COLTENE to buy Micormega and SciCan

COLTENE Holding AG which is an internationally leading developer and producer of dental equipment and materials, has signed an agreement to acquire the two companies, SciCan (cleaning and sterilization equipment) and MicroMega (endodontic files/ systems), with strong positions in the dental market.  With the planned integration of the two dental specialists, COLTENE will increases its sales significantly. The enlarged COLTENE Group will employ a combined headcount of approximately 1,300.

The transaction will strengthen COLTENE’s market reach and product range, create synergy potential and enhance its offering in infection control and endodontics. With its combined resources, the new, enlarged Group will be in an even better position to address compliance and regulation standards. Moreover, economies of scale will support effective, high-performing sales and marketing activities worldwide. Ultimately, the merger of the three corporate entities will create attractive growth opportunities in the highly competitive dental market.

SciCan Ltd., headquartered in Toronto, Canada, offers cleaning and sterilization equipment and hygiene protection products. SciCan has about 230 employees, is active worldwide and claims a market-leader position in North America. MicroMega SA, headquartered in Besançon, France, employs approx. 180 people and is focused primarily on endodontic instruments. Most of its sales are generated in Europe and North America. COLTENE intends to retain all manufacturing and product expertise of SciCan and MicroMega at the current sites of operation.Likewise, SciCan’s and MicroMega’s products and brands with their excellent market reputation will be retained under the overarching COLTENE brand.

Most of us the dentists , are users of these companies and the joining hands will only bring us better instruments, materials and service.

The complete press release is available here

Odisha government’s 20 New Hospitals to have dental department

Odisha government has decided to set up 20 new hospitals at an estimated investment of Rs 1,000 crore in the public private partnership (PPP) mode.

The hospitals will be opened in Hub and Spoke models under the Affordable Health care Project of the State Government.

The decision in this regard was taken at a high level meeting chaired by Chief Minister Naveen Patnaik here.

The hospitals will be opened in 11 high priority districts under Odisha Health Service Investment policy-2016 The new hospitals will come up in Puri, Jeypore, Angul, Barbil, Baripada, Bhadrak, Balangir, Jharsuguda, Kalahandi, Phulbani, Dhenkanal, Boudh, Nuapada, Malkangiri, Nabarangpur, Sonepur, Rayagada, Paralakhemundi, Rairangpur and Kendrapara.

Along with other medical specialties these hospitals will have dental department.

In an era where it is estimated , that by , 2020 there will be 100,000 unemployed dentists in India, such a move by a state government is welcomed by the dental fraternity of India. DentistryUnited urges all state governments and the central government to open dental units at PHU , PHC and district hospitals which fall under its jurisdiction. Added to it opening of dental research centers by the central government may help further to improve the dental health of the country.

More About it – Click here

Kerala State Dental Council Set To Introduce Additional Registration For Dental Clinics & Labs

The Dentists already have been following the guidelines , seeking licences and registering with the concerned DHO of the area as per the Clinical Establishment Act of India – 2010 . The Kerala state dental council in its move to improve patient safety and transparency is going ahead with the new registration where the dentist will need to furnish – address and ownership status of the clinic,  dental educational qualifications, registration status with the council, details of other licenses/ permission obtained from other authorities.

In case of registration for laboratory, an applicant will have to mention the number of dental mechanics employed in the lab, number of dental mechanics registered with KDC and number of dentists employed, among others.

The dental fraternity is well aware of the fact that the state of Kerala has one of the highest number of dental practices in the country and hosts patients who seek treatment from around the world as part of dental tourism. Added to this some of the biggest dental labs of the country are from Kerala.

The reaction of dentists is mixed as many feel that this is just another additional procedure to run a practice. Whereas the labs may have difficulty as there are few labs that are run by non qualified technicians all over the country.

Read more on The Indian Express

Classification Of Periodontal & Peri‐implant Diseases and Conditions – A Summary

World Workshop on the Classification of Periodontal and Peri‐implant Diseases and Conditions was held in Chicago on November 9 to 11, 2017

Classification of Periodontal diseases has evolved over the last few decades with the emergence of strong scientific evidence related to its initiation and progression.

World workshops of 1989 classified periodontal diseaseson the basis of several distinct clinical presentations, different ages of onset and rates of progression into prepubertal, juvenile (localized and generalized), adult, and rapidly progressive. The 1993 European Workshop simplified the classification of periodontitis into two major headings-adult and early onset periodontitis. Majorchanges were made in the 1999World workshop for classification of periodontal diseases as chronic, aggressive (localized and generalized), necrotizingand as a manifestation of systemic disease. This system has been in use for nearly last two decades. With the emergence of substantial new strongest scientific evidence globally, from population studies, basic science investigations, a need for modification of the existing system of classification arose, paving a path for the World Workshop on the Classification of Periodontal and Peri‐implant Diseases and Conditions in 2017.

Link To The JCP Publication 

Modifications from the previous classification:

  • Consistent with current knowledgeon pathophysiology, three forms of periodontitis can be identified:
  1. Necrotizing periodontitis,
  2. Periodontitis as a manifestation of systemic disease, and
  3. Periodontitis which includes the forms of the disease previously recognized as “chronic” or “aggressive”
  • The workshop further characterized the classification of periodontitis based on a multidimensional staging and grading system
  • Stages: Based on Severity and complexity of management
  1. Stage I: Initial Periodontitis
  2. Stage II: Moderate Periodontitis
  3. Stage III: Severe Periodontitis with potential for additional tooth loss
  4. Stage IV: Severe Periodontitis with potential for loss of dentition
  • Extent of distribution: Localised, Generalised, molar-incisor distribution
  • Grades: Evidence or risk of rapid progression
  1. Grade A – Slow rate of progression
  2. Grade B – moderate rate of progression,
  3. Grade C – Rapid rate of progression)
  • A new classification for periimplant diseases and conditions:
  1. Peri-implant health
  2. Peri-implant mucositis
  3. Peri-implantitis
  4. Peri-implant soft and hard tissue deficiencies

Dr. Harsha M B MDS

Professor and Head,

Department of Periodontology and Implantology,

Sri Hasananba Dental College and Hospital, Hassan – 573202

Karnataka, India

When Your Patient Follows Your Footsteps To Become An Orthodontist

Few of us, the dentists, who have practiced more than 2 decades end up seeing our own former patients who end up being dentists and specialists. Great is the feeling when they tell you that you inspired them to be a dental professional.

Such an instance happened in the life of Dr. Dean Evans, an orthodontist who practices in Virginia for past 37 years.

Dr. Crowe  was Evans’ patient roughly 15 years ago and he acknowledged that Evans is who ultimately inspired him to become an orthodontist. Crowe and Evans, proceeded to stay in touch through the years as Crowe applied to dental school and orthodontics residency where he  graduated from West Virginia University.

Later Dr. Crowe  asked Evans if I would be interested in selling the practice,& Evans  decided to sell it as he is close to retirement to Crowe due to his personal integrity and character.

Source-Washingtonpost

No Stipend Paid: 150 Kerala state MDS students move court

Close to 150 MDS students have approached the Kerala High Court demanding  non-payment of stipend by self-financing medical colleges, at par with government colleges.

Advocate TRS Kumar the petitioner according to TOI mentioned dental colleges conducting PG courses in Kerala but these colleges are not paying monthly stipend to students despite making the students work in their hospitals for 10 hours a day. This is a problem what many MDS students have been facing over the decades. Many private dental colleges do not pay stipend and the students have financial insecurity and issues thereby.

Dental Council Of India had fixed the monthly Stipend to MDS students of 1st ,2nd and 3rd year at Rs.43K, Rs.44K& Rs.45K respectively, in the year 2016.

Source and More information

Research Breakthrough – FOXO1 organizes keratinocyte activity to promote VEGFA expression and wound angiogenesis

A new study led by researchers from the University of Pennsylvania School of Dental Medicine has identified a key player in the process, the molecule Foxo1. Already known to be involved in repairing an exposed wound by stimulating the movement of keratinocytes to cover the wounded area, Foxo1 was shown to be required for normal angiogenesis during healing. FOXO1 does this by inducing the production of a key factor, VEGFA. (Foxo1 refers to the protein and FOXO1 refers to the gene.)

Image Source

This is the first study that shows that FOXO1 organizes keratinocyte activity to promote VEGFA expression and wound angiogenesis,” says Hyeran Helen Jeon, an instructor in Penn Dental Medicine’s Department of Orthodontics and the first author on the paper, published in the Journal of Pathology. “Stimulating FOXO1 could induce cells to produce more VEGFA. Blocking Foxo1 could work in cases where reduced angiogenesis would be helpful, like in patients with tumors or diabetic retinopathy.” The study was recently highlighted in a commentary article in the journal as an important finding.

Title : FOXO1 regulates VEGFA expression and promotes angiogenesis in healing wounds

Link to the Publication : Click Here

Further Reading And Source

DentalPreneurs : Dental Materials Market Worth 15000 Crore Rupees

We , the Indian dentists are living in an era where the number of graduate output annually is around 40,000 excluding specialists and the job opportunities are very less. With the fall in the number of dental colleges , the opportunities in the academia has also diminished. In an era where opening a clinic and competing with bigger corporates is the only option for the young dentist , a recent interview by the vice-president of Group Pharmaceuticals has given a new ray of hope for what I term as “dentalpreneurs”.

Majority of the dental materials are imported and there is a huge opportunity if these are manufactured in India. The market size is around 15000Crore INR. Not that there are no manufacturers , we do have a few spread across the subcontinent.

Mr. Satyanarayan ( who is associate Associate Vice President of the Group Pharmaceuticals ) in an interview to the economic times said “In India, so many things are still not available. For example, the pharmaceutical market is a prescription market, at 550 Crores INR. The FMCG market is almost 7000 Crores INR, containing toothpaste, toothbrushes, mouth wash etc. If you see, the dentist work on dental materials and these dental materials are still imported. In India, all dental materials are imported, and that market is a 15000 Crores INR market. We Indians should start manufacturing these dental materials like glass ionomers, composites, amalgams etc. that doctors are using and also lots of other appliances such as orthodontic appliances and brushes such as inter-dental brushes which are all imported today. We have an ambition to start manufacturing some of these dental materials in the near future, and also we would like to offer a complete solution to the dentist that includes both pharmaceutical products to even devices likes burrs. We are looking at providing an end-to-end solution for dentists which we are working towards now. In Mumbai we have a dental materials division, and we have started this in Bangalore and we already have this in Chennai.” (Source) This also opens a big job market for dentists looking for career in sales.

See the complete interview here

 

Dental Amalgam – British Dental Association Comes Up With New Regulations

Come July 1st , Silver Amalgam restorations will have newer regulations imposed by the BDA . These may perhaps be followed by other countries too, in the near future.

The BDA is alerting dentists that from 1 July 2018, UK law states that dental amalgam should not be used in the treatment of deciduous teeth, in children under 15 years-old, and in pregnant or breastfeeding women, except when deemed strictly necessary by a dentist based on the specific medical needs of the patient.

The law has been passed on the basis of environmental concerns about mercury pollution, and does not reflect any evidence-based concerns about adverse effects of amalgam on human health.Now this is something what most dentists would not agree as every clinic does mandatory have the silver amalgam waste  disposal system incorporated in their practices.

The United Kingdom has  been lobbying at the European Union level and globally for over 10 years regarding the move towards phasing down the use of dental amalgam.

Several EU countries called for a blanket ban on using dental amalgam when the EU Mercury Regulation was debated. UK pushed for a slower phase down, arguing that it was neither practical for UK dentists, nor necessarily in the best interests of patients, to implement an immediate ban.UK strongly argued the case that it should be up to dental practitioners to recommend the best restorative option for their patients on a case by case basis. 

From 1 January 2019, dental amalgam must be used only in pre-dosed encapsulated form and amalgam separators will be mandatory. Most, if not all, dental practices in the UK already conform to this under existing compliance requirements, so no action will be needed.

With UK bringing the first steps to phase out Silver Amalgam from practices in a period not more than a decade, it is imminent that other countries in and outside Europe will also follow similar steps. Perhaps by 2030 we may not have Silver Amalgam in practice anywhere in the world.

We ask our readers to put forth their comments on this paradigm shift.

Source 

Periodontium Around Dental Implant – New Research Breakthrough

Researchers used periodontal ligament (PDL)-derived stem cells to create a cell sheet and attached it to a titanium implant, and transplanted it into the mandibular bone of a dog, which lead to the  the formation of a periodontal-like structure containing both cementum- and PDL-like tissue.

Title of the paper : The article entitled “In Vivo Periodontium Formation Around Titanium Implants Using Periodontal Ligament Cell Sheet,”

The  article is available free on the Tissue Engineering website until July 11, 2018.

 Tooth-Implant connected bridge is a clinical challenge beacause of the differnence in the load distribution from tooth/implant to the underlying bone. The Natural tooth with the presence of PDL has a force transmission different from that of a dental implant as shown in the illustration below . ( Image Source )

.

 This new development if becomes a reality in the clinical practice may help solve this problem. There is a minority of dentists who do not advicate dental implants mainly because it has no PDL. This development may bring them too in the realm of Implant Dentistry