The document announces a symposium on Minimally Invasive Cosmetic Dentistry (MiCD) presented by the Philippine Academy of Esthetic Dentistry (PAED) on February 21, 2010 in Manila, Philippines. The symposium will provide attendees with an understanding of MiCD through various presentations and demonstrations highlighting its principles and importance in dental practice. Speakers from Asia and the United States will discuss topics like smile design, caries treatment, adhesive materials, digital documentation and orthodontics. Attendees will also have the opportunity to become MiCD members through PAED. The goal is to help practitioners enhance their practices by adopting MiCD's phased treatment approach to achieve aesthetic outcomes while preserving tooth
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PAED Symposium Presents MiCD Treatment Options
1. presents
Symposium
in conjunction with PAED Induction
21st February 2010 (Sunday)
New World Renaissance Hotel
Makati City • Manila
2. 08:00 am ~ 08:30 am Registration
09:00 am ~ 09:15 am Welcome Address (from PAED)
Introduction
Program
09:15 am ~ 10:30 am Smile Design and Integration of MiCD
as a Treatment Option
PAED welcomes you to the first MiCD symposium in Asia, where Dr. Sushil Koirala (Nepal)
the audience will comprehend the essence of Minimally Invasive 10:30 am ~ 11:15 am “Downsizing” Caries Treatment to Prolong
Cosmetic Dentistry (MiCD) with many valuable take-home tips Tooth Life Dr. Ko Hinoura (Japan)
that will help to enhance the quality of their daily practice. 11:15 am ~ 12:00 am “Practical Aspects of Selecting
Minimally Invasive Cosmetic Dentistry”
The recent paradigm shift towards a want based dentistry
Dr. Jeffrey Seow (Singapore)
created on the patient’s demand has revolutionized the treatment
12:00 pm ~ 1:00 pm Lunch
protocols with a more destructive approach to achieve predictable
1:00 pm ~ 1:45 pm Creating The “Super Tooth” with
aesthetics in a short period of time. MiCD is a movement that
Innovative Adhesive Material For
advocates a phased treatment protocol to preserve sound tooth Achieving MiCD Treatment
structure while still achieving the desired aesthetics outcome Prof. Junji Tagami (Japan)
with the best interest of the patient. 1:45 pm ~ 2:30 pm Case Documentation in MiCD the
Digital Way Dr. Suhit Adikari (Nepal)
This comprehensive scientific program will highlight the various
2:30 pm ~ 3:30 pm A Potpourri of Orthodontic &
aspects and importance of adapting MiCD in your practice with
Esthetic Dentistry Topics
predictability.
Dr. James Young (U.S.A.)
What’s more you will also get the opportunity to become a 3:30 pm ~ 4:00 pm Tea Break
MiCD member through the PAED and embrace this new trend in 4:00 pm ~ 4:45 pm Occlusal Keys to Success in MICD
Cosmetic Dentistry… Dr. Adrian Yap (Singapore)
4:45 pm ~ 5:15 pm Clinical Technique Video Demonstration
Dr. Sushil Koirala (Nepal)
5:15 pm ~ 5:30 pm MiCD Programs in the Philippines
Dr. Sonny Burias (Philippines)
• • • • •
• • • • •
5:30 pm Closing Remarks Dr. Sushil Koirala
7:00 pm ~ 10:00 pm PAED Induction
3. Program hig h l i g h t s
SmIlE DESIGN AND INTEGrATIoN oF miICD AS A TrEATmENT DowNSIzING CArIES TrEATmENT To ProloNG TooTH lIFE
oPTIoN
The notion of caries as an oral disease and the technique to treat caries,
The patient’s psychology, health, function and aesthetics [PHFA-Pyramid] are the including the adhesive restoration and conservative cavity preparation design,
Sushil Koirala
Ko Hinoura
four fundamental components of smile design which must be respected to achieve have dramatically changed since the introduction of the guidelines by G.V.
healthy, harmonious & beautiful smiles. The psychology and aesthetic components Black. Particularly, there is a growing move trying to extend tooth longevity by
of Smile design are more subjective in nature, however health and function deals minimizing the repeated restoration cycle.
with objective parameters. Hence the clinician should understand the patient’s
In order to restore the carious tooth, first we need to control the micoflora, then
psychological status, achieve a healthy oral environment, ensure function and
eliminate the caries and restore affected tooth back to its original form.
then concentrate on achieving the aesthetic treatment. There are various treatment
modalities available in cosmetic dentistry, however the contemporary treatment “Downsizing”, in this context, means not only “downsizing” (minimizing) the amount
modalities are trending towards more invasive procedures with an overutilization of cutting sound and healthy tooth structure, but also “downsizing” (reducing)
of crowns, bridges, thick full veneers and invasive periodontal surgeries, while the oral bacteria to maintain oral hygiene. With this “downsizing” treatment,
neglecting long-term oral health, actual aesthetic needs and the characteristic of natural dentition can be maintained for a longer period. The philosophy behind
the patient. this treatment will be discussed in this lecture with an attempt to comprehend and
put all the current knowledge together, such as prevention, remineralization, ion
There are two parts in the presentation, the first part will highlight the basic
exchange and adhesion, with an aim to restore the carious tooth in the simplest
principles of smile design based on the Smile Design Wheel. And the second part
and least invasive manner.
will focus on the minimally invasive cosmetic dentistry (MiCD) treatment options
which guide the practitioners in achieving optimum results with as little intervention
as possible. Various step-by step clinical cases will also be shown during the
presentation.
Ko Hinoura D.D.S, Ph.D
• • • • •
• • • • •
Dr. Hinoura is the director of Hinoura Dental office in Tokyo
and obtained his Ph.D and D.D.S. from Nihon University,
Sushil Koirala B.D.S, F.A.G.E Tokyo, Japan. He is a visiting Lecturer, Nihon University
Dr. Sushil Koirala is the founding president of Vedic School of Dentistry, Niigata University, Kyushu University and
Institute of Smile Aesthetics (VISA) and the chief instructor Indiana University School of Dentistry.
of Comprehensive Aesthetic Dentistry (CAD) a two-year Dr. Hinoura is an active member of The Japanese Society of
training program based upon Vedic Philosophy of beauty & Conservative Dentistry, Japan Society for Adhesive Dentistry,
aesthetics. He maintains a private practice focusing primarily Japan Academy of Esthetic Dentistry, The Japanese Society for Dental Materials
on minimally invasive cosmetic dentistry (MiCD). With more and Devices and International Association for Dental Research.
than 17 years of clinical experience in aesthetic dentistry,
Dr. Koirala has develop the Vedic Smile Concept, Smile Design
Wheel, MiCD TP and various clinical techniques for direct aesthetic restorations.
He is also the founding president of Nepalese Academy of Cosmetic & Aesthetic
Dentistry (NACAD) and South Asian Academy of Aesthetic Dentistry (SAAAD).
He has published numerous clinical articles in aesthetic dentistry and authored
“A clinical guide to Direct Cosmetic Restorations with Giomer”, published by Dental
Tribune International GmbH, Germany. In addition, Dr. Koirala also serves as the
Vice President Asian Academy of Aesthetic Dentistry, Vice President International
College of Continuing Dental Education (ICCDE), editor-in-chief of Cosmetic
Dentistry, Science & beauty magazine of DTI and advisor of Dentistry South Asia
dental magazine. He frequently conducts hands-on programs and delivers lectures
globally on smile aesthetics.
4. PrACTICAl ASPECTS oF SElECTING mINImAllY INvASIvE CoSmETIC CrEATING THE “SUPEr TooTH” wITH INNovATIvE ADHESIvE
DENTISTrY mATErIAl For ACHIEvING mICD TrEATmENT
With new materials and technology surfacing almost daily, dentists are now able Development of the self-etching technology provided extremely reliable bonding
Jeffrey KB Seow
J u n j i Ta g a m i
to improve our patients’ smile without the unnecessary sacrifice of healthy tooth especially to dentin. When compared to the adhesives with phosphoric acid etching,
structure. Dentists are no longer bound by the limitations of tools and materials, the adhesives with self-etching primer exhibit very stable bonding interface. A more
but only by our experience and imagination and with our patients benefit as the complete penetration of the adhesive material to the bottom of the decalcified
ultimate goal. dentin is seen with no naked collagen fibers at the bonding interface. Because
of the difference in the bonding interface between 2 types of the adhesive resin
A paradigm shift has occurred whereby the dentist is now not only an architect of a
above, adhesive with self etching primer tends to exhibit higher bonding durability
person’s oral health but also the general well being of a person. The challenge for
to dentin. FL-Bond ll, a novel adhesive system contains a unique S-PRG (Surface
the dentist now is to balance both the clinical as well as the management aspect of
Pre-reacted Glass Ionomer) filler based on the Giomer concept with the ability
their practice in these fast changing times. This and other practical aspects we will
to release flouride. Due to the S-PRG filler in the bonding resin, adjacent dentin
learn in this lecture.
is reinforced after the restoration. A new layer at the bonding interface between
dentin and FL-Bond ll, shows higher resistance against acid and base attack. We
named this layer as the “Super Dentin”, since this layer is modified chemically
and mechanically compared to the original dentin beneath. The “Super Dentin”
is created only with the adhesive with self-etching technologies, and FL-Bond ll
created the thicker “Super Dentin” than the adhesives without fluoride release.
Jeffrey KB Seow BDS, mFGDP
Dr. Jeffrey Seow obtained his BDS degree from the National “Super Dentin” is believed to enhance durability of the bond for long term success
University of Singapore and MFGDP(UK). He had served as a and predictability of the restoration. The lecture will focus on the new applications
Dental Officer in the Ministry of Health at Singapore General of the adhesive technologies in minimally invasive cosmetic dentistry.
Hospital, Tan Tock Seng Hospital and Pegu Road Community
• • • • •
• • • • •
Dental Clinic prior to leaving for private practice.
Dr. Seow is the Founding Secretary of the Aesthetic Dentistry
Society (Singapore) and later served as the President of the
Society from 2004 – 06. The Society was formed to promote the knowledge in Junji Tagami D.D.S, Ph.D.
Aesthetic Dentistry among dentists in Singapore and to educate the public in this Prof. Junji Tagami received his D.D.S and Ph.D. degrees from
growing field. Tokyo Medical and Dental University and joined the faculty
He has also contributed his time and knowledge to advance the field of dental in 1984. He is currently Dean, Faculty of Dentistry and
education, actively participating in dental conferences and meetings both locally Graduate School at Tokyo Medical and Dental University. He
and overseas. is also a professor in the Cariology and Operative Dentistry
Department of Restorative Sciences. Prof. Tagami has held a
Dr. Seow contributes his ideas not just by serving in various committees such position as Director of School of Dental Technicians, Tokyo
as the Asian Academy of Aesthetic Dentistry, but also by presenting lectures in Medical and Dental University Hospital and is a member of
conferences especially in Japan, Indonesia and India. International Association for Dental Research, Academy of Dental Material, The
Japanese Society of Conservative Dentistry, The Japanese Society for Materials,
The Japanese Sociery for Adhesive Dentistry, The Stomatological Society Japan,
Japanese Society for Laser Dentistry, Japan Academy of Esthetic Dentistry and
Japanese Society of Pediatric Dentistry. Professor Tagami was awarded honorary
degree “Doctor of Medicine, Honoris Causa”, by King’s College London, as an
international opinion leader in the field of applied dental biomaterials science.
He has authored several articles in peer reviewed journals and book chapters.
5. CASE DoCUmENTATIoN IN mICD THE DIGITAl wAY A PoTPoUrrI oF orTHoDoNTIC & ESTHETIC DENTISTrY ToPICS
As digital dentistry gains popularity, case documentation in the recent years has This presentation will incorporate a comprehensive presentation of topics of interest
taken centre stage as an integral component of any treatment protocol especially in the areas of aesthetic dentistry from an orthodontic point-of-view.
Suhit R. Adhikari
J a m e s Yo u n g
in Cosmetic Dentistry. Case documentation with digital photography plays an
Topics will include soft tissue lip postures, gummy smiles and vertical dimension
important role also for the purpose of medico-legal issues, academics, self
(overbite).
assessment for an evidence based practice. MiCD treatment procedures demands
detail and precise case documentation with digital photography as it is based on a New advances on imaging, such as cone beam computerized tomography (CBCT)
phased treatment protocol where patients require regular maintenance to evaluate and its relevance to treatment plan will be discussed.
the aesthetic work performed. Compared to traditional case documentation that
requires printed case sheets and files to store pertinent patient data, digital case
documentation is more efficient with the advantage of easy retrieval of data that
can be viewed by many people in different locations.
The presenter will try to highlight the basic digital components required to optimize
the MiCD case documentation and present the fundamental clinical techniques James Young, D.m.D., m.S.
of digital dental photography. Dr. James Young is a U.S.-based orthodontist with a private
practice in the Los Angeles area for over 20 years. Dr. Young
received his Doctor of Dental Medicine degree from the
University of the Philippines and his Master of Science in Oral
Biology from Loyola University of Chicago. He also obtained
his Certificate of Specialty in Orthodontics from Loyola
University and specializes in Orthodontics and Dentofacial
Suhit r. Adhikari B.D.S Orthopedics. Dr. Young has been involved in education
Dr. Suhit R. Adhikari is the founding member and the and community service work for many years. He first served as full time assistant
• • • • •
• • • • •
President of Nepalese Academy of Cosmetic and Aesthetic professor in Orthodontics at Loyola University and currently an assistant professor
Dentistry (NACAD), Vice President of South Asian Academy in the post graduate Orthodontic department at Loma Linda University. Dr. Young
of Aesthetic dentistry (SAAAD), the country representative authored several professional journals and he works in active collaboration with
of Asian Academy of Aesthetic Dentistry (AAAD) and the other dentists and specialists to develop new and better treatment protocols. Dr.
founding member of the National Dental Hospital of Nepal. Young is the founder and president of the U.P. Dental Alumni Association (U.S.A.),
He has published various articles related to digital dentistry the only formally organized group outside the Philippines. He is an indefatigable
and dental photography in dental journals & magazines. In addition, Dr. Adhikari champion of the College and had also served as a visiting professor and guest
serves as a member of editorial board of Cosmetic dentistry_ beauty and science lecturer for many years.
and Dentistry South Asia the on-line magazine. He maintains a private practice
focusing on cosmetics and orthodontics. Dr. Adhikari conducts hands on program
in dental photography and is the Trainer in “Digital Dentistry” for the Vedic Institute
of Smile Aesthetics (VISA).
6. oCClUSAl KEYS To SUCCESS IN mICD INDUCTIoN CErEmoNY
Dentists cannot restore and replace teeth without being involved in Occlusion. (7:00 pm ~ 10:00 pm)
Occlusion is not about static structural relationships but the functional relationships
A d r i a n Ya p
Induction Ceremony
between the various components of the masticatory system. Many restorative Dinner
procedures can potentially change the way the masticatory system functions. Processional
The failure to recognize occlusal problems and manage occlusion properly can Invocation “The Prayer”
damage your practice as well as reputation. To enhance restoration success
and minimize operator stress, occlusal challenges including bruxism and TMD National Anthem Dr. Albert Reguyal in charge
(Temporomandibular Disorders) must be identified prior to starting any restorative PDA Hymn Dr. Albert Reguyal in charge
work. Possible risks-and benefits associated with MiCD (Minimally Invasive
Cosmetic Dentistry) should be communicated to patients as well as the need for Welcome Address Dr. Alberto Antonio C. Roa
teeth/restoration protection. The clinical selection of materials for different occlusal PAED Past President 1998-2000
circumstances will also be discussed. This latter can influence patient’s health,
comfort and confidence in addition to restoration longevity. During this lecture you Keynote Address Dr. Ma. Isabel Brual
will learn to define occlusion and its classification, recognize occlusal problems, PDA President 2009-2010
bruxism and TMD and appreciate their clinical significance in relation to MiCD,
Valedictory Address Dr. Lillian L. Ebuen
identify good occlusal practices, learn the importance of material / restoration
selection in MiCD and understand the importance of occlusal “protection” PAED President 2008-2009
AVP 2008-2009
Presentation of PAED Officers
& Committee Chairmen 2008-2009
Induction Ceremony
• • • • •
• • • • •
Adrian Yap, PhD, mSc, BDS, Dr. Sonny H. Burias Dr. Alfred D. Valera
Grad Dip Psychotherapy, FAmS PAED President 2010-2012 PAED Founding President
Dr. Yap is a Consultant Prosthodontist at Raffles Hospital. He
is also the Dental Director of Raffles Hospital / Raffles Dental Transfer of Authority
and an Adjunct Associate Professor at the Faculty of Dentistry, Dr. Lillian L. Ebuen to Dr. Sonny H. Burias
National University of Singapore (NUS) and School of Science
Inaugural Address Dr. Sonny H. Burias
and Technology, SIM University (UniSIM). He obtained his PhD,
BDS and Graduate Diploma in Psychotherapy from NUS and PAED President 2010-2012
MSc (Conservative Dentistry) from the University of London. Proclamation of PAED Officers and Dr. Olegario G. Clemente, Jr.
Dr. Yap is known for his expertise in Temporomandibular Disorders, Occlusion Committee Chairs 2010-2012 COMELEC Chair
and Restorative Dentistry and has lectured worldwide as well as conducted many
courses in these areas. He has authored more than 160 refereed journal articles, Induction of PAED Officers and Dr. Sonny H. Burias
360 conference/seminar papers as well as several book chapters. Dr. Yap has Committee Chairs 2010-2012 PAED President 2010-2012
received numerous clinical, research and teaching awards and serves on the
editorial boards of several international journals. Presentation of New Fellow Members Dr. Mylene G. Igrubay
Presentation of New Active Members Chair, Membership Committee
Presentation of New Associate Members
Closing Remarks Dr. Marylou S. Fernandez
PAED President Elect 2012-2014
7. PAED members
Pre-registration fee 2,500.00
On-site registration fee 3,000.00
Non-members
Pre-registration fee 3,000.00
On-site registration fee 3,500.00
Foreign delegates
Pre-registration fee 4,000.00
On-site registration fee 4,500.00
P a t ro n s and members who par ticipate
w i l l b e c o me m iCD members through PAED
AUTomATICAllY !
For more details, please contact:
Dr. Mylene Igrubay telefax #896503 + 639394850817
Dr. Edelmira Mendoza + 639228570384
Dr. Alice Rodriguez telefax #7277752 + 639178905407
(drop off point Fildent Enterprises 785 E. rodriguez, Cubao, QC)
Deposit to PSBANK PAED Act No. 133-11200012-6 CHINO ROCES BRANCH
PHILIPPINE ACADEMY OF
ESTHETIC DENTISTRY