DENTAL TRIBUNE The World’s Dental Newspaper · South Asia Edition Published in India www.dental-tribune.com 09/21 IDS 2021 Digital tickets for IDS 2021 now available Materials inventor Women in dentistry: Meet chemist and awarded dental materials inventor Dr. Sumita Mitra ” Page 03 Vital skill Why emotional intelligence in dentistry is a vital skill Vaccine hesitancy Worrisome level of vaccine hesitancy found among dental students ” Page 04 ” Page 06 ” Page 07 Does soft tissue augmentation hold up long term? Clinical tips from the past decade Fig. 3: Harvested Connective Tissue (CT) graft. An excess of adipose tissue in the graft leads to increased shrinkage however, long-term gains. From a clinical perspective, the tunneling technique often takes a long time to perform. Thus, the clinician needs to take a case- dependent decision about which of the techniques would be better for given case anatomy. For peri-implant soft tissue, a zone of keratinized tissue is known to provide better long- Fig. 1: Thin tissue biotype Fig 2.: Baseline and 5 yr post op Fig. 4: Good soft tissue predisposes to mucogingival problems around implants and Characteristics of the Indian teeth population: Our clinical assessment demonstrates that we deal with a unique situation of having patients with thin biotypes, both around teeth and around implants in India. Consequently, our patients are more prone to peri-implant and periodontal gingival recession (Fig 1). If the biotype and keratinization are not taken into account at baseline, it becomes a patient management problem later to add soft tissue augmentation to the list of required procedures. In my personal opinion, I have seen about 80% of my implant cases needing either soft tissue augmentation, or hard tissue, or both. Use of Tunnelling envelope flap: 6-year results vs. It is well established that root coverage with connective photos after root coverage using a CT graft. Stable long term soft tissue attachment is predictable. is a tissue grafts long-term, predictable procedure (Fig.2,3). In our recently published study (Bhatavadekar et al., IJPRD 2019), we compared the results between tunneling and envelope-type open flaps (combined with a CT graft) at the 6-year mark. The root coverage between the two groups was similar, thus establishing that the tunnel technique does not necessarily provide better maintenance around implants can be often obtained by soft tissue augmentation, thus improving tissue biotype and keratinization. term stability (Fig. 4). However, from a soft tissue augmentation perspective, either for a tooth or an implant, the buccal positioning is critical when assessing the predictability of the surgical procedure at baseline. The more buccal the implant/tooth, the harder it generally is to graft around (Fig. 5). in proposing harvest of a connective tissue graft is usually seen as a major deterrent this treatment option to patients. The advent of allogenic/ xenogenic soft tissue substitutes has made this technique less of a hurdle and effectively enabled a palate- free approach in recent times. However, the choice of the flap and vertical release incisions has remained a debatable topic for long. augmentation By Dr. Neel Bhatavadekar soft long-term In this editorial, Dr. Neel Bhatavadekar briefly outlines the comparison between two main techniques for grafting: tunneling vs. envelope flap and the use of vertical release incisions vs. without vertical incisions, and specifically so, in the Indian patient context. tissue Introduction Soft tissue assessment around teeth or implants has emerged as one of the most important clinical considerations for long-term success. Recently, the Controlled Palatal Harvest (CPH) technique, published by our group, has enabled clinicians to obtain connective tissue graft thickness of predictable thickness from (Bhatavadekar, Gharpure, 2018) the palate. However, for several dentists who are perhaps are not well versed with soft tissue augmentation, palatal the
2 News 09/21 Clinical take-home points: 1. Monofilament sutures are greatly preferred over braided sutures like silk. 5/0 or 6/0 is the recommended size. 2. Fancy incision designs or complicated pedicle grafts do not necessarily provide better clinical results. Maintaining tissue and graft vascularity should be the priority. does 3. Tunneling not necessarily provide better long- term results as compared to envelope flaps. So choose the flap technique wisely. 4. The use of TTL (through the lens) loupes significantly improve your surgical capabilities and should be one of the first things clinicians should invest in. the to 5. Vertical release incisions in esthetic areas can leave scar tissue visible up to 7 years post-op, as per results from our publications. Hence, judicious use of vertical release incisions is mandated in high visibility esthetic zones. soft start around tissue 6. If new with augmentation, augmentation teeth (- it is more forgiving) before venturing implant soft tissue augmentation procedures. 7. Self-document as much as possible. Learning from one‘s own mistakes forms a crucial pillar in progress. into Biomedical Periodontology at the University of North Carolina at Chapel Hill, USA. In addition, he has a Masters in Engineering from the University of Florida and a Masters in Public Health. He is the first Diplomate of the prestigious American Board of Periodontology to be practicing India. He holds adjunct in faculty appointments the Department of Periodontology at the University of Texas Health Science Center, and at the University of North Carolina at Chapel Hill. in Team He was also the first ITI (International for Implantology) Fellow in India and a Registered ITI Speaker. Neel is a reviewer for the Journal of Periodontology and the Journal of Clinical Periodontology. He has also been a KOL for dental implant and graft companies in Europe and the US. His clinical interests are implant dentistry, mucogingival and periodontal bioengineering. He also holds joint US - India dental licenses and currently practices in Pune. www.clarusdental.com surgery, References: 1. Bhatavadekar NB, Gharpure AS. Controlled Palatal Harvest Technique(CPH) for Harvesting a Palatal Subepithelial Connective Tissue Graft. Compend Contin Educ Dent. 2018 Feb;39(2):e9-e12. 2. Bhatavadekar NB, Gharpure AS, Chambrone L. Long-Term Outcomes of Coronally Advanced Tunnel Flap (CATF) and the Envelope Flap (mCAF) Plus Subepithelial Connective Tissue Graft (SCTG) in the Treatment of Multiple Recession-Type Defects: A 6-Year Retrospective Analysis. J Periodontics Restorative Dent. 2019 Sep/Oct;39(5):623-630. Int 3. Bhatavadekar NB, Gharpure AS, Chambrone L. Long-term Evaluation (7-years) of Coronally Advanced Flap with (CAF) and without (e-CAF) Vertical Release Incisions using a Subepithelial Connective Tissue Graft in the Treatment of Multiple Recession-Type Defects. Accepted Quintessence. 2020. In Press. Author: Dr. Neel Bhatavadekar BDS, MS(US) MPH (US), Diplomate, American Board of Periodontology. from Nair Hospital Dental College, Bombay, he completed Masters in graduating After Fig. 5: Buccal positioning of a tooth/ implant will negatively impact root coverage, and needs to be carefully assessed. Fig. 6: Vertical release incisions in esthetic zone can often lead to scar tissue visible even 7 years post-op release Vertical incisions in the anterior esthetic zone: 7-year results We recently compared the long-term (7 years) results in the anterior esthetic zone between 2 groups of patients- with and without vertical release incisions (Bhatavadekar et al., 2020). At both the eight months and 7-year follow-ups, the group without vertical release demonstrated statistically root coverage and keratinized tissue zone. superior Importantly, we observed that vertical release incisions left scar tissue in the anterior esthetic zone, even though the vertical incisions were always made at line angles avoiding areas of root prominence, which was visible even at the 7-year mark (Fig. 6). Conclusion: Every decision in your clinic should be based on a multifactorial evaluation process. Evidence- based decision-making ensures that most things will work in your hands, irrespective of your clinical competency level. Most surgical techniques will seem to work in the immediate aftermath of a procedure. If utilized wisely, social media is an important learning tool, but one often sees anecdotal cases, often with no follow-up beyond a few weeks. The astute clinician will the value that long-term follow-up data provides for one‘s private practice. Enlisted below are some clinical tips which I feel may add value to your soft tissue decision making: to appreciate learn Ad Dental newspapers Specialty magazines Hybrid exhibitions online dental news WE CONNECT THE DENTAL WORLD Media | CME | Marketplace www.dental-tribune.com
3 News 09/21 Digital tickets for IDS 2021 now available By Dental Tribune International COLOGNE, Germany: As the 39th International Dental Show (IDS) is rapidly approaching, the organisers have announced that registration is now open. Different from past years, tickets can only be obtained in a digital format, which will help to avoid close contact, a safety measure owing to the COVID- 19 pandemic. IDS is one of the most prominent global dental industry platforms. Originally planned for March, the event will now take place from 22 to 25 September and will be comparably smaller in size to ensure a safe trade fair experience. According to organiser Koelnmesse, IDS 2021 will offer the dental industry a fresh outlook as it slowly resumes business, and the show will have around 830 exhibitors from 56 countries, China, Russia, and the US. including Those planning to attend the event can now purchase their digital, named-day-only tickets from the ticket shop on the IDS website and download the tickets to a smartphone in the form of QR codes. As the organisers explained, the online tickets will facilitate the collection of contact data for use in case of coronavirus infection. As safety is a major pillar of IDS 2021, participants will also be asked to provide recognised digital proof of vaccination, COVID-19 recovery, or a SARS- CoV-2-negative test result upon entering the trade fair premises. Finally, those who are unable to attend owing to travel or other restrictions related to COVID-19 are invited to use the free digital event platform, IDSconnect. The ticket shop for IDS 2021 is now open, and the participants are invited to reserve their digital-only tickets in advance. (Image: Rawpixel.com/Shutterstock) IDSconnect: The new digital event platform of IDS world. The IDS Main Stage is the central platform for the official event programme of IDS 2021. This is where to find insight and motivation in the many presentations and official side events. Let yourself be inspired by the visionary programme. represents The area Exhibitors and Products the exhibition hall. From there, users have access to the booths of the various exhibitors in so-called Showrooms in which relevant information about the exhibitor’s company, products and services will be provided. On the Product Stage, exhibitors will present product and highlights live to the audience. Alternatively, can be watched later on demand. innovations these Facing the future together: With its digital tool called IDSconnect, the event organisers of Koelnmesse have stepped up their game to make IDS 2021 a successful event online as well as offline. (Video: Koelnmesse) By Dental Tribune International COLOGNE, Germany: In 2021, IDS is going hybrid, which means that more participants than ever before will attend the largest trade show in the dental the comfort of their homes and not in person, owing to COVID-19 travel restrictions. To provide industry from a digital enhancement to the classic physical event, the free platform IDSconnect intends to maintain IDS’s extensive international together with a successful on-site trade fair experience. reach At a trade fair or in day- to-day commercial business, a company’s success is based on three essential building blocks: interaction, inspiration, and business. IDSconnect provides innovative opportunities for you to reduce the effects of any current deficit in these crucial elements. Extensive features enable you to reach more potential customers easily, trends and lectures on-demand, and to establish valuable contacts— from anywhere in the world. to experience The experience starts in the Lobby, where users find an overview of all the features as well as initial recommendations for relevant contacts, exhibitors and upcoming scheduled trade fair items. Features include top experts on stage presenting on industry-relevant live from Cologne or streaming from locations throughout the topics At a Virtual Café, visitors, exhibitors, top decision-makers, purchasers, industry experts, and media representatives can come together to chat and network. In terms of networking, the Discovery Graph ensures networking with new contacts and achieving a direct exchange of ideas via the communication centre.
4 News 09/21 Women in dentistry: Meet chemist and awarded dental materials inventor Dr. Sumita Mitra ric is different from our skin. I le- arnt that the answer is in the mo- lecules—it is chemistry that is the central science that defines mate- rials. I was so awestruck by the subject that I made up my mind to study chemistry in depth. I would often visit my father in his laboratory and peer over his shoulders as he did his chemis- try experiments. After I joined the 3M company, I got an oppor- tunity to join its Dental Products Laboratory to develop new poly- mer matrices for dental composi- tes. I jumped at that prospect and spent most of my career there, developing many new materials technologies, including the de- velopment of nanotechnology for use in dentistry. You have developed a nano- composite restorative material (Filtek Supreme, 3M), that has already been used for more than 1 billion tooth restorations. How did you come up with the idea of using nanotechnology? Until the late 1990s dentists wanting to perform natural-loo- king tooth repairs relied on a combination of two separate ma- terials. Microfills were estheti- cally pleasing but too weak to be used for stress-bearing regions of the incisal edges and for fil- ling teeth in the posterior region of the mouth. Less attractive hy- brid and microhybrid composi- tes were stronger, but lost their shine and became rough from brushing and chewing. This was both inconvenient and expen- “Everyone has the power to become an innovator” sive for dentists and their pati- ents. So, we wanted to create one material that would not only be strong and durable but also have the long-lasting lustrous beauty of natural teeth. I realized that the key prob- lem was that the existing filler technology used to reinforce den- tal composites had limitations. Around that time, nanotechno- logy was an emerging science. I hypothesized that developing nanoparticle technology for use as dental fillers could allay most of the problems and afford us a universal filling material. This is because nanoparticles are much smaller in size than the wa- velength of light and thus could provide unique esthetic proper- ties. In addition, nanoparticles had the potential of providing mechanically strong materials. With this idea, and with the help of a team of 3M scientists, I set about the task of developing sui- table nanofillers and incorpora- ting them into a resin matrix to generate nanocomposites with superior characteristics. Our initial approach was to make tiny nanoparticles of seve- ral sizes, but this approach was disappointing since it did not set out to do, with the help of the excellent team at 3M. The end result of all that hard work is the universal filling ma- terial 3M Filtek Supreme. Since the original material was intro- duced in 2002, several updates have been made and a family of Filtek products has been intro- duced for the benefit of dentists and their patients. Would you please explain how the material works exac- Fig 2: Together with scientists at 3M, Dr. Mitra invented the nano- based filling material Filtek Supreme. (Image: European Patent Office) provide all the desirable charac- teristics, especially the requi- red rheology or handling pro- perties needed by dentists. I re- alized that this was because we needed nanoparticles of a wide size distribution to get packing efficiency in the composite. It sounds simple but was not easy to achieve with the initial nano- particles. The decisive idea for the ma- terial was inspired by a particu- lar fruit. Could you tell us more about this? The breakthrough moment came as I was looking at a cluster of grapes in a bowl. If one obser- ves a bunch of grapes, there are grapes of different sizes, some small and some large, with the small ones fitting in between the gaps created by the large ones, leading to optimum use of space. Also, the sizes of the bun- ches can vary greatly—there can be clusters of five, 20 or 100 gra- pes, and so on. If one or two in- dividual grapes are plucked out, the overall cluster doesn’t ch- ange that much. My theory was that we could first assemble the nanoparticles into nanoclusters of wide size distribution and then combine them with indivi- dual nanomeric particles to fill any voids to provide a synergi- stic mix that could then be incor- porated in a dental resin to cre- ate the composite. This is what I tly and what some of its grea- test advantages for dentists and their patients are? The 3M Filtek Supreme pro- duct is an uncured composite paste, which comes in a number of shades that make it possible to exactly match the patients’ den- tition. After using a dental adhe- sive, the dentist places the com- posite and shapes it according to the required anatomy, finally curing it in place by a short ex- posure to blue light. The greatest advantage is that the material is very versatile and can be used in all areas of the mouth—anterior, posterior, and on incisal or molar surfaces. It is highly esthetic and has the shine and opalescence of a natural tooth. It is extre- Fig 3: Dr. Mitra loves art and enjoys painting with watercolors in her free time. (Image: European Patent Office) Dr. Sumita Mitra has dedicated more than 30 years to the development of dental materials. (Image: European Patent Office) By Franziska Beier, Dental Tribune International Dr. International As the second candidate for a series portraying outstanding women in dentistry, Dental Tribune (DTI) interviewed Sumita Mitra. During her career at 3M, she developed a unique nanomaterial-based dental filler, for which she received the European Inventor Award 2021. This material and numerous other inventions of hers in the field of dental materials have been patented. DTI spoke with Mitra about how a bunch of grapes inspired her research efforts, about the greatest advantages of her developed material, and about how she gives back to the next generation of inventors. University of Michigan in Ann Arbor. After a year of postdocto- ral work at Case Western Reserve University in Cleveland in Ohio I joined the 3M Corporate Re- search Laboratories in 1978 and later moved to the 3M Dental Products Division (now 3M Oral Care) in 1983. There I held posi- tions of increasing responsibility and in 1998 was appointed corpo- rate scientist, the highest techni- cal position at 3M. I led the new materials/products research and development efforts until my re- tirement in 2010. From 1999 to 2010, I also served as the indus- trial director of the Minnesota Dental Research Center for Bio- materials and Biomechanics at the School of Dentistry at the University of Minnesota in Min- neapolis. Currently I am a part- ner at Mitra Chemical Consul- Fig 1: Dr. Mitra at the 3M Innovation Center in Minneapolis in Minnesota in the U.S. (Image: European Patent Office) Dr. Mitra, thank you for agreeing interview. Could you tell us something about your background? this to I grew up in India and had my early education there. I did my BSc at Presidency College in Kolkata with chemistry honors. After my MSc in chemistry in India, I came to the U.S. and ob- tained a doctorate in organic/po- lymer chemistry in 1977 from the ting, an independent consulting firm, which I co-founded. Why did you decide to go into chemistry and how did you become concerned with dental materials? From a very early age I was fascinated by different materials. I often wondered what makes one material different from ano- ther—things like why paper is different from wood, or why fab-
6 News 09/21 Why emotional intelligence in dentistry is a vital skill is What to here Al-Sammarraie is referring the combination of EI and intelligence quotient (IQ). This relationship has been extensively established, and studies have shown that IQ correlates with cognitive control abilities. In summary, research suggests that EI matters more than technical competence when it comes to being a successful manager, that individuals with better social skills make better decisions and that the return of investment on working to improve EI is far higher than that for working to increase one’s knowledge. This might be a hard pill to swallow for practitioners who love to refine their operative techniques (or whatever their aim might be) to utmost perfection. In fact, those technical skills are worth very little when they cannot be put into practice because dentists cannot connect with their patients emotionally and encounter frustrating recurring leadership and staff problems. continuously EI is central to success The good news is that EI can be learned. EI is described as the existence of four dominant behavioural traits called self- awareness, social awareness, self-management and the ability to manage relationships. The Studies have shown that emotionally intelligent people are more likely to be successful in both their personal and professional lives. (Image: inimalGraphic/Shutterstock) By Dental Tribune International intelligence LEIPZIG, Germany: Emotional (EI) relates to the ways in which an individual can understand and manage his or her own needs as well as recognise and deal with the needs of others and the abilities to do this. As a dental professional, these are important skills to have because every activity during a treatment process requires connecting emotionally with patients, and those who can put their EI into practice effectively will be more successful in the long run. Even dental professionals work with people all day, they are not necessarily the best at doing so and often though lack EI. For example, a study, titled “Emotional intelligence among dental undergraduate students: An indispensable and ignored aspect in dentistry”, showed that only 11.55% of 186 undergraduate dentistry students who were questioned in a survey had good EI. In a paper on the topic, author Dr Mohlab Al-Sammarraie stated that, as a dentist having many years of leadership experience, he believes “that sustainable progress of the profession depends on the ability of all dentists to strike a balance between meeting the emotional needs of the patients and adequately performing the required operational techniques”. Is trying to increase one’s knowledge a waste of time? following paragraphs investigate each characteristic and consider some tips as to how those traits can be translated into everyday work life at a dental practice. Self-awareness 1. Self-awareness is the foundation for being a good leader, but it requires self- reflection. Assessing oneself objectively daily can be a good way to understand strengths and weaknesses that were shown in certain situations throughout the day. Asking trusted co-workers to describe oneself can also be a good source of insight. Another great tip is to keep a journal where goals, plans and priorities can be written down for future reference. include Social awareness 2. To be more socially aware and, essentially, a better leader, it helps to practise some observational skills which learning to understand what it means to truly listen to others. In order to do that, it is essential to pay attention to other people’s tone of voice, watch facial expressions and body language, develop a feeling for the general mood in the office, and try to notice the fine details which can make a considerable difference. Self-management 3. Often before someone has the capability to concentrate on things others and pay attention to the seemingly subtle that happen in a practice, he or she needs to gain control of his or her own workload. Planning for each workday and coming to meetings prepared can make a big difference and provide a feeling of control. Another great way to practise self-management is to set a goal, focus the attention on this one task, reflect on the task and then, mindfully, move on. 4. Ability to manage relationships All these around tips to should improve ultimately help the relationships workplace because people who work on themselves develop a better understanding of what is going on inside the heads of the people around them. To deepen connections with co-workers, it is important to identify relationship needs, manage boundaries, appreciate others and schedule time to build relationships. Essentially, the reason why EI is central to one’s success is that more real-world problems can be solved with people skills rather than with pure intelligence. Luckily, everyday life has many situations in store where all four dominant behavioural traits can be practised. Ad LifeCare Devices Private LimitedNew Jubilee Building, Oﬃce no. 1Laxmiben Chheda Road, Nalasopara West, Palghar 401 203Mumbai Metropolitan RegionMaharashtra, INDIACustomer Service : +91 99304 50170Customer Service WhatsApp : +91 99304 50169Management WhatsApp : +91 99304 50163 +91 99997 86275
7 News 09/21 Worrisome level of vaccine hesitancy found among dental students percentage of dental students in LLMIC were influenced by information provided by celebrities and religious and political leaders (21.3%) compared with those in UMHIC (14.5%). More students in UMHIC were found to have confidence in governments and pharmaceutical companies (37.9% and 51.0%, respectively) compared with their peers in LLMIC (27.1% and 37.0%, respectively). Dental students in LLMIC were more likely to agree with those in their communities who rejected COVID-19 vaccines based on religious and cultural values compared with students in UMHIC (18.0% versus 10.9%). Among respondents in LLMIC, 38.1% said that they considered other methods to be more effective than vaccination in preventing the disease, compared with 22.4% of students in UMHIC. More students in UMHIC were confident that they had enough information about the vaccines compared with those in LLMIC (33.1% versus 27.0%), the study found. Researchers have found that an alarming number of dental students either rejected or were hesitant about taking a COVID-19 vaccine, and that hesitation or disagreement was more likely among dental students who lived in low- and lower-middle-income countries. (Image: G.Tbov/Shutterstock) in low-income countries (LIC), by 27.8% in lower-middle-income countries (LMIC), by 25.2% in upper-middle-income countries (UMIC) and by 11.1% in high- income countries (HIC). The lowest percentage of resistance to COVID-19 vaccines (7.3%) was reported by respondents in HIC, and the highest percentage of resistance (18.6%) was reported by those in LIC. Media reports, social media in governments and influence vaccine hesitancy trust By Dr. Jeremy Booth, Dental Tribune International BRNO, Czech Republic: A study of the attitudes of den- tal students around the world towards COVID-19 vaccines found that 22.5% were hesitant and 13.9% rejected the vacci- nes outright. The researchers found that acceptancy of vacci- nes among dental students was suboptimal owing to a range of factors, such as socio-economic contexts, and they called for a greater focus on infectious di- sease epidemiology education within undergraduate dental curricula. of The number researchers—from a universities across Europe and from one in Palestine—liaised with the the scientific committee of International Association of (IADS) and Dental Students collected data through IADS member organisations. In total, 6,639 dental from 22 countries responded to a questionnaire to assess personal acceptance levels of COVID-19 vaccines and the factors these levels. influenced that aimed students that The researchers found that 7.4% of the students completely disagreed with taking a COVID- 19 vaccine, that 6.5% disagreed and that 22.5% were hesitant. Of the respondents, 22.5% expressed agreement with being vaccinated and 41.0% totally agreed. lived and The socio-economic status the countries where the of students studied was found to have a significant influence on vaccine acceptancy. Of the respondents in low- and lower-middle-income countries (LLMIC), 30.4% were hesitant, compared with 19.8% in upper- middle- high-income countries (UMHIC). and Vaccine hesitancy was reported by 37.5% of respondents The researchers stressed the importance of vaccine acceptancy among dental students as representatives of the global healthcare student population. (Image: Photographee.eu/Shutterstock) The researchers assessed factors that influenced vaccine- related attitudes among the respondents as outlined by the World Health Organization Strategic Advisory Group of Experts on Immunization. These were sources of information relating to COVID-19 vaccines, levels of trust in governments and pharmaceutical companies, and religious and cultural beliefs. They also assessed individual factors, such as confidence in access to information and belief that the body’s immune response would be sufficient to ward off the disease. According to the study, more dental students in LLMIC (42.0%) were influenced by information that they received through media reports and posts on social media compared with those in UMHIC (30.4%). Furthermore, a higher the “Mistrust of governments and pharmaceutical industry was also found to have a significant impact on the attitudes of dental students towards COVID-19 vaccination” International Dr Huthaifa Abdul Qader, vice president of science and research at IADS and one of the researchers who worked on the study, explained to Dental Tribune (DTI): “We found that socio-economic context significantly associated with dental students’ vaccine hesitancy. The media, social media and insufficient knowledge about vaccine safety were barriers to vaccination. Mistrust of governments and the pharmaceutical industry was also found to have a significant was levels within the COVID-19 Abdul Qader told DTI that “low levels of perceived risk of morbidity and mortality of COVID-19 have led to a fluctuation vaccine of acceptance the dental student community”. He added that, amid the pandemic, dental students worldwide have been placed under pressure to return to their clinical training in order to complete their studies. “This has acutely generated a sense of indifference towards COVID-19 vaccination and a lack of individual accountability among them,” Abdul Qader said. The study called for greater implementation of infectious disease epidemiology education within undergraduate curricula. When asked what the first steps would be to implementing this, Abdul Qader said that IADS had already began collaborating with institutions and associations with the aim of raising awareness about the topic, such as through on-campus campaigns. “This would be the onset of consolidated efforts to kick off the required procedures to integrate educational modules into dental education. Thus far, According to the study, more than 38% of dental students who live in low- and lower-middle-income countries said that they considered other methods to be more effective than vaccination in preventing COVID-19. (Image: Joe McUbed/Shutterstock) impact on the attitudes of dental students towards COVID-19 vaccination.” Call for more epidemiology undergraduate in training dental curricula researchers stressed In discussing the findings, the the importance of vaccine acceptancy among dental students. They wrote: “As representatives of the healthcare student population, dental students have a crucial role in disseminating robust information about COVID- 19 vaccines’ effectiveness and safety. This social role is backed by the prevailing evidence on healthcare professionals’ impact shaping public opinion regarding health issues, including vaccination.” on we have presented our study to the Association for Dental Education in Europe and are in talks with the International Vaccine Institute,” Abdul Qader explained. He added: “Several studies have shown that the rate of infectious disease has decreased in high-income countries in the past 50 years, which has focus caused a diminished on into dental education and a surge of education concerning non- communicable disease. We have suggested in our study revival in incorporation their “Several that studies have rate of the shown has disease infectious in high-income decreased in the past 50 countries years, which has caused a diminished focus on their incorporation into dental education” dental curricula of knowledge of infectious disease and the way vaccine cascades react in the human body in order to cultivate future healthcare professionals with robust vaccine-pertinent backgrounds and lower hesitancy levels.” The sample group was representative of students from dental faculties in all world regions. The target population of the study was undergraduate students; however, those in their compulsory training year and those who had graduated in the 12 months prior to the study were also included. The mean age of the respondents was around 22 years, and the majority (70.5%) were female, in the clinical years of their education (66.8%) and from UMIC (45.7%). The study, titled “Global prevalence and drivers of dental students’ COVID-19 vaccine hesitancy”, was published online on 29 May 2021 in Vaccines.