ISSUE 67 SEP18

The Maltese Dental Journal ISSN 2076-6181

® DENTAL ASSOCIATION OF MALTA The Professional Centre, OptraGate Sliema Road, Gzira Tel: 21 312888 The latex-free lip and cheek retractor Fax: 21 343002 Editorial Email: [email protected] By Dr Muscat

Dear colleagues,

It has been a scorching Summer and CED Focus on Health Inequalities I hope you have all had a nice break. This issue features three presentations – Oral Health for All which are of interest to all of us, namely digital dentistry, back and All Europeans, regardless of their Food Safety, stated that “access to oral neck pain and how we deal with socio-economic status, are entitled to healthcare services is a significant issue our patients. proper healthcare. This includes oral among vulnerable and low income health which cannot be neglected as it is groups, especially when it comes to The gentle The cover photo is of Dwejra in Gozo connected to essentially every aspect of prevention; very often, individuals by Dr Josef Awad. Dwejra, otherwise our lives. Problems with oral health can from vulnerable groups only access oral known as Inland Sea is a lagoon affect our ability to taste, chew and eat, as healthcare due to emergencies.” solution for formed through a geological fault in well as to smile and speak, and impact on September 2018 – Issue 67 limestone resulting in a collapsed sea everything from our general health to our It is imperative that the most vulnerable cave. It was one of the top ten dives capacity to communicate and function in populations receive adequate support a better view described by Jacques Cousteau. our personal and professional roles. in accessing care. The participants heard about great initiatives in the Netherlands The 60 metre long cave leads onto Policymakers, health professionals, and in Spain that provide vulnerable the open sea. One can find a blend academics and representatives of healthcare populations, including homeless of flora, fauna, geology history and organisations had a chance to discuss this at persons, children from disadvantaged archaeology. An excellent place for the CED event “Health Inequalities – Oral backgrounds and migrants with proper photography, relaxing Health for All” at the European Parliament oral care. CED President Marco Landi 32

and snorkeling. on 19 June 2017, hosted by MEP Nessa concluded that “it is evident that oral The Dental Probe Childers. Dental expenditures in the EU health inequalities is a very complex Best regards, amounted to an incredible 92 billion Euros topic that needs to be tackled by a multi- in 2015. In comparison with other diseases, facetted approach and by a variety of David dental diseases end up on a striking third stakeholders together.” The CED hopes Dr David Muscat B.D.S. (LON) place in the cost ranking of diseases in that all stakeholders will work together Editor / Secretary, P.R.O. D.A.M. terms of private and public expenditure, ever more closely in the future to tackle only surpassed by cardiovascular diseases these inequalities and help provide the and diabetes. best care for all.

MEP Nessa Childers, Member of the For more information contact: European Parliament’s Committee CED Office, Tel: + 32 2 736 34 29 on Environment, Public Health and [email protected] / http://www.cedentists.eu NEW: now available in blue and pink • Efficient treatment and easier relative isolation Apollonia – Patroness of Dentists • Enlarged operating field and easy access to cavity Saint Apollonia is one of the patron us preserve our faith in our daily lives of . This picture entitled ‘Saint and difficulties and for St Apollonia to • Increased comfort for patients Apollonia and Martyr ‘ can be bless the city of Catania which withstood • Attractive colours for enhanced patient compliance among children found in the Basilica Collegiata di Catania. the earthquake of 1693, and as well as St The prayer to St Apollonia, virgin and Agata another , there is an martyr, asks for intercession and liberation altar dedicated to her in the Basilica. "Free from the severe pain of toothache and us from all pain so we may live serenely in pain in gums, and her help in helping us this life and we thank you in the glory of patiently bear the pain. Paradise in eternal Life."

The prayer asks for her, as she had Information and picture kindly provided by Dr withstood painful tooth torture, to help Tony Charles. www.ivoclarvivadent.com Ivoclar Vivadent AG Advertisers are responsible for the claims they make in their ads and the opinion of the advertisers Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel.: +423 235 35 35 | Fax: +423 235 33 60 and editors of articles in the issue are not necessarily the opinion of the DAM. LET’S GET CRACKING! By Tonio Agius MSc (Edin.) MMAP (Physiotherapist) September 2018 – Issue 67

5 The Dental Probe

ContinuesContinues on on page page on 6. page16. 6. LET’S GET CRACKING!

Continues from page 5. The Dental Probe

6 September 2018 – Issue 67

Continues on page 8. LET’S GET CRACKING!

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Continues on page 10. LET’S GET CRACKING!

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10 11 The Dental Probe September 2018 – Issue 67

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ContinuesContinues on pageon page 16. 16. Simplantology, in Everything We Do AN overview of GDPR

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16 September 2018 – Issue 67

Continues on page 19. AN overview of GDPR

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Medina Healthcare Ltd. Medina Tel: +356 Healthcare 21376774 Ltd. Medina Tel: +356 Healthcare 21376774 Ltd. Tel: +356 21376774 19 The Dental Probe

DENTAL INSTRUMENTS DENTAL INSTRUMENTS DENTALWe cater toINSTRUMENTS everything that concerns the health of your teeth and Weof your cater smile. to everything That is why that for concerns over 40 years,the health we have of your been teeth working and Medina Healthcare Ltd. Weofto cater yourmake tosmile. this everything world That betteris thatwhy concernsbyfor manufacturing over 40 the years, health weand haveof distributing your been teeth working and Medina Tel: +356 Healthcare 21376774 Ltd. of yourtoinstruments make smile. this That thatworld isimprove betterwhy for bythe over manufacturing field 40 of years, dentistry. we and have distributing been working Medina Tel: +356 Healthcare 21376774 Ltd. to makeinstruments this world that betterimprove by the manufacturing field of dentistry. and distributing Continues on page 20. Tel: +356 21376774 instruments that improve the field of dentistry. LET’S GET CRACKING!

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20 21 The Dental Probe September 2018 – Issue 67 FDI white paper and Are you looking practical guide address for a Professional the global burden of periodontal disease Indemnity Policy

Geneva, 16 April 2018 – FDI World Dental Federation published or about to renew two resources – a white paper and a practical guide – as part of its Global Periodontal Health Project (GPHP), which aims to your policy? bring attention to periodontal health as a priority area for policy worldwide. Speak to MIB! “Periodontal disease – or gum disease as it is often better known – is one of the most common diseases affecting up to 50% of Together with the Dentists Association of Malta, MIB have the adult population worldwide,” said Dr Kathryn Kell, FDI set up a scheme exclusively for the members of DAM. President. “This should not be taken lightly, especially since we know it has a significant relationship with other health conditions. This scheme includes the following: We must pursue prevention strategies that are promoted by oral health and general health professionals alike.” • Most competitive premium available for Professional Indemnity cover in Malta & Gozo; The White Paper on Prevention and Management of Periodontal • Widest cover available; Diseases for Oral Health and General Health provides oral • Various Limits of Indemnity to choose from; health professionals with a comprehensive – yet concise – • Optional extensions to choose from including: summary of the main issues related to the global prevalence o European Jurisdiction and impacts of periodontal disease. It also covers the aetiology o Retroactive Cover and pathogenesis, prevention, diagnosis and treatment of the o Botox & Dermal fillers extension The Dental Probe disease, as well as identifies the key challenges in tackling the • Claims support in the event of a claim burden of periodontal disease. 22 On the other hand if your policy is already insured The Periodontal Health and Disease – A practical guide to under the scheme, you need to ensure that: reduce the global burden of periodontal disease is based on considerations from the white paper and the 2017 FDI World Oral • Your limit of indemnity is still adequate; Health Forum, which focused on global periodontal health. It • Your cover still reflects your present operation, example introduces periodontal health and sets the context for the global if you are performing Botox &/or Dermal fillers you burden of periodontal disease. It provides practical guidance for have availed yourself of the relative extension. National Dental Associations to design, conduct and evaluate

September 2018 – Issue 67 advocacy campaigns that will advance the implementation of Contact MIB for a no obligation quotation on: policies to prevent and manage periodontal disease. T. +356 234 33 234 E. [email protected] “We are very pleased with the outcome of these publications,” or contact Tonio Borg using the details below. said Prof. Lijian Jin, Chair of the GPHP Task Team. “The white paper sets out an action plan on the prevention and management of periodontal disease. The practical guide helps oral health professionals establish advocacy goals that will reach policymakers and contributes to implementing successful campaigns. We expect these documents to be used widely by our peers and help enhance periodontal health globally.” Tonio Borg ACII Periodontal disease is largely preventable and represents a major Divisional Director – Business Development global oral disease burden. It begins as gingivitis (inflammation T. +356 234 33 142 of the gums) and may progress to periodontitis (destroying tooth- M. +356 794 53 647 supporting tissues and bone). It is also closely associated with E. [email protected] noncommunicable diseases as they share common risk factors www.mib.com.mt (unhealthy diet, tobacco use, excessive alcohol consumption). The white paper was just included in the April issue of FDI’s International Dental Journal. Both the white paper and practical guide are freely available on the FDI website and print copies will be distributed at the FDI World Dental Congress in Buenos Aires, Argentina. GPHP is a multi-partner project supported by Electro MIB is Malta’s largest insurance broker and risk management services Medical Systems (EMS), GlaxoSmithKline (GSK), and Procter & firm, the local pioneer in this section with over 38 years of proven track record serving some of Malta’s major public and private corporate Gamble (P&G). entities. MIB is the independent broking arm of MIB Insurance Group. Front of House and Back of House Skills Help keep your patients on – Paving the way to a Positive Patient Experience a journey to healthy gums By Dr Ethel Vento Zahra BChD (Melit.), MSc (Melit.)

Bleeding Gingival gums Gingivitis Halitosis recession Periodontitis Tooth loss

Your professional advice At least of adults suffer from gingivitis globally,1 5 %but 2 out of 3 take no action2 September 2018 – Issue 67 Periodontal disease impacts daily life Patient insight research shows that gingivitis can have a negative impact on daily life causing anxiety, embarrassment and affecting social life, especially when symptoms become noticeable to others.3

parodontax® toothpaste helps to free patients from the wider effects of gingivitis.3 After 30 days, patients reported:

25 The Dental Probe

Less anxiety Better social life 2 out of 3 patients no longer 2 out of 3 patients no longer 2 out of 3 patients worried about their gum health4 avoided social situations4 4

Treat and Maintain In addition to good oral hygiene and professional advice, patients with, or susceptible to gingivitis may parodontax® for their optimum gum health.5,6

greater greater reduction plaque in bleeding 4X removal*7 48%gums*7

Recommend parodontax® toothpaste to help patients maintain their optimal gum health between dental visits

Healthy gums

*Compared to a regular toothpaste following a professional clean and 24 weeks’ twice-daily brushing. References: 1. CDC Perio 2016; Half of American Adults have Periodontal disease. 2. ® Segmentation, August 2015. 3. of gum disease, March 2016. 4. 5. Kakar A, et al Session and Exhibition, Cape Town, South Africa, 2014. Abstract No: 754. 6. 7. Prepared November 2017. CHMLT/CHPDX/0002/17

ContinuesContinues on on page pageon page6. 16. 26. Front of House and Back of House Skills – Paving the way to a Positive Patient Experience

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Continues on page 28. Front of House and Back of House Skills – Paving the way to a Positive Patient Experience

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Continues on page 30. Front of House and Back of House Skills – Paving the way to a Positive Patient Experience

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30 31 The Dental Probe September 2018 – Issue 67 applying di gital dentistry to the patient’s journey (PART 1) Mr. Matt Perkins BDS MSc MClinDent MFD RCSI FDS RCSEd Specialist in Periodontics, ITI Fellow The Dental Probe

32 September 2018 – Issue 67

Continues on page 34. Continues on page 34. applying di gital dentistry to the patient’s journey (PART 1)

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Continues on page 36. applying di gital dentistry to the patient’s journey (PART 1)

Continues from page 35. September 2018 – Issue 67 The Dental Probe

36 37 The Dental Probe September 2018 – Issue 67

PAPYAMENTYMENT FO FORMRM

Please cut out this section and send with a cheque for 50 euro payable to Dental Association of Malta for your 2018 DAM membership – the best 50 euro investment ever!

TO: NAME:

The Treasurer, Dr Noel Manche, ADDRESS: The Dental Association Of Malta, Federation Of Professional Associations, Sliema Road, Gzira. Continues on page 38. ®

applying di gital dentistry to the patient’s journey (PART 1)

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