International Editorial Review Board International Advisory Board

International Editorial Research International Advisory Board Editorial Summaries in Review Board 18Focus • Prof. Rafi Aljobory / Iraq Postgraduate Study is More Accessible than Ever BDS, MSc, PhD Periodontics, President of the Iraqi Dental Association 04 A Retrospective Study of Endodontics the 3-Year Survival Rate • Prof. Abdullah Al-Shammery / KSA By Wolfgang Wrichter • Ass. Prof. Abdul Rahman M. Saleh BDS, MSc, PhD BDS, MS Restorative Dentistry / Rector, Riyadh Colleges of of Resin-Modified Glass- • Dr. Ali Abu Nemeh BDS, NDB, MSc Dentistry & Pharmacy Calendar of Events Ionomer Cement Class II Restorations in Primary • Prof. Magid Amin Ahmed / Egypt • Dr. Muna Al-Ali BDS (Uni Jordan), MFDS (RCSI), Molars DClinDent (Melbourne) Endodontics Oral & Maxillo-Facial Surgery / Vice President MSA University International Dental Events Dean, Faculty of Dentistry MSA University 06 • Dr. Hani Al Kadi BDS, Dip ODONT, MDS • Prof. Jamal Aqrabawi / Jordan • Dr. Muayad Assaf BDS, MSc DDS, DSc, DMD Endodontics / Dental Faculty, University of Jordan Clinical Procedures Maxillofacial Surgery • Prof. Nabil Barakat / Lebanon Smile Message for Revitalization: DDS, MSc, FICD Maxillo-Facial Surgery / President of LAO & EMAO • Dr. Hazem Al-Ahmad BDS, MSc, FDSRCS Current Knowledge and • Dr. Faaiz Yaqub Al-Hamadani BDS, MSc • Prof. Stephen Cohen / USA Chief Executive Dentists Considerations MA, DDS, FICD, FACD, Diplomate, American Board of Endodontics 08 Smile Dental Journal • Dr. Raed Al-Jallad BDS, MSc, FFDRCS, FDSRCS June 2016 • Prof. Azmi Darwazeh / Jordan By Ehab Heikal • Dr. Alan Al-Qassab BDS, HDD (Ortho), MSc, MOMS BDS, MSc, PhD Oral Pathology Oral Medicine / Former Dean, Faculty Volume 11, Issue 2 RCPS(Glasg) of Dentistry JUST / Examiner, Faculty of Dentistry RCS Ireland Surgery Cuspal Deflection of Quarterly Issued • Dr. Hatem Al-Rashdan BDS, MSc • Prof. Mohamed Sherine Elattar / Egypt Premolars Restored with Distributed Free of Charge • Dr. Kamis Gaballah BDS, MSc, FDS RCS, PhD BDS, MSc, PhD Prosthodontics / Former Dean, Faculty of Dentistry, Bulk-Fill Composite Resins Pharos University / President of AOIA 10 Piezo Hydrodynamic Internal Sinus Lift A Safe Step in Implant Surgery Lebanon: +961 70 32 32 75 Oral Medicine • Prof. Fouad Kadim / Jordan By Emad Salloum Jordan: +962 7 96367954 • Dr. Suhail H. Al-Amad D.Clin.Dent (Melb), FRACDS- BDS, MSc, PhD Conservative Dentistry / Vice Dean, Faculty of [email protected] Oral Med, GradDip ForOdont (Melb), JMC Dentistry, University of Jordan Esthetics Flash News www.smiledentaljournal.com • Prof. Howard Lieb / USA 20 Orthodontics DMD General Dentistry & Management Sciences / College of Lip Depigmentation (Pinkification) Using 810nm Diode Laser, Kassem’s Protocol, Initial Case Report Founder & • Dr. Feras Abed Al Jawad DDS, NBDE, MSc, PhD Dentistry, New York University 14 Two Minutes with Editor-in-Charge • Dr. Eyas Abu-Hijleh DDS, PhD • Prof. Edward Lynch / UK By Islam Kassem, Mohammed Adib Al-Agha 22 Dr. Issa S. Bader PhD (Lon), MA, BDentSc, TCD, FDSRCS (Ed), FADFE, FDSRCS (Lon) • Dr. Samer Sunna BDS, MSc, M.Orth, RCS Head of Dental Education and Research Warwick University Director Paediatric Dentistry • Prof. Lamis D. Rajab / Jordan Dr. Ma’moon A. Salhab DDS, PhD, Pediatric Dentistry / Former Dean, Faculty of Dentistry, • Ass. Prof. Ola Barakat Al-Batayneh BDS, MDSc, University of Jordan Executive Director JDB, FRACDS Mrs Solange Sfeir • Prof. Issam Shaaban / Syria • Dr. Hani Abudiak BDS, MFDS RCSFRCD, PhD BDS, PhD, Maxillo-Facial Surgery / Former Dean, Faculty of Editorial Director • Dr. Majd Al-Saleh BDS, DDS, MSc Dentistry Damascus University / President of Syrian OMFS Society Dr. Hassan A. Maghaireh • Dr. Ghada Karien BDS, JDB Affiliations & Distributors • Prof. Yousef Talic / KSA BDS, MSc, DASO, FICOI, FICD, Consultant in Prosthodontics & • Dr. Jumana Sabbarini BDS, MSc • Bahrain: • Jordan: • Oman: Executive Editor Implantology, College of Dentistry, King Saud University Dr. Alexandre Khairallah • Dr. Leema Yaghmour BDS, DUA, DUB Bahrain Dental Society Jordanian Dental Association (JDA) Oman Dental Society • Prof. Abbas Zaher / Egypt +973 17723767, [email protected] +962 6 5665520, www.jda.org.jo +968 95769039, [email protected] Associate Editors BDS, MS, PhD Orthodontics, Professor of Orthodontics / Vice- Periodontics Dean, Alexandria University / Vice-President, World Federation of Lulu Medical & Dental Supplies Basamat Medical (Pharmadent) • Sudan: Prof. Marco Esposito +973 17310881, [email protected] +962 6 5605395, www.basamat.com Prof. Wolfgang Richter • Dr. Moustapha Saad BDS, MSc, FICOI Orthodontists Sudanese Dental Association +249 83 779769, [email protected] • Dr. Manal Azzeh BDS, MSc • Prof. Carina Mehanna Zogheib / Lebanon • Egypt: • Kuwait: Assistant Editors DDS, PhD Restorative and Esthetic Dentistry, FICD Alexandria Oral Implantology Association Kuwait Dental Association • Dr. Edgard El Chaar DDS, MS • Qatar: Dr. Aveen K. Aljaff Head of Restorative and Esthetic Dentistry Department, Saint- +203 5451277, www.aoiaegypt.com +965 5325094, www.kda.org.kw Dr. Mohammad A. Abu Khalifeh • Dr. Marwan Qasem DDS, PG Joseph University Qatar Dental Society • Iran: +974 4393144, www.qatardentalsociety.org Dr. Mohanad M. Ali Al-Janabi • Dr. Nadim Abou-Jaoude / Lebanon • Lebanon: Prosthodontics Shayan Simin Teb Co. CES, DU, FICD Prosthodontics, Lecturer, Lebanese University / Lebanese Dental Association Ali Bin Ali Medical The i-partner Art & Design +98 21 66380364/5, [email protected] • Dr. Layla Abu-Naba’a BDS, MFD, RCS, PhD Clinical Associate, American University of Beirut +961 1 611555, www.lda.org.lb +974 4867871 ext. 247, www.alibinali.com Mrs Solange Sfeir Iranian General Dental Association • Dr. Kelvin Ian Afrashtehfar DDS, FADI, FADFE, MSc • Dr. Hasanen H. Al-Khafagy / UAE Lebanese Dental Laboratory Miss Stephanie Moufarrej +98 2188287794/5, [email protected] • Saudi Arabia: • Dr. Ahmad Kutkut DDS, MS BDS, MSc, PhD Conservative Dentistry, Ajman University of Science Association (OPDL) Saudi Dental Society Assistant • Dr. Yousef Sadik Marafie BDS, MSD & Technology • Iraq: +961 5955 151, www.opdlb.com +966 1 4677743, www.sds.org.sa Mrs Mayra Esqueda Sfeir • Dr. Jaser Al-Ma’itah / Jordan Richa Dental Store • Dr. Thamer M. Theeb BDS, MSc Iraqi Dental Association • United Arab Emirates: BDS, MSc Oral Surgery, Head of Dental Department, Jordanian +964 015379267, [email protected] +961 5 452555, www.richadental.com Royal Medical Services Dubai Medical Equipment L.L.C. Radiology Kurdistan Dental Association Published by • Libya: +971 6 554 0206, www.mamut-dental.com • Dr. Alexandre Khairallah BDS, DU, DESS, FEADMFR • Dr. Maher Almasri / UK +964 7504510315, [email protected] MENA Co. for Dental Services DDS, MSc, PhD, FADFE, Director of Oral Surgery Courses, Bone AlAzhar Company Jordanian National Library Restorative Dentistry Graft Modules Leader, Warwick University / President of the Syrian Pro Health Line Company +218 5066438, [email protected] Section of IADR +964 7504544479, www.prohealthline.com Registration # 3954/2008/P • Prof. Louis Hardan DDS, DEA, PhD ISSN 2072-473X • Dr. Abdelsalam Elaskary / Egypt Emirates Scientific Bureau • Dr. Maher M. Abdeljawad BDS, MDentSci BDS, FICOI, President of ASOI +964 771 0131978, www.prohealthline.com Printed by • Dr. Mohammad Al-Rabab’ah BDS, MFD RCSIre, • Dr. Yasin El-Husban / Jordan MRD(Pros), RCSEd, JB(Cons) PhD Ad-Dustour Commercial Printing Press DDS, MSc Prosthodontics, Former Minister of Health Former Head of Dental Department & King Hussein Hospital Amman, Jordan • Dr. Hakam Mousa BDS, MSD Editorial Policy • Dr. Zbys Fedorowicz / Bahrain • Our objective is to publish a dental journal of consistent high quality and help to increase the exposure of literature written by dental professionals at a global level. Director, The Bahrain Branch of the UK Cochrane Centre • Literature review, original research, clinical case reports, case series, short communication, randomized clinical trials, and book reviews are among our scope of published material, where the clinical aspect of dentistry is presented in a scientific way, starting each article with an abstract, backed up by references in accordance with Mission Statement Disclaimer • Dr. Wolfgang Richter / UK Bridging the gap between advanced up- Smile Dental Journal makes every DDS, PhD, Restorative Dentistry, Former President of ESCD the Vancouver citation style. to-date peer-reviewed dental literature and effort to report clinical information and • The journal encourages the submission of papers with a clinical approach, practical or management oriented, besides papers that bridge the gap between dental • Dr. Mohammad Sartawi / Jordan / UK the dental practitioners enabling them to manufacturers’ product news accurately, but research and clinical application. BSc, BDS, MSc, FFDRCSI (OSOM) • Received manuscripts are first revised by the editor to check if it is appropriate for publishing in Smile and that it complies with the author›s guidelines. The manuscript is do their jobs better- is our ultimate target. cannot assume responsibility for the validity Senior Consultant Maxillo-Facial Surgeon Besides, Smile provides readers with of product claims or typographical errors. then forwarded to two or more professional reviewers. Anonymity of both the author and reviewer is preserved (double blinded peer-review process). information regarding the available dental Opinions or interpretations expressed by the • Our editorial policy which controls the quality of articles and assures their accuracy, clarity, and smooth readability through high level enthusiast international team of products, armamentarium, news authors are their own and do not necessarily experts is our golden key for success. and proceedings of dental symposia, reflect nor hold Smile team responsible for • Finally, we believe that a controlled content of advertisements could be informative and beneficial especially in dentistry, where the armamentarium and pharmaceuticals workshops and conferences. the validity of the content. are a major and integral part of the dental science. Postgraduate Study is More Accessible than Ever

The truth is, there are merits for and against postgraduate education. Obviously You will be deepening your knowledge and acquire a specialism. In the fields as diverse and ever-changing as cosmetic it is a huge investment in time and money but it is also a sure-fire way to dentistry and implantology, postgraduate study can open a whole new world of knowledge and opportunity. differentiate yourself and your practice. Often, though, postgraduate study can be about changing direction rather than specialising.

Postgraduate studies may not be for everyone. But if you’ve been in your job for a while, and now you really want A master’s programme or diploma can also be a significant way of networking for employment opportunities or pushing ahead and advancing your skills and responsibilities it might be an ideal way striving for new horizons in developing a network of contacts and get your name out there in the right circles. dentistry. “Knowledge is a treasure, but practice is the key to it.” - Lao Tzu It will be very intellectually stimulating and opening your mind to disciplines which you hadn’t formally pursued before. Being proactive is incredibly important in achieving the outcomes desired from a postgraduate course. Dedicating a year or two to a subject is advantageous, but it takes more than that alone to improve employability and overall skills. “The greatest enemy of knowledge is the illusion of knowledge” - Stephen Hawking A postgraduate qualification is an excellent way to enhance your knowledge and skills. Not only does an additional Postgraduate qualifications include postgraduate certificates and diplomas, master’s degrees and doctoral degrees. qualification help you to stand out from the crowd, but it also shows your commitment and dedication. Research work is demonstrating your ability to think independently and work towards a goal. Postgraduate study is particularly accessible now that many universities and professional societies like BAIRD are offering their courses by distance and online (f.e. University of Manchester/UK), as well as part-time (f.e. the module programmes of BAIRD), so you can study from the convenience of your own home, at your own pace and around “An investment in knowledge always pays the best interest” - Benjamin Franklin, The Way to Wealth: Ben Franklin your other work and family commitments. on Money and Success

Some employers will support their employees to undertake postgraduate studies by allowing flexibility with working I think for most people a postgraduate degree is an investment that they will have to make at some point in their hours and even, in some cases, offering financial aid. careers. My advice would be not waiting too long to pursue one – from my observations, the longer you wait, the harder it becomes to really focus and benefit from it. I would also suggest that people think very hard about the program they There are as many answers to this question as there are postgraduate students. You may enjoy a certain subject and choose – definitely try to get into the very best program you can. A diploma or master programme will reflect well on want to explore it at an advanced level, such as a Masters degree or postgraduate research. In a difficult economic you and your investment of time and money is better made with a program that is high-quality and of high repute. climate, you may decide that additional qualifications will improve your career prospects, making you an asset to your employer or a better interview candidate. Many employers look for the advanced knowledge and skills of But the most valuable rewards require persistence. postgraduates, as well as the commitment they have demonstrated in achieving a further qualification. Rewards are a direct result of the energy and effort we’ve put into it. There are also flexible study options, so you can fund your education by fitting study around your job. If your course is relevant to your job, you could even get support from your employer towards fees or study costs. Success does not happen itself – we need to make it happen.

It develops a new form of maturity. It creates a whole new dynamic and mode of conversation, and confidence, which would enable you to walk into your workplace as a real professional.

Continuing education is clearly important, but the value of a diploma depends on what you do with it. Wolfgang Richter - DDS, PhD, FESCD The learning subjects out of the classroom, practical knowledge and studying these principles are the foundation for Editorial Board Smile Dental Journal practice success. Vice President BAIRD Honorary President ESCD Stuttgart/Germany

| 6 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 7 | September, 22 - 24 September, 25 - 28 March 31 - April 04 13th ESCD China Dental Show 2016 - CDS ICOI World Congress - The 18th CSA Annual Meeting Krakow - Poland Barcelona - Spain www.royalesthetics.eu Shanghai - China www.icoi.org www.chinadentalshow.com

October, 06 - 08 October, 13 - 15 October, 26 - 29 Sofia Dental Meeting 2016 26th BIDM Dentech China 2016 Sofia - Bulgaria Beirut - lebanon Shanghai - China www.sofiadentalmeeting.com www.lda.org.lb www.dentech.com.cn

November, 01 - 04 November, 22 - 26 November, 25 - 30 20th AIDC ADF 2016 Greater New York Dental Alexandria - Egypt Paris - France www.aidc2016.com www.adf.asso.fr Meeting New York - USA www.gnydm.com

For more events visit www.smiledentaljournal.com or our page on Facebook

| 8 | Smile Dental Journal | Volume 11, Issue 2 - 2016

Smile Message

Chief Executive Dentists

What is the job description of a dentist? Obviously, a dentist is a provider of excellent Many dentists are closely involved with operational activities that easily can be handled by a well-trained dental team. Ultimately, care for patients. However, there is another job description that also applies to the this situation results in the dentist’s having less time for patient care and increasing his or her frustration. Learning how to let go dentist: that of chief executive officer (CEO). and delegate responsibilities to the appropriate team member is critical for the long-term success of the clinic.

A CEO ultimately is responsible for the vision, direction and goals of a company. However, ELIMINATE WHAT IS NOT WORKING unlike CEOs in other fields, dentists are the principal producers in their business. They have Many clinic owners have developed habits that are no longer in their own best interest. CEO-minded dentists should spend time the challenge of handling dental diagnosis and treatment on a daily basis while also acting reviewing clinic protocols and identifying activities that should be eliminated. They should ask questions such as these: as the CEO. • What are the major activities in which we engage on a weekly, a monthly and an annual basis? THE CHARACTERISTICS OF A SUCCESSFUL CEO: • Who performs these activities? The job of the CEO dentist is not easy. There always are pressing issues that must be • If these activities are performed by one of the staff, can they be outsourced? addressed. Where will dentistry be in five years? Should a specific marketing plan be • How do these activities benefit the clinic? implemented? Is it time to bring an associate into the practice? Should a new office be • Is there a faster and more efficient way to perform these activities? built or the current one expanded? The list goes on and on. To handle these issues, the clinic owner must: Laying out clear responsibilities for team members and holding them accountable for results is entirely reasonable.

• Be the hero of change; Answering these questions throughout the year will identify several clinic behaviors that no longer are valid. Some need to be modified, • Be a leader who can drive strategic planning; eliminated or outsourced. The choice will be obvious once the dentist places a stronger focus on revising overall clinic activities. • Know how to delegate responsibility; • Eliminate what is not working; HOLD TEAM MEMBERS ACCOUNTABLE • Hold team members accountable; Everyone holds the dentist accountable for what he or she does chairside. Therefore, laying out clear responsibilities for team • Know how to make firm decisions. members and holding them accountable for results is entirely reasonable. The dentist should provide or arrange for regular coaching and education for all members of the dental team. In the course of this instruction, it must be emphasized that BE THE HERO OF CHANGE accountability is a critical element of the practice. Change is constant, whether it is new technologies, new materials or evolving marketing plans. Trying to cope with a lot of issues can be overwhelming. As a consequence, many dentists resist change. Effective change requires KNOW HOW TO MAKE FIRM DECISIONS Being a CEO is not an easy job, if for no other reason than that the CEO has to make the final—sometimes difficult—decisions. • Limiting yourself to the key information needed to make decisions; Dentists often put off decisions and avoid challenging situations rather than make a firm commitment. In some cases, such • Understanding how a decision will be implemented; procrastination can waste years and keep clinics from reaching their potential. The directive for the dentist is clear: gather the • Determining who will be accountable for getting it done. facts, set a timeline, make a decision and take action. Dentists who become effective decision makers early on have a greater chance of maintaining their enjoyment of dentistry throughout their careers. Change is standard in all businesses, including dental clinics, and it is important to implement change successfully. Dentists do not necessarily view themselves as CEOs. They should. As clinic owners, dentists are in charge of their own BE A LEADER WHO CAN DRIVE STRATEGIC PLANNING companies. The strategic choices that a clinic owner makes will determine the future of the clinic. Where should it be located? What services should it offer? What technology should we buy? How should we set fees? Each choice represents a great deal of work in terms The six characteristics of leadership discussed above are the hallmarks of a successful CEO. Take a tip from the final of creation and implementation. One suggestion is that the doctor, as a CEO, should select only two or three major strategic characteristic—make firm decisions—and decide how you are going to reach your true potential. initiatives per year. Given the fact that dentists also are primarily involved in patient care, they should select the number of strategic choices carefully and make sure that implementing those choices is within the clinic’s capability.

KNOW HOW TO DELEGATE RESPONSIBILITY As the team develops new skills and capabilities and becomes more accountable, the job of the dentist becomes easier from both a clinical and a managerial standpoint. It goes down to these essential elements: Ehab Heikal | BDS, FICD, MBA, DBA Author of the books: “Business Administration for the Dental profession” & “Think outside the Bo2” • Breaking down the responsibilities of the office into specific tasks; Middle East Area Manager for Morita Corporation • Identifying who is responsible for each task and defining what qualifies as successful completion of the task; Practice management consultant • Being sure the team understands the entire process and follows through on a regular basis. Lecturer at MSA University - Egypt

Emad Salloum - DDS, OMS Consultant Oral & Maxillofacial Surgeon Private Practice, Salloum Dental Clinic, Tartous – Syria | [email protected]

ABSTRACT (Fig. 5) (Fig. 6) (Fig. 7) (Fig. 8) As more and more Dental implants are now placed in posterior maxilla by general dentist, and as the patients and implantologists demands became more and more towards less invasive, less complicated and easier surgical Schematic drawing of piezo procedures. The more this demand raised towards innovating new technologies development with new surgical hydrodynamic techniques that fulfill those demands. Intralift technique Background and Aim: Sinus lifting via crestal approach by Summer’s technique (internal sinus lift) is a common and a non invasive procedure in implantology practice compared to sinus lift via external approach. However, patient discomfort, shocking feeling, positional Vertigo, membrane tearing, difficulty in graft packing, and the unsafe use of hammer and osteotomes are disadvantages and drawbacks of this technique. PIEZO HYDRODYNAMIC INTRALIFT TECHNIQUE Materials & Methods: Piezo surgery opened a new era in implantology surgery practice as a safe and easy to use ∙∙ Figure 1: Intralift kit technology by means of respecting and protecting the soft tissues. Special modifications and improvement had been made ∙∙ Figure 2: Cortical >3mm - Use a 2mm pilot drill of on Dental piezo technology instrumentation with all its advantages to make it applicable on internal sinus lifting surgery. any implant system and drill down to 2mm of sinus floor 74 Seventy four documented sinus lifts cases done utilizing piezo hydrodynamic internal sinus technique via crestal ∙∙ Figure 3: Pilot drill (TKW1): Ø 1.35mm, 90µm, Mode approach in my private practice, using piezo Intralift kit by (Acteon – Sattelec) with 18 months follow up. All cases 1 80ml/min were grafted using BTCP (RTR – Septodont), 124 implants inserted in grafted sinuses using Xive implants (Dentsply). ∙∙ Figure 4: Primary drilling/widening (TKW2): Ø 61 cases with immediate implantation (96 implants), 13 cases with late implantation (28 implants), none of the cases 2.1mm, 90µm, Mode 1 80ml/min had immediate loading or immediate temporization. ∙∙ Figure 5: Secondary drilling/widening (TKW4): Ø 2.80mm, 90µm, Mode 1 80ml/min KEYWORDS ∙∙ Figure 6: Microcavitation effect (TKW5): Internal Piezo, Internal sinus lift. irrigation, Mode 2-3, >40ml/min, >50ml/min, >60ml/min - Max 5 sec. at each stage ∙∙ Figure 7: Packing of filling material (TKW5): Mode 4, INTRODUCTION • Labyrinth Concussion 4ml/min - Max 3 sec. This article is a clinical study of a new innovative • Head Ache ∙∙ Figure 8: Immediate* or delayed implant: technique for a safer internal sinus lift surgery utilizing • Positional Vertigo * If only residual bone height is >3mm hydrodynamic piezo technology. • Nystagmus Labyrinth: CASE REPORT 1) Cochlea 2) Canal for facial nerve 3) Anterior (superior semicircular A 40 years old male patient. Bilateral Hydrodynamic canal & ampula) Intra lift with immediate implantation on the left side, 4) Lateral semicircular canal & ampula Hydrodynamic Intra lift with delayed implantation on the 5) Posterior semicircular canal and ampula right side. (Fig 9 - 18) 6) Vestibule LifeArt image copyright 2003, Lippincott Williams & Wilkins. All rights reserved.

Labyrenthine concussion and positional vertigo after osteotome site preparation - Dr. Dennis Flanagan: J Implant Dent. 2004;13:129-32

Internal Sinus Lift Advantages Drawbacks Hydrodynamic sinus lift principle was first introduced Less invasive for the patient Blind approach & published by Leon Chen, Less surgical wound complications Technically sensitive using the hydraulic pressure of the saline introduced via the Easier approach for non-surgeons Higher possibility to perforate the internal irrigation through the (seems to be) membrane bur, to smoothly & atraumaticaly Indicated only for max 5mm Less bleeding elevate the sinus membrane - Dr. elevation (Fig. 10) Piezo diamond tips in sequenced sizes prepares Leon Chen: Journal of Advanced the osteotomy site and safely exposes the sinus floor without Very traumatizing to the patient Periodontics, Volume 76 #3, 2004. Less post-operative edema (Fig. 9) Pre op panorex 2mm residual bone (left), >1mm (right) membrane injury due to Hammer shocking

| 12 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 13 | RESULTS Reviewing the data of 74 (seventy four) sinus lifts cases done utilizing piezo hydrodynamic internal sinus technique via crestal approach in my private practice, with 18 months follow up. Only one membrane perforation was noticed during surgery, 3 failed implants out of 124 placed implants, 7.5mm average (5 to 10mm) of extra bone height gain was achieved, 121 implants were loaded after 6-8 months with cemented crowns, no significant difference in final result between cases with immediate or delayed implantation, all patients were highly satisfied in term of post operative symptoms as well as final result. (Fig. 16) Pre op CONCLUSIONS Piezo Hydrodynamic sinus lift (Intralift) technique via crestal approach is an easy, fast, and reliable technique for internal sinus lift, with highest success rate, especially for non surgeons and in less experienced hands, it is a less invasive, a traumatic procedure that achieves more safety, easy graft packing, extra membrane protection, with less complications, less edema, less post operative pain, and more patient acceptance.

REFERENCES (Fig. 11) Collagen plug inserted deep under the membrane (Fig. 13) BTCP graft material inserted through osteotomy sites 1. Summers RB. A new concept in implant surgery: the through the osteotomy site osteotom technique - parts 1,2,3. (Fig. 17) Immediate post op 2. Misch. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol. 1987;4(2):49-58. 3. Chen L, Cha J. An 8-year retrospective study: 1,100 patients receiving 1,557 implants using the minimally invasive hydraulic sinus condensing technique. J Periodontol. 2005;76(3):482-91. 4. Dennis Flangan. Labyrinthine concussion and positional vertigo after osteotome site preparation. Implant Dent. 2004;13(2):129-32.

(Fig. 14) Hydrodynamic trumpet tip facilitates easy graft material packing (Fig. 18) Eight months post op

(Fig. 12) Trumpet tip with special pumping frequency safely and easily elevates the sinus membrane (Fig. 15) Xive implants are immediately inserted

| 14 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 15 | Lip Depigmentation (Pinkification) Using 810nm Diode Laser, Different laser wavelengths were used starting from Anesthesia depends on the operator as well as the Carbon Dioxide (10,600nm), Q-Switched laser, Nd YAG patient preference, the author prefers bilateral infra Kassem’s Protocol, Initial Case Report laser (1,060nm) and finally, in this case, (GaAsAl) diode orbital nerve block from extra oral approach (Figure 3) lasers (810nm). to avoid unnecessary anesthesia to the muscle elevating Islam Kassem - BDS, MSc, FDS RCS upper lip hence avoiding lip drop. Consultant Maxillofacial Surgeon Using Diode laser can be a challenge for the clinician to Private practice, Doha – Qatar | [email protected] avoid scaring and improper results. The technique by the author aims to decrease the complexity of the procedure Mohammed Adib Al-Agha - BDS and enhance patient safety and the final result. Private practice, Dubai – UAE CRITERIA FOR CASE SELECTION The patient must be able to sign a consent form and be medically free from any hematological disorders. ABSTRACT Normal skin pigmentation must be considered please Oral depigmentation is considered a complementary part in aesthetic dentistry , gingival depigmentation is well note that Melanocytes stimulating hormones lesions known by a lot of practitioner especially whom deal with dark skin patient. should be excluded. (Fig. 3a) Extraoral Approach for infraorbital nerve block was Lip depigmenation or pinkification is considered a novel approach which desired by many patient to get an atractive This technique is applicable in hereditary melanin hyper- the anesthesia of choice smile. pigmentation. (Figure 2)

We present a first case in English literature using diode 808nm with details parameter to ensure patient safety and avoid any further complications.

KEYWORDS Lip depigmentation, Diode laser, Lip pinkification, Lip hyperpigmentation laser treatment.

INTRODUCTION Oral Mucosa is normally pink, although the color many women without their knowledge, offering it as a “complexion treatment” of injecting vegetable dyes (Fig. 2) Notice the Great Contrast between upper and lower (Fig. 3b) LLLT application pre-operative 100mW for varies depending on location, function and underlying 1 min helps reducing pain and increases comfort under the top layer of the lip skin. lips showing excessive hereditary accumulation of Melanin in structures. The final color is depending upon the upper lip posing a cosmetic concern to the patient, forcing accumulation of materials inside the epithelium layer her to use brighter lipstick colors to mask the difference and Lasers are widely used for depigmentation utilizing the A laser safety check should be carried out, before mostly melanin. make it look homogenous chromophore theory (Figure 1). This is aimed at the starting the procedure. causative factor for pigmentation; in our scenario the Lip color varies depending on the ethnic group and Chromophore is melanin. Referencing the color of the mucosa of the inside of The operating room should be closed off with a there is an increase in aesthetic demand for lip the lower lip should be a good guide for the expected laser-in-use sign posted outside. depigmentation. outcome of the treatment. Approximate Net Absorption Curves of Various Tissue Components All personnel and the patient should be issued with appropriate (wavelength specific) protective glasses (L6). Beside a huge rise in aesthetic dentistry the lips are a Wavelength (nm) A detailed discussion with the patient of all the expected frame for the smile and have a great importance for 100 1000 10000 outcomes and postoperative precautions is mandatory as This is equivalent to an optical density of 6. aesthetic rehabilitation. this is an elective cosmetic procedure. 105 Hb Pre-operatively, Low Level Laser Therapy (LLLT) is initiated 104 Melanin to both reduce the pain of the procedure and increase Several techniques for lip depigmentation either 103 The author prefers to show the patient example of cases comfort for the patient. We use the same diode laser (of cosmetically or medically exist. 102 Tooth enamel both video and pre and post operative. 101 810nm) but now with 100mW of energy, for 1 minute, 1 covering all the lip area. DIFFERENT TECHNIQUES FOR LIP -1 10 H2O Anesthesia options are also discussed for the technique DEPIGMENTATION -2 10 as some patients like to have sedation with local SETTINGS AND PARAMETERS 10-3 Permanent makeup by Pinkification dates back at least to Absorption coefficient (1/cm) anesthesia. 10-4 Device: Surgical Diode laser from elexxion AG Germany th Diodes Nd:YAG Nd:YAP Er,YSGG Er:YAG CO the start of the 20 century, though its nature was often KTP 2 810 980 1064 1340 2780 2940 10600 using 810nm – Claros Pico with 5W Peak Power concealed in its early days. 532 KASSEM’S TECHNIQUE * Approximate absorption curves of the prime oral chromophores Lip Depigmentation is a cosmetic technique to improve Low Surgery Program was chosen under the following (Fig. 1) Notice that Diode Lasers (GaAsAl) both 810nm and The tattooist George Burchett, a major developer of the lip color in persons of darker skin colour, an informed parameters: 980nm have higher absorption rates in both melanin and technique when it became fashionable in the 1930s, • Spot size: 600 µm tip initiated, Haemoglobin consent is mandatory before starting operative steps described in his memoirs how beauty salons tattooed and detailed explanation of the expected post operative • Peak Power: 5 W events should be covered. • Average Power: 1.5 W

| 16 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 17 | Tissue Exposure Mode: Second step: involves removal of tissue islands left Digital Pulse 26µsec ON / 24µsec Off between the first vertical cuts by moving horizontally.

Wave type: chopped 12,000 Hz Care should be taken to avoid taking the laser energy to deeper layers. Coagulation of bleeding points will be noticed, but if wiped with wet saline gauze this will help Pulse & Tissue Damage Relationship to keep the field accessible and improve visibility.

15.0 Additional saline irrigation is required for both lubrication and to prevent charring and excessive 12.5 thermal insult to the tissues. It is also well accepted by

10.0 Tissue the patient. (Fig. 7) LLLT application post-operative 100mW for 1 min helps (Fig. 9) Good reduction in the depth of the melanin pigments Temperature Trad, gated Pulsed reducing pain and attributes to faster healing considering the initial situation except for deeper spots that 7.5 Smell is considered as a major discomfort issue for require a second visit to unnecessary prevent deep tissue damage 5.0 the patient and it can be reduced by intermittent saline Peak Power (W) Power Peak Continuous irrigation intra-operatively 2.5 Wave Tip cleaning is advisable, the author prefer to use a dry cotton roll for cleaning of the fibre, by firing the laser and embedding the tip into the circular surface of the cotton roll pulling the tip out completely clean without the (Fig. 4) Wave Type and relationship to Tissue damage by need for reinitiating the laser tip. heat accumulation. Red: Continuous Wave with red Line representing Great Heat Increase in very short Time. POST OPERATIVE CARE IS FOCUSED ON: (Figure 6&7) Orange and Yellow: Traditional Gated Pulse with Long Decreasing both edema and pain Relaxation time still does not prevent Heat Accumulation 1. Proper analgesic is prescribed and anti bruising cream and steroids, (Fig. 8A) 10 Days post operative situation Green: Digital Pulsed Laser allows heat dissipation without (Fig. 10) Relapse in some areas after 7 months follow-up significant increase in tissue temperature. 2. Cold fomentation is advised for one day followed by indicating the need for another review visit for touch up to warm fomentation, maintain the result that is expected to last for few years 3. Sun block should be used for lips until appropriate Tip is held parallel to the lip tissues (Figure 5) and not healing occurs. Using a Diode laser of 810nm has lots of benefits as it perpendicular to avoid unwanted tissue reaction in 4. Patient should be advised to avoid alcoholic will target melanin and decrease bleeding as it has high deeper layers. Please note that the diode laser at 810nm beverages, smoking, as well as spicy foods for one affinity for hemoglobin also. has tendency for high penetration rate. week post operatively. The author always prefers Laser fibers with a large 5. Additional Hyaluronic acid preparation can be added diameter – 600 micron currently, but even slightly larger to aid faster healing. would be beneficial. The tip should be initiated and the movement of the laser tip should follow the relaxation lines to avoid any scar formation.

(Fig. 8B) 10 Days post-operative: favorable healing is The author’s parameters are designed in such a way in noticed, patient did not report any complications. Pain order to ensure the maximum patient safety and overall disappeared after the first two days and she was able to comfort with the procedure hence multiple review visits practice regular daily activities without problems. Mild edema might be expected. was noted and it subsided spontaneously This case report outlines one of many cases that have been performed, by the author, using these parameters (Fig. 5) Tip Position parallel to the tissues to decrease without any adverse patient reactions. penetration and collateral damage to unnecessary deeper DISCUSSION tissues. Saline irrigation increases comfort decreases smell, acts REFERENCES as a lubricant and reduces heat accumulation in the tissues Lip Depigmentation is a cosmetic procedure for 1. Yousuf A et al. Removal of gingival melanin pigmentation reducing the chance for post operative pain and discomfort (Fig. 6) Immediate Post-operative mild swelling was noticed removing melanin pigments and dark color from the and patient was advised to use cold fomentation and ice pack lips. Patient safety is ensured and a thorough briefing with the semiconductor diode laser: A Case report. J Clin compress, LLLT was also applied to help speed the healing of the patient is essential to avoid post operative Laser Med Surg. 2000;18(5):263-6. First step: Movement is done with feather light strokes process. 100mW was used for 1minute, over the entire lip surface discomfort, informed consent with postoperative 2. Esen et al. Gingival melanin pigmentation and its treatment starting vertically from the midline toward the periphery instruction is mandatory. with carbon dioxide laser. Oral Surg Oral Med Oral Pathol following Langer lines (relaxations lines of the lip) to Oral Rad Endod. 2004;98(5). prevent scarring.

| 18 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 19 | Summarized & Presented by: Cuspal Deflection of Premolars Restored Mohammad Adnan Abu Khalifeh – BDS with Bulk-Fill Composite Resins • Assistant Editor, Smile Dental Journal • e-communication Committee Vice President, JDA Behery H, El-Mowafy O, El-Badrawy W, Saleh B, Nabih S • Health Editor, UMEN MAGAZINE J Esthet Restor Dent. 2016 Mar;28(2):122-30 • Co-Owner, Dental Lounge/Smile Studio, Amman – Jordan | [email protected] OBJECTIVE This in vitro study compared cuspal deflection of premolars restored with three bulk-fill composite resins to that of incrementally-restored ones with a A Retrospective Study of the 3-Year Survival Clinical Procedures for Revitalization: low-shrinkage silorane-based restorative material. Rate of Resin-Modified Glass-Ionomer Cement Current Knowledge MATERIALS AND METHODS Class II Restorations in Primary Molars and Considerations Forty freshly-extracted intact human upper premolars were used. Reference points at buccal and palatal Webman M, Mulki E, Roldan R, Arevalo O, Roberts JF, Garcia- Galler KM cusp tips were acid-etched and composite rods were Godoy F. Int Endod J. 2015 Dec 30. doi: 10.1111/iej.12606. horizontally bonded to them (TPH-Spectra-HV, Dentsply). J Clin Pediatr Dent. 2016 Winter;40(1):8-13 [Epub ahead of print] Two acrylic resin guiding paths were made for each premolar to guide beaks of a digital micrometer used for cuspal deflection measurements. Standardized MOD cavities, 3 mm wide bucco-lingually and 3.5 mm deep, were prepared on each premolar. Prepared teeth were OBJECTIVE ABSTRACT then equally divided into four groups (n = 10) and each To determine the three-year survival rate of Class The purpose of this study is to report retrospectively group was assigned to one of four composite resin II resin-modified glass-ionomer cement (RMGIC), the Revitalization or regenerative treatment approaches (QuiXX, Dentsply; X-tra fil, Voco; Tetric EvoCeram Bulk Vitremer, restorations in primary molars and to in teeth with incomplete root formation and pulp Fill, Ivoclar Vivadent; low-shrinkage Filtek LS, 3M/ESPE). compare these results with measurements of survival of necrosis have become part of the therapeutic Adper Single Bond-Plus, 3M/ESPE was used with all Class II restorations of standard restorative materials. endodontic spectrum and should be considered bulk-fill restoratives. LS-System Adhesive, 3M/ESPE was as an alternative to conventional apexification. used with Filtek LS. For each prepared premolar, cuspal STUDY DESIGN Ideally, regenerative endodontic procedures allow deflection was measured in microns as the difference Data on Class II restorations placed in primary molars not only for a resolution of pain, inflammation and between two readings between reference points before during a six-year period were collected through a chart periapical lesions, but also for the formation of an and after restoration completion. Means and SDs were review and radiographic evaluation in the office of a immunocompetent tissue inside the root canal which calculated and data statistically-analyzed using One-way board-certified pediatric dentist. A radiograph showing can reconstitute the original biological structure and ANOVA and Tukey’s test. that the restoration was intact was required at least function of dental pulp and thus lead to an increase of 3 years after placement to qualify as successful. If no root length, and thickness and strength of previously RESULTS radiograph existed, the restoration was excluded. If the thin, fracture-prone dentine walls. Common features Filtek LS showed the lowest mean cuspal deflection restoration was not found to be intact radiographically of regenerative procedures performed in immature value 6.4(0.84)μm followed by Tetric EvoCeram or was charted as having been replaced before teeth with pulp necrosis include 1) minimal or no Bulk Fill 10.1(1.2) μm and X-tra fil 12.4(1.35)μm, three years it was recorded as a failure. The results instrumentation of the dentinal walls, 2) disinfection while QuiXX showed the highest mean 13(1.05)μm. of this study were then compared to other standard with irrigants, 3) application of an intracanal ANOVA indicated significant difference among mean restorative materials using normalized annual failure medicament, 4) provocation of bleeding into the values of groups (p < 0.001). Tukey’s test indicated no rates. canal and creation of a blood clot, 5) capping with significant difference in mean values between QuiXX calcium silicate and 6) coronal seal. Although case and X-tra fil (p = 0.637). RESULTS reports and case series provide promising results, CONCLUSIONS Of the 1,231 Class II resinmodified glass-ionomer the protocol for regenerative endodontic treatment is cement restorations placed over six years 427 met the not fully established; questions remain regarding the Tetric EvoCeram Bulk Fill had significantly lower mean inclusion criteria. There was a 97.42% survival rate for terminology, patient selection and informed consent cuspal deflection compared with the two other bulk- a 3-year period equivalent to an annual failure rate of as well as procedural details, especially on the choice fill composite resins tested. Filtek LS had the lowest 0.86%. of irrigants, intracanal medicaments and materials significant mean cuspal deflection in comparison to for cavity sealing. Animal studies document repair all tested bulk-fill restoratives. CONCLUSIONS rather than regeneration, which opens the discussion CLINICAL SIGNIFICANCE A novel approach comparing materials showed that on prognosis and outcome, especially the biological The use of Tetric EvoCeram Bulk fill composite resin in this study Vitremer compared very favorably to versus the patient-based outcome. This review will restorative for class II MOD cavities resulted in reduced previously published success rates of other standard provide an overview of the current state of regenerative cuspal deflection in comparison to the two other bulk- restorative materials (amalgam, composite, stainless endodontic therapies, discuss open questions and fill composite resins tested. The silorane-based Filtek steel crown, compomer) and other RMGIC studies. provide recommendations based on the recent literature. LS restorative resulted in the least cuspal deflection in comparison to all tested bulk-fill composite restoratives.

| 20 | Smile Dental Journal | Volume 11, Issue 2 - 2016 Smile Dental Journal | Volume 11, Issue 2 - 2016 | 21 | FKG Dentaire SA Expands its Range of 3D ICD - International College of Dentists Instruments with the Introduction of the ® The ICD planned and organized a very successful dental mission XP-endo Finisher R in a very small village located 68 KM south of Alexandria, on Friday May 6, 2016. It was in collaboration with the Faculty of Dentistry, Alexandria University, by supporting with their mobile dental truck and CFKG Dentaire SA continues it’s marketing of innovative instruments, after the members of the Dental Student Scientific Association (DSSA) - Alexandria. The mission was sponsored by the Arabic Union of introduction of the revolutionary XP-endo® Finisher in 2015. The range of instruments Working Women- Healthcare division by supplying the Internal Medicine Physicians and Pediatricians as well as a support from designed for 3D cleaning of the root canal is now enriched by the XP-endo® Finisher R Pharco Pharmaceuticals to provide the needed medication for the mission. (XP-FR), targeting the removal of filling material. Made of a unique and highly flexible NiTi alloy that can expand 100 fold compared to standard instruments,XP-FR The mission was composed of more than 25 dentists and dental students as well as 3 Physicians and Pediatricians and a clinical reaches areas of the canal walls impossible to reach with traditional files. pharmacist. From the ICD fellows: Prof. Aly Sharaf; Vice Dean of the Faculty of dentistry, Prof. Ahmed Adel AbdelHakim; Regent ICD Egypt/Sudan, Dr. Mohamed Youssif, Dr. Moustafa Alawy, Dr. Amro ElTokhi, Dr. Malak Nagi and Dr. Rania After initial filling material is removed, regardless of the instrumentation technique used, residual material is always present Gazayerly. This event was hosted in the village of “esones Om Dinar” at state of Behera, south of Alexandria by the Senator of particularly in curved or oval canals. this state who prepared the place and made all necessary logistic arrangements needed. The team was able to provide free dental Like with the XP-endo® Finisher the exclusive FKG MaxWire™ alloy (Martensite- examination, pulpotomies, prophylaxis, extractions and dental educations for over 170 patients in one day. All the dental materials Austenite) gives to the instrument the ability to expand and contract so as to needed for the patients were supported by the ICD region 29 board. Cases needing RCT and RPD were referred to the outpatient contact difficult to reach areas, especially in curved- and oval-shaped canals. clinics of the Faculty of dentistry for further assistance. The DSSA- Alexandria supported with the dental extraction sets needed. And, over 400 cases were examined and needed medications prescribed and delivered by accompanying physicians and pharmacist With its ISO 30 diameter, the XP-FR is slightly stiffer than the XP-endo® Finisher totally free of charge. enabling it to eliminate Gutta-percha and sealer. www.icd.org Moreover, the XP-FR features unparalleled resistance to cyclic fatigue, due to its small core size and zero taper. The instrument is easy to use and intended for all dentists keen to enhance the long-term success of their retreatment procedures. The XP-FR is available in sizes 21 and 25mm, packed in a sterile blister of 3 instruments. www.fkg.ch

Essentia™ from GC Light-cured Radiopaque Universal Composite Restorative Open the door to simplification - Just follow your intuition

Developed by GC together with a group of top clinicians, Essentia is based on the shading experience of experts in aesthetics.

Essentia breaks free from the conventions with a unique shade system • New shade concept, bold & straightforward: seven shades to solve all clinical cases! • Intuitive system which will simplify the daily work of clinicians • Reduced inventory: only seven syringes; all shades will be of use

Essentia simplifies shade selection with six main restorative options • Anterior: 4 options based on the patient’s age: Bleach/Junior, Young, Adult & Senior • Posterior: easy duo-layering technique, or a simple mono-shade using the Universal

Essentia features optimal handling & optical properties in all situations • Dentins are made soft for an easy sculpting, and display an excellent shade adaptation • Enamels are slightly more compact, and guarantee an excellent gloss • The Universal shade is packable for an easy application in the posterior area • The Masking Liner is injectable and very opaque: perfect for deep discoloured cavities

Essentia simplifies the polishing procedure • Perfect surface in a few steps thanks to a newly developed Enamel formulation • Long-term gloss retention is ensured through the use of ultra-fine fillers www.gceurope.com

• Graduated (DDS) from the Faculty of Dental Medicine of Monastir (Tunisia) • Doctor es Sciences in Oral and Osteoraticular Biology-Biomaterials. PhD thesis from the University of Paris 07 (France) • Specialized Dentist in Oral Histology and Embryology (Tunisia) • Practitioner in the Prosthesis service at the dental clinic of Monastir (Tunisia) • Founding President of the Tunisian Association for Dental Research (TADR) • Responsible of Research on the biology of mineralized tissues in the laboratory research “ Dento-Facial Biological and Clinical Applications” at the Faculty of Dental Medicine of Monastir, Tunisia • Responsible of the Laboratory of Histology and Embryology at the Faculty of Dental Medicine of Monastir • Responsible of the courses in General and Oral Histology and Embryology and in Oral Histopathology at the Faculty of Dental Medicine of Monastir (Tunisia) • Member of the scientific council of the Faculty of Dental Medicine of Monastir since 2014 • Reviewer in several indexed journals

WHY DID YOU CHOOSE TO BE IN THE DENTISTRY FIELD? At the beginning, it was for the wonderful world of care, WHAT INSPIRES YOU? surgery and biomaterials. I was also happy to be able to My readings, my meetings treat patients, to help and to feel useful. When I realized that in some cases there were limits and that there were WHAT REALLY ANNOYS YOU? not always ideal solutions to propose, I converted to the limitless world of research in dentistry When someone tries to impose an opinion, refusing the difference, novelty or change WHAT ARE THE BEST/WORST ASPECTS OF YOUR JOB? I think that the best aspect of my job is that I have no limits in WHAT KEEPS YOU AWAKE AT NIGHT? my scientific thinking and I can wake up every day with a new Delayed mails working hypothesis or a new idea. I am also often surrounded by young people with lots of energy and daring. I also like to WHAT MAKES YOU SMILE? pass on my knowledge, to travel, to present my work and to meet other people and make new friends Jokes, children, animals and flowers The worst aspect of my job is when I’m confronted with administrative slowness or a denial of my work YOUR BEST CHARACTERISTIC? Very patient WHERE DO YOU LIVE? In Monastir, in my lovely country Tunisia WORST FAULT? Very patient too WHAT DO YOU DRIVE? A gray German car CAN YOU DESCRIBE YOURSELF IN THREE WORDS? Smile, respect and work WHAT DRIVES YOU? Novelty, changing, discovery... WHAT DO YOU DO TO RELAX? Walking helps me to relax YOUR FAVORITE FOOD? I’m not difficult; all the world dishes are welcome :) IF YOU WEREN’T A DENTIST, WHAT WOULD YOU HAVE LIKED TO HAVE BEEN? YOUR HOBBY? Architect Cooking :) and Microscopy DO YOU READ AND RECOMMEND SMILE DENTAL YOUR FAVORITE FILM? JOURNAL REGULARLY? “Doctor Zhivago” by David Lean with Omar Sharif & Julie Yes, for several years now Christie WHAT WOULD BE YOUR MOTTO IN LIFE? FAVORITE HOLIDAY DESTINATION? “Take your time without wasting time” Barcelona

| 24 | Smile Dental Journal | Volume 11, Issue 2 - 2016

6 - 8 April 2016 Alexandria, Egypt

As usual Alexandria Oral Implantology Association “AOIA” amazed the dental world with yet another international congress. Stars Meeting 2016 was held in April 6th – 8th in Hilton Green Plaza Hotel, Alexandria - Egypt, it was a great success with more than 3000 dentists from all over the world joining the congress. The Scientific content was described as “Great” by all the attendees.

The international speakers included Prof. Paolo Trisi, Dr. Ionut Branzan, Dr. Maha El Sayed, Dr. Juan Garcia, Dr. Hala Aboud, Dr. Fatme Hamasni, Prof. Nabil Barakat, Dr. Nadim Aboujaoude, Dr. Ahmed Aboul Fettouh, Dr. Alexandre Khairallah, Dr. Arzu Demircioglu, Dr. Jihad Habli and Dr. Elie Abdo. A number of workshops were held during the congress in parallel with the lectures, as well as Poster Presentations. In addition, there was a huge Tradeshow that included many of the worlds’ leading dental companies.

The congress was held in collaboration with the ICOI (International Congress of Oral Implantologists), the ICD (International College of Dentists) and the DGOI (Deutsche Gesellschaft fur Orale Implantologie). During the “The Fellowship Ceremony” a

06 - 08 April 2016 | Alexandria, Egypt number of dentists received their AOIA Fellowship degree as well as ICOI Fellowship and Mastership degrees. - Number of AOIA Fellows: 13 - Number of ICOI Fellows: 12 - Number of ICOI Masters: 2

Also during the Fellowship Ceremony, the launching of Region 29 of the International College of Dentists (ICD) in Egypt and Sudan was announced, where 40 dentists received the ICD Fellowship. To call STARS MEETING 2016 a great success would be by far much less than what it was worth in terms of science, organization and social activities. But you wouldn’t know that unless you’ve been there, and so the good news is it’s a biannual international congress, which means there’s always another one to wait for at AOIA.

Waiting for you at Stars Meeting 2018!!

“We would like to welcome you to our 8th International Meeting - Golden Jubilee: “Catch the update”, held from April 21-23, at University of Balamand. Our program is based on exchange of knowledge, education, and experience through workshops. This year in Lebanon, we will have the honor to have live transmission through internet at the same time. We hope you will enjoy the great Lebanese hospitality in addition to visiting unique touristic sites. You are the most welcome in our region in North Lebanon and we are sure that “Catch the update” will make a breakthrough in the world of dentistry this year. We appreciate your support and we will always be vivid in our memories.” Dr. Adib Zakaria President of LDA-Tripoli 21 - 23 April 2016 | Balamand, Lebanon

Kurdistan Dental Association held its first meeting entitled “Kurdistan International Dental Exhibition & Conference” - KIDEC in Erbil, Iraq.

KIDEC 2016 conference, which was held on the 12th & 13th of May, 2016 hosted several activities for the benefit of dental professionals with the collaboration of the British Academy of Implant & Restorative Dentistry - BAIRD and Baghdad Smile. These activities included several lectures presented by international and local speakers, as well as advanced specialty Courses which attracted more than 1200 dentists.

The conference attracted top-notch speakers to share their expertise and knowledge in their specialized fields in dentistry. KIDEC 2016 concluded after two days of business, scientific, and educational activities with a great success. 12 - 13 May 2016 | Erbil, Iraq