November-December 2017 | No. 6, Vol. 7PUBLISHED IN DUBAI www.dental-tribune.me

Stabilized Stannous Fluoride Dentifrices are toothpastes of choice: ME Dental Consensus

Dental Hygienist Seminar 2017 educates over 300 dental hygienists from MEA region

By Dental Tribune MEA / CAPPmea

DUBAI, UAE: On 02-03 November 2017, a selected panel of ME elite den-tal academicians gathered for a two-day scientific consensus to discuss recommendations for best choice of toothpaste. This unique assem-bly took place at The Address Hotel, Dubai Marina, UAE. The results were presented live on stage at the 9th Dental Facial Cosmetic International Conference which took place at ICH in Dubai Festival City on 03-04 No-vember 2017.

The consensus was led by Professor Hien Chi Ngo, Dean of College of Dental Medicine of the University of Sharjah and Dr. Elias Berdouses, Board Member of Emirates Pediat-ric Dental Club. The consensus was achieved by the Delphi methodol-ogy (A structured survey approach conducted in multiple rounds of questionnaires and answers. It is re-garded as a systematic, interactive forecasting method relying on a group panel of experts1), resulting in an unbiased evidence based conclu-sion on the best type of toothpaste available. The panel of experts in-cluded:

IntroductionAn ideal toothpaste should protect gums, teeth and the oral environ-ment with minimal side effects and environmental impacts. In addition to the body of evidence support-ing fluoride effectiveness, evidence suggests that Stabilized Stannous Fluoride, with verified bio-availa-bility, has additional benefits. In association with sustained patient

compliance (daily use) and effective mechanical debridement; this group recommends the following:

Gum HealthThere is emerging scientific evidence supporting the anti-inflammatory action of Stabilized Stannous Fluo-ride. In Patients with gingivitis, which can predispose to periodon-titis, there is evidence that a tooth-paste with Stabilized Stannous Fluo-ride has distinctive advantages in restoring and maintaining gingival health by reducing plaque and calcu-lus deposition.

Tooth HealthThere is strong evidence to support that Stabilized Stannous Fluoride is superior to other forms of fluorides in anti-bacterial efficacy and the re-duction in acidogenicity of plaque. Stabilized Stannous Fluoride based toothpaste has been found to be ef-fective in managing dental caries. A Stabilized Stannous Fluoride based toothpaste, in addition to addressing all etiological factors helps reduce progression of erosive tooth wear. There is strong evidence to support that the use of Stabilised Stannous Fluoride toothpaste is effective in re-ducing dentine hypersensitivity.

GeneralBased on the recommendation of the European Academy of Paedi-atric Dentistry (2009), the dosage for toothpaste for children is twice daily: Up to 2 years of age: a pea size of 500ppm, 2 to 6 years of age: a pea size 1000ppm and 6 years and above

1450ppm fluoride: 1-2cm. Where higher concentrations of Fluoride toothpastes are not available, larger amounts and longer exposure to toothpaste may be recommended based on individual needs. It is rec-ognized that patients with fixed orthodontic appliances may have an increased risk of gingival inflam-mation and dental caries. We rec-ommend further scientific studies in the areas of peri-implantitis, root caries and dentine erosion. To in-crease compliance, oral health care providers should consider the ef-fectiveness of products and patient specific needs regarding age, medi-cal conditions, taste and texture. In conclusion, based on current litera-ture we recommend that a Stabilized Stannous Fluoride based toothpaste is the toothpaste of choice.2

Over the two days, the consensus culminated in the above recommen-dations which are agreed and signed off the by expert panel:Prof. Hien Chi Ngo – Moderator, Dean of College of Dental Medicine, University of Sharjah, UAEDr. Elias Berdouses – Moderator, Board Member Emirates Pediatric Dental Club, UAEProf. Crawford Bain – Chairman Peri-odontics Department, Hamdan Bin Mohammed College of Dental Medi-cine, UAEDr. Arwa Al-Sayed – Chairman of the Saudi Fellowship Program in Im-plant Dentistry, Saudi Commission for Health Sciences, KSADr. Eleftherios Kaklamanos – As-sistant Professor of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, UAE

Dr. Naif Al-Mosa – Chairman Depart-ment of Pediatric Dentistry and Or-thodontics, King Saud University, KSADr. Montaser Al-Qutub – Head, Divi-sion of Periodontics and Postgradu-ate Program Director in Periodontics, King Saud University, KSADr. Ajay Juneja – Specialist Prostho-dontist, Dental Studio, UAEProf. Khaled Balto – Director of Post-graduate Endodontic Programs, King Abdulaziz University, KSADr. Samira Al-Sailan - Oral & Maxil-lofacial Surgery Consultant, King Ab-dulAziz University, KSAProf. Nada Naaman – Honorary Dean, Professor Department of Peri-

Consensus Group; Standing: Left to Right Dr. Eleftherios Kaklamanos, Prof. Khaled Balto, Dr. Elias berdouses, Prof. Crawford Bain, Prof. Hien Chi Ngo, Dr. Ajay Juneja, Dr. Montaser Al-Qutub. Sitting: Dr. Samira Al-Osailan, Prof. Nada Naaman, Prof. Arwa Al-Sayed, Dr. Naif Al-Moosa

odontology, Saint-Joseph University, Lebanon

Reference1. Bernice B. Brown (1968). "Delphi Process: A Methodology Used for the Elicitation of Opinions of Experts.": An earlier paper published by RAND (Document No: P-3925, 1968, 15 pag-es)2. Further information on the evi-dence, references and methodolo-gies used can be obtained from Prof. Hien Chi Ngo – Moderator of the Consensus. Please email dtmea@dental-tribune.me with your en-quiry.

By Dental Tribune MEA / CAPPmea

DUBAI, UAE: Dental Hygienist Semi-nar 2017 once again took place as part of 9th Dental Facial Cosmetic International Conference on 03-04 November 2017 at InterContinen-tal Hotel Dubai Festival City. The event which focuses on the dental hygienist profession was organized in collaboration between CAPP and Colgate Oral Care Academy with the support of the International Federa-tion for Dental Hygienists (IFDH) and

the Emirates Dental Hygienist Club (EDHC).

This year’s 9 edition of the Dental Facial Cosmetic International Con-ference welcomed over 3,000 dental professionals, establishing itself as Middle East & Africa’s largest scien-tific international dental programme incorporating several continuing dental education events organized

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Dental Tribune Middle East & Africa Edition | 6/2017 HYGIENE TRIBUNEC2

New campaign focuses on oral health during pregnancyBy DTI

BRUSSELS, Belgium: The European Federation of Periodontology (EFP) and Oral-B have launched a cam-paign to highlight the importance of oral health for pregnant women and its possible impact on delivery. The Europe-wide Oral Health and Pregnancy initiative aims to help ad-dress the problem of pregnancy gin-givitis and to bring awareness and advice based on the latest scientific evidence to health professionals and women.

The core element of the Oral Health and Pregnancy initiative is a newly created dedicated web portal. It pro-vides scientific reports, guidelines for oral and other health profession-als, brochures, practical recommen-dations for women, a bibliography, infographics, videos, news items, features, and other educational con-tent—all of which can be accessed free.

“Women’s oral health during preg-nancy is important, not only for its possible impact on delivery—and

thus the possibility of preventing complications—but also for the short- and long-term oral health of pregnant women themselves,” said coordinator of the Oral Health and Pregnancy project Dr. Mariano Sanz, who is Professor and Chair of Periodontology at the Complutense University of Madrid in Spain. “This is the key message we would like to give both to health professionals and to women themselves.”

From a scientific perspective, the main contribution of the portal is

the publication of four fully refer-enced scientific papers specially written for the initiative. According to the EFP, the articles cover the im-portance of women’s oral health dur-ing pregnancy, the biological mecha-nisms between periodontal disease and pregnancy (a narrative review of studies and a systematic review and meta-analysis), and the importance of treating periodontal disease dur-ing pregnancy.

“By raising awareness about oral health risks during pregnancy and

offering simple solutions, we hope to encourage more women to seek professional dental care and to im-prove their at-home oral health care while expecting,” said Dr. Anja Rist, professional and scientific relations manager for oral care for Europe, the Middle East and Africa at Procter & Gamble, owner of the Oral-B brand.

by CAPP. Over 20 multidisciplinary hands-on training courses, a two day conference & exhibition, den-tal toothpaste consensus, free CME training zones, poster presentations

and the Dental Hygienist Seminar 2017 all took place at the InterCon-tinental Hotel Dubai Festival City, UAE between 01-06 November 2017. Conference delegates received con-

tinuing dental education points for their attendance from numerous accrediting bodies including Dubai Health Authority (DHA), Health Au-thority Abu Dhabi (HAAD) and CAPP as an ADA CERP recognized provider of continuing education credits.

This year’s Dental Hygienist Seminar educated over 300 dental hygienists from GCC, MENA, Asia and Europe. The gathering was enlightened by the positive energy of the dental ex-perts who visited and presented hy-gienist relevant lectures throughout the day. Dedicated dental hygienist hands-on courses were further or-ganized in partnership with Colgate Oral Care Academy and the IFDH. The scientific programme was de-signed to increase the level of en-lightenment of all passionate dental hygienist professionals.

Dental hygienist virtuosos from around the world featured through-out the scientific line up including: Session Chairman Dr. Mohammad

Kashif – College of Dentistry Ajman University dental faculty, UAEMary Mowbray, RDH, IFDH, New Zealand – The Issue with the Tissue - The hidden peri-implantitis de-struction caused by excess cement around cement retained implants.Dr Penelope Jones, IFDH, Australia - Working posture in the daily work life.Mary Mowbray, RDH, IFDH, New Zealand - Integrating Oral cancer screening into your practiceMary Rose Pincelli, IFDH, Italy – Peri-odontal Instrumentation & Sharp-ening Hands-on training courseDr. Sahar M. Bin Huraib, King Saud University, KSA - Improving Oral Health Outcomes: Communicate Before Educate, Advocate or Antici-pateAssoc. Prof Dr. Bader K Alzarea, Dean Aljouf Dental College, KSA - The role of Dental Hygienist in Dental Im-plants and Periodontics inter rela-tionMaha Al-Ghouth, King Faisal Special Hospital Research Centre, KSA - Pro-

tocols in Dental Hygiene Manage-ment of Hemophiliac PatientsProf. P. Turner, MSc Oral Implant. In-dia - The role of the dental hygienist in maintenance of aesthetic restora-tions and implant supported resto-rations.

The event further included 4 hands-on courses featuring two sessions of Enhanced Biofilm Management, Working Posture, and Periodontal Instrumentation and Sharpening trainings. The Dental Hygienist Sem-inar 2018 is already scheduled as part of the milestone 10th edition of the Dental Facial Cosmetic International Conference which will take place No-vember 2018 once again in Dubai. All dental hygienist and dental profes-sionals interested in the platform are welcome to attend.

The Dental Hygienist Seminar - a partnership be-tween CAPP and Colgate Oral Care Academy

Prof. P. Turner, MSc Oral Implant. India

Hands-on training “Working Posture” with Dr. Penel-ope Jones, Australia

Session Chairman Dr. Mohammad Kashif – College of Dentistry AjmanUniversity dental faculty, UAE

Dr. Sahar M. Bin Huraib, Saudi Arabia

Mary Rose Pincelli, IFDH, Italy

Assoc. Prof Dr. Bader K Alzarea, Saudi Arabia

Maha Al-Ghouth, Saudi Arabia

Hands-on training “Enhanced Biofilm Management” by Mary Mowbray, New Zealand

Dr Penelope Jones, IFDH, Australia

Mary Mowbray, RDH, IFDH, New Zealand

Hands-on training “Periodontal Instrumentation & Sharpening” by Mary Rose Pincelli, Italy

Title Sponsor of the event was Colgate

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The risks that carbonated soft drinks, alcoholic mixers and wine pose to your patients’ teeth are well-known –increased consumption of acidic food and drinks can lead to tooth erosion and hypersensitivity.

However, even your patients following a healthy life-style may be at risk due to the acidic nature of fruit juices and sports drinks.1 Hypersensitivity results when the tiny dentine channels directly linking to nerves in the tooth become exposed and is associ-ated with pain and discomfort triggered by heat, cold or touch.

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Not only did Colgate® Sensitive Pro-Relief™ provide instant relief of dentine hypersensitivity, both immedi-ately after direct application and after 3 days of use, but it also provided superior pain relief when compared with the other toothpastes.

Recommend Colgate® Sensitive Pro-Relief™ to yourpatients su� ering from hypersensitivity due to acidic tooth erosion – clinically proven to treat hypersensitivityand relieve pain fast.*2

* When toothpaste is directly applied to each sensitive tooth for 60 seconds.† Containing 5% potassium nitrate and 1450 ppm fl uoride as sodium fl uoride.‡ Containing 1450 ppm fl uoride as MFP.

References: 1. Cummins D. J Clin Dent 2009; 20 (Spec Iss): 1 – 9 2. Ayad F et al. J Clin Dent 2009; 20 (Spec Iss): 115 – 122 3. Petrou I et al. J Clin Dent 2009; 20 (Spec Iss): 23 – 31

0

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Dental Tribune Middle East & Africa Edition | 6/2017 HYGIENE TRIBUNEC4

Highlights of 2017 for Leading Oral Hygiene Experts

By Beverly Hills Formula

This year Beverly Hills Formula fo-cused on increasing their brand pres-ence throughout the Middle East by attending several industry events, including the International Dental Conference and Arab Dental Exhibi-tion (AEEDC) and BeautyWorld.

The Dubai International Convention and Exhibition Centre was the stage for Beverly Hills Formula’s launch of their latest Professional White oral hygiene range which were show-cased at AEEDC and have since been highly recognized as the premium professional products by leading in-dustry figures. Dr. Eyass Jebrin, perio-dontist at the Dental Studio in Dubai an Clinica Joelle in Abu Dhabi met up with the Beverly Hills team at AEEDC where he got chance to try their lat-est Professional White range before it was launched on the market.

Dr. Jebrin, who personally uses and recommends Beverly Hills Formula products said. “I’ve been using the Black Pearl toothpaste and Fresh Pearl mouthwash on a daily basis and I love its clean and fresh feeling after each use with its mild fresh taste as I don’t like strong flavors found in other brands.

“When I started using the Perfect White Black toothpaste and latterly the Black Pearl toothpaste I noticed

that my teeth have less stains than before and it has reduced the need for polishing my teeth time after time. The toothpaste ingredients are low in abrasives and I think that the activated charcoal plays an im-portant role in removing the stains without harming the enamel.” Beverly Hills Formula Professional White range includes, Black Pearl whitening toothpaste, Pink Pearl Sensitive whitening toothpaste and Fresh Pearl mouthwash. Another in-novative product within the range includes Precious Pearl Enamel rem-ineralizing serum which won the

award for the Best New Oral Product in this year’s Pure Beauty Awards, London.

Beverly Hills Formula also launched the new Professional White whiten-ing kits at the Dubai Beauty Show in May hosted by Enterprise Ire-land. Attending the event, Chris Dodd, CEO of Beverly Hills Formula explained that the kits had been in development for over two years, ensuring only the highest quality ingredients were included to actively achieve a whiter, brighter, healthy smile. The main active ingredient is PAP - Phthalimido-Peroxy-Caproic

Acid, a non-peroxide teeth whiten-ing ingredient which breaks down discolorations on the teeth with-out affecting the tooth structure. Additionally, PAP supports dental hygiene and health by eradicating bacteria which can harm to teeth. Since PAP is only active on the tooth surface, no irritation is caused to the gums and mucous membranes in the mouth.

Chris Dodd added: “Our teeth whit-ening kits are something we are re-ally excited about because it’s an expansion to our whitening tooth-pastes and mouthwash in to new

devices. Our teeth whitening kits are designed to be used alongside our entire new range of Professional White products which offer a solu-tion for every oral hygiene concern, be that teeth sensitivity, gingivitis, discoloration and enamel protec-tion. We can’t wait to make these products available in the Middle East and were delighted to reveal them first at the Dubai Dental Show and then at the Dubai Beauty Show.”

Beverly Hills Formula were also pre-sent at the annual Summer Sale held at the Four Seasons Hotel in Amman, in September, an exhibition focused mainly on local fashion designers who display their latest trends. Here more than a 2,000 guests visited the event where Beverly Hills Formula presented Perfect White Gold as well as Perfect White Black toothpastes, two of their flagship products from their original Perfect White range. Also in July, Beverly Hills Formula took part in the Amman Street Fash-ion event in Jordan which exhib-ited a wide selection of fashion and beauty products and was attended by over 10,000 visitors.

So as 2017 comes to a close, Beverly Hills Formula have proved that they are not only thriving but driving a growing market in the Middle East.

Dental Tribune Middle East & Africa Edition | 6/2017 HYGIENE TRIBUNEC6

Empower your patients to achieve complete care for a healthier mouth with the new Philips Sonicare DiamondClean Smart

By Philips Sonicare

DUBAI, UAE: Royal Philips (NYSE: PHG, AEX: PHIA) today announces the launch of the Philips Sonicare DiamondClean Smart toothbrush, offering patients complete care for a healthier mouth. The Diamond-Clean Smart is our best and most complete oral care solution, empow-ering dental professionals and pa-tients to achieve superior results and multiple oral care goals from plaque control to gum health to whitening.

With personalized coaching and feedback, an intuitive brushing ex-perience, to new high performance brush heads, the DiamondClean Smart helps eliminate any guess-work and guide them to improve their overall technique; giving pa-tients more confidence they will achieve a complete clean every time. In fact, 95% of those surveyed agreed it’s the most effective prod-uct they’ve used for building healthy brushing habits .

“Connected technology is key to

motivating patients to learn more about their oral health and how they can achieve better results. The new Philips Sonicare DiamondClean Smart is our best and most complete brushing solution ever, using indus-try leading smart sensor technology combined with the heritage of the DiamondClean range. For the first time it allows dental practitioners to help their patients’ achieve multiple oral health goals while monitoring their progress; ultimately to achieve better longer-term care.” (Rachael England-President of Emirates Den-tal Hygienists Club)

The new DiamondClean Smart con-nects to the Philips Sonicare App, giving patients personalized feed-back and coaching which they can choose to share with their dental professional. A suite of smart sensors built into the handle track Location, Scrubbing and Pressure and syncs using Bluetooth® technology. This allows patients to track brushing habits to identify trouble spots to help them achieve 100% coverage for a truly tailored clean . With the

Touch Up and Focus Areas features to guide patients to a better oral care routine; 87% of users surveyed claimed to be a better brusher after just one week of use .

Easier to use with a new intuitive brushing experience, the Philips Sonicare DiamondClean Smart does all the hard work, using Smart Brush Head Technology and a microchip in the brush head to prompt the handle to the right mode and intensity set-ting, and it even reminds patients when to change their brush heads.

To address all patients oral care needs for a healthier mouth, the Diamond-Clean Smart features three brush heads that promise a more precise and tailored clean.

The new brush heads include: • Premium Plaque Control: gently contours to your teeth resulting in four times better surface contact (as compared to DiamondClean brush head) and removes up to ten times more plaque (as compared to a man-ual toothbrush) in hard-to-reach

areas • Premium Gum Care: a small brush head that reaches the very back of your mouth to your molars and achieves up to seven times health-ier gums (as compared to a manual toothbrush) in just two weeks • Premium White: densely-packed stain removal bristles that whiten and polish teeth resulting in a five times whiter smile in three days

Philips Sonicare DiamondClean Smart is available in UAE at the rec-ommended retail price of 1249 AED. And available in Kuwait at the rec-ommended retail price of 105 KWD. The Philips Sonicare app is free to download and available on iOS and Android devices.

References1. Improved oral health for/to sup-port improved overall health2. 95% of consumers surveyed agreed DiamondClean Smart is the most ef-fective product they have used for building healthier brushing habits *in a survey of US patients3. 100% coverage 100% of the time

with DiamondClean Smart4. 87% of Consumers/ patients sur-veyed claim to be a better brusher after 1 week using DiamondClean Smart5. Removes up to 10X more plaque through out the mouth vs a MTB6. Up to 7X healthier gums and clean-er teeth in 2 weeks *in Gum Health mode vs a manual toothbrush; measured by GBI7. Removes up to 5X more stains for whiter teeth in just 3 days*in White+ Mode vs a manual tooth brush using a leading Whitening toothpaste.

For further information please contact:UAE - Castle General TradingTel: +971 4 3328795cgtdub@emirates.net.ae

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Dental filling failure linked to smoking, drinking and genetics

By DTI

PITTSBURGH, U.S.: For a long time in dentistry, filling materials have been a topic of intense interest and now new research out of the U.S. and Brazil has added to the discussion. The study found that not only smok-ing and drinking but also a patient’s genetics can negatively affect the success of a filling, suggesting that personalized dental treatment could lead to improved outcomes.

The researchers, from the University of Pittsburgh School of Dental Medi-cine in the U.S. and the University of Pernambuco’s dental school in Bra-zil, investigated a large number of dental records from the Pittsburgh school’s Dental Registry and DNA Repository, which contains informa-tion on patient fillings and rates of failure up to five years after the re-storative procedures. It also contains information on patient lifestyles, including smoking and drinking habits, and a DNA sample from each patient, allowing the team to inves-tigate whether patient lifestyle and genetic factors may affect the failure rate of composite fillings.

The team found that, within two years of the procedure, fillings failed more often in patients who drank alcohol, and the overall filling failure rate was higher in men who smoked. Furthermore, a difference in the gene for matrix metalloproteinase (MMP2), an enzyme found in teeth,

was linked to increased filling failure. The researchers then hypothesized that MMP2 might be able to degrade the bond between the filling and the tooth surface and potentially lead to failure. However, according to the re-searchers, more investigation needs to be done before any definitive con-clusions can be drawn.

In an interesting turn in the debate between amalgam and composite fillings, it was found that there were no major differences between pa-tients receiving either material in terms of filling failure rates. The re-searchers suggested that this shows composite fillings are at least as du-rable as amalgam fillings and offer a viable alternative with no toxic ingredients.

“A better understanding of individu-al susceptibility to dental disease and variation in treatment outcomes will allow the dental field to move forward,” said lead author Prof. Al-exandre Vieira, from the Pittsburgh dental school’s Department of Oral Biology. “In the future, genetic in-formation may be used to personal-ize dental treatments and enhance treatment outcomes.”

The study, titled “A pragmatic study shows failure of dental composite fillings is genetically determined: A contribution to the discussion on dental amalgams,” was published on Nov. 6 in the open-access journal Frontiers in Medicine.

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