DENTAL TRIBUNE The World’s Dental Newspaper · Asia Paciﬁc Edition PUBLISHED IN HONG KONG www.dental-tribune.asia AUTUMN 2020 | VOL. 19, NO. 1 5 UNIQUE BENEFITS OF USING THERACAL LC PRODUCT HIGHLIGHT BISCO Dental presents its newest, light-cured, resin-modified calcium silicate TheraCal LC for restorative dentistry purposes. IDS COLOGNE 2021 The organisers of IDS have set up a hybrid IDS task force to implement a number of digital tools for the 2021 event. INTERVIEW Professor Richard Watt spoke about how points of emphasis in dentistry may change in a post-pandemic world. ” Page 04 ” Page 05 ” Page 08 IDEM 2020 succeeds as online event Diverse online learning opportunities and virtual exhibition drew over 3,600 visitors. By Dental Tribune International SINGAPORE: For the first time, the International Dental Exhibition and Meeting (IDEM) was con- ducted online. The event, which was organised for the dental com- munity by Koelnmesse and the Singapore Dental Association, was held from 19 June to 19 August 2020. According to the organisers, 3,615 attendees from 54 countries and 304 exhibitors from 36 coun- tries participated over a period of two months in the first edition of the event to be held online. The conference featured a mix of 27 conference sessions, both live and pre-recorded, conducted by 28 local and international speakers. The online conference covered a wide array of topics, which pro- vided something for every dental practitioner. The digital event also featured several networking ac- tivities for all attendees, including three networking nights, a leader board competition and an online business matching programme. As for the virtual exhibition part of the event, Koelnmesse re- ported that 80% of the companies who showcased their products ex- pressed that they are likely to rec- ommend IDEM to their colleagues and friends and are likely to re- turn to another event organised by Koelnmesse and the Singapore Dental Association. A total of 6,658 booth views in the digital exhibition hall were generated during the period. Fiona Yeo, who works in the marketing department of 3M Sin- gapore, said: “IDEM 2020 has en- abled 3M to gain an additional customer touchpoint during this time where the whole dental com- munity is navigating through the recovery. Thank you IDEM for pro- viding us a platform to continue educating and sharing our latest solutions alongside other indus- try counterparts.” Numbers show that event at- tendees were as happy as the com- panies were about IDEM 2020. A total of 96% said that they would recommend the event to their friends and colleagues, and 83% are planning to return to the next edition, which will take place in two years’ time. Also, attendees When the SARS-CoV-2 pandemic put a hold on on-site dental events, IDEM 2020 was transformed into an online experi- ence. (Image: metamorworks/Shutterstock) showed satisfaction with regard to the educational programme. At- tendee Dr Shirlyn Ong said: “The digital platform has enabled me to enjoy the sessions in my own time and at my own pace, allowing me to strike a great balance between work and family.” “It was an extraordinary year for everyone, and we would like to extend our heartfelt gratitude to all who have participated and sup- ported us in making IDEM’s debut as a fully digital event in just eight weeks,” the event organisers said. IDEM is scheduled to return to its established physical format from 8 to 10 April 2022 at a new venue, the Sands Expo and Con- vention Centre at Marina Bay Sands in Singapore. Paradigm shift in dentistry Dr Pallavi Patil on practicing during the pandemic. By Monique Mehler, Dental Tribune International At this point during the COVID-19 pandemic, many dental offices have begun to adapt to the current situation and resumed their day- to-day work. However, there are many open questions in terms of this paradigm shift that relate to such topics as infection control, sterilisation monitoring and pro- vision of emergency care. At IDEM 2020, Dr Pallavi Patil from India presented an online lecture on the importance of choosing the right protection and on overall transi- tions in dentistry during the pan- demic. In an interview with Den- tal Tribune International, Dr Patil shared her expert opinion on the topic. therefore, Dr Patil, dental professionals are at great risk of exposure to SARS- CoV-2 and, require proper protection. In your presen- tation, titled “Paradigm shift— dental practice in the pandemic”, you covered various tips and guide- lines. Can you tell us a little bit more about this? In this topic, I covered the es- sential infection prevention pro- tocols and guidelines laid out by protective global governing bodies like the World Health Organization and the Centre for Disease Control and Prevention. These include per- sonal equipment, masks, respirators, hand hygiene and device reprocessing and mon- itoring. The back-to-work guide- line toolkit especially gives very specific suggestions on every as- pect of how to start a practice again after this hiatus. What are the infection con- trols, administrative controls, en- vironmental and facility controls to be laid down before, during and after treatment are covered. To this, I have also added some proto- col changes with respect to rou- tine clinical dental work, consider- ing the additional requirements. The topic revolves around the four specifics: how to mitigate aerosol production, how to mitigate prod- uct contamination, how to reduce cross-contamination and how to reduce chairside procedure time. What was the feedback you re- ceived from other dental profes- sionals about your lecture? Unanimous feedback indicated that the topic and related discus- sion had been needed. >> Page 02 Dr Pallavi Patil. (Image: Pallavi Patil)
02 << Page 1 NEWS Dental Tribune Asia Paciﬁc Edition | Autumn 2020 “Everyone is thinking about how to implement the necessary precautionary measures and change or modify treatment procedures while not compromising on quality and results” There are many webinars and articles on standard precautions and transmission-based precau- tions. But what does one do once you have put all the precautionary measures in place? How do you start the treatment? What are changes in protocol that you need to make with SARS-CoV-2 now em- bedded in our environment? Do we change the treatment standard operating procedures or products or delivery systems? While most of us have de- ferred elective procedures to a later date, no one knows when that will be. Just empirical treatment may not be enough sometimes. We need to know what the exact changes are, that we need, in order to make sure that we follow infec- tion prevention protocols com- pletely but without compromis- ing on the final treatment out- come. We want to continue doing quality work, so we need to adapt to the new rules of the same game which we have been playing for a long time now. You have been very active in con- ducting on-site workshops and lec- turing at conferences and institu- tions. How did you experience lec- turing online for IDEM 2020? Being part of the IDEM 2020 digital conference was an honour. I have been actively lecturing and conducting workshops on various platforms. The digital shift is quite recent. In India, I have been ac- tively doing those for some time now. But this is the first time I was part of such a huge international platform. My session was planned way in advance, and that gave me enough time to prepare. The back- end logistics were conducted smoothly. The team was very knowledgeable and focused, and made me feel very comfortable. The entire thing was seamlessly done. My sincere thanks to the Koelnmesse team and the 3M Sin- gapore team for their uncondi- tional support. How has the SARS-CoV-2 pandemic affected the dental industry in India and your day-to-day work? As with every other country, this pandemic has rocked the den- tal industry in India too. No mat- ter which part of world you are in, there’s no one who isn’t affected by this crisis. India is a highly pop- ulated country. In accordance with the seriousness of the rapid spread of SARS-CoV-2, India was under complete lockdown from mid-March to mid-July. Too many unknown factors were involved, leading to panic and fear. The government of India was very prompt and efficient in con- trolling the situation and imple- menting treatment and precau- tionary measures. There has been a huge uproar about dental work- place dangers, and the scare cre- ated because of aerosol-generat- ing procedures has taken its toll on the overall footfall of patients. Recently, we have been getting back to our routine clinical prac- tice with great caution. We are still deferring elective procedures, but most routine work has started. The Indian Dental Association and Dental Council of India moved quickly and took control of the sit- uation and implemented rules and guidelines. The infection pre- vention protocol is now strin- gently followed, and dentists are adapting to the new normal. The dental industry in India is slowly but steadily getting back on its feet. Do you think that the SARS-CoV-2 pandemic will have a long-term im- pact on dentistry and the way den- tal professionals work? I firmly believe so, but not neces- sarily only in a bad way. Of course, financially it has been a huge de- bacle, but hopefully, that is a short-term result. However, I think every situation—good or bad—can change you. I now see that awareness of infection pre- vention both in medical profes- sionals and patients has increased. That’s a collective good. Dentists today are thinking of newer and better ways to work. Everyone is thinking about how to implement the necessary precautionary mea- sures and change or modify treat- ment procedures while not com- promising on quality and results. Of course, we’ll not come out of this situation unscathed—the sooner we understand and adapt to it, the faster we’ll be on top of our game again. Poor oral hygiene could affect accuracy of SARS-CoV-2 tests Researchers assess effects of oral care on prolonged viral shedding in COVID-19 patients. By Jeremy Booth, Dental Tribune International TOKYO, Japan: A study conducted at a hospital in Tokyo has found that poor oral hygiene could lead to prolonged viral shedding in pa- tients with COVID-19. In the study, it was observed that patients with inadequate oral health regimes re- turned positive results in poly- merase chain reaction (PCR) tests for the virus long after their clini- cal recovery, leading the research- ers to believe that oral hygiene could affect the accuracy of test- ing for the virus. The researchers evaluated the course of treatment of eight COVID-19 patients who were ad- mitted to the Department of Neu- rology at Tokyo Metropolitan Neurological Hospital between 30 April and 14 May. The patients had passed the acute phase of the dis- ease, but were admitted to the dedicated medical facility for in- fectious diseases owing to per- sistent positive PCR test results for SARS-CoV-2. The study found that, among the patients, the viral shedding period—the period during which the virus was still detectable after clinical recovery—ranged from one to 40 days. The average viral shedding period was found to be 15.1 days, but for two patients, Pa- tient 1 and Patient 2, it continued for 53.0 days and 44.0 days, re- spectively. For Patients 3–8, two consecutive negative PCR test re- sults were confirmed within 18 days of clinical recovery. The researchers sought to es- tablish why Patients 1 and 2 con- tinued to test positive for the ex- tended period. They noted that Pa- tients 3–8 had kept up their per- sonal hygiene routines, which included regular toothbrushing, while hospitalised in isolation in private rooms in the hospital. Pa- tients 1 and 2, however, who had mental and/or psychiatric disor- ders, had not voluntarily brushed their teeth while hospitalised. After being instructed by the re- searchers regular toothbrushing and gargling, the PCR tests of Patients 1 and 2 re- turned a negative result within four to nine days. to practise “Patient 1 had schizophrenia and was unable to voluntarily keep herself clean during isolated hospitalised life,” the study reads. “She brushed her teeth for the first time on the 18th day of hospital- isation, but after that, she did not brush her teeth at all. Her virus shedding period reached 46 days, with consistently positive PCR test results. We speculated that her in- appropriate oral care might have caused the persistence of PCR test positivity. In collaboration with the nurse, we repeatedly encour- aged Patient 1 to brush her teeth and gargle. Two days after the start of this instruction, on the 49th day after the patient’s onset of symptoms, the patient’s PCR test result was negative for the first time.” Patient 2, who had the under- lying diseases of dissociative dis- order and mild mental retarda- tion, returned a negative PCR test result 26 days after being admit- ted to the medical facility; how- ever, the viral shedding period reached 43 days before two con- secutive negative PCR test results could be obtained. “At that time, we found that Patient 2 rarely brushed her teeth. Since then, we repeatedly instructed her to brush her teeth. With four days of inten- sive toothbrushing with only water, Patient 2 had two consecu- tive negative PCR test results on Days 44 and 47, so she was dis- charged,” the researchers wrote. They acknowledged that the low number of patients who were Researchers in Japan have proposed that effective toothbrushing and gargling could improve the accuracy of COVID-19 testing and reduce the duration of hos- pital stays. (Image: Alexey Broslavets/Shutterstock) followed in the study made it dif- ficult to draw statistical conclu- sions from the research, but noted that it was significant that the two patients with poor oral health re- gimes had displayed significantly longer than average viral shed- ding periods. “In such prolonged viral shedding cases, non-infec- tious viral nucleic acid may accu- mulate in an uncleaned oral cav- ity and may continue to be de- tected by PCR. We propose tooth- brushing and gargling to remove accumulated non-infectious viral nucleic acid, leading to consis- tently negative PCR test results and thus avoiding unnecessarily long hospital stays,” the research- ers concluded. The study, titled “Effects of oral care on prolonged viral shed- ding in coronavirus disease 2019 (COVID-19)”, was published online on 24 July 2020 in Special Care in Dentistry, ahead of inclusion in an issue.
Dental Tribune Asia Paciﬁc Edition | Autumn 2020 NEWS 03
Dental Tribune Asia Paciﬁc Edition | Autumn 2020 ADVERTORIAL 04 BISCO DENTAL PRODUCTS The science of restorative dentistry calcium-releasing hydrophilic matrix. It offers immediate place- ment directly into the pulp cham- ber, followed by a 10-second light- cure. The THERA family of prod- ucts continues to expand, with more products currently in devel- opment that are poised to protect the remaining dental structure. “These new materials— whether they are intended to be used as pulp capping agents, lin- ers, bases, or cements—will have an impact on the clinical ap- proach of restorative dentistry and our patients,” said Dr Nuñez. “The age of drill and fill is over.” BISCO’s search for new mate- rials that are more compatible with tooth structure is far from over. And in the process of this ongoing research and develop- ment, the search will undoubt- edly unearth new science and technology—leading to ground- breaking products that simplify life in the operatory for clinicians everywhere. “BISCO has some smart peo- ple working in their kitchens,” said Dr Peifer. “I have been wowed by every BISCO product that I have used.” Support documents available at www.bisco.com *Data on ﬁle. BISCO, Inc. Groundbreaking calcium-releasing technology opens a new door for expanding the THERA family of products. Trioxide BISCO is no stranger to devel- oping groundbreaking materials. So, after witnessing the success of Mineral Aggregate (MTA) as a revolutionary end- odontic material when it came to perforation repairs, apexifica- tions, polpotomies, and pulp cap- ping, the company’s research and development team looked to the lab in an effort to apply the same science to restorative dentistry. The result was TheraCal LC. This resin-modified calcium sili- cate pulp protectant and liner sig- naled the use of a new resin and filler technology. Behind the scenes of TheraCal LC’s success and growing popularity among clinicians is a unique hydrophilic resin that allows calcium ions1 to be exchanged between the mate-rial and dentin structure— encouraging hydroxyapatite for- mation and a secondary dentin bridge.2,3 “I like TheraCal LC because it is light-cured, sets up very hard, induces secondary dentin forma- tion, and allows me to etch and rinse cavosurfaces without fear of washing it out,” said Dr Darrell Lyvers. “It also helps minimise postop sensitivity in deep carious lesions where irreversible pulpi- tis would otherwise be sequela.” A peace of mind material TheraCal LC offers precise and immediate placement through its syringe delivery, thixotropic properties, and light-cured set. In fact, simple placement is the fa- vorite feature of Dr. Jeff Peifer, who uses the material as a liner while performing direct com- pos-ite restorations and core buildups. “From the first time I used TheraCal LC, I was sold,” he said. Not unlike his peers, Dr Peifer, who practices in Gilbert, AZ, re- members the days of mixing a calcium hydroxide liner with a ﬂuoride-releasing glass ionomer and placing it in small areas, which he said was a nightmare to keep from slumping or getting on the box prep walls. “Because of its syringe delivery, TheraCal LC is very easy to place and manipu- late in small areas,” he said. Dr Peifer also appreciates that TheraCal LC is calcium-releasing* with an alkaline pH, which pro- motes healing and apatite forma- tion2,4 while insulating the pulp.5,6 “This product gives me peace of mind when I have a deep cavity preparation,” he shared. Opening new doors The breakthrough success of TheraCal LC and its unique hydro- philic resin and filler technology led BISCO to dig even deeper into the science of restorative den- tistry and, in the process, solve even more clinical challenges. “This new filler technology opened up a new door for product development,” shared Dr Rolando Nuñez, Clinical Research Man- ager at BISCO. “Now it has become possible to develop materials that contain calcium and ﬂuoride, which can be released via an ion exchange.” TheraCem, the second mem- ber of a growing THERA family, is a unique self-adhesive resin ce- ment that not only bonds to den-tin and various substrates— including zirconia, metal, and composite—without etching or priming, it also releases calcium and ﬂuoride.7 After 30 minutes of polymerisation, transitions from an acidic pH, which is needed for an initial bond, to a preferred alkaline pH.8 it “I like TheraCem better than other cement products because of its ease of use, release of calcium and ﬂuoride, and easy cleanup,” said Frisco, TX, clinician Dr. Rob- ert Beatty, adding that TheraCem allows him to cement crowns with a simplified procedure while being confident he’s creating a great seal. A Growing Family The THERA family recently added pulpotomy treatment to its list of indications with the re- lease of TheraCal PT—a dualcured resin-modified calcium silicate. After partial or full removal of the coronal pulp, it’s used to treat exposed dentin and create a pro- tective barrier around the pulpal complex. TheraCal PT is chemically for- mulated with synthetic Portland Cement silicate particles in a 5 UNIQUE BENEFITS OF USING THERACAL LC 1. Unique hydrophilic matrix facilitates calcium release* 2. Alkaline pH promotes healing and apatite formation2,4 3. Syringe delivery allows for simple and precise placement — even in small areas 4. High radiopacity allows for easy identiﬁcation and differ-entiation from recurrent decay and other restorative materials — which leads to faster diagnoses 5. Moisture tolerance results in low water solubility* This article was printed with permisson of Dental Product Shopper. It was first published in Dental Product Shopper Vol. 13, No. 06.
Dental Tribune Asia Paciﬁc Edition | Autumn 2020 NEWS 05 IDS to be hybrid event in 2021 German Dental Industry Association announces new digital tools for next year. The organisers of IDS have set up a hybrid IDS task force to implement a number of digital tools for the 2021 event. (Image: metamorworks/Shutterstock) By Dental Tribune International COLOGNE, Germany: About six months prior to the event, the or- ganisers of the International Den- tal Show (IDS) have announced that they will be implementing several digital elements for the 39th edition of IDS, which will be held next year. In light of the travel restrictions in place, they aim to facilitate access to the global trade fair for visitors from abroad who will not be able to at- tend. The digital IDS platform will provide information on new prod- ucts, live streaming of webinars, press conferences and events, as well as one-to-one communica- tions. Over the past months, Koeln- messe, which stages IDS, has de- veloped and taken measures for the digitalisation of trade fairs into hybrid events. “We want to implement these digital tools that were developed over the past weeks for our gamescom and DM- EXCO formats in a targeted man- ner for IDS 2021, in order to be able to offer the exhibitors and visitors manifold participation options beyond the physical event in Co- logne,” stated Oliver Frese, chief operating officer of Koelnmesse. Mark Stephen Pace, chairman of the board of the Association of the German Dental Industry (VDDI), added: “The leading global trade fair, IDS, is writing a new chapter in its almost 100-year his- tory. It has continually depicted the current developments of the dental market and its players over the past decades and supported the users with innovations. It is now time to further develop IDS in a new era. The technological in- novations especially of the past years are opening up a new level of communications with our cus- tomers as well as the whole dental industry, which is already very digital-savvy in the production and application areas.” In 2019, IDS drew over 160,000 visitors from 166 countries and more than 2,300 companies from 64 countries exhibited at the show. According to the latest fig- ures available from the VDDI, about 1,300 companies have ap- plied to exhibit at IDS 2021. AD REGISTER FOR FREE! DT Study Club – e-learning platform Join the largest educational network in dentistry! www.DTStudyClub.com Tribune Group is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group and Dental Tribune Int. GmbH.
Dental Tribune Asia Paciﬁc Edition | Autumn 2020 NEWS 06 How dentists and pharmacists can col- laborate and improve patients health An interview with Dr Meng-Wong Taing, University of Queensland. “There is [...] a need for growing partnerships and collaborations between national professional dental and pharmacy organisations” school dental check-ups and also later in life. Growing up, I developed poor oral hygiene habits and, in hind- sight, didn’t brush my teeth prop- erly. It wasn’t until I found a proac- tive dentist who educated me on identifying plaque that I devel- oped a greater self-interest and in- creased confidence about the bet- ter management of my oral health. By following simple oral hygiene recommendations, I have been filling-free for over six years— that’s a record for me! I wish What I realised was how sim- ple it is to prevent cavities and promote good oral health. All I needed to do was make subtle changes in how I looked after my teeth—something I’d known much earlier in life. Being better educated in oral healthcare, I now feel empowered and confi- dent about maintaining my oral health and would like to promote better oral hygiene practices for everyone, particularly for the dis- advantaged, who are at a much greater risk of having poor oral health. What are the benefits of getting pharmacists more involved in pro- viding advice and services regard- ing oral healthcare? Pharmacists have great access to patients within the commu- nity, which provides them with ample opportunity to promote oral healthcare and offer advice. The average Australian visits his or her community pharmacy ap- proximately 14 times a year, and we also know from various studies that pharmacy staff express a strong interest in promoting bet- ter oral healthcare within their communities. Specifically, pharmacists may be more involved in: • identifying patients at risk of poor oral health; • implementing oral health pre- vention initiatives and providing advice on good oral hygiene and minor oral health problems; • supplying oral health products and providing evidence-based ad- vice; • informing patients about medi- cations which may affect oral health, including medicines that increase the risk of dental caries; • implementing assessment and referral pathways; • carrying out oral health promo- tion activities and events; and • addressing common risk factors in chronic diseases. What can dental professionals do to make this collaborative ap- proach a reality? I believe that the principles underpinning good collaborative working relationships are trust, open communication pathways and professionalism. The advice I give to my pharmacist colleagues that can be reciprocated by den- tists for promoting good collabo- rative working relationships in- cludes: • Get to know your local pharma- cist if you’re a dentist, and vice versa. Reach out to each other, share ideas and support each other in your clinical practices so that you aren’t isolated and feel- ing alone. • Make yourselves available for each other whenever there is need. In your busy schedules, please make sure to provide a timely re- sponse if a call is missed or a mes- sage is left. • Find ways in which you can assist each other. By talking openly about your respective needs, try to identify where you can best support each other’s practices and work hard towards achieving these goals with the aim of im- proving patient outcomes. To make this collaborative ap- proach a reality, there is also a need for growing partnerships and collaborations between na- tional professional dental and pharmacy organisations. These partnerships could support the development and implementa- tion of mutually appropriate pharmacy practice guidelines, de- cision support pathways and in- terprofessional re- sources. education Is your model specific to Australia and its approach to oral health? Is it influenced, for example, by the fact that only 53% of Australians pos- sess dental coverage? Currently, there are no established oral healthcare models within Australian community pharma- cies. What is needed is the develop- ment and evaluation of innova- tive and collaborative pharmacy- based models to address poor oral health in rural and metropolitan regions. We need to show evidence that implementation of any pro- posed model is feasible, effective and mutually acceptable by both professions. I am working with Australian dentists, university dental schools and government health departments in order to ob- tain funding for the development and testing of collaborative oral healthcare models. Dr Meng-Wong Taing. (Image: Meng-Wong Taing) By Brendan Day, Dental Tribune International A lecturer at the University of Queensland’s School of Pharmacy, Dr Meng-Wong Taing is passionate about expanding the role phar- macists play in improving their patients’ health through a collabo- rative approach. Naturally, this approach includes giving advice regarding appropriate oral health- care. In this interview, Taing dis- cusses why oral health promotion means so much to him and shows how dentists and pharmacists can work together in order to optimise patient health outcomes. Dr Taing, as someone with a back- ground in pharmacy, what first made you interested in maintain- ing oral health? Since my youth, I have had a predisposition for cavities. My parents made us brush our teeth, so I was surprised that I constantly needed fillings at my annual Dental researcher is developing more aesthetic crowns for children More aesthetically pleasing and more cost-effective alternatives to metal crowns. By Brendan Day, Dental Tribune International DUNEDIN, New Zealand: In New Zealand, one of most common methods for treating dental caries in primary teeth is the Hall tech- nique. The non-invasive method involves placing metal crowns over teeth that are only moder- ately decayed, and is relatively quick and inexpensive to per- form. Numerous issues have been reported with the type of crown used in Kiwi dental practices, however, leading a local dental re- searcher to begin developing her own restorative technology. Dr Joanne Choi, a lecturer at the University of Otago’s Faculty of Dentistry and a dental technol- ogy and materials researcher, told International Dental Tribune (DTI) that her research into the topic “began almost by chance” in 2017, when her colleague Dr Lyn- die Foster Page conducted a pre- sentation on the implementation of the Hall technique in New Zea- land. “She mentioned how parents had said that the metal Hall crowns don’t look nice,” Choi said. >> Page 07 Dr Joanne Choi, a dental technology and materials researcher, is currently de- veloping a tooth-coloured crown to be used with the Hall technique. (Image: University of Otago)
Dental Tribune Asia Paciﬁc Edition | Autumn 2020 NEWS 07 “If the kids have one or two metal crowns, it’s not such a problem, but if they have three or four, it becomes noticeable” Online class taught by Dr. Arnaldo Castellucci: A MODERN APPROACH TO MICROSURGICAL ENDODONTICS OBSERVE DISCUSS YOUR CASE ON DEMAND ALL DEVICES GUARANTEED Online classes taught by the world’s best doctors directly from their practice: www.MasterClass.Dental AD << Page 06 “If the kids have one or two metal crowns, it’s not such a prob- lem, but if they have three or four, it becomes noticeable. This got me interested in starting a project to develop tooth-coloured crowns for New Zealand children.” These metal crowns may draw unwanted attention to a child’s caries and add to any pre-existing dental anxiety, Choi said to DTI. Furthermore, she said that, al- though the crowns come in a number of different sizes, Maori and Pacific Islander children often have teeth that are larger than any of the available crowns. In a press release from the University of Otago, Choi men- tioned that the crowns she and her team are currently developing would be both more aesthetically pleasing and more cost-effective than the metal crowns currently used in local public dental health services. “This got me interested in starting a project to develop tooth- coloured crowns for New Zealand children” COVID-19 slows pro- ject, but only briefly Choi told DTI that the COVID- 19 pandemic had brieﬂy delayed aspects of the project and had made securing funding more dif- ficult. However, New Zealand’s rel- atively good ability to control the spread of SARS-CoV-2 has allowed her team to get back on schedule since, and a recent grant from the Cure Kids foundation—a charity that invests in medical research aimed at improving the lives of children—has ensured that they have sufficient funding. According to Choi, a prototype of the tooth-coloured crown should be available and ready for clinical testing by the end of next year. duration: 1 hour | language: english/russian | Q&A | 99 €Tribune Group GmbH is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group GmbH designates this activity for 1 continuing education credits.This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune Int. GmbH.