Hong Kong Society of Periodontology and Implant Dentistry




HKSPID Study Group 2017

Chemical Plaque Control - from evidence to practice

 

 

Date:

14th June 2017 (Wednesday)

Time:

7:30-10:30pm

Venue:

7/F, Prince Philip Dental Hospital

34 Hospital Road, Sai Ying Pun, Hong Kong.

Chairpersons:

Dr. Ngai Kwai Shing Vincent

Format:

To gather a group of clinicians with the relevant expertise or interest to discuss on the issue of concern

Aim:

Through structured critical discussion on the relevant evidence during the process, to produce clinically useful comments, recommendations, guidelines, or consensus statements on the concerned issue

 

From left to right: Dr. Clive Fung, Dr. Chung-Yin Leung, Dr. Yuen-Kwan Tse, Dr. Man-Ha Chan, Dr. Douglas Chong, Dr. Sin-Tsoi Ng, Dr. Sui-Cheung Sum, Dr. Annie Chan, Dr. Becky Woo, Dr. Trustin Choi, Dr. Wilson Lin, Dr. Kelvin Wan, Dr. Cheuk-Kuen Cheng, Dr. Hok-Ling Wong, Dr. Henry Liu

 

Discussions

 

l   It was found that many studies on chemical plaque control involve certain amount of bias and heterogeneity.

l   In a comprehensive review “Efficacy of adjunctive anti-plaque chemical agents in managing gingivitis: a systematic review and meta-analysis” by Serrano et al.in 2015, it stated that: “Regarding the independency of the study, in terms of funding and authors, most of the studies were economically supported by private companies with commercial interests in the results, which were clearly stated in the paper (n = 43) or was evident due to the presence of employees of the company in the list of authors (n = 31). Independent researchers (e.g. university staff) were authors in 70 papers, but in 38 of them, they worked together with employees of the funding company (total, n = 53) and/or with staff from a private research company (total, n = 24). Considering as low risk of bias those studies with independent authors and funding, four had low, eight unclear and 75 high risk.”

l   However, with all the existing available evidence, it was found that chemical plaque control provides statistically significant additional benefit over the control groups

l   The clinical benefit varied with different agents and with different indices used in the studies.

The additional effects were statistically significant in terms of Loe & Silness gingival index (46 comparisons, WMD -0.217), modified gingival index (n = 23, -0.415), gingivitis severity index (n = 26, -14.939%) or bleeding index (n = 23, -7.626%), with significant heterogeneity. For plaque, additional effects were found for Turesky (66 studies, WMD -0.475), Silness & Loe (n = 26, -0.109), and plaque severity (n = 12, -23.4%) indices, with significant heterogeneity (Serrano et al. 2015).

l   Whether this benefit offer any clinical value is subjected to interpretation.

l   The studies didn’t address the cost-effectiveness issue

l   No specific recommendation for target group of patient who will benefit most from chemical plaque control

l   In many studies, participants in the control group were allowed to brush according to their normal regimen without proper oral hygiene instruction.

l   As early as 1965, Lo¨e et al. Showed, in the well-known “Experimental Gingivitis” study, that proper mechanical tooth brushing is effective in treating gingivitis.

l   Lang et al.(1973) demonstrated that students who thoroughly removed plaque at least every second day, did not develop clinical signs of gingival inflammation over a 6-week period. This included the use of inter-proximal aids (dental floss and toothpicks) as well as the toothbrush.

l   In the well-motivated and properly instructed individuals who are willing to invest the necessary time and effort, mechanical measures using traditional toothbrushes and adjunctive manual (inter-dental) devices are effective in controlling plaque. Although maintaining a dentition close to plaque free is not easy.

 

Comments and recommendations

 

1.      One should not rely on chemical plaque control to solve gingivitis problem. On the other hand, good mechanical plaque control can prevent and successfully treat gingivitis.

2.      Mouth rinse should not be recommended as the first line of management strategy for gingivitis.

3.      We recommend improving patients’ oral hygiene by mechanical tooth bushing and interdental cleaning.

4.      Toothpaste with antiplaque agent may be used as it does not involve extra procedure.

5.      Routine use of mouth rinse for everyone is not recommended.

6.      Mouth rinse may be used in certain clinical situations: (Whenever patient is unable to perform proper mechanical plaque control).

a.       Temporary use after oral surgery.

b.      Inability to clean at certain areas.

c.       Patient with reduced manual dexterity.

d.      When patients, due to various reasons, cannot achieve sufficient oral cleanliness after repeated exhaustive effort of oral hygiene instruction.

When prescribing mouth rinse, clinician should also take into account of the possible side effects and cost-effectiveness of its use.

 

In the Oral Health Survey 2011, 15.4% Hong Kong people believe mouth rinse can prevent gum disease but only 47.9% think that tooth brushing can prevent gum disease.

 

One should be careful when people over enthusiastically promote the effect of chemical plaque control, there is a risk that the public may misinterpret chemical plaque control agent as a powerful and essential agent that they can rely on, hence compromise the desire to improve their own tooth brushing. 

 

 



 


   

12th Asian Pacific Society of Periodontology Meeting

The 12th APSP Meeting will be held in Seoul on September 22-24, 2017.  

The theme of this meeting is "Contemporary concepts in periodontology and implant dentistry" and the scientific program will showcase the cutting edge advances in the specialty and highlight best researches from member countries. New basic and clinical research findings presented will invigorate you and help you better the health of all your patients. 

For more information, please visit the following webpage for more details

http://apsp2017seoul.org/main/main.php 


 


   

Hong Kong Society of Periodontology and implant Dentistry Ltd.

Annual General Meeting 2016

 

Date: 4th December 2016 (Sunday)

Time: 9:00-13:00

Venue: Jade Room, 2nd floor, Eaton Hong Kong. 380 Nathan Road, Kowloon.

 

 

And lectures by Prof. Maurizio S Tonetti

 

DMD (Genova, Italy), PhD (Berne, Switzerland), MMSc (Harvard, USA), FRCPS, FRCS(England)

Prof Maurizio S Tonetti, Clinical Professor and discipline co-ordinator in Periodontology at the Faculty of Dentistry, The University of Hong Kong and Executive Director, European Research Group on Periodontology (ERGOPerio). Formerly: Professor and Head, Department of Periodontology, School of Dental Medicine, University of Connecticut Health Science Centre. Professor and Head, Department of Periodontology at University College London – UK. Adjunct Professor, University of Berne – Switzerland, and University of North Carolina at Chapel Hill – USA. He serves as Editor in Chief of the Journal of Clinical Periodontology. 

 

Lecture 1

How to fully capture the benefits of periodontal regeneration to change prognosis of compromised teeth. State of the art practice.

 

Lecture 2

Winning the challenge of periodontitis: integrated preventive and therapeutic care pathway in primary and specialist practice.

 

Program:

9:00

Registration start

9:30-11:00

Lecture 1 + AGM

11:00-11:30

Refreshment

11:30-13:00

Lecture 2 and Periodontal Experts Panel Discussion

(Solely sponsored by GSK)

 

 

 Registration

 


  

 

Common head and neck pain that you would encounter in a dental clinic

Date: 11 November 2016 (Friday)
Time: 7:30-9:30
Speaker: Dr Sunny Lee (Specialist in Pain Medicine)
Venue: 7/F Lounge, PPDH 

Course fee: $500 (Free for members)

Light refreshment provided before and after the seminar



Profile

Dr Lee graduated from the Chinese University of Hong Kong. After finished his training in Anaesthesiology and Pain Medicine in Hong Kong, he went to Australia to pursuit further training in pain medicine. After practicing in Australia for some time, he went back to Hong Kong and became the first registered pain medicine specialist here. Currently, he runs his private practices in both Hong Kong and Australia. He is the pioneer in many areas in the field. For example, he is the only private practitioner providing services for spinal cord stimulation at present.


Abstract

Pain is a commonly encountered problem in clinical practice. It is considered as the fifth vital sign in modern medicine. Researches show chronic pain affects about 20% of population.
In the talk, the speaker would share with the audiences different aspects of pain medicine. He would explore some basic science of pain, principles of pain treatment, types and nature of analgesics and some commonly encountered chronic pain problems that may encountered by dentists.

  

Registration

Please complete this reply slip and send to Dr. Stanley Lai, Periodontology, 3B, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong on or before 9th October 2016.

Name: ___________________(Last Name)____________________(First Name)

Office Tel: ___________________ Fax : _____________________

Mobile: ____________________ E-mail: __________________________

Signature: ______________________________Date: ____________________

 


  

 

Notice for election of councilors

 

Five councilors’ terms of service will be expired at the coming Annual General Meeting held on 4th December 2016. One councilor resigns from her post. Together with three currently unoccupied posts in the council, nominations are now open for the election of 9 councilors (2016-2018) from the members of our Society.

 

Dr. Fung Kin Yue, Clive

- President

14-16*

Dr. Lai Man Lung, Stanley

- Vice-President 

14-16*

Dr. Tsang Yiu Cheung, Elvis

- Honorary Secretary

15-17

Dr. Tse Carl

- Honorary Treasurer

15-17

Dr. Ngai Kwai Shing, Vincent

- Publication Secretary

14-16*

Dr. Lin Wai Shun, Wilson

- External Affairs Secretary

15-17

Dr. Shum Hoi Yum, Irma

- Education Secretary

15-17#

Dr. Wong Sing Yan, Philip

- Councilor

14-16**

Dr. Chong Lai Hung, Douglas

- Councilor

14-16**

- Councilor

- Councilor

- Councilor

*term of service ended in 2016, subjected to re-election

**term of service ended in 2016, not subjected to re-election

# resigned

 

Nomination must be made in writing by using the nomination form provided below. The nomination must be proposed by one voting member and seconded by another voting member and signed by the candidate indicating that he/she is willing to enter the election. Please note that According to the M&A of the Society Chapter 14 (a), all councilors shall be ordinary members elected with recognized periodontal training and approved by the Council. The executive committee consisting of four persons who shall be chosen from amongst the elected Councilors as a President, Vice-President, Honorary Secretary and Honorary Treasurer who should be fully trained and registrable specialist in periodontology in Hong Kong.

Please send the completed nomination form to "Hong Kong Society of Periodontology and Implant Dentistry Ltd", 3B, Periodontology, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong. Completed nomination form must be received on or before 5:00 p.m. 28th October 2016.

 

 

Nomination form

 

 

 

We hereby nominate the following member as candidate for the election of the councilor of "Hong Kong Society of Periodontology and Implant Dentistry Ltd."

 

 

 

 

 

Nominee :

 

 

 

___________________

(Name in block letters)

 

 

____________________

(Signature)

 

Proposer :

 

 

 

 

___________________

(Name in block letters)

 

 

____________________

(Signature)

 

Seconder :

 

 

 

 

___________________

(Name in block letters)

 

 

____________________

(Signature)

 

 

                                                     Date: ___________________________ 

 

 

 

 


 

HKSPID Study Group 2016

 

The Role of digital radiographs in periodontal treatment planning

 

 

Date:

28th September 2016 (Wednesday)

Time:

7:00-9:00pm

Venue:

Prince Philip Dental Hospital

34 Hospital Road, Sai Ying Pun, Hong Kong.

Topic:

The Role of digital radiographs in periodontal treatment planning

Chairpersons:

Dr. Ng Sin Tsoi

Max. Capacity:

20 people

Fee:

$100 (refundable for members)

CME:

2 points as accredited by CDSHK (CPD as accredited by DCHK not applicable)

 

 

Dr. Ng Sin Tsoi

Qualifications

Bachelor of Dental Surgery, University of Hong Kong

Master of Dental Surgery in Periodontology, University of Hong Kong

Diploma of Membership in Periodontics, Royal College of Surgeons of Edinburgh

Fellow of the College of Dental Surgeons of Hong Kong in the Specialty of Periodontology

Fellow of the Hong Kong Academy of Medicine (Dental Surgery)

 

Awards

GSK Postgraduate Prize in Periodontology

 

Radiographic imaging is an essential part in diagnosis, documentation and treatment planning in periodontology. With the advancement of digital radiographic techniques, intra-oral and extra-oral films can be captured with very good quality in digital format. Digital radiographs provide several advantages over conventional film radiographs. Advantages include less radiation, time efficiency and the ability to transfer and enhance images. Cone beam computed tomography systems provide highly accurate 3D digital images of targeted periodontal defect. With the increase popularity of digital radiographs, would it make any different in periodontal treatment planning when comparing with conventional films.

 

Reply Slip

Please complete this reply slip and send to Dr. Stanley Lai, Periodontology, 3B, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, with a crossed cheque payable to "Hong Kong Society of Periodontology and Implant Dentistry Limited" on or 26th September 2016.

Name: ___________________(Last Name)____________________(First Name)

Office Tel: ___________________ Fax : _____________________

Mobile: ____________________ E-mail: __________________________

Cheque No.:__________________ Bank:_________________

Signature: ______________________________Date: ____________________

 

 

 

 


 

 

 HKSPID Study Group 2016


 

The Management of Periodontal Hopeless Teeth - Considerations on Retention or Extraction

 

 

Date:

29th June 2016 (Wednesday)

Time:

7:00-9:00pm

Venue:

Prince Philip Dental Hospital

34 Hospital Road, Sai Ying Pun, Hong Kong.

Topic:

The Management of Periodontal Hopeless Teeth - Consideration on Retention or Extraction 

Chairpersons:

Dr. Annie Chen 

Max. Capacity:

20 people

Fee:

$100 (refundable for members)

CME:

2 points as accredited by CDSHK (CPD as accredited by DCHK not applicable)

 

 

Dr. Annie Chen

Bachelor of Dental Surgery, University of Hong Kong

Master of Dental Surgery in Periodontology, University of Hong Kong

Advanced Diploma in Periodontology, University of Hong Kong

Diploma of Membership in Periodontics, Royal College of Surgeons of Edinburgh

Fellow of the Royal Australian College of Dental Surgeons

 

 

Periodontal disease is highly prevalent in Hong Kong population. Epidemiological studies also showed it being one of the major reasons of tooth loss. On managing periodontally compromised teeth, dentists often face the dilemma on deciding whether to ‘treat’ or to ‘extract’ them. Though various prognostic models and prognostic factors had been discussed in literature serving as recommendations or guidelines to facilitate decision-making process, the decision is not so straight-forward. ‘Hopeless’ teeth, as suggested in those criteria, might be maintained through periodontal therapy and the prognosis can be changed throughout the course of treatment. Revision on prognosis classification, prognostic criteria of teeth and their actual outcome; the possibility to maintain ‘hopeless’ teeth; and views on extraction or retention of teeth will be discussed in the coming study group.

 

Reply Slip

Please complete this reply slip and send to Dr. Stanley Lai, Periodontology, 3B, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, with a crossed cheque payable to "Hong Kong Society of Periodontology and Implant Dentistry Limited" on or 24th June 2016.

Name: ___________________(Last Name)____________________(First Name)

Office Tel: ___________________ Fax : _____________________

Mobile: ____________________ E-mail: __________________________

Cheque No.:__________________ Bank:_________________

Signature: ______________________________Date: ____________________

 

 

 

 


 

 

 HKSPID Study Group 2016


 

Is There a Limit to Non-surgical Periodontal Therapy?

 

Date:

17th March 2016 (Thursday)

Time:

6:30-8:30pm

Venue:

Prince Philip Dental Hospital

34 Hospital Road, Sai Ying Pun, Hong Kong.

Topic:

Is There a Limit to Non-surgical Periodontal Therapy? 

Chairpersons:

Dr. Lam Wai Fung Brian

Max. Capacity:

20 people

Fee:

$100 (refundable for members)

CME:

2 points as accredited by CDSHK (CPD as accredited by DCHK: not applicable)

 

Dr. Lam Wai Fung Brian

Qualifications

·           Bachelor of Dental Surgery, University of Hong Kong

·           Master of Dental Surgery in Periodontology, University of Hong Kong

·           Diploma of Membership in Periodontics, Royal College of Surgeons of Edinburgh

 

Awards

·           Dental Alumni Association Prize, 2006 – 2007

·           2nd runner up, GC – SEAADE Student Prevention Program Competition, 2007

·           The Hong Kong Society of Periodontology and Implant Dentistry (HKSPID) Award, 2014

 

 

Nonsurgical periodontal therapy has long been the first line treatment for periodontitis. It aims at removing bacterial plaque and calculus deposits on diseased roots in order to re-establish biologically compatible environment for healing. However, sites with deep probing depths and those associated with furcation involvement may not respond as well. Over the years, modifications to conventional nonsurgical therapy have been suggested, such as the full mouth debridement approach. A wide range of adjuncts, including antibiotics, have also been used to improve the therapeutic outcomes. Can these be applied in our daily practice to overcome the limits of nonsurgical periodontal therapy?

 

 

Reply Slip

Please complete this reply slip and send to Dr. Stanley Lai, Periodontology, 3B, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, with a crossed cheque payable to "Hong Kong Society of Periodontology and Implant Dentistry Limited" on or 14th March 2016.

Name: ___________________(Last Name)____________________(First Name)

Office Tel: ___________________ Fax : _____________________

Mobile: ____________________ E-mail: __________________________

Cheque No.:__________________ Bank:_________________

Signature: ______________________________Date: ____________________

 


 


 

 

 

 

 

 

 

 

Spring Dinner 2016


Date: 26 February 2016 (Fri)

Time: 7:00 pm

Venue: Fung Shing Restaurant

European Asian Bank Building, 749 Nathan Road, Prince Edward, Kowloon.

Fee: $ 200 per member or spouse,

$ 100 per dependent (free for children under 3 years old, not requiring seat)

$ 700 per guest

You are cordially invited to join the spring dinner of our society. Please send a crossed cheque payable to “Hong Kong Society of Periodontology and Implant Dentistry Limited” to secure your registration. Seating will be on a first-come, first-served basis. We wish you all a prosperous Year of Monkey!




Reply Slip

Please complete the reply slip and send to Dr. Stanley Lai, 3B, Periodontology, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong before 19th Feb 2016.

Name:________________________________________________________

Office Tel:_____________________ Mobile:________________________

E-mail:________________________________________________________

Number of accompany spouse and dependent(s):____ Children under 3 years old: ____ Guest(s): _____

Bank: ______________________ Cheque No: _____________________


Membership Renewal Reminder


Please be informed that the membership for the year 2014-2015 has been expired. To continue to enjoy our member’s benefit and to share the experience with like-minded people, simply renew your membership by filling the renewal application form and send to us with the required fee. Your continued support is essential to us. Please act now!

*Please ignore this message if you have already renewed your membership and thank you very much for your support!


*Please feel free to contact our secretary at WhatsApp (6620 9053) or e-mail to check your membership status.



 

 

 

 

 

 

 



Standard Chartered Hong Kong Marathon 2016
Business Challenge

2016渣打「中小企馬拉松盃」

Race Day: 17th January 2016 (Sunday)

The early registration of the above event will start soon. For those HKSPID members who are interested in participating in the event as our HKSPID Marathon Team Member, please let us know as soon as possible, so that we can streamline your registration with the event organizer. Remember! Places are limited.

Let’s get ready before the race day!

 

 
 
 
 
 
 
 
 
 

          

 

 

Position paper on interrelationship of diabetes mellitus and periodontal disease

糖尿病與牙周病相互關係立場書

               

   香港糖尿聯會與香港牙周病學及植齒學會攜手發表   


 10th June 2012

 

 

 Pamphlet - Chinese Version  Pamphlet - English Version
 The Full Position paper - Chinese Version  The Full Position paper - English Version

 

                          

 

Executive Summary

Diabetes mellitus (DM) and periodontal disease are chronic conditions prevalent in Hong Kong and evidence suggested that a bi-directional relationship could exist between the two diseases.

Both DM and periodontitis can elicit inflammatory responses that mediate the damage on tooth supporting tissues and adversely affect the general health of the patients with diabetes.

DM increases the risk and severity of periodontal disease and could compromise the response to periodontal treatment especially when glucose control is poor.

Control of periodontal infection could potentially improve diabetic control and hence attenuate the development of diabetes complications.  

 

Recommendations

  1. Health care providers should understand the effects of diabetes on periodontal tissues and the possible impact of periodontal disease in patients with diabetes.
  2. Dentists should facilitate the identification and referral of un-recognized cases of DM in dental offices. They should also control oral infection in all patients with diabetes especially those with severe periodontitis so as to reduce the inflammatory burden experienced.
  3. Physicians should recognize the clinical presentations of periodontitis, enquire on its symptoms and consider oral inspection so that patients with diabetes who developed oral complications could be promptly referred to dentists for treatment.
  4. Medical and dental professions should collaborate in arranging proper management of patients with diabetes in particular those with periodontitis.
  5. Patients with diabetes should maintain good oral health and optimal glucose control and seek regular dental check up to minimize the adverse impact of the chronic diseases on general health.
  6. Government should provide adequate resources in promoting oral health and awareness of periodontal disease in patients with diabetes; support future researches on the interrelation of both chronic diseases; and provide a platform to facilitate cross-referral between medical and dental professions for the provision of comprehensive diabetes and periodontal care.

 

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