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S E PT E MBE R 2 0 1 5 • D E N TA L A CCE S S • 1

EDITORIAL

THE GREAT INFLUENCER:

SOCIAL MEDIA these are now being addressed by our leaders in the association on a daily grind.

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Dr Harris Co

n today’s society, social media has dominated our android phones, laptops and other gadgets trying to keep ourselves updated online. It’s a trending approach to browse from page to page searching for what is the latest news to share among our so called “peeps”. It has now become evident that cyberspace has revolutionized our way of life. In fact, almost everybody goes online to search for their inquiries that revolve around their topics of interests. Facebook, Twitter and Instagram are just some of the most popular social media sites our Filipino colleagues are so much into. It may be a convenient source of entertainment and information but it can also take a toll when you are not properly informed with the right facts.

Based on experience, it is still best to go directly to the source because no amount of information can be revealed when your bedrock comes from an irrelevant origin.

Many can be mislead from these collective information which can lead to arguments from opposing sides. When we do our thorough research, it should be guided with facts and not assumptions.

Our association has been under scrutiny for the longest time by its’ antagonists where many of its problems had resulted from a string of disturbing paradox and inquests within the dental society. From political issues to unethical practices,

ABOUT THE AUTHOR

If you recall in last year’s bout, we were nearly shaken when our members were swayed to file and submit their book of accounts to the Bureau of Internal Revenue (BIR). We were ridiculed by the invasion of illegal practices specifically the DIY Braces sparking an outrage among dental professionals. Then, the continuing crime of robbery among dental clinics that has scared our dentists specifically our female colleagues who are more vulnerable. And now, the Mutual Recognition Agreement (MRA) in line with the Senate Bill 2581 or otherwise known as the Continuing Professional Development Act of 2015 is dawning upon us that can directly affect our practices and revenues. But until now, most of us are in limbo and wonder how much knowledge do we know about these developments?

What guidelines do we have in this billowing stage specifically with the MRA and the CPD Act of 2015 that we should be prepared for in order to compete globally? Moreover, what assurance do we have as dental professionals that will not hurt our businesses in order to secure our future in dentistry?

Here are my thoughts. The Web is a “space” that harbors almost all the information we need on a professional business point of view. You can view articles, webinars and so forth, and even practical training programs that provide roads towards skill enhancement. Furthermore, it allows us to be aware of matters that be in becoming a responsible dental professional. We can obtain facts and information from reliable sources provided by search engines like Google, MSN and Yahoo. Though some sites linked to these search engines may leave loop holes, we should have the tact and vigilance to take in a credible information or do our own fact-finding. Learning after all is a journey, a rite of passage towards a mature

and responsible profession. Otherwise, we will make reprehensible decisions passing judgment on every circumstance and that is the opposite of professionalism.

In other progressive countries such as Europe, America and other leading nations in Asia, they do address political matters and even social crisis in a proper venue.

Though freedom of speech is highly encouraged, there are limits and boundaries upheld in order to promulgate peace and coordination conducive to their colleagues.

Respect is eminent with a quiet wisdom of tact while conveying their concerns.

However, due to the tumultuous issues in our association, many aspects that play an important role are being overlooked. How many of us have started searching and realizing the effects of the MRA in our profession? What provisions are we taking in order to become globally competitive?

How do we systematize programs or seminars that will help our colleagues in obtaining CPD units from different regions? Are there measures to streamline the renewal of memberships? With a statistics of 12,000 registered dentists in the Philippines, how can we help our colleagues obtain a substantial educational platform that is aligned with other countries? And most importantly, how do we confront the illegal practices that pose a continuous threat to our society?

If social media has a strong voice to resonate our advocacy, then let that voice be heard in an orderly fashion that begets a dental professional. Insurgence does not hold a promise to a political resolution, rather it brings more chaos and instability to our association. My plea is to set aside the political disputes and cumulative favors that continue to deter the progress of our co-professionals. If we are united in this cause, this will pave the way to a more constructive and dedicated association whose objective is to favor the welfare of our members in the PDA. DA

Dr Harris Co is a graduate of Centro Escolar University in 1999 with an impressive number of achievements during his collegiate years. With his much promising career as a dentist, he became an Associate Member of the International Association for Orthodontics and is an active Member Tzu Chi International Medical Association, Philippine Prosthodontic Society, Philippine Academy of Esthetic Dentistry, and the Philippine Academy of Implant Dentistry. Currently he is the Editor in Chief of Dental Access Publications.

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EDITORIAL BOARD EDITOR IN CHIEF Dr Harris Co

PUBLISHER Dr Armi B. Cabero

MANAGING DIRECTOR Dr Lawrence Marquez

CONTRIBUTING EDITOR Dr Jhing Chua - Sy

CONTRIBUTORS Dr Johanna Po Dr Joseph Lim

CIRCULATION EXECUTIVE Dr Guenevere N. Uy - Tanchuanko

PUBLICATION MANAGER Ms Michelle M. Chua

ADVISORY BOARD MEMBERS Dr Claver O. Acero, Jr. DR MARIDIN MUNDA-LACSON Dr Ramonito R. Lee Dr Darwin J. Lim Dr Derek Mahony Prof Alexander Mersel Dr Antoinette Veluz

DESIGNERS Mr Christian Nipa (Web Design) Ms Ysza Pineda (Graphics Design)

PUBLISHED BY: Dental Access is published 4 times in a year

by Dental Access Publications. Its circulation reaches the three archipelagos of the Philippines mainly the Luzon,Visayas and Mindanao. The collective efforts of our media and print platform will further extend in the Southeast Asia, Asia Pacific, and China.

We are working close with other international organizations in order to build strong ties that will make Dental Access a resource of information and international talent with its pool of competent and intelligent professionals.

All materials received by Dental Access Publications are understood to have full copyrights from the advertiser / contributor /author and will have full rights to publish both on website and on print. The advertiser / contributor / author shall then indemnify all against claims or suits for libel, violation of right of privacy and copyright infringements.

Dental Access Publications Rm 505 Admiralty Building 1101 Alabang - Zapote Road Muntinlupa City 1770 www.identalaccess.com Tel: 02-8937837

S E P T E M BE R 2015 • DEN T A L A C C ESS • 3

DENTAL LAW AND ETHICS

The Continuing Professional Development Act of 2015 There are several modes of learning quantified in this Act, namely : 1. Formal learning – refers to educational arrangements such as curricular qualifications and teaching-learning requirements that take place in education and training institutions recognized by relevant national authorities and which lead to diplomas and qualifications.

2. Informal learning – refers to learning that occurs in daily life assessed through the recognition, validation and accreditation process and which can contribute to a qualification.

Non-formal learning – refers to learning that has been acquired in addition or alternatively to formal learning, which may be structured and made more flexible according to educational and learning arrangements.

4.Online learning activities – refers to structured or unstructured learning initiatives which make use of the internet and other web-based Information and Communications Technology solutions.

Dr Jhing Chua - Sy

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assed on third and final reading on August 3, 2015 by the Philippine Senate (no abstentions, none against) during the 16th Congress, the Continuing Professional Development Act of 2015 (CPDA) was jointly sponsored by Senators Antonio F. Trillanes, Cynthia A. Villar and Francis G. Escudero.

5. Self-directed learning – refers to learning activities such as online training, local/international seminars/nondegree courses, institution/company-sponsored training programs and the like, which did not undergo CPD accreditation but may be applied for and awarded CPD units by the respective CPD Council.

6.Professional work experience – self-explanatory

It is an act that “mandates and strengthens the Continuing Professional Development program for all regulated professions, creating a Continuing Professional Development Council and appropriating funds therefore and for other related purposes”.

The Professional Regulation Commission is the lead agency tasked to undertake the overall implementation of the Continuing Professional Development (CPD) programs; concomitantly with that of the different Professional Regulatory Boards (in our case, the Board of Dentistry).

Its legislative history dates back to January 22, 2015 when it was initially submitted as a joint committee report of the Senate’s Committees on Civil Service and Government Reorganization and Finance.

A CPD Council shall be formed in each of the regulated professions which shall be under the supervision of their respective Professional Regulatory Board (PRB). The CPD Council “shall ensure adequate and appropriate provision of CPD programs; evaluate and act on applications for accreditation of CPD providers and their CPD programs; monitor and evaluate the implementation of the CPD programs; assess and/or upgrade the criteria for accreditation of CPD providers and their CPD programs on a regular basis; develop mechanisms for the validation accreditation and recognition of self-directed learning, prior/informal learning, online learning and other learning processes through professional work experience; conduct researches, studies and benchmarking for international alignment of CPD programs; issue operational guidelines with the ap-

There exists a necessity to continuously enhance and upgrade our qualifications as professionals in light of the Asean Integration which is a regional arrangement entered into by the Asean member states, based on the mutual recognition of qualifications, requirements met, licenses and certificates granted, and experience gained by professionals, in order to enhance mobility of professional services within the region. (see http://www.asean.org/communities/asean-economic-community/item/asean-mutual-recognition-arrangement-on-dental-practitioners-2)

ABOUT THE AUTHOR

by Dr. Jhing B. Chua-Sy

Asia Pacific Dental Congress awards Dr Hermogenes Villareal “The List of Honour Award”

LOCAL NEWS

OPAP celebrates its 5th Annual Symposium

proval of the PRC and the PRB concerned and perform such other functions related to or incidental to the implementation of the CPD.” The recognition of credit units earned by a professional shall be accumulated and transferred in accordance with the Pathways and Equivalencies of the Philippine Qualifications Framework or PQF. What is the PQF? It is a national policy signed by President Benigno Aquino III on October 1, 2012 (Executive Order No. 83) that describes the levels of educational qualifications based on standards of knowledge, skills and values acquired in different ways and methods by learners and workers of the country. (http://www.gov.ph/2012/12/17/implementing-rules-andregulations-of-executive-order-no-83-s-2012/) The PQF National Coordinating Council, formed as an offshoot of this Executive Order, is chaired by the Secretary of the Department of Education with members comprising of the Director-General of the Technical Education and Skills Development Authority or TESDA, Chairpersons of Commission on Higher Education (CHED) and the PRC and the Secretary of the Department of Labor and Employment (DOLE).

The Implementing Rules and Regulations (IRR) of this CPDA shall be formulated by the PRC and the PRBs in consultation with the Accredited Professional Organization (APO) in a given profession. The same shall be promulgated within 6 months upon the effectivity of this Act which shall take effect fifteen (15) days following its complete publication in the Official Gazette of the Republic of the Philippines (http://www.gov.ph/) or in two (2) newspapers of general circulation in the Philippines. The IRR is an integral part of any enacted law in the country. It defines the parameters, procedures and requirements to enforce the law as competently as possible.

As of this writing, this bill, though already passed on third and final reading by the Senate, will be “submitted to the House of Representatives for consideration. A bill passed by the Senate and transmitted to the House usually goes to a committee, unless a House bill on the same subject has already been reported out by the appropriate committee and placed on the calendar” (http://www.senate.gov.ph/ about/legpro.asp) The final version of that of the Senate’s and the House’s combined will then be submitted to the President, who either signs it into law or “vetoes and sends it back to the Senate with the veto message”. DA

Dr Jhing Chua - Sy is an alumna of Centro Escolar University, Manila, Batch ‘87. In her early days as a dental student, she was the News Editor for The Scholar - a CEU University Publication. After passing the board exam, she pursued her post-graduate training at the UP-PGH Department of Hospital Dentistry in 1991. In addition to her line of achievements, she is a Former Legal Affairs Committee Secretary for the Philippine Dental Association in 1995-1997, a Former Comelec Secretary PDA in 1997-1998, a Former Executive Secretary for the National Dental Health Week in 1996 and Founding President and co-founder of Novaliches Dental Professionals, Inc.. Today she continues her passion in writing as one of the contributing editors of Dental Access with her column Dental Law and Ethics.

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RECTO SEEKS HIGHER BUDGET FOR DENTAL HEALTH

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he Orofacial Pain Association of the Philippines (OPAP) in partnership with United Laboratories, Inc will hold its 5th Annual Symposium & Induction of Officers and Members on November 7 to 8, 2015 at the Ace Water Spa in Pasig City.

Senator Ralph Recto with PPDSI Executive Director Dr Noel Vallesteros

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enator Ralph Recto, Senate President Pro-tempore, recommended that a higher allocation for the dental needs of the citizenry be appropriated in the GAA or General Appropriations Budget of the National Government.

According to Sen. Recto, there is a need to hire more public school and public health dentists since the need for oral health cannot be overly emphasized in its importance.

Pupils and students who suffer dental decay and cannot afford to see a dentist are bound to miss their classes that ensues a domino effect. Likewise, in the workforce, their ability to work unhampered by dental discomfort or pain, can be likewise affected.

Recto also pointed out that only about P9-M pesos out of the P37.5M allocated for supply purchases of the Department of Education, was apportioned to dental supplies (like fluorides and dental sealants) for grade school pupils.

Further details implied is a dearth in dental equipment and instruments in public health centers that normally caters to the marginalized sector of society.

In 2011, the Department of Health conducted a National Monitoring and Evaluation Dental Survey. It revealed that 87% or 83 million Filipinos suffer from tooth decay, based on a population of 95.05 million Filipinos in that year.

(2014 has pegged the number of our population to be at 100.09 million). Even more distressing is that 7 out of 10 Filipinos have never been to a dentist at all.

Third from right: Dr Hermogenes Villareal

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r Hermogenes Villareal was bestowed with "The List of Honour Award" during the 37th Asia Pacific Dental Congress last April 2015. This award is rendered to only one person every year who showed exemplary contribution and leadership in his field and in both local and international dental organizations. In addition, it is given to an outstanding dentist who did an extra-ordinary accomplishment for the Asia Pacific Dental Congress (APDC).

Dr Villareal is a well-known dentist in the Philippines and was Chair and Past President of the APDC in 2011 to 2012.

In that same year, he was honored with the Excellence Award in the field of Private Practice from the Philippine Federation of Professional Associations (PFPA) by his alma mater the UE College of Dentistry. Three of his children are now in the same field continuing his legacy as Ambassadors of Dentistry.

Currently, they hold their clinics at the Asian Hospital and Medical Center and the St. Lukes Medical Center, in Global City. DA

The theme of the symposium will focus on “Translational Approach To Care: Evidence Based Management of Orofacial Pain.” Guest speakers of the said event will be graced by Dr Yeng Del Prado, MD; Dr Gloria Coronel, MD; Dr Raymond Rosales, MD; and Dr Jonathan Fandialan to name a few.

OPAP is a non- profit organization geared towards excellence on the performance of services particularly the standardization of diagnostic procedures and treatment with enhanced manner of information dissemination and constant updating and validation of prevailing theories and concepts in diagnosis and treatment of orofacial pain disorder.

Its mission is to improve the orofacial pain education by providing venues for case discussion, consultation, and journal reviews; To encourage immersion of undergraduate students in the field of orofacial pain management and to form a speaker’s bureau pertaining to this specialty.

You may send your inquiries for membership and the seminar fee to opap2010@rocketmail.com DA

PPDSI marks another milestone together with DOH-NCR and Smile Pilipinas Foundation

Senator Recto hopes that the Department of Budget will take cognizance of this all important need to administer a portion of its proposed annual budget to the oral health of Filipinos. The entire holistic approach for a sound mind and sound body certainly includes a healthy oral cavity. DA

For Editorial and Media Advertisement inquiries Email us at: media@identalaccess.com or sales@identalaccess.com Like us on Facebook: Follow us on Twitter:

Dental Access @identalaccess

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national event between the Philippine Pediatric Dental Society Inc., Smile Pilipinas Foundation and the DOH NCR was concluded last September 7 to 10, 2015 for the Filipino children or Para sa Batang Pinoy. This 4-Day Scientific Seminar for the DOH-NCR Family Health Cluster Oral Health Program called “Orientation on Enhancing Oral Health Competencies for Public Health Dentists in National Capital Region” was attended by around 600 health center dentists mainly from Manila, Quezon City and Makati. Health center dentists received the latest evidence based updates presented by Dr. Ryan De Guzman, Dr. Rowena Castro, Dr. Noel Vallesteros and Dr. Elaine Manzanero “The good word of mouth the 4 day event has generated was very well received by our audience. Now they are encouraging us to make it nationwide via Smile Pilipinas.” PPDSI Executive Director Dr Noel Vallesteros announced. Also present were Dr. Joji Tan, President of Smile Pilipinas Foundation, Dr. Rein Dalumpines, Head of the Family Health Cluster DOH-NCR and Dr. Rochelle Pambid, Development Management Officer III of the DOH-NCR. DA S E P T E M BE R 2015 • DEN T A L A C C ESS • 5

uted in the apprehension of 4 suspects); Dr. Ellen Lee of Cavite DC, Dr Apolinario Alzona and Dr. Ressa Dawana, of Laguna Dental Chapter These are but some of the documented cases that the PDA has in their files.

SPECIAL FEATURE

By Dr Jhing Chua - Sy

From strength to strength

To say that the justice system in this country is lamentable, is really an understatement. Delays in hearings are most often than not, a usual occurrence in the overly-burdened courts. Factors such as, absence of lawyers (either the fiscal/ prosecutor or private lawyer for the complainant or the public attorney for the respondent), sitting-judges who attend seminars (with no pairing judge to take over the former’s court), judges who were transferred or promoted, the non-appearance of witnesses specifically from the dental association concerned, delaying tactics of lawyers for the accused - these can be grounds for re-settings of hearings. Notwithstanding the lack of a well-coordinated operation that will see a successful pursuit of cases well into its finish line, most of us tend to be disheartened to pursue these cases.

A collaboration of the PDA Committee on Illegal Practice of Dentistry

PDA Chair Committee Dr Maria Lourdes De-Leon with Dr Renoir Amba

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icture this! A 20-year old suspect selling over social media and installing Do-it-yourself (DIY) braces for a dismal fee of P2,500.00; A dental technician taking an impression on a “patient” for a denture construction; A practicing unlicensed dentist offering dental services way below the standard fees of legitimate dentists.

Entrapment operations are conducted. Suspects arrested, booked, undergoes inquest; bail is determined.

Case is raffled off to an assigned court, preliminary investigation ensues and the tedious, longdrawn process of court hearings and pleadings begin.

How are we doing as an association in the fight against illegal practice of dentistry?

In the case of Dr Glenn Gavas who was then the president of General Santos Dental Chapter. He narrates that as early as August 2014, he crafted and planned the apprehension of a 20-year old, who allegedly had 50 freelance agents promoting their marketing site which mainly sells Doit-yourself (DIY) braces. The deafening call to “arms” by his members as well as his desire to help in this fight against illegal practice of dentistry, moved our colleague to pursue this case.

The preliminary investigation commenced only last September 8, 2015 though the hearing has been approved by the judge to be held on a weekly basis upon the request of the National Bureau of Investigation or NBI. Knowing how rare a weekly court hearing happens (the usual hearing is from every 3 months to 6 months), this is one

6 • D E NT A L A C C E S S • S EPT EM BER 2 0 1 5

silver lining behind grey clouds. According to Dr. Gavas, he pursued the case at the expense of his safety and peace of mind because he wanted to leave a “lasting legacy” that will make a big difference in the dental community.

In July 2011, Dr Narisa Ragos of Las Pinas, went so far as to put her life on the line by posing as a patient to capture an illegal practitioner.

She is also the private complainant in the case.

She sought and was given financial assistance by the Philippine Dental Association. The initial P5,000.00 pesos was used for the entrapment process as well as part of it was made as marked money. The marked money was used as payment rendered to the suspect. It has since become part of the evidence and is still in the safekeeping of the court. Another P5,000.00 pesos (under the term of Dr Arturo de Leon) was used to pay for the filing fee in the mediation proceedings that is required in any court case that is deemed bailable and not categorized as a heinous crime. Mediation of cases is a Supreme Court undertaking, purposely to explore the possibility of an amicable settlement between the opposing parties.

Its desire is to unclog the courts of innumerable cases and spare the litigants the anguish of longdrawn court proceedings.

(Ret) Col. Reynaldo Garcia and covered by GMA TV show Imbestigador, successfully apprehended suspect Redentor Guinto in the act of taking a mouth impression on a poseur patient for a denture construction. The suspect underwent the procedural inquest immediately thereafter.

However, Dr. Calingasan did not go through the motions as smoothly as the entrapment was undertaken. The need for a private complainant on record was essential to the filing of the case. At that time, he was still the President-elect. Unfortunately, he had to take the cudgels for himself because no officer of his chapter (not even the Past Presidents, according to him) wanted to be at the forefront of the case. Since he had no intention of putting all of these efforts to waste, he made the decision to be the complainant.

The PDA’s financial support of P5,000.00 pesos for an illegal practice case is never enough, according to Dr. Calingasan. The endless expenses on documentation alone (including getting copies of Transcripts of every hearing which costs a minimum of P10.00 per page) can run you dry.

He even had to feed the police officers who took part in the entrapment and quite incredulously, even the suspect from his own pocket. Six long years after, on April 2015, the suspect was handed down a “guilty” verdict by the Regional Trial Court. Thanks to the relentless pursuit of one Dr. Rico Calingasan, that’s one less illegal dental practitioner off the streets.

Another entrapment operation against a dental technician was consummated on September 2009. Dr. Rico Calingasan, then the Presidentelect of San Pablo City Dental Chapter, the reThere are other cases still pending in our courts gional Department of Interior and Local Gov- by dedicated colleagues who are the complainernment (DILG), the local police, accompanied ants in their respective cases - Dr. Karen Ablanza by then PDA Illegal Practice Committee chair, of Marikina Dental Chapter (allegedly contrib-

This time, under the new chairperson of the Committee on Illegal Practice of Dentistry of the Philippine Dental Association for the year 2015-2016, Dr. Ma. Lourdes J. De Leon, we are starting to make the necessary changes that will make our pursuit against illegal practitioners, have more “teeth”.

An inter-agency government task force is about to be presented by Dr. De Leon and her committee (Dean Dr. Arturo de Leon, co-chair; Dr. Renoir Amba, chair of the PDA-DOH collaboration; Dr Armi Cabero public relations officer and Dr. Ma. Remedios Chua-Sy, active member) that will seek the cooperation of several government agencies that will help streamline the necessary steps to minimize (if not eliminate) illegal dental practitioners including vendors and illegitimate businesses selling, fabricating and promoting dental wares.

As proposed by, Dr Renoir Amba, the chairman of the PDA Sub-Committee on Multi-Agency Collaboration, their platform will allow these agencies to admonish and/or apprehend violators of our Philippine Dental Law and that of the mandate of the PDA. The DILG, NBI, DOH, DTI and Bureau of Customs are the targeted stakeholders that will be included in a planned Illegal Practice of Dentistry Summit. In the meantime, a start-up conference between the PDA and the DOH will occur this October 5 at the PDA Headquarters. Expected to attend are the top DOH personalities led by Secretary Janette Garin, Dr Kenneth Hartigan-Go, Undersecretary, Office for Health Regulation, Dr. Elmer G. Punzalan, Assistant Secretary, Office for Special Concerns, Dr. Irma Asuncion, Director IV, Disease Prevention and Control Bureau, Ms. Agnette Peralta, Director IV, Bureau of Health Devices and Technology, Dr. Rio L. Magpantay, Director IV, Health Promotion and Communication Service and Dr. Paulyn Jean Rosell-Ubiala, Assistant Secretary, Office for Health Regulation.

While the Philippine Dental Association is the primary specialized agency for the dental profession, the need for an inter-agency task force creates a profound impact on society and raises greater awareness on the dangers of illegally acquired dental treatment from persons not authorized by the law to do so. It will also seek to strengthen police protection of colleagues who serve as complainants or who will testify against these ruthless suspects who are facing or about to face charges in court.

The need to empower citizens on the dangers of illegal practice of dentistry is an advocacy we must all share and espouse. It is our duty to the profession and to the community.

Akin to that, a Poster Slogan-making Contest has recently been launched by the Committee to educate the public about the perils of seeking treatment from unscrupulous individuals or entities (for more information about the contest, please refer to this link - http://identalaccess.com/2015/07/16/ pda-launches-a-poster-slogan-making-contestagainst-illegal-dentistry/) This year’s Committee on Illegal Practice of Dentistry of the Philippine Dental Association under the leadership of its chairperson, Dr. Maria Lourdes J. de Leon, is more than ready to fight for the cause and for our rights as well as to protect the dental health of our citizenry. This time, we are going to sink our “teeth” into it like never before.

How about you, colleagues? Do you have “teeth”?

*special thanks to Dr. Rico Calingasan and Dr. Renoir Amba for the additional information used in this article. DA

NOTICE TO THE GENERAL PUBLIC NOTICE IS HEREBY GIVEN TO THE GENERAL PUBLIC NOT TO PATRONIZE DO-IT YOURSELF DENTAL PRODUCTS SOLD DIRECTLY OR THROUGH THE INTERNET BY CERTAIN COMPANIES. THESE PRODUCTS INCLUDE INCLUDE AMONG OTHERS SUCH ITEMS LIKE “DIY BRACES ORTHODONTIC KITS”.

IT IS OF HIGH PROBABILITY THAT SELF-INSTALLATION OF THE SO-CALLED DO-IT-YOURSELF PRODUCTS WILL LEAD TO POTENTIAL INJURY TO THE USER IN THE ABSENCE OF PROFESSIONAL SUPERVISION. IN THE INTEREST OF PUBLIC SAFETY, KINDLY REPORT ANY INCIDENCE, CIRCUMSTANCES OR SUSPICION OF UNAUTHORIZED / ILLEGAL PRACTICE OF DENTISTRY.

PHILIPPINE DENTAL ASSOCIATION PDA Building, Ayala Avenue, cor Kamagong St., Makati City, Philippines 897-8091 / 890-4609

S E P T E M BE R 2015 • DEN T A L A C C ESS • 7

BUSINESS

VALO® Awarded the Pride Institute’s “Best of Class” Technology Award For 4th Consecutive Year

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ow in its seventh year, the Pride Institute’s “Best of Class” Technology Award continues unparalleled in its integrity and approach to recognizing excellence in dental innovation. In 2015, the VALO LED curing light, from Ultradent Products, Inc., is one of those lauded as “Best of Class.”

“To be honored as ‘Best of Class’ is a sign that a product has revolutionized, simplified, or advanced its category in a distinctive way,” said Dr. Lou Shuman, "Best of Class" founder. “The manufacturers represented here are driving the conversation for how dental practices will operate today and in the future. The foundation for our success in bringing attention to these products has always been our formula: technology leadership in dentistry, unbiased, and not for profit.”

“Best of Class” honorees are chosen by a panel comprised of leading voices in dental technology, who come together each year to discuss, debate, and decide what products merit recognition. All technology categories are considered, but if there is no clear differentiator that sets a product apart in its category, then no winner is selected. Panelists who receive

compensation from dental companies are prevented from voting in that company’s category. Over the years, the panel has developed a rapport that makes space for important conversations about the value of different innovations and how evolving categories become more or less valuable to the general dentist. The spirited debate that follows results in a variety of products—obscure and well-known, basic and aspirational—being honored.

“Technology decisions can be expensive and confusing for many doctors. Our job as ‘Best of Class’ panelists is to eat, sleep, live, breathe, and use technology in our general practices in real, everyday dentistry. We also have a chance to show and discuss these products with dental students and colleagues,” said Dr. John Flucke, writer, speaker, and Technology Editor for Dental Products Report. “This allows us to provide recommendations that a doctor and staff can rely on to make informed decisions regarding their technology purchases.”

The panel consists of five dentists with significant knowledge of and experience in dental technology, including: Dr. Shuman; Dr. Flucke; Paul Feuerstein, DMD,

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Markus Heinz is the new Chief Production Officer of the Ivoclar Vivadent Group. He succeeds Wolfgang Vogrin, Dipl. Ing., from 1 July 2015, who will retire. Vogrin has headed up the production and logistics of the company since 2002.

Markus Heinz, who has comprehensive management experience, has been working for Ivoclar Vivadent since 1985. He took over the responsibilities for the global

Significant contribution to growth Markus Heinz succeeds Wolfgang Vogrin, who will retire. Chairman of the Supervisory Board Christoph Zeller and CEO

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mproving oral health is a leading population health goal; however, curricula preparing health professionals have a dearth of oral health content and clinical experiences. Funded by a grant from the Health Resources and Service Administration (HRSA), New York University College of Nursing's (NYUCN) Teaching Oral-Systemic Health (TOSH) Program is working to build interprofessional oral health workforce capacity which addresses a significant public health issue, increases oral health care access, and improves oral-systemic health across the lifespan.

The aim of the TOSH program is develop innovative simulation and "live" interprofessional clinical experiences that focus on oralsystemic health for nurse practitioner, midwifery, medical and dental students. The HEENOT paradigm shift has been a cornerstone of these unique collaborative experiences.

writer, speaker and Technology Editor for Dentistry Today; Marty Jablow, DMD, technology writer and consultant for Dr. Bicuspid; and Parag Kachalia, DDS, ViceChair of Preclinical Education, Research and Technology, University of Pacific School of Dentistry.

Mike Simmons, Ultradent equipment brand manager says, “Ultradent is incredibly pleased and honored to receive this distinguished award for the 4th year in a row by such an esteemed and respected panel. Simply put, VALO delivers. It delivers a broadspectrum light that cures both camphorquinone and specialized proprietary photoinitiators. It delivers a uniformly collimated beam to cure a range of surfaces and working differences. It delivers accessibility, which translates to a more comfortable procedure for the patient. And most importantly, VALO delivers real value to the

clinician—which is why it has been ranked #1 for four years in a row.”

The Pride Institute “Best of Class” Technology awards were launched in 2009 as a new concept to provide an unbiased, non-profit assessment of available technologies in the dental space. Through print and digital media coverage, the “Best of Class” message reaches the community of 150,000 dentists through multiple touch points—in print and online—educating them about the products.

Honoree participation in the “Tech Expo” at the American Dental Association’s Annual Meeting offers face-to-face interaction with the companies as well as technology-centered education provided by members of the panel and the esteemed consultants of Pride Institute. Courses at last year’s 2014 meeting sold out. This year’s event will be held November 5–10 in Washington, DC. DA

"The TOSH program has dramatically enhanced the interprofessional collaboration between the nurse practitioner, dental, and medical students," said Dr. Ken Allen, Associate Chair and Clinical Associate Professor, Department of Cariology and Comprehensive Care at NYU College of Dentistry.

The TOSH team notes the importance of using the HEENOT approach as an integral component of primary care: • Early childhood caries (cavities) are the most common chronic disease of childhood in 5-17 year olds, 5 times more common than asthma • Application of fluoride varnish can reduce the incidence of caries in children by up to 50% • Oral cancer morbidity and mortality rates have not declined over the past 10 years, at least, in part, related to absent or inadequate oral exams • Human papillomavirus (HPV) is associated with the recent rise in the incidence of oropharyngeal cancer • Linkages between diabetes and periodontal disease are established • Older adults taking multiple medications for chronic health problems often have xerostomia (dry mouth) increasing their risk for tooth decay and poor nutrition "With oral health becoming recognized as integral to the general health of populations across the life span, clinical education programs preparing the next generation of health professionals can rectify the dearth of oral health content and clinical experiences by adopting the HEENOT approach as a standard component of the curriculum. DA Source: New York University

Research probes molecular basis of rare genetic disorder

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n international group co-led by University of Alabama at Birmingham researcher Mary MacDougall, Ph.D., has unraveled the molecular basis for the rare, inherited genetic disorder, Singleton-Merten Syndrome (SMS). Individuals with SMS develop extreme, life-threatening calcification of the aorta and heart valves, early-onset periodontitis and root resorption of the teeth, decreases in bone density, and loss of bone tissue at the tips of fingers and toes.

The cause of SMS is a missense mutation that changes a single amino acid in the protein MDA5 from arginine to glutamine, MacDougall and colleagues are reporting today (Jan. 22) in the online version of The American Journal of Human Genetics. That change in MDA5 -- which detects viral double-stranded RNA as part of the innate immunity system -- causes increased induction of interferon beta. Thus SMS is recognized as an innate autoimmune disease for the first time.

"The autoimmunity finding was startling," said MacDougall, associate dean for research, James R. Rosen Chair of Dental Research, and professor in the Department of Oral and Maxillofacial Surgery at the UAB School of Dentistry, and director of UAB's Global Center for Craniofacial, Oral and Dental Disorders. She and Frank Rutsch, M.D., Department of General Pediatrics, Muenster University Children's Hospital, Germany, are co-first authors of the paper, "A Specific IFIH1 Gain-of-function Mutation Causes SingletonMerten Syndrome.

tooth production in 2002 and since 2014 he has also been responsible for the produc-

tion site in Schaan/Liechtenstein. “Markus Heinz is a proven production expert, manager and leader” comments Robert Ganley, CEO Ivoclar Vivadent, upon the nomination of the new Chief Production Officer. Within the context of his function 46-year-old Heinz will join the Corporate Management from 1 July.

Markus Heinz takes on the position as head of Ivoclar Vvadent’s worldwide production from 1 July 2015.

Because of the unusual dental problems in SMS patients, Rutsch had contacted MacDougall 10 years ago to probe the molecular mechanisms of the syndrome. MacDougall is an internationally respected research leader in craniofacial developmental biology and dental genetics, particularly the molecular basis and mechanisms associated with human dental genetic disorders that alter tooth number, formation and hard tissue structure. Such investigations of differentiation during tooth and bone formation have broad applications across medical research.

Robert Ganley have thanked Vogrin “for his contribution as manager to the rapid development of Ivoclar Vivadent on a global level“.

SMS is an autosomal-dominant disorder, meaning the mutation is not carried on the sex chromosomes, and a single copy of the mutation in the gene IFIH1 that encodes MDA5 can cause disease. Rutsch identified three SMS-affected families, and researchers in Cologne, Germany performed whole-exome DNA sequencing and targeted Sanger sequencing to identify the mutation. The same mutation was found in 10 different patients.

Above all, the build-up of the ceramic production center in USA as well as the expansion of numerous other production sites can be credited to Vogrin. DA

The UAB research team included Changming Lu and Olga Mamaeva, research associates for the Institute of Oral Health Research in the UAB School of Dentistry, and Heidi Erlandsen, a former dental school instructor.

MacDougall is continuing SMS gene research at UAB, including probing the impact of its dysregulation of 30 genes that are involved in tooth formation and dentin mineralization; using it as a paradigm for patients with other diseases, such as periodontitis and aggressive periodontitis; screening glaucoma patients for the mutation, since early-onset glaucoma is one phenotype seen in some SMS individuals; and looking for altered microbiomes and oral biomes in SMS individuals. DA Source: University of Birmingham 8 • D E NT A L A C C E S S • S EPT EM BER 2 0 1 5

DENTAL SCIENCE

TOSH educators and clinicians have developed an educational and clinical innovation transitioning the traditional head, ears, eyes, nose, and throat (HEENT) examination to the addition of the teeth, gums, mucosa, tongue, and palate examination (HEENOT) for assessment, diagnosis, and treatment of oral-systemic health problems. They detail their findings in a paper, "Putting the Mouth Back in the Head: HEENT to HEENOT," published in the American Journal of Public Health.

New Chief Production Officer at Ivoclar Vivadent arkus Heinz assumes position as head of the company’s worldwide production.

New assessment tool to combat oral-systemic disease across the lifespan

Blood, teeth samples accurately predict a criminal's age Forensic biomedical scientists from KU Leuven, Belgium, have developed a test to predict individuals' age on the basis of blood or teeth samples. This test may be particularly useful for the police, as it can help track down criminals or identify human remains.

When forensic examiners find traces of blood at a crime scene, they can try to identify the perpetrator on the basis of DNA. From now on, the blood samples can also be used to predict the criminal's age. This is also the case for deceased individuals: when traditional methods do not lead to identification, the forensic examiners can use blood or teeth samples for age estimation.

Human tissues and organs change as we grow older. This aging process is regulated by our DNA. The KU Leuven researchers are the first to have successfully used this aging process, embedded in our DNA, to predict individuals' age with great accuracy.

Professor Bram Bekaert from the KU Leuven Forensic Biomedical Sciences Unit explains: "The behaviour of our organs and tissues depends on which of our genes are activated. As we grow older, some genes are switched on, while others are switched off. This process is partly regulated by methylation, whereby methyl groups are added to our DNA. In specific locations, genes with high methylation levels are deactivated."

Bekaert and his colleagues were able to predict individuals' age on the basis of a set of four age-associated DNA methylation markers. The methylation levels of these markers can be used for highly accurate age predictions. The researchers were able to determine individuals' age with a margin of error of 3.75 years for blood samples and 4.86 years for teeth.

The new technique is potentially useful in the context of police investigations because it can help determine the age of criminals or unidentified bodies, which in turn can lead to identification. DA Story Source: https://www.kuleuven.be/english/ news/2015/blood-and-teeth-predict-age" \t "http://www.sciencedaily.com/releases/2015/09/_blank" S E P T E M BE R 2015 • DEN T A L A C C ESS • 9

CONTRIBUTORS

Epigenetics: The Future is Now (Part 1) THE FUTURE IS HERE.

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t is called Epigenetics, a relatiely new branch of science that promises a “personalized medicine” approach to the management of common oral diseases.

Epigenetics can be used to describe anything other than the DNA sequence that influences the development of an organism. In Epigenetics, scientists study heritable changes in gene activity that are not caused by changes in the DNA sequence, that are not necessarily heritable.

It all started with the Human Genome Project, an international scientific research project that determined the sequence of chemical base pairs which make up the human DNA, and of identifying and mapping all of the genes of the human genome. It was and remains still as the worlds largest collaborative biological research funded by the US Department of Energy’s Office of Health and Environmental Research during the Reagan Administration. It was followed later by the US National Institutes of Health.

A parallel project was conducted outside of the government by the Celera Corpo-

ration, or Celera Genomics, which was formally launched in 1998. Most of the government-sponsored sequencing were performed in universities and research centers in China, France, Germany, Japan, Spain, the United Kingdom and the United States.

The Human Genome Project was declared complete in April 2003 that covered 99 percent of the human genome with a 99.99 percent accuracy. The key findings: there are approximately 20,500 genes in human beings; understanding how these genes express themselves will provide clues to how diseases are caused.

The sequencing of the human genome holds benefits for many fields - from molecular medicine to human evolution.

It helps scientists understand diseases including genotyping of specific viruses to direct appropriate treatment; identification of genes and mutations linked to different forms of cancer; the design of medication and more accurate prediction of their effects; advancement in forensic applied sciences; biofuels and other energy applications such as agriculture, livestock

breeding, bioprocessing; risk assessment; bioarcheology, anthropology, evolution.

Just four years after the completion of the Human Genome Project, the journal Science announced in 2007 that epigenetics was the “breakthrough of the year”.

Time magazine placed it second in the top 10 discoveries of 2009.

While the genetic code, that is, our DNA, contains all of the information to produce the elements we require to function, epigenetic code determines when and where the genes in the genetic code are expressed. And it has applications in oral health.

Without the Epigenetic Code, the genetic code is like an orchestra without a conductor, a new study in Australia explains.

“Although there is now a substantial amount of published research on Epigenetics in medicine and biology, Epigenetics in dental research is in its infancy,” say researchers at the University of Adelaide. “However, Epigenetics promises to become increasingly relevant

Dr Joseph Lim to dentistry because of the role it plays in gene expression during development and subsequently potentially influencing oral disease susceptibility.”

The study provides a review of the field of Epigenetics aimed specifically at oral health professionals. It defines Epigenetics, addresses the underlying concepts and provides details about specific Epigenetic molecular mechanisms.

The study looks at some of the key areas where Epigenetics is implicated, and reviews the literature on Epigenetics research in dentistry, including its relevance to clinical disciplines. The review considers some implications of Epigenetics for the future of dental practice, including a “personalized medicine” approach to the management of common oral diseases. DA

The Controversy That Is Amalgam History of Amalgam The first recording of amalgam use is dated back in 659 A.D. by a Chinese fellow named Su Kung. (J Conserv Dent. 2010 Oct-Dec; 13(4): 204–208.) From then on, Amalgam has been spread throughout Europe and eventually into the Americas.

Over the years, the components of this material has evolved along with its proportions, but the use of mercury remains constant through evolution.

Dr Johanna Po

T

here have been a lot of questions surrounding the use of amalgam in restorative dentistry. But with a long line of history on its usage this dental material has been tried and tested and is still proven as one of the most durable restorative materials available in the dental market. However, despite its durability, many still question the usefulness of amalgam as a filling material, especially after biohealth activists raised concerns about its mercury content.

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Amalgam controversy The use of amalgam in the dentistry has been widely advocated because of its strength and not to mention its price.

Then in 1980’s, questions regarding its mercury content started to arise. Reports regarding amalgam and its possible effects on the nervous system, the kidneys as well as reports of amalgam being a possible carcinogen started to spread. However, if one is to look at the many reports that have been written regarding the ill effects of mercury, it can be very well said that none of them are conclusive. Moreover, there were many recommendations presented with regards to further studies.

Multiple sclerosis, for example, has been greatly linked to the use of dental amalgam and mercury. Although if we look at

the causes of the disease, one would see that multiple sclerosis is an AUTO IMMUNE disease which may even be genetic in nature. Environmental factors an even viruses have been implicated in multiple sclerosis but none have been clearly identified. (“http://www.nationalmssociety.org/” www.nationalmssociety.org) Autism is another condition resulting due to genetic disorders. It is a disease that runs in families due to an unknown cause.

Studies have been made and yet have been found to be inconclusive -- just as vaccines have been found to be safe for children -with regards to amalgam use and autism.

As for cancer, there still has to be much research done with regards to its development. One has to consider genetic predisposition as well as other environmental factors with regards to cancer formation. Although there are indeed carcinogens that contribute to cancer formation, one also has to consider dosage when it comes to cancer formation. In today’s world, people encounter different forms of carcinogens everyday. To solely implicate mercury or amalgam in cancer development would be quite rash. The ratio of patients who have developed oral cancers after having used amalgam fillings, for example, have yet to be determined.

Clear-cut evidence has yet to be presented.

In fact, if one were to consider the amount of carcinogens in dental materials, the use of composites should also be studied as COMPOSITE IS BASICALLY MADE OF RESINS WHICH ARE ALSO CARCINOGENS.(ToxInt.19:3,225234,2012)(“http:// www.dentalwatch.org/hg/myths210.html” http://www.dentalwatch.org/hg/myths210. html) Inconclusive studies Although there are many theories regarding the dangers of amalgam use, solid evidence has yet to be produced.

Amalgam is still one of the best and durable dental filling materials in the dental market. Inspite of the surge of newer dental restorations such as composites and glass ionomer cements, Amalgam still remains tobe one of the staples in dentistry.

Most importanlty, Amalgam is an affordable choice of dental restorative material that may is utilized in other developing countries. To deprive patients of this option because of fear and anxiety that has no scientific basis would be depriving them access to good oral health care. DA S E P T E M BE R 2015 • DEN T A L A C C ESS • 11

ON THE SPOTLIGHT

“I have breathed dentistry for all my life and until now the air has not changed and it will continue to be so.” - Dr Shervy Villareal

By Dr Armi Cabero

CREATING HER OWN LEGACY

With Dr Sheryl Villareal-Borja, Mrs Letty Villareal, Dr Shervy Villareal - De Cerqueira, Dr Hermogenes Villareal, Dr Sherwin Villareal and Matthew Borja at her graduation in NYU.

her passion for dentistry. For even the smallest of dreams that is perceived by a simple person, Dr Shervy gave birth to yet another inspiration through the definition of her persevering character.

“To be honest with you, my lecture didn’t come out of any particular inspiration. I’ve been involved in dentistry for twenty years. The lecture I presented was a fruition of both my academic and working experience as a dentist. Having been exposed to an environment involving both local and international dental organizations at a young age coupled with my father’s involvement as one of the highly-esteemed leaders in several organizations gave birth to my inspiration to join the Asia Pacific Dental Congress offering the first ever Free Communication paper/lecture competition.”

“My family is my pillar of strength”

Dr Shervy Villareal - De Cerqueira

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n the likes of Champion boxer Manny Pacquiao and Tony Awardee Ms Leah Salonga, another Filipino talent was lauded for winning First Prize in the Scientific tilt at the 37th Asia Pacific Dental Congress in Singapore last April 2015. Daughter to a famous dentist, Dr Hermogenes Villareal and wife to Mr Leonardo De Cerqueira, Dr Shervy Monica Villareal - De Cerqueira did not rest on her laurels when she competed in the scientific exercise during the APDC event.

Instead, she took time to prepare very well for her presentation using her profound background in dentistry through the help and support of her husband and her family.

H ailing from a family of highly-acclaimed dentists, Dr Shervy Villareal - De Cerqueira followed the footsteps of her father, Dr Hermogenes Villareal who have earned numerous accolades, by earning her prestigious award in an International Competition beating other contestants with her abstract entitled, “Surgical Techniques for Reformation of the Interimplant Papillae Between Two Adjacent Implant: A Case Series.”

“I felt that representing the Philippines in an international venue would be a great way to showcase our talent - that we can be at par with other dentists in the world where we are able to share and interact with other foreign dentists.”

As this news broke a few months after, it went viral online generating thousands of “feel good” commentaries from her relatives, friends and colleagues in the profession including her Alma Mater in High School Paref Woodrose and UE College of Dentistry where they expressed their sincere congratulations to Dr Shervy.

12 • D EN T AL AC C E S S • SEPT EM BER 2 0 1 5

“All throughout the competition, I felt inspired and motivated for having a father who is well-respected and revered in the profession not only in the Philippines but to the rest of the world.” Dr Shervy humbly expressed her sentiment. “ I felt relaxed and truly blessed for having a very supportive husband, parents and siblings. They are my pillar of strength. I did not feel it was about the competition. I felt like I was sharing my knowledge to my co-professionals.” She reminisced as she was interviewed by Dental Access.

The Villareal clan of dentists has been earmarked as one of the most successful dental practices in the Philippines under the tutelage of Dr Hermogenes Villareal where he first started his practice in Taft Avenue, Manila. It was during those days that he made his own name in the profession where he would later become the 2011 Chair and Past President of the Asia Pacific Dental Congress and Head Representative Ambassador’s circle International Congress of Oral Implantologists - Philippine Section. As his children grew up to follow his footsteps, all three have earned their merit in their own respective specializations.

This moment of joy of earning a “star” is just the beginning of Dr Shervy’s journey to a more colorful and successful career. With a beaming smile, she responded with a soft and well-mannered voice expressing her family’s reaction when they learned about the judges decision.

“My family and I were so delighted to find out about the result of the competition. The other candidates were assertive and extremely qualified, so when my name was called out as the champion it made the whole family proud. It was such a blessing. No words can explain the overwhelming feeling it gave me and my family.”

THE LIGHT OF INSPIRATION Inspirational stories commonly start with a heroine with a great cause.

In this case, Dr Shervy avowed to uplift the moral standing and capability of every Filipino Dentist with her ideals and philosophy in pursuing

LEARNING FROM HER MENTORS Taking after her father’s genial character, Dr Shervy was ready to make a name of herself in her own turf as a specialist in implants and periodontology before she joined in the said competition. Like her two siblings, namely Dr Sheryl Villareal - Borja and Dr Sherwin Villareal, Dr Shervy aimed high and finished her post graduate studies at the New York University where she majored in Periodontics and Implants. It was during her culmination in NYU where her broad exposure in public speaking and lecturing was refined by her mentors and professors in the University. Little by little, this sweet lady from the South was about to uncover her knack for public speaking before she entered in the 37th APDC Competition using her strong background as ascribed to her bloodline. It was indeed a predestination that Dr Shervy was set out to make history.

“I have always wanted to become a dentist like my dad for as long as I can remember. He is my ultimate idol and inspiration.” She recalls. “I remember our mother bringing us to our dental clinic right after school where I together with my siblings, would watch our father in action.”

As Dr Shervy came to know about her father’s activities in the profession, she began to emulate his principles at work and in life. Soon enough she started a 1 year international program in Periodontics and finished a 3 year Master’s program in Periodontics and Implant Dentistry at the NYU to pursue her passion on becoming one of the great legends in the Philippine Dental history.

“Great mentors and professors from any field will diligently rehearse and study their material before any given presentation. Through that conclusion, I immersed myself with books, articles, journals or any informative reading material about my specialty which is Periodontics and Implant Dentistry. Dentistry is a constantly evolving field. Therefore, we should always stay hungry to learn more and update our knowledge. We owe it to ourselves most especially to our patients to make sure we keep ourselves abreast of the latest developments in our field, and at the same time never forgetting our basics.” She explains.

And by mastering her lecture, she was able to execute an impeccable presentation to the judges with her paper entitled, “Surgical techniques for reformation of the interimplant papilla between two adjacent implants in the esthetic zone: A case series” earning her the first prize. “It is something that I have been working on since I was a resident at the New York University with some of my

mentor professors. Interestingly enough, until now we are doing several cases to determine which technique achieves higher success rate.”

With the surge of dental implant preceptorships in the country, Dr Shervy’s article can not be more than relevant as it has become a more acceptable treatment among patients with edentulous spaces. “ It has increasingly been an in-demand treatment option that when a patient looses a tooth/teeth they often look for the next best thing in dentistry. Conclusively, there is a growing awareness among patients with regards to esthetic and higher demand for a beautiful smile with healthy teeth and gums. Dentists need to address this issue seriously. The soft tissue is of great concern especially in the anterior zone with or without the need for implant .”

What can our doctors / dentists learn from your paper?

“Doctors will appreciate the how I cited the evidence-based literature all throughout the presentation. Regardless if the dentist is doing implant dentistry or not, the message I leave to my audience is this - the key to a successful dental procedure, especially when dealing with fragile soft tissue like the interdental papilla or interimplant papilla, is the respect and careful handling of the soft tissues on all phases of treatment - from preparation to surgical procedure and the prosthetic aspect. It is imperative to never compromise the blood supply, post-operative care and maintenance of the gums. It is as important as the procedure itself.”

Passion is the fuel that drives us within “When you are truly passionate about what you are professing, the feelings translated are of joy and fulfillment. Passion can bring confidence indeed.”

Dr Shervy Villareal-De Cerqueira At a young age, Dr Shervy has grown to be a valuable asset in the association through her string of accomplishments in her professional career. It is no surprise that her germane dedication for her craft all came from here parents who bestowed these values. Dr Shervy is as dedicated as her father in delivering her best and modest self to the fullest. “ In preparing for a competition, believe in yourself. Never be afraid to approach people who are specialists in that field because you can learn a lot from them and get inspiration from their words. Always be humble and grateful to the people who have helped you along the way. Most importantly, never underestimate the power of prayer, love of a spouse and unconditional love of parents and family.” She responded while commenting on her latest feat.

While waiting with bated breath for another Filipino to shine, the honor that Dr Shervy Villareal - De Cerqueira brought home to our country connotes what a Filipino talent can do. After winning the competition in the 37th APDC, little did Dr Shervy know that this new image she embarked for Filipino dentists would speak volumes of a well deserved talent inspiring our hopeful candidates in the country. For without a tinge of self - importance, Dr Shervy humbly motivated herself throughout the competition through a constant study and review of the basic knowledge and the classic literature that she combined with her readings of the current literature. This achievement is truly a plaque that embodies a true talent of a Filipino dentist. DA S E P T E M BE R 2015 • DEN T A L A C C ESS • 13

CLINICAL

CLINICAL

The Evolution of the Spring Aligner for treating orthodontic relapse and mild crowding

S

pring Aligners or Spring Retainers have been used for minor tooth movement for the past 25 years or more (1). The original design was developed for very minor tooth movement and mostly for rotations. All spring aligners are fabricated on casts in which model surgery has been performed. The anterior teeth needing correction have been removed and reset in an ideal position in wax on the working cast. The appliance is then fabricated on the corrected cast so that when worn by the patient the “built in” forces correct the misaligned teeth. (figure1) The first spring retainers were Hawley retainers with labial acrylic fabricated on the corrected working models. (figure 2) The first Spring Aligners were Mini Postioners or cuspid to cuspid spring retainers.

With the addition of lingual ball clasps the fear of swallowing or aspirating the appliance was reduced. (figure 3) Adding loops or helixes to the lingual and labial components, often called a Super Spring Retainer was developed to allow a more aggressive correction of the misaligned teeth. This design flexed more or “opened up more” so that the appliance would be able to be fitted even with a greater correction of the misaligned teeth. These designs had a separate labial and lingual element. (figure 4) Other advances included using more flexible wires such as TMA and eliminating the acrylic such as the Apex Aligner.

All spring aligners will function and correct misaligned teeth if appropriate case consideration and realistic expectations are adhered to.

Two problems are associated with the past designs: First, stainless steel wires providing the skeleton of the appliances, do not have very much flex or spring significantly.

This effects how much correction can be accomplished.

Stainless steel also exerts an abrupt and uncomfortable force. Secondly, the direction of force created by standard spring aligners creates seating and retention problems. The lingual component can have a mouse trap-like, dislodging effect. Standard Spring Retainers are designed for minor correction only and tend to just tip teeth into a better position.

Inman Orthodontic laboratory in Coral Springs FL felt there had to be a better way to realign teeth. They wanted to be able to correct anterior teeth more aggressively with just one appliance that was both effective and tolerable for the patient.

Inman Orthodontic Laboratory has created an appliance that takes advantage of the gentle steady forces of Nickel Titanium by designing piston like components driven by NiTi coil springs (2). The forces are adjusted by altering the

14 • D EN T AL AC C E S S • SEPT EM BER 2 0 1 5

coil size and or compressing the coil to create a stronger force.

Secondly, Inman have designed lingual and labial components to function or move parallel to the occlusion, eliminating the mousetrap de-seating forces and allowing true bodily movement of teeth. (figure 5) The standard appliance consists of both lingual and labial NiTi driven components.

The forces combine to “squeeze” teeth into alignment. (figure 6) The before and after photos below depict ideal case selections (figurers 7a and 7b) A more extreme case selection may also show success, but only in a very compliant patient. The treatment time depicted below was 4 months. This is what we call ABB, Alignment, Bleaching and Bonding, The teeth are aligned with the Inman Aligner then as treatment is almost complete we start a protocol of in office and at home tooth whitening. Edge bonding is the final part of the treatment and takes care of any differential wear. (figures 8a and 8b) A lingual NiTi driven component, with posterior bite pads, may be employed to open the bite and allow the anteriors to jump. This appliance eliminates the need for finger springs, screws and adjustments. (figure 9) In cases of tongue thrust or digit sucking a labial NiTi component can be used in conjunction with a habit crib or roller. As the habit is broken the labial component gently guides the anterior back in and down. (figure 10) Note: Figure 11 and 12 deleted from article A general tooth movement guide may be summarized as follows:

** Incisors labially - great potential ** Incisors lingually - great potential ** Incisors rotation - good potential ** Incisors mesially or distally (crowded cases) - difficult, but possible as a "domino effect" ** Incisors mesially or distally (excess space cases with no retraction, just mesial or distal shifting) - impossible ** Incisor angulation correction (mesial or distal root torque) - very difficult ** Incisors vertically - impossible ** Incisors labial or lingual tipping - great potential

** Canines lingually - difficult ** Canines distally - possible ** Canines labially - nearly impossible ** Canines laterally - nearly impossible ** Canine angulation correction (mesial or distal root torque) - nearly impossible

Fig.1: Model surgery – Anteriors reset

Fig. 2: Spring Hawley Retainer

Fig. 3: Mini-Positioner

Fig. 4

Fig. 5: Standard Inman Aligner

Fig. 6: Standard Inman Aligner photograph

Fig. 7A

Fig. 7B

Fig. 8A

Fig. 8B

Fig. 9: Inman Cross Bite

Fig. 10: Inman Habit Appliance

About The Author Dr Derek Mahony is a specialist orthodontist who has spoken to thousands of practitioners about the benefits of interceptive orthodontic treatment. He is also a contributing editor to the Journal of Clinical Pediatric Dentistry and the International Journal of Orthodontics. Dr Mahony is a Fellow of the International College of Dentists and is considered a pioneer, throughout the world, in raising dentist’s awareness of the need for early interceptive orthodontic treatment. He has presented over 400 lectures on orthodontic topics in more than 30 countries. ** Canine mesio-labial rotation - difficult ** Canine disto-labial rotation - impossible ** Canines vertically - impossible Space availability is of course a major consideration. All corrections are entirely dependant on the space being present. Space creation may be achieved through interproximal reduction (3, 4) or through arch expansion (5).

Further research is being undertaken at Great Lakes Orthodontics to predict and programme expansion into the Inman appliances.

Conclusion:

Inman Laboratory has been making Inman Aligners since 2000. They have many of their very first trial or beta Orthodontists, including myself, using the appliances on a weekly basis. The Inman Aligner may be used to treat mild to moderate adult relapse cases when patients don’t want brackets or can’t afford Invisalign aligners. It is commonly used by cosmetic dentists to pre-align teeth before veneers or crown and bridge allowing for much more conservative dentistry. To learn more visit HYPERLINK "http://www. inmanaligner.com" www.inmanaligner.com and www.inmanortho.com

References:

Barrer Hg. Protecting the integrity of mandibular incisor positioning through keystoning procedure and spring retainers appliance. J Clin Ortho 9:486-494, 1975) Bowman SJ. The Inman Aligner. J Clin Ortho 37: 438-442, 2003 Warunek SP and Willison BD. Incisor Alignment with the Inman Aligner. J Clin Ortho 20: 80-98, 2005 Proffit WR. Contemporary Orthodontics (3rd ed.) St Louis, MO: Mosby; 2000 Graber TM Vanarsdall RL. Orthodontics: Current principles and techniques (3rd ed.) St. Louis, MO: Mosby; 2000

S E P T E M BE R 2015 • DEN T A L A C C ESS • 15

CLINICAL

CLINICAL throughout the varnish at all times. Enamelast comes in two convenient delivery options: unit-dose blister packs (Figure 3), or multiple-dose packaging with Ultradent’s syringe and tip application (Figure 4).

Advances in Fluoride Varnish

by Dr Richard Tuttle

The Enamelast unit-dose blister packs are designed for clinicians who prefer the convenience of a one-time-use application, or for dental clinics in hospital settings that require the use of unit-dose treatments in which all materials are packaged together. Each blister pack includes a prefilled well and applicator brush, allowing the clinician to dip the brush in the well and paint the varnish on the teeth. Conversely, the syringe delivery method facilitates the ability to express the product through the tip directly onto the teeth for fast application. Clinicians can also choose to express the varnish onto the back of their glove before painting onto the teeth. Unlike the unit-dose blister packs, each syringe of Enamelast provides enough varnish for three to four patients.

Conclusion Combining efficacy with patient comfort and convenience

The US Centers for Disease Control and Prevention called the addition of fluoride to public drinking water “one of the 10 great public health achievements of the 20th century.”1 Fluoride’s role as the single most important factor in preventing caries has truly revolutionized the quality of life for countless people all over the world, making tooth decay - one of the most widespread diseases in the world avoidable and even preventable.

Today, fluoride can be found in numerous topical dental products, as well as in two thirds of America’s and over 70 percent of Australia’s water supply. Topical fluorides on the market include toothpastes and mouthwashes. In a professional-care setting, fluorides have evolved from foam and gel treatments to present day varnishes.

Although various formulations of fluoride varnish have been available to dentists for more than 40 years, only in the past decade has their popularity skyrocketed. Varnishes have earned the favor of dentists thanks to their ability to quickly set after being painted onto the surface of the tooth. However, the ability of many fluoride varnishes to both quickly set and adhere to the tooth for a long period of time have also too often proved to be their downfall.

Texture

In the author’s experience, the sometimes gritty residue of varnish frequently causes many patients to complain of leaving the practice with an uncomfortable texture on their teeth, a sensation some even describe as “dirty” quite the opposite feeling one would hope to have after a visit to the dentist. In addition to a gritty texture, most varnishes leave a visible film on the teeth, often resembling plaque, rendering the patient not only uncomfortable, but also embarrassed to smile. The notoriously fuzzy feeling that varnishes leave on the teeth, in addition to their unsightly residue, often causes patients to prematurely wipe or brush the varnish off, thus reducing the treatment’s capacity for sustained fluoride release and uptake.

A recent survey showed that more than 80 percent of dental professionals feel that the product’s texture on the teeth is an important aspect to consider when choosing a varnish (Ultradent Products, data on file). This is 16 • D EN T AL AC C E S S • SEPT EM BER 2 0 1 5

because the more natural a varnish feels, the longer the patient will leave it on their teeth, allowing the varnish to deliver the maximum amount of fluoride ions. In response to this, Ultradent Products, created Enamelast™, a 5 percent sodium fluoride varnish that, in addition to its smooth tex-ture upon setting, appears nearly invisible against the teeth, due to its translucent formulation (Figure 1 and Figure 2).

Adhesion and Fluoride Release

In addition to a varnish’s look and feel, which may influence the amount of time the patient leaves the product on the teeth, the varnish’s rate of fluoride release over time plays an important role in delivering the product’s maximum benefits. A recent study showed that over a 24-hour period, Enamelast not only delivered the highest overall amount of fluoride to the patient’s teeth, but also showed peak fluoride release at 4 hours’ wear time with sustained, higher fluoride release over a 24-hour period than its competitors.2

Several factors contribute to the overall success of a fluoride varnish, including the product’s look, feel, rate of fluoride release and amount of fluoride uptake, as well as the varnish’s consistency and fluoride distribution. Enamelast’s smooth, translucent texture and appearance work together to increase patient comfort and subsequent probable wear time.

In addition to providing a more comfortable and aesthetic patient experience, Enamelast also offers a patented adhesion-promoting agent that allows for the highest levels of fluoride release and uptake, when compared to market leaders. Enamelast’s no-mix formula ensures an even distribution of fluoride and consistent product delivery for every patient, regardless of delivery method.

Reference

1. “Ten Great Public Health Achievements, 1900-1999” www.cdc.gov/ mmwr/preview/mmwrhtml/00056796. htm. April 2, 1999. Accessed March 5, 2014.

2. B.R. Schemehorn, unpublished data, 2013.

About The Author Richard Tuttle, DDS is R&D Clinical and Laboratory Division Manager and Clinical Applications Advisor at Ultradent Products, Inc and maintains a private practice in South Jordan, Utah, USA. Originally published in Inside Dentistry. © 2014 to AEGIS Publications, LLC. All rights reserved.

Used with permission from the publishers.

For orthodontic patients, Enamelast facilitates longer sustained fluoride release when applied to teeth previously treated with a fluoride recharging primer.

The ability of a fluoride varnish to adhere to the teeth for an extended period of time is largely responsible for its rise in popularity. In contrast, fluoride-containing mouthwashes and gels are easily washed away with liquid, saliva or food. However, adhesion and subsequent fluoride uptake vary greatly among varnishes currently available on the market. For a fluoride varnish to provide the best results, it must adhere to the teeth for the entire recommended amount of time. Thus, the product’s adhesive capabilities play a direct role in the varnish’s ability to deliver the full benefits of fluoride to the patient. Enamelast features a patented adhesionpromoting agent that enhances retention and allows for higher fluoride uptake than any other fluoride varnish in its class, including the market leader.2

Figure 1. Pretreatment full-smile photo.

Figure 2. After treatment reveals the smooth texture and natural appearance of the translucent varnish on the teeth.

Figure 3. Enamelast unit-dose blister pack.

Figure 4. Enamelast multiple-dose syringe and tip delivery system.

Delivery

Fluoride varnishes that require premixing present the challenge of delivering consistent levels of fluoride from one patient to the next, as levels of the active ingredient can vary per application, depending upon the thoroughness with which the product is mixed. Enamelast’s no-mix formula ensures predictable outcomes, as the fluoride remains evenly distributed

S E P T E M BE R 2015 • DEN T A L A C C ESS • 17

PRODUCT CATALOGUE

DURR

MAILLEFUR

PLANMECA

SIRONA

VITA AKZENT

Distributors list: Alphadent Corporation 316 Roosevelt Avenue San Francisco Del Monte Quezon City, Philippines Tel No: (632)374-1111 Fax No: (632) 372-0893

AMANN GIRRBACH

A.V.M. Ortho Inc. Endo Z Bur IPS e.max Press Multi Tornado 2 - Super SIlent

Ceramill CAD/CAM materials

Features:

Milling and grinding in high definition (HD)

•

Oil-free, dry, hygienic

• Milling in HD quality - Amann Girrbach enables the processing of CAD/CAM materials with absolutely unique precision using a new cutter and diamond trimmer for all Ceramill Motion generations and a special milling and grinding strategy, which was specially developed for these instruments. (Alphadent)

•

One of the quietest of its kind

•

Low maintenance, only requires an annual filter change

•

Very reliable thanks to the closed crankcase

•

Hygienic, taste and odourless compressed air

•

Less consumption, more efficiency

First-ever polychromatic ingot for the press technique An innovative, new ingot now allows highly esthetic restorations showing a lifelike shade progression to be fabricated in a single press sequence.

IPS e.max Press Multi is the first polychromatic ingot available for the press technique. It is suitable for the fabrication of monolithic anterior and posterior crowns and veneers that show a natural-looking shade gradient from the dentin region to the incisal areas.LED curing lights.

Universal and cost-efficient

Ceramill Zolid

Optimised material properties and assortment update

IVOCLAR

With Ceramill Zolid the dental specialist Amann Girrbach succeeded in providing high-grade zirconia with aesthetically convincing translucency for non-veneered, fully anatomical restorations and veneerable frameworks as well as ensuring long-term stability.

DENTSPLY ENDO BUR

Dentsply Endo Access Bur

Dental Instrumentation

The special diamond coating reduces gouging with its tip matching round bur sizes for initial penetration while its diamond shaft flares the pulp chamber. The cutting surface of the Endo Access Bur is 10mm. The total length is 21mm.

The New Bluephase N

LED for all curing needs

With the sales launch of the new Bluephase N product family, Ivoclar Vivadent sets again high standards in the field of LED polymerization devices. Users can choose between three curing lights tailored to individual customer needs.

With the Bluephase N product family, Ivoclar Vivadent is launching the next generation of LED curing lights.

DMG

The New IPS Classic V Powder Opaquer

ICON Icon is used for the micro-invasive treatment of smooth surface and proximal caries lesions. It can be used to treat lesions into the first third of dentin (D-1). In one patient visit, and with no drilling, Icon can arrest the progression of early enamel lesions (caries) and white spot caries-like lesions. (Metro DNC) 18 • D EN T AL AC C E S S • SEPT EM BER 2 0 1 5

Ivoclar Vivadent has launched Adhese Universal, a new single-component, light-cured universal adhesive for direct and indirect bonding procedures. Adhese Universal features compatibility with all etching techniques: selfetch, selective-enamel-etch and total-etch. The VivaPen delivery form ensures fast and convenient application of the adhesive directly in the patient’s mouth. (Alphadent)

IPS Classic V Powder Opaquer is developed using a new production method. Users benefit from its great flexibility in application techniques as well as from a fast and efficient veneering process. These advantages are based on the very high application stability of the powder opaquer during application. Vivadent is launching the next generation of LED curing lights. (Alphadent)

With a perfectly designed 3D cylinder volume of 8 cm in diameter and 8 cm in height and a standard resolution of 160 µm, ORTHOPHOS XG 3D is precisely tailored to the everyday routines of private practices: it can capture the patient’s whole jaw in a single span. The field of view is large enough to avoid the stitching of several 3D x-ray images and thus multiple exposure to radiation. Yet it is also small enough to be a time-saver in diagnosis.

MEDESY

Sirona Planmeca Romexis® 4.0 a completely renewed all-in-one software

For decades the Tornado Compressor Programme has stood for quality at an attractive price. Efficiency was again boosted in the new model and energy consumption efficiently reduced by approx. 15 %. red dot design award winner 2011

Adhese Universal

Orthopos XG 3D

The Endo-Z’s long tapered configuration allows easy access to the canal orifices and funnel shaping of the chamber walls. It’s six specially designed tungsten-carbide spiral blades but cleanly while lifting debris coronally along it’s flutes. The non-cutting tip helps prevent damage to the chamber floor or walls. Available in one size, in FG and RA versions.

New Periodontal Micro-Surgery Kit Periodontology is an extremely important specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes.

The kit is composed of the following items: • Titanium Scalpel Handle for micro blades

Planmeca Romexis® is the first dental software in the world to combine 2D and 3D imaging and the complete CAD/CAM workflow, while also providing extended connectivity with Planmeca dental equipment. The new version 4 of the software introduces an improved user interface that will ease the daily workflow of dental professionals around the world. Available for Apple Mac OS and Microsoft Windows, Planmeca Romexis 4.0 allows Planmeca products at a dental clinic to work together seamlessly. prevent damage to the chamber floor or walls.

Available in one size, in FG and RA versions.

RENFERT

T2 Turbines

For professionals by professionals SR Nexco Flask is a new type of flask with the help of which light-curing veneering composites can be pressed on dental frameworks. In order to effectively address the practical challenges of functionality, ergonomics and design, the flask has been developed in close cooperation with industry professionals.

Variolink Esthetic

Esthetic cementation made simple Ivoclar Vivadent introduces the new luting composite Variolink Esthetic to the market.

The new luting composite Variolink Esthetic is an esthetic light- and dual-curing composite material for the permanent cementation of demanding ceramic and composite restorations.

The material represents the next generation of the well-established, esthetic luting composite Variolink. (Alphadent)

Renfert Layart

The kit has been specifically conceived for microsurgery and includes instruments which have been developed to guarantee maximal precision and reliability.

The lay:art system from Renfert comprises 8 different, high quality mixing trays and 8 individual premium line brushes, which the porcelain artists can choose from to suit their own individual style.

UNIDENT

Unident Group Selection Unident S.A., whose headquarters are based in Geneva, Switzerland, was founded in 1970, and has established a global reputation, as a leader in the field of dental hygiene and disinfection products. With dedicated teams in research and development, Unident delivers cutting edge technology in a range of hygiene and disinfection products, offering unprecedented performance whilst meeting and exceeding the needs of today’s modern dental practice.

(Dental Domain)

Made for artists - design for your art

The mixing trays are divided according to three different working methods favored by porcelain artists: self-humidifying trays made from porous porcelain for working comfortably with larger amounts of material, partially self-humidifying trays with high-tech moisture strips for porcelain technicians who prefer to work with smooth surfaces and manage the level of moisture within the porcelain and non self-humidifying trays made from glass and agate for individualists.

Unit 717 Future Point Plaza 1 112 Panay Ave. Quezon City Philippines 1103 Tel No: (09228696657) ROCO IBE

Dentistree

Philippine College of Surgeons Bldg.

Rm. 201 992 EDSA, Quezon City Philippines Tel No: (632) 926-4526 Fax No: (632) 927-1631

Metro DNC Inc.

3/F Chunics Bldg., 3368 Magsaysay Blvd., Sta. Mesa, Manila, Philippines 1016 Tel No: (02) 358-3257

Unit 1206 City and Land Mega Plaza ADB Avenue cor Garnet Road Ortigas Center Pasig City Telephone: ++632.994.8306 Fax: +632.570.9840 Email: ordentcubao@yahoo.com

The T2 Comfort class provides you with top quality technology for relaxed work. The titanium coated turbines lie comfortably in your hand ensure that control, boost and mini satisfy every requirement.

TRIHAWK

Trihawk Talon Burs

• Titanium curved micro scissors: like the needle-holder it has a very fine and precise tip for easy access in narrow areas.

Dental Domain

Ordent Trading

• Titanium Curved Micro tweezers excellent for meticulous suturing of the tissue.

SR Nexco

The new VITA AKZENT Plus stains provide a complete, integrated system that is both extremely user-friendly and offers exceptional application reliability. Thanks to a broader range of indications, these new stains provide users in practice and laboratory environments with freedom and versatility during processing, allowing all kinds of dental ceramic materials to be easily and efficiently customized and enhanced with shade effects, regardless of the CTE of the restoration.

VITA VM

• Molt Periosteal elevator and Periosteal HP3 both in titanium, they allow minimal traumatic detachment of the dental Papilla

• Titanium Micro needle holder with smooth tips, for wires 8-0 /9-0, versatile instrument, ideal for use inside narrow interdental spaces.

VITA AKZENT® Plus

New stains with a distinctive character for a head start in versatile, user-friendly and costeffective restorations

Orthodontic and Dental Supplies Recuerdo Townhouse Unite E 6623 E. Ramos Street Pio del Pilar, Makati City Philippines Tel No: (632) 893-7696

The Trihawk Talon Bur cuts horizontally and vertically, cuts amalgam, crowns and bridges faster. An independent study supported the performance, economy, and value of Tri Hawk’s bur, and it was the only single-use bur that rated 100 percent performance in an ADA review. The pure, high - carbon steel burs - with no chrome or nickel - are virtually unbreakable. The pure, high carbon steel burs, with no chrome or nickel are virtually unbreakable.

They feature a matte-black , no glare finish, and come individually packaged in rolls of 100 aseptic packets.

VITA VMK Master

The next evolutionary step in the VMK success story VITA VMK Master, a new ceramic belonging to the VMK (VITA MetallKeramik = VITA metal ceramics) generation for veneering metal frameworks in the conventional CTE range.

Fortress Dental

With the veneering material VITA Zahnfabrik takes the next evolutionary step in the VMK success story offering dental technicians an uncompromised material in terms of safetyand esthetics.

Intercast

VOCO

New Citizens Dental Supply

655 Paterno St., Quiapo, Manila 1008 Tel. No.: (632) 733-2977; 733-2982; 733-3769; 7339504; 733-9529 Cel. No.: 0927-2927696; 0917-8129958 Email: ncds@pldtdsl.net

PROS-APAC

Glass ionomer restorative material Indications

The DISC product line for the partially yttriumstabilized zirconium dioxide material VITA InCeram YZ will be extended to include additional variations for dental CAD/CAM processing. The new VITA In-Ceram YZ DISC Color and VITA YZ DISC HT will be launched.

2230 Jose Abad Santos Avenue Tondo, Manila, Philippines Tel No: (632) 252-6171 Fax No: (632) 253-0124

494 Halcon St., Mandaluyong City Telephone: +632.570.7392 Fax: +632.533.4207 Email: jandra2010@ymail.com

Ionostar Molar

The new VITA DISCs

Suite 1001 Dasma Corporate Center 321 Dasmarinas Street, Binondo Manila, Philippines Tel No: (632) 244-5634 Fax No: 244-5639

Jandra Global Traders Corp

VITA IN-CREAM

Round, multicolored, translucent

FILGEN Business Solutions, Inc.

59 Vista Verde Ave. Executive Village Cainta, Rizal, Philippines 1900 Tel No: (632) 645-7977 Fax No: (632) 646-4968

• Restorations of non occlusion-bearing class I cavities • Semi-permanent restorations of class I and II cavities • Restorations of cervical lesions, class V cavities, root caries • Restorations of class III cavities • Restoration of deciduous teeth • Base/liner • Core build-up • Temporary restorations

Suite 615 Don Santiago Building 1344 Taft Avenue, Ermita Manila, Philippines Tel No: (632) 5262911

R&R Newtech Dental Corp.

1207 Cityland Herrera Tower Rufino Street cor. Valero Street Salcedo Village, Makati City Tel No: (632) 753-2220 Fax No: (632) 753-2133

St Patrick’s Medical Systems, Inc. 3rd Floor East Wing, St Patrick’s Square 566 Shaw Boulevard, Mandaluyong City Tel No: (632) 5338814 Fax No: (632) 533-9219

S E P T E M BE R 2015 • DEN T A L A C C ESS • 19

ADVERTORIAL

Essential Factors to Achieving a High Quality Cure

So many aspects and variables affect the final outcome of a restoration, be it the technical difficulty of the restoration itself, the quality of the preparation, the chosen composite resin used, etc. However, the impact of the success and longevity of a restoration’s cure is too often ignored. Achieving a predictable, high-quality cure every time is absolutely essential.

Here are some factors that influence the quality of any cure, along with a few tips on how to successfully maneuver them to you and the patient’s benefit:

Proximity to Restoration VALO Accessibility Better access to the restoration with the curing light ensures the delivery of the maximum amount of power (emitted light) to the dental material. Therefore, a curing light that allows for perpendicular positioning to any curing site, including posterior teeth, is paramount to the quality of the procedure. While many of the curing lights available on the market feature, at best, a 60° angle at the curing head, slim head and low profile design allow the clinician to easily access hardto-reach areas, even in smaller mouths.

Type of Light Emitted VALO LEDS Studies have shown, again and again, the importance of a curing light that features a wide spectrum of wavelengths, enabling it to polymerize all dental materials. However, most existing devices on the market don’t offer multiple LED wavelengths nor achieve uniform irradiation with the LEDS offered. VALO’s four highly efficient LEDs provide uniform dispersion of energy to the restoration, at three different wavelengths of light to ensure complete polymerization, every time.

Beam Collimation and Uniformity Finding a high-energy light that reaches into all aspects of the restoration is critical to predictably producing high-quality results. One of the critical aspects that influence this outcome includes the curing light’s beam collimation and uniformity. Dr. Fischer says, “The quality of a restoration is totally dependent on how adequately that restoration and its bonding agent are polymerized. The power output and size of footprint varies immensely among the curing lights available in the dental market today. VALO’s lens is designed to create a beam that is close to parallel to the preparation, while still emitting enough light to the curing material on the axial walls of the preparation.” This allows VALO to deliver a complete and uniform cure to any restoration. The power, concentration of light, and its collimated, uniform energy output also allow it to cure dental materials completely, even at a distance. Dr. John Kanca of Middlebury, Connecticut, says, “VALO’s ability to produce the greatest amount of energy at distances up to 10mm from the tooth is just amazing. I have been using this light for some time and would not want to be without it.”

To learn more about VALO, please visit: https://www.ultradent.com/en-us/Dental-Products-Supplies/ equipment/VALO-LED-Curing-Lights/Pages/default.aspx?s_cid=1942" \t "_blank" www.ultradent.com

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S E P T E M BE R 2015 • DEN T A L A C C ESS • 21

CALENDAR EVENTS

a PREVIEW - 2015 DENTECH CHINA

D

enTech China is China’s leading professional event in the dental technology industry. Pioneering the event with its one of a kind inaugural event commencing in 1994, DenTech China has grown from experience for 20 years in organizing one of the most attended conference for dental professionals who seek for a continued accredited education. This also paves the way for international buyers, traders, and distributors who are looking to source high-quality and costs efficient products and equipment produced in China throughout Asia.

Some of the participating international market leaders are 3M, Henry Schein, A-DEC International Inc., Ultradent, Bricera Inc. and Proctor and Gamble.

DenTech China 2015 provides an excellent showcase of USA dental product manufacturers who capitalize on the growth of the Chinese market.

Joining the US Pavilion enables buyers to easily identify USA made products. Companies exhibiting in the USA pavilion can also benefit from a range of marketing and promotional support during the show, including media coverage, USA Unlimited branding, interpretation and business matchmaking. DA

June Events EuroPerio 8 ExCeL London London, UK Jun 3 - 6, 2015

CONTACT DETAILS:

Sandra Chen

International Developing Manager Tel. No.: +86-21-61573953+86-21-61573953 Email: sandra.shen@ubm.com

The Pierre Fauchard Academy Philippine Section - A Review The Pierre Fauchard Academy - Philippine Section held its Annual Convocation last 12 of July 2015 for its new Fellows and election of its new officers and board of directors at the Hotel Sofitel (formerly Philippine Westin Plaza) in Pasay City, Manila.

With PFA President International Fellow Dr Karyn Stockwell as Guest of Honor, active members of the association were all atuned during the ceremony as they continue to perpetuate leaders in the dental profession, their communities and the society.

Highlights of the event includes the appointment of Dr Armyl Banez as the newly appointed Board of Trustee for Asia by the PFA President Dr Karyn Stockwell at PFA International. Early on Dr Banez received the 2014 Model Section Award for his outstanding performance in the association. DA

Contact: Mondial Congress & Events Operngasse 20b 1040 Vienna Austria Tel: +43 1 588 04 0 Fax: +43 1 588 04 185 E-mail: europerio8@mondial-congress.com

ITI Education Week Boston Boston, USA Jun 8 - 12, 2015

Contact: ITI International Team for Implantology ITI Headquarters Peter Merian-Strasse 88 4052 Basel Switzerland Tel: +41 61 270 83 83 Fax: +41 61 270 83 84 Email: headquarters@iti.org

Sino-Dental Beijing, China

Jun 9 - 12, 2015 Contact: International Health Exchange and Cooperation Center, National Health and Family Planning Commission Rm. 703,B3 Wudongdalou, No.9 Chegongzhuang Street , Beijing, 00044 P.R.China Tel: +86-10-88393917 Fax: +86-10-88393924 Contact Person: Ms.Carol Kang Email: info@sinodent.com.cn

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24th Annual Congress of the EAO Stockholm, Sweden Sep 23 -26, 2015

AIO 8th International Congress “Focus on Dentistry” Chia Laguna Resort Sardinia, Italy Jun 11 - 13, 2015

Contact: AIO SARDEGNA Fax: 0039 070 674561 Email: aiosardegna@aio.it

Sept Events Helsinki, Finland ITI Congress Finland Helsinki, Finland Sep 11 -12, 2015

Contact: ITI International Team for Implantology ITI Headquarters Peter Merian-Strasse 88 4052 Basel Switzerland Tel: +41 61 270 83 83 Fax: +41 61 270 83 84 Email: headquarters@iti.org

Contact: Meetagain Konferens Råsundavägen 13 169 67 Solna Tel: 46 8 664 58 00 Email: eao2015@meetagain.se

WFO 2015 – 8th International Orthodontic Congress ExCeL London One Western Gateway Royal Victoria Dock London, UK, E16 1XL Sep 27 - 30, 2015

Sep 22 - 25, 2015

Contact: Christopher M. Simpson Communications Managaer Tel +41 22 560 8134 Fax +41 22 560 8140 Email: csimpson@fdiworldental.org

Oct 15 -17, 2015

Contact: International Congress of Oral Implantologists 55 Lane Road Suite 305 Fairfield, NJ 07004 Phone: 1-(800) 442-0525 or 1-(973)-783-6300 Fax: 973-783-1175

Contact: Kenes UK Unit 8A, Tileyard Studios, Tileyard Road, Kings Cross, London N7 9AH, UK Tel: +44 (0) 20 7383 8030 Fax: +44 (0) 20 7383 8040 Email: ukinfo@kenes.com Website: wfo2015london.org

IDEA C.I.C.E.S. (Centre International du Commerce Extérieure du Sénégal) Hall Senegal Route de l’Aéroport L.S.S – BP : 8166 dakar-Yoff, Dakar, Senegal

October Events

Contact: http://www.ideadakar.com/

ITI Congress Greece, Athens Athens, Greece

November Event

Oct 10 -11, 2015

FDI World Dental Congress Bangkok, Thailand

International Congress of Oral Implantologist (ICOI) Berlin, Germany

Contact: ITI International Team for Implantology ITI Headquarters Peter Merian-Strasse 88 4052 Basel Switzerland Tel: +41 61 270 83 83 Fax: +41 61 270 83 84 Email: headquarters@iti.org

Oct 17 -19, 2015

7th Dental Facial Cosmetic International Conference Jumeirah Beach Hotel Dubai, UAE Nov 13 - 14, 2015

Contact: CAPP FZ L.L.C Office 1103 | Fortune Executive Tower | JLT P.O. Box: 450355 | Dubai, UAE Tel: +971 4 3616174 Fax: +971 4 3686883 Mob: +971 50 4243072

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