MDAJul - Sep 2016

A p u b l i c a t i o n o f M a l a y s i a n D e n t a l A s s o c i a t i o n

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ADVOCATEFOR DENTALEDUCATION

Malaysia-InternationalDental Exhibition and Conference MIDEC 2016

18 Managing Dental Patients With Special Needs

21Bite Mark Recognitionin Child Abuse: A Practitioner Guide

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Professor Datuk Dr. Ab Rani Samsudin on the importance of dental education in Malaysia and beyond.

EditorDr. Mas Suryalis Ahmad

Contributing writersDr. Chow Kai FooDr. Leong Kei JoeDr. Sharon Hor Wan ShyenDr. Jane Lau Ning ShingDr. Christina Wong Pek WeiDr. Teh Tat BengDr. Mas Suryalis AhmadDr. Mohd Yusmiaidil Putera Mohd YusofDr. Tan Hooi Shan Dr. Sharon Tay

Ex-officioDr. John Ting Sii Ong

TreasurerDr. Koh Mei Yen, Eileen

Advertisement LiaisonDr. Wong Chin Mee, AngieDr. Ng Su Chin, JanicePuan Razana Abdul Karim

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

Tel: 603-2095 1532 2095 1495Fax: 603-2094 4670E-mail: mdaassoca@mda.org.my mdentalassoc@gmail.comWebsite: www.mda.org.my

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Tel: 603-6206 3497Fax: 603-6201 0756Email: arvind@paulandmarigold.comWebsite: www.paulandmarigold.com

Note:Views expressed are not necessarily those of The Malaysian Dental Association. The Malaysian Dental Association takes no responsibility for the consequences of any action taken based on any information published in MDA News and neither shall it be held liable for any product or service advertised in the same. No part of this publication may be reproduced without the permission of the publisher.

MALAYSIAN DENTAL ASSOCIATION

Messagefrom the Editor

It is heart-warming to watch the blossoming of the Malaysian Dental Association (MDA) as the profession expands to fulfill the oral health needs of Malaysians. With the increasing number of graduates and specialists in the country, MDA continues to serve as a platform that promotes professional development via dissemination of knowledge, skill acquisition and fostering of professional relationships. The strong support of its members has been a pillar to the association’s existence, without which its functions would not be successfully delivered.

The new line up of the MDA committee, announced in June 2016, aspires to emulate the excellent leadership of the previous groups in an endeavour to provide its members with opportunities for developing professional excellence and personal wellbeing. It is hoped that the new voices and young minds will bring in innovative ideas while the Association strives on the wisdom and experience of the highly respectable earlier generations of dental professionals.

This issue of MDA News highlights activities which were organised by the association during the months of July, August and September 2016. It also includes the largest event of the year, the Malaysian-International Dental Exhibition and Conference (MIDEC). With the successful conduct of this event, MDA will persevere to maintain the quality of the zone and national activities, targeting the educational and professional needs of the dental fraternity members in Malaysia.

Dr Mas Suryalis AhmadEditor-in-Chief, MDA News;Honorary Publication Secretary 2016-2017 Malaysian Dental Association

MDA News welcomes submission of scientific articles to be featured in our upcoming issues. Please forward your articles to: massuryalis@gmail.com

InsideFeature

Activities

13 Ipoh CPD Programme 2016

14 Anterior and Posterior Composite Restoration Workshop

15 Dental Health Talk at Huai An Methodist Church in Sibu

17 Corporate Social Responsibility Programme Report

18 Malaysia-International Dental Exhibition and Conference MIDEC 2016

22 Advocate for Dental Education

28 Managing Dental Patients With Special Needs

30 Bite Mark Recognition in Child Abuse: A Practitioner Guide

July-September 2016

5Message from the President

Dr. Chow Kai Foo MDA President June 2016

MALAYSIAN DENTAL ASSOCIATION

One of our proudest accomplishments and best kept secrets is that in the last few years we have been able to develop a culture of friendly networking and co-labouring together as a team in our common quest to promote the art and science of

dentistry for the benefit of the human family. Our showcase is the 50 over busy dentists from the private sector, government, universities, military joining hands together with the support of an able MDA secretariat staff to run an international dental convention that will give any Private Convention Organizer or PCO a run for their money. This is a culture and mindset that we are extremely proud of and must maintain as a sustained tradition and example because the alternatives are lack of common purpose, loss of vision, division and deterioration.

Join MDA and travel the world!! Has some truth in it. The MDA is spread throughout the country, the northern zone, southern zone and the eastern zone and we can have council meetings and AGMs in any zone. It is exciting to be a council member as you get to travel to different parts of Malaysia/ meet different people / be in meetings and contribute towards the governance and regulation of the profession etc. You are also invited to various countries national dental conferences and get to participate in the FDI. This year some of us will be in Poland to participate in the World Dental Congress with over 160 other countries to fraternise, learn and debate over various important issues in dentistry like education, practice, ethics, mercury, implants, sugar, aging, antibiotic usage, just to name a few. So join MDA and see the world is true! But I must add that you must take time off from your work... or private practice and do MDA work for the profession. There is no room for hangers-on... If you are in the councils and find that you are not volunteering for work... please start feeling guilty and... resign and not try to hang on for the sake of freebies... because your conscience should tell you that you are doing it at the expense of others. You should be involved to promote the art and science of dentistry to benefit humanity and ultimately yourself, your children, grandchildren, nation and the world... and see the world.

The development and involvement in this promote the art and science of dentistry to benefit humanity. Team and teamwork is a wonderful experience which I will encourage our many young dentists to be involved in. You will network into a team of successful dentists who will mentor you and nurture into your psyche and personality an ability to work closely with many different individuals of different sectors of the industry and backgrounds. You will also imbibe and help develop a culture of diligence, dependability, humility and entrepreneurship. We will be opening a book at our registration counter where any dentist can sign up to be involved in this unique, dynamic and growing organism called the MDA and grow with us in the process. Or you can email to us your name and contact information or even call the MDA Secretariat or give your name personally to me or to any council member of the MDA.

The Malaysian Dental Association welcomes all participants near and far to our premier dental convention and exhibition MIDEC 2016.

MDA News

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Installation of the new MDA president, Dr Chow Kai Foo by immediate past president, Dr John Ting Sii Ong

The prime objective of the MDA is clearly stated in her constitution:

To promote the art and science of dentistry... and if I might add for the benefit of humanity.

and responsive to the needs of the members and public and face up to the challenges confronting the profession in the coming years:

• Absorbing the large flow of graduates into the profession of up to 1200 a year. Previously the profession grew at only about 200-300 a year.

• The need for dentists to continuously upgrade themselves in skills and knowledge in order to deliver the best we can in the most cost effective way we can to the public whom we serve. Dentists should continue to enjoy freedom to practice dentistry in all its forms without undue constraints in line with the FDI Policy Statement on Basic Dental Education:

In order to do this the Malaysian Dental Association must remain morally and financially strong. We must never allow ourselves to be hijacked by special interest groups but must remain altruistic in our motivations. In our current period of uncertainty, fear, and struggling with trying to make sense of what is happening to our world and how to address and engage with the complex issues, the MDA must encourage and nurture a culture of mutual respect, fairness, kind and humble consideration towards each other and utmost respect towards our staff and towards our patients and towards those we work with, both above us and those below us on the basis that basically we are from the same family... the human family.

These are salient points for each member to consider when running for office and when electing a new council each year. Then only can the MDA remain pro-active

July-September 2016

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“The newly qualified dentist should be able to carry out every kind of dental practice appropriately using currently accepted methods of treatment.”

• The urgent need to increase the number of specialists in all the different fields of dentistry. This is an area that can be solved if we are willing to make full use of mass open source online learning modules. Mass Open Online Modules (MOOM). A lot of learning can be done on line through lectures, talks, videos, modules, conferencing, personal chats and messaging and can be supplemented with short clinical attachments. This is an area where urgent innovation and positive exploitation will upgrade anyone who is eager to learn without having to be full time in institutions.

• Helping to develop a dental act that works with regulations that are flexible and amenable to regular updates and amendments in line with rapidly changing paradigms in treatment philosophies and even disruptive technologies that may alter overnight how we practice dentistry... Like a vaccine against periodontal disease and an fast and affordable way to replace lost teeth. No act can be drafted in such a way that accommodate all future changes. As such an Act as a living document that already works reasonably well should be amended rather than replaced. Any amendments to the Act and its accompanying regulations should be done with careful study and foresight together with stakeholders and should never be with knee jerk reactions.

• Public statements on dentistry should be made responsibly without being self-promoting and being careful not to afflict upon the public undue fears and negative perceptions of the profession. Any leader of the profession must be especially careful because what they say may be misunderstood or misquoted.

The new World Health Organisation (WHO) guideline recomends sugar intake in adults

and children be reduced from the current 10%-

16% to 5% or less.

• Our ageing population expecting by 2030 to have almost 20% or 8 million of the population being 60 and above will make geriatric dentistry an important field of dentistry in the future.

• The growing demand for aesthetic dentistry by an increasingly well educated public will be extending to dental oro-facial therapeutic and aesthetic procedures. The profession must be extremely pro-active in extending treatment into these areas of aesthetics of the mouth and surrounding structures in which all dentists or more accurately stomatologists, have excellent basic anatomical understanding and training.

• The battle against excessive consumption of free sugars is something that I would like to emphasise. In the FDI AWDC (Annual World Dental Congress) 2014 in New Delhi, the statement from Malaysia was adopted in the FDI Policy Statement ‘Perinatal and Infant Oral Health’ basically focusing on ECC (Early Childhood Caries).

MDA News

8“There should be a concerted, integrated effort of parents, schools, health ministries and other stakeholders to decrease the intake of sugar in all its forms.”

Following this effort of Malaysia, the FDI AWDC 2015 in Bangkok organised a World Oral Health Forum on ‘New WHO Guideline on Sugar Intake for Adults and Children’.

The new World Health Organisation guideline for sugar intake for adults and children is that the energy contribution of free sugar in all its forms should be reduced from the current 10-16% to 5% or less. This practically translates into a simple rule of thumb of 5 teaspoons of sugar or 20 grams of sugar per person per day. One teaspoon of sugar equals 4 grams in weight. One can of coke or other soft drink contains an average of 10 teaspoons or 40 grams of sugar! Drinking one can of coca cola means you have used up your sugar quota for 2 days! In other words, one can of Coca Cola contains double the WHO recommended sugar intake for one day. The problem that immediately arises is how to do it because the whole world is addicted to sugar for the last 100 years and increasingly so resulting in not only increase in caries, but also obesity and diabetes and all the accompanying diseases that follows. And do it we must.

This global health emergency must be tackled... But how? We Malaysians have bolehed (can-can) ourselves into the unenviable position of being the fattest people in Asia and as a result we have one of the fastest growing diabetic populations in the world from 11.6% in 2006 to 16.2% in 2012 currently and expecting to hit 21% by the year 2020. We want to be a developed nation but not that way. As dentists we are very concerned about excessive free sugar consumption because not only does it cause dental caries, the resulting diabetes also worsen periodontal disease and raises the morbidity of all other dental diseases. We must also never forget that we are first of all physicians who care for the whole being and who just happen to specialise in the mouth and surrounding structures.

The MDA therefore supports the principal of reducing the intake of free sugars in all its forms. We hope that measures will be implemented in a workable and considerate manner with plenty of educational preparation of the public. The MDA will also like to encourage the implementation of the FDI WDC policy statement:

“There should be a concerted, integrated effort of parents, schools, health ministries and other stakeholders to decrease the intake of sugar in all its forms.”

“The future depends on what we do in the present. The best way to find yourself is to loose yourself in the service of others.”

-Mahatma Gandhi-

The Great Soul also said concerning relations with one another,

“An eye for an eye and the whole world will go blind.”

We dentists would like to paraphrase here:

“A tooth for a tooth will make us all toothless.”

We extend to all delegates our best wishes for a wonderful time of learning, networking and shopping and to all our exhibitors every success in their sales and promotions.

Going Boldly Where Dentistry Has Never Gone Before.

Serving Together With You.

Dr. Chow Kai Foo BDS; FDSRCS; AM(Mal) President MDA June 2016

Diabeties is expected to reach 21% in Malaysians by 2020

2006

11.6% 16.2% 21%

2012 2020

July-September 2016

9I

t gives me great pleasure to pen down my first message as MDA’s Honorary General Secretary in this issue of MDA News. I wish to take this opportunity to congratulate Dr Mas Suryalis, our newly elected Honorary Publication Secretary of MDA, who is also MDA

News’ Editor in Chief.

Two council meetings have been concluded since our MDA annual general meeting in June 2016.

The association has been actively involved with the respective authorities on various matters through the MDA Government Policies and Regulation Committee headed Dr Siow Ang Yen. This included the ‘Pilot Test of Dental Clinic Standard’ by the Malaysian Society for Quality in Health and the National Oral Cancer initiatives. As a dental profession mother body encompassing both public and private practitioners, I believe that our noble profession will continue to progress through collective solutions.

On the international level, I am truly honoured to be appointed as the National Liaison Officer for MDA. In September 2016, delegates representing the MDA council members will embark on a long flight to Poland to attend the FDI Annual World Dental Congress 2016. The delegation will be involved in several meetings throughout the World Dental Parliament Business Meetings such as the Open Forums to debate on policy statements, National Liaison Officer Forum, General Assembly and World Oral Health Forum. The delegates will also be involved in official social events. This time round, the MDA delegation will be there to campaign for two of our MDA members who are nominees for Standing Committees: Dr Chow Kai Foo for Dental Practice Committee and Professor Dr Khoo Suan Phaik for Education Committee.

Lastly, I humbly request all members of our beloved association to continue your full support to the present council members. We continue to welcome opinions, and, positive and constructive criticisms that will benefit the dental profession as a whole. It is undeniable that the achievements of the association are the combined efforts of every member.

Yours in MDA, Dr Leong Kei Joe

Message from the Honorary General Secretary

Dr Leong Kei JoeHonorary General Secretary

MALAYSIAN DENTAL ASSOCIATION

Greetings from MDA Council!

MDA News

10

Dear Esteemed Members of the MDA,

In an extremely connected world that we live in, it is vital for us to always be well informed and up to date especially in our contactability. With this noble aspiration in mind, we sincerely urge all members of the MDA to make sure that your contact details are always current:-

• EMAIL ADDRESS• MOBILE HANDPHONE NUMBER• CURRENT MAILING ADDRESS

This is to enable the MDA to always be able to keep you up to date with the latest information on important issues that affect the dental profession, seminars and talks, conventions both local and international. For Dental Protection Limited members, it is extremely important to keep your contact information always current so that your membership will always be up to date and you will always be covered. There have been several cases where members were hit with patient complaints during the period where they were inadvertently overdue in their subscriptions.

IF YOU HAVE ANY DOUBT ABOUT YOUR CONTACT DETAILS, PLEASE EMAIL THEM WITH YOUR NAME TO THE MDA AT:-

mdaassoca@mda.org.my

or call 603-20951495

THE IMPORTANCE OF KEEPING YOUR MEMBERSHIP CONTACT DETAILS ALWAYS CURRENT

July-September 2016

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Dear Esteemed Members,

Please kindly be informed that beginning of year 2016, our MDA News will be going e-copy and readily viewable online and downloadable from the members site. As such, members who wish to continue to receive their usual hard copies through postal delivery, please kindly fill in the details below and post the completed reply form back to our office at the address stated below.

MDA NEWS 2016 WILL BE

GOING GREENREQUEST FORM FOR CONTINUATION OF POSTAL DELIVERY OF MDA NEWS IN HARD COPY

YES! I would like to continue to receive my hard copy of MDA News

Name of member:

Phone Number: Email:

Correspondence address:

Kindly post the completed form to:

MALAYSIAN DENTAL ASSOCIATION54-2, Second Floor, Medan Setia 2, Plaza Damansara, Bukit Damansara, 50490 Kuala Lumpur, Malaysia.

MDA News

12 President: Dr Chow Kai Foo

Immediate Past President: Dr John Ting Sii Ong

President-Elect: Dr Ng Woan Tyng

Honorary General Secretary: Dr Leong Kei Joe

Assistant Honorary General Secretary: Dr Siow Ang Yen

Honorary Financial Secretary: Dr Koh Mei Yen, Eileen

Assistant Honorary Financial Secretary: Dr Wong Chin Mee, Angie

Honorary Publication Secretary: Dr Mas Suryalis Bt Ahmad

Elected Council Member: Dr Ibrahim Shahruddin

Elected Council Member: Dr Jayaseel A/L S. R. Pillai

Appointed Council Member: Prof. Dr Mohamed Ibrahim Bin Hassan

Appointed Council Member: Dr Nurul Syakirin Bte Abdul Shukor

Southern Zone Chairman: Dr Ng Ben Chuan

Southern Zone Secretary: Dr Lee Wei Zin, Zeo

Northern Zone Chairman: Dr Lim Chiew Wooi

Northern Zone Secretary: Dr Tan Sock Hooi

Eastern Zone Chairman: Dr Chu Kok Weng, James

Eastern Zone Secretary: Dr Chhoa Jau Min, James

Scodos Chairperson: Dr Rasidah Bt Ayob

Installation of the new MDA Council members during MIDEC 2016 Gala Dinner

New MDA Council Line-up 2016-2017

MALAYSIAN DENTAL ASSOCIATION

July-September 2016

13Ipoh CPD Programme 2016

Report prepared by:Dr Tan Hooi Shan

The Ipoh CPD (continuous professional development) programme was held on 15 May 2016 at the Weil Hotel Ipoh. The full-day programme was well-received and

attended by 84 participants.

Four lectures were delivered during the programme by two speakers. Dr Norasmatul Akma binti Ahmad, a prosthodontist and lecturer at Universiti Malaya spoke on the topics ‘Occlusion made easy’ and ‘Restoring tooth wear – Is composite a choice?’.

The second speaker, senior lecturer Dr Chew Hooi Pin also from Universiti Malaya, gave the participants some useful information through the topics of ‘New Horizons on Posterior Composite’ and ‘Role of ICDAS in modern caries management’.

In between the lectures by the two speakers, Executive Vice-President, Market Development, Securities Market, Bursa Saham Shahrul Amry Abdul Malek shared some investment opportunity tips with the participants. The programme was a great success and ended at 5pm.

MDA News

14Anterior and Posterior Composite Restoration Workshop

Written by:Dr Jane Lau Ning ShingMDAEX EXCO 2016-2017

Malaysia Dental Association Eastern Zone (MDAEZ) has always been dedicated in bringing continuous professional development

opportunities to its members. This time, MDAEZ in collaboration with 3M, had invited restorative specialist Dr Army Empol, to give a workshop on anterior and posterior composite restorations, revealing the style Italiano recipe. Held at the Sky Hotel Kota Kinabalu on 19 June 2016, it was a full day practical workshop.

A total number of 16 delegates participated in the workshop. They learnt about simplified ways of creating beautiful composite restorations and later exchanged experiences they had when dealing with various filling materials, besides having a good bonding time with colleagues.

A Sunday well-spent.

The Style Italiano Recipe

July-September 2016

15Dental Health Talk at Huai An Methodist Church in Sibu

Report prepared by: Dr Christina Wong Pek Wei

The Malaysian Dental Association Eastern Zone (MDAEZ) had organised a dental health talk for the Methodist Young Adult Fellowship at Huai An Methodist Church, Sibu, Sarawak on 1 July 2016.

Some 70 people attended the event.

MDAEZ chairman Dr James Chu Kok Wen presented the talk on ‘Teeth for Life’ in Mandarin. He touched on topics such as teeth structure and anatomy, various causative factors for tooth lost, types of dental treatment, and other dental and oral related problems apart from dental decay and gum diseases. He also stressed on the importance of oral health education and awareness.

NovaMin® is clinically proven to help protect against dentine hypersensitivity by forming a robust reparative layer over exposed areas of dentine1-4

The robust hydroxyapatite-like layer is resistant to:

Adapted from Earl J et al. J Clin Dent 2011; 22(3):68-73.In vitro scanning electron microscope (SEM) images of the tooth surface show that a hydroxyapatite-like layer is formed after twice-daily brushing for 4 days with a 5% NovaMin® toothpaste and a 5 minutes cola challenge5

1. Greenspan DC et al. J Clin Dent 2010; 21: 61-65.2. La Torre G and Greenspan DC. J Clin Dent 2010; 21(Spec Iss): 72-76.3. Earl JS et al. J Clin Dent 2011; 22(3): 62-67(A).4. Parkinson et al. J Clin Dent 2011; 22(3): 74-81.5. Earl J et al. J Clin Dent 2011; 22(Spec Iss): 68-73.

Physical challenges:

Dentine pre-brushingPhysical challenges:

Layer post-brushingDietary challenges:

Layer post-acidic challenge

GlaxoSmithKline Consumer Healthcare Sdn Bhd (3467-X)Lot 89, Jalan Enggang, Ampang/Ulu Kelang Industrial Estate, 54200 Selangor, Malaysia.

CHMY/C

HSENO/000

5/16

July-September 2016

17Corporate Social Responsibility Programme Report

Organising Chairman: Sharon Hor Wan Shyen

Telematch with the residents

A volunteer is giving dental treatment to a villager

Winners of the Telematch

A volunteer is giving oral hygiene instruction to a villager

The Malaysian Dental Association Southern Zone (MDASZ) had successfully organized a corporate social responsibility (CSR) programme in Pulau Tinggi, Mersing Johor from 24 to 26 May 2016. Themed ‘Hands that serve, Heart that

care’. The main purpose of the programme was to provide dental treatments and educate the residents about oral health care.

Pulau Tinggi is located about 20 nautical miles from southeast of Mersing, on the east coast of Johor. The journey by speed boat from Tanjung Leman Jetty to Pulau Tinggi takes about 30 minutes. The island is mostly covered with secondary lowland rainforest. It has abundant fresh waters, fruits, rattan and timber while the sea around the island hosts coral reefs and marine life. It also has a long coastline and white sandy beaches dotted with beautiful caves. The island has the highest residential population among the east coast Johor islands. The population is estimated at 448 people from three village settlements: Kampung Tanjung Balang, Kampung Pasir Panjang and Kampung Sebirah Besar.

The CSR programme was conducted at Kampung Tanjong Balang as the distance between the villages are far. Eighteen MDA members and five government staff from Klinik Pergigian Mersing participated in the programme. During the three-day event, many activities such as home visits, oral health care consultation, screening and dental treatment, telematch game and karaoke competition were conducted. We received good support from the residents in all activities. A total of 30 residents participated in the dental screening and treatments.

A special thanks to Ketua Kampung Tanjong Balang, En. Rahaman Ali for the full support given during the event.

We hope to have more CSR programmes in the near future.

MDA News

18 The Malaysian Dental Association (MDA) had re-branded its mid-year event to Malaysia-International Dental Exhibition and Conference (MIDEC) in 2013 during its Diamond Jubilee year. We planned it to be

celebrated annually as a not-to-be missed International Dental Convention and Trade Exhibition with the continuing theme of ‘Staying At The Cutting Edge Of Dentistry’.

MIDEC has grown from strength to strength and once again in 2016 the number of participants has reached record levels!

Over 3500 participants (Delegate-1540; Exhibitor-858; visitor-1003) Over 140 Exhibition Booths 20 local and foreign speakers 28 Oral and Poster Presentations

With the fervent promotional efforts by our organizing committee, the convention has managed to attract over 3500 delegates and visitors over the three-day event from over 35 countries. MIDEC 2016 participants were from Australia, Bangladesh, Belarus, Brunei, Canada, China, Croatia, France, Hong Kong, India, Indonesia, Iraq, Ireland, Italy, Japan,

Malaysia-International Dental Exhibition and Conference MIDEC 2016

Report prepared by:Dr Teh Tat Beng

National Dental Association Forum during MIDEC 2016

July-September 2016

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Opening speech text by Deputy Health Minister Dr Hilmi Yahaya was read out by Health deputy director-general Datuk Dr Lokman Hakim Sulaiman.

Dr. Noor Aliyah bt Ismail Principal Director of Oral Health visiting Colgate booth at MIDEC 2016 trade exhibition

Dr Gun Norell giving a lecture at MIDEC 2016.

A not-to-be missed International Dental Convention and Trade Exhibition with the continuing theme of “Staying At The Cutting Edge Of Dentistry”.

MDA News

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Participants during Prof Dr Gianluca Gambarini’s endodontics workshop

Dental Clinic in PJ for SaleAesthetic and Family General Dental Practice for sale at Dataran Sunway in Kota Damansara, Petaling Jaya.

Wide range of treatments provided from premium aesthetic work to day-to-day general dentistry at a vibrant practice.

Two fully-equipped surgeries with plumbing done for a third surgery. Cozy and well-furnished with ample space for further expansion.

Strong client base. There is room to increase services if new owner could provide orthodontic and implant treatments that are currently outsourced.

Current owner will be migrating soon and is looking for a dentist or group of dentists who can take over clinic ownership and continue to provide the best possible care to current clients and expand the practice.

If interested call, sms or whatsapp Patricia at 012-3901061 or e-mail: pattylynn07@yahoo.com

CLASSIFIEDS

Dental Clinic for Sale or PartnershipVictoria Yong’s Dental Clinic B-1-10 Casa Tropicana, No. 5 Persiaran Tropicana, TGCR, PJU 3, 47410 Petaling Jaya, Selangor.

Contact 012-3685730 or e-mail: victoriayongsdentalclinic@gmail.com

The Scientific programme was indeed a great success with 20 internationally-renowned speakers who shared their expertise.

July-September 2016

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Participants during Prof Dr Gianluca Gambarini’s endodontics workshop

Maldives, Mongolia, Myanmar, Netherlands, Pakistan, Philippine, Saudi Arabia, Singapore, South Korea, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Arab Emirates, United Kingdom, Ukraine, Vietnam and all over Malaysia.

Exhibitors came in full force to market their latest products and services. The MDA has received overwhelming positive feedbacks from exhibitors, the majority of whom have also committed to participating in our next MDA Convention.

The Scientific programme was indeed a great success with 20 internationally-renowned speakers who shared their expertise. A comprehensive line-up of discussions on various dental specialties and interests had been prepared for the three-day conference to meet the demands of modern dental practitioners and allied dental health personnel. Although there were a few misses, most hit the bull's eye.

Among the internationally renowned speakers was Dr Eric Van Dooren, who had provided practical workshops on advanced soft tissue management and lectured on the topic ‘Implanting in the Aesthetic Zone: Surgical and Prosthetic Concepts’. Prof Dr Paul Dummer and Prof Dr Gianluca Gambarini had shared their expert knowledge in the field of endodontics. Other prominent speakers were Dr Loh Kai Woh, Dr Marko Jakovac, Dr Andy Lo Shih-Chieh, Dr Gun Norell and several other renowned local speakers.

A total of 10 pre-congress and post-congress live surgeries, workshops and master classes were held. All the lectures and practical workshops were well-attended.

Deputy Minister of Health Malaysia’s official representative, Dato Seri, Dr Hilmi Bin Haji Yahaya and Deputy Director-General of Health (Public Health), Datuk Dr Lokman Hakim Sulaiman had also graced MIDEC 2016’s opening ceremony. Also in attendance was Principal Director of Oral Health Dr Noor Aliyah Ismail. National Dental Association (NDA) Presidents from Myanmar, Saudi Arabia, Singapore, South Korea, Taiwan, Chinese Taipeh and Vietnam attended the MIDEC forum for National Dental Associations and leaders themed ‘The Changing Face of Dental Practice and Education – Shaping the Future’.

The MIDEC 2016 International Forum concluded with a warm atmosphere of camaraderie, growing understanding and appreciation of one another and the commonalities and differences in the development of dental practices and education in each nation. The discussions and resulting consensus will help to move dental practice and education in the region forward in the most optimal manner. MIDEC 2016 has provided a fantastic opportunity for global networking and the fostering of friendships within the worldwide dental fraternity.

Dr Eric Van Dooren commentating live surgery done by Dr Gustavo Giordani during MIDEC 2016 Implant workshop

Live surgery done by Dr Gustavo Giordani during MIDEC 2016 workshop

MDA News

22Advocate for Dental Education

Coming from a long of line of merchants and leaders since the days of the Malacca Sultanate, Professor Datuk Dr. Ab Rani Samsudin is a different kind of pioneer. The seventh generation Malaysian was tasked to set up the third dentistry faculty in the country at Universiti Sains Malaysia’s (USM) campus in Kelantan in 1997. His teaching philosophy attracted the attention of UAE, who invited him to spearhead the College of Dental Medicine in University of Sharjah in 2006. These days he divides his time between Sharjah, Malaysia and medical missions in developing countries.

Interviewee: Professor Datuk Dr. Ab Rani Samsudin

Interviewed by: Khaw Chia Hui

Share with us your illustrious lineage and life in Cheng, Malacca. How did you end up as one of the leading voices in education and dentistry?I’m a descendant of the first Chinese kapitan in Malacca. He was a merchant sailing from China and was caught in a bad storm. He vowed to put down roots where he made land if he survived the ordeal. It happened to be Cheng in Malacca. He had two sons and one chose to keep his Chinese roots while the other embraced Islam. As you can imagine, the family is huge but we keep meticulous records. Typically during Hari Raya Haji we have a big gathering where the family comes together.

Life in my hometown Bertam Malim was beautiful, idyllic even. I adored school and my dedicated teachers played a role in how I teach, without even realising it. They also instilled a strong sense of nationalism in me.

Medicine was my first choice but my JPA scholarship offered me dentistry. I have no regrets saying yes. After taking the academic route I ended up as a lecturer in USM and was given the responsibility of setting up a dental faculty in its campus in Kubang Kerian.

What were the challenges in taking on such a monumental job?I think it is happenstance. USM was looking for a founding dean and I got picked. Year 1997 was a crucial point in the medical sciences. The human genome was sequenced and it changed the understanding of human biology forever. Its findings too changed patient care, and that affected how we train healthcare personnel.

The curriculum had to be biology and outcome based. Students must be able to cultivate a lifelong learning habits too. I wanted the students to have similar standards as those in Scandinavian countries. We looked around and found that Australia’s programme fulfilled our criteria.

However the teaching staff had to be up to speed. We had an agreement with the Royal Australasian College of Dental Surgeons where we sent our teaching staff to be trained. That process would take 4-5 years but we were told to start taking students in 1999. It was decided that dentistry students will take the same basic medical science subjects as the medical students for the first 2-3 years.

I hope my efforts have helped but there is still more to do.

July-September 2016

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Those issues put strain on both students and lecturers. How did you fill the gaps?USM’s School of Medical Sciences backed us up with teaching staff and materials for the first few years. But the third year was tricky. Universiti Malaya (UM) was 7 hours away so it wasn’t feasible to look to them for long-term help.

Instead, we looked to Hatyai, Thailand. The Prince of Songkla University is the oldest university in southern Thailand and only 3 hours away. They have an excellent dentistry programme and dental hospital. Faculty dean Prof Dr Krassanai Warangsimangkul was instrumental in sending his teaching staff to USM.

It was a bit of a logistical nightmare. The visiting lecturers hung in there and even brought their own teaching equipment. The dean himself taught a few modules. At the same time UM faculty dean Prof Datuk Dr Hashim Yaacob helped me strengthened the USM faculty.

Those students were faced with a very challenging programme especially when lessons were not in sequence. Classes were arranged according to the schedules of visiting lecturers. We tried to make the lessons as palatable as possible. They were the cream of the crop so they soldiered on. The first batch graduated in 2004. We heaved a sigh of relief once trainee lecturers started returning from their studies in Australia.

After the students began graduating, what were next plans for the faculty in USM?I wanted the faculty to have a strong research arm. It was a priority for me personally. I applied to have an infrastructure with research and clinical facilities. My team and I identified bio-material and craniofacial sciences as the research niche. It went very well and those fields are still the main research segments in USM today.

I adored school and my dedicated teachers played a role in how I teach, without even realising it.

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Why did the faculty start postgraduate programmes at that time?The country was facing an acute shortage of dental specialists and the government insisted we address those issues. At that time, Kelantan only had one oral surgeon to serve more than a million people while only UM was running a postgraduate programme.

We needed specialists in jaw pathology, jaw diseases, facial injuries, oral cancer, congenital facial deformities and more. I wanted us to maintain the high standards set up in the undergraduate programme.

Again we looked to Australia. We presented our case to the President of the Royal Australasian College of Dental Surgeons. We had a good track record of running foreign examinations so he felt convinced to become our collaborator.

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We were allowed to adopt their Masters programme and it was parallel to the one in Australia. Essentially, we were providing high levels of education for our people. We had a slightly higher failure rate simply because the programme was very tough. Within 10 years of the programme, our passing rate is equivalent to Australia.

How did the faculty benefit in this partnership?The standard of teaching went up greatly. Our medical lecturers were sent to the royal college for stints and were trained as examiners too. The collaboration is ongoing as the MOU was signed for 15 years. It is a win-win situation for both students and lecturers.

Can you share with us your experience at Sharjah? How different was it from your time in Kelantan?Sharjah is a city next to Dubai and they were building a public university that is world-class. They wanted the dental faculty to adopt the Australian model and I was invited to take up responsibilities as a dean. The faculty adopted a programme from Adelaide, it was innovative, interesting and exciting. Clinical training starts in Year 1 and students were also trained as dental hygienists. It’s a bold move for a young university.

For starters the country is wealthy and receptive to ideas. Sharjah has a state-of-the-art dental school. My main challenge was to get the public dental hospital up and running. I had to manage a large teaching staff which comprised lecturers of different nationalities.

Each have a different worldview and teaching philosophy. They are highly qualified and possess a deep passion for their work. I needed to orientate them to be on the same track. I would like to think that sharpened my people skills. Sharjah also allowed academic freedom, be it students or teachers. The Emiratis are welcoming and generous people. They also placed high value on talent, that is why you see a lot of foreign experts working in Dubai especially.

I do miss Malaysia though, the food and weather. I try to spend about three months here, June to August, travelling to USM in Kelantan and several Malaysian universities. I also make time to visit Malacca.

Tell us a bit about your research in Sharjah.Like in USM, I wanted Sharjah to have a strong research unit. R&D is extremely important in the field of medicine. I always think of doctors and dentists as medical scientists. My primary research now is in bone biology and craniofacial surgery. It touches on stem cell research and tissue engineering. Field of dentistry is dynamic, always evolving. We need to stay in touch with new developments through journals, conferences and training courses.

My primary research now is in bone biology and craniofacial surgery. It touches on stem cell research and tissue engineering.

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Aside from USM and Sharjah, what has been keeping you busy?I’m involved in a project in Shandong, China, headed by the local government and a large corporation. They are building a dental hospital and they wanted their dentists to be trained to be competent as general practitioners.

I visited their facilities and clinics all over the province and noted gaps in their system. Hence, I invited three dentists to USM to undergo surgical and restorative dentistry training for three months.

After the training centre in Weihai city, Shandong is ready, the training stint will commence for the dentists there. The facility is said to be the first in China.

I learnt that the Shandong authorities have stringent regulations when it comes to healthcare. The infrastructure undergoes numerous inspection visits, and if a simple power socket is not working, the inspection is considered a failure. I think this is something Malaysians can learn from our Chinese counterparts.

Do you think your efforts are enough to address the dentist shortage in Malaysia?Going by population ratio, there is still shortage especially in the rural areas in East Malaysia. The move to make the residency programme in government hospitals compulsory for dentists is a good move. It can help address the shortage in rural areas, but not many are keen to stay on after that. I hope my efforts have helped but there is still more to do.

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MDA News

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pecial Needs Dentistry (SND) involves managing patients with physical, intellectual and psychological impairments, and those with complex medical conditions who require specialised intervention to prevent and treat oral diseases and maintain oral health.

Patients recognised as those with special needs are people with disabilities, impairments, medical conditions and elderly individuals. SND services in Malaysia are targeted at patients aged 16 years and above, while those below this age group are managed by the Paediatric dentists. Many dental patients with special needs can be managed in general dental practice settings or community-based clinics. These include those who are:

• able to function independently, or partially independent in undertaking their daily activities;

• able to access professional dental care;

• able to cooperate and communicate sufficiently during dental treatment; and

• classified as ASA I and ASA II (ASA= American Society of Anesthesiologists).

However, some individuals may be subjected to high risk of adverse events or complications during delivery of treatment, and require specialist intervention or long-term specialised care. Examples of these patients include those:

• categorised as ASA III and ASA IV;

• with disabilities or impairments (intellectual, physical, psychological or sensory) and behavioural issues; with significant risk of morbidity or mortality, or require pharmacological intervention for behavioural control (sedation or general anaesthesia);

• with complex medical conditions that may have a significant risk of morbidity or mortality, or whose oral and/or systemic disorders and/or therapy/medications may impact his or her oral and/or systemic health outcome and treatment delivery (e.g. patients with haematological conditions/prosthetic heart valves/immunodeficiency disorders, patients on anticoagulants/antiresorptive therapy);

Managing Dental Patients With Special Needs

Report prepared by:Dr. Mas Suryalis AhmadPhD (Melbourne), DClinDent Special Needs Dentistry (Melbourne), BDS (Malaya), SCTGR (Melbourne). Lecturer and Clinical Specialist in Special Needs Dentistry, Faculty of Dentistry, Universiti Teknologi MARA Malaysia.

Acknowledgements:The author wishes to acknowledge Professor Dato’ Dr Ishak Abdul Razak, Dr Siti Zaleha Hamzah, Dr Norjehan Yahaya, Dr Dasera Raj, Dr Eileen Yap, Dr Wan Syasliza, Dr Maryani Rohani and Dr Ilham Wan Mokhtar for their input in the article.

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29• referred for oral health assessment and treatment prior to cardiac surgery

and transplant (organ or bone marrow) procedure.

• who require oral health assessment and care pre-, peri-, and post- radio/chemo/surgical therapy for head and neck cancer.

These patients require management by a SND specialist in a hospital-based setting, where treatment would usually involve multidisciplinary intervention and interprofessional care.

The Ministry of Health has developed a guideline for referral of patients with special needs who require intervention by an SND specialist (Reference 3). To date, there are four hospitals under the Ministry of Health that provide SND specialist service. These hospitals are Hospital Kuala Lumpur (Wilayah Persekutuan), Hospital Kajang (Selangor), Hospital Seberang Jaya (Pulau Pinang) and Hospital Queen Elizabeth Kota Kinabalu (Sabah). Dental professionals and other members of the multidisciplinary team who wish to refer a patient to these facilities are required to provide a referral letter for the patient to bring along on their first appointment. Appointment with the SND specialist is usually obtained via a phone call made directly to the clinic to ensure appropriateness of referral and scheduling of appointment. In addition to services provided at the Ministry of Health facilities, there are two dental centres under the Ministry of Higher Education that offer SND specialist care. These dental centres are located within the Faculty of Dentistry at Universiti Teknologi MARA (Sungai Buloh, Selangor) and Universiti Malaya (Kuala Lumpur). Appointment can be obtained via a phone call, e-mail or walk-in on certain days. The contact details for these facilities are provided in Table 1.

Facilities Contact Details

Hospital Kuala Lumpur, Wilayah Persekutuan 03-2615 5723

Hospital Kajang, Kajang, Selangor 03-8913 3333 (Extension 1338)

Hospital Seberang Jaya, Seberang Perai, Pulau Pinang 04-3827 333 (Extension 510)

Hospital Queen Elizabeth, Kota Kinabalu, Sabah 088-517 550

Fakulti Pergigian, Universiti Teknologi MARA, Sungai Buloh, Selangor

03-61266645/6436/6437 Email: wecare@salam.uitm.edu.my

Fakulti Pergigian, Universiti Malaya, Kuala Lumpur 03-7967 7022 (Extension 2880)

References:1. Royal Australasian

College of Dental Surgeons. Specialist dental practice [Internet]. Sydney: The Royal Australasian College of Dental Surgeons; 2015 [cited 2016 July 15]. Available from: https://www.racds.org/RACDSNEW_Content/Education/Specialist_Dental_Practice.aspx.

2. Hamzah SZ. Special needs dentistry (SND) in Malaysia: A way forward. Malays Dent J [Internet]. 2012 [cited 2016 April 17]; 34(1):33-6. Available from: http://www.mda.org.my/mdj/archieve/2012-01/2012-01-SpecialNeeds.pdf.

3. Hamzah SZ, Yahaya N. Special Needs Dentistry: Idea to reality [E-book]. Putrajaya: Oral Health Division, Ministry of Health Malaysia; 2015 [cited 2016 August 9]. Available from: http://ohd.moh.gov.my/v3/images/banners/ebookSND.swf

It is hoped that an understanding of the indication for referral would help to ensure optimal patient care, while the profession thrives to provide appropriate access to oral health services for individuals with special needs. Dental professionals need to maintain a high level of scientific knowledge, clinical competency and positive attitudes in order to ensure a safe delivery of dental treatment and a high quality of patient care to this group of patient cohort.

Table 1

MDA News

30Bite Mark Recognition in Child Abuse: A Practitioner Guide

Report written by:Dr Mohd Yusmiaidil Putera Mohd YusofBDS MFO PG Dip Adv. Med. Imaging PhDSenior Lecturer, Center for Oral and Maxillofacial Diagnostics and Medicine Studies, Faculty of Dentistry, Sungai Buloh, Universiti Teknologi MARA

This article aims to address steps and procedures for bite mark evaluation in suspected child abuse cases.

Child abuse is one of the leading causes of injury-related mortality in infants and children. An abused child has approximately a

50% chance of being abused again, and has an increased risk of dying if the abuse is not caught and stopped after the first presentation (Saade, 2002; Wortman, 1994). The responsibility, therefore, lies with physicians and general dental practitioners to recognize and treat these cases at first presentation to prevent significant morbidity and mortality. This article aims to address steps and procedure in bite mark evaluation that may be suspicious for child abuse.

Bite mark is defined as a circular or oval patterned injury consisting of two opposing symmetrical, U-shaped arches separated at their bases by open spaces. Acute or healed bite marks may indicate abuse. Bite marks should be suspected when ecchymosis, abrasions or lacerations are found in an elliptical or ovoid pattern. Bite marks may have a central area of ecchymosis (contusions) caused by two possible phenomena: positive pressure from the closing of the teeth with disruption of small vessels or negative pressure caused by suction and tongue thrusting (Sirotnak, Grigsby, & Krugman, 2004). Bites produced by dogs and other carnivorous animals tend to tear flesh, whereas human bites compress flesh and can cause abrasions, contusions and lacerations but rarely tissue avulsions. An intercanine distance (the linear distance between the central point of the cuspid tips) measuring more than 3cm is suspicious of an adult human bite (Wagner, 1986).

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1. Saliva swabs of bite siteDouble swab First swab moistened with sterile distilled water Second swab is dry with light pressure.

2. PhotographPerfect plane (camera perpendicular to bite marks) Two angular deformations.

3. Impression castsCast impression on indent bite marks Use polyvinyl silocane (PVS) or silicone impression (putty gun systems) materials.

The pattern, size, contour and color of the bite mark should be evaluated by a forensic odontologist or pathologist. However, in the case where the bite marks are fresh and forensic odontologist is not available, a dentist or clinical practitioner may proceed with the examination following the guidance as described below.

The responsibility... lies with physicians and general dental practitioners to recognize and treat these cases at first presentation to prevent significant morbidity and mortality.

General do’s and don’ts in the case of bite mark recognitionDo notify forensic odontologist Do not wash the bitten area Do not medicate the area Do not place monitor sensors over the bite area Do not insert IV in bite area Do not bandage injury

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The photographs should be taken at an angle where the camera lens is directly over the bite and perpendicular to the plane of the bite to avoid distortion with an identification tag and scale marker such as ruler in the photograph. A special photographic scale was developed by the American Board of Forensic Odontology (ABFO) for this purpose, as well as for documenting other patterned injuries. In addition to photographic evidence, every bite mark that shows indentation should have a polyvinyl siloxane (PVS) or silicone-based impression made immediately after swabbing a bite mark for secretions containing DNA. This impression will help provide a 3-dimensional model of the bite mark. A DNA swab should be taken before the area is cleaned or washed, and submitted for analysis as soon as possible.

Written observations and photographs should be repeated daily for at least 3 days to document the evolution of the bite (American Academy of Pediatrics Committee on Child, Neglect, American Academy of Pediatric, & American Academy of Pediatric Dentistry Council on Clinical, 2008). Because each person has a characteristic bite pattern, a forensic odontologist may be able to match dental models (casts) of a suspected abuser’s teeth with impressions or photographs of the bite. Blood group substances can be secreted in saliva. DNA is present in epithelial cells from the mouth and may be deposited in bites. Even if saliva and cells have dried, they should be collected using the double-swab technique. First, a sterile cotton swab moistened with distilled water is used to wipe the area in question, dried, and placed in a specimen tube. A second sterile dry cotton swab cleans the same area, then is dried and placed in a specimen tube. A third control sample should be obtained from an uninvolved area of the child’s skin. All samples should be sent to a certified forensic laboratory for prompt analysis (Council, 1992). The chain of custody must be maintained on all samples submitted for forensic analysis. Questions regarding evidentiary procedure should be directed to a law enforcement agency.

In summary, although the methods of bite mark analysis are not widely taught in most dental undergraduate curriculum, the bite marks examination is relatively an elementary and undemanding procedure. Digital analysis of bite marks for the use of general practitioner has been graphically explained for better understanding and further reading in literatures (Yusof, 2016).

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References:i. American Academy of Pediatrics

Committee on Child, A., Neglect, American Academy of Pediatric, D., & American Academy of Pediatric Dentistry Council on Clinical, A. (2008). Guideline on oral and dental aspects of child abuse and neglect. Pediatric dentistry, 30(7 Suppl), 86-89.

ii. Council, N. R. (1992). DNA Technology in Forensic Science. Washington, DC: The National Academies Press.

iii. Saade, D. N. (2002). Abused Children: Missed Opportunities for Recognition in the ED. Acad. Emerg. Med., 9(5), 524-524. doi: 10.1197/aemj.9.5.524.

iv. Sirotnak, A. P., Grigsby, T., & Krugman, R. D. (2004). Physical abuse of children. Pediatrics in review / American Academy of Pediatrics, 25(8), 264-277.

v. Wagner, G. N. (1986). Bitemark identification in child abuse cases. Pediatric dentistry, 8(1 Spec No), 96-100.

vi. Wortman, R. A. (1994). Child Advocacy for the Clinician: An Approach to Child Abuse and Neglect—by Lawrence S. Wissow, M.D., M.P.H.; Baltimore, Williams & Wilkins, 1990, 242 pages, $37; and Preventing Physical and Emotional Abuse of Children—by David A. Wolfc, Ph.D., New York City, Guilford Press, 1991, 168 pages, $16.95 paperbound. Psychiatr. Serv., 45(3), 284-285. doi: doi:10.1176/ps.45.3.284.

vii. Yusof, M. Y. P. M. (2016). Digitalized bite mark analysis for the undergraduate dental students. Compendium of Oral Science, In press.

Written observations and photographs should be repeated daily for at least 3 days to document the evolution of the bite.

MDA News

3424TH MDA SCATE 2017 SCIENTIFIC CONVENTION AND TRADE EXHIBITION

MALAYSIAN DENTAL ASSOCIATION

While MIDEC 2016 closed on a high note, we are already gearing up for the next and second largest annual dental congress by MDA: Scientific Conference and Trade Exhibition (SCATE). The 23rd edition which was held on January 14 to 17 at the Putra World Trade Centre (PWTC) earlier this year gathered more than 1300 delegates and 300 exhibitors. The 24th SCATE is returning next year, bigger and better!

SCATE 2017 will feature both trade exhibition and scientific conference where visitors and delegates will be updated on the latest innovations and cutting-edge technological advancements in dentistry. The organizing committee has confirmed five prominent speakers and is in the pipeline of roping in more world-class speakers from all over the globe.

For orthodontics enthusiasts, we present to you Dr Sabrina Huang and her popular Masterclass: Non-Surgical Class II Correction. We also bring to you Dr Howard Farran from the United State of America, who will share with us about the dentistry business through a talk titled ‘What They Don’t Teach You in Dental School’.

Passionate about aesthetic dentistry? Fuel your fervour and learn from the best by signing up for limited attendance workshops by esteemed speakers Dr Anthony Tay, Dr Jerry Lim and Dr Somkiat Amplee.

For the first time ever, we have specially put together an exciting pre-congress event for those who wish to brush up on their basic skills and learn endodontics the fun way. The Canal Hunt: Back to Basics Endodontics Extravaganza Day will be packed with practical short lectures and informative table clinic sessions where participants can expect to be presented with innumerable thought-provoking discussions.

More exciting events and programmes are currently under way. To learn more, please visit MDA’s website. In the meantime, do keep a close eye on MDA 24TH SCATE 2017 Facebook page and stay tuned for the latest updates and surprises we have in store for you!

Putra World Trade Centre 13th-15th January 2017

SCATE 2017 IS NOW OPEN FOR REGISTRATION! DO NOT MISS OUT ON THESE GOLDEN OPPORTUNITIES!

ARE YOU INTRIGUED? IS YOUR INTEREST PIQUED?

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