Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 18th Asia-Pacific Dental and Oral Care Congress Melbourne, Australia.

Day 2 :

Keynote Forum

Baek Il Kim

Yonsei University, Republic of Korea

Keynote: New optical fluorescence technology for early detection of oral disease
Conference Series Dental Care-2016 International Conference Keynote Speaker Baek Il Kim  photo
Biography:

Baek Il Kim has completed his PhD in 2004 from Graduate School of Dentistry, Yonsei University and is Visiting Professor at the Department of Oral Biology Research Group, Melbourne University. He is Chairman of the Department of Preventive Dentistry and Public Oral Health and Vice Dean for Research Affairs in Yonsei University, College of Dentistry, Seoul, Korea. He has been a Senior Member of European Organization for Caries Research and has published many articles in reputed journals.          

Abstract:

The traditional paradigm of dentistry was a surgical model that visually detects late stage lesions and then removed them surgically. However, the new paradigm of dentistry suggests the detection of oral diseases in their earlier and the reversal of the early lesions by non-surgical approach. Over the past 20 years, there has been a significant development of technology to detect early dental caries and several devices already launched to dental market. Among these technologies, Quantitative Light Induced Fluorescence (QLF) conspicuously stands out among these devices. New QLF technology use quantitative visible light induced fluorescence system which can detect not only mineral loss of tooth but also the bacterial porphyrin induced fluorescence at high resolution. This system uses specific wavelength of blue visible light and special filter system for detection of fluorescence. This new technology can easily detect old dental biofilms and dental calculus by distinctive red fluorecence from reaction of bacterial porphyrin. This can also show and evaluate the minute changes in mineral contents from tooth enamel then suggest quantitative values for each lesion. Recently this technology has extended its area of clinical application to detect the tooth cracks and oral malodor. In this presentation, the fundamental concept of QLF and the possible clinical applications will be explained. 

Keynote Forum

Bruce Forlong

New Zealand Cosmetic Teeth Whitening Association, New Zealand

Keynote: How to Build a Successful Practice by Developing a Profitable Client Acquisition Plan
Conference Series Dental Care-2016 International Conference Keynote Speaker Bruce Forlong photo
Biography:

Bruce himself has over 50 years 'hands-on' experience in business, and was CEO of a multimillion-dollar company with a staff of 65. Recognising that every big business once started out as a small business Bruce founded the New Zealand National Business Institute and created the best practice "Business Builder" program. 

Bruce has written a number of business and marketing manuals for the Professional practices of  Lawyers, Accountants, Doctors and for Dentists he added a professional business education manual ‘How to Build a High Profit Dental Practice’

In 2009 a career change saw Bruce establish New Zealand’s largest Associate network of Professional Cosmetic Teeth Whitening Clinics and in 2011 he was appointed the first President of the "New Zealand Cosmetic Teeth Whitening Association"​ (NZCTWA) who are the self-regulatory trade group representing both Dentists and Non Dentists of the Appearance Enhancement Industry and is recognised by the NZ Ministry of Health. Realising that Non Dentist Cosmetic Teeth Whitening Practitioners would always be part of the Dental and Appearance Enhancement Landscape, New Zealand has taken an Integration approach that focuses upon Professional Training and Practitioner Registration.

Subsequently, Bruce together with input from Dental experts developed the NZCTWA Cosmetic Teeth Whitening Practitioner Training Program and Registered Cosmetic Teeth Whitening Practitioners scheme that is believed to be a World first. Today Bruce Forlong is widely regarded as one of New Zealand’s foremost authorities for Cosmetic Teeth Whitening and is the Practitioner Training and Compliance Executive of New Zealand Cosmetic Teeth Whitening Association (NZCTWA).

He is also an authorised Practitioner trainer for the US based Beyond Dental & Health group, and he personally trains both Dentists & Non-Dentists who use their in-clinic teeth whitening systems including their new ultrasonic technology.

Abstract:

A Dental Professional can have the finest qualifications, wide experience, practice excellence, and provide a homely and inviting clinic; all on their own are professional and commendable, yet without an expanding Patient base none of these qualities will ever reach their potential without a profitable client acquisition plan.

It is no longer sufficient to set up your clinic, hang out your ‘shingle’ and expect clients to come knocking.

We now live in a very savvy age where people make informed choices based upon many channels of easy to acquire information and like most businesses Dental Practices are having to compete for clients. Furthermore, much of modern marketing is ‘discount’ and/or ‘special’ based which has in numerous cases conditioned many potential clients to shop about and buy professional services by price rather than value.

In this talk Bruce will be discussing some very practical methods you can use to acquire the right sort of clients for your practice and command an income worthy of your years of study.

Conference Series Dental Care-2016 International Conference Keynote Speaker Kulbhushan Joshi  photo
Biography:

Kulbhushan Joshi is a sucessful entrepreneur in NZ and now across India. He is not only the brains behind Lovelysmiles unique formula which has changed how teeth whitening is perceived and performed by all, but is also a founding member of the New Zealand Cosmetic Teeth Whitening Association (NZCTWA), which has addressed the short comings in professionalism and training for nondental practitioners and taken them to a level of registration and recognition, and more importantly professionalism. 

Abstract:

Cosmetic teeth whitening has been an area of great profitability for any dental practice. However it is an area in which many oral practitioners do not take full advantage due to the negative conotations around the processes to date. Lovelysmiles has revolutionised this with a new formula and system which addresses all the negatives and turns them on there flipside making it a very lucrative industry, and a very comfortable expereince for a patient. The New Zealand Cosmetic Teeth Whitening Association is the first body in the world of non dental and dental practitioners which has been recognised by the Ministry of Health, Environmental Protection Authority, Dental Council New Zealand as an equivalent of the New Zealand Dental Association. Will share how this organisation works together with oral health practioners bridging the gap of those who avoid dental clinics to bring professionalism to non dental practitioners. 

  • Major Sessions: Future Trends in Dental and Oral Health | Dental Treatment and Restorative Dentistry | Pediatric Dentistry
Location: Melbourne, Australia
Speaker
Biography:

Chien Hai Li graduated (DDS) from China Medical College in Taiwan in 2000. He was Director of Chuan Sheng Dental Clinic in 2004. He received MSc degree in 2011 from Goethe University, Frankfurt, Germany. He published a paper in IJOMS in 2013.

Abstract:

Twenty-two (22) implants placed in 4 Taiwan patients to support immediate full-arch restorations (1 mandible and 3 maxillae) with intact opposite dentition. Passive-fit metal-reinforced frameworks were fabricated chairside by intraoral welding method, and all patients had definitive restorations on surgery day. All restorations were fabricated with implant-level components, screw retained and inflicted full occlusal loading in the first day. Patients were recalled 7 days, 1 month, 3 months and 6 months, with the follow-up period being over 9 months until April 2016. All implants were osseo-integrated, no infection was observed around the implants and no fracture or cracking was found on the restorations. All patients were satisfied with the restorations.

Speaker
Biography:

Shuchen Kuo has completed her DDS in 2003 from Taipei Medical University and after four years of Training in Tzuchi Medical Hospital Center, she now works as a General Practitioner in a private practice.

Abstract:

Early treatment can have numerous benefits for patients presenting with anterior crossbite in mixed dentition. As this malocclusion seldom corrects by itself, early orthodontic intervention can improve function, esthetics and self-esteem. Various treatment options such as removable and fixed appliances have been suggested by different authors in the past literature. In this case series report, 4 patients aged from 8 to 10 y/o diagnosed with unilateral or bilateral anterior crossbite were treated with lower inclined bite plate combined with or without orthodontic bracket bonding based on the amount of teeth involved. With careful observation, each case was corrected within a short period and followed up for at least 12 months. The procedure has shown to be effective and simple if the symptoms are diagnosed and intervention occurs in the early age of mixed dentition. 

Speaker
Biography:

Li Yu Chiao has completed his Master of Science degree in Oral Implantology from Goethe University Frankfurt, Germany. He is the Speaker, Director and Specialist of Asia Pacific Association of Implant Dentistry. He has been certificated by Omnidirection orthodontic studio. He is the former Physician of Veterans General Hospital. He has completed his DDS from National Defense Medical Center.

Abstract:

This study analyzed the presence of antral septa in the maxillary sinus. A septum is a barrier of cortical bone and may split the sinus into two or even more than two cavities. Between 13% and 35% of the sinuses have these septa. Different methods to detect the presence of maxillary septum before dental surgery can be used. To know the prevalence of a septum before an external sinus floor elevation could be necessary to avoid surgical complications. CT-scan images collected from 120 maxillary sinuses of 60 patients from two dental clinics, which were processed by Fan beam CT scan, GEMS ZeusRP/Simplant and GE/Dental Scan by Radiology department of Cathay General Hospital were included in this study. The locations and distribution of spikes and septum’s were identified from the images and recorded. According to the most frequent areas, 3 categories were classified: Second premolar (P2), first molar (M1) and second molar (M2) according to the related tooth position. The difference between sides, sites and incidence were compared. Out of 60 patients, 17 showed no septum identified in both sinuses and 8 showed on one sinus. The rest can be detected on both sides. The incidence of a spike in the maxillary sinus in patients is 43/60. From 120 sinuses, 68 sinuses with 85 spikes or septum’s were identified. The incidence of a spike in the maxillary sinus on sinus is 85/120. Three areas were categorized as second premolar (P2), first molar (M1) and second molar (M2) according to the correlated tooth position. Spikes were 33 in second premolar (P2) position, 22 in first molar (M1) and 30 in second molar (M2) position; 48 on the right side and 37 on the left. The incidence of a spike in the maxillary sinus in patients is high (71.67%) and on sinus (70.83%). The incidence of sinus with spike is higher on right (39 vs. 29). The incidence of spikes detected slightly higher on right sinuses (48 vs. 37). Spikes were detected higher in second premolar (P2) and second molar (M2) than first molar (M1).

Speaker
Biography:

Juni Handajani graduated as a Dentist, pursued Master of Dental Science and Doctoral degree from Faculty of Dentistry, Gadjah Mada University, Indonesia. On March 23, 2011, she received PhD degree in Dental Science from Niigata University, Japan. She is a Lecturer and Researcher at Department of Oral Biology, Faculty of Dentistry, Universitas Gadjah Mada since 1998 until now. Since January 2016, she is Head of Master Program Dental Health Science, Faculty of Dentistry, Universitas Gadjah Mada.

Abstract:

Azo is dye synthesis used in batik industries. It can be toxic to the tissue when exposed via inhalation, swallowing or contact directly. Expression of cytokeratin will change on hyperplastic and cancer of the oral mucosa. Expression of cytokeratin 8, 18, 19 was strong in the epithelial cells that undergo excessive hyperproliferation and oral mucosal changes into leukoplakia and squamous stratification carcinoma. The purpose of this study was to analyze the expression of cytokeratin 19 in the epithelial cells of the buccal mucosa exposed azo. The study involved 30 male subjects divided into 2 groups, 15 subjects were exposed azo and 15 were control. Criteria for exposed azo subject were worked at batik coloring parts for at least 5 years, while control was being not exposed to azo dyes. The method of collecting buccal mucosal epithelial cells was exfoliative cytology using cytobrush. Expression of cytokeratin 19 were analyzed using monoclonal antibody cytokeratin 19 (Novus Biologicals, USA) and immunohistochemical staining (ABC Staining Kit, ImmunoCruz, Santa Cruz Biotechnology, USA). Data were analyzed using independent t-test. The results showed a negative expression on the control while positive expression in the exposed group. T-test analysis showed significant differences in the positive expression of the exposed group compared to controls. In conclusion, azo dye could increase expression of cytokeratin 19 on buccal mucosa epithelial cells.

Speaker
Biography:

Apurv Mehrotra continues to be a wonderful ambassador of the success of the International Research Collaborative - Oral Health and Equity programs. After realising that dentistry incorporates art and science into one degree, he knew it would be a perfect fit for him. He graduated with a Bachelor’s degree in Dental Surgery from India. In a third world country, his clinical experience commenced, where his passion for oral health promotion in the wider communities grew. To broaden his skills in community dentistry, he planned to pursue Master’s degree in Dental Public Health from the University of Western Australia. Furthermore, his enthusiasm towards community encouraged him to complete a degree in Social Work. This blend of professional achievement provided him with a unique level of experience in the community health field. To improve the unmet dental needs of the community, he qualified as an Oral Health Therapist with Adult Dentistry Scope of practice from Latrobe University. This course helped him to widen his clinical skills in modern aspects of dentistry. Ultimately, it has enabled him to perform dual roles in this profession by working as an overseas Dentist in India and Oral Health Therapist in Australia. 

Abstract:

Abstract

Objective: The objective of this case study was to investigate the efficacy of Minimum Intervention Dentistry (MID) to manage caries in a child with dental anxiety.

Materials & Methods: The research was conducted using PubMed and Google scholar databases. It focused on reviewing the relevant articles dated from 2004 to 2016. A nine year old girl was selected as a subject.  She has a past history of dental anxiety. Her dental anxiety was assessed using the Modified Child Dental Anxiety Scale (MCDAS). It showed that the child may have dental anxiety associated with incompliance. In addition, a caries risk assessment was performed using CAMBRA. The result revealed that the patient has a high risk of caries. This was managed by implementing the MID approach which focused to provide a positive experience for this child.

Results: The results indicated that the implementation of MID approach tried to build up a trustworthy and positive relationship between the clinician and child. It may have contributed to increase patient’s tolerance for accepting dental treatment. Overall, the MID approach tried to provide a positive dental experience to the child.

Conclusion: It has been concluded that MID is an effective approach which may contribute to manage caries in a child with dental anxiety. This approach can play an important role to acclimatize the patient to dental environment. Overall, it may enhance oral health, general health and quality of life of patients.

  • Major Sessions: Periodontics and Endodontics | Oral Maxillofacial Surgery and Oral Medicine
Location: Melbourne, Australia

Session Introduction

Chung Zei Yang

Kaohsiung Armed Forces General Hospital, Taiwan

Title: Periosteal tension releasing technique for flap advancement
Speaker
Biography:

Chung Zei Yang is Attending Physician of Department of General Dentistry of Kaohsiung Armed Force General Hospital. He completed DDS from National Defense Medical Center and MS from Kaohsiung Medical University, School of Dentistry. He is Specialist of Academy of Perio-Prosthodontics, Taiwan. He has membership of Academy of Periodontology, Taiwan.

Abstract:

Flap advancement is a critical part of surgical procedures, such as guided bone regeneration, guided tissue regeneration and root coverage. By coronally positioning the flap, healing by primary intention can be achieved. Primary closure will protect the wound, prevent bacterial contamination and ensure a predictable outcome. Failure to attain tension-free closure will result in wound dehiscence, early membrane exposure and post-operative complications. This oral presentation focuses on periosteal tension releasing techniques addressed in recent articles about periosteal incising methods, including anatomical landmarks, surgical site assessments and summarizing the pros and cons of these techniques based on histology. Finally, several cases about flap advancement will be presented. 

Magdy K Hamam

King Saud University, Saudi Arabia

Title: Stem cells: Boon to dentistry and medicine
Speaker
Biography:

Magdy K Hamam is currently working as a Professor and Head of Division Oral Medicine and Diagnostic Sciences at College of Dentistry, King Saud University, Saudi Arabia

Abstract:

This is an overview about stem cells. It includes legislative history, basics, sources, the difference between embryonic, adult stem cells & pluripotent cells. The review will touch the Obstacles, complications, & challenges, of stem cells applications. Tooth bioengineering & nanotechnology had modified the role of stem cells. The implications for dentistry includes Dental Pulp Stem Cells (DPSCs), Stem Cells from Exfoliated Deciduous Teeth (SHEDs), Periodontal Ligament Stem Cells (PDLSCs), Stem Cells from Apical Papillae (SCAP), Dental Follicle Progenitor Cells (DFPCs) and Bone Marrow Mesenchyme Stem Cells (BMMSC). Researchers have proved that teeth are good sources for human dental stem cells /progenitor cells. Finally in August 2009 at Tokyo University, researchers reported that Mouse tooth grown from stem cells in mouth.    

Speaker
Biography:

Sanjeev Kunhappan has completed his BDS from Devi Ahilya University, Indore and MDS in Conservative Dentistry & Endodontics from Ayush & Health Science University, Raipur, India. He is working as Lecturer in the Department of Conservative Dentistry & Endodontics, Government Dental College, Raipur, Chhattisgarh, India. He has published more than 10 papers in reputed journals and has been presenting scientific papers in various national conferences. His interest is mainly towards non-surgical endodontics.         

Abstract:

A periapical lesion is formed within an area of existing apical periodontitis, the foci of infection being the degenerating pulpal tissues within the root canal system. This pulpal degeneration is caused by the microbes that enter the pulp chamber from oral cavity. These periapical lesion regresses as soon as the microbial etiology present within the root canal is removed by nonsurgical root canal therapy. Mere surgical removal of the periapical lesion, without proper root canal disinfection and three dimensional obturation is not sufficient for its complete healing. Non-surgical endodontic treatment using triple antibiotic paste (TAP) as intra-canal medicament to disinfect the root canal system followed by mineral trioxide aggregate (MTA) for three dimensional obturation offers a high success rate in the healing of large periapical lesions. These clinical cases highlight the healing of large periapical lesions with conservative non-surgical endodontic treatment, followed-up over a period of 1-2 years.

Speaker
Biography:

Ali Kazemi completed his Doctorate degree in General Dentistry from Tehran University of Medical Sciences, School of Dentistry in Iran. He completed his Post-doctorate degree in Endodontics from Tabriz University of Medical Sciences, School of Dentistry in Iran. He is currently an Assistant Professor and Head of Specialty Section in Department of Endodontics Shahed University, School of Dentistry in Iran. He has published more than 5 articles which are searchable in PubMed Central. He has given more than 15 national and international lectures in the field of Endodontics.

Abstract:

Diagnosis and treatment planning in the cases of trauma is one of the emergencies that practitioners should be able to manage according to latest methods and guidelines. Trauma injuries almost happen in childhood and on the anterior teeth. An appropriate management has a great impact in patient’s quality of life. Trauma injuries can be harmful for teeth and their supportive structures. Examples of these injuries are crown fractures with or without pulp exposure with incidence of 0.9% to 13% and horizontal root fracture with incidence of 3% that effectively manage these conditions and probably has a great impact on long term prognosis of teeth. Variety of treatment options can be considered according to injury type, tooth developmental stage and patient’s age. In this presentation, diagnosis and treatment planning of crown fractures and horizontal root fracture will be discussed. Finally the treatment sequences, results and two years follow up of a case with complicated crown and horizontal root fracture and orthodontic force eruption will be reported.

Shraddha Rathi

Dr. Z A Dental College-Aligarh Muslim University, India

Title: Role of nanonutrients in well-being of elderly
Speaker
Biography:

Shraddha Rathi is currently working as Assistant Professor at Department of Prosthodontics, Aligarh Muslim University. Her thrust areas are Geriatric Dentistry and Nanotechnology. Her sole aim of presenting this paper is to relate nanotechnology with nutrition amongst compromised population. She wishes to spread this message that with the correction of micro deficiencies one can improve the health of elderly magnificently.

Abstract:

During the aging process, physical frailty may develop. A more sedentary lifestyle consequently results in lower energy expenditure and poor dietary intakes are important contributors to the development of a suboptimal nutritional state or multiple micronutrient deficiencies. Nutritional needs of the older individuals are determined by health status; caloric requirements; the ability to digest food and personal food preferences. Such condition can be improved by food fortification, nutritional snacks, nutritional supplements, flexible portion sizes, flexible timing of meals and snacks. The tantalizing potential of nanotechnology is to fabricate and combine nanoscale approaches and building blocks to make useful tools and, ultimately, interventions for medical science, including nutritional science, at the scale of ∼1–100 nm. Specific applications of nanotechnology to date in food and nutrition include: Detection of food pathogens and spoilage microorganisms; enhancing nutrition quality of foods; and novel vehicles for nutrient delivery. By reducing the size of a particle at the nanoscale (10−9), the total surface area in a product is greatly increased. The greater the surface area, greater will be its biochemical reactivity. This results in much greater efficacy. This means that a nutrient in an aqueous formulation becomes readily available for utilization at the cellular and subcellular level with previously unobtainable levels of efficacy. Because of the increased bio-availability along with enhanced efficacy and reduced dosage, majority of essential nutrients and other beneficial chemicals can be combined and given as one or two dosages only. This will also improve the compliance by elderly individuals and thus in-turn improve their overall health & well-being. 

  • Major Sessions: General Dentistry and Oral Hygiene | Dental Practice Management and Marketing
Location: Melbourne, Australia
Speaker
Biography:

Haydar Majeed Mahdey Zuhairi completed his Master’s degree from University Malaya in 2011 from Oral and Maxillofacial Department and Postgraduate Certificate in Dental Implantology in 2012 from UiTM, Malaysia. He is a Lecturer in Oral Surgery department, SEGi University since 2012. He has published more than 12 papers in reputed journals.

Abstract:

The aim of the study was to evaluate the soft and hard tissue healing with and without bone grafts after removal of impacted mandibular third molars. Objectives included evaluation of bone formation on radiographs, as well as measuring the probing depth and dentinal hypersensitivity at the surgical site; pre and post removal impacted mandibular third molar. 60 sites in 30 patients with horizontally impacted mandibular third molars were selected for the study.  In a split-mouth design study, in all 60 sites, surgical removal of mandibular impacted third molars was done. Randomly selected 30 sites received alloplastic bone graft material. Remaining 30 sites acted as controls. Parameters measured included pocket depth distal to the mandibular second molar. Radiographs (OPG) were obtained and hypersensitivity was measured at 10 days, 3 months and 6 months after the surgery. Mean pocket depth distal to mandibular second molar decreased significantly in experimental site compared to the control site. Dentinal hypersensitivity was not seen in the experimental sites. Around 53 % (n=16) of the patients complained of sensitivity around the surgical area at the end of three months. Bone density around the experimental site was found to be denser based on the Bone J analysis. Removal of horizontally impacted mandibular third molar can create a bony defect, which results in soft tissue collapse. Literature supports the use of bone grafts after surgical removal of impacted third molars. Advantages include denser bone, optimum soft tissue closure, and decreased pocket depth distal to mandibular second molar and reduced sensitivity around the operated area. Placement of bone grafts after removal of horizontally impacted mandibular third molars resulted in better soft and hard tissue healing. 

Speaker
Biography:

Arup Ratan Choudhury was awarded FDSRCS, England and Fellowship in Dental Surgery from The Royal College of Surgeons of England-by-Election in recognition of the enormous contribution made for the profession-2012. He is Specialist Dental Surgeon, Humanist, Media Compare of Bangladesh. He received the International Award from World Health Organization (WHO)–“Tobacco or Health” Medal in recognition of his concept of Tobacco Free Society. He has been selected Man of the Year-2000 by the American Biographical Institute for his outstanding accomplishment to date. He obtained BDS from Dhaka University, Fellowship from London University (WHO, England) in Dental Public Health during 1982-83, PhD from Dhaka University in Dentistry and Nutrition in 2000 and Research Fellowship in Dentistry from State University of New York at Stony Brook, USA during 1992-93.  He is one of the pioneers in Bangladesh for Anti–tobacco Movement. He contributed for raising public awareness on consequences and hazards of using tobacco, mobilizing policy makers for enacting a law by the Government of Bangladesh for tobacco control. He is also a Member of National Drug Control Board. He also is the Founder–President of MANAS organization established in 1989. He authored 11 books on related subjects. He was awarded Ekushe Podok for his outstanding contribution in social work. 

Abstract:

New research suggests that treating periodontal disease and infection can affect a patient's glycemic control. It's vital to take a thorough medical history on a diabetic patient before dental treatment, and "know when to modify treatment and when you can do the same treatment that you'd do on a healthy patient." Coronary artery disease (CAD) is one of the major causes of morbidity and mortality worldwide, including low and middle income countries. In recent years, the prevalence of CAD increased rapidly in most of the developing countries, including Bangladesh. The world Health Organization projected that by the year 2020, CAD will be the leading cause of death in developing countries. Diabetes mellitus (DM) is a chronic condition that has become pandemic with increasing prevalence worldwide. Patients with DM often suffer from several oral and dental diseases, such as periodontal diseases, dental caries and tooth loss in addition to the existing complications of the disease. However, many of these traditional risk factors do not explain the pathophysiological etiology of CAD. Recent evidence points out at the possible role of several infectious agents, such as dental infections in the pathogenesis of CAD. The association between CAD, DM and oral health parameters has been explored in many studies in developed countries; however, data from developing countries are limited. We therefore conducted this study to assess the relationship between dental disease with CAD and DM in patients admitted at a tertiary hospital in Bangladesh. The primary goal of health care providers is to motivate patients towards better oral care. The literature relating oral disease with increased risk of systemic diseases provides additional motivation for achieving and maintaining good oral health. Physicians should also consider the oral condition of their patients and refer them to dentists as needed. However, we caution health care providers against creating a panic regarding the consequences of infected teeth. The overall evidence regarding the periodontal-systemic associations is not strong enough, and the associations may or may not be causal. More importantly, one must not recommend extracting infected teeth, based on the periodontal-systemic disease associations, if the teeth do not otherwise warrant extraction because loss of teeth and edentulousness have also been associated with increased risk of systemic diseases. Unnecessary extraction of teeth could do more harm than good. On the other hand, the members of the team responsible for systemic diseases treatment should pay attention to dental care and guidance to dental treatment, especially in the case of adult patients with diabetes, heart diseases, stroke, kidney diseases and pregnant mothers. Periodontal disease can be seen as a complication of other systemic diseases and the importance of its treatment is comparable to the treatment of other complications. Finally, co-operation and consultation between all the members of the medical & dental team responsible for the treatment of patients with systemic diseases is highly recommended.