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| BHOPAL | 23RD MARCH 2014 | PAGES 12

BPH, INDIA | ESTABLISHED 2012 |

ORO FACIAL CHRONICLE A NEWSPAPER WITH GLOBAL VISION OF MEDICINE AND DENTISTRY

VOL: 07 ISSUE-03

CMYK

ISSN (PRINT): 2278-9286

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DENTAL IMPLANTOMANIA AT SAVEETHA DENTAL

Visit: www.orofacialchronicle.org

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RNI No: MPENG/2012/45594

S hor t News

CLINICAL TRIALS

Aam Aadmi Party fields Dentist against Farooq Abdullah

SC asks details on deaths from Centre

SRINAGAR: RTI activist Raja Muzaffar Bhat will be the Aam Aadmi Party’s candidate against sitting MP from the Srinagar constituency and National Conference patron Farooq Abdullah in the upcoming Lok Sabha elections. A dentist by profession, Bhat, 37, has faced the wrath of the government for taking some ruling politicians head on in the past. He has used RTIs to dig out corrup Cont d PAGE -03

Violators cannot get away with apology: Supreme Court

NEW DELHI: As per a news report published in a leading daily The Supreme Court has sent out a loud message that unconditional apology after willful violation of its orders will not entitle those facing contempt proceedings to any mercy. Making an examp of a medical college in Madhya Pradesh run by Suresh Narayan Vijayvargiya for admitting Cont d PAGE -03

New Delhi: The Supreme Court this month directed the Centre to provide details on the number of deaths and severe adverse effects caused to people who were subjected to clinical trials. As reported by a leading daily a bench headed by Justice RM Lodha expressed concern over the issue saying the government must take a balanced approach so that development in the areas of research is not hampered and at the same time people’s lives are also protected. The court passed the order after it found that there were discrepancies in the numbers given by the petitioner NGO and the government. While the NGO claimed that in 2012 and 2013, there were around 4,000

DCI Issues Direction to all Dental Colleges New Delhi: Dental Council of India issued directions to all dental colleges in the country to create their Cont d PAGE -03

Delhi Slums get Aussie-funded dental clinic New Delhi: Dwellers of slums in the city’s Govindpuri area might have a reason to smile, literally, with an Australian aid programme having funded the setting up of a dental clinic which would cater to them. The Shanti Sahyog Charitable Dental Centre, a one-room AC facility was unveiled by Lisa Usback, Consul General, Australian High Commission, which runs the Direct Aid Program (DAP). The grant programme supports small-scale, sustainable grassroots development projects in India. Meanwhile, nestled in the middle of 17 slums, the clinic established by NGO Shanti Sahyog aims to cater to around 30,000 families. The NGO

is already running a variety of programmes dealing with education of the girl child, night shelters,etc., for the underprivileged. The Commission has granted around Rs 3.17 lakh for dental care equipment for the clinic.

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Dr. Deepak Nallaswamy

Postal Reg No : M.P./Bhopal/4-304/2013-15

Price: Rs.5/-

Dental care on wheels, across India

cases of severe adverse effects of drugs trial, including deaths, the government claimed the figure stood at 506, with 89 cases of deaths. Further the daily report also states that the court also said that compensation was granted only to kin of those who died during the trials and Cont d PAGE -03

THIRUVANANTHAPURAM : Like many others, travel is a passion for 62-year-old Rajendrasinh Rathod. But the journey of this former Mayor of Vadodara is unique as he traverses the rural areas of the country with a clinic in tow, offering free dental treatment. Dr. Rathod, a qualified dentist, started his 1,200-day ’Real Rural India on Wheels’ tour from Dwarka on February 17 last and has covered nine States before reaching God’s Own Country. His specially designed caravan has Cont d PAGE -03

CMYK

Dr. Satheesh Reddy

DENTAL PULSE ACADEMY MAKES ITS TEAM PROUD


NATIONAL

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MARCH 2014

Colgate now Targets GSK A fter sparring with Hindustan Unilever & Procter & Gamble, the oral care leader has unleashed new ads targeting GSK’s gum care specialist Parodontax A mother takes her daughter to the dentist, clutching an apple in her hands. The apple, halfeaten, has blood stains on it, which the dentist says is because of bleeding gums. Oral care giant Colgate is doing everything it can to draw the attention of consumers to the problem of bleeding gums,

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common in India. Colgate is targeting these people. But it isn’t the only. GlaxoSmithKline Consumer’s Parodontax also targets the same problem. According to a published news report after sparring with

Dental Pulse Academy makes its team Proud Hyderabad: DENTAL PULSE ACADEMY is extremely proud of its team and students for securing exceptional ranks in AIPG and state PG entrance exams during 2013-14. DPA’s vision of turning students dreams into reality was well proven Dr. Satheesh Reddy with almost 200 plus selections (including AIPG 3, 8; AP 8, 9 & 11, Gujarat 5, 10 &11; Orissa 3, 5, 7; Kolkatta 1, 5 & 6 etc..). DPA now has almost 15 plus centers throughout the country becoming a strong academic force to reckon with. The students of DPA have done exceptionally well by securing with in the first 10 ranks of many state dental PG entrance exams like AP, Orissa, west Bengal, Gujarat, COMEDK and more. Riding high on the success the DPA team soon plans to come out with more effective and innovative academic solutions for dental students.

Hindustan Unilever and Procter & Gamble, Colgate is now training its guns at GSK Consumer. The two have been in battle before for a share of the sensitivity toothpaste segment, Cont d PAGE -11

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Prescription Necessary for Antibiotics MUMBAI: Retail chemists have started asking for prescriptions while dispensing 46 medicines across therapies-these cover over 7,000 formulations in the domestic market. The sale restrictions apply to popular antibiotics, best-selling cough syrups like Corex and certain anti-tuberculosis medicines, all of which used to be easily available over the counter. The new rules kicked in this month, following a government notification to restrict abuse of antibiotics and anxiety depressants.That’s not all. Cont d PAGE -11

Colgate and GSK have been routinely speaking to dentists to ensure recommendation for their products Colgate in association with the Indian Dental Association, has also conducted dental camps on problems such as gumbleeding and sensitivity GSK recently conducted a survey in Delhi, Kolkata, Hyderabad and Kochi to show its Sensodyne toothpaste was recommended by eight of every 10 dentists in the country

CBI nails Dental Council member in a conspiracy against a TN college

New Delhi: The Dental Council of India is in the eye of a storm yet again. For the past three years, CNNIBN has relentlessly reported on what ails the Dental Council. According to a recent news report published by CNN-IBN a member of the DCI colluded with a former principal of a Tamil Nadu college to derecognise it. CNN-IBN claims that it has accessed a final report of the CBI's anti-corruption branch in Chennai. The CBI report raises questions on the role of current DCI member Dr. Joseph Isaac saying he gave a 'false and exaggerated report'.

The story unfolds in Coimbatore's Sri Ramkrishna Dental College and Hospital, which in 2011 was looking to expand 100 seats. The CBI report says that in 2011 the then principal of the college, Dr. JM Jayaraj, was asked to step down. Dr. Jayaraj on his way out chose to hit back by colluding with Dental Council member Dr. Joseph Isaac to have the entire institute derecognised. Dr Isaac, who visited the college in August 2011 pointed out 62 discrepancies. Dr .Debashish Banerjee, also a member of the DCI, was sent later to verify Dr. Isaac's observations derecognising the college. Dr. Isaac, being a nominee of the Government of India, cannot be removed by the Dental Council. Any action against him can only be initiated by the Health Ministry. The question is with the CBI raising questions against him, will the action be taken ??.

"Sensodyne is no.1 recommended brand"Says Survey New Delhi: GlaxoSmithKline's Sensodyne is now India's no.1 dentist recommended brand for sensitive teeth, as per research conducted among dentists by Taylor Nelson Sofres(TNS), a world leader in market research, global market information and business analysis. Sensodyne came out as the clear leader and was voted "most recommended" brand by more than 500 dentists surveyed across the country.According to the research more than 8 out of 10 dentists recommend Sensodyne to their patients suffering from sensitivity.

FORM IV (SEE RULE 8) Statements about ownership and other particulars about the newspaper entitled OROFACIAL CHRONICLE as required to be published in the first issue every year after last day of february 1. Place of publication-

Bhopal

2. Periodicity of publication-

Monthly

3. Printer’s Name: Mr. Shashank Agrawal Shabd Offset Pvt. Ltd.

Whether Citizen of India: Yes

Z-23, Zone-I, M.P. Nagar, Bhopal 4. Publishers Name: Anita Bhargava Bharat Paper House

Whether Citizen of India: Yes

Bhargava Industries Campus, Industrial Estate, Govindpura,

MCI shrinks own ambit, doctor bodies out of ethics code New Delhi: In a bizarre move, the Medical Council of India (MCI) - the apex regulatory body of doctors and the medical practice in the country has decided to shrink its own jurisdiction. It has reinterpreted its code of ethics regulations as being applicable only to individual doctors and not doctors’ associations. Clause 6.8 of the Code of Medical Ethics Regulation 2002 clearly states that it pertains to "code of conduct for doctors and profes-

sional association of doctors in their relationship with pharmaceutical and allied health sector industry". However, the executive committee of the new MCI in its meet-

ing on February 18 decided that the term "association of doctors" be deleted from the clause. It went on to add that any action it took against any association of doctors by virtue of clause 6.8 shall be nullified and that such proceedings would stand annulled. Endorsement is expressly forbidden by the code of ethics, which says that no doctor ought to endorse any commercial product or drug or therapeutic article.

ORO FACIAL CHRONICLE

Bhopal-462023, (M.P.) 5. Editor’s Name:

Rajkumar Bhargava

Whether Citizen of India: Yes

6. Name and Address of individuals who own the newspaper and partners or

Raj Kumar Bhargava

share holder holding more than one

H-11 Nishat Enclave

percent of the total paid up capital.

74 Bungalows Bhopal -462003 (M.P) India

I, Anita Bhargava, hereby declare that the particulars given above are true to the best of my knowledge and belief. For Bharat Paper House

Prop.

(Signature of the publisher) Anita Bhargava


STATE

OFC-03 C ontinued From Page-01 SC asks details... asked why it should not be paid to those who were severely effected but alive. It also directed the Centre to file an affidavit on what steps it was taking for making provision of payment of compensation to people who are affected in clinical trial. The court had earlier directed the government to ensure audio-visual recording of consent of clinical trial subjects. The Supreme Court is hearing a PIL filed by Swastha Adhikar Manch seeking directions for regulation of clinical trials of new drugs and chemical entities. Source:PTI

Dental care on... two bedrooms, a work station, and a bathroom.A dental chair has been attached to the body of the van. Dr. Rathod, hails from the royal family of erstwhile Limdi. He has completed 218 days, treated 6,400 patients, and organised 54 camps in the rural areas of these 10 States.Having travelled to 78 countries and to Mauritius 101 times, where he runs a dental college, the dentist takes inspiration from a tour that had been undertaken by his father, Suryasinh Rathod, a general surgeon by profession.The tour will culminate at Dakor, near Vadodara, on February 17, 2017.

Dentists Day Celebrated at PCDS Bhopal:Department of Public Health Dentistry, PCDS, Bhopal coordinated multiple listed activities to commemorate Dentists Day on 6th March 2014 under the guidance of Dr. Ajay Bhambal, Prof and Head of the department. A quiz competition for the undergraduate students and an essay competition for postgraduate students of the institution were organized & winners of both the competitions were felicitated on this day. Tobacco Cessation counselling was undertaken in the department run tobacco cessation centre and patients were counselled for quitting tobacco related habits. Free Preventive dental procedures were carried out in the department along with free distribution of medicines to the needy patients. Dental health education programs along with community nutrition program was organized at the Anganwadi centre, Gunga for the registered Anganwadi workers, mothers and children; Sambhavana satellite centre for survivors of the Bhopal Union Carbide disaster and at Govt. middle school Khamakheda.

GRADUATION DAY CELEBERATED AT RISHIRAJ COLLEGE OF DENTAL SCIENCES.

DCI Issues Directi... own dental college website and display pertinent information on the website. This is a welcoming step undertaken by the council for the benefit of General Public as well as for maintaining the standard of Dental Education in the country.

Violators cannot get... 107 more students in MBBS course than what was permitted by the court, a bench of Justices B S Chauhan, K S Radhakrishnan and S A Bobde imposed a fine of Rs 50 lakh on the contemnors. Adding to the misery, the bench ordered that the excess seats filled by the medical college would be counted against its quota for the academic years 2014-15 and 201516, thus substantially reducing the intake of students for the next two years. The medical college and its management took various pleas in the contempt proceedings initiated on a petition by the state government and the director of medical education department.The medical college and its management had taken a stand that since they had become subject to Private Universities Act, the state government's Admission and Fee Regulatory Committee Act would not apply.The bench rejected this argument.

Aam Aadmi Party... tion cases at the block level of Budgam district. Bhat has also pioneered the RTI movement in Jammu and Kashmir.

MARCH 2014

Bhopal: The third Graduation Day was celebrated at Rishiraj Dental College campus on 1ST March with great pomp and extravaganza. Profe-

ssor Dr.Nisha Dubey, Vice Chancellor of Barkatullaha University, Bhopal was the Chief Guest. On this day Students took the sacred Hippocratic oath to

dedicate their life to the well being of the sick .Later degrees were awarded to the students. Other dignitaries present on the occasion were Shri Suresh Chouksey and Shri Anupam Chouksey Director and Secretary of LNCT Group of College respectively. The program convenor Dr. Anisha Maria ,Dean ,RCDS greeted the parents and encouraged the new graduates to try to achieve new heights in their career. The program was coordinated by Ms. Jyoti Rai,Dr. Ambika Shrivastav and Dr. Arpan Shrivastava.

New Registration Facility at M.P State DCI Indore: M.P. State Dental Council started online registration facility for all the Dentists, Dental Hygienists and Dental Mechanics on Council’s website, http://mpsdc.org.in from this month. An online renewal will be started shortly.

Senior Dentist Passes Away Sagar: A senior leading Dentist Dr.Abhisek Verma, working as a dental surgeon at Govt.Tilli Hospital,Sagar passed away this month. He was suffering from chronic liver impairment. OFC extends its condolences to the bereaved family.

International CDE Update Jabalpur: A mega CDE program with renowned international & national speakers was organized by IDA M.P State & hosted by IDA Jabalpur branch .The 2 day program named "Oral Surgery Update " covered various topics of oral surgery related to day to day dental practice. Welcome speech was given by IDA M.P State president Dr.Alok Purohit. Prof. Dr.J.N.Khanna was the chief guest of this function. Scientific sessions were chaired by stalwart Dr.Rajesh B.Dhirawani. Lectures were deliberated by Dr.G.E.Ghali

& Dr.Timothy Turvey, both senior surgeons from USA.Renowned oral & maxillofacial surgeons Dr.Vimal Kalia, Dr.Deepak Kulkarni, Dr.Beonjome Kim & Dr.Jayesh Vahanwala also enlightened the participants in brief regarding the various facets of oral surgery and shared their vast clinical experiences. Vote of thanks was given by Dr.Anurag Sahu at the end of the program .IDA MP State secretary Dr.Manish Verma congratulated all the members for successful organization of the mega event.

ORO FACIAL CHRONICLE


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LIFE & STYLE

MARCH 2014

DENTAL IMPLANTOMANIA at Saveetha Dental College dental implants are one of the best tooth replacement options, however its high cost has often led patients to chose alternative options. Cost factors have been given due consideration and Saveetha Implant Academy offers implants at a nominal price of Rs.2000/- and crown at Rs.1000/Dr. Deepak Nallaswamy Saveetha’s forte to provide unparalleled quality service to the patients has led to a welcome increase in patients opting for dental implants. This has not stopped this institution to constantly strive and achieve better than the best!

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th Feburary 2014,Saveetha Academy of Implant Dentistry was filled with jubiliation as students and faculty gathered to celebrate 1005 dental implant placements.This feat was accomplished in a period of less than two years. Saveetha Dental College is first of its kind where undergraduate students are trained meticulously in implant dentistry. Each undergraduate student places 6 implants which is a part of the syllabus and Prosthodontics, oral surgery and periodontics post graduate students place 15-30 dental implants each. In addition to this there is an exclusive fellowship program dedicated to Implantology. It is one of the leading institutions in the country which has always provided the best training to become able health care professionals. Saveetha Academy of Implant Dentistry, is one among many successful ventures of Saveetha Dental College. This academy is running under the able guidance of Dr. Deepak Nallaswamy. With advance technology and subsidized costs dental implant treatment is made available to the masses. It is a well organized and systematic centre that offers accurate treatment panning and treatment that matches global standards.Saveetha is first of its kind in South East Asia to use imported european implants. This is supported by state of the art German CEREC-CAD/CAM crown milling. As an adjunct, U.S.A. imported 3 D printer has found a place to improve and advance this dental implant academy. To ensure good treatment is provided to the patients, each student presents his/her case to a panel of specialists before commencing the procedure. Students are trained to handle every case in a fastidious manner.Treatment planning is done using CBCT, which is present in the hospital and fully functional. This machine is a hybrid radiography unit for OPG and CBCT. Saveetha Dental College is the only dental institution in South East Asia to have an integrated clinical CAD-CAM machine. While the CAD-CAM units ensure immediate delivery of crowns and restorations, the integrated CAD-CAM-Galileos system has the ability to virtually plan and mill surgical stents for implants, which otherwise have to be sent to Switzerland! "Time and tide waits for no man" keeping this in mind and considering it imperative, latest machine technology assists in delivering fast treatment to the patients. A separate clinical department known as Department of Implantology is equipped with dental chairs and two surgical units.The department is always bustling with patients and students which has today led to the placement of 1005 of implants. Research shows

For more details, please contact: Dr. Murad Afrsheedi Chairman of Prophylaxis Commitee, IADS prophylaxis@iads-web.org

For more Info mail at : info@iads-india.org National Incharge (India ): Dr. Navnit Pathak(navnitp29@gmail.com) or Dr. Praveen Singh(drpraveen.omfs@gmail.com).

ORO FACIAL CHRONICLE


INTERNATIONAL

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MARCH 2014

Bundles of nerves, arteries provide wealth of new stem cell information A

new Ostrow School of Dentistry of USC study not only uncovers new details on how bundles of nerves and arteries interact with stem cells but also showcases revolutionary techniques for following the cells as they function in living animals. Principal investigator Yang Chai, director of the Center for Craniofacial Molecular Biology at the Ostrow School of Dentistry, and research associate Hu Zhao authored the article, which appeared in February Issue, 2014 in the journal Cell Stem Cell. The study focused on neurovascular bundles (NVB) -- groupings of nerves and

blood vessels intertwined throughout the body -- and their interactions with mesenchymal stem cells, or MSC. The team specifically examined how the cells operated in the incisors of mice; those teeth continually regrow over a

mouse’s lifespan, indicating that stem cells are present. Typically, MSC are studied in vitro, or harvested from animals and examined outside of their natural environment. However, Chai and his team used a

different molecular marker to highlight the cell s expression of the protein Gli1 and follow MSC in living mice. They discovered that the bundles are rich in stem cells -- including MSC that wouldn’t have been detected using conventional markers and techniques. It turns out that this newly uncovered population of MSC helps maintain a normal cellular environment, while stem cells normally detected by the more wellknown markers focus on injury repair, Chai explains in his study. Chai has developed a system in which he can follow MSC in their natural environment and see how they contribute to home-

Byproducts from bacteria-causing gum disease incite deadly oral cancer growth

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he discovery could lead to early saliva testing for the bacteria, which, if found, could be treated and monitored for signs of cancer and before it develops into a malignancy, researchers say. "These new findings provide one of the first looks at how the periodontal bacteria create a unique microenvironment in the oral cavity that contributes to the replication the Kaposi’s sarcoma Herpesvirus (KSHV) and development of KS, "expalined Fengchun Ye, the study’s lead investigator from Case Western Reserve School of Dental Medicine’s Department of Biological Sciences. The discovery is described in The Journal of Virology article, "Short Chain Fatty Acids from Periodontal Pathogens Suppress HDACs, EZH2, and SUV39H1 to Promote Kaposi’s Sarcoma-Associated Herpesvirus Replication." The research focuses on how the bacteria, Porphyromonas

gingivalis (Pg) and Fusobacterium nucleatum (Fn), which are associated with gum disease, contribute to cancer formation. Ye writes in his study that high levels of these bacteria are found in the saliva of people with periodontal disease, and at lower levels in those with good oral health - further evidence of the link between oral and overall physical health. KS impacts a significant number of people with HIV, whose immune systems lack the ability to fight off the herpesvirus and other infections. KS first appears as lesions on the surface of the mouth that, if not removed, can grow into malignant tumors. Survival rates are higher when detected and treated early in the lesion state than when a malignancy develops. Also at risk are people with compromised immune systems: people on medications to suppress rejection of transplants, cancer patients on chemother-

apies and the elderly population whose immune systems naturally weaken with age. The researchers wanted to learn why most people never develop this form of cancer and what it is that protects them.The researchers recruited 21 patients, dividing them into two groups. All participants were given standard gum-disease tests. The first group of 11 participants had an average age of 50 and had severe chronic gum disease. The second group of 10 participants, whose average age was about 26, had healthy gums, practiced good oral health and showed no signs of bleeding or tooth loss from periodontal disease. The researchers also studied a saliva sample from each. Part of the saliva sample was separated into its components using a spinning centrifuge. The remaining saliva was used for DNA testing to track and identify bacteria Cont d PAGE -11 present, and ORO FACIAL CHRONICLE

ostasis. The study revealed that the MSC populations within NVB are located around arterioles, or small arteries that branch off to bring blood to tissues. Sensory nerves within the bundles secrete a protein called Shh to regulate the stem cells, demonstrating a practical reason for the bundling of the nerves and blood vessels. Such bundles are a ubiquitous anatomical feature and are found in every organ in humans. The study not only highlights the need to cast a wider net in order to identify all stem cells but also emphasizes the need to understand the environment around the cells, Chai adds up.

Journal Reference Hu Zhao, Jifan Feng, Kerstin Seidel, Songtao Shi, Ophir Klein, Paul Sharpe, Yang Chai. Secretion of Shh by a Neurovascular Bundle Niche Supports Mesenchymal Stem Cell Homeostasis in the Adult Mouse Incisor. Cell Stem Cell, 2014; 14 (2): 160 DOI: 10.1016/j.stem.2013.12.013.


INTERNATIONAL

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MARCH 2014

High blood sugar levels linked to increased wound complications after surgery A

new study released shows that among patients undergoing surgery for chronic wounds related to diabetes, the risk of wound-related complications is affected by how well the patient’s blood sugar levels are controlled before surgery. These findings appeared in the October issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).The risk of serious wound complications is more than three times higher for patients who have high blood glucose before and after surgery, and in

those with poor long-term diabetes control, according to the study by ASPS Member Surgeons Drs. Matthew Endara and Christopher Attinger of the Center for Wound Healing at Georgetown University, Washington,DC.The researchers emphasize the need for "tight control" of glucose levels before surgery for diabetic patients at high risk of wound complications. The researchers analyzed rates of wound-related complications in 79 patients undergoing surgery for closure of chronic wounds -- a common and troublesome complication of diabetes. Blood glucose levels were measured five days before and after surgery. Hemoglobin A1c, was

measured an average of two weeks before surgery. Blood glucose levels and diabetes control were analyzed as risk factors for

wound dehiscence, wound infections and need for repeat surgery. Blood glucose levels over 200 were considered to represent elevated blood glucose

(hyperglycemia). The results showed a higher risk of wound complications in patients who had high blood glucose levels

either before or after surgery. For eg: wound dehiscence occurred in about 44 percent of patients who had high glucose levels before surgery, compared to 19

percent of those without preoperative hyperglycemia.The risk of wound dehiscence was also higher for patients with high blood glucose levels after surgery and for those with high hemoglobin A1c levels (that is, poor long-term diabetes control). With adjustment for other factors, the risk of wound dehiscence was more than three times higher for patients with hyperglycemia or elevated hemoglobin A1c around the time of surgery. Patients with wide swings in blood glucose levels -variation of more than 200 points -- were about four times more likely to undergo repeat surgery. Otherwise, blood glucose levels and hemoglobin A1c were unrelated to the

risk of reoperation or wound infections. In recent years, tight control of blood glucose levels has been shown to improve a wide array of outcomes in patients with diabetes. Surprisingly, the new study is one of the first to look at how blood Cont d PAGE -08

Journal Reference Matthew Endara, Derek Masden, Jesse Goldstein, Stephen Gondek, John Steinberg, Christopher Attinger. The Role of Chronic and Perioperative Glucose Management in High-Risk Surgical Closures. Plastic and Reconstructive Surgery, 2013; 132 (4): 996 DOI: 10.1097/PRS.0b013e3182 9fe119.

Stem cells found in gum tissue Contaminated Dental Surgery Equipment can fight inflammatory disease Source of Legionnaire's Disease Death

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tem cells found in mouth tissue can not only become other types of cells but can also relieve inflammatory disease, according to a new Ostrow School of Dentistry of USC study in the Journal of Dental Research. The study indicates that the stem cells in the gingiva -obtained via a simple biopsy of the gums -- may have important medical applications in the future. The cells featured in the study are gingival mesenchymal stem

cells (GMSC), which are found in the gingiva, GMSC, like other stem cells, have the ability to develop into different types of cells as well as affect the immune system. Cont d PAGE -08

Journal Reference X. Xu, C. Chen, K. Akiyama, Y. Chai, A. D. Le, Z. Wang, S. Shi. Gingivae Contain Neuralcrest- and Mesoderm-derived Mesenchymal Stem Cells.Journal of Dental Research, 2013; DOI: 10.1177/0022034513497961

he Lancet describes a case report of an 82-yearold woman in Italy who died of Legionnaires disease after becoming infected with L pneumophila at her dentist. This case has prompted the authors led by Dr. Maria Luisa Ricci at the Istituto Superiore di Sanita, Rome, Italy, to call for various control measures at dental surgeries to prevent similar incidents. Suffering with fever and respiratory distress, the woman who was conscious and responsive and had no underlying disease, was admitted in February, 2011, to the intensive care unit of Department of emergency Anaesthesia and Intensive Care Unit, Forl , Italy. Results from a chest radiography showed multiple areas of lung consolidation. A Legionella pneumophila urinary antigen test quickly diagnosed the woman with Legionnaires’ disease and she was immediately given oral ORO FACIAL CHRONICLE

antibiotics (ciprofloxacin) every 12 hours. However, she sadly died two days later after developing rapid and irreversible septic shock, prompting an investigation to find the source of L pneumophila. The patient had been at home for the majority of the time during the 2 to 10 day incubation period, leaving only twice to attend dentist appointments. The investigators took water samples from the dental prac-

tice’s tap, the tap and the highspeed turbine of the dental unit waterlines, as well as from the woman’s home (shower and taps) in order to investigate possible L pneumophila contamination. They found that samples from her home tested negative for L pneumophila, but samples from the dental practice tested positive. After laboratory experiments were conducted, results showed genomic matching between L pneumphila in the dental unit waterline and in the women’s respiratory secretion. L pneumophila is a Gram-negative bacterium found in man-made water systems and is ubiquitous in natuCont d PAGE -08


WWW.DOOOX.DE

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MARCH 2014

Dear Dental Colleagues & DoooX® Members P

lease go in the next few days on our portal and complete your profile there. For those who will go for our gold membership, we currently have a special offer for you ,instead of 149 Euro per year,

you pay just 99 Euro s. Many advantages, such as reduced course fees, subscription fees subsidized by our media partners and others.We are constantly expanding to your good.This April we will continue our DoooX

roundtables on various topics - taking place monthly. As all our online activities are recorded and available on our common platform,You can watch them whenever and wherever you are - Even on your mobiles.

New Forum in the Orthodontics Group Dear Readers, We just opened a new forum in the Orthodontic Group. So Join and Get Active!! Ian Hutchinson, BDS FDS RCSEd M.OrthEd MSc, now started his column "Ian Hutchinson’s monthly thoughts" and a forum in his group on our common platform www.DoooX.com. For that, we also created a new group "Orthodontics" (log in - my DoooX - groups). This group will also be guided by Ian Hutchinson Our E-Certificate course with Ian Hutchinson will start very soon.

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Ian Hutchinson’s monthly thoughts: Power Plate’ comes to Orthodontics? There have been several techniques suggested to quicken orthodontic treatment, for example self ligating brackets. However, there is a new and unusual device which has been proposed to reduce orthodontic treatment times, no matter what appliance is used! Could this be the answer to the question that seems to plague our days - ’when can I get my braces off?’ The concept is .... more on www.DoooX.com

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Our Goal Dr. Ahmed H. Ayoub, Egypt.

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MEDICOZ

Continued from Page 6 High blood sugar levels...

glucose levels affect the risk of complications in patients undergoing surgical treatment for chronic diabetes-related wounds. The results help to make the case for "tighter glycemic control" in diabetic patients undergoing surgery with a high risk of wound complications, Dr. Attinger and coauthors believe. They also note that surgeons may need to consult with specialists to manage diabetes control in these "medically complex patients."

Contaminated Dental... ral water environments. The bacteria can infect individuals by inhalation or microaspiration of aerosolized water causing Pontiac fever (a flu-like disease) or Legionnaires’ disease (severe pneumonia), mostly affecting immune-compromised patients and the elderly. Spas, fountains, air-conditioning systems, and hotwater systems, have been demonstrated to be leading sources of infection. It has been widely documented that dental waterlines are substantially contaminated with Legionella and studies have also demonstrated that the blood of dentists and dental practice staff has a higher prevalence of antibodies to L pneumophila, which indicates that people working in a dental practice environment are potentially at risk. However, prior to this case, the researchers knew no other cases in which Legionnaires’ disease had been linked to this source of infection. The case here shows that the disease can be acquired from a dental unit waterline during routine dental treatment. Aerosolized water from high-speed turbine instruments was most likely the source of the infection. Legionella contamination in dental unit waterlines must be minimized to prevent exposure of patients and staff to the bacterium. Source: Rattue, Grace. "Contaminated Dental Surgery Equipment Source of Legionnaire’s Disease Death." Medical News Today. MediLexicon, Intl., 17 Feb. 2012.

Stem cells found... Previously, the developmental origins and abilities of GMSC hadn’t been fully illustrated. This study shows that there are two types of GMSC: those that arise from the mesoderm layer of cells during embryonic development (M-GMSC) and those that come from cranial neural crest cells (N-GMSC). The cranial neural crest cells develop into many important structures of the head and face, and 90 percent of the gingival stem cells were found to be N-GMSC. The two types of stem cells vary dramatically in their abilities. N-GMSC were not only easier to change into other types of cells, including neural and cartilageproducing cells; they also had much more of a healing effect on inflammatory disease than their counterparts. When the N-GMSC were transplanted into mice with dextrate sulfate sodium-induced colitis -an inflamed condition of the colon -- the inflammation was significantly reduced.The study indicates that the stem cells in the gingiva -- obtained via a simple biopsy of the gums -- may have important medical applications in the future.

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MARCH 2014


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Celebrating Healthy Smiles What is World Oral Health Day (WOHD)?

MARCH 2014

World Oral Health Day 20 March 2014

World Oral Health Day (WOHD) is celebrated every year on 20 March. It is an international day to highlight the benefits of a healthy mouth and promote worldwide awareness of issues around oral health and the importance to everyone old and young of looking after oral hygiene.

The theme is "World Oral Health Day 2014, Celebrating healthy smiles"- because having a healthy mouth is cause for celebration! This umbrella concept is complemented with the addition of various taglines highlighting the enjoyable things we can do when we have a healthy mouth and a healthy smile: Eat, laugh, kiss, brush, whistle, rinse, chew for a healthy mouth! Source: www. fdiworldental.org

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What is the theme for WOHD 2014?

ABOUT US Archives of CraniOrofacial Sciences, ACOFS is a Semi Annual Peer Reviewed Online Journal with monthly supplemental issues on topics of CraniOrofacial Region printed in association and support of Oro Facial Chronicle, a Medical & Dental media newspaper. The journal is published by Bharat Paper House (BPH) which is one of the oldest Printers and Publishers in Central India [Bhopal]. The journal full text is available online on it s website. The journal allows free access (Open Access) to its contents and permits authors to selfarchive final accepted version of the articles on any OAI compliant institutional / subjectbased repository. The journal does not charge for submission, processing or publication of manuscripts and even for color reproduction of photographs. Author can submit manuscript with cover page at acofseditor@gmail.com any time. The journal covers technical and clinical studies related to health, ethical and social issues in field of CraniOrofacial Sciences.Articles with clinical interest and implications are given preference. Students, Researchers, Clinicians and other Healthcare Professionals can worldwide access this journal to help them fuel new discoveries and improve patient care.

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CAREERS:GET AHEAD

MARCH 2014

CHRISTIAN DENTAL COLLEGE ANNOUCEMENT Application are invited for the post of

n PROFESSORS n ASSOC. PROFESSORS n ASST. PROFESSORS In the departments of : Prosthetic n Conservative Dentistry n Oral Pathology & Microbiology n Oral Surgery n Oral Medicine & Radiology n Orthodontia n Periodontia n Community Dentistry n Pedodontia & Preventive Dentistry at Christian Dental College, Ludhiana n

The Candidate should possess a postgraduate Qualification (MDS) as per D.C.I. regulation Application with complete bio-data record of past experience should reach to:

Dr. Abi M. Thomas (Principal) Christian Dental College, Ludhiana-141008 (P.B.) ORO FACIAL CHRONICLE


TECHNO-UPDATE

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Continued from Page 2,5 Colgate now Targets... nine per cent of the overall Rs. 6,000crore-a-year toothpaste market. The published report says that "GSK has 26 per cent share of the Rs. 540-crore sensitivity market, ahead of Colgate. Colgate did not specifically indicate its market share in the sensitivity segment. But sector analysts say Colgate Sensitive Pro-Relief, the company’s answer to GSK’s Sensodyne, lags the latter. In gum care, the latest emerging oral care category, both Colgate and GSK have focused on raising awareness as well as pushing their products largely through modern trade and pharmacies.

Prescription Necessary... These medicines will undergo a change in packaging, and be sold with a boxed warning. Firms are in the process of changing the packaging so as to display the drug formulation with the symbol ’Rx’ in red conspicuously displayed in the left top corner of the label. This change will be effected for those medicines which contain the substance specified in Schedule H1 of the Drugs and Cosmetics Rules 1945, and as part of the fourth amendment in the Drugs and Cosmetics Rules, 2013. Although the government notification was issued last year after a decision taken by the Drugs Technical Advisory Board, the changes including the sale and labelling of medicines were to be implemented from March 1. Also, chemists will now be required to maintain records of the names of the doctor, the patient for whom the medicine has been prescribed and the quantity of all such drugs sold by them. As per the notification, such records will have to be maintained for three years and will be open for inspection by the state regulatory authority, and the Drug and Controller General of India.

Byproducts from... After introducing SCFA, the virus began to replicate. But the researchers saw that, while the fatty acids allowed the virus to multiply, the process also set in motion a cascade of actions that also inhibited molecules in the body’s immune system from stopping the growth of KSHV. With this knowledge, those with HIV must be informed about the importance of good oral health and the possible consequences of overlooking that area. Source: Case Western Reserve University. "Byproducts from bacteria-causing gum disease incite deadly oral cancer growth." Medical News Today. MediLexicon, Intl., 27 Feb. 2014.

MARCH 2014

New Device Treats Brain Injury By Zapping Nerves On The Tongue

T

he tongue-mounted invention may help soldiers rebuild neural connections after traumatic brain injury. A new electronic device could treat brain damage by stimulating nerves on the tongue to send signals to the brain. The Portable NeuroModulation Stimulator, or PoNS, is named after part of the brain stem and aims to repair damaged neural connections. Developed by NeuroHabilitation with funding from the U.S. Army, the batterypowered device is targeted at a specific type of damage called traumatic brain injury, which can cause long-term impair-

ments to memory, coordination, and balance. More than 250,000 soldiers suf-

fered traumatic brain injury between 2000 and 2012, according to the Pentagon. Here’s how PoNS works: The user bites

Ouchless Needles Cool Skin, Make Injectable Cosmetic Treatments Less Painful

A

lthough injectables such as Botox and dermal fillers have made cosmetic treatments much easier for patients, the needles used in these treatments can still cause pain and discomfort. Traditional local anesthetic creams on the injection site can take over half an hour to take effect, but Louisville, KY-based BellaNovus claims that its new line of Ouchless Needle devices will solve this problem while also minimizing post-procedure numbness. The Ouchless Needle is a small dispos-

able device which numbs the injection site by simultaneously cooling the surrounding skin. This patent pending Ouchless Needle is a disposable syringe-attachable dispenser that delivers a precise stream of numbing vapocoolant to the skin just ahead of the tip of the needle just before the skin is pierced, and does not leave patients with post injection numbness. The Ouchless Needle is designed to work ergo-nomically with a syringe and can be used by either right or left handed practitioners for single hand injection.

CareFusion's V. Mueller New Line of Bipolar Electrosurgical Tools

C

areFusion is releasing a new line of customized bipolar electrosurgical devices that include a variety of forceps and scissors. The V. Mueller branded tools can be selected by surgeons to be non-stick, be made of titanium, and have irrigation capabilities. The bipolar energy delivery to the instrument through a single cord allows for less damage to nearby tissue while preventing cords from tangling around each other and allowing surgeons easier access around the surgical site.

down on the device while performing a 20- or 30-minute series of physical and cognitive exercises tailored to the patient’s particular deficits. PoNS then stimulates nerve endings on the tongue in way that mirrors the exercises, hopefully allowing the brain to repair damaged neural connections. Doctors observed persistent patient improvement after a week of daily sessions with PoNS. At a time when soldiers are likelier than ever to survive a battlefield injury, this tongue-to-brain device offers a glimpse at the kind of medical care veterans will need for decades to come.

Calcivis Caries Activity Imaging System Receives CE Mark

C

alcivis (Edinburgh, UK) has received CE Mark approval for its Calcivis Caries Activity Imaging System. With this system dentists are able to detect and visualize demineralization of teeth, representing tooth decay caused by caries. The system does this by imaging free calcium ions at the tooth surface which indicate active demineralization. The Calcivis Caries Activity Imaging System consists of an in-clinic device which combines a sensitive intraoral camera and application technology to deliver a disclosing solution, containing a photoprotein, onto the tooth surface. The photoprotein binds calcium ions and emits a blue light signal proportional to the amount of calcium present.

New MediHoney Hydrogel for Treating Burns

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rinceton, NJ-based Derma Sciences has announced FDA 510(k) approval of its MEDIHONEY Hydrogel Wound and Burn Dressing. This newest entry in the company’s MEDIHONEY line of dressings is indicated for treatment of first and second degree burns. MEDIHONEYfi dressings, a

unique line of dressings containing Active Leptospermum Honey from New Zealand, possess unique qualities that make them ideal for the management of chronic and acute wounds and burns. A strong

ORO FACIAL CHRONICLE

and growing evidence base including several large scale randomized controlled studies have shown that MEDIH O N E Y fi dressings are effective on hard-to-heal wounds and burns, in addition to helping to

debride wounds and keeping wound beds clean of necrotic tissue. Because they contain a very high percentage of Leptospermum honey, MEDIHONEYfi dressings are able to work in the presence of wound fluid, blood, and tissue, thus promoting an optimal healing environment.


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OFC-12

University of Greifswald Germany

MARCH 2014

Institute of Laser & Aesthetic Medicine

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