possibility of gaining dental license of other countries

 Can a Japanese dentist get a license of dentist in other countries? Each country has its own rule. To get a license in US, you have to study in a dental college for designated years and pass the exam of each state, like a native student. It sounds the long and winding road. But, some countries are giving an easier chance for foreign dentists. In Australia, the number of dentists is said to be relatively small. Actually, Australia has welcome mode to immigrants of dentist from other countries.

  I went to Gotanda Tokyo to attend an explanation meeting from the tour company”M.I Studies Abroad”. The shortest way to get a license of Australia is sending the application form, (if it’s accepted), sending IELTS score certificate (reading, listening, writing, speaking score must be over 7(1-9) respectively), written exam of dentistry, and final clinical exam. The clinical test takes 6 days. If all procedures are successful, you are enrolled in Dental Board of Australia and can perform there. Visa is necessary to perform. According to the company, no Japanese dentists has got the license through the process. Foreign dentists who could attain the final are always Korean, Indonesian, Chinese, and other south east countries’ dentists. The whole fee of the tests is around 1,000,000 yen except for staying fee.

 The staff said “You can maintain three wives if you succeed as a dentist in Australia”. hahaha. Sounds intriguing? Me? My bottleneck is age. They say it may be difficult to get Visa for people over 50. The only thing I can do is just study English and get high score in IELTS. Will dream end in dream?

Making a complete denture…It’s fun

Most Japanese dentists don’t carry out teeth arranging in making a complete denture. They usually order that to dental technicians. My mentor always says arranging teeth sould be a dentist work, not technician’s. It may look painstaking for some dentists. But, for me, it’s really fun. Making a useful device(full denture) from nothing(no real teeth in the mouth) is exciting, imagining the patient’s smile.
In the process, I don’t totally rely on my instincts (of course, experience can not be ignored). “Shilla system” which is a kind of occlusion analyser is really helpful in setting the 3D positions of teeth. This will guide you to a nice goal due to the standardization.

wax rim

 

artificial teeth
arranging upper teeth on Shilla 2

 

arranging lower teeth on Shilla 3

 

 

Mikimoto Pearl Museum

The Mikimoto Pearl Island is an excellent museum about pearls, pearl
cultivation and Mikimoto Kokichi, the first person who succeeded in cultivating
pearls. The island is located in the Bay of Toba, accessible via a bridge.

Mikimoto Kokichi was born in Toba in 1858 and became the first person to
successfully cultivate pearls in the year 1893. He opened the first Mikimoto
Pearl Store in 1899. The Mikimoto Kokichi Memorial Hall introduces his life
story.
Also located on the island, the Pearl Museum provides detailed explanations
about pearls and the cultivation of pearls in Japanese and English. In the
adjacent Pearl Plaza you can view and purchase a wide variety of pearl jewelry.
The Mikimoto Pearl Island also offers hourly performances by female pearl
divers, known as Ama (lit. “sea women”), who have traditionally been planting
and harvesting the oysters (and other seafood).

Kokichi Mikimoto

 

Ama(Sea woman)

Combination of skills, it’s fun!

Collapsed bite cases, which require wide varieties of skill to fix, are challenging for dentists. However, I am excited whenever I face them. In such cases, thinking process for treatments is really fun for me. The case below is the combination of techniques such as diagnosis of occlusion, implant, orthodontic treatment, gum surgery, and crown restoration. The treatment took 2 years. I want to thank the patient for his understanding and cooperation. Without them, I couldn’t have reached the goal. I will describe the prosess, step by step later.

before

 

after
before(lower jaw)

 

after(fixed by implants, bracing, crowns)

Pursuit of happiness for the patrients and truth for occlusion

Occlusion is the most basic factor in dentistry. However, there are several different theories. They look different, but the goal is the same? How can a dentist set an ideal occlusion? What is the landmark in oral anatomy? How can a dentist have an appropriate 3D image of occlusion? Are there really science factors in dentistry? What is the truth? Sounds very confusing? Abe’s Shilla system must be a solution. Its philosophy is crystal clear without ambiguous explanations. It’s really persuasive and useful in actual planning in treatment. I believe I have helped some patients who had eating problems, using the theory. They said they felt A-one after the treatment. I want to continue pursuit of happiness for my patients.

Today’s seminar

I went to Kanda Tokyo to attend a seminar. Dr. Abe is 77 this year, but he is nicely energetic in his lecture and demonstration. After he graduated from Nihon University 50 years ago, he went to USC in US and had great American mentors. He learned complete denture’s theory and skills from them. After he returned home, he opened his own dental office in Sendai Japan. Then, he began complete denture seminars not only in Japan but also in Korea and Taiwan. He knows anatomy well and has great knowledge of dental materials. He arranged former skills adding his own ideas and has established new remarkable theory and techniques called Shilla system. He sometimes changed some parts of procedures for making full dentures, because dental materials have developed gradually. I have learned many theories, but I think Dr.Abe’s thinking is the most persuasive and useful.

complete denture demonstration by Dr.Abe

 

upper jaw analyser (Shilla 1)

 

mounting upper jaw mold on Shilla 2

 

face bow transfer procedure

 

After the seminar, I could see a festival by Kanda shrine. Unfortunately rainy though.

 

http://en.wikipedia.org/wiki/Kanda_Shrine

Blade teeth for full denture

 

upper
lower

 

When patients use their complete dentures, are natural shaped artificial teeth enough effective to chew? 80% of all denture wearers want more than what is being offered to them. Sadly, conventional acrylic teeth even if hardened have a tendency to become less efficient in a short amount of time. The patients must chew from side to side to get results.
The idea of blade teeth is a solution to pursue more effective and enjoyable eating life. Food that posed a challenge for denture wearers in the past (meat, apples,lettuce,carrot) are easily cut up by the blade teeth denture.

Advantages of metal edged teeth compared with conventional ones are
1. easy to get comfortable jaw relationship
2. better chewing since cutting force is better
3. creates more stability in upper and lower dentures
4.less adjustments are required because of less sore spot

This weekend, I can learn the technique of complete denture through my mentor’s demonstration, while I work as an instructor in the seminar.

http://www.shouohkai-dental.com/english.html

Alex Ferguson’s retire

http://moderntokyotimes.com/2013/05/08/sir-alex-ferguson-to-retire-at-manchester-united-football-history-reshaped/

My English teacher, from Manchester UK, sent me his article about Alex Ferguson’s retire.

In off-season, there is much news about personnel transfers in football teams. Especially this year, many J-League teams changed their managers. The big upside of changing managers is activation for the teams. Competition for becoming regular players starts from scratch. Players, who had few chances to play in games, will be motivated. Present regular players will be alert. There will be a race.

The upside of continuously hiring the same manager is accumulation of tactics. That makes possible in step by step approach. Changing players by trades instead of changing managers can activate the team.

He has succeeded in alternation of generations and activation of Manchester United by being not dependent on big names and adding ambitious young talented players to the team.

Though my clinic is an small organization unlike Manchester United, there must be some points which should be mimicked in his leadership for organising.

The influence of MONEYBALL to NPB

 Moneyball is the story about the Oakland Athletics baseball team and its genera manager Billy Beane. Its focus is the team’s analytical, evidence-based, sabermetric approach to assembling a competitive baseball team, despite Oakland’s disadvantaged revenue situation. Its theory insists on-base percentage and slugging percentage are better indicators of offensive success than statistics such as stolen bases, runs batted in, and batting average, typically used to gauge players.

 Several years ago, Tokyo Yomiuri assembled many sluggers from various teams using big money, but lost the league. Their salaries were the highest, but the results were no good. The team has changed its strategy since then and succeeded in clinching the pennant. MONEYBALL theory, sabermetrics, gave an impact on Yomiuri Giants and Nipponham Fighters in Nippon Professional Baseball. Nipponham Fighters lost Yu Darvish, who went to Texas Rangers, last year. But, they won the pennant. I believe sabermetirics took effect to some extent in spite of the lost of their ace pitcher.

 Through reading MONEYBALL, I could learn using brain is the most important act to fulfill not only baseball but also every field of work.
http://www.amazon.co.jp/Moneyball-The-Winning-Unfair-Game/dp/0393338398/ref=sr_1_1?ie=UTF8&qid=1368025864&sr=8-1&keywords=moneyball

We will be back….the next year.

The medical and dental office “Shouohkai” had been located in Otemachi Financial Center. Due to reconstruction of the building, we temporally have moved to Kyobashi district. There is Tokyo station between Otemachi and Kyobashi. It takes 25 minutes by walk. So, the temporary moving has made our patients feel inconvenient. The trouble for them will end soon. Our opening day in the new building is January 6th, 2014. We will be back there, at last.
http://www.maplandia.com/japan/kanto/tokyo/otemachi/

Right in the heart of Otomachi is this new office development, it’s just under
200 meters high. The building will house offices (mainly MIZUHO BANK, including Shouohkai medical and dental office)
and the Aman resorts group will open up an “AMAN TOKYO” luxury hotel on the top
floors.
http://www.amanresorts.com/

20 years ago, Otemachi district was totally a typical business town. In weekends, it was like a ghost town. But, things have changed since then. Now, the district has fashionable shops, restaurants and streets which attract many people around the world. This area has become like an amusement park, especially in the weekends.

We are looking forward to seeing you there.

 

under construction, 1 year ago

 

now, almost completed

 

Tokyo Station