Dental Access March 2016 Issue Highlights Philippine Cybercrime Law

March 2016 • DENTAL ACCESS • 1photo: Dr David Alesna

2 • DENTAL ACCESS • March 2016 March 2016 • DENTAL ACCESS • 1
Editorial Board
Editor in Chief
Dr Harris Co
Publisher
Dr Armi B. Cabero
Managing Director
Mr. Medardo Chua
Contributing Editor
Dr Jhing Chua-Sy
Contributors
Dr Aaron B. Mayordomo
Dr Brian Esporlas
Dr Cherrylou Sison-Mendoza
Dr Johanna Po
Dr Joseph Lim
Dr Vincent Gabriel S. Caagbay
Circulation Executive
Dr Guenevere N. Uy - Tanchuanko
Publication Manager
Ms Michelle M. Chua
Advisory Board Members
Dr Claver O. Acero Jr.
Dr Maridin Munda-Lacson
Dr Ramonito R. Lee
Dr Darwin Lim
Dr Derek Mahony
Prof Alexander Mersel
Dr Antoinette Veluz
Designers
Mr Christian Nipa (Web Design)
Mr Ace John Avila (Graphic Design)
Published By:
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echnology doesn’t come without a price.
So does one’s liberty to say what’s on his mind and post it reck
lessly on social media.
The Philippine Cybercrime Prevention Act of 2012 or Republic Act 10175
was signed into law by President Benigno Aquino III on September
12, 2012 (http://www.gov.ph/2012/09/12/republic-act-no-10175/).It
adopted provisions of the first International Convention on Cybercrime
also known as the Budapest Convention in November 2001. The first
International Convention on Cybercrime is “the first international trea-
ty that seeks to address internet and computer crimes by harmonizing
national laws, improving investigative techniques and increasing coop-
eration among nations.” The said treaty was drawn up by the Council of
Europe with 48 member-states as signatories with observer states (Can-
ada, Japan, United States and South Africa) as active participants to the
treaty. http://conventions.coe.int/Treaty/EN/Treaties/Html/185.htm
Republic Act 10175 went into effect on October 3, 2012. However, as
early as September of the same year, at least fifteen petitions against the
law were filed with the Supreme Court questioning its certain provisions;
the most controversial of which was the provision on Online Libel or Cy-
ber libel.
The Supreme Court then issued a 120-day temporary restraining order
(TRO) to give way to oral arguments which occurred on January of 2013.
On February 18, 2013, the Supreme Court finally upheld the constitu-
tionality of the Cybercrime Law, shooting down only 3 particular provi-
sions of the law due to its unconstitutionality :
Section 4 (c)(3) - penalizing posting of unsolicited commercial commu-
nications;
Section 12 - authorizes the collection or recording of traffic data in real-
time;
Section 19 - authorizes the Department of Justice to restrict or block ac-
cess to Computer Data.
The contentious provision of Online Libel or Cyber libel, was deemed
by the Supreme Court “as VALID and CONSTITUTIONAL with respect
to the original author of the post but void and unconstitutional with re-
gards to the one who received it and reacted to it.”
Analogous to and as controversial to the above-mentioned provision,
is Section 5 of the same Act which states that aiding and abetting or at-
tempting to aid and abet in the commission of online libel will also con-
stitute as a criminal offense.
The question as to whether the mere “like”, “comment” or “share”, in
social media like Facebook, will constitute the criminal act as defined in
Section 5 of the Cybercrime Law is thus explained in the said Supreme
Court 50-page decision, to quote;
“The question is: are online postings such as “Liking” an openly defama-
tory statement, “Commenting” on it, or “Sharing” it with others, to be
regarded as “aiding or abetting?” In libel in the physical world, if Nestor
places on the office bulletin board a small poster that says, “Armand is
a thief!,” he could certainly be charged with libel. If Roger, seeing the
poster, writes on it, “I like this!,” that could not be libel since he did not
author the poster. If Arthur, passing by and noticing the poster, writes
on it, “Correct!,” would that be libel? No, for he merely expresses agree-
ment with the statement on the poster. He still is not its author. Besides,
it is not clear if aiding or abetting libel in the physical world is a crime.
But suppose Nestor posts the blog, “Armand is a thief!” on a social network-
ing site. Would a reader and his Friends or Followers, availing them
selves of any of the “Like,” “Comment,” and “Share” reactions, be guilty of
aiding or abetting libel? And, in the complex world of cyberspace expres-
sions of thoughts, when will one be liable for aiding or abetting cybercrimes?
Where is the venue of the crime?
Except for the original author of the assailed statement, the rest (those who
pressed Like, Comment and Share) are essentially knee-jerk sentiments of
readers who may think little or haphazardly of their response to the origi-
nal posting. Will they be liable for aiding or abetting? And, considering the
inherent impossibility of joining hundreds or thousands of responding
“Friends” or “Followers” in the criminal charge to be filed in court, who will
make a choice as to who should go to jail for the outbreak of the challenged
posting?”
This is where the principal argument of unconstitutionality lies when it
comes to the liability of acts such as liking, sharing or making comments on
a post originally made by the author.
There is, however, one part of the decision that quantifies what kind of
comment can still be construed as online libel. If the comment made to
an original post is a new comment altogether (example, when within the
conversation thread, another comment made is defamatory and is no longer
in reference to the original post), then the person who made the comment
can also be deemed as the original author of the post. Again, as stated in the
decision:
“Of course, if the “Comment” does not merely react to the original posting
but creates an altogether new defamatory story against Armand like “He
beats his wife and children,” then that should be considered an original post-
ing published on the internet. Both the penal code and the cybercrime law
clearly punish authors of defamatory publications. Make no mistake, libel
destroys reputations that society values. Allowed to cascade in the internet,
it will destroy relationships and, under certain circumstances, will generate
enmity and tension between social or economic groups, races, or religions,
exacerbating existing tension in their relationships.”
http://www.lawphil.net/judjuris/juri2014/feb2014/gr_203335_2014.html
http://tonyocruz.com/wp-content/uploads/2014/02/203335.pdf
(to be continued)
Under the Revised Penal Code (RPC), Libel is defined as “a public and mali-
cious imputation of a crime, or of a vice or defect, real or imaginary, or any
act, omission, condition, status, or circumstance tending to cause the dis-
honor, discredit, or contempt of a natural or juridical person, or to blacken
the memory of one who is dead.” DA
THE PHILIPPINE CYBERCRIME
PREVENTION ACT OF 2012
Dr Jhing B. Chua-Sy
T
SERVICE
WITH A HEART
t has been claimed that Dentistry is a noble profession. With that respect, honor and popularity
among your peers and patients. However, in my point of view, being a dentist is a calling, a pursuit
for the good, a cause to make a significant change, and to be an inspiration to our future leaders.
In my youger years, I was eager to chase after my dreams to be ranked among my icons in the profession. For
me, they were my symbol of inspiration that I too, can become one of the legends in Dentistry. On my road
to having my name inscribed, it was tough, hence I had to invest heavily on my skill and knowledge knowing
that all the pains I will bear will ferry the fruits of my labor. Now I am blessed with a thriving practice and a
wonderful family who supports me on my every endeavor.
But having my name up among the great influencers, I began to ask, how did they earn that merit to begin
with? What service did they do that immortalized them as one of the great leaders in our profession?
Looking at their achievements, they all served their constituents and loved their profession by heart. It was
their heart for the service and for the craft that made them what they are. All the more I became inspired to
follow their footsteps. Because now I realize there is so much I want to contribute to the society and to our
profession that I decided to join Dental Access. Almost a year has passed and looking back, we have achieved
in providing access to information about some of our dentists’ achievements in the country. We have made
history when we first had our Dental Excellence Seminar in Cebu last January where one of the most dis-
tinguished speakers in the world stormed the city with his world class lecture namely Dr Markus Lenhard.
Soon enough, we will be scoring another high in our record providing access to continuing education to
our colleagues in far regions. By building a network that you can trust, we support the activities of our local
chapters and affiliates through our media coverage. We understand that propagating your works will stand
as witness for your heartfelt service to the community. I personally guarantee that each person you serve has
been blessed by your generosity.
Our publication may be setting a trend in this digital age but we are still at the beginning of our journey. As-
suredly, I among others will continue this odyssey as I wait for the day when my efforts will be recognized.
Until then, I encourage our readers and our partners to be daring in your field and make the best of what
you have this day. Life is not about the glitz and glamour, but honor and humilty. We are neither defined by
mediocrity nor by what society dictates rather we are characterized by our valiant efforts to make a positive
change. DA
I
Dr Harris Co is a graduate of Centro Escolar University in
1999 with an impressive number of achievements during his
collegiate years. With his much promising career as a dentist,
he became an Associate Member of the International Asso-
ciation for Orthodontics and is an active Member Tzu Chi
International Medical Association, Philippine Prosthodontic
Society, Philippine Academy of Esthetic Dentistry, and the
Philippine Academy of Implant Dentistry. Currently he is the
Editor in Chief of Dental Access Publications.
About the Author
Dr Jhing Chua - Sy is an alumna of Centro Escolar University, Manila, Batch ‘87. In her
early days as a dental student, she was the News Editor for The Scholar - a CEU Univer-
sity Publication. After passing the board exam, she pursued her post-graduate training at
the UP-PGH Department of Hospital Dentistry in 1991. In addition to her line of achieve-
ments, she is a Former Legal Affairs Committee Secretary for the Philippine Dental Asso-
ciation in 1995-1997, a Former Comelec Secretary PDA in 1997-1998, a Former Executive
Secretary for the National Dental Health Week in 1996 and Founding President and co-
founder of Novaliches Dental Professionals, Inc. Today she continues her passion in writing
as one of the contributing editors of Dental Access with her column Dental Law and Ethics.
DENTAL LAW and ETHICSEDITORIAL
Dr Harris Co

C Academy recently held the first of their scheduled seminars for the year 2016 at the Lung Center of the Philippines in Quezon City.
Attended by 230 dental professionals, the auditorium was filled and packed with substantial topic that showcased 3 lectures by well-known
speakers namely Dr. Delfin Abadco (Direct Labial Veneers Made Easy), Dr. Marilou Sembrano (Everything You Need to Know About Relining)
and Dr. Noel Vallesteros (Updates on Management of Dental Pain in Children).
A premier highlightof the activity was the introduction of GC’s new product line by none other than Dr. Lala Sanchez, GC’s Country Manager for the
Philippines. EverX Posterior and G-ænial Universal Flo composites are made available by its Philippine Distributor Dental Domain since 2015.
GC, a leading global innovator in dental products distributed in over 100 countries, has promised more of this kind of seminars that will make dentists
well-informed of the latest innovations and technology in Philippine dentistry.
The seminar was hosted by Dr. Boyet San Andres, Professional Relations Manager of GC Philippines. DA
rime Orthodontics Studies and Training (POST) held their com
mencement exercise last September 17, 2015 at Rooms A and B
of the Makati Shangri-la Hotel.
A total of 35 dentists (18 from Batch 35 and 17 from Batch 37) marched
down the red-carpet laden aisle with the iconic graduation march played
at the background as the ceremony signaled the conclusion of the once a
week, year-long, tedious training program in the specialized field of ortho-
dontics.
Attended by the graduates’ family members, the glamorous event was
headed by Prime’s founder, course director and trainer, Dr. Romeo N.
Jacob, Jr. Also in attendance were the founding president of Prime, Dr.
Tagumpay P. Tapawan and its President Dr. Mary Marjorie B. Montalbo.
Lending glitter to the affair was the President of the Philippine Dental As-
sociation Dr. Ma. Lourdes M. Coronacion who served as their commence-
ment speaker.
POST’s graduation ceremony can be compared to a red carpet affair of
an international awards night. The venue was beautifully set-up of pillars
adorned with flowers. The lady graduates themselves were presented with
their own mini-bouquet of flowers and the gentlemen with leis as they re-
ceived their Certificates of Completion during the ceremony.
Special awards were given out to outstanding students of the training pro-
gram.
Drs. Corazon F. Basa, Melnita O. Bayot and Elsa V. Mendoza of Batch 35
received the Clinical Excellence Award, Academic Excellence Award and
Most Distinguished Graduate Award respectively.
Batch 37, meanwhile, yielded 3 Academic Excellence awardees in the per-
sons of Drs. Analyn B. Castillo, Fe Lourdes L. Santos and Shanna Marie
G. Wong. The Clinical Excellence Award went to Dr. Allelie M. Mendoza
while Dr. Raymonelle F. Mayor received the Most Distinguished Gradu-
ate Award.
Two other awards were given out to Dr. Lee R. Siscar of Batch 35 and Dr.
Jomariezen T. Amar of Batch 37.
The successful graduation ceremony was also made possible through the
combined efforts of Prime’s Executive Secretary Dr. Socorro D. Rahayel
and Miss Maria Luisa Tandoc, Operations Manager of JacobOrtho Dental
Clinic.
Dr. Maria Remedios B. Chua-Sy served as the Master of Ceremony. DA
photo credit: Dr. Zella Grace Biscocho of Smile Photography
(official photographer)
GC Academy holds
successful seminar
by Dr Jhing Chua - Sy
he Philippine Dental Association, with
its 12,000-strong members nationwide,
is set to hold its 107th Annual Conven-
tion and Scientific Sessions at the SMX Conven-
tion Center at the Mall of Asia Complex.
With the theme, “Professional Excellence and
Global Competitiveness”, the said confab will
welcome its delegates with an Opening Ceremo-
ny scheduled on May 26, Thursday. The conven-
tion will run until May 30, 2016, Monday.
The scientific sessions, chaired by Dr. Sonia I.
Matic, promises to cater to a wider range of top-
ics and table clinics. The lectures are “color-cod-
ed”, making it easier for the attendees to know in
a glance the topics they would be interested to
attend.
Dr. Jesus Tumaneng, former PDA President, is
this year’s General Chairman of the 107th Con-
vention.DA
he Asian Association of Oral and Max
illofacial Surgeons (AAOMS) and the
Philippine College of Oral and Maxillo-
facial Surgeons (PCOMS) brings to Manila the
12th Asian Congress on Oral and Maxillofacial
Surgery on November 9-12, 2016 at the historic
Manila Hotel.
The 4-day congress will bring together a gather-
ing of oral surgeons from all over the globe to
listen to well-renowned speakers in a variety of
topics which include Cleft Lip and Palate Surgery,
Dentofacial Deformities, Orthognathic Surgery,
Oral Pathology and Oncology, Oral and Maxil-
lofacial Trauma and Sleep Apnea among others.
Prof. Daniel Laskin, a famous oral surgeon and
author of the popular Clinician’s Handbook of
Oral and Maxillofacial Surgery, leads this year’s
list of prestigious lecturers in Oral Surgery.
Dr. Mario E. Esquillo, PCOM’s Past President
and this year’s President of the AAOMS, is also
the chairman of the international congress. DA
he Philippine Dental Association led by its hard-working Presi
dent, Dr. Ma. Lourdes M. Coronacion, trooped to the La Mesa
Dam last October 18, 2015 in its annual environmental advocacy
called “PDA Binhi Project”.
The tree planting activity was participated in by 10 dental chapters,
namely; Antipolo Dental Chapter, AFP, Cavite, Batangas, Kalookan City,
Pasay, Pasig-Taguig-Pateros Dental chapter, Paranaque, Quezon City
Dental Society and affiliate, Novaliches Dental Professionals, Inc.
Chaired by Dr. Jean Bautista, the annual environmental project is the
association’s modest but significant contribution to the challenges man-
kind is now facing with regards to the degradation of our forests and
mountains. DA
“Magtanim ay di biro….”
PDA President Dr. Coronacion
8 of the 11 participating chapters and affiliate take a moment for
a snapshot with Dr. Coronacion
PLANTING TREES WITH THE PDA
T
T
P
G
PDA IS SET FOR
107TH CONFAB
T
12th ASIAN CONGRESS ON
MAXILLOFACIAL SURGERY
TO BE HELD IN MANILA
PRIME ORTHODONTICS STUDIES
AND TRAINING HOLDS GRAND
GRADUATION CEREMONY
The concerted effort of
this year’s PDA, in as
much as the years past,
will make a huge differ-
ence in the lives of the
next generation.
Philippine Pediatric
Society Accredits
PPDSI as Affiliate
P
hilippine Pediatric Dental Society, Inc. PPDSI recently announced its official status as a
specialty affiliate of the Philippine Pediatric Society (PPS). General Chairman of the PPDSI
Dr Noel Vallesteros claims this recent achievement the affiliate obtained early this year.
“Today marks a milestone in the history of Pediatric Dentistry, or should I say Philippine Dentistry.”
Dr Noel Vallesteros states.
Present during the 2015 National Congress for the Oral Health of Filipino Children was Dr. Mila
Bautista - President of the Philippine Pediatric Society (PPS) as guest panelists for the Early Child-
hood Caries Symposium. The two day affair covered topics that highlights the ongoing plight, poli-
cies and recommendations on how to combat dental disease including Dr Bautista’s views and dis-
may on the oral health situation among Filipino children.
Her stern decision on PPDSI’s affiliation is a major step towards achieving its goal in reducing the
caries rate while empowering parents with substantial knowledge in preventive oral health care.
“This is a day of blessing for us. Dr Bautista announced that the PPS Board of Elders and the Board
of Trustees unanimously approved PPDSI, the Philippine Pediatric Dental Society Inc., as a sub-spe-
cialty affiliate of the PPS. We all know the crucial role of pediatricians and physicians in preventive
oral health care, because they are the very first health care professionals that parents consult once the
baby is born. As a specialty affiliate of the PPS, PPDSI will formulate policies, recommendations and
strategies in the prevention of oral disease, more specifically Early Childhood Caries.” Dr Vallesteros
denotes. DA
LOCAL NEWS LOCAL NEWS

study published in Colloids and Sur
faces B: Biointer faces reveals how the
dentist could give you anesthetic using
a tiny electric current instead of a needle.
The researchers behind the study, from the
University of São Paulo, say their new find-
ings could help improve dental procedures
and bring relief to millions of people who are
scared of needles. It would also save money
and avoid contamination and infection, they
say.
“Needle-free administration could save costs,
improve patient compliance, facilitate appli-
cation and decrease the risks of intoxication
and contamination,” explained Professor Re-
nata Fonseca Vianna Lopez, one of the au-
thors of the study from the University of Sao
Paulo in Brazil. “This may facilitate access to
more effective and safe dental treatments for
thousands of people around the world.”
Dentists often have to carry out invasive and
painful procedures in the mouth. To mini-
mize patients’ discomfort, dentists use an-
esthetics that block the pain, which are ad-
ministered using needles. However, many
patients are extremely afraid of these injec-
tions, resulting in them postponing and even
canceling visits to the dentist.
For these patients, an additional step is need-
ed: dentists first give them a topical painkill-
er to reduce the pain -- and associated fear
-- caused by the needle. This can come in the
form of a hydrogel, ointment or sprays; the
most common are hydrogels that can contain
lidocaine and prilocaine.
In the new study, the researchers investigated
a way of getting these topical anesthetics into
the body more effectively, to see if they could
replace needles altogether. They found that
applying a tiny electric current -- a process
called iontophoresis -- made the anesthetics
more effective.
The researchers first prepared the anesthet-
ic hydrogels with a polymer to help it stick
to the lining of the mouth. They added two
anesthetic drugs, prilocaine hydrochloride
(PCL) and lidocaine hydrochloride (LCL).
They tested the gel on the mouth lining of a
pig, applying a tiny electric current to see if it
made the anesthetic more effective.
The anesthesia was fast-acting and long-last-
ing. The electric current made the prilocaine
hydrochloride enter the body more effective-
ly; the permeation of the anesthetic through
the mouth lining increased 12-fold.
The researchers say the technology has appli-
cations not only in dentistry anesthesia, but
also in other areas such as cancer treatment.
“Over the last few years, our research group
has been working on the development of
novel drug delivery systems for the treat-
ment of several skin and eye diseases,” said
Prof. Lopez. “The skin and eyes pose chal-
lenges for drug delivery, so we have focused
on improving drug delivery in these organs
using nanotechnology, iontophoresis and
sonophoresis, which is permeation using
sound waves.”
The researchers now plan to develop an ion-
tophoretic device to use specifically in the
mouth and do some preclinical trials with
the system.DA
Story Source:
The above post is reprinted from materials
provided by Elsevier. Note: Materials may be
edited for content and length.
Journal Reference:
Camila Cubayachi, Renê Oliveira do Couto,
Cristiane Masetto de Gaitani, Vinícius Pe-
drazzi, Osvaldo de Freitas, Renata Fonseca
Vianna Lopez. Needle-free buccal anesthesia
using iontophoresis and amino amide salts
combinedinamucoadhesiveformulation.Col-
loids and Surfaces B: Biointerfaces, 2015; 136:
1193 DOI: 10.1016/j.colsurfb.2015.11.005
Research
reveals a
new way to
administer
anesthetic in the
mouth
A
It is the view of the Philippine Dental Association (PDA) that the absence of statistics on oral health in the Philippines is an
unacceptable situation. As part of its 6-year Adopt a School Program, launched this Fiscal Year 2015-2016 up to the targeted
FY of 2021-2022, the PDA has introduced digital charting at public elementary schools, referred to as eCharting.
Dental caries being rampant in the country is common knowledge. Yet, it is unknown to what extent, as data on oral health of the
population is not available. Surveys on a meaningful scale were never undertaken..
For the longest time, the country’s Department of Education (DepEd) school dentists keep paper based dental records of each child
from K - 6. They map the pupil’s dental health by manually marking yearly on the “Individual Oral Health Record” conditions and sta-
tuses such as caries, fillings, missing teeth and other conditions. Proposed dental treatment such as extractions, fillings, oral prophylax-
is, fluoride treatment and application of sealant or varnish is also entered. This method of record keeping is not conducive to practical
large scale data gathering, and next to impossible in generating oral health statistics. The absence of credible S M A R T oral health data
prevents the country from understanding the true nature and extent of the true oral health situation of school children and prevents
formulation of policies for countering caries.
The introduction and practical use of digital record keeping is a necessary step towards long term policy formulation. Without it, gen-
eration of oral health statistics on a meaningful scale, so as to understand the extent of the caries problem in the country, is next to
impossible. The most logical place to introduce digital record keeping is an obvious one: the youngest members of the population, i.e.
the elementary school generation.
It is the dream of the PDA that, over time, all Filipinos will have a digital dental chart. While reaching this ambition will be a daunt-
ing task, an achievable intermediate goal is to eChart all K - 6 pupils nationwide, some 15 million in 38,000 elementary schools. This
intermediate goal is in itself challenging, yet realistic if indeed electronic means are used to map the children’s odontogram digitally.
PDA Adopt A School Committee with the Board of Trustees under the leadership of 2015-2016 PDA President Dr. Maria Lourdes M.
Coronacion, sought the approval of the House of Delegates, a Board Resolution Approving The Six Year eCharting Project, through
the Adopt A School Program to pioneer digital dental data collection to generate initial digital oral health data in October 2015 when
it undertook eCharting in 40 public elementary schools enrolled in the Adopt A School Program across the country. By February
2016, the Committee through volunteer Chapters and Affiliates in cooperation with DepEd school dentists, launched the project with
a target of 150-200 dental charts per school. It is currently in progress using the online eCharting system, developed by DentalChart-
ing (www.dentalcharting.com).
The Association is anticipating the experience gained and lessons to be learned from digital data collection and what statistical report
it can generate. This will be presented during the Public Health Forum at the PDA National Convention this May in Manila.
We are excited with the conclusions that can be drawn and recommendations we hope to propose to the health and education authori-
ties to scale- up eCharting at the thousands of schools or health centers across the country, beginning this third quarter of 2016.
The Committee is composed of Dr. Analiza A. Lerio, Chairperson,-PDA Adopt-A-School Program and Dr. Clarissa Jane F. Pe, Chair-
person of the PDA Adopt-A-School Echarting Project. DA
Philippine Dental Association
launches eCharting
I
by Dr Clarissa Jane F. Pe
March 2016 • DENTAL ACCESS • 7
LOCAL NEWS SCIENCE NEWS

Dental Law and Ethics
Koji Kezuka is Hideaki Kumazawa’s designated
successor.
Koji Kezuka will be taking over as the new Manag-
ing Director of Ivoclar Vivadent KK Japan based in
Tokyo effective 1 April 2016. He succeeds Hideaki
Kumazawa, who will be leaving the company.
Koji Kezuka joined Ivoclar Vivadent KK Japan in
April 2010 and took over the management of the
sectors of Finance, Human Resources, IT, Logistics
and Administration. Since 2014 he has addition-
ally been responsible for successfully extending the
agency business and stepping up the sales activities.
“During the past six years, Koji Kezuka has had the
opportunity to acquaint himself extensively with
the Japanese dental market and our company. He
is thus well prepared for his new position,“ said
Christian Brutzer, Global Region Head Asia/Pacif-
ic, on the occasion of Koji Kezuka’s appointment as
the new Managing Director.
Kezuka succeeds Hideaki Kumazawa, who was
in charge of Ivoclar Vivadent’s Japanese subsidi-
ary during the past nine years. “We thank Mr
Kumazawa for his outstanding commitment in
establishing and building our Japanese subsidiary
and we wish him well in his future professional ca-
reer“, said Christian Brutzer. Hideaki Kumazawa
will leave the company on 31 March 2016 to seek
a new challenge and explore other professional op-
portunities.
New Managing
Director at Ivoclar
Vivadent KK Japan
High
percentage of
patients
prescribed
opioids
following
tooth
extraction
n a study published online by JAMA,
Brian T. Bateman, M.D., M.Sc., of
Brigham and Women’s Hospital, Bos-
ton, and colleagues examined nationwide
patterns of opioid prescribing following
surgical tooth extraction.
Opioid abuse has reached epidemic pro-
portions in the United States, and often
begins with a prescription for a pain med-
ication. Dentists are among the leading
prescribers of opioid analgesics, and sur-
gical tooth extraction is one of the most
frequently performed dental procedures.
Surveys suggest that dental practitioners
commonly prescribe opioids following
this procedure, despite evidence that a
combination of nonsteroidal medications
and acetaminophen may provide more ef-
fective treatment for postextraction pain.
The researchers collected data from a na-
tional database of health claims drawn
from Medicaid transactions for the years
2000-2010. All patients who underwent
surgical dental extraction were included.
The frequency of opioid prescriptions
filled within 7 days of extraction was de-
termined, as was the nature and amount
of opioids dispensed.
The analysis included 2,757,273 patients.
Within 7 days of extraction, 42 percent
of patients filled a prescription for an
opioid medication. The most commonly
dispensed opioid was hydrocodone (78
percent of all prescriptions), followed by
oxycodone (15 percent), propoxyphene
(3.5 percent), and codeine (1.6 percent).
Patients age 14 to 17 years had the high-
est proportion who filled opioid prescrip-
tions (61 percent), followed by patients
age 18 to 24 years.
There was great variability in the amount
of opioids dispensed for a given proce-
dure, with an approximately 3-fold dif-
ference between the 10th and 90th per-
centile in the oral morphine equivalents
prescribed.
“Although a limited supply of opioids may
be required for some patients following
tooth extraction, these data suggest that
disproportionally large amounts of opi-
oids are frequently prescribed given the
expected intensity and duration of pos-
textraction pain, particularly as nonopi-
oid analgesics may be more effective in
this setting,” the authors write.
“This common dental procedure may
represent an important area of excessive
opioid prescribing in the United States.
As the nation implements programs to re-
duce excessive prescribing of opioid med-
ications, it will be important to include
dental care in these approaches.” DA
References:
Opioid Prescribing After Surgical Extrac-
tion of Teeth in Medicaid Patients, 2000-
2010, James A. Baker, BS; Jerry Avorn, MD;
Raisa Levin, MS; Brian T. Bateman, MD,
MS.JAMA,doi:10.1001/jama.2015.19058,
published online 15 March 2016.
Research reported in this publication was
supported by a grant from the Eunice Ken-
nedy Shriver National Institute of Child
Health & Human Development of the Na-
tional Institutes of Health. All authors have
completed and submitted the ICMJE Form
for Disclosure of Potential Conflicts of In-
terest and none were reported.
I
March 2016 • DENTAL ACCESS • 98 • DENTAL ACCESS • March 2016
SCIENCE NEWS
BUSINESS NEWS

Notice to the public
he first facial tissue transplant procedure in the history
of the Nordic countries was performed earlier this year in
the Hospital District of Helsinki and Uusimaa (HUS) in
Finland. Planmeca contributed to the demanding and rare opera-
tion, which was the 35th of its kind in the world to date.
The facial tissue transplant surgery itself took 21 hours and was
carried out by a group of 11 surgeons, as well as 20 nurses and oth-
er experts. The operation consisted of transplanting the patient’s
upper and lower jaw, lips and nose, as well as segments of their
skin, midfacial and tongue muscles, and the nerves of these mus-
cles. The head the surgical team, Dr. Patrik Lassus, emphasised that
the objective of the operation was to transplant facial functions,
not external features.
3D planning of the operation with the Planmeca ProModel™ ser-
vice
The Planmeca ProModel™ service was part of the demanding pro-
cedure. It is a unique service for designing and creating patient-
specific implants, surgical guides and skull models from CBCT/
CT images. 3D technology decreases surgical time and produces
significantly more precise results when compared to traditional
methods. This makes operations increasingly safer for patients.
The facial tissue transplant procedure was planned preoperatively
utilising 3D technology. The planning consisted of modeling do-
nor tissues and determining how they match the recipient. Sur-
geons Patrik Lassus and Jyrki Törnwall designed the 3D printed
surgical guides together with Planmeca’s CAD/CAM designer.
Planmeca’s innovation substantially decreased the operating time
– saving hours compared to similar procedures previously carried
out elsewhere in the world. Conserving time is one of the key as-
pects of surgery, as longer operations increase the risk of compli-
cations. In transplant cases it is also of paramount importance to
accelerate the restoration of blood flow.
“Based on literature, we know that it can take 3 to 4 hours to trim
bones. In this particular operation, it took Patrik [Lassus] and my-
self under 10 minutes to place the transplant. This led to a drastic
reduction in the duration of the surgery, while also significantly
improving the accuracy of bone placement,” described Dr. Jyrki
Törnwall, one of the operating surgeons, in the press conference
on the operation.
Planmeca participated in planning the facial tissue transplant right
from the start, led by CAD/CAM Design Manager Jani Horelli.
“We had the opportunity to join the surgeons in making medical
history. In the end, we reduced the surgery time by 3 to 4 hours and
successfully completed the operation with help of 3D planning for
the first time in the world. It was a great job by all involved,” stated
Horelli.
At Planmeca, planning the operation began around three years
ago. Careful steps were taken in preparing for the upcoming pro-
cedure.
“Planmeca’s part consisted of two phases. First, we designed the
surgical guides together with Dr. Lassus and Dr. Törnwall, as well
as determined the kinds of segments that would be surgically re-
moved from the recipient and transplanted from the donor. At this
point, we were anticipating a scenario, which would become con-
crete once a donor was found,” Horelli recounted.
“The second phase began immediately once we received word of
a suitable donor. An X-ray image of the donor was taken at the
hospital and the imaging data was utilised in 3D designing. We
also simulated the operation together with the surgeons. Following
this, the components were designed and manufactured at Planme-
ca headquarters and transported to the hospital, where they were
taken directly to the operating room.”
“All 3D designing is carried out exactly according to the anatomy
of the donor and the recipient. When time is limited and there are
significant risk factors involved, there is no room for error,” Horelli
concluded. DA
Planmeca ProModel™
Tpart of first
facial tissue
transplant
procedure
in Nordics
n International Women’s Day, FDI supports the United Na
tions initiative on “Planet 50-50 by 2030: Step It Up for
Geder Equality” asking governments to make national com-
mitments to address the challenges holding women and girls back.
As we reflect on what a gender-equal planet means, our focus is on
the dental profession which has seen a drastic change over the past 30
years in terms of gender parity among dentists. A profession which
had been predominantly male-dominated, has now become increas-
ingly pursued by women.
According to estimates, there are around 30% of women dentists in the
world today. Europe and North America are regions with the largest
number of collected data. In Europe, the percentage of women den-
tists exceeds 65%, while in Latvia and Estonia this is almost 90%. In
contrast, the lowest percentage of women dentists is found in Switzer-
land, with only 22%. In the US, the percentage of women dentists has
risen from 3% in 1980 to 25% today, and it is expected to reach 30%
by 2020. Although available data in other regions is incomplete, there
is evidence of increasing participation of women dentists from Arabic
and Asian countries, and growing participation in the African region.
FDI recognizes the challenges brought about by changes in labour
force composition. Thus, in 2001 it adopted the Kuala Lumpur Dec-
laration, which established the FDI Section: Women Dentists World-
wide. The Section exists to coordinate the activities of national groups,
promote the collection of information about women dentists and their
work patterns, address inequalities where they exist, facilitate contacts
between women worldwide, and enhance their full participation in all
branches of the profession.
Women Dentists Worldwide operates through its members in six
continents, and collects data on the number of women dentists and
their roles in work and education. Continuous data publication
and comparison not only reveal the obstacles and inequalities that
remain, but also contribute to the networking of women dentists
around the world.
The current number of active dentists and women dentists holding
positions of leadership is disproportionate to that of men. Therefore,
the main task of Women Dentists Worldwide is to encourage and
support women in their contending for leadership positions, which
is essential to achieve full participation and introduce changes in the
profession. DA
- See more at: http://www.fdiworldental.org/media/news/news/fdi-
celebrates-international-womens-day.aspx#sthash.BRzjPsqW.dpuf
n 2013, Clark County Dental Health Initiative was honored
for Excellence in Public Health. They were one of the commu
nity programs to receive the “Model Practice Award” and they
have now published a “how-to” guide on the Implementation of a
Fluoride Varnish Application Program.
The Clark County Dental Health Initiative began in January 2008
and was designed to reduce tooth decay in the children of Clark
County. Tooth decay is the most common disease during child-
hood and can affect overall health status: including quality of life,
illness, chronic disease and nutrition. In 2008, 50% of the sixth
graders in Clark County public schools had tooth decay. For five
years, volunteer dentists, hygienists and community members
have gone into the schools twice a year and applied dental fluo-
ride varnish to children in preschool through fifth grade. After
five years of applying Premier Enamel Pro Varnish, the decay rate
for sixth graders is down 11%. That equals a 78% decrease in just
five years!
“The success of the Clark County Dental Health Initiative is due
to the incredible cooperation between the community stakehold-
ers in this project. The Clark County Health Department, the
Clark County Community Foundation, Premier Dental Products
Company, participating schools, dental teams from the Winches-
ter/Clark County Dental Society and scores of community vol-
unteers were in sync from the first moment. Dropping the decay
rate in Clark County’s children was our common goal and I have
never seen such commitment to reach that goal. Volunteerism is
alive in Clark County and this truly is a Community Award,” said
Rankin D. Skinner DMD, Project Director for the Clark County
Dental Health Initiative. room for error,” Horelli concluded. DA
FDI Celebrates
International
Women’s Day
Clark County KY Receives Award for
Dedication to Public Health
O
Hear the real life stories of dentists who are confronted by their
every day bouts as a dental professional. Patients, colleagues and
relevant topics that are similar to your experiences portray a moral
lesson and a guide similar to a handbook that help us overcome
these circumstances. We dedicate this to all dentists who are con-
stantly searching for answers to their inquiries.
Dear Dr Jhing,
Thank you for featuring my letter in this new column. I have been contem-
plating on this patient who has been giving me a headache for the past
few weeks. A Senior citizen patient came to me to have a new complete
upper denture but with two premolars (same quadrant) indicated for ex-
traction. Upon examination and interview I found out that she is medical-
ly-compromised so I asked for a medical clearance. She returns after 3
days; physician OKs extractions. But she wants an immediate denture.
So I explained the pros and cons then patient signs informed consent.
After taking impressions I extracted and gave the necessary post-op in-
structions. Mrs A makes a 50% down payment which I acknowledged
receipt thereof. Patient returns after 5 days and so I performed a trial
denture. Of course, there is a re-trial so I took another impression. The
patient is, well, impatient; complains about trial wax being lose and com-
plains that extraction site hurts. So I explained again. I suggested another
impression because the extracted sites are somewhat healed compared
to the first impression. Patient throws a fit and says that her “technician
only took one impression”. I was shocked and raised an eyebrow with
a billowing thought, mama mia! Patient left the clinic and the next day,
she sends her daughter to say, “I want my money back! I won’t continue
anymore with the denture. I already talked to my technician!”So I refused
to budge saying that the fabricated denture (porcelain) has already been
purchased and in fact, a trial denture has already been made and the
procedure already started. After a few days, the patient files a complaint
against me in the barangay claiming I should return the money. Do you
know what to do in this case?
Wondering dentist from Alabang
Dear Wondering Dentist from Alabang,
If you receive a barangay subpoena, attend the hearing. There are 3
hearings in the barangay level presided upon by the Lupon ng Tagapam-
ayapa, composed of the Barangay Chairman (or his assign) and 2 of his
kagawads. They will try to reconcile both parties in the hopes that it will
not escalate to the point of bringing the case to court. Bring with you all
the necessary documents to prove that the patient contracted your ser-
vices: your dental record, the informed consent duly signed by the patient
(or if patient is a minor, then an adult who is responsible for the minor),
the official receipt, and if need be, the actual denture itself to show that
the contracted professional service has been consummated (even if it is
only partial like that of the trial denture because that would prove that the
partial payment she gave you was actually used for its intended purpose).
In this case, the dentist provided all the documents. But the one thing
that the dentist did that turned the tables around against the patient was
to file a countersuit for Breach of Contract. Why? Because the mere fact
that Mrs. A sought the dentist out for a construction of a new denture by
filling up a dental record and the exchange of monetary consideration
to create the same, is already an Implied Contract, even in the absence
of an Official Receipt since sometimes, we issue a Provisional one until
they have rendered full payment. The Informed Consent form, which the
patient knew and consented to sign, makes the Breach of Contract suit a
tight case.
Mrs. A backtracked when she was presented the Informed Consent which
she signed. She even pretended not to remember having signed the
same. The dentist offered to have Mrs. A’s signature tested by the NBI
(at the dentist’s own expense) to prove that her (Mrs. A’s) signature is
authentic. Mrs. A, still with her haughty attitude, gave up and says, “You
can have my money! Who cares! I have many where that came from!”
and continues with her ramblings. She was compelled by the Lupon to
sign the Barangay certificate that she is no longer interested to pursue the
case. After Mrs. A and her daughter has left the place (with angry frowns
on their faces), the dentist, in all sobriety thanked the Lupon, bringing with
her all the documentary evidences she brought with her.
Lesson of the story? Be diligent in record keeping. There are patients who
can become unreasonable and incorrigible. Make sure that the patient
signs an Informed Consent Form the first time out. During the next suc-
ceeding treatments, you can just write down in their records the treatment
performed and make the patient sign the “Conforme” line opposite it. That
way, it would not be too taxing for you or the patient to sign an Informed
Consent every time she returns for a treatment, especially the ones that
need a series of recalls (like RCT or prostho cases). For as long as you
are astute enough to make a complete written record of each treatment
plan, performed or cancelled, then you are well on your way to protecting
yourself especially when it comes to legalities.
Best,
Dr Jhing Chua - Sy
A difficult patient wants her money back.
I
BUSINESS NEWS

About the Author
Dr Cherrylou Sison Mendoza
is an alumna of the University
of the East College of Dentist-
ry. She is an active member of
the PDA Tarlac Dental Chapter
and has been holding her den-
tal practice in Tarlac City.
n dentistry, there is always a new trend or invention that
we use in our practice.
A new material or equipment that play a significant role in our
clinics that can affect our environment as well. But lately, have
we asked ourselves if we are doing our part in helping save our
world from further deteriorating? Are we following stricter
measures and guidelines laid down to all medical and allied
health professionals in the proper disposal of used items in
relation to our environment? Do we still have the compassion
and the right attitude to create and propagate this awareness
in order to save our Mother Earth for generations to come?
I always thought that a dental clinic is like a small centre for
oral health care where we encounter different cases that need
different treatment on a daily basis. With this, we also use dif-
ferent items, instruments and everything just to meet our cli-
ent’sneeds. Sometimes,aftertreatingapatientourworkplace
is such a mess. But after all the mess, how do you personally
dispose them? Why is it that we are able to follow stringent
rules in handling clinical properties or materials and neglect
the simple practice of proper waste disposal?
I have some ideas on how can we help save our Mother Earth
in our own small way.
First thing to do is segregate. We can segregate our wastes
by collecting all used needles, cartridges and place them in an
empty water container. In turn, we can surrender these items
to the nearest hospital from your clinics where they will be
properly incinerated by the institution.
I
In addition, we can separate biodegradable items from non-
biodegradable items. We can use paper cups instead of
plastic cups. Wet items are separated from dry items so that
the moisture will be limited within the clinic premises. This
will inhibit bacterial growth that can harm our staff and our
patients.
Second, when using amalgam as a filling material, we should
always place excess mercury in an air tight container filled
with water. Never let mercury drain down in our pipes be-
cause it will only go to places where a lot of harm can happen
to the sea. In a recent article about environmental issues by
Dr Lilian Ebuen, it is stated that a.......
Third, when using disinfectants, we can consider the organic
ones. Several manufacturers producing them have already
considered using organic solutions that are readily available
in the market. It’s not only good for the environment but to
our skin as well since these organic solutions have lesser
chemicals incorporated within.
Choosing to be responsible for our environment makes our
world a better place to live in. We are the stewards of Mother
Earth therefore we should protect it from being destroyed
through our neglect. If we cannot impose these standards,
then what kind of life will the next generation inherit from us?
If
As I borrow the line from Ms. Universe 2015 Ms Pia Alonzo
Wurtzbach, I would like to leave you this message by saying,
“We are confidently beautiful dental professionals with a
heart for mankind and to Mother Earth”. DA
OUR TRIBUTE TO
SAVING
MOTHER EARTH
A dentist’s perspective
by Dr Cherrylou Sison - Mendoza
12 • DENTAL ACCESS • March 2016
CONTRIBUTORS

ebu, the Queen City of the South. A unique place that is enveloped by history, culture and adventure
to its tourists has been the favorite city by local and foreign migrants due to its quaint charm and
thriving local businesses. It is also home to one of our Advisory Board members, Dr David Alesna,
past president of PDA Cebu Dental Chapter and a well - respected dentist in the field. In our newly opened
section, Power Clinics, Dr Alesna will share his passion and vision to create a gateway for a world class dental
facility with Green Apple Dental Group, Inc. as his flagship enterprise right in the heart of Cebu City.
The Green Apple Dental Group, Inc. is among the
many dental clinics Dr David Alesna owns and man-
ages since it first started its operation in 2009. As
one of the founders of the dental center, he and his
partner / colleague, Dr Gamaliel Urbi took a shot and
dreamed of making the Green Apple Dental Group,
Inc. one of the crème de la crème dental centres in
Cebu City. Although a plenitude of dental group prac-
tices are doing well, it takes an ingenious talent with a
heart for practical and intelligent service to give you
the leading advantage over your competitors. As such
character manifests in Dr Alesna, through his years
of experience he built a service oriented clinic that
utilize cutting edge equipment to take advantage of
today’s modern technology. “I want to cater to my
patients with the service and technology that is avail-
able abroad. With that, not only did we upgrade our
systems, we raised our standards in providing quality
dental health care through optimized patient service
and recall, efficient record facilitation, continuing
professional development for our dentists and allied
health workers, and more.” Dr Alesna relates as he
shows us around his dental facility.
Green Apple Dental is strategically stationed at the
Ayala Center in Cebu City and has an area coverage
of 170 square meters. It boasts of 5 completely ad-
vanced Operatory rooms, a state of the art Xray fa-
cility, complete sterilizing room managed by 3 full-
time dentists and 5 part-time dentists with 10 clinic
staffs to help manage the dental center. To top it off,
Green Apple Dental received its ISO certification in
2013 with Management Systems ISO 9001:2008. This
certification help ensure that products and services
offered by its staff and facility are safe, reliable and of
good quality.
“It was a strategic course of action that the founders
of Green Apple Dental secured (including myself)
because we want to be a full service dental facility
with a reputation in providing high standard quality
service. Patient experience and feedback is valuable
to our practice because it reflects how serious and
dedicated we are in keeping up with the standards of
care.” Dr Alesna interjects in the interview.
Simplifying the work with good service
according to Dr David Alesna
Dental work can be tedious for our dental profession-
als especially if they are confronted by third parties
such as dental lab works. Disputes between two parties
( dentist and technician ) can be a yo-yo bringing the case
to and from the clinic thereby prolonging the treatment
time. This is common among dentists who are constantly
struggling with their cases due to faulty lab procedures
and inefficient manpower. But instead of yielding, Dr Ale-
sna sought a way to address this important issue so that
he can live up to his barometer of excellence. “I had that
same dilemma years ago and was frustrated with the out-
come of the lab’s restorations. I wanted to understand the
errors taken from the laboratory perspective to overcome
the problems I normally encounter as a clinician. So from
time to time I go abroad to attend seminars and dental
congress but one of the most significant accomplishments
in my career was when I enrolled at one of Ivoclar’s Work
Shop and studied with other dental technicians and den-
tists. That experience gave me a whole new frame of ref-
erence where I was able to discern a good material from
the subpar materials that proved vital to the success of my
restorations today.” Dr Alesna recalls while affirming his
sound judgement.
Since then, he passed this knowledge on and mentored a
few colleagues so that they too can emulate his sense of
craftsmanship. Then in 2015, he decided to put up his own
CADCAM Laboratory in focusing on Emax and Zirconia
restorations. This he claims are some of the best decisions
he made providing treatment to transients and short-stay-
ing tourists.
“We could finish our lab work in an average of 2-3 days and
were able to improve a lot on the quality of the lab work,
as well. Also our decision to acquire a cone beam CT scan
(CBCT) which made it easy for us to convince patients on
the safety of the dental implant procedure.”
With all modesty, Dr Alesna adds “I am pointing this out
not to brag, but because these were important milestones
in the growth( both technically and financially) of Green
Apple. This also sets the benchmark for other clinics to fol-
low and proves that this can be done locally.” As some of
you may know, Dr David Alesna was a former instructor of
Centro Escolar University in the Prosthodontics Depart-
ment and a professor at Cebu Doctor’s University. Later in
his career, he formed a small group of dentists whom he
taught in same field. Teaching, as he claims is his passion.
“Were you not afraid of your sharing your knowledge to
your colleagues?”I asked.
“On the contrary, I believe that knowledge should be shared
and passed on. There is enough market for everyone.“He
denotes.
Furthermore he added that by focusing on your talent and
making your business strategy practical makes it easy for
dental professionals to succeed in this industry.
“Our profession is no longer based on the profession side.
We are considered as business entrepreneurs and so we
should be wise with our decisions in keeping our profit and
gain intact over our expenses. That is one aspect I would
like to tap among our dental professionals in the future. “
Suggests Dr Alesna.
Gathering from all the life experience Dr Alesna obtained,
there is no doubt that he knows how to use his business
acumen for good. Green Apple Dental is a product of his
vision and brilliance that he started 5 years ago. If only
many of us can mirror his values especially on the profes-
sional side, our future dentists will have a public figure to
emulate. DA
This coming May 2016, as we celebrate the PDA Annual Convention, we are
bringing you two of our aspiring presidential candidates for the year 2015-
2016. Green team’s standard bearer Dr Carlos Buendia and White team’s
presidential bet Dr Maridin Lacson will see eye to eye on this historical
event. Know your candidates and be part of this history by casting
your votes.
Dr Maridin Munda-Lacson
LACSON-IN-ACTION!
I am a woman of zeal. My plans translate into action that is why I was
nicknamed, “Lacson in Action.” With me, I have included 8 core goals
and action plans. These core goals and plans should resonate to all
the members of the PDA- motivated by one direction and oneness to
achieve our goals and put it in ACTION.
‘IKAW AY KAISA – PAGKA’T TAYO AY IISA’
1. DENTAL PRACTICE EMPOWERMENT (PAGPAPALAKAS)
• To empower member dentists in the proper management and operation of
their clinics with the end view of professionalizing their dental practice while
increasing their income.
STRATEGY:
• PDA Members and their dental clinics must have an ALL OUT campaign
drive to fully equip their practice with the management of their clinics, ethical
& fair marketing obligations and responsible handling and management of
the dental practice.
• Practice Management thru inter-professional relationships (w/ the medical
doctors [PMA], nurses, engineers, lawyers and entrepreneurs and business
oriented individuals. Establish a cross section of professionals and meet to
plan how we can integrate individual steps towards an effective planning
system.
• Increase Fee Proposal for HMO and Insurance Policy
• SALARY INCREASE for Government Dentists and Public Health Dentists
2. MEMBERSHIP AWARENESS INFORMATION DRIVE (PAGPAPA-
BATID)
• To keep all member dentists constantly and regularly updated on the
programs,projects and activities of the PDA to increase their level of aware-
ness and motivate them to action.
• Social Media Info (Updated Website)
• Streamline current system on information details thru the data base gath-
ered in the Membership Directory
3. DENTISTS’ PREPAREDNESS TO A GLOBALIZED COMPETITIVE
PROFESSION (PAGHAHANDA)
• To prepare dentists to be globally competitive in terms of thei clinical
skills,state of the art instruments and equipment and prices of services of-
fered.
• Compete collectively and set standards individually
• International relations with other dental associations in Asia and US
levels. How to particularly manage it, enhance and encourage dentists to
be part of it
QUESTIONS
1.What do you think should a true leader of the PDA possess?
• Servant leadership that puts action as their prime most goal, a person
that is service-centered and believes that every member has it’s respective
right and responsibility--- all of these make up a true leader suitable to be
the PDA president.
2.What’s the first thing you intend to do as soon as you sit as PDA
President?
• To put back normalcy and unity to PDA, to take the challenges of everyday
activities as president and positively put to action the 8 core goals and val-
ues for the entire membership.
3.What do you value most? Your loyalty to your party or your loyalty
to the PDA?
•Parallelism of values of both PDA and the TEAM PDA label the loyalty to
the association we serve. It’s not a matter of choice of loyalty as it is of a
similar loyalty we have for the only PDA we have.
4. INCREASED ORAL REHABILITATION TARGETS (PAGPAPALAWAK)
• To significantly reduce the incidence of dental caries and other periodon-
tal diseases among Filipinos to a manageable level.
• Active involvement of the dentist on ORAL REHAB Program, as a start-
‘SEAL THE 6’s’ project (Pits and Fissure Sealants on ALL first molars)
5. UNIFICATION AND HARMONIZATION PROGRAM FOR PDA AND
TRADER PARTNERS (PAGKAKAISA)
• Implementation of the MEMORANDUM OF AGREEMENT on strict com-
pliance of ‘NO ID-NO ITEM’ policy to traders and licensed dentists only
purchase of dental instruments and materials.
6. PURSUE GROWTH AND LEARNING ON ACHIEVEMENT OF HIGHER
LEVEL OF DENTAL EDUCATION (PAGPAPATAAS)
• Establish several broad strategies for growth in their professional status
which include training and education resources
• Minimize SOCIAL AFFAIRS, Maximize DENTAL ACTIVITIES
• Continuing Dental Education Programs: Locate exceptional speakers,
plan topics and lectures in a yearly program. FOCUS On: Clinical Case
Presentations and Applications of topics discussed.
7. COORDINATE AND COOPERATE TO THE RIGHTFUL AUTHORITY
TO ELIMINATE ILLEGAL PRACTITIONERS (PAKIKIPAG-UGNAYAN)
• Observance of ethical principles and professional standards that establish
the highest professional and individual behavior and integrity
8. NEW OPPORTUNITIES FOR DENTISTS AS ENTRE-
PRENEURS AND BUSINESS ORIENTED INDIVIDU-
ALS (PAGBABAGONG- BIHIS)
• New horizons on growth and development not
just on the dental profession but to venture on
other opportunistic business
• Highlight future programs that would col-
laboratively open doors on business op-
portunities
• COOPERATIVES must be
opened to all chapter and affiliate
Dr Carlos Buendia
Kay BUENDIA, Angat
Pinoy Dentista!
Seeking for your trust, I lay down my mission to our members not only to court your votes but to provide you an-
swers to your long drawn frustration in our association. As President Elect, I aim to be a beacon of commitment,
honesty, integrity, perseverance and prudence and a conscientious servant of the association. My efforts will not be
measured by who I exclude but rather by who I include in pursuing vital interests, related to improved oral health-
care that benefits the public.
First, I speak among our doctors who have the same philantro-
phy as mine. The need for a Cleft lip and Oral Cancer Founda-
tion has been my aspiration as your president - elect. Throughout
my professional career, both as private and public servant of the
association, I plan to establish a self sustaining foundation that
will reserve and preserve the funds allocated and acquired mainly
for its beneficiaries and the programs implemented dedicated to
cancer striken patients and patients with cleft lip. This will allow
the association to be independent from the strong arm of several
private companies regaining the foothold of the PDA.
Second, to improve and seek the welfare of our goverment den-
tists which include endowment benefits and retirement packages.
Third, my hope is to provide additional benefits to our general
members which include frequent dental education programs or
seminars throughout the country. Choosing lecturers / speakers
with good educational background and expertise in mentoring and
public speaking, This will provide our doctors an effective medium
for continuing dental education having the confidence that their
acquired knowledge is from reputable resource speakers.
Most importantly, I will include programs that will aid our mem-
bers who are and will be inflicted by the cudgels of mother nature
through our disaster assistance program.
Platform
My platform is clear and simple. Good Governance during my lead-
ership that will be manifested to all members; Have a Research for
evidenced based practice of dentistry in cooperation with various
specialty groups for better continuing education; Efficient financial
management that will deliver transparency among the members,
Effective campaign against illegal practice of dentistry; Nurturing
friendly relationships from the president down to the last member
of the PDA for a more productive and better performing members;
Truthful and ethical administration; Equal treatment regardless
of party affiliation; Adherence and obedience to PDA Constitution
and Bylaws, Membership empowerment.
1.What do you think should a true leader of the PDA possess?
SINCERITY-Your willingness to serve the PDA constituents with
humility.
INTEGRITY- to maintain a high ethical standard in all aspects of
life
STRENGTH OF CHARACTER - To be firm with decisions that
will uplift the image of PDA and that you will not be persuade by
other people.
2.What’s the first order of the day for you as soon as you sit
as President of the PDA? Or to paraphrase : What’s the first
thing you intend to do as soon as you sit as PDA President?
As the new PDA President I will seek for unity of all members of
the Board regardless of party or color affiliation. The problems of
the PDA cannot be solved by a few people alone. We must be
united in our vision for excellence to ensure a bright future for Phil-
ippine dentistry. That has been my aspiration from the beginning
of my campaign. Equality will bear peace and unity.
3.What do you value most? Your loyalty to your party or your
loyalty to the PDA?
Loyalty to PDA begins when Loyalty to the Party ends. We are all
Dentists belonging to one national association which is the PDA.
Regardless of party affiliation, we all must adhere to the fact that
the our heart and mind should only be for the betterment of the
PDA constituents. One Heart, One Mind, One Soul, One PDA
C
POWER
CLINICS
March 2016 • DENTAL ACCESS • 1514 • DENTAL ACCESS • March 2016
photo: Dr David Alesna
Dr David Alesna is the newest addition to Dental Ac-
cess’ advisory board members. He is the past presi-
dent of Cebu Dental Chapter in 2004 and is one of the
founders and owners of Green Apple Dental Clinic.

SILENT
SAMARITANS
Jhing B. Chua-Sy, DMD
o fanfare. They practically slip into the coun
try from time to time, armed with dental and medi
cal supplies, trekking their way to rural areas and
far-flung regions and quietly doing their share to alleviate
whatever dire need their less fortunate countrymen can’t
normally afford – dental and medical healthcare.
The Philippine Medical Mission to the Kingdom of Saudi
Arabia (PMMKSA) was originally a team of healthcare
professionals who contributed and provided the needed
healthcare to both the military and civilian personnel in-
volved in the Gulf War’s Operation Desert Storm in 1990.
The Philippines’ Department of National Defense was
tasked to form the group when then Senator Santanina T.
Rasul sponsored a bill that would form the contingent as
part of the country’s humanitarian mission as a member of
the United Nations.
At the conclusion of the group’s mission (for which they
helped save thousands of lives), the group members went
on their separate ways and practically lost communication
with each other. It was only in the advent of social media,
specifically Facebook, where nearly all of them re-connect-
ed.
A mini reunion then ensued on August 3, 2012. Then De-
fense Undersecretary Romeo T. Hernandez and his trusted
aide, Dolores “Dolly” Cardinales, challenged the group to
continue with their spirit of volunteerism. Their mission,
after all, does not end even after the Gulf War has.
So after 23 years, the group reorganized themselves. Rely-
ing on donations sourced from friends and colleagues alike
in the States, they rose to the challenge with a medical-den-
tal mission on June 19, 2013 in Camarines Sur and another
on June 29, 2013 at Barangay Patadon, North Cotabato fol-
lowed by a mission at Barangay Taluksanay in Zamboanga
City on April 15, 2015. Back then, they decided to put order
into their organization by electing among themselves the
officers who will handle the affairs of the group.
Founding member Amie Dizon Banawis, a dentist, was
elected President. Priscila Cruz, a pharmacist, as Secretary
and Registered nurse Ariel Filio as Treasurer. The consult-
ant of the group was Francisco Altarejos, MD. Remedy
Medina, a Medical Technologist is also a founding member.
While the medical-dental mission of the group was re-
vived, it nonetheless became a sporadic occurrence since
most of its members who were scattered across the globe
became busy with their individual lives.
But because volunteerism is very hard to take out of one’s
system, a handful of them were determined to pursue
their mission relentlessly, motivated by the desire to con-
tinue what they have originally started.
PMMI’s Mission statement is “to provide healthcare assis-
tance to areas hit by natural calamities, civil unrest and devas-
tations; to reach out to remote and far flung communities that
need healthcare services.; to provide lasting impact by using
healthcare and education to empower individuals and promote
volunteerism to build stronger and better communities;” with
the vision “that people who are isolated from the progressive
communities will have the opportunity to enable themselves
and help build their own communities into a stronger unit of
society”.
photo:
Sitting L-R
Ms Elena Perrut,
Dr Maria T. Solis,
D r Renato Reyes
Standing L-R
Mr Mufti Hasan,
Mr Remedy Medina
Their main source of support to fund their lined-up projects
come from their numerous friends, colleagues, and acquaint-
ances who have seen their group’s effort in bringing their pro-
fessional expertise and committing their valuable time to their
underprivileged countrymen who are the beneficiaries of their
organization. As soon as the groundwork for a mission has been
laid, they spend their own money to come back to the country
and trek to the hills and mountains where most of the recipients
have never seen a dentist or a doctor in their entire lives or even
if they did, it would be the proverbial once-in-a-blue moon.
Some of the in-kind donations for their intended beneficiaries
are also brought back to the Philippines. But mostly, they pur-
chase the much needed materials and supplies for their dental
and medical missions here in the country to minimize baggage
costs. They make sure that the monetary contributions are spent
wisely and fully accounted for with proper notifications to their
donors and contributors.
Theirs is an act that remains unnoticed. They silently do their
share because their spirit of volunteerism far surpasses whatev-
er personal convenience they may have. Silent. Quiet. No trum-
pets announcing their arrival. No fiesta banners greeting their
presence. No mini Philippine flags to welcome them everytime
they set foot on our soil. Only the smiles and whispers of grati-
tude from the recipients for their kindness and gracious hearts
that has started to create a ripple effect in many of the barrios,
sitios and obscure municipalities in our archipelago.
When all is said and done, the Providence Mabuhay Mission,
Inc. volunteers go back to their now declared homes abroad,
spent and tired and sometimes heart-broken with the many
woeful stories that are shared to them by the poor and down-
trodden. But still, their hearts are not without gladness. They
know that whatever aid they have provided, though miniscule
by society’s standards, is something that has given hope to the
people they served and will serve for many more years to come
These silent Samaritans continue to live up to their organiza-
tion’s tagline of
“pursuing happiness by helping others”.
The rewarding feeling it creates is immeasurable as much as it
is priceless. DA
It is that deep yearning that has given birth to the group,
Providence Mabuhay Mission, Inc. (PMMI)
An off-shoot of the PMMKSA, it is composed of some
of the old members who are mostly based in the United
States. The founding members Renato A. Reyes, M.D.,
MBA, FACP (CEO & Chairman), Maria T. Solis, D.M.D.
(Board Treasurer) and Maria Elena Suarez-Perut, RMT
(Board Secretary) were joined by volunteers Mufti G. Has-
san Jr. MT (AMT) (Vice Chairman) and Remedy Medina,
CLS (Board Member).
N
SPECIAL FEATURE SPECIAL FEATURE

The
of TARLAC CITY
WARRIORS
henever I hear a group of plebeians
who conduct charitable functions in far
flung areas, I always imagine a group of Non
Government Organizations, physicians, dentists
and barangay health workers who come to the aid
of the indigents, all geared up with their scrub suits
or white jackets while being couped up in the gym
with electric fans and a long line of patients. Carry-
ing with them are stethoscopes for physicians hung
around their necks while dentists are lined up with
their instruments on the side table ready to pull out
teeth.
But with the Tarlac Dental Chapter (TDC), together
with DepEd Dentist II and PDA Regional Coordi-
nator Dr Germilyn Guiao, and Dr Madeline F. Obi-
ena Dentist in Charge of DepEd Tarlac Division and
Chairman of Bright Smile Program, they roll a dif-
ferent beat.
W
Instead of the the usual companions, they are escorted by the Tactical
Group 3 of the Philippine Air Force (PAF). Instead of having the missions
in the city, they go to the mountains to reach out to these schools. Instead
of having the common activity, (tooth brushing drill, oral health awareness
and dental treatment) they developed programs that revolves around the
needs of a child holistically. These activities include feeding programs, kit
for kids, dedicated to school children combined with proper grooming all
done during the culminating activity of the Indigenous Program.
Witnessing this, the opportunity to visit Tarlac City in Capas and explore
the day to day life of these doctors as they move from one school precint
to another is an eye opener for our association. As I watch them in action
under the heat of the sun, I told myself that I could not imagine doing this
on a regular basis. This entailed a lot of hard work, dedication and sacrifice.
Almost every week, these group of doctors brave the roads and embrace
the dangers of travelling to and from these schools in the mountainous
portion of Tarlac. Armed with nothing but their instruments and courage
clutched underneath their skin, they readily reach out to these indigenous
groups all in the name of charity. Through the support of the benefactors
and partners of this program namely the Provincial Government of Tarlac,
DepEd Schools Health Division of Tarlac Province, Air Force of the Phil-
ippines - Tactical Operations Group 3 and PDRRMC, these children are
given a fighting chance to do better at school in preparation for the future.
“These children have been receiving our program since it was implement-
ed by the DOH and DEPED. It was concluded that these programs make
a tremendous impact in their performance at school. If a child doesn’t eat,
then what will the brain translate knowing there is no energy generated
from the body.” Explains Dr Germilyn Guiao.
Going to Maribago School, it was half an hour to an hour drive from Tar-
lac City. Manning the wheels, Dr Germilyn Guiao drove easily across the
mountains past the dirt road like a pro. It seemed like an everyday life for
her to go from school to school but along the interview, she confessed
how challenging it was especially when she was president of Tarlac Dental
Chapter in 2014.
“How were you able to outsource the Tactical Group of the PAF and be
part of your missions?”
“It was through my persistence. I just never gave up even when there were
road blocks. I just never stopped asking for help even from my friends.” Dr
Guiao smiled.
“We have managed to hold successful programs in Tarlac including the
Bright Smile Program which is a PDA initiated project. It is part of our
advocacy to exercise and bring into play a zero cavity environment among
the children at schools. The school mainly the teachers can greatly influ-
ence their attitude and behavior which is why we are active in claiming this
project as our front - runner.” added by Dr Madeline F. Obiena Dentist in
Charge of DepEd Tarlac Division and Chairman of Bright Smile Program.
“When your vision is of pure intention, everything will fall in the right
places. Assistance will come knocking to your aid and the people around
you will want to participate and join your cause.” Dr Carolina Pauco ex-
plains during the culminating activity.
Today, joining their cause in promoting goodwill to humanity are the
same group who escorted them during their activities which is the Tactical
Group 3 of the Philippine Air Force. Inspired by the chapter’s initiative,
they too conduct oral health and social related activities that is aligned
with the TDC’s direction.
Thanks to the efforts the Philippine Air Force namely LTC Joseph P. Arc-
hog PAF Tactical Operations Group 3, the TDC are able to extend its as-
sistance to those communities that were difficult to reach. Their support
has been a valuable contribution to the community of Tarlac and yet they
remain unrecognized for their gallantry.
If two heads are better than one to lead a country, then this saying holds
true to our new heroes of Tarlac. The joint efforts of these outstanding
groups, the TDC, the PAF, DepEd and DOH is a victorious combination
that fights for the future of these children. An educator, a leader and a war-
rior, all rolled into one fearless chapter found right in the heart of Tarlac.
DA
PROFILER PROFILER
A New League of Heroes
Charity is the heart of every successful program.
Each successor of the Tarlac Dental Chapter possess a semblance of true
leadership. Partnering with the DepEd dentists Dr Guaio and Dr Obe-
nia, the Tarlac Dental Chapter are among the premier dentists who do not
lead their members rather they mentor them as future leaders of the com-
munity. Furthermore, they engage their members into community service
because they believe that social responsiblity is among the key factors that
drives growth in our nation.

The Link
to the
Future
of
Dentistry
Dr Harris T. Co
e attend the annual Dental Convention to hear lecturers here and in other
countries. We also participate on various table clinics and most of us take
a few hours purchasing dental materials at the trade exhibit. What must
we install in our dental office to facilitate progress and effitciency for our
practice? Significantly almost all additions will play a pivotal role in our office, hence
there is technology and we must adapt to this innovation to uplift our effectivity of
service. So how does a click sound that will show all the details of our patients medi-
cal and dental history?
We joined the introduction of the latest dental innovation here in the Philippines,
whereby answering the needs of our dentist from different sectors. Electronic Health
records are widely used among hospitals and medical practices, to collaborate patient
clinical information in a quick, accurate and most importantly secure manner. This
also enables a practitioner to keep track of all information of the pa-
tient in his electronic device. No longer will there be a need
to track down X-rays taken from a diagnostic center, or
ask our secretary to search for files and record of
patients from years back. Information of each
person will be made available in a touch of a
button, complete medical and dental his-
tory will pop out which will lead to a
more substancial treatment decision.
Radiographs, Photos, Cast re-
cords and analysis can be kept
singularly along with the indi-
vidual tooth record. Progress
reports are cached and can
only be accessible by the
dentist.
The all-in-one application of Dental Electronic Charting arrived in the Philippines
more than a decade ago and through its President Engineer Wouter Martin Put with
the assistance of Dr. Clarissa Jane Pe as their Philippine consultant, the system pro-
vides a platform that is friendly to all dentist and dental service providers. This will
enable a smooth transition from bulky records to paperless filing. In addition, it will
create a concise yet solid data for our dentists, most especially from government
health sectors to collect information about patients’ statistics that were flawed by
their usual dental charting. From the perspective of the dentist and the dental team,
the technological issues are easily addressed by selecting a software with the most
relevant feature and oversimplification to bridge the gap of technology. While there
are other instruments that were made available earlier, the dental charting provides
upgrades periodically following the consumers demand making this the larger ad-
vantage of dental charting. A patient’s complete electronic medical and dental record
captures image data such as panoramic xray, cephalometric xray,
periapical xray and these images are appended to the clini-
cal chart entries, periodontal chart, treatment recom-
mendation and treatment done. Thereby, a prop-
erly configured program will be he hub for all
the patients records. It will allow dentist to
perform data entry and query from the
same user interface in just a click.
The Dental Electronic Charting pro-
vide dentist with everything they
need to operate their offices func-
tionally. From the baseline, it
has preloaded 60 presets chart
statuses, it can easily make a
schedule of including what
treatment that needs to be
done, and alerts dental
secretaries to notify them
of the patients upcoming
dental visit.
It offers dashboard to
instantly give a birds eye
view of the scheduled ap-
pointments, it presents the
clinic daily income for the
past 30days and inform the
top patient’s with outstand-
ing balances. Dental eChart-
ing has a function much like
that of spell check however this
is what they call fast intelligent
search which has a almost 3000
pre-loaded dental procedures, den-
tal materials, chief complains, sign and
symptoms and diagnoses and prescription
which can be printed. What tops this is it is
customizable to fit the operator, and the presets
are updated regularly.
ernment and Private Dentists held last February 25. The event was made possible by
the Overall Chairperson Dr. Germilyn A. Guiao, FPFA,RDH,RN from PDA-Region
III, Regional Coordinator.
2015 PDA-President Dr. Malou Manalac Coronacion graced the monumental event
along with Dr. Anna Liza Anoos Lerio, Chairperson of PDA- Adopt a School Pro-
gram, and Dr. Clarissa Jane Pe, Chairperson for PDA-eCharting. The Zambales,
Nueva Ecija, Tarlac Dental Chapters Presidents and representatives, Cabanatuan
Health Office Dental representative were among those present to learn of these latest
dental innovation.
To implement this new system can take years to grow in the region, however it is
always said that new doors open new opportunities. The next step is up to you. DA
With all the functionalities of Dental eCharting, this
will in turn present compelling treatment plans which
can boost the sale of the clinic. As this operates more
effectively, extracting the use of papers significantly.
Dental secretaries would have a manageable task as the
patient record and finances can be viewed in an instant.
Moreover it avoids hard copy document crowding and
it is ISO 9000 certificated.
This innovative system and development paved the way
for Dental Charting to tie up with the Department of
Education Schools Division in Tarlac Province Adopt A
School Program Regional Electronic Charting for Gov-
W
PROFILER

There is an increasing number of patients who are seeking orthodontic care because of the orthodon-
tic impact to the facial esthetics ( giving the patient a better facial profile), correcting malocclusion,
treating temporo-mandibular disorders and sometimes for facilitating other dental procedures. Unfor
tunately, many of these patients tend to transfer from one dentist to another because their dentist was
not able to solve their problems.
When these patients are asked how long did they stayed with their previous dentist, they would usually
answers 2 to 5 years and that nothing has happened. Yes, they will tell you that their teeth are somehow aligned,
yet, their profile has not improved. And when you will check their occlusion it will be revealed that it is not ac-
ceptable.
So what goes wrong?
Based on our experience from our practice, these patients, usually seek consultation with us on what
should be done in order to correct their problem. It is in our practice not to accept orthodontic patients who are
currently under any dentist care. So we usually ask them to seek a clearance or a release form from their previ-
ous dentist before we can accommodate them. Fortunately, some of them are released by their previous oral
care provider. But unfortunately, there are no records to release. No pre-operative radiograph, no pre-operative
study cast, no pre-operative intra and extra photograph and sometime (if not too often) even the history of the
orthodontic treatment is also not available.
Another problem that we have seen is that there are dentist who just send their patient’s cast to an orthodontic
material supplier. And once the casts are sent back to them, a set of bracket with a series of arch wires are also
sent with the instruction on when to use or change to the next arch wire. With this method, again, cast alone will
not give us the overall information that we need in order to understand our patient’s condition.
So this is what causing the failure of treatment in the first place. Many practitioner neglect the impor-
tance of diagnostic records and most frequently, the findings we can get once we do the analysis of records.
Without acquiring a preoperative diagnostic record, one will not be able to identify the underlying problem/s
that causes the deformity or deviation of the patient’s oro-facial parameters. If underlying problems will not be
properly identified, a good diagnosis is not possible, and to top all these, a treatment plan specific for a patient
cannot be formulated.
Putting brackets on is not the first step in an orthodontic treatment scenario. Technically, the very first
step in the patient’s orthodontic treatment is the record appointment. This is when the orthodontist will gather
information to determine the patient’s orthodontic needs. It will all start with an interview so that the patient
can provide crucial information regarding the history of the chief concern and information related to overall
health issue of the patient. This will be followed by Clinical examination that will include assessment of the intra
and extra oral condition of the patient which will eventually help determine what other diagnostic records are
needed.
Typically the basic orthodontic records include medical and dental history, clinical examination, diagnos-
tic cast, intra and extra oral photograph, opg x-ray, lateral cephalogram and some other appropriate x-ray. All
of these records will offer a wealth of very important information about the patient’s condition. Each of these
records must be properly analyze to uncover the underlying orthodontic problems. Each problem must be put
on a data base for further analysis in order to come up with a sound diagnosis. If a sound diagnosis has been
made, it will be easier for the practitioner to formulate a quality treatment plan for the specific patient.
With all these, I encourage all orthodontic practitioners to give ample time in doing record analysis.
Through this method, we will be able to understand the needs of the patient and eventually provide them with
a high quality of service which will end up in a successful treatment and a happy patient.
About the Author
Dr Brian Esporlas is an alumnus of Centro Escolar University College of Dentistry batch 2004 March. He pursued his post graduate
education at his alma mater in 2009 where he graduated and took up a degree in Science of Dentistry, Major in Orthodontics. In 2014
he made his country proud when he was chosen to be among the Presenters for the Poster Board at the Hong Kong International
Dental Exhibition and Symposium (HKIDEAS). In 2015 he present two more posters for the HKIDEAS that was followed by his induc-
tion as a Fellow member of the Pierre Fauchard Academy. Today he continues his doctorate degree in Philosophy in Development
Administration at the Philippine Christian University and is an assistant professor and Chair for the Faculty Development at the
University of Perpetual Help System Dalta in Las Pinas City.
T
The Significance of
Orthodontic Diagnostic Records
Dr Brian E. Esporlas
In creating your orthodontic image, planning and implementation play key roles in achieving success. Prescheduling patients in their next
appointment and communicating with them repeatedly increases the chance of their commitment to the next visit. Continuing care and
preventive measures improve the dental practice and allows the patient to realize the importance of routine orthodontic scheduling. Look-
ing inside the four walls of your dental clinic conveys an environment of your genuine desire to improve and positively create an image of
pleasant personality and verbal skills.
Ciardello and Janssen suggests that if patients aren`t being retained in your dental care, consider the causes. They often include:
1. The practice needs more patient education on the value of preventive care (short- and long-term benefits to patients).
2. The dental clinic constantly moves the appointments.
3. Staff or dentist need improved patient service skills and chairside manners.
4. Patients perceive the fees to be too high; fee rebuttals are weak.
5. The appointment is uncomfortable, clinically-speaking.
6. Patients constantly are reprimanded for poor home care.
7. There are frequent changes in staff.
8. The patients are kept waiting too long in the reception area or dental chair.
9. The clinic environment is stressful and disorganized.
10. The recare system isn`t supported by the doctor and entire team.
11. The practice needs verbal skills-training.
12. There`s no time to follow up on lost patients each week/month.
Emphasis has been made that the clinic’s RECARE system must be considered ROCK SOLID!
The best hours to make recalls are Monday-Friday between 4pm-7pm and Saturdays between 9am-12nn. Progress appointment system must
be with right timing and consistent in their schedule system. Information includes: Clinic Name, Date, Time, Message and Confirmation.
(DENTAL AVENUE: It’s time for your BRACE CHECK! We need to adjust your brackets and wires to make your teeth straight! Your sked
is on {date, day ,hr. eg. Jan 18 Tues 10am.]Pls. text to confirm.)
All dental practice needs sustainability to grow and receive new patients. Pre-appointing them is the initial and foremost rule to
maintain your pools of patients and allow your orthodontic treatment to finish well. Your potential increase of investment lies on your con-
sistent and persistent care to patients.
Develop an image and improve communication schedule thru a monthly calendar set up. Compliance is 100% when patient already
perceive that the next schedule is already in their cellphone alarm. Immediate impact is gained when after their orthodontic appointment
you thank them for their presence in the dental office.(DENTAL AVENUE: Thanks for the privilege to treat you in your orthodontic care.
We look forward for your staighter SMILE! Next sked is on _________(date,day,hr). See you then. Great day!)
To start right and end well in orthodontics, an effective and positive recall system must be implemented in the dental office. Surely,
taking care of minute details and concerns will potentially increase your dental offices’ revenue. Mark it!
References: Denise Ciardello and Janice Janssen ‘Recall ... the heartbeat of the dental practice’
Miles,Linda L.CSP,CMC ‘The Lost Patient Syndrome’
A well-designed orthodontic
recall system Dr Maridin M.Lacson,IBO,MSD Ed
Dr Maridin Munda-Lacson is a Diplomate of the International Board of Orthodontics in New York University and a Board Ex-
aminer for Orthodontics. She is an alumna of of the UE College of Dentistry graduated with honors including the Most Distin-
guished Dental Clinician in 1992. Currently she is a Faculty of both the Univeristy of the East College of Dentistry at the Post
Graduate Orthodontic Department and NYU College of Dentistry at the Department of Biological Science.
About the Author
CLINICAL
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