scientific dental topics which were relevant and interesting to dentists coming from across the region and the world. During my lecture topic 'Dealing with the Pediatric Dental Trauma Patient' I highlighted some of the most important factors to consider when faced with a child who has had a dental trauma. In particular, I stressed that there is a need for greater understanding about the impact of oral microbiome on oral and general health. In regards to pediatric dentistry, I believe that the failure to manage the high levels of dental decay especially in deprived and inaccessible populations is a major challenge for dental practitioners and more needs to be done in this regard." On the sidelines of AEEDC Dubai, the Lebanese University, represented by its President, Professor Fouad Ayoub, and in the presence of the Dean of the Faculty of Dental Medicine, Professor Toni Zeinoun, a token of appreciation was awarded to Dr. Abdul Salam Al Madani, Executive Chairman of AEEDC Dubai Conference and Exhibition, in gratitude for his efforts in various fields of science and medicine and the advancement of the dental sector in the region. Furthermore, the students of the Lebanese College of Dentistry participating in AEEDC Dubai's Dental Students Competition have also presented an additional token of appreciation to Dr. Abdul Salam Al Madani for the support offered during AEEDC Dubai 2020. On the third and final day, AEEDC Dubai 2020 featured discussions on many important scientific dental topics such as 'Modern Concepts to Approach a Full-Mouth Rehabilitation: From the Analogical to the Digital World', 'Digital Workflow Accuracy of Implant- Supported Restoration', 'Unleashing the Power of Self-Directed Learning', 'Shaping the Future of Dental Education Integrating Scientific Discoveries and Technological Advancements', 'Prediabetes and Dental Implant Care', 'Laser-Assisted Periodontal and Periimplantitis Treatment', 'Chemical Plaque Control Strategies: How to Enhance the Clinical Outcomes', and 'Pearly Whites from Silver to White? Zirconia Crowns in Pediatric Dentistry'. Meanwhile, AEEDC Dubai 2020 hosted the GCC Preventive Dentistry Session highlighting the need to encourage dental care among residents and populations in the GCC region, particularly with the rise of oral and dental challenges. Experts attending the Session also spoke about the need to improve the levels of awareness and inculcate good dental hygiene, particularly keeping the interests of children in mind. AEEDC Dubai is organized annually b y I N D E X C o n f e r e n c e s a n d Exhibitions - a member of INDEX Holding. The annual dental event is being held in strategic partnership with the General Directorate of Residency and Foreigners Affairs Dubai and the support of Dubai Health Authority, Global Scientific Dental Alliance, Arab Dental Federation, Executive Board of the Health Ministers Council for Gulf Cooperation Council States, GCC Oral Health Committee, Riyadh Colleges of Dentistry and Pharmacy, Arab Academy for Continuing Dental Education and Indonesian Association of Orthodontists and Saudi Orthodontic Society.