aug/sep/oct 2011aug/sep/oct 2011 malaysian dental association 54-2, 2nd floor, medan setia 2, plaza...

Aug/Sep/Oct 2011

Malaysian Dental Association54-2, 2nd Floor, Medan Setia 2, Plaza Damansara, Bukit Damansara, 50490 Kuala Lumpur, Malaysia.

Tel: 603-2095 1532, 2095 1495 Fax: 603-2094 4670 E-mail: [email protected] / [email protected] Website: www.mda.org.my

Note:This newsletter is a publication of the Malaysian Dental Association and opinions expressed herein are that of the authors and do not necessarily re�ect the opinion of the editorial board, the MDA council or the said Association. MDA NEWS shall not, without written consent of the Association, to be hired, lent, given or otherwise disposed of by way of trade or a�xed to or as part of any publication or advertising, literary or pictorial matter whatsover.

Editor : Dr Shalini Kanagasingam Advertising & Classi�eds Chairperson : Dr Eileen Koh Mei Yen Contributing Writers : Dr Lavanyah Ponnuthurai Dr Mary Melissa Sarimuthu Dr Ibrahim bin Shahruddin Ex-o�cio : Dr Mohamad Muzafar Hamirudin Treasurer : Dr Ng Woan Tyng

• Introducing the new MDA Council and Committees 2011/2012 Pg 8

• "Doctor, how long will my root-treated tooth last?" Pg 19

• Depigmentation of gingivae and lip with Digital Pulsed Diode Laser Pg 16

• Risk Management:Facts,Myths and Choices Pg 23

• Discussing YOUR concerns with the Principal Director of the Oral Health Division Pg 12

• Updates on National Specialist Register Pg 10

DR MOHAMAD MUZAFAR HAMIRUDINPresident

Malaysian Dental Association

Assalamualaikum wbt dan Salam Sejahtera.

Dear Friends and colleagues,

First of all, I must congratulate my predecessor Dato' Dr How Kim Chuan and his able council members who had lead MDA successfully during the last term. They have set a high standard of leadership quality and policy for the new council members to benchmark. This would be a challenge for me and the rest of my council members and not to forget the subcommitte chairpersons to be at par or equal with them. Nevertheless, I do believe I have the support of young blood- who are energetic to serve our beloved MDA and its members in particular. For this, I thank all MDA members who have certainly voted the best candidates to serve on the current council.

During my term as the president, I would like to foster good team work amongst the council members and subcommittee members. Therefore, I have personally handpicked the committee chairpersons from amongst those who have excelled in their service to MDA. They in turn have been given the liberty to choose the members of their committees. By doing so, I believe this will create a balanced and harmonious working environment.

I would also like to welcome any MDA members who would like to volunteer their kind assistance to any of the committees. Please do submit your details for consideration. In view the ongoing effort to improve our performance, Dr Haja Badrudeen and I would like to urge all members who would like to contribute ideas or give constructive comments to send in your views to us. We hope this would elevate our association to its highest potential.

Transperancy is very important in any organization. This will be adhered to by all council members and any decision pertaining to our association will be made collectively and in a democratic manner. I have also planned to report on all MDA activities in a News Flash column. This feature will be on our MDA website for members to view so that they need not have to wait for the quarterly MDA newsletter to be updated on the latest activities organized by MDA.

MDA needs to continue to grow in order to serve as one voice for the dental profession. Therefore, I feel that there is a need for us to work even more closely with the affiliates. I sincerely hope that this will improve relations and encourage more local dental associations to join the MDA family. I am also pleased to see the MDA membership expanding as more young dentists and enthusiastic dental students join our fraternity.

Public awareness on oral health has always been our priority and I intend to reaffirm MDA’s commitment in bringing this to the forefront. In view of this issue, MDA strives to continue to work with our partners, and perhaps use this platform to also educate the public regarding the various specialties and roles of the dental profession.

I hope that all MDA members will continue to support our beloved organization and work hand in hand with the new council to achieve even greater heights together!

Salam 1 MDA,

Dr Mohamad Muzafar HamirudinPresidentMalaysian Dental Association

DR HAJA BADRUDEEN B. SIRAJUDEENPresident Elect


Dear Colleagues,

Assalamualaikum and warm greetings.

Firstly, allow me to express my appreciation for electing me into this August office to serve the dental fraternity. I am truly honored to pen a few words on my maiden message as the deputy to President Dr Muzafar Hamirudin.

Appointment of Portfolios :At the first Council Meeting, which was held on 26th June, the appointment of Chairman of Committees took place. A brief description of my appointments :

1. Chairman, Affiliates Committee MDA Affiliate associations are: - Malaysian Endodontic Society - Malaysian Academy of Aesthetic Dentistry - Malaysian Private Dental Practitioners Association - Malaysian Oral Implant Association - Malaysian Association of Prosthodontics

The MDA would be working to foster greater working relationship among the Affiliates and our very own three MDA Zone Committees in areas of mutual interest like the streamlining of the annual CPD Calendar, common stand in regards to matters affecting the profession when dealing with various department under the Ministry of Health, the role of an Affiliate body as a CPD Provider and ways to go about accreditation of CPD programs, dealing with rise in number of complaints against practitioners and ways to minimize them and to combine effort to realize the organizing of International Conventions like the Asia Pacific Dental Congress, Commonwealth Dental Conference and the FDI Annual World Dental Congress.

2. Co-Chairman CPD CommitteeThis term the CPD Chairman is Dr Kalaiarasu and together we will come up with an array of CPD programmes very relevant to General Practitioners. We are working hard to chart the CPD calendar on monthly basis at our MDA Secretariat and also to visit and bring our CPD programme to our members in other states. The CPD programme will serve as a platform to listen to the members and addressing issues raised. I am sure many members are looking forward to want more clarification and the mechanism involved regarding the soon to be made Law pertaining to the APC and CPD Points tie up in detail. We will embark on a CPD roadshow to address that too. CPD programmes of interest to our Dental Specialists would also be organized with the collaboration of College of Dental Specialists in our annual conventions.

3. Co-Chairman 19th FDI/ MDA CommitteeI am delighted to co-chair the 19th FDI/ MDA Convention with our young and dynamic Council member Dr Raymond Chai. The Convention would be held this time in Sunway Convention Centre from the 14th- 15th January , 2012. Plans are in the pipeline to get Affiliate Associations involved by creating an Affiliate Symposium so that all disciplines could be included in the Scientific Programme.

4. Co-Chairman Govt. Legislation & Policy CommitteeAs incoming President, it would be a good opportunity to keep myself abreast with the current development and policies affecting the profession. I would be accompanying President, Dr Muzafar, in representing MDA in various meetings. Discussions on issues such as on 1Care, National Health Financing, Dental Tourism, Globalization, CPD & Annual Practicing Certificate and other concerns will be examined.

DR CHOW KAI FOOHonorary General Secretary


I would like to urge the MDA members to contact me at [email protected] and leave your comments, be it to show support or as constructive criticism so that we could address and work on it. Thank you for all the support rendered and 'God Bless.'

Dr Haja Badrudeen bin Sirajudeen President ElectMalaysian Dental Association

First of all, I wish to express my appreciation and thanks to all my fellow members of the MDA for the trust and confidence shown to me to take up this very weighty post of Hongensec of the Malaysian Dental Association.

The MDA Council 2011-2012 kicked off to a fast and furious pace of meetings, correspondence and reports to make the transition smooth and effective. Government and private bodies had to be informed together with laying down SOPs for the handling of meetings with the various government committees so that the MDA can make its voice heard. The MDA will persevere to contribute to the evolvement of important policies, rules and laws that will impact our profession both now and in the long term. As always we will firmly root for the interests of the members of the profession and that of our true masters, the public at large.

Issues of patients’ complaints, clean water, xrays, advertisements, drugs, aesthetic medicine and dentistry are some of the eclectic mix of subjects that had to be addressed in meetings with the various government committees. We also met with representatives of the Dental Protection Limited to discuss plans to continue moving forward to educate our members of the importance and methodology of managing and resolving complaints from the public.

We also have to prepare the AGM minutes of the 68th MDA AGM for submission to the Register of Societies which have just been accomplished with the unstinting diligent co-operation of the able staff of the MDA Secretariat and everyone concerned. The submissions were of particular importance because of the amendments that were passed during the AGM. These amendments enabled the setting up of the Board of Trustees of Wisma MDA and empowered it to manage all the fixed properties of the MDA for the benefit and welfare of all members.

Looking forward to an exciting and fruitful year.

Serving together with you.

Dr Chow Kai FooHonorary General SecretaryMalaysian Dental Association

DR NG WOAN TYNGHonorary Financial SecretaryMalaysian Dental Association

Dear esteemed MDA members,

It gives me great privilege to be the Honorary Financial Secretary of Malaysian Dental Association for second time running. I wish to take this golden opportunity to pen down my sincere gratitude to the membership for entrusting me to serve in this capacity for further one term.

Our President Dr Mohamad Muzafar Hamirudin always believes that to ensure the association’s current strong fundamental is to practise financial prudence and economic wisdom at all times, as well as providing accountable and transparency to all matters. With that in mind, the financial committee vow to work hard to ensure that the financial policy is strictly adhered to. We also hope to improve our bottom line to see a stable growth of income, especially from our mutual partnership with dental traders and sponsors, as well as esteemed members; control wastages and hence strengthen the balance sheet of our beloved association, not forgetting to safeguard the membership’s financial interest.

To our Muslim colleagues, I wish all of you Selamat Berpuasa and Selamat Hari Raya Aidilfitri. I also would like to wish our Hindu colleagues a very Joyous Deepavali in advance.

Yours truly

Dr Ng Woan TyngHonorary Financial SecretaryMalaysian Dental Association

Dear friends and colleagues,

Thank you very much for entrusting me with the post of Honorary Publication Secretary for a second term. I am excited to take on another year of service to our organization and I look forward to working closely with the newly elected council members.

I would like to take this opportunity to introduce the MDA News Editorial Team:Editor: Dr Shalini Kanagasingam (email: [email protected])Advertising & Classifieds Chairperson: Dr Eileen Koh Mei Yen (email: [email protected] )Contributing Writers:Dr Lavanyah Ponnuthurai (email: [email protected])Dr Mary Melissa Sarimuthu (email: [email protected])Dr Ibrahim bin Shahruddin (email: [email protected])Ex-officio: Dr Mohamad Muzafar Hamirudin Treasurer: Dr Ng Woan Tyng

DR SHALINI KANAGASINGAMHonorary Publication Secretary


I have included the email addresses of the relevant team members in order to facilitate direct communication where necessary. Members who wish to place Classifieds or Advertisements should contact Dr Eileen and your information will be included in the upcoming issue of MDA News. Those who would like to contribute articles, reports or share their views in general should email our contributing writers, Dr Lavanyah, Dr Mary and Dr Ibrahim.

Submission deadlines for the next 3 issues are as follows:Issue Deadline for article, advertisement,classifieds etc submissionNovDec2011Jan2012 10th October 2011FebMarApr2012 10th January 2012MayJunJul2012 10th April 2012

As the newsletter is a quarterly publication, some members have stated that they may not be able to share or access the latest information. As such, we are in the process of setting up an online Classifieds feature on the MDA website to compliment the existing printed media. This is in line with our President’s move to introduce the News Flash section which will keep our members consistently up to date regarding MDA activities and future events.

As for the Malaysian Dental Journal (MDJ), we are in the process of procuring funding and sponsorship for revamping the journal, under the able leadership of Dr Muzafar and Dr Haja Badrudeen. We are still in the process of finalizing the members of the Editorial Board. This term, the responsibilities will be delegated to a larger team of dental colleagues from various fields. We hope to increase efficiency and improve reponse time to contributors, both local and international.

I would like to take this opportunity to invite MDA members to volunteer or nominate leaders in the dental fraternity who could take on the eminent roles of Chief Editor and Associate Editor. The final line-up will be announced on the MDA website as well as the upcoming issue of MDA News. In the mean time, please do continue to contribute scientific articles (including literature reviews, research, case reports etc) to via the email addresses below:[email protected] [email protected] [email protected]

Malaysian Dental JournalCall for MDA members to submit applications for:• Chief Editor (1 position available)• Associate Editors (multiple positions available)

I look forward to the challenges of this new term on the MDA Council. As always, I welcome any ideas, feedback and constructive criticism from members. Thank you for your kind support!

Best wishes,

Dr Shalini KanagasingamHonorary Publication SecretaryMalaysian Dental Association

8 • Aug/Sep/Oct 2011

Introducing the new MDA Council and Committees

Administration & Finance Committee Chairperson: Dr. Ng Woan TyngMDA-DPL Liaison Committee Chairman: Dr. Chow Kai FooPatients Complaints Bureau Committee Chairman: Dr. Shashitharan SadacharanConstitution Amendments Committee Chairman: Dato' Dr. A RatnanesanDental Students Liaison Committee Chairman: Dr. Ibrahim ShaharudinAffiliates Liaison Committee Chairman: Dr Haja Badrudeen bin SirajudeenAwards Committee Chairman: Dato' Dr. S. SivanesanMDA Seal and Dental Products Recognition Committee Chairman: Dr. Lee Soon BoonDental Trade Liaison Committee Chairman: Dr. Teh Tat BengMDA Homepage Committee Chairman: Dr. Neoh Gim BokWisma MDA Board of Trustees Chairman: Dato' Dr. How Kim Chuan (elected for a 3-yr term)MDA CPD and Accreditation Committee Chairman: Dr Kalaiarasu Peariasamy19th FDI-MDA Scientific Convention and Trade Exhibition 2012Organizing Chairman: Dr. Raymond ChaiCDA/MDA/FDI International Scientific Convention and Trade Exhibition cum 69thMDAAGM 2012Organizing Chairman: Dr John TingInternational Relations Committee Chairman: Dato' Dr. How Kim Chuan35thAPDC 2013 KL Committee Chairman: Dato' Dr. A RatnanesanDental Tourism and Globalization Committee Chairman: Dr. Lee Soon BoonCommunity Dental Services Committee (CSR) Chairman: Dr. Muzafar HamirudinGovernment Policy and Regulatory Committee Chairman: Dr. MuzafarFDI National Liaison Officer: Dr. Neoh Gim BokATM Liaison Officer: Brig. General Dato' Dr. IlhamGovernment Liaison Officer: Datin Dr. Nooral Zeila Junid

Chairmanship for MDA's CommitteesMDA Committees 2011 - 2012

President : Dr Muzafar HamirudinImmediate Past President : Dato' Dr. How Kim ChuanPresident Elect : Dr Haja Badrudeen bin SirajudeenHon. General Secretary : Dr Chow Kai FooHon. Financial Secretary : Dr Ng Woan TyngHon. Publication Secretary : Dr Shalini KanagasingamAsst Hon. General Secretary : Dr Kalaiarasu PeariasamyAsst Hon Financial Secretary : Dr Darren YapElected Council Members : Dr. Mumtaj Nisah Abdul Rahim Dr. Thaddius Herman MalingSCODOS Chairperson : Dr. Muz'ini Bte MohammadChairman Northern Zone : Dr Goon Yong PorSecretary Northern Zone : Dr Teh Tat BengChairman Southern Zone : Dr Angie Wong Chin MeeSecretary Southern Zone : Dr. Leong Chee SanChairman Eastern Zone : Dr Roland ChiaSecretary Eastern Zone : Dr Hu Chang LekAppointed Council Members : Datin Dr Nooral Zeila Junid Datuk Dr. Brig. Gen. Ilham Dr Raymond Chai

9Aug/Sep/Oct 2011 •

DISCUSSING YOUR CONCERNS WITH THE PRINCIPAL DIRECTOR OF THE ORAL HEALTH DIVISION

Reported by Dr Chow Kai FooMDA Honorary General Secretary

17th August 2011

The MDA Council paid a courtesy visit to Dato’ Norain bt Abu Talib, the principal director of the Oral Health Division of the Ministry of Health on the morning of the 15th of August 2011. The delegation was led by the MDA President Dr Muzafar Hamirudin. He was accompanied by Dr Chow Kai Foo, Dr Ng Woon Tyng, Dr Darren Yap, Dr Raymond Chai and Brig. Jen. Dato Dr Ilham bin Hj Haron. Datin Dr Nooral Zeila Junid who is also a council member was also present but sitting on the government side.

We were welcome into their spacious meeting room where we were joined by the rest of the officers on the government side. Dato’ Norain chaired the meeting. The first order of the day after the formal introductions was to confer upon Dato’ Norain life membership of the MDA by Dr Muzafar. A citation was read by Dr Chow just before the conferment, followed by due applause and congratulations. Other matters of the day were as follows:-

1. We raised up the matter of the need for an additional high priced certificate course before a general practitioner is allowed to operate an OPG. We were then informed that it has been reduced from RM1000 to RM600. We asked for a further reduction to RM100 and also the possibility of allowing the MDA and its affiliates to run the certificate course. We were advised to write in for permission to be a provider of the certificate course. We also urged the possibility of doing away with it altogether since we feel that dentists in general are already well versed in radiation safety in addition to having lead lined rooms in their surgeries.

2. On being informed about the inordinately long time taken to obtain a clinic license, the officer concerned explained that within a month of the submission of the application and if there is no reply, the dentist can proceed to begin renovation. Once the renovation is completed, a request for inspection can then be made during which the dentist can begin operations. Within a month of the request for inspection, there should be an inspection after which it will take several months before the official license signed by the DG of Health is issued.

3. On the issue of security of dental clinics in the light of several robberies and break-ins into dental clinics in the past months, the Oral Health Director suggested that the matter be raised with the minister who can liase with the Ministry of Home Affairs and the police more effectively.

4. Concerning the amendments to the Dental Act, a request to view the amendments before it goes to the parliament was not legally possible. We were assured that the request to allow non-dentists to be a director of a clinic will be part of the amendments. As to the request for allied dental professions to be included into the Dental Act, this is still being debated.

In conclusion, we extended our deep appreciation and thanks to the Oral Health Division and the Principal Director for their past support in sending delegates to major MDA functions. We look forward to continued and firm rapport and support between the MDA and the Oral Health Division of the Ministry of Health. In the words of the MDA President, the meeting was very fruitful and a success.

heartfelt condolences to

immediate past president dato dr how kim chuan

on the passing of his beloved fathermr how kok wah on 19th july 2011


National Specialist Register : How Does It Affect Dental Specialists?

In order to practice dentistry in Malaysia, dental practitioners have to be registered with the Malaysian Dental Council, this being a requirement under the Dental Act 1971. The register encompasses Division I and Division II practitioners. For the former i.e. the dental surgeons (Division 1 practitioners), their eligibility for registration is based on the basic degree qualifications he/she has attained from recognized universities. However, no provision has been made for specialists to be registered under this Act.

In the Ministry of Health (MOH), there exists a gazettement exercise for specialists delivering care at the Ministry’s facilities, which forms a necessary requirement under the General Order. Once recognized as a specialist, his/her name is listed in the Government Gazette (Warta Kerajaan). Specialists are required to be gazetted in order to be employed in designated posts of the civil service, and to be given appropriate remuneration. For the MOH, this has been a smooth ongoing exercise. A similar type of gazettement exercise exists in the Ministry of Defence and in the Universities. However, between the various institutions, the processes and criteria in the gazettement mechanism may differ, thus resulting in a variation in standards. Meanwhile, for the private sector, no such mechanism has been available. It was therefore felt that a credentialing mechanism for specialists should be in place for both the private and public sectors. In 1999, the Academy of Medicine of Malaysia (AMM) started its own Specialist Register, which was officially launched in November 2000 by YBhg Tan Sri Dr Abu Bakar Suleiman, the then Director-General of Health and Master of the AMM. Since then, the MOH and the AMM have collaborated to establish the National Specialist Register (NSR). Numerous meetings and workshops involving various professional bodies were held in the process of establishing the register. Discussions and debates were undertaken to fine-tune the criteria for registration and the competencies required for the respective specialties. Initial funding to establish the NSR Secretariat was provided by the Ministry of Health.

The NSR is to ensure that individuals designated as specialists are appropriately trained and fully competent to practise in their chosen specialty. Through the NSR, medical and dental practitioners will be able to identify fellow specialists in the relevant specialties to whom they can refer either for a second opinion or for further management. Of more importance, the NSR is for the protection of the public as it will help them to identify the relevant specialists to whom they may wish to be referred or may wish to consult. The NSR is considered an exercise in self-regulation by the medical and dental professions, to maintain and safeguard high standards of specialist practice in the country, keeping the interest and safety of the public at heart.

Both the Medical Act and Dental Act are being repealed. Once these new Acts become law, the Malaysian Medical Council (MMC) and Malaysian Dental Council (MDC) will be in a position to ensure that those admitted to the register are competent and fit to practice. The maintenance of a register of competent specialists is fundamental to the regulation of a profession. Without a national register of specialists, there is no complete data on the total number of specialists in the country nor the types of specialties being practiced. This is regarded as an impediment towards strategizing and training for specialist manpower and the provision of healthcare services.

To meet the requirements of the Private Healthcare Facilities and Services Act, private hospitals will need to refer to the NSR, as the Act requires these facilities to have a credentialing mechanism in place. Dental practitioners practicing in the hospital setting are often required to display NSR certification. Meanwhile, with the impending healthcare reform (1Care) and implementation of a National Health Financing Scheme, payment for service will be based on the qualification and skills of the practitioners. The NSR will be an essential reference point. In addition, under the umbrella of the ASEAN Free Trade Agreement (AFTA) and the World Trade Organization (WTO), Malaysia will be opening its doors to foreign practitioners. It is essential that the NSR is in place to ensure that only appropriately qualified and competent foreign practitioners are permitted to practice their respective specialties in this country. This will safeguard the interest of the public, and ensure that standards of specialist practice are not compromised.

While the Medical and Dental Acts undergo due processes before being passed by Parliament, there is a need to sensitize specialists in the country on the impending register of specialists. The Ministry of Health has agreed that in the meantime, credentialing of specialists will be undertaken by the National Credentialing Committee (NCC). The Director General of Health, who is the President of the Malaysian Medical Council as well as the President of the Malaysian Dental Council, is the Chairman of the NCC. The NCC comprises 4 members from MOH and 4 members from AMM. The terms of reference of the NCC are to:

1. Provide guidelines on standards of specialist practice.2. Verify specialist status and credential specialists.3. Maintain the National Specialist Register4. Act as an Appeal Board on matters related to credentialing.

The NCC is assisted by various Specialty Sub-committees (SSCs), which define training criteria and standard of practice of their individual specialties. Presently, there are more than 44 specialty subcommittees listed. The Chairman of the NCC appoints

Prepared by Datin Dr. Nooral Zeila Junid


members to the SSCs. Each SSC comprise representatives from the MOH, the AMM and if necessary, the respective specialist society. The SSC members review and approve applications following submission of documented proof of qualification and training according to agreed criteria. Once satisfied, the SSC makes recommendations to the NCC for applicants to be credentialed as specialists. Currently, the dental specialty disciplines registrable under the NSR are:

1. Oral Surgery 5. Paediatric Dentistry 2. Oral Pathology and Oral Medicine 6. Restorative Dentistry3. Orthodontics 7. Dental Public Health4. Periodontics

The specialist register administered currently by the NSR Secretariat is time-based and renewable every 5 years upon proof of continuing professional development activities by individual specialists. With the NSR in place, it is hoped that there will only be a single specialist register to encompass both public and private sectors. It is envisioned that the MMC and Grandfathering Clause will adopt the names of those already listed under the NSR into the Specialist Division of the respective Registers once the Medical and Dental Acts come into effect.

Grandfather’s ClauseOnly specialists who have fulfilled the criteria for registration (particularly in terms of the qualifications attained) in the respective dental specialties are allowed to be registered as a specialist in that particular discipline. However, until 31st December 2011, those who have been practicing as dental specialists and have attained an agreed minimum standard of competence are still allowed to register as specialists under the Grandfather’s (Exception) Clause. This clause is applicable to those applicants who demonstrate that they are actively involved in the specialty as a major percentage of their practice.

Reference:1. About NSR. National Specialist Register website (https://www.nsr.org.my)

33rd Asia Pacific Dental Congress, Manila, Philippines

Part of MDA's delegation and promotional team at the MDA exhibition booth.

The Malaysian delegation together with armed forces from member nations at the Defence Force Dentistry Forum (DFDF).

The 33rd Asia Pacific Dental Congress was held from May 1-6, 2011 at the Philippine International Convention Center with the theme: “Advancing the Pinnacles of Dental Health Care”. It was a well organized event which saw the coming together of the hierarchy of the Asia Pacific Dental Federation/Asia Pacific Regional Organization(APDF/APRO) and large delegations from all member nations. The MDA delegation was headed by Dato Dr Ratnanesan, who is the Organizing Chairperson for the 35th APDC which will be held in Kuala Lumpur in 2013. The Malaysian team was well received and many mutually beneficial talks and meetings were held with leaders of the APDF. The congress was a resounding success with an array of world

renowned speakers. It proved to be a wonderful learning and educational experience for everyone.

Concurrent with the APDC 2011 Main Congress, the Defence Force Dentistry Forum (DFDF) was held from the 4th – 6th of May 2011. This forum gathered military dental representatives from 15 countries in and around the Asia Pacific Region. The year’s theme is ‘Advancing Dental Health Care and Disaster Management in the Asia Pacific Region’. It attracted about 12 local and international speakers with the aim to come up with an action plan to prepare the Asia Pacific delegates for disaster management roles. A dinner with vibrant cultural show and a trip to the historical Corregidor Island were among the other programs lined up for the military delegates. Overall, the forum was indeed eye opening tothe roles and function s of a dentist in Disaster Management and was able to forge a good brotherhood between the participating countries.


Dr. Dan Fischer is the founder and president of Ultradent Products, Inc., a dental company with a 30-year history of innovation and quality. Now an international leader in the dental industry, Ultradent began humbly—in Dr. Fischer’s basement, with his children as its first employees.

As a young dentist, Dr. Fischer realized that rapid, profound hemostasis was imperative for quality operative dentistry. Because there were no products on the market that predictably controlled bleeding and sulcular fluid, he developed one. Astringedent and later Viscostat resulted from Dr. Fischer’s insight, determination, and willingness to work after hours— using his own blood to test his efforts—to produce exactly what he felt the market needed.

Three decades later, Dr. Fischer is still revolutionizing the dental industry. He has numerous patents to his name, and regularly lectures and writes articles about state-of-the-art dentistry. He also works part-time in his daughter’s dental practice, which enables him to connect with patients and practice minimally invasive dentistry—a philosophy around which Ultradent develops products and procedures.

Dr. Fischer strives continuously to “Improve Oral Health Globally,” and hopes to one day discover a cure for caries. In pursuing these goals, Dr. Fischer is a generous philanthropist, regularly donating time, money and products to the Sealant For Smiles program, which places sealants on the teeth of children with limited preventative dental care. Dr. Fischer also champions The Diversity Foundation, which provides educational opportunities to vulnerable and underprivileged children, and has helped transform the lives of many young people who have been victims of FLDS polygamy.

Last June, Dr Fischer was touring the Asia Pacific region and giving seminars on the newest developments in Dental Technology. He traveled through Australia, New Zealand and Malaysia. The main highlight of the trip was the grand opening of the Asia-Pac Regional Office in Kuala Lumpur, Malaysia on the 28th of May 2011. Representatives from the Malaysian Dental Association, academics and local general practitioners joined for a ribbon cutting ceremony, company presentation and a cocktail party.

The following day, a CPD programme was held at the Istana Hotel. The theme was ‘Patient centred, minimally invasive Dentistry- A Caring Paradigm’. Dr Fischer’s lecture attracted more than 170 participants. The lecture was a fantastic journey through minimal invasive dentistry, where Dr. Fischer mixed his enriching experiences with his passion for dentistry. This program took the clinician through detailed “step-by-step” guidelines for simple reparative, renewal reconstructive dentistry. Each participant discovered the critical foundations, concepts and vital steps to succeed by utilizing the latest materials and practicing minimally invasive dentistry. Dr Fischer stressed the importance of bringing the patient and the tooth to the forefront in order to provide a good balance of “ethics with esthetics and economics”! Such is pivotal if we are to take into account the vast majority of global citizens with limited resources who are entitled to high quality treatment. A special emphasis was put on the opportunities to offer quality dentistry in situations where complex and expensive treatment modalities may be unnecessary. It was great to review the importance of prevention in simple terms which help patients create mental images and improves their understanding. The overall seminar day was a unique experience and one could feel the "Love and Care" from one of the greatest leader in the Dental Industry. Even though Dr. Fischer didn’t love the Durian taste, he surely appreciated the hospitality of Malaysian people!

Patient centred, minimally invasive Dentistry - A Caring Paradigm


Sandakan Oral Health Awareness Campaign 2011 and Special Olympics Special Smiles, Sandakan Division

Reported by: Dr Leong Kei JoeHead of Project

Honourary Treasurer Malaysian Dental Association Eastern Zone

The Malaysian Dental Association Eastern Zone has again do proud and successfully conducted a community project, headed by Dr Leong Kei Joe, for the people in Sabah. Recently, the Malaysian Dental Association Eastern Zone organised the Sandakan Oral Health Awareness Campaign and Special Olympics

Special Smiles, Sandakan Division, at Sandakan on the 25th June 2011. The event was jointly organised with Pejabat Pergigian Kawasan Sandakan, under the leadership of Dr Chung Ken Tet. The objectives of this project were to promote and increase oral health awareness to the general public, to facilitate provision of dental care among special needs individuals and run Special Smiles program for Special Olympics Sabah. As such, we are proud to extend and involve, for the first time, our project to Special Olympics Sabah, and hopefully Special Olympics Sabah will continue to be our partner in future oral health campaigns.

Our guest of honour for this event was Yang Berhormat Datuk Peter Pang En Yin, Minister of Youth and Sports Sabah, who has attended to grace the opening ceremony and also kindly donated pack lunch and drinks to all the athletes from Special Olympics, Sandakan Division. Also present during this event was Puan Asiah, Events Director, Special Olympics Sabah, Sandakan Division and teachers from various institutions for learning disability and community based rehabilitation centres. Among the activities performed were oral health screening, oral health education, poster exhibitions, oral health quiz, and dental colouring competition for toddlers. Apart from Executive Committee members from Malaysian Dental Association Eastern Zone (Sabah and Sarawak) and government dental practitioners in Sandakan (Dr Firdaus, Dr Suryajihan and Dr Lee Jin Han), this event was also attended by private dental practitioners from Kota Kinabalu (Dr Sonia Pang) and Sandakan (Dr Francis Chung and Dr Paul Wong). In fact, Dr Francis Chung has also volunteered to be the honourable judge for the dental colouring competition. 60 children took part in the dental colouring competition, one good way to emphasize good oral health care at an early age, and more than 260 individuals benefited from oral health screening during this campaign. The main achievement of this campaign would probably be the emphasis of equal oral health care among special needs individuals and this was highlighted in the press release.

Guest of Honour, Datuk Peter Pang En Yin, during the opening ceremony (Dr Chung Ket Tet, Dr Roland Chia, Datuk Peter Pang, Dr. Leong Kei Joe – Lf to R)

Datuk Peter Pang trying out the mobile dental chair at the screening area

Dental colouring competition among toddlers during the campaign

Smart partnership between Malaysian Dental Association Eastern Zone and Pejabat Pergigian Kawasan Sandakan (Dr. Alex Lo, Dr. Abd Rashid Hassan, Dr.Leong Kei Joe, Dr Roland Chia, Dr. Chung Ken Tet, Dr. Chong, Dr Hu Chang Lek)


Colgate Clinical Research Center: Translating Clinical Research into Practical Clinical Solutions

Dr. Foti Panagakos DMD, PhD, is currently the Director of Clinical Research Relations & Strategy for Colgate-Palmolive Company. He is a graduate of the University of Medicine and Dentistry of New Jersey, where he obtained his dental degree as well as PhD from the Graduate School of Biomedical Sciences. He also holds a Master of Arts in Education degree. Currently he holds the position of Clinical Associate Professor in the Department of Restorative Dentistry at UMDNJ-New Jersey Dental School. He has published extensively and has lectured in the USA and internationally.

Dr. Panagakos presented at the recent 68th MDA AGM/FDI International Scientific Convention & Trade Exhibition in Kuala Lumpur Convention Centre on Recession, Tooth Wear and Associated Clinical Issues: Effective Management of a Growing Problem.

1) What is Colgate Clinical Research Centre and how does the Centre contribute to the profession?

The Colgate Clinical Research Centre in Piscataway, New Jersey, is part of the Colgate R&D division. This center has the expertise in clinical research and study in oral care and dental sciences. It focuses on conducting highly reputable clinical studies to demonstrate the efficacy of Colgate technologies through partnership with distinguished academics and dental institutions. The center also translates this research into benefits or claims via publications in prestigious global dental journals and presentations at international dental meetings

The center is equipped with state-of-the-art equipment to ensure all Colgate oral care products meet clinical standards and deliver superior benefit to dental professionals and patients alike. As you know, clinical dental research provides connections to the dental community and the academia via clinical studies, journals and grants.

Some of the technical expertise possess by Colgate Clinical Research Centre includes dentistry, surfactant chemistry, clinical methodology, microbiology, pharmacology, biostatistics, oral biology, analytical chemistry, biochemistry, cell biology, clinical research, sensory science, consumer research and fragrance technology. The center conducts scientific support and professional evaluations of technologies.

2) Could you give us some examples of clinical research conducted at the Center in the past? How credible are the clinical studies?

Colgate Clinical Research Center

consists of a highly respected network of experts and investigators throughout the dental profession. Not only that the experts are technically talented, they also possess numerous publications and scientific presentations. Examples include clinical studies using state-of-the-art methods in investigating the basic fundamentals of Triclosan/Copolymer in delivering anti-bacterial and anti-inflammatory benefits for periodontal patients. Another example would be the mode of action clinical studies using SEM, AFM, confocal reflectance & fluorescence, confocal dye binding and acid resistance methods to investigate how Arginine and Calcium Carbonate (Pro-ArginTM technology) could physically occlude the dentinal tubules to provide relief from dentin hypersensitivity.

3) What are the areas of research

specialized by the Center?

Some areas of research include caries, plaque/gingivitis, periodontal disease, dental implants, dentin hypersensitivity, tartar, malodor, erosion, dry mouth and oral-systemic health.

4) Taking dentin hypersensitivity or dental erosion as an example, how can clinical studies benefit dental professionals and patients?

Clinical research provides connection to the dental community via published clinical results and journals. Evidence-based dentistry ensures only the best scientific evidence goes to support clinical treatment of our patients. In other words, clinical research bridges the gap by ensuring the transfer of the evidence into daily clinical practice. The availability of published clinical research will help dental professionals decide the best treatment option for patients.

There are numerous published clinical studies available on the efficacy of Colgate® Sensitive Pro-Relief™ with Pro-Argin™ technology in providing instant and lasting relief for dentin hypersensitivity. The results of all the studies are greatly significant and conclusive, unlike on some other technologies for dentin hypersensitivity. Thus, a dental professional should not have a problem deciding the best treatment option for his/her patients.


5) What evidence do you have on the efficacy of Colgate® Sensitive Pro-Relief™ range versus other technologies e.g. Potassium & Strontium?

Traditionally, dentin hypersensitivity used to be addressed with at-home toothpaste e.g. Potassium Chloride, Nitrate, Citrate or Strontium Chloride or Acetate. Instead of occluding the exposed dentinal tubules, they desensitize the intra-dental nerves in 4-8 weeks upon usage. However, Colgate® Sensitive Pro-Relief™ with 8% arginine has been demonstrated in numerous clinical studies to effectively reduce tactile and thermal sensitivity.

In an in-vitro study conducted in New Jersey, the hydraulic conductance test showed that dentin treated with Colgate® Sensitive Pro-Relief™ toothpastes with 8% arginine demonstrated statistically significantly higher reductions in dentin permeability than two commercially available toothpastes containing strontium. Li et al concluded that Colgate® Sensitive Pro-Relief™, provides statistically significant reduction in dentin hypersensitivity compared to a negative control and a toothpaste with 8.0% Strontium Acetate. Docimo et al noted that toothpastes containing 8.0% Strontium Acetate takes up to 4 weeks to show significant reduction in

dentin hypersensitivity while Colgate® Sensitive Pro-Relief™, is able to provide relief immediately upon usage of twice a day and at 2, 4 and 8 weeks of use.

The instant and lasting relief has been evidenced by four clinical studies on “direct application and brushing” by Ayad et al, Nathoo et al, Schiff et al and Fu et al, that showed that a single direct application of a dentifrice containing 8.0% arginine, followed by a regimen of two times a day brushing with it, provides instant and lasting reduction in dentin hypersensitivity. The technology is also supported by clinical studies which showed that the toothpaste has a lasting effect for 8 weeks with continuous use by Ayad et al, Docimo et al, Sreenivasan et al, and Que et al or 24 weeks with combined in-office CSPR and toothpaste use by Hamlin et al.

6) What exactly is Colgate® Sensitive Pro-Relief™ Treatment Program?

Colgate® Sensitive Pro-Relief™ Treatment Program is based on a more recent supporting data on the use of combined therapy of the in-office and at-home application of 8% arginine shown by Hamlin et al in 2010. The study concluded that Colgate® Sensitive Pro-Relief™ in-office desensitizing paste combined with Colgate® Sensitive Pro-Relief™

at-home toothpaste and an ultra-soft toothbrush (Colgate® Sensitive Pro-Relief™ toothbrush) treatment provided a statistically significant reduction in dentin hypersensitivity for at least 24 weeks.

Reference: 1.Pashley et al. Inside Dentistry 2008; 4 (Sp Is):1-35, 2.Addy M. Int Dent J. 2002; 52 (Suppl 5):367-375, 3.Colgate-Palmolive Technology Center Piscataway, New Jersey, USA. Data on file. 4.Li et al. Data on file. 5.Docimo et al. Data on file. 6.Cummins et al. J Clin Dent 2009; 20 (Sp Is): 1-9. 7.Petrou et al. J Clin Dent 2009; 20 (Sp Is): 23-31. 8.Lavender et al. Am J Dent 2010; 23 (Sp Is): 14A-19A. 9. Ayad et al. J Clin Dent 2009; 20 (Sp Is): 115-122. 10.Nathoo et al. J Clin Dent 2009; 20 (Sp Is): 123-130. 11.Schiff et al. J Clin Dent 2009; 20 (Sp Is): 131-136. 12. Fu Y et al. Am J Dent 2010; 23 (Sp Is): 20A-27A. 13. Ayad et al. J Clin Dent 2009; 20: 10-16. 14. Docimo et al., J Clin Dent 2009; 20 (Sp Is A):17A-22A.15. Docimo et al. J Clin Dent 2009; 20 (Sp Is A): 137A-143A.15.Que K et al. Am J Dent 2010; 23 (Sp Is): 28A-35A. 16.Hamlin et al. Data on file. 17. Report by Sreenivasan, Vandeven & Mateo dated September 2009. Data on file. 18.Hamlin et al. Am Dent J 2009; 22 (Sp Is A): 16A-20A. 19. Schiff et al. Am Dent J 2009; 22 (Sp Is A): 8A-15A. 20.Garcia-Godoy et al. Am Dent J 2009; 22 (Sp Is A): 21A-24A.

MDAEZ & SCODOS Dental Study Night cum Fellowship Dinner, Kota Kinabalu

27 May 2011 – Imperial Hotel, Kota KinabaluReported by: Dr Leong Kei Joe

Organising Chairman, Honourary Treasurer Malaysian Dental Association Eastern Zone

Dr Leong presenting the certificate of appreciation to Dr Jeremy Lee

Participants attending the CPD program

In conjunction with our effort to provide ongoing continuing professional development among our fellow dental practitioners, the Malaysian Dental Association Eastern Zone has organised a Dental Study Night cum Fellowship Dinner at Kota Kinabalu recently.

This function was held at Imperial International Hotel, Kota Kinabalu, on the 27th May 2011 from 6:30pm to 10:00pm. We were truly honoured to have Dr Jeremy Lee Ju Kuan, Specialist in Oral Maxillofacial Surgery at Queen Elizabeth Hospital, Kota Kinabalu, to present his lecture on “Updates in Antibiotics and Warfarin in Dental Practice”.

Malaysian Dental Association Eastern Zone has also extended the invitation to Dr Jacklyn @ Marilyn George, Dental Officer at Klinik Kesihatan Luyang and Sabah representative for SCODOS, to present on Section Concerning Dental Officers and Specialists in the Public Sector.

A total of 40 participants, which included 20 Private Dental Practitioners, 19 Public Dental Practitioners and 1 Occupational Therapist, took part in this continuing professional development program.


Melanin is the most common natural pigment contributing to normal colour of the gums. Although ethnic and physiologic melanin pigmentation is not a medical pathosis, the appearance of pigmented gums is considered unaesthetic and overlooked at times in cosmetic dentistry assessments. Various laser wavelengths have been reported for removal of melanin pigment with good results.Removal of mucosa to the basal layer is the common procedure using lasers or conventional abrasive technique using diamond burs. Pigmentation of the lip is another aesthetic concern to patients affecting their confidence and quality of life.

BackgroundDiode laser at 810 nm is transmissive through water, andis attracted to pigment such as haemoglobin and melanin. Thecontinuous wave or the mechanically gated pulsed mode both produce a long tissue interaction time, which require much longer relaxation time for tissue to cool down. Hence, low power (1 to 3 W) is recommended for most soft tissue procedures. The use of “High Fluency Technique”, for 980 nm diode wavelength developed by Dr Mick Swick, is able to increase power and reduce collateral tissue damage and heat stacking effect by using water irrigation as a coolant.The major precaution for any soft tissue laser procedure is to avoid

deep penetration of the laser energy, which can cause collateral thermal damage to the underlying bone or adjacent tooth structures, especially when using a non-contact and/or noninitiated tip. Digital pulsed diode laser is the 4th generation of diode laser technology. Dr Claus Neckel compared fibromas excised by the pulsed diode laser with continuous wave diode laser. He demonstrated the substantial reduction in collateral thermal damage histologically with high power (30 W), short pulse (10 μs) with high frequency (10,000 Hz). As melanin is deposited at the basal layer of the mucosa, removal of this pigment by various lasers have been reported by direct ablation (cutting) of the mucosa to this layer. Energy delivery time ranges from 10 to 30 minutes in an area of 1st premolar to1st premolar of one arch. The technique described in this case series differs from other laser techniques in terms of tissue absorption and procedure time.

Fig. 1: Pre-op.Fig. 2: Immediate post-op.Fig. 3: Pre-op.Fig. 4: 18 months post-op.Fig. 5: 4.5 year post-op.


Procedure for depigmentation of gingivaeElexxion Claros DPL Laser set at 30W, 16 μs, 20,000 Hz; average power close to 10W. Under local anaesthesia, a non-initiated 600 μm fiber delivers the energy at a distance of 2 mm to 5 mm to the pigmented area with constant movement under water irrigation as coolant. There is nodirect ablation of the pigmented mucosa but rather the hemoglobin and melanin absorbing the laser energy. Procedure time ranges from two minutes to seven minutes in an area of 1st premolar to1st premolar of one arch.

Case 1The procedure took approximately 2 minutes to complete between upper left and right premolar region. 4.5 year post-op showed mild relapse of pigmentation but patient is still happy with the colour. Laser soft tissue crown lengthening was carried out on upper anterior incisors and canines.

Case 2The procedure took approximately 7 minutes to complete between upper left and right premolar region.

Case 3The procedure took approximately 2.5 minutes to complete between lower left and right premolar region. Ceramic crowns replacing all porcelain fused to metal crowns.

Procedure for depigmentation of lipThe procedure is the same as for gingival depigmentation. As it took only seconds to complete the procedure, there was no need for water cooling.

Case 4The procedure took 8 seconds to complete under local anaesthesia.

Case 5Procedure time: 3 separate visits under topical anaesthetic over 8 months (4 sec, 5 sec, 11sec)

Table 1: Graphic display of chromophores of various wavelengths. The 810 nm diode is indicated.

Fig. 1: Pre-op.Fig. 2: 1.5 year post-op.

Fig. 1: Pre-op.Fig. 2: 3 months post-op.


Fig. 1: Pre-op.Fig. 2: Immediate post-op.Fig. 3: 1.5 year post-op.

Fig. 1: Pre-op.Fig. 2: 6 months post-op.

ResultsThere are two possible immediate visual post-op results. In ideal case (Case 1), the mucosa turns pink without any signs of surface mucosal damage. Sub surface coagulation of blood vessels gave a pink coloured appearance. No laser peeling of mucosa was noted post-operative result . Other cases vary in degree of immediate aesthetic improvement or darkening of the pigmented mucosa where absorption by melanin is the dominant. Laser peeling of the mucosa were reported within a few days of treatment. In all cases, there were zero to mild post-op pain. No analgesics were required.

ConclusionThis technique requires specific high power settings. Operator should be aware of tissue interaction during the procedure and adapt accordingly. Long term relapse of the condition is comparable to direct removal of pigment by lasers or other techniques. Patients were all satisfied with the results. The main advantages with this technique are minimal invasive technique, short procedure time and immediate aesthetic results in some cases.

Contact LaserKenneth Luk BDS; DGDP (UK);MGD (CDSHK) 2601-4, No. 9Queen’s Road Central, Hong KongPhone: +852/2537 8500Fax: +852/2537 8509E-mail: [email protected]

This article was originally published in Laser International Magazine of Laser Dentistry (Issue 2, 2009), Oemus Media AG.


"Doctor, how long will my root-treated tooth last?" The prognosis and longevity of endodontically teeth

After being up during the night tossing, turning and taking analgesics the last thing on a patient’s mind is retaining the tooth which has caused them such discomfort. If this wasn’t difficult enough for the patient to comprehend: then the idea that retaining the tooth will involve a root canal treatment, possibly a crown, four visits to the surgery and much expense; it’s a wonder more of our patients don’t opt for extraction.

Therefore it is usually not far into the consultation appointment when the question, “Doctor, how long has my tooth got?” is asked. In order to answer this question logically, we have to look at what the patient actually means. What they mean is: will the tooth continue to give them some discomfort after the treatment has been completed and will it still require extraction in the short term. So to answer the patient’s question appropriately we need to first examine studies which investigate the success of root canal treatment and also the studies which look at the longevity of root canal treated teeth. We also need to see if there are any other factors that may increase or decrease the life span of root canal treated teeth.

SUCCESS OF ROOT CANAL TREATMENTThe success of root canal treatment in specialist practice was documented by Sjogren et al 1990. The investigators followed cases 8-10 years after obturation and found that the percentage of teeth without periapical disease remaining free from apical disease was around 96%. The percentage of teeth which had periapical disease before treatment and healed after root canal treatment was approximately 86% and just 62% of retreatment cases had disease which resolved radiographically.

These figures are helpful to give the dental surgeon and the patient an idea of success, but what is often totally missed is that the cases involved in the study were of varying degrees of difficulty. What this paper does tell us is: that except for retreatment, root canal treatment done by a specialist has a very high success rate.

In a clinical study conducted by Gorni and Gagliani in 2004, the success rate of root canal retreatment was examined. The study divided root canal retreatment cases into: those in which the anatomy of the canal was respected and those in which the anatomy of the canal was not adhered to. In simple terms, those cases in which it was possible to clean and negotiate the root canal system and those cases in which negotiation of the root canal system was not achieved, due to ledges, perforations or obstructions. Their criteria for success was very stringent, in that those cases which didn’t heal radiographically after only 2 years were classed as failures. The overall percentage of cases which healed after 2 years was approximately 69%. However in those cases where the root canal anatomy was respected the percentage of successful cases jumped to around 86%. In those cases where the canal anatomy could not be respected the percentage of healed cases dropped to a lowly 47%. This study shows us what Sjogren and his investigators didn’t, that if you can effectively clean the root canal system even with retreatment cases you have the same chance of success as an untreated case with periapical disease.

SURVIVAL OF ROOT CANAL TREATED TEETHRadiographic healing and lack of clinical signs and symptoms are very stringent criteria. Many patients are content with a tooth which doesn’t cause them excessive discomfort and is still present in their mouth. This is the reason why survival of root canal treated teeth is also important to think about when it comes to answering our patient’s question. Survival of root canal treated teeth has become popular as a means for comparing root canal treated teeth against dental implants.

An insurance claim based study done by Salerhabi and Rotstein in 2004 showed that out of approximately 1.4 million teeth the 8 year survival rate of root treated teeth stood at a staggering 97%! Of the 3% which were extracted the vast majority were not crowned. A similar study on root canal retreatment was done by the same researchers (Salerhabi & Rotstein 2010). In this study approximately 4700 teeth were assessed. The overall survival rate after 5 years was 89%.

A long term follow up observational study (Eckerbom et al 2007) showed that in 115 patients the number of root canal treated teeth still present after 20 years was approximately 75% and the percentage of sound teeth present was approximately 90%. This study shows that root canal treated teeth can survive many years in the oral cavity after they were first treated.

Omar was born in Christchurch, New Zealand and attained his Bachelor of Dental Surgery qualification from Otago University, Dunedin.

During his time at Otago he was awarded the Craddock Prize

and distinction in removable prosthodontics. After graduation Omar worked in private practice in New Zealand and then moved to London where he attained significant experience in endodontics.

In 2005, he completed his fellowship for the Royal Australasian College of Dental Surgeons and began the specialist training course at King's College, London. His groundbreaking research at King's entitled 'Micro-computed tomography of tooth tissue changes following root canal treatment and post space preparation' was published in the International Endodontic Journal during his final year. This research enabled him to lecture in the United States of America and the United Kingdom.

Omar is currently working at Sydney Dental hospital and is in private practice at Specialist Endo Crows nest in Sydney’s North shore.


Another study conducted in dental practice (Vire 1991) shows restoration is an important factor in survival. In the course of one year 116 root canal treated teeth were extracted. The teeth were then classified into groups depending on how the teeth failed. Of the 116 teeth the majority (59.4%) were classed as prosthetic failures, meaning that the tooth became unrestorable due to fracture or caries. The teeth which were crowned had a longer survival than those which were not crowned. A further 32% of teeth which were extracted were as a result of periodontal reasons and only 8.6% of the teeth were extracted as a result of failure of the endodontic treatment.

These studies not only show us that survival of root canal treated teeth is very high. But also that longevity of root canal treated teeth is dependent on how the tooth is restored following root treatment.

RESTORATION AS A KEY FACTOR IN SURVIVALWithout a doubt the manner in which the tooth is restored plays a pivotal role in the survival of root filled teeth. Patients often worry about the possibilities of the failure of root canal treatment. But they don’t realise that protection against fracture by restoration is also essential to increase the longevity of their tooth.

The reason why root canal treated teeth need extra protection against fracture has been the subject of much debate over the years. Some investigators claim that extra force can be applied unwittingly to the teeth due to loss of proprioceptors in the pulp (Randow & Glantz 1986). However the evidence for this is not very compelling.

Irrigants have also been implicated in changing the structure of dentine. The studies that concern the effect of irrigants on the fracture resistance of dentine are all laboratory studies, often involving extremely small slices of dentine exposed to extremely high strengths of irrigant solutions (Marending et al 2007). Therefore they have little relevance to what happens in the real clinical situation.

One of the more popular reasons for the decreased fracture resistance of root canal treated teeth is that the loss of vitality decreases the moisture in the dentine making it brittle. However a study examining this (Sedgeley & Messer 1992) disputes the theory.

The real reason why root canal treated teeth fracture more readily than their vital counterparts is likely to involve a combination of all these factors. But one important factor research has shown us, is that the fracture resistance of a tooth is directly proportional to the amount of tooth tissue remaining and therefore loss of tooth tissue due to caries, root canal treatment and post space preparation will play a major factor in the fracture resistance of root canal treated teeth.

Many studies have examined the loss of dentine due to endodontic procedures or post space preparation using two dimensional techniques, but there is only one paper which has examined the volume of dentine lost due to endodontic procedures and post space preparation using three dimensional techniques (Ikram et al 2009). The investigators found that tooth tissue lost after caries removal accounted for an average loss of 8.3% of total dental hard tissue. The access cavity preparation accounted for a loss of a further 4.4% of dentine. The only procedure which didn’t significantly increase the amount of tooth tissue lost was the cleaning of the root canals. Preparation of a parallel sided post space added a further 1.4% to the amount of dentine removed and simply removing the undercuts to accommodate a cast post accounted for an additional removal of 4.1% of hard tissue. An interesting fact in this study is that although the average percentage of dentine removed in order to make the teeth caries free was 8.3%, all the teeth used in the study had class two lesions which penetrated the pulp, at the beginning of the study. Therefore, had it been possible to scan the teeth prior to them developing caries, the true amount of hard tissue lost due to caries could have been around 20%! This shows that in root canal treated premolars a great deal of hard tissue and therefore strength has been lost prior to the treatment.

CONCLUSIONNext time a patient presents to us and asks, “Doctor, how long has my tooth got?” We can tell them; that the success rate of root canal treatment in specialist clinics on teeth with and without periapical disease is high. In root canal retreatment cases; provided the operator can instrument the root canal system the success rate is also very high. The survival of root canal treated teeth is between 89-97% after 5-8 years. However a major factor in the longevity of root filled teeth is how much hard tissue remains following root canal treatment and restoration. This needs to be taken into account before root canal treatment is considered.

REFERENCESEckerbom M, Flygare L, Magnusson T (2007) A 20 year follow up of endodontic variables and apical status in a Swedish population. International Endodontic journal 40, 940-8

Gorni FG, Gagliani MM (2004) The outcome of endodontic retreatment: a 2yr follow up. Journal of Endodontics 30, 1-4.

Ikram OH, Patel S, Sauro S, Mannocci F (2009) Micro-computed tomography of tooth tissue volume changes following endodontic procedures and post space preparation. International Endodontic Journal 42, 1071-6.

Marending M,Luder HU,Brunner TJ, Knecht S,Stark WJ, Zehnder M (2007) The mechanical, chemical and structural alterations of human dentine following exposure to ascending sodium hypochlorite concentrations. International Endodontic Journal 40, 786-93.

Randow K, Glantz PO (1986) On cantilever loading of vital and non vital teeth. An experimental clinical study. Acta Odontologica Scandinavia 44, 271-7.

Salehrabi R, Rotstein I (2004) Endodontic treatment outcomes in a large patient population in the USA: an epidiemiological study. Journal of Endodontics 30, 846-50.

Salehrabi R, Rotstein I (2010) Epidiemiologic evaluation of the outcomes of orthograde retreatment. Journal of Endodontics 36, 790-2

Sjogren U, Haaglund B, Sundqvist G, Wing K (1990) Factors affecting the long term results of endodontic treatment. Journal of Endodontics 16, 498-504.

Sedgeley C, Messer HH (1992) Are endodontically treated teeth more brittle. Journal of Endodontics 18, 332-5.

Vire DE (1991) Failure of endodontically treated teeth: classification and evaluation. Journal of Endodontics 17, 338-41.

Alor Setar CPD Programme by MDA Northern ZoneReported by: Dr Loo Shi Ying

The MDA Northern Zone has shown its support for continuous dental learning by organizing a CPD programme at the Grand Crystal Hotel, Alor Setar, Kedah on the 25th June 2011. It was held on a Saturday afternoon (2pm-5pm), and saw a total of 24 participants.

The event started off with a welcoming note from Dr Goon Yong Por, the Chairman of MDA Northern Zone. He also gave a short briefing on the implementation of CPD Point on APC renewal, especially for private practitioners.

Our guest speaker of the day was Datin Dr Indra Nachiappann (Senior Consultant and Head of Periodontics in the Periodontal Services in Perak), who spoke on 2 topics –‘Management of Immunocompromised Patients’ and ‘Implant Therapy – An Overview’. It was indeed a good opportunity for the participants to update their knowledge in the field of periodontics, as Datin Dr Indra was gracious in sharing her experience and information with the audience.

We would like to thank the local organizing committee (led by Dr Azillah bt Mohd Ali), for their cooperation and energy spent in organizing this event. We look forward to seeing everyone again in Alor Setar next year!

Datin Dr Indra giving her lecture

Participants listening attentively


Malaysian Endodontic Society(MES)Annual Scientific Meeting

Date : 4th December 2011 (Sunday)Venue : Corus Hotel, Jalan Ampang, Kuala Lumpur

PROBLEM SOLVING IN ENDODONTICS: Emergencies, Surgery, Endo-Perio, Open Apex & more!

Dr Philip Mitchell (United Kingdom)BDS (Lond) LDS RCS MSc (Lond) MRD RCSEd

Dr Robert PY Ng (Hong Kong)BDS (Lond), MSc (Lond), MClinDent (Lond), MRD RCSEd,

Adv Dip Endodont (HKU), LDS RCSEng,

MRACDS (Endo), FRACDS, FCDSHK (Endo), FHKAM (DS)

Lectures:1. Surgical Endodontics: Keys to Achieving Predictable Results2. Evidence-based Clinical Solutions for Diagnosis and Management of Cracked Teeth

Limited Attendance Table Clinic:Guidelines and Clinical Tips for Management of Open Apex and Immature Teeth

Lectures:1. Problem Solving in Management of Painful Endodontic Emergencies 2. Endodontic-Periodontal Inter-relationships: Optimal Treatment Choices

Limited Attendance Table Clinic:Practical Tips for Non-surgical Endodontic Retreatment

REGISTER NOW!! Contact: [email protected] Go to: http://www.endodontics.org.my


LISTERINE® introduces its most advanced and complete, 6-Benefits-in-1 mouthwash18 March 2011, Kuala Lumpur – Leading mouthwash brand LISTERINE® today introduced its most advanced & complete, 6-Benefits-in-1 mouthwash LISTERINE® Total Care, proven to work alongside brushing to achieve whole mouth hygiene and total oral health.

Formulated to perform in 6 hardworking ways, the all-new LISTERINE® Total Care acts as an oral bacteria destroyer, killing up to 99.9% of bacteria to prevent oral problems; teeth strengthener; healthy gum maintainer; plaque reducer; breath freshener; and tartar preventer to keep teeth naturally white simultaneously.

According to Joyce Lee, Managing Director of Johnson & Johnson Sdn Bhd, which markets and distributes LISTERINE® products in Malaysia, the brand’s latest sheer purple-colored variant represents LISTERINE®’s most advanced and complete mouthwash. She told media at the official product launch that the revolutionary mouthwash was developed in line with 6 key signs that dentists identify in a healthy mouth.

Lee said: “Based on an oral health forum titled Healthy Mouth, Healthy Body chaired by Dato’ Dr. How Kim Chuan, President of the Malaysian Dental Association amongst seven other dental experts, a full consensus was reached to qualify a healthy mouth as one that is without visible plaque, tartar-free, no cavity, healthy gums and soft tissue, healthy natural teeth and fresh breath. The all-new LISTERINE® Total Care’s formulation can achieve these 6 key signs.”

The new LISTERINE® Total Care mouthwash is proven to deliver 6 superior benefits by combining essential oils to kill up to 99.9% of oral bacteria and germs to maintain cleaner and healthier gums and teeth; fluoride for strengthening teeth; zinc chloride to reduce plaque build-up and keep teeth naturally white; and a pleasant taste to encourage twice daily usage.

Lee also mentioned the other key consensus arrived at the Healthy Mouth, Healthy Body forum was the recognition that mouthwash with proven efficacy to reduce plaque is invaluable to the maintenance of good oral health when used daily together with brushing.

Speaking at the official launch on the 6 key signs of a healthy mouth, Dato’ Dr. How Kim Chuan emphasized the importance of keeping good oral health to achieve overall health. He said: “The mouth is the entry point of food and exit point for speech. It is an important ‘mouthpiece’ for the health of our body as well as career. However, the mouth is filled with countless bacteria which is believed to be closely linked to tooth decay and periodontal or gum disease.”

He added: “Researchers have found that periodontitis or the advanced form of periodontal disease has a high correlation with systemic health diseases such as, cardiovascular disease, stroke, diabetes, and bacterial pneumonia. Given the potential link between periodontitis and systemic health problems, prevention is an important step in maintaining overall health.”

According to the dental association’s president, healthy gums are characterized by pale color, firm texture, and they should fit around the teeth. Any deviation from these is a sign of inflammation. The good news is the condition is completely reversible when there is an adequate and preventive measure.

“We should take responsibility for our own hygiene. We should brush our teeth twice a day, and rinse with an antiseptic mouthwash that is effective in penetrating the bacteria plaque.” reminded Dato’ Dr. How.

Lee from Johnson & Johnson said to get the full germ-killing benefits of LISTERINE® Total Care, rinse at night and in the morning. Unlike brushing alone, which reaches only 23% of your mouth, rinsing with LISTERINE® Total Care twice a day cleans your whole mouth by getting to those hard to reach areas where brushing alone may miss.


RISK MANAGEMENT SEMINAR : FACTS MYTHS AND CHOICESReported by: Dr Chow Kai Foo

MDA/DPL LIAISON

Dr Stephen Henderson and Dr Jane Merivale from the Medical Protection Society/ Dental Protection Society U.K. conducted the above seminar on the 3rd of July 2011. Both are doubly qualified in both dentistry and law. The seminar was ably and skifully conducted in Sheraton Hotel Kuala Lumpur in a very spacious seminar room generously supplied with food and drinks. Similar talks were conducted in Penang at the Trader’s Hotel and in Kota Kinabalu at Sutera Harbour Resort. We urge all DPL members to attend them in the future. Important points covered can be read from the MPS/DPL website:-

Prevention is better than cure as advised by the Dental Protection SocietyThe following tips will help to reduce complaints and also assist in the success of any defence which may be required:• Do not carry out any treatment which is beyond your training, experience and competence.• When delegating any task to an employee, the individual carrying out the work should be competent to carry it out, should

understand what is required and should be encouraged to seek help if difficulties arise.• Avoid criticism of colleagues unless and until you know all the facts.• Be ready and willing to provide factual information yourself, and to give appropriate explanations, reassurance and guidance to

patients at all times.• Make the time and effort to communicate effectively.• Display care, consideration and professional courtesy at all times.• Keep meticulous records of all discussions, explanations and warnings given to patients, and of any significant incidents.

There was a PCBC Committee Training Session carried out before the seminar of risk management. Some of the issues that are important :-

• Some of the most common complaints fielded by the MDA are overcharging, dissatisfaction with aesthetics and numbness of the lip after wisdom tooth surgery or implant placement in the body of the mandible.

• The statute of limitations for private practice is 6 years while and 3 years for government service. This means that negligence suits cannot be instituted beyond the indicated number of years.

• Close attention should be paid especially to patients who are particular about appearance and aesthetics. Their peculiar preferences should be noted carefully and their expectations discussed in detail. The possibilities and impossibilities should be frankly and honestly explained, understood and accepted before treatment is embarked upon.

• In wisdom tooth surgery, mandibular placement of dental implants and occasionally in lower molar endodontics, special precaution should be taken to avoid nerve injuries. It is advisable to always inform the patient of the small possibility of nerve injury and numbness of the lip in the performance of these procedures. Nerve injuries is something that should be avoided as far as possible because such injuries are unpredictable in their healing and their sequelae can be highly distressing both to the patient as well as the dentist. Careful treatment planning especially in proximity to the inferior dental nerve, and forewarning of the patient is paramount.

• Fellow colleagues are strongly reminded not to cast aspersion or “badmouth” each other because it is firstly unethical according to legal guidelines. Such aspersions, if proven can be subjected to disciplinary and legal action.

In Part One: Code of Professional Conduct – Obligations and Responsibilities to Colleagues 3.1a Upholding Colleagues’ Professional Image published by the Malaysian Dental Council.

“A dental practitioner should not refer disparagingly, orally or in writing, to the service of another practitioner to a patient or a member of the public.”

It is unfair for us to judge the work of another colleague based only on what we observe and what the patient says. We can judge provided we are an acknowledged expert in that procedure. And that only after we have heard all sides of the story, including that of the colleague who performed the treatment.

• Every dentist should try to treat our patients fairly and if there is a dispute, should settle it directly with the patient as far as possible. In cases where it is not possible, the PCBC, with the written agreement of both parties, is happy to mediate between the doctor and the patient in a confidential, neutral and fair manner. If the PCBC is unsuccessful in its mediation, then the case may proceed to the Malaysian Dental Council or to the courts if the patient wishes to pursue it further.


• The PCBC will try its best to settle every case out of court as far as possible. However we also recognise that we should not accept and settle frivolous claims that may encourage more frivolous claims. We will support dentists to contest obviously frivolous claims from patients who do so. As such, we urge every dentist to be insured against litigation so that they can have the peace of mind that if they have to contest a claim or accusation, they have the strong and expert legal support. One way is to join the Dental Protection Limited through the Malaysian Dental Association.

• The PCBC hopes to develop and encourage an open, kind and generous culture of sharing of expertise and advice among the professional dental family. And especially in the area of handling difficult patients, to reach out to help and support one another to provide the best possible service to the public.

QUESTIONIF YOU ARE NOT A MDA OR DPL MEMBER, WILL THE MDA PCBC ASSIST YOU IN THE EVENT OF A

COMPLAINT ? READ ON.......

REPORT OF THE MDA/DPL MEETING ON THE 3RD OF JULY AT THE SHERATON KUALA LUMPUR 5pm-6pm

1. The meeting was cordial and Dr Stephen Henderson(Senior Dento-Legal Adviser) and Dr Jane Merivale (Dento-Legal Adviser) were quite pleased to receive a printed report on the PCBC activities and our future plans. Present at the meeting was the MDA team led by our President Elect Dr Haja Badrudeen, PCBC Chairman Dr Shashitharan, MDA/DPL Liaison Dr Chow, Honorary Financial Secretary and Asst. Dr Ng and Dr Darren Yap and our Publication Secretary Dr Shalini.

2. A slight mixup over the accounting year for PCBC which is Jan to Dec while the MDA’s is June to May of the following year. We promised to email them our budget and plans set to the proper accounting periods. Even so, the DPL officers were very open to accept the budgets at face value.

3. We reiterated that as the MDA PCBC, we felt responsible for the welfare of the whole profession in Malaysia and will therefore assist every case that comes to the MDA whether or not the member is in benefit of MDA or DPL. We will assist even if the member is not a member of either. However, we would prefer them to sign up immediately before we act. Also, any compensation, financial or otherwise will have to be borne fully by the said member who was not a DPL member at the specific time that the incident that gave rise to the complaint occurred. Dr Shuborn, who was the MDA president at the time of the setting up of the PCBC clearly related that Kevin Lewis was of a similar opinion concerning universal assistance irregardless.

4. Regarding whether the MPS/DPL can be called upon to advise the DPL members in Malaysia as a body in relation to broad matters that affect the whole profession such as the right for general practitioners to practise orthodontics and the issue of the capping of fees that may affect the proper practise of dentistry, Dr Stephen is quite sure that such matters fall within the ambit of MPS/DPL Memorandum of Association. Nevertheless, where there is doubt, the matter can be referred to the MPS Council for consideration. Dr Stephen further suggested that the MDA can write a letter regarding the practise of orthodontics by GPs and another letter regarding any laws that may affect the proper practise of dentistry to the MPS Council.

5. The officers will be reporting back to Kevin Lewis who will be meeting us again in Mexico City over the FDI World Congress where we trust that we will be able to lay firm foundations for a mutually beneficial relationship between the MDA and the MPS/DPL and for the profession as a whole.

Prepared by Dr Chow Kai Foo MDA/DPL Liaison Officer

5th July 2011


Introduction to the new APDF Council 2011/2012Reported by Dr Chow Kai Foo

EXECUTIVE OFFICERS

PRESIDENT: DR HERMOGENES VILLAREAL – PHILIPPINESPRESIDENT-ELECT: DR JAMES CHIH-CHIEN LEE – TAIWANSECRETARY-GENERAL: DR OLIVER HENNEDIGE – SINGAPORECHAIRMAN COLLEGE: DATO’ DR A. RATNANESAN – MALAYSIATREASURER: DR KEKI M. MISTRY – INDIA

COUNCIL OFFICERS

VICE PRESIDENTS:DR MUNIR AMRO - JORDANDR BHAGWANT SINGH - INDIADR LEUNG SIGMUND - HONG KONGDR ASIF NIAZ ARAIN - PAKISTANDR CHUN-CHIEH YANG – TAIWAN

IMM PAST PRESIDENT: PROF PRASAD AMARATUNGA - SRI LANKA

EDITOR: DATO' DR HOW KIM CHUAN - MALAYSIA

CHAIRMAN, Dental Education Commission: DR ANIL KOHLI – INDIACHAIRMAN, Oral Diseases Commission: DR GAMINI DE SILVA - SRI LANKACHAIRMAN, Public Dental Health: DR ZAURA ANGGRAENI – INDONESIACHAIRMAN, General Dental Practice: DR LEO DE CASTRO – PHILIPPINESCHAIRMAN, Defence Forces Dentistry: COL CHOMQUAN SANGBUAKAEW - THAILAND

EXECUTIVE OFFICERS

HEARTIEST CONGRATULATIONS TO

DATO’ DR A. RATNANESAN

&

DATO' DR HOW KIM CHUAN

ON BEING ELECTED TO THE APDF COUNCIL 2011/2012

CONGRATULATIONS TOASSOCIATE PROFESSOR DR THURAIRATNAM

Associate Professor Thurairatnam was recently conferred the APDF Roll of Honor Award during the recent 33rd Asia Pacific Dental Congress in the Philippines. In giving the distinguished veteran Dr Thurai this most prestigious award, the dental profession is giving due recognition to one of the most outstanding dentists in Malaysia and in Asia. This singular dentist who hails from Malaysia has soldiered in the profession since 1961, the year he graduated as a young and energetic dentist. He has shone not only in the profession but also in the field of social service as a counselor and leader of counselors in the wellknown Befrienders organization and in many other areas of public life and service. We in Malaysia and in Asia are proud of you Dr Thurairatnam, and give you our heartfelt congratulations. We unashamedly aspire to emulate you in your long enduring service to the profession and to mankind.


Report of Visit to St. Joseph Home

‘One raining Saturday morning, 6 young adults visited a children’s home in Penang…..and only they realized…..how lucky they are.’ As a project of Corporate Social Responsibility (CSR) by MDA Northern Zone 2011, we have planned a visitation to St Joseph’s Home on 27th August 2011. On the day, 6 of us arrived at the Home at 10am, welcomed by one of their caretakers, known as Sis. Theresa. She gave us a short tour of the place, sharing on the history and current condition of the Home as well as some backgrounds of the children. Below are the activities that we had with the children:

1. Oral Health Awareness Talk: Given by Dr Hoo, the talk took around 20 minutes, introducing dentitions, explaining the formations of oral diseases and how

to care for oral health to the children.

2. Toothbrushing exercise: Dr Loo led us in showing and demonstrating the correct way of toothbrushing to the children, with all of them holding their

toothbrushes and brushing together with us.

3. Quiz and coloring competition: Dr Saw and Dr Chan prepared some pictures for the coloring competition and some questions for the quiz. 3 best colored

pictures and the top 3 all correct children were given special prizes, which are story books and stationeries.

Finally, Dr. Goon, presented a cheque, contributed by MDA NZ, and boxes of toothbrushes and toothpastes sponsored by Morning Kiss to the manager of the Home, Miss Vena Cheah. After saying our farewell, we left the place around 12.30pm.

A little background of St Joseph’s Home:Previously known as St. Joseph’s Orphanage, St Joseph’s Home was found by Fr. Hab , a French missionary, in 1865, starting with 20 orphans boys. He saw the needs of the time then when Penang was plagued by sickness and diseases, and children of all races and creed were left orphans to fend for themselves with the sudden demise of their parents.

With changing trends in society in the nineties, and the rise in problems faced by families, there was a need to expand the services of the Orphanage in order to be more responsive and relevant in the society. Hence, St Joseph’s Orphanage opened its doors to include not only orphans, but also to children of all religions and ethnicity who come from very poor socio-economic and psychological background. Thus, St. Joseph’s Orphanage became St. Joseph’s Home.

Currently there are a total of 37 children staying at the St Joseph’s Home and they are aged from 6-17 years old. Most of them are children’s of bumiputras from very low socioeconomic backgrounds, single parent who are busy with their jobs, and broken families. They only go back to their families during school holidays.

Last but not least, many thanks to Morning Kiss Company for willing to sponsor 100 sets of different types of toothbrushes and toothpastes to the children, and supporting us for the activity.

Prepared by : Chu Seau Chee (MDA NZ CSR Committee)


The 68th MDA AGM / FDI World Dental Congress & Trade Exhibition proved to be the Malaysian Dental Association’s blockbuster event of 2011. Held at the KLCC Convention Centre from 8-12 June 2011, it certainly raised the bar for international conventions in the region. Much effort had been put into ensuring that participants received a balanced scientific programme with plenty of opportunities to network and have fellowship with colleagues from all over the world. The very latest dental equipment and materials, new product launches andthe very best deals were available at the country ’s largest dental trade exhibition.

The MDA / College of Dental Specialists golf tournament was held on the 8th June 2011 at the Sungai Long Golf & Country Club. The Sungai Long Golf Course is Malaysia’s first international championship golf course. Its 18-hole golf course was the first course in thecountry designed by golf master Jack Nicklaus.

Eight pre-congress hands-on workshops were organized from 8-9th June 2011 at the Faculty of Dentistry, University Kebangsaan Malaysia This was an unprecedented number of workshops and it encompassed a variety of special interests including clinical hypnosis to allay dental anxiety, dental photography, suturing techniques, direct resin restorations, endodontics, prosthetics and basic laser training.

Participants at the main scientific programme on the 10th to12th June at KL Convention Centre attended lectures by renowned international speakers flown in from USA, Europe and Asia.

The Informal Night and the 1Malaysia 1 Dental Family Night was held on the evenings of the 10th and 11th June at Mahkota Ballroom of Hotel Istana. The organizing committee worked hard to put up two evenings of fun, entertainment and scrumptious cuisine.during the 68th MDA

The first College of Dental Specialists Symposium ran concurrently with the main scientific session on the 12th June 2011. Local dental specialists shared their knowledge on topics in paediatric dentistry, dental implants, microvascular surgery, periodontology and orthodontic management of clefts.

This addition of the Allied Health Professional Seminar focused on topics relevant to dental nurses and dental surgery assistants. It consisted of a full day programme featuring communication skills, dental ergonomics, advances in preventive dentistry, teeth whitening and patient management system. The 2nd Dental Students’ Congress was also held i n conjunction with this event. Motivational as well as educational lectures were organized to cater to the dental undergraduates. A ‘Dental Amazing Race” between the 11 dental schools was a highlight of this event. Other activities included the 1st Malaysian Dental Student Leader Congress (DENSLEC) , Dental Students Gala Dinner and Audio Visual Aid Competition.

The 68th MDA AGM / FDI World Dental Congress & Trade Exhibition was indeed a resounding success and testament to the “Malaysia Boleh” mind-set of the organizing committee.

68TH MDA AGM / FDI WORLD DENTAL CONGRESS & TRADE EXHIBITION, 8-12 JUNE 2011, KUALA LUMPUR CONVENTION CENTRE

MALAYSIAN DENTAL ASSOCIATION/FDI WORLD DENTAL FEDERATION CONGRESS


8 - 9 JUNE 2011 (Pre-congress workshop, UKM) 10 - 12 JUNE 2011 (Main congress)DATE:

Venue: KLCC CONVENTION CENTRE

68TH MDA AGM & TRADE EXHIBITION

Guest of Honour: YBhg. Dato' Dr. Hasan Bin Abdul Rahman Director General of Health, Ministry of Health Malaysia


Malaysia Dental Association Eastern Zone had once again successfully organized an inaugural dental congress in Sibu, Sarawak i.e. Sibu Dental Congress & Trade Exhibition 2011 at Grand Jasmine Ballroom, RH Hotel, Sibu on 16th to 17th July 2011 with the theme "Invest Your Present In A Confident & Rewarding Future In Dentistry". This congress was officiated by Guest of Honour, Yang Berhormat Dato' Sri Wong Soon Koh, Second Finance Minister, Minister of Environment and Public Health, Sarawak.

Under the leadership of local organizing chairman Dr Hu Chang Lek, a total of 83 registered delegates from Sarawak, Sabah, Peninsular Malaysia and as well as from overseas like Thailand, Singapore and Brunei had participated in this very first dental congress ever held in this City of Swan, Sibu Sarawak. We had a total of 7 renowned speakers sharing their expertise on Restorative and Aesthetic Dentistry, Endodontics, Orthodontics, Implantology, Oral Medicine and Oral Surgery. A Pre-congress workshop by Dr Sim Tang Eng on Aesthetic Dentistry and a workshop during congress by Assoc.Prof Dr Saisawart Thongsaphan on Single Reciprocating File for a root canal preparation had carried out and received overwhelmed respond from the delegates.

Participants from the traders had also played an important role in making this event a successful one. A total of 20 traders had participated in this congress with Colgate Palmolive Sdn Bhd as main sponsor and GSK Sdn Bhd as Co-sponsor where as speaker sponsor were from Oceanwealth Horizon and Ivolar Vivadent.

An Informal-night was organized by the Co-organizing chairman of this congress, Dr Mohamad Gurmeet where all the delegates and traders had enjoy themselves during the night after a heavy lecture and workshop of the day. The informal-night was fully sponsored by Mayor Datuk Tiong Thai King, Member of Parliment Lanang and Chairman of Sibu Municipal Council.

Inconjuction with Sibu Dental Congress and Trade Exhibition 2011, Malaysian Dental Association Eastern Zone also organized the very first "Sibu Oral Health Public Forum" together with Co-organized the Rotary Club of Sibu and Borneo Post as official media. About 100 people joined the forum at Toh Siong Hall, Level 1, Wisma Sibu General Chinese Chamber of Commerce and Industry. The invited speaker for this public forum were Prof Dr Toh Chooi Gait who spoke on Black and White Restoration; Prof Dr Ho Kee Hai spoke on Swelling, Ulcers, White and Black Lesion In the Mouth while Dr Lee Soon Boon explained the teeth hypersensitivity, GSK kindly sponsored the doorgifts and YBhg Temenggong Vincent Lau Lee Ming was the patron of the forum.Following the success of this event, we hope that all dental profession in eastern zone will continue to strike our team spirit towards the beneficial of all people in this region.

SIBU DENTAL CONGRESS & TRADE EXHIBITION 2011 REPORTReported by Dr James Chu Kok Weng

Secretary of Organizing Committee


Classifieds

Dental surgery fortakeover in city centre.

Please call 016-288-6028

Dental Specialist Clinicfor Sale at Johor Bharu.

Interested please contact Dato’ Dr Tan at012-7227878

Locum Wanted in Kota Damansara PJ

To work on Sat and SunInterested please contact

03-61485208 or

email to [email protected]

Dental Specialists (Any Specialties) Required in

Ra�esia Medical Centre , Kota Kinabalu , Sabah

&Associate Dental Surgeon

Required in Group Practice in Kota Kinabalu, Sabah

Please callDr Roland Chia 016 - 8300183

or email : [email protected]

Q and M Dental Surgery (Molek) Johor BaruQ and M Dental Surgery (Bestari) Johor Baru

A subsidiary of singapore’s largest private group is looking for general practitioner to join the group.Digital opg,ceph, intraoral camera,brand

new high tech set up.Good basic and remuneration package.

Oppurtunity to be sponsored for certi�cate of Implantology (Frankfurt)

Dr Hong: 012-7815576 or Dr Ng: 02-82828332

6 year old dental practice near Tropicana GCC, PJ(1st �oor) for sale.2 X dental chairs,2X portable scalers,1Xpolishing machine,1 X whitening equipment,autoclave,ultrasonic

cleaner,apex locator plus other basic dental equipments all well maintained.Equipped with CCTV and 24hr security alarm system.Dedicated DSA for the past 4 years.Good

investment, mainly mid to high income clients.RM130K.

Interested please call: 019-3566519

Dental Surgeons and Dental Specialist(especially in perio. and endo. and other �eld) wanted for clinics in Petaling Jaya and

Kajang. Dental Surgeons are to be on full time basis. Specialist are either on full time basis or exclusive �exible working days.

Candidates must be Malaysians with APC.

Dr's name: Dr. Ganesvaran a/l ParamanathanAdd : 46A, 1st Floor, Jalan Tun Abdul Aziz, 43000 Kajang, Selangor.

Tel : 03- 87363890, Please call or SMS 019-3320943

Vacancy for an Associate Dental Surgeon

Dental Clinic in KL with high patient �ow and good take home salary!

We have a team of 4 dentist ,orthodontist and oral surgeon.Come join us.

Please call Dr.Lau 03 9221 4326 or 017 333 6983or Email : [email protected]

Dental Specialist / Dental Surgeons RequiredDental Specialist (Full/ Part Time)

• Orthodontist • Endodontist • Paedodontist • Periodontist

Dental Surgeon (Full/ Part Time)A chance to work in a high tech dental clinic with the latest 3D CBCT, Laser, Endodontic microscope,

orthodontic cephalometric software, modern operating theatre etc in KL City Centre.Attractive remuneration, �exible working hours.

Please call Alice 016-336 2285 or Ivy 013-399 1565 for interview


Dental surgery fortakeover in city centre.

Please call 016-288-6028

Dental Specialist Clinicfor Sale at Johor Bharu.

Interested please contact Dato’ Dr Tan at012-7227878

Locum Wanted in Kota Damansara PJ

To work on Sat and SunInterested please contact

03-61485208 or

email to [email protected]

Dental Specialists (Any Specialties) Required in

Ra�esia Medical Centre , Kota Kinabalu , Sabah

&Associate Dental Surgeon

Required in Group Practice in Kota Kinabalu, Sabah

Please callDr Roland Chia 016 - 8300183

or email : [email protected]

Q and M Dental Surgery (Molek) Johor BaruQ and M Dental Surgery (Bestari) Johor Baru

A subsidiary of singapore’s largest private group is looking for general practitioner to join the group.Digital opg,ceph, intraoral camera,brand

new high tech set up.Good basic and remuneration package.

Oppurtunity to be sponsored for certi�cate of Implantology (Frankfurt)

Dr Hong: 012-7815576 or Dr Ng: 02-82828332

6 year old dental practice near Tropicana GCC, PJ(1st �oor) for sale.2 X dental chairs,2X portable scalers,1Xpolishing machine,1 X whitening equipment,autoclave,ultrasonic

cleaner,apex locator plus other basic dental equipments all well maintained.Equipped with CCTV and 24hr security alarm system.Dedicated DSA for the past 4 years.Good

investment, mainly mid to high income clients.RM130K.

Interested please call: 019-3566519

Dental Surgeons and Dental Specialist(especially in perio. and endo. and other �eld) wanted for clinics in Petaling Jaya and

Kajang. Dental Surgeons are to be on full time basis. Specialist are either on full time basis or exclusive �exible working days.

Candidates must be Malaysians with APC.

Dr's name: Dr. Ganesvaran a/l ParamanathanAdd : 46A, 1st Floor, Jalan Tun Abdul Aziz, 43000 Kajang, Selangor.

Tel : 03- 87363890, Please call or SMS 019-3320943

Vacancy for an Associate Dental Surgeon

Dental Clinic in KL with high patient �ow and good take home salary!

We have a team of 4 dentist ,orthodontist and oral surgeon.Come join us.

Please call Dr.Lau 03 9221 4326 or 017 333 6983or Email : [email protected]

Dental Specialist / Dental Surgeons RequiredDental Specialist (Full/ Part Time)

• Orthodontist • Endodontist • Paedodontist • Periodontist

Dental Surgeon (Full/ Part Time)A chance to work in a high tech dental clinic with the latest 3D CBCT, Laser, Endodontic microscope,

orthodontic cephalometric software, modern operating theatre etc in KL City Centre.Attractive remuneration, �exible working hours.

Please call Alice 016-336 2285 or Ivy 013-399 1565 for interview

Classifieds


Scientific Conventionand Trade Exhibition

19th FDI/MDA

Main Organizer: Main Sponsor: Co-Sponsor:

Sunway Pyramid Convention Centre,Petaling Jaya

Date : 13th January 2012 - Pre-Congress Hands-On Workshops 14th - 15th January 2012 - Main Scientific Convention

Dr. Philippe Guettier (Vietnam) Topic 1: Broken Instruments: Prevention and TreatmentTopic 2: Successful Endodontics with Single File Reciprocating System

Dr. Christopher Sim Kwang Yong(Singapore) Topic : Dental Implants in the Aesthetic Zone : A Total Implant Treatment Protocol

Dr. Christopher C.K. Ho (Australia)Topic: Integrating Direct and Indirect Restorations within the Aesthetic Practice

Dr. Haizal Mohd Hussaini (Malaysia)Topic: Malignant Lesions lurking in the Oral Cavity, don't be caught by surprise

Professor Serge Dibart (USA)Topic: Piezocision : Rapid Orthodontic Tooth Movement while correcting soft and hard tissue de�ciencies

Dr. Ghabi A. Kaspo (USA) & Associate Professor Yoshinobu Shoji (Malaysia)Topic: Interpretation of Cone-Beam CT Imaging

Dr. Peter Verlander (USA)Topic: Dental Stem Cells - Promise and Practic

Speakers

1st Malaysian Associationfor Prosthodontics Scienti�c and Annual General Meeting

Venue : Balai Ungku Aziz, Faculty of Dentistry, University of MalayaDate : 2/10/2011( Sunday )Time : 8.30am-5.30pm

Jointly hosted byMalaysian Association for Prosthodontics

and Department of General Dental Practice and

Imaging & Department of Prosthetics Dentistry, Faculty of Dentistry, University of Malaya

Supported by:

DR. LEO GERALD R. DE CASTRO DR. ADAM HUSEIN ASSOC. PROF. DR. SEOW LIANG LIN

SPEAKERS

CPD Points Accredicted

LECTURE1. Aesthetic Prosthesis for Success in Implants.2. Mini Implants for Denture Stabilisation – A hope to the hopeless?3. Prosthodontic Rehabilitation for Head and Neck Cancer Patients.4. Oral Rehabilitation- from Simple to Complex.

HANDS ONIn this hands on, you’ll learn the case selection process for mini implants placements in denture stabilization. You’ll get a feel of how to place mini implants in a model mandible and how dentures are modified after implants are placed.

Organizer:

1010 thth PENANG DENTAL CONGRESSPENANG DENTAL CONGRESS

Main Sponsor: Speaker Sponsors:

21st—23rd October 2011

Bayview Beach Resort, Batu Feringghi

Date: 20 October 2011 Speakers :DR EDUARDO MAHN, DR ALEX

CHAN,DR RICHARD ANG Venue: Seminar Room, Bayview Beach Resort

Concurrently: Oral & Poster Presentation

Nurse & DSA Symposium Date : 22 October 2011

Speakers for Symposium: DR RASHID TAHIR, MS PRISCILLA HO

Malaysian Dental Association Northern Zone

Co-Sponsors:


Pre Congress Hands-On

20 CPD

points

The Power. The Silence. The new Tornado

Tornado – the new generation of compressors from Dürr Dental

Dürr Dental, the inventor of oil-free dental compressors, presents an

unbelievably quiet and powerful compressor for dentistry in the form

of the new “Made in Germany“ Tornado.

Oil-free, dry, and hygienic

One of the quietest of its kind

Great reliability thanks to closed crankcase

Antibacterial inner tank coating

Low-maintenance thanks to membrane-drying unit

More under www.duerr.de

DÜRR DENTAL AG (South East Asia), 823, 8th Floor, Block A,

Kelana Centre Point, 47301 Kelana Jaya, Selangor, Malaysia,

Tel.: +6 (03) 7804 1067, Fax: +6 (03) 7805 1067

Email: [email protected]

COMPRESSED AIR

SUCTION

IMAGING

DENTAL CARE

HYGIENE

Super

Silent

AZ_Tornado_A3_EN Malaysia RZ.indd 1 04.07.11 13:59

November 19th - 20th, 2011 • Saturday & SundayThe Puteri Pacific - Johor Bahru

Final Annoucement

Singapore Dental Association &Malaysian Dental Association Southern Zone

Joint ly Organised by

Featuring Keynote Speaker

Distinguished SpeakersDr Mannil Thomas Abraham

Dr Go Wee SerDr Shawn GohDr Edwin Heng

Dr Koh Chay HuiDr Cyanthi SeneviratneProf. Frederick C Smales

Dr Rashid Tahir

Main Sponsor Gold Co-Sponsors

A/Prof Jennifer Neo

Up toCPD : MDA 6 pointsCPE : SDA 11 points

Pre-Convention

Workshop on

November 18th • Friday

CPD : MDA 6 points

CPE: SDA 6 points

Forging Ahead

Malaysian Dental Association Southern Zone

November 19th - 20th, 2011 • Saturday & SundayThe Puteri Pacific - Johor Bahru

Final Annoucement

Singapore Dental Association &Malaysian Dental Association Southern Zone

Joint ly Organised by

Featuring Keynote Speaker

Distinguished SpeakersDr Mannil Thomas Abraham

Dr Go Wee SerDr Shawn GohDr Edwin Heng

Dr Koh Chay HuiDr Cyanthi SeneviratneProf. Frederick C Smales

Dr Rashid Tahir

Main Sponsor Gold Co-Sponsors

A/Prof Jennifer Neo

Up toCPD : MDA 6 pointsCPE : SDA 11 points

Pre-Convention

Workshop on

November 18th • Friday

CPD : MDA 6 points

CPE: SDA 6 points

Forging Ahead

Malaysian Dental Association Southern Zone

Total care mag ad FA OL.pdf 12/23/10 4:47:59 PM

Fulltime dentist wanted in Klinik Pergigian Famili, Wangsa Melawati (Mon-Sat).Working hours 9.00am to 6.00pm. Please contact Dr Wan Noraini at 0122149871 or

email address [email protected]

Dentist part-time or full-time, needed in clinics in Kuala Lumpur. Suitable for retired/ retiring clinicians.

Contact : 019 2822348 or [email protected]

CLASS REUNION, UNIVERSITI MALAYA BDS GRADUATE YEAR 1991It’s hard to believe it’s been 20 years! Come and reminisce during MDA’s Informal Nite Dinner held on 10th June

2011 to be held at Hotel Istana, at RM40 per pax. Please contact Mei Ling to confirm your participation: sms 012 6174016 or email [email protected]

Full-time Dental Surgeon required for established pioneer Dental Clinic, Please contact: 03-3141 1500

Dental practice in Klang for sale Interested, please contact: Dr Lee 03-3342 3286 or 012 310 8702

Full or Part Time dental surgeons required for a group practice in KL.Contact Dr Lee at 012-3588335 or email: [email protected]

aug/sep/oct 2011aug/sep/oct 2011 malaysian dental association 54-2, 2nd floor, medan setia 2, plaza...

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