2016-04-Apr-Jun - Malaysian Dental Association

NEWS
A publication of Malaysian Dental Association
Of Discipline
and Dentistry
Datuk Dr Yim Khai
hai Kee
MDA Colgate
ate
nth
Oral Health Month
10
Sandakan Dental
ntal
ght
Study Night
12
Cleft Patients:
nts:
ent
Team Management
23
Apr-Jun 2016
Editor
Dr Leong Kei Joe
Assistant Editor
Prof. Dr Ngeow Wei Cheong
Dr Lee Chee Wei
Contributing Writers
Dr Khairul Bariah Chi Adam
Dr Yeoh Oon Take
Dr Tan Sock Hooi
Dr Eileen Koh Mei Yen
Dr Lee Wei Zin
Dr Leong Kei Joe
Ex-officio
Dr John Ting Sii Ong
Treasurer
Dr Eileen Koh Mei Yen
Advertisement Liaison
Dr Ng Su Chin
Message
from the Editor
Association
MALAYSIANMalaysian
DENTALDental
ASSOCIATION
G
reetings from the Malaysian Dental Association. As most of you would
probably be aware by now, the 73rd Malaysian Dental Association
Annual General Meeting is just around corner on 26th June 2016.
Hence, this issue will mark my last issue for my one-year term as the
Honorary Publication Secretary. It was indeed an honour, together with the lineup of committee members to publish our MDA News every quarterly. I am highly
indebted to the wonderful and committed committee who have assisted me in
many ways to continue to produce our association’s newsletter. I do hope that
the incoming new Editor will not only continue this task but to further improve
the quality of the publication for the benefit of the members. I also wish to
acknowledge the contributions of all the contributing writers who have sincerely
obliged to my invitation to prepare the reports and articles, for without them, the
MDA News will definitely be incomplete.
Once again, MDA News is proud to feature yet another prominent figure from
our dental fraternity to highlight his significant contribution to the society. We
have successfully engaged Datuk Dr Yim Khai Kee for an interview recently and
we are truly honoured to have this privilege to share his vast experience. He
was the President of MDA way back in the early 1980s and has moved on to
play an important role in the international arena, such as his involvement with
the International College of Dentists, from which he was awarded the status as
Regent Emeritus.
Also, as mentioned in our previous issues, members are strongly urged to make
full use of the online search engine, EBSCO, to obtain online dental journals.
With well over 350 academic journals / magazines / books / monograph under
Dentistry and Oral Science Source, this is a golden opportunity not to be missed.
Hence, members who have not received their MDA Member Login ID and
Password, please kindly contact our secretariat for assistance.
Before I sign off this issue, I would like to express my best wishes and very fruitful
tenure to the incoming Honorary Publication Secretary. Members are urged
to continuously provide feedbacks / comments to improve the quality of MDA
News. As a member from the Eastern Zone, I wish all Sabahans and Sarawakians
– “Happy Harvest Festival”. “Kotobian Tadau Tagazo Do Kaamatan”.
Dr Leong Kei Joe
54-2, 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
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Fax:
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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.
Inside
Feature
19 Of Discipline
And Dentistry Datuk Dr Yim Khai Kee
23 Cleft Patients:
Team Management
26 Centric Relation
As We Know It
Activities
10
11
12
14
15
18
MDA Colgate Oral Health Month
Oral Health Month 2016 – NTV7 Bella
Sandakan Dental Study Night
MDA Southern Zone AGM
World Oral Health Day 2016
Penang CPD Programme cum MDA
Northern Zone AGM 2016
I
t’s truly hard to believe that my term of Presidency
has almost reached one year. Indeed the night of my
Installation as President along with the rest of the
council members is still fresh in my memory. As I am
penning down my message here for the MDA News April
– June 2016, I know that I will soon have to prepare my
transition to Immediate Past President. My term in the
Presidency is indeed full of challenges but I must say
that I enjoyed every moment of it serving our members to
the fullest. The journey in serving the members is indeed
a collective effort and not a one-man show, and hence,
I wish to take the opportunity to express my sincere
gratitude to my line of council members who have been
with me through good and bad times. It is indeed a great
honour and experience that I will cherish forever.
Despite the extremely busy schedule of the council with
international agendas, the association has continued to
perform one of its important duties to the general public,
our Rakyat, which is promotion of Oral Health Awareness.
March 2016, was indeed a very special period for the
dental fraternity. Malaysia, together with other countries
in the world, was involved in the yearly FDI World Dental
Federation’s World Oral Health Day 2016. World Oral
Health Day is celebrated every year on the 20th March.
It is an international day to celebrate the benefits of a
healthy mouth and to promote worldwide awareness of
the issues surrounding oral health and the importance of
oral hygiene. Malaysian Dental Association took the lead
to organise this grand event under the leadership of Dr Ng
Woan Tyng, our Honorary General Secretary.
5
Message from
the President
Dr John Ting Sii Ong
MDA President 2015/2016
MALAYSIAN DENTAL ASSOCIATIO
April-June 2016
6
Dr Noor Aliyah having a private discussion with MDA Council Members and Mr Peter Torrington
Earlier on, also in the month of March 2016,
Malaysian Dental Association collaborated with
Colgate Palmolive to organise the National
Oral Health Month, now in its 13th consecutive
year. The launch was held on 9th March 2016
at Empire Hotel, Subang. It is the sincere hope
of the association that the outcome from this
campaign is aligned with the National Oral Health
Plans 2020 goals which is to achieve an overall
improvement in the oral health quality of life of
Malaysians. As part of this awareness campaign,
our Honorary Financial Secretary, Dr Eileen Koh
Mei Yen, took part in a live interview on one of
our local TV channel, NTV7, together with other
experts to share the news on the importance of
oral health.
MDA News
Also in the month of March 2016, Malaysian
Dental Association has successfully engaged
the Malaysian Dental Dealers Association
on an important meeting to discuss matters
pertaining to heavy dental equipment, such
as Dental compressor and Dental X-ray
machines, exemption of Good and Service
Tax charges on the Dental equipment and
related matters pertaining to the Medical
Device Act. The meeting was held on 19th
March 2016 and was well attended from both
associations which shared on the objectives
of the associations. It is the sincere hope of
Malaysian Dental Association to foster future
collaboration in areas deemed appropriate
with Malaysian Dental Dealers Association for
the benefit of both parties.
7
Press conference after the launching of WOHD 2016.
As mentioned earlier in my message, the
term of the present council members shall
soon come to an end and hence, it is also
timely to remind all members of the upcoming
73rd Annual General Meeting 2016. This
year’s Annual General Meeting shall be held
at Boulevard Hotel @ Midvalley City, Kuala
Lumpur, on 26th June 2016. Please kindly visit
our MDA Homepage for more information.
Last but not least, once again I would like to
take this opportunity to extend my sincere
invitation to all members to register for the
upcoming Malaysia International Dental
Exhibition and Conference (MIDEC) 2016.
The organising committee has been working
all out to put together another successful
international dental meet right at the heart
of Kuala Lumpur. Truly an event not to be
missed. With this, I wish all of you the very
best in all aspects of your life, thank you for
your support throughout my Presidency and
most importantly, continue your support for
the beloved association and the next line of
Council Members.
Group photo MDA – MDDA upon adjournment of meeting
Yours in MDA,
John Ting
April-June 2016
8
THE IMPORTANCE
OF KEEPING YOUR MEMBERSHIP
CONTACT DETAILS ALWAYS CURRENT
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:[email protected]
or call 603-20951495
MDA News
9
MDA NEWS 2016 WILL BE
GOING GREEN
REQUEST FORM FOR CONTINUATION OF POSTAL DELIVERY OF MDA NEWS IN
HARD COPY
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.
YES! I would like to continue to receive my hard copy of MDA News
Name of member:
Correspondence address:
Phone Number:
Email:
Kindly post the completed form to:
MALAYSIAN DENTAL ASSOCIATION
April-June 2016
54-2, Second Floor, Medan Setia 2, Plaza Damansara, Bukit Damansara, 50490 Kuala Lumpur, Malaysia.
10
MDA ColgatePalmolive CSR
Project: Oral
Health Month
2016
Report written by:
Dr Leong Kei Joe
T
he launch of the Malaysian Dental Association Colgate
Palmolive Oral Health Month 2016 took place at Empire
Hotel, Subang, Selangor, on 9th March 2016. This
event was officiated by Yang Berusaha, Dr Noor Aliyah
Bt Ismail, Principal Director of Oral Health, Oral Health Division,
Ministry of Health Malaysia. Also in attendance is Dr John Ting Sii
Ong, President of the Malaysian Dental Association and Mr Peter
Torrington, General Manager of Colgate-Palmolive Malaysia.
The Malaysian Dental Association has once again partnered with
Colgate-Palmolive Malaysia for the annual national Oral Health
Month campaign, which took place throughout the month of
March 2016, also in conjunction with World Dental Federation’s
(FDI) World Oral Health Day.
The theme for this year’s Oral Health Month campaign is ‘Keep
Malaysia Smiling’. This campaign, now in its 13th consecutive
year, highlighted its theme of ‘Keep Malaysia Smiling’, to get
Malaysians thinking about oral health as an integral part of their
general health and well-being, and that oral health means much
more than just healthy teeth. This is aligned with the National Oral
Health Plans for Year 2020 goals; which is to achieve an overall
improvement in oral health and quality of life of Malaysians.
Since its inception, this programme has grown from strength
to strength. The number of participating clinics that offer free
dental check-ups have increased from 300 in 2004 to over 926
clinics this year. This CSR project also involves registered dental
clinic nationwide, from Perlis to Sabah; to give free consultation
and dental check-ups. Activities arranged include educational
marquees and free dental check-ups for communities, giving all
Malaysians a chance to have zero cavities and healthy gums.
In conjunction with this campaign, MDA and Colgate Palmolive
representatives were given an opportunity to be on NTV7 Bella
Live Show for a live interview. The interview aimed to sustain
awareness and interest of the campaign among the public after
the launch on 9th March 2016 (for more information on this, please
refer to the report prepared by Dr Eileen Koh).
MDA Council members, Dr John Ting and Dr Abd Rashid, with Mr
Peter Torrington
Mr Peter Torrington delivering his speech at the launching of MDA Colgate Palmolive Oral
Health Month 2016
MDA News
11
Professor Dr Khoo Suan Phaik (far left), Dr Cyanthi Seneveratne (second from the left) and Dr Eileen Koh Mei Yen
(third from the left) posing on the set at NTV7
Oral Health
Month 2016
Campaign on
NTV7 Bella
Report written by:
Dr Eileen Koh Mei Yen
C
olgate-Palmolive Malaysia, Ministry of Health and the
Malaysian Dental Association (MDA) came together to
promote the importance of oral health among Malaysians
during the Oral Health Month in March 2016. The campaign,
now in its 13th consecutive year, carried the theme “Keep Malaysia
Smiling”.
In conjunction with this campaign, MDA and Colgate Palmolive
representatives were given an opportunity to be on NTV7 Bella Live
Show. The interview aimed at bringing awareness and interest of the
campaign among the public following its launch on 9th March 2016.
Additionally, MDA was also keen to establish and emphasise the key
role that oral health play in general health and wellbeing in line with the
National Oral Health Plans for Year 2020 goals.
The TV programme was aired live from the studio on Monday, 14th
March 2016 (11am-12pm) for the Bella CONFIDENTIAL block. Three
spokespersons were involved in the interview namely Professor Khoo
Suan Phaik, Dr Eileen Koh Mei Yen and Dr Cyanthi Seneveratne.
The interview with the spokespersons discussed on how Malaysians
should consider oral health and overall wellbeing holistically and that
OHM 2016 is intensifying its efforts to educate Malaysians on the
matter. Other topics that were discussed include dental cavities, dentine
hypersensitivity, gum trauma, and braces.
For the full video clip of the interview on Bella NTV7, you can watch it on
Bella(2016) Episode 46 on tonton website or access via the link below :http://www.tonton.com.my/tvShow?titleId=56ab10022315735e400042f3
April-June 2016
12
Sandakan
Dental Study
Night 2016
Dr Leong Kei Joe
Group photo with the participants after the event.
MDA News
F
or the first time ever, the Malaysian Dental
Association Eastern Zone organised
a Dental Study Night at the heart of
Sandakan town, Sabah. The Dental Study
Night have been routinely held in various towns
in Sabah and Sarawak. Apart from providing
continuing professional development to the local
dental practitioners, these activities were also
aimed at encouraging fellowship and also for
MDA membership drive.
The Sandakan Dental Study Night was held on
the 23rd May 2016 at Sabah Hotel, Sandakan.
Dr Jeremy Lee Ju Kuan, Specialist in Oral
Maxillofacial Surgery, spoke on a very timely topic
of “Bisphosphonate Related Osteonecrosis of
the Jaws” while Dr Lillybia Emily Ebin, Specialist
in Orthodontics, shared her paper on the topic
13
Dr Jeremy Lee (centre) with Dr Leong (right) after presentation of letter of appreciation.
Discussion among some of the dental practitioners at the event.
of “Managing the Developing Dentition”.
Malaysian Dental Association Eastern Zone
was represented by Dr Leong Kei Joe, who
also acted as the facilitator for the evening.
The event was well received by the local dental
practitioners, with a total participation of 28
dental practitioners (from both public and
private sectors) and four dental nurses who
were present as volunteers for the evening. The
event also provided a golden opportunity for all
dental practitioners to meet up with long time
acquaintances and to create new ties.
Dr Leong presenting a letter of appreciation to Dr Lillybia Emily.
April-June 2016
14
Malaysian
Dental
Association
Southern
Zone Annual
General
Meeting 2016
Report written by:
Dr Lee Wei Zin
Presentation of memento to Dr Lee Wei Zin as appreciation
for his contribution in the MDASZ 2015/2016 committee.
Presentation memento to Dr Siow Ang Yen as appreciation
for his contribution in the MDASZ 2015/2016 committee.
Presentation of souvenir to Speaker from Bursa Malaysia.
T
he Malaysian Dental Association Southern Zone held their Annual
General Meeting on 20th March 2016 at Double Tree Hotel, Johor
Bahru. A total of 37 members participated in the event. The event
started off with a talk by Bursa Malaysia. The members were
educated on various investment tools and given an insight into the current
economy. The annual general meeting was called to order at 11am. All the
related reports were adopted by the members and followed by election of the
committees. The elected committees are as followed:
Chairman:
Dr Ng Ben Chuan
Honorary Secretary:
Dr Lee Wei Zin
Honorary Treasurer:
Dr Tan Yuan Yang
Committee Members:
Dr Alia Bt Mohd Ghazali
Dr Sharon Hor
Dr Rani Panadam
Dr Chan Ee Mee
Dr Mohd Shah Affendy Bin Mohamed Khalid
Honorary Auditor:
Dr Rolland Lim Siong Cheong
A few issues were raised by members and answered by council members Dr
Ng Ben Chuan and Dr Siow Ang Yen. They also briefed the members regarding
the Dental Bill and Allied Health Act.
To wrap up the event, certificates and mementoes were given to all the
previous committee members of the term 2015/2016 by the president, Dr Ng
Ben Chuan.
MDA News
The meeting was then adjourned at 1pm.
15
O
nce again, the Malaysian Dental Association
has took another enormous effort, in
conjunction with World Oral Health Day,
to promote oral health awareness to the
general public in Malaysia. The theme for this year is “It
all starts here. Healthy mouth. Healthy body”.
The Organising Chairperson, Dr Ng Woan Tyng, had
led the whole working committee, comprising of
Malaysian Dental Association, Oral Health Division,
Ministry of Health Malaysia, Dental Dean Council and
Malaysian Dental Students’ Association to ensure a
successful event.
World Oral
Health Day
2016 Malaysia
Report written by:
Dr Leong Kei Joe
VIPs group photo.
April-June 2016
16
Launching of WOHD 2016 Malaysia by the Guest of Honour.
The national launch of this event was held
at IOI Mall Putrajaya on the 20th March
2016 and was graced by our Guest of
Honour, Yang Berhormat Dato’ Seri Dr
Hilmi Bin Haji Yahaya, Deputy Minister of
Health, Ministry of Health Malaysia.
An estimated of 1,000 people were
present at the launch and the event was
covered by national press and three
local TV stations, RTM, TV1 and 8TV.
The roadshow and the mobile dental
clinic began on 18th of March 2016. As
with previous year, local dental schools
participated in a competition to produce
a short video presentation to help spread
the news of oral health awareness in the
social media. A special thanks to the
Wrigley Malaysia Company Sdn Bhd for
sponsoring and supporting the event.
For more information covered in the local
daily, please log on to the following link:
http://www.thesundaily.my/node/355940
Dr Ng Woan Tyng, Organising Chairperson, delivering her
speech at the event.
MDA News
17
Performance by Dental Students during the event.
Guest of Honour, Dato’ Seri Dr Hilmi Bin Haji Yahaya (second from left), and MDA President, Dr John Ting (third from left), during presentation of souvenirs.
April-June 2016
18
Penang CPD
Programme
cum MDA NZ
AGM 2016
Report written by:
Dr Tan Sock Hooi
Chairman, Dr. Lim Chiew Wooi, presenting a token of
appreciation to Speaker, Prof. Dr. David Ngeow
MDA News
P
enang CPD Programme was held in conjunction with the MDA
Northern Zone AGM, on the 6th March 2016 (Sunday). The event held
at the Bayview Hotel, Georgetown, Penang started at 8.30am and
ended at 4.30pm; it was attended by 100 participants.
We’d like to express our gratitude to both our speakers for delivering four
very interesting lectures for this event. Our very prominent speaker, Professor
Dr David Ngeow, an Oral Maxillofacial Surgeon and lecturer at University of
Malaya, lectured on “Achieving Successful Dentoalveolar Surgery In The
General Practice” and “Managing Bone In Implant Surgery: When and How
Should We Graft Bone Defects?” Our second speaker, Dr Samuel Tee, an
Endodontist from Penang Adventist Hospital, lectured on “The Essential
Principles In Endo Practice” and “Regenerative Endodontics”.
The MDA NZ AGM which was conducted before lunch, went on briskly and
smoothly. With the previous year AGM minute and reports being accepted and
passed, and the committee being dissolved, Dr Chay Siew Han was appointed
as the Election Chairperson to conduct the election. The following were elected
to hold office in the MDA Northern Zone for the year 2016/2017.
Chairman:
Dr Lim Chiew Wooi
Honorary Secretary:
Dr Tan Sock Hooi
Honorary Treasurer:
Dr Jeannette Wong Xue Ying
Committee Members:
Dr Ang Lai Choon
Dr Teh Yik Pin
Dr Gan Pei Jun
Dr Choo Wan Ling
Dr Tan Hooi San
Honorary Auditor:
Dr Lim Eng Hin
19
Of Discipline
and Dentistry
Datuk Dr Yim Khai Kee is a humble
and yet gregarious man. He has
served as the President of MDA from
1980 to 1985 and subsequently, he
was appointed as the President of the
Asian Pacific Dental Federation from
1993 to 1994 amongst other notable
postings. To date, the 80-year-old is
the longest serving member of the
Malaysian Dental Council. Datuk Dr
Yim is a firm believer that one must
work with discipline and respect, MDA
is privileged to speak to him about his
career and experience.
Interviewee:
Datuk Dr Yim Khai Kee
Interviewed by:
Gwen Ong
Paul & Marigold
April-June 2016
20
Can you tell us briefly about your
background? Why did you choose
dentistry?
Truth be told, my first love was law but at that time, the
University of Malaya Singapore didn’t have the course
yet. So the next best thing was to take up medicine
but unfortunately, I was not good enough and had to
settle for dentistry. I graduated with my dental degree
from Singapore in 1961. Then, I underwent training as a
dental houseman in Ipoh, Perak for a year before being
posted up to Kulim, Kedah. As a fresh graduate, I wasn’t
sure of what I wanted to do and soon the daily task
became mundane for me. So I decided to apply into the
Malaysian Armed Forces, which was looking for a dental
and medical officer at that time. The job was not much
different from the government service. You are doing the
work of a professional dentist as a uniformed officer of
the Armed Forces, looking after the dental interest and
requirements of the armed forces personnel and their
family members.
When we first started at the army, it was called Short
Service Commission with an option for three or five years
of service. After my fifth year, I was offered a scholarship
to study at the University of Dundee, Scotland. I went
on to obtain a diploma in public dentistry. Following
that, I requested to take up a new course which had just
started in London and I managed to obtain a diploma in
dental public health from the Royal College of Surgeons
of England. Upon returning home, I was promoted to the
rank of Major and put in charge of the AF dental clinic in
the Ministry of Defence at Jalan Gurney. Subsequently,
due to family reasons, I retired from the forces after 15
years and went to join a private group dental practice.
You are the Chairman of the
Preliminary Investigation Committee
(PIC). What does this role entail?
To explain briefly, the practice of dentistry in this country
is regulated under the Dental Act and the body that
governs it is the Ministry of Health. The Director General
is the President of the dental council and the members of
the PIC is appointed by the DG to conduct enquiries into
complaints received by the council.
When a complaint arises, it goes to the council and
president, who will then decide if an investigation is
needed. If so, the secretary would assign the case to
the PIC and we will look into the circumstances of the
MDA News
complaint before giving our recommendation to the
council.
What patients and dentists don’t realise is that we have
no jurisdiction over any member of the public. Our duty
is to look after the behaviour and practice of the dentists
and make sure that they’re working in accordance with
the Dental Act. I think many are not aware of this because
they have not familiarised themselves with the Dental Act.
Anyone who wants to practise dentistry in this country
must be registered with the dental council and must
possess a current Annual Practicing Certificate from the
council.
What is the process like at the PIC?
Currently, we have two PICs consisting of a chairman
and six members including a lawyer. A complaint takes
a month or so to be processed. We’d need to tell the
complainant/practitioner on what is the objective of the
PIC. It is important for the patient to realise that the dental
21
council does not grant monetary compensation even if
the dentist is found liable.
Our main objective is to see whether the practitioner has
contravened any part of the Dental Act in rendering his
service to his patient. If the PIC finds that the practitioner
has contravened the Act, we will recommend to the dental
council that there is a case for the practitioner to answer.
However, it is important to note that after receiving our
investigation and recommendation, the council has the
prerogative and final say to decide whether there’s a case
for the practitioner to answer.
What are some issues that you’ve
noticed in your appointment in the
PIC?
I’ve been doing this for a long time and I’ve come across
many kinds of cases since taking up my PIC appointment
in 1984. Dentistry is advancing greatly, new techniques
and materials are being introduced; it is important that all
dentist must keep up with the changes in order to render
the best services to the patients.
The best course
of action is to
collaborate, not
criticise.
With the advancement of the Internet, people are more
accessible to a lot of knowledge and now have a different
outlook on ethics and demands of the services and the
responsibility of the practitioner. We have had cases
where the professionals acted aggressively towards their
patients and some carried out certain treatments that
were unnecessary. On the other end of the spectrum,
you have persistent patients who ended up testing
the patience of their dentists. Therefore, it is important
that the dental practitioners should keep up to date to
the new developments and the only way is to attend
Continuing Dental Education programmes organised by
the authorities for their benefits.
Can you share with us your experience
at the PIC?
Through my experience, I find that most dentists don’t
take the initiative to read or keep up with the Dental Act.
As a result, they do things which they shouldn’t have.
However, as a member of the medical/dental profession,
it is an onus on their part to prepare themselves so
that they can give their best services for the benefit
of their patients. The Malaysian Dental Association in
collaboration with the Medical Protection Society have
continuously organised seminars and courses to help
dental practitioners in the aspect of good dental practice.
My advice is to take advantage of this.
April-June 2016
22
Personally, I feel some dentists are either reluctant
or have too much pride in letting others know when
they have made a mistake in their work. So, they keep
grinding at it which is very common in cases of root canal
treatment. It is important for dentists to realise that they’re
only human and can make mistake. When this happens,
it is normal that they should seek the advice and help of
their fellow colleagues or refer the patient to a specialist
for a second opinion.
The other common issue I see is criticism from a dentist
on the work of another. It is one of the worst things you
can do to another professional.
For example, Dentist A faces an issue in solving his/her
patient’s problem and that patient have to visit Dentist
B for further treatment. Dentist B should not criticise
the work of Dentist A in front of the patient. You may
disagree with his/her methods but criticism will not help.
You’re taught to help out when there’s a problem but if
you’re raising the alarm on another person’s work, you’re
creating disrepute and trouble for your fellow colleagues.
The best course of action is to collaborate, not criticise.
A lot of the complaints we received come about because
of this.
What is your view on the disciplinary
problem with the number of dentists
growing rapidly?
I think in the training of a dentist more emphasis must be
put into the aspects of ethics and jurisprudence so that
the new dentists are aware of the problems they will be
facing when they come out to practise.
It is important for
dentists to realize
that they’re only
human and can
make mistake.
MDA News
What is your advice to dentists and
what do you hope to see in the future
with regards to the dental profession?
Currently, the standard of the dental practice is good
and at par with most advanced countries. The authorities
concerned have put into place a very comprehensive
programme with regards to the training and practice of
dentistry, which augurs well for the country. However, it
is imperative that the standard and teaching of dentistry
must be maintained or enhanced at all times both for the
benefit of the dental practitioners and their patients.
My personal view is that the dental profession is heading
in the right direction. The future of dentistry is bright. I
commend what the Malaysian Dental Council and MDA
are doing. Having said that, I believe when you get the
right people to spearhead the initiatives and set the
standards of the practice, it will bring confidence to the
profession and trade. This in turn will benefit everyone.
A
child born with a cleft requires
coordinated care from a range of
clinical specialists over many years. The
defect involves a variety of functions
including mastication, speech, hearing, and
social interaction. Therefore, it is difficult for one
clinician to deal with all its aspects and make all
the best decisions for the child. For this reason,
a multidisciplinary team approach is highly
recommended. The team approach treatment was
developed in the 1930's in response to the 1933
Social Security Act in the Western countries (Sandy
et al., 1998, Tulley, 1971).
The main functions of teamwork:
i)
Various members of the team facilitate each
other's efforts in the treatment of the condition.
ii) It provides a mechanism for referral and
records all the treatment carried out on the
patient.
23
Cleft Lip
and Palate
Management:
It’s A Team
Work!
Report written by:
Dr. Khairul Bariah Chi Adam,
Lecturer, Oral & Maxillofacial
Surgery Unit, Kulliyyah of Dentistry,
International Islamic University Malaysia.
iii.) In the combined clinical meetings and
combined consultation, the set-up provides
an opportunity for the new parents with cleft
babies to meet not only the professional
team members, but also other members
and association such as CLAPAM (Cleft Lip
And Palate Association Malaysia) for advice,
counselling and exchange of views and ideas.
The question is, how significant is our role in the
cleft lip and palate management? It is imperative
for us to understand that treatment for cleft lip and
palate requires teams of dentists and physicians
intensely focused on treatment and rehabilitations.
Issues of basic orofacial functions of mastication,
respiration and communication are focused on
other than patient’s self-esteem and image. The
Oral & Maxillofacial Surgeons provides surgical
consultation, educational and emotional support
for the family. A clear picture must be painted of
the treatment that the patient will undergo over the
next two decades.
April-June 2016
24
Meanwhile, the rehabilitation and maintenance of the
dentition at the early stage is also important. It is crucial
that the primary teeth and permanent teeth remain
sound, with good oral hygiene. Loss of primary teeth may
complicate and prolong future orthodontic treatment.
Loss of permanent teeth may mean the outcome of
treatment will be compromised. On top of that, it was also
reported, almost all cleft lip and palate children will have
dental anomalies which may include missing permanent
teeth, supernumerary and/or supplemental teeth, teeth
of abnormal morphology, hypoplastic teeth, delayed
or abnormal eruption and malocclusion. Therefore,
Paediatric Dentist as well as general dental practitioner
takes the responsibility of educating the parents and
patients on oral hygiene, diet counselling and early
provision of restorative treatment.
The parents of a cleft child should be
advised on:
•
daily cleaning of the child’s teeth
•
not to sleep with a bottle in the child’s mouth
– this habit can result a condition known as
“Nursing Bottle Decay”.
MDA News
For this
reason, a
multidisciplinary
team approach
is highly
recommended.
25
•
Correct usage of soother. If a soother/dummy is
used, it must NOT be dipped in sugar, honey or
anything sweet as this can also cause extensive
dental decay.
•
Snacks and drinks taken in-between meals
should NOT contain sugar. Milk, water, fruit,
cheese, toast are some examples of sugar-free
snack foods.
•
Regular dental visit with the first visit at about the
first birthday.
The next essential age for the surgical intervention is at
the age of 6 to 12 years. Lateral cephalometric as well
as routine radiographic assessment is done with clinical
examination to assess bony and soft tissue defects. If
indicated, orthodontics treatment will be done to expand
the arch of the maxilla. Cleft alveolar is usually closed
between ages six and nine. A bone graft is placed in
the alveolus to improve the arch form and establish an
intact dental arch. This would also allow eruption of the
canine which is frequently displaced in the cleft region.
Alveolar fistula is also corrected at this stage. The
presence of a permanent lateral incisor and the state of
cuspid development determine the timing for this step.
This is followed by active therapy by the Orthodontist.
Cleft patient then, would require restorative treatment for
missing teeth or other dental anomalies from Restorative
specialist, Prosthodontist as well as general dental
practitioners.
In summary, dental practitioners need to be more active
in the management of cleft patients because we play
a significant role in the cleft team in terms of patient’s
wellbeing and development. Cleft management requires
teamwork, and we are a significant part of this team.
References:
i.
Akcam, M. O., Evirgen, S., Uslu, O. & Memikoglu, U. T. 2010. Dental
Anomalies In Individuals With Cleft Lip And/Or Palate. Eur J Orthod, 32, 20713.
ii.
Arctander, K., Kolbenstvedt, A., Aalokken, T. M., Abyholm, F. & Froslie, K. F.
2005. Computed Tomography Of Alveolar Bone Grafts 20 Years After Repair
Of Unilateral Cleft Lip And Palate. Scand J Plast Reconstr Surg Hand Surg, 39,
11-4.
viii. Brunnegard, K., Lohmander, A. & Van Doorn, J. 2009. Untrained Listeners'
Ratings Of Speech Disorders In A Group With Cleft Palate: A Comparison With
Speech And Language Pathologists' Ratings. Int J Lang Commun Disord, 44,
656-74.
xi.
Chan, K. T., Hayes, C., Shusterman, S., Mulliken, J. B. & Will, L. A. 2003. The
Effects Of Active Infant Orthopedics On Occlusal Relationships In Unilateral
Complete Cleft Lip And Palate. Cleft Palate Craniofac J, 40, 511-7.
x.
Chmait, R., Pretorius, D., Moore, T., Hull, A., James, G., Nelson, T. & Jones, M.
2006. Prenatal Detection Of Associated Anomalies In Fetuses Diagnosed With
Cleft Lip With Or Without Cleft Palate In Utero. Ultrasound Obstet Gynecol, 27,
173-6.
Clarren, S. K., Anderson, B. & Wolf, L. S. 1987. Feeding Infants With Cleft Lip,
Cleft Palate, Or Cleft Lip And Palate. Cleft Palate J, 24, 244-9.
iii.
Asher-Mcdade, C. & Shaw, W. C. 1990. Current Cleft Lip And Palate
Management In The United Kingdom. Br J Plast Surg, 43, 318-21.
iv.
Atack, N., Hathorn, I., Mars, M. & Sandy, J. 1997. Study Models Of 5 Year Old
Children As Predictors Of Surgical Outcome In Unilateral Cleft Lip And Palate.
Eur J Orthod, 19, 165-70.
xi.
Baek, S. H. & Kim, N. Y. 2007. Congenital Missing Permanent Teeth In Korean
Unilateral Cleft Lip And Alveolus And Unilateral Cleft Lip And Palate Patients.
Angle Orthod, 77, 88-93.
xii. Cockell, A. & Lees, M. 2000. Prenatal Diagnosis And Management Of
Orofacial Clefts. Prenat Diagn, 20, 149-51.
v.
vi.
Bardach, J., Morris, H. L., Olin, W. H., Gray, S. D., Jones, D. L., Kelly, K. M.,
Shaw, W. C. & Semb, G. 1992. Results Of Multidisciplinary Management Of
Bilateral Cleft Lip And Palate At The Iowa Cleft Palate Center. Plast Reconstr
Surg, 89, 419-32; Discussion 433-5.
vii. Becker, M. & Svensson, H. 1998. Morphometry In Digital Photographs: A
Promising Technique For Assessing Patients With Cleft Lip And Palate. Scand
J Plast Reconstr Surg Hand Surg, 32, 295-9.
xii. Cohen, S. R., Kalinowski, J., Larossa, D. & Randall, P. 1991. Cleft Palate
Fistulas: A Multivariate Statistical Analysis Of Prevalence, Etiology, And
Surgical Management. Plast Reconstr Surg, 87, 1041-7.
xiii. Dames, F., Maier, A., Schutzenberger, A., Stelzle, F., Holst, A., Noth, E.,
Eysholdt, U. & Schuster, M. 2009. [Intelligibility Of Children With Bilateral And
Unilateral Cleft Lip And Palate]. Laryngorhinootologie, 88, 723-8.
xv. De Ladeira, P. R. & Alonso, N. 2012. Protocols In Cleft Lip And Palate
Treatment: Systematic Review. Plast Surg Int, 2012, 562892.
April-June 2016
26
MDA News
27
Centric
Relation As
We Know It
C
entric Relation (CR), one of the most
controversial topic in dentistry is still
in debate. The topic sparked around
early of the 20th century and until
today, it is still being discussed although not as
much as it was in the earlier days (Keshvad and
Winstanley, 2000a, Keshvad and Winstanley,
2000b, Wilson and Banerjee, 2004, Jasinevicius
et al., 2000). Overall, there was no consensus on
the CR definition that was taught in schools all
over the world.
Report written by:
Dr. Yeoh Oon Take. BDS (Malaya)
Trainee Lecturer, Department of
Restorative Dentistry, Faculty of
Dentistry, University of Malaya.
Currently, Postgraduate, Doctor
of Clinical Dentistry (Prosthodontics),
Melbourne Dental School, T
he University of Melbourne, Australia
The complexity of this topic is well illustrated
by the fact that there are more than 40 different
definitions that have been proposed by the
authors in the literatures, which shall be
discussed later (Schweitzer, 1969). However,
there was a distinct trend in describing the
definition of centric relation. Prior to 1980’s,
there was a belief that centric relation record
must occurred when the condylar heads
were in retruded position, and it is now being
considered as a misnomer and impossible to
happen in physiological temporomandibular
joint placement (Gilboe, 1983). Subsequently,
the registration techniques that were proposed
later tend to record the superior position of
condyle and the emphasis was no longer on
the posterior or retruded placement of condyles
(Keshvad and Winstanley, 2000a).
The techniques for registration consist of two
major categories: patient-guided recording
and operator-guided recording (Wilson and
April-June 2016
28
Posterior band
Intermediate/central bearing area
Bilaminar zone
Anterior band
Banerjee, 2004). Each of these two categories comprise a
few different techniques and some have been proven to be
better and more predictable than another.
Another aspect that is inseparable from centric relation is
the occlusion. Although centric relation is referred to the
maxillomandibular relationship, its position can be affected
by the dentition. Hence, different terms have been used to
refer to the state of occlusion that occur at different point
of jaw relationship.
Before the definition is discussed, one shall be aware of
the synonyms that are used to refer to centric relation
(Keshvad and Winstanley, 2000a, Keshvad and Winstanley,
2000b, Becker et al., 2000):
•
Retruded contact position
•
Rearmost Uppermost Midmost (RUM) position
•
Median retruded relation
•
Posterior border closure
•
Relaxed closure
MDA News
•
Bracing position
•
Hinge position
•
Ligamentous position
•
Terminal hinge position
•
Retruded axis position
The first two terms are most probably the more commonly
used terms besides the term centric relation. However,
with a better understanding of the anatomical structure
of temporomandibular joint, it was thought that the
physiological position, i.e. centric relation should happen
when the articular surface of condyle is at the anterior
position and contact the posterior slope of the articular
eminence (Gilboe, 1983).
Thus, one should avoid the use of the term which contain
the word retruded which is misleading. The definition in the
Glossary of Prosthodontic (GPT) term has also changed
the definition to “the maxillomandibular relationship in
which the condyles articulate with the thinnest avascular
portion of their respective disks with the complex in
the anterior-superior position against the shapes of the
29
articular eminences” since the fifth edition which
was published in 1987 (GPT, 2005, Keshvad and
Winstanley, 2000a). Having said that, the latest
GPT also included six other definitions for CR. It is
worth noting that among the definitions that were
given after 1987, one emphasised on the anterior
uppermost placement of the condyle while the other
suggested most superior placement and against
the distal slope of the articular eminence, which in
essential means anterior placement (so that it can
contact the distal slope).
The earliest definition for CR that appeared in the
literature probably was the one given by Hanau
that states “the position of the mandible in which
the condylar heads are resting upon the menisci in
the sockets of the glenoid fossa, regardless of the
opening of the jaws” (Hanau, 1929). There are other
simpler definitions such as patient can clench their
back teeth (Niswonger, 1934). Regardless of what the
definition was, most would tend to include the words
rear, retruded or posterior in their definition (Keshvad
and Winstanley, 2000a, Keshvad and Winstanley,
2000b).
Gilboe expressed his concern about how people tend
to ignore the intra-articular structure (condylar disc)
and only defined CR based on the condyle-fossa
spatial relationship (Gilboe, 1983). He commented
that it was probably due to the limitation of X-ray in
detecting the non-osseous intra-articular tissue and
often the soft tissue were missing in dry skull. Gilboe
further divided the intra-articular tissue into four
zones: anterior band, posterior band, central bearing
area and bilaminar zone (Figure 1). The posterior
band is the part that is rich vascular and nerve tissue
and thus would not be able to withstand compressive
force. Otherwise, pain and inflammation would
develop. On the other hand, the central bearing
area is an avascular zone and only consist of dense
collagen fibrils. This makes the central zone an ideal
structure to receive load.
References:
i.
Becker, C. M., Kaiser, D. A. & Schwalm, C. 2000. Mandibular
Centricity: Centric Relation. J Prosthet Dent, 83, 158-60.
ii.
Celenza, F. V. 1973. The Centric Position: Replacement And
Character. J Prosthet Dent, 30, 591-8.
iii.
Gilboe, D. B. 1983. Centric Relation As The Treatment
Position. J Prosthet Dent, 50, 685-9.
iv.
Gpt 2005. The Glossary Of Prosthodontic Terms. The Journal
Of Prosthetic Dentistry, 94, 10-92.
v.
Hanau, R. H. 1929. Occlusal Changes In Centric Relation.
Journal Of The American Dental Association, 16, 1903.
vi.
Jasinevicius, T. R., Yellowitz, J. A., Vaughan, G. G., Brooks,
E. S., Baughan, L. W., Cline, N. & Theiss, L. B. 2000. Centric
Relation Definitions Taught In 7 Dental Schools: Results Of
Faculty And Student Surveys. J Prosthodont, 9, 87-94.
vii. Keshvad, A. & Winstanley, R. B. 2000A. An Appraisal Of The
Literature On Centric Relation. Part I. J Oral Rehabil, 27,
823-33.
viii. Keshvad, A. & Winstanley, R. B. 2000B. An Appraisal Of The
Literature On Centric Relation. Part Ii. J Oral Rehabil, 27,
1013-23.
xi.
Niswonger, M. F. 1934. The Rest Position Of The Mandible
And Centric Relation. J Am Dent Assoc, 21, 11.
x.
Posselt, U. 1952. Tudies In The Mobility Of The Human
Mandible. Acta Odontol Scand, 10, 19.
xi.
Schweitzer, J. M. 1969. Dental Occlusion: A Pragmatic
Approach. Dent Clin North Am, 13, 687-724.
xii. Schuyler, C. H. 1969. Freedom In Centric. Dent Clin North
Am, 13, 681-6.
xiii. Wilson, P. H. & Banerjee, A. 2004. Recording The Retruded
Contact Position: A Review Of Clinical Techniques. Br Dent J,
196, 395-402; Quiz 426.
April-June 2016
30
MDA News
31
3rd MIDEC 2016
Preliminary Scientific Programme
EXTRA PRE-CONGRESS EVENT: 17/07/2016 (Sunday)
Endodontic Double Bonus Day (Lecture FOC for MIDEC Delegates)
Bali Ungku Aziz, University of Malaya (UM)
08301030
09001030
10301100
11001230
12301330
13301700
13301700
Registration
Endodontic Lecture: Design The Ideal Treatment Plan: Approach & Instruments
Dr. Marco Martignoni
Morning Tea Break
Endodontic Lecture: Post-treatment Endodontic Disease
& Root Canal Retreatment - Biological and Clinical Science
Prof Dr. Paul Dummer
Lunch Break
Endodontic: Microscope & Access Limited Attendance Hands-on Workshops (UM Optech Lab)
Prof Dr. Paul Dummer
Endodontic: Reciprocating File: Shape The Canal with One Instrument
Limited Attendance Hands-on Workshops (UM Oral Biology Lab)
Dr. Marco Martignoni
PRE-CONGRESS EVENT: 28/07/2016 (Thursday)
Soft Tissue Graft & Implant Live Surgery & Hands-on Workshop
MAHSA University | 0900 - 1700
Dr. Eric Van Dooren & Dr. Gustavo Giordani
Orthodontic Masterclass: The importance of early orthodontic
treatment in the mixed dentition period
PWTC | 0900 - 1700
Dr. Loh Kai Woh
April-June 2016
32
DAY 1: 29/07/2016 (Friday)
Dewan Tun Dr Ismail (Hall 1)
TIME
09001030
10301100
11001230
12301430
14301630
TOPIC AND SPEAKER
New Opportunities for Enhancement
in the Esthetic Zone 1
Dr. Eric Van Dooren &
Dr. Gustavo Giordani
Tea Break
New Opportunities for Enhancement
in the Esthetic Zone 2
Dr. Eric Van Dooren &
Dr. Gustavo Giordani
Lunch Break
Orthodontic Mishaps Causes & Possible Solutions
Dewan Tun Hussein Onn (Hall 2)
TIME
09001030
Prosthetic Rehabilitation of Oral
Cancer Patients
Dr. Pravinkumar G. Patil
10301100
Tea Break
11001230
TBC (Oral Surgery)
Dr. Edwin Heng
12301430
14301530
Lunch Break
Peri-implantitis: Long Term Clinical
Results of Regenerative Therapy &
Preventions
Dr. Cheol Woong Jeong
Dr. Loh Kai Woh
15301630
16301700
TOPIC AND SPEAKER
Tea Break
Tips & Tricks in Daily Prosthodontics
Prof Dr. Seow Liang Lin
16301700
Endodontic Workshop: Effective Instrumentation, Irrigation & 3D Obturation
PWTC | 0900 - 1700
Prof Dr. Gianluca Gambarini
Soft Tissue & Implant Masterclass
PWTC | 1400 - 1700
Dr. Gustavo Giordani
New Ceramic Powder with Oxyapatite (Hands-On for Dental Technicians)
OWTC | 0900 - 1700
Hilal Kuday
MDA News
Tea Break
33
DAY 2: 30/07/2016 (Saturday)
Dewan Tun Dr Ismail (Hall 1)
Dewan Tun Hussein Onn (Hall 2)
TIME
TOPIC AND SPEAKER
08000930
Clinical Management of Curved
Canals : A Novel 3D Approach to the
Endodontic Therapy
Prof Dr. Gianluca Gambarini
09301000
10001130
Tea Break
Occlusal Concept in Full Mouth
Rehabilitation
Dr. Andy Lo Shih-Chieh
TIME
08000845
08450930
09301000
10001130
TOPIC AND SPEAKER
Dental Technologists Symposium cum
Allied Health Symposium
Digital Imaging for Dental Auxiliaries
Dr. Steven Phun Tzy Chien
Dental Photography for Dental
Auxiliaries
Dr. Abu Razali bin Saini
Tea Break
Lithium Disilicate Glass Ceramics:
Shades & Ingots Selection for Ideal
Integrations & maximum Aesthetic
Results
Hilal Kuday, CDT
11301230
Opening Ceremony
12301430
Lunch Break
Opening Ceremony
12301430
14301530
14301630
Lunch Break
The Regulation of Dental Auxiliaries
and Its Impact on Dentistry
Speaker from MDC
All Ceramic Restorations
Dr. Marko Jakovac
15301630
Digital Solution for Today & Tomorrow
& Understanding Materials Optimised
for Digital Dentistry
Hilal Kuday, CDT
16301700
Oral Presentation
Venue TBA | Morning Session
Tea Break
16301700
Tea Break
Poster Presentation
Dewan Tun Razak 3, PWTC
Hands-on Workshop: Tooth Prep in Non-ideal Situation
UKM | 0900 - 1
Dr. Aqeel Saijad Reshamvala
April-June 2016
34
DAY 3: 31/07/2016 (Sunday)
Dewan Tun Dr Ismail (Hall 1)
TIME
09001030
Dewan Tun Hussein Onn (Hall 2)
TOPIC AND SPEAKER
The Biggest Dilemma: How to Choose
The Right Techniques and Materials in
Restorative Dentistry
Dr. Aqeel Sajjad Reshamvala
10301100
11001230
12301430
14301630
16301700
Tea Break
Conservative, Conventional &
Unconventional Endodontics
A/Prof Dr. Patrick Tseng
Lunch Break
Complications in Implant Dentistry:
Etiology, Prevention & Management
Dr. Jeanette Chua Keng Ling
Tea Break
TIME
09000945
09451030
TOPIC AND SPEAKER
Computer Guided Orthognathic
Surgery
Dr. Shamsul Anuar Ahmad
Guidelines for Advertising and
Promotion
Speaker from MDC
10301100
Tea Break
11001230
Dental Photography
Dr. Joan Lim
12301430
14301530
Lunch Break
Simple, Appropriate, Aesthetic
Orthodontics for General Dentist
16301700
Dr. Gun Norell
Tea Break
Hands-on Workshop: Indirect Restorations
(preps, impressions, wax up-mock up, treatment planning)
PWTC | 0900 - 1800
Dr. Marko Jakovac
POST-CONGRESS EVENT: 1/8/2016 (Monday)
Hands-On Workshop: Endodontic and Post-endodontic Direct Restoration
UKM | 0900 - 1300
A/Prof Dr. Patrick Tseng
Hands-On Workshop: The New Concept of Alignment, Bonding and Bleaching (Inman Aligners)
PWTC | 0900 - 1600
Dr. Gun Norell
MDA News
35
April-June 2016