Day 3 :
- Track 15: Oral Implantology
Track 16: Prosthodontics
Track 18: Dental Surgery
Location: Al Dhiyafah 5-6
Chair
Hasan Alkumru
University of Western Ontario, Canada
Co-Chair
Ioannis Georgakopoulos
University of Modena & Reggio Emilia, Italy
Session Introduction
Ioannis P. Georgakopoulos
University of Modena & Reggio Emilia, Italy
Title: IPG-DentistEdu Technique Minimal Invasive Sinus Bone Augmentation without Sinus Floor Elevation with Intentional Perforation of the Sinus Membrane using the Autologous Biomaterial CGF-CD34+Matrix
Time : 09:30 - 09:50
Biography:
Prof. Dr. Ionians P. Georgakopoulos BPP University, School of Health, London-UK BPP University, School of Health, London-UK. Faculty member. Professor at BPP University, Clinical Master in Implantology & Oral Surgery (Director Prof. Maher Almasri) University of Modena & Reggio Emilia, Italy. PhD School “Enzo Ferrari†Faculty of Mechanical Engineering & Biomaterials. Dental Materials & Dental Prosthetic technologies. Assistant Professor.
Abstract:
Aim: The rapid placement of implants in the sinus cavity by means of intentional perforation of the sinus membrane following a certain clinical protocol, without performing Sinus Floor Elevation (SFE). Materials & Methods: 32 patients with age range between 43-67 (19-female, 13-male), in which upper jaw rehabilitation needed to be performed with nonremovable prosthesis. The option of placing a total of 47 implants (28 left and 19 right on sinuses sides) was offered to the patients. All of them have been informed regarding the clinical procedure and a written consent was signed. This study has undergone an ethics review from Patras University. According to the proposed clinical protocol, all implants were placed in a flapless approach and entered each sinus cavities with intentional perforation of the Schneiderian membrane. The combined employment of concentrated growth factors (CGF & stem-cells-CD34+) and bone grafting within the osteotomy site and by means of implant immersion, was made in such a manner that the sinus can adapt to the new conditions forming new bone around the implants without the need to perform an SFA procedure. Results: CBCT scans showed new bone formation around the implants by means of textural image analysis. None of all patients’ sinuses presented any signs of infection. Implant Stability Quotient values ranged between 61 and 69 proving high implant strength. Histologic analysis showed alternate layers between non-Mineralized Tissue and Vital Bone. Conclusions: IPG-DentistEdu technique promising results demonstrate that it can be considered as a reliable alternative to the SFE (Sinus Floor Elevation) procedure.
Ren-Yeong Huang
National Defense Medical Center, Taipei, Taiwan
Title: Maxillary Sinus Floor Elevation via Crestal Approach: the Hydraulic Pressure Technique
Time : 09:50-10:10
Biography:
Ren-Yeong Huang has completed his DDS, periodontology training and PhD degree in oral biology and immunology from National Defense Medical Center. He is currently an assistant professor in periodontology and the director of the advanced implant center at the Tri-Service General Hospital. He is also a diplomate of the Taiwan Academy Board of Periodontology and Implantology, and serves as editorial board member and ad hoc reviewer for peer-review journals. Dr. Huang’s strong interest in clinical- and basic- oriented topics, including pathogenesis of periodontal disease, bone regeneration and dental implant therapies has led to his extensive publication in peer-reviewed journals.
Abstract:
For many clinicians, inadequate alveolar bone height and anatomical features of the maxillary sinus complicate sinus lift procedures and placement of endosseous implants. We review the recent advance in sinus elevation and present a series of cases using the new internal crestal approach that addresses these issues and. A new device for maxillary sinus membrane elevation by the crestal approach using a special drilling system and hydraulic pressure, and placing dental implants placed after a sinus lift procedure. Our experience suggests that hydraulic sinus condensing is a predictable and minimally invasive alternative for prosthetic rehabilitation of maxillary anterior and posterior regions in the presence of anatomical restrictions to implant placement.
Manish Agrawal
Bharti Vidhypeeth University , India
Title: Occlusal appliance for TMD
Time : 10:25-10:45
Biography:
Dr. Manish Agrawal is a Consulting Prosthodontist & Implantologist. He did his Graduation and Post-graduation from Mumbai University India. He is a skilled Prosthodontist, very well known for his clinical skills. He is a Professor and Postgraduate teacher at Bharti Vidhypeeth University Pune India. He is a Director of Smile Dental Studio and Zenith Dental Laboratory. He has presented papers at National & International levels, and has various publication to his credit .He excels in interdisciplinary dentistry, with Special emphasis on Full mouth rehabilitation & smile designing. He has being awarded the best Prosthodontist of the year 2014.
Abstract:
The term Temporomandibular Joint (TMJ) Diseases and Disorders refers to a complex and poorly understood set of conditions. They usually manifest as pain in the area of the jaws and their associated muscles, frequently accompanied by limitations in the ability to make normal jaw movements. Treatment of occlusion related TMJ disorders is often a challenge for both the dentist and the patient. These disorders can be difficult to diagnose as the presenting symptoms can be variable. Conventional occlusal splint therapy is a safe and effective, albeit conservative mode of treatment in comparison to the surgical therapies for temporomandibular joint disorders (TMD). Once the cause of the occlusion related disorder is identified, this reversible, non-invasive therapy not only yields diagnostic information but also provides relief to the patient, without the difficulties that often accompany other, more complex approaches. The goal of this presentation is to familiarize “physicians with the masticatory system†and to delineate the basic principles of occlusal splint therapy for treating temporomandibular disorder (TMD), bruxism and some forms of headaches.
Rivan Sidaly
Oslo University School of Dentistry, Norway
Title: Hypoxia increases the expression of enamel proteins and cytokines in an ameloblast-derived cell line
Time : 10:45-11:05
Biography:
Rivan Sidaly has completed her Master’s degree in Dentistry at the age of 24 years from Oslo University and continued on to earn her doctoral degree at the same university. She is researching on the relationship between hypoxia and molar incisor hypomineralization.
Abstract:
The aim of the study was to investigate the effect of hypoxic conditions on the expression of enamel proteins, and secretion of alkaline phosphatase (ALP), cytokines and interleukins from an ameloblast-derived cell line. The murine ameloblast-derived cells (LS-8) were exposed to 1% oxygen concentration (24 or 48 h) and harvested after 1, 2, 3 and 7 days. The effect of the hypoxic condition on the gene expression was measured by qRT-PCR. The secretion of cytokines and interleukins, and the alkaline phosphatase (ALP) activity into the cell medium was measured by Luminex and a colorimetric assay, respectively. The effect was calculated relative to the expression and secretion from untreated cells (controls) at each timepoint. Hypoxic exposure for 24 and 48 hours increased the expression of the structural enamel matrix proteins; amelogenin (Amel), ameloblastin (Ambn), enamelin (Enam), and the enamel protease matrix metallopeptidase-20 (MMP-20). Hypoxia-inducible factor 1-alpha (Hif-1a) mRNA expression increased also after both 24 and 48 h exposure to hypoxia. Similarly several vascularization factors (monocyte chemotactic protein 1 (MCP-1), and vascular endothelial growth factor (VEGF)) and pro-inflammatory factors (interleukin-1 alpha (IL-1α), interleukin-1 beta (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10), interferon-gamma (INF- γ), and Interferon gamma-induced protein 10 (IP-10)), were also increased by 24 and 48 hours of hypoxia. ALP activity was down regulated by both 24 and 48 hours of hypoxia, whereas the LDH level in cell culture medium was higher after exposure to 24 hours compared to 48 hours of hypoxic conditions. These results indicate that hypoxic exposure may disrupt the controlled fine- tuned expression and processing of enamel proteins, and promote the secretion of pro-inflammatory factors.
Feras Aalam
Al-Noor Specialist Hospital, MOH, Saudi Arabia
Title: Timing of implant placement after extraction: Immediate, Early or Delayed
Time : 11:05-11:25
Biography:
Feras Aalam Board Member, Saudi Fellowship in Dental Implant Scientific Committee. Holder of Hajj Medal from the Minister of interior for the Excellence in providing a positive impact on the success of the Hajj season.Honor degree for the Excellence in training during residency on the Saudi Board in Advanced Restorative Dentistry program and Consultant in Implantology and Restorative Dentistry Program Director of Saudi Board of Advanced restorative Dentistry Makkah Dental Center, Al-Noor Specialist Hospital and his publications are Characterization of heat emission of light-curing units
Abstract:
Restorative therapy performed on implant(s) placed in a fully healed and non-compromised alveolar ridge, has high clinical success and survival rates. Currently, however, implants are also being placed in sites with ridge defects of various dimensions, fresh extraction sockets, the area of the maxillary sinus, etc. Although some of these clinical procedures were first described many years ago, their application has only recently become common. Accordingly one issue of primary interest in current clinical and animal research in implant dentistry includes the study of tissue alterations that occur following tooth loss and the proper timing thereafter for implant placement. In the optimal case, the clinician will have time to plan for the restorative therapy (including the use of implants) prior to the extraction of one or several teeth. In this planning, a decision must be made whether the implant(s) should be placed immediately after the tooth extraction(s) or if a certain number of weeks (or months) of healing of the soft and hard tissues of the alveolar ridge should be allowed prior to implant installation. The decision regarding the timing for implant placement, in relation to tooth extraction, must be based on a proper understanding of the structural changes that occur in the alveolar process following the loss of the tooth (teeth).
Shady A M Negm
Pharos University, Egypt
Title: Common Implant Mishaps and Failures due to practitioners careless procedures or lack of knowledge regarding implantology
Time : 11:25-11:45
Biography:
Shady Negm graduated dental faculty. He then completed a one year of training in Implant Dentistry at Egyptian Society of Oral Implantologists. He joined a large group practice in Alexandria, Egypt from 2010- 2014 during which he served as a Board Member and a Core Dentist for the American Journal of Biomedicine. He is a fellow of the Alexandria Oral Implantology Association (AOIA). He has been awarded Diplomat status in the Implant Dentistry from Seville University, Spain. He serves as the Continuing Education Implant Course Director at the Dental Town Magazine, United States. He is an editor in International Journal of Dental Clinics (E-ISSN 0975-8437, P-ISSN 2231 – 2285) since October 2014 till now. Currently, Dr. Negm serves as a Full-Time Faculty Member at the Faculty of Dentistry, Pharos University.
Abstract:
Depending on our long time practice in the field of implant, We would give you some tips regarding implant failures and mistakes which might happen. The reason of developing so many dental implant mistakes is because of implant dentistry was not a part of the dental school curriculum of the vast majority of dentists in practice today. Only now are dental schools starting to incorporate adequate training in implantology. So that, there are many reasons that mistakes happen. Many dentists simply don’t possess the training or qualifications necessary to be successful. Sadly, these dentists are more concerned with saving money by cutting corners or performing a procedure too quickly. Below we have provided several factors that can contribute to dental implant mistakes. And we will illustrate the Common Reasons for Dental Implant Failure; Many dentists use two-dimensional panoramic x-rays to place dental implants. Although this method works well for most dental surgeries, there is much more sophisticated technology available for dental implants. So we have to use 3-D CT scans which give a much clearer Figure of the exact position of nerves and blood vessels present in the bone. These powerful CT scans combined with radiography techniques are used to best determine the precise placement of every dental implant. They only take a few minutes and radiation exposure is minimum. Another main reason for dental implant failure is the quality of the fixture. With over two hundred companies that provide dental implants, there are only a handful of reputable companies with proven research that documents their reliability and quality. The Temptation is great for dentists to save on costs with cheaper fixtures. Costs vary greatly with substandard products, coming in nearly one-one hundredth of the cost of high quality fixtures. We are learning now that cutting on costs can lead to serious complications and problems for the patient. Substandard materials can be used to save costs. Also many complications can result like infection, nerve damage that causes facial numbness and pain, or the implant can be misplaced into the sinus cavity.
Gaurav Singh
AMU, India
Title: Immediate Loading Revisited With the Concept of Intra-Oral Welding
Time : 11:45-12:05
Biography:
Dr. Gaurav Singh has completed his BDS from Karanataka University, India in 1996 and MDS in Proshtodontics & Oral Implantology from Rajiv Gandhi University of Health Sciences, Bangalore in 2001. After completing his Master’s degree he is working in the department of Prosthodontics, Dr. Z.A. Dental College, AMU., Aligarh till date. He is working as Associate Professor in the department. He has many articles, published in both National and International Journals.
Abstract:
In implant dentistry, it has been claimed that process of Osseointegration requires on an average undisturbed healing of three months in mandible and six months in maxilla. To decrease this time the concept of immediate loading was introduced, initially many clinicians were doubtful about immediate loading. They advised that immediate load exerted at implant interface may interfere with the process of bone healing, lead to implant failure. But, many clinical and in Vitro trials have shown that long term success of removable and fixed prosthesis of immediate loaded implants can be achieved. Bone quality and quantity may play significant role. Beside accurate presurgical diagnostic and treatment planning, implant Macro & Micro design, the adequate fixation and immobility of the Implant are of utmost importance to prevent the risk of micro movement related to surrounding bones. A high predictability of immediate implant loading with fixed provisional restoration has been shown in many reports.
All previously describe technique for reinforcement of acrylic resin provisional restorations involve either the use of thin wire or fibers throughout the span, or a time consuming fabrication of a cast metal framework. The main objective of this presentation is to introduce a prosthetic concept for an accelerated rigid splinting of multiple implants for same day immediate loading with metal reinforced acrylic resin provisional restorations by utilizing the Syncrystallization technique.
Mayyadah Al-Mozainy
King Saud University, Saudi Arabia
Title: Characterization of Polymerization Shrinkage and Water Absorption of Low-shrinkage Light-polymerized Composite Resin Materials
Time : 12:05-12:25
Biography:
Mayyadah Al-Mozainy, Professor from Saud University, Saudi Arabia, Doctor Mayyadah Al-Mozainy is a speaker at Dentistry-2015
Abstract:
Aim of this study: to compare the polymerization shrinkage and the water sorption values of different low shrinkage composite materials. Materials and method: different commercially available composite resin materials were used in this study: Reflexions XP (BISCO, IL, USA), Kalore (GC CORPORATION, JP -Tokyo), AELITE LS (BISCO, IL, USA), Filtek P90 (3M, St. Paul, USA) and Tetric N-ceram (Ivoclar Vivadent, NY, USA). The data for water absorption were analyzed by two-way analysis of variance (ANOVA), followed by one way analysis of variance (ANOVA) and Tamhane test at 95% level of confidence. Results: Tetric N-ceram showed the highest polymerization strain mean ( -12.52 ± 10.958 ) followed by Filtek P90 (-10.99 ± 9.188), Reflexions XP (-8.77 ± 6.662 ), GC Kalore ( -5.20 ± 3.185 ), and the least polymerization strain was recorded for Aelite LS ( -3.95 ± 2.717). Filtek P90 showed the highest mean growth (5.21 ± 5.71) among the tested materials. Comparing the mean of water absorption percentages of the tested materials to each other, Filtek P90, Aelite LS and GC Kalore showed no significant difference to each other with P=0.986. Aelite LS , GC Kalore and Reflexions XP were also not significant to each other with P=1.00. Tetric N-ceram and Reflexions XP were not significantly different from each other with P=0.411, although Tetric N-ceram was significantly different from all the other tested materials with P=0.000. Conclusion: The results of the present study showed that the polymerization shrinkage for all the tested materials was the greatest during the light activation reaction and decreased after the curing light was turned off, and they all presented their highest readings during the first twenty seconds. The highest polymerization shrinkage strain was recorded for Tetric N-ceram followed by Filtek P90, Reflexions XP, GC Kalore and Aelite LS.
T.S. Vinoth kumar
Sri Ramachandra University, India
Title: Influence of cryogenic treatment on hardness of Nickel Titanium alloy used for rotary endodontic instrument – An Invitro study
Time : 12:25-12:45
Biography:
T.S. Vinoth kumar has completed his MDS at the age of 25 years from The Tamilnadu Dr MGR Medical University. He is the research scholar in the Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University. He has published national and international papers in reputed journals and has been serving as invited reviewer and editorial board member. He coined the term â€Reverse Sandwich Restoration†in dentistry.
Abstract:
Cryogenic treatment is a one time supplementary thermal treatment where alloys are subjected to sub-zero temperature to improve their metallurgical properties. Nickel Titanium alloy used for manufacturing of rotary endodontic instruments possess superelastic property due to which they must be machined rather than twisted. The combination of surface defects during manufacturing and lower hardness of the alloy results in compromised cutting efficiency of endodontic instruments within the root canals. A recent approach deals with the use of Nickel Titanium alloy that possess a mixture of austenite and martensite phase at body temperature in order to have extreme felxibility without the conventional shape memory. The pupose of this study was to evaluate the effect of different cryogenic treatment parameters on the hardness of Nickel Titanium alloy. Accordingly, a similar virgin alloy was procured in the form of sheets. 15 samples were prepared from the sheet using electrical discharge maching process. They were randomly divided into five groups (four experimental groups based on the soaking time and temperature parameters of cryogenic treatment and a control group; n=3). The metal samples in each experimental group were subjected to vickers hardness testing following the cryogenic treatment and compared with that of the control group. The data were tabulated and the results were statistically analysed using SPSS software.
Aitor de Gea Rico
Whipps Cross Hospital, London
Title: Infective endocarditis of presumed dental origin and the NICE guidelines: An updated overview
Time : 12:45-13:05
Biography:
Aitor de Gea Rico graduated from the University of Barcelona, School of Dentistry in 2005 where he received award of merit in 12 subjects including Oral Surgical Pathology. He received his equivalent to Masters of Dental Science from the same university in 2007. Aitor moved to the United Kingdom to work as a General Dental Practitioner within the National Health Service for 3 years. While working as a Senior House Officer in Oral & Maxillofacial Surgery (OMFS) in Bristol and Birmingham (UK), he obtained the Diploma of Membership of the Dental Faculty of the Royal College of Surgeons of Edinburgh in 2010. He was awarded the Ivor Whitehead Prize, by the British Dental Association West Midlands Hospitals Group in May 2011 for an oral presentation. Aitor graduated in Medicine from Barts and the London School of Medicine, University of London, in 2014. He also worked as a Clinical Fellow in OMFS at Kings College Hospital and Queens Hospital in London while undertaking his studies. He is currently in his first year of Foundation Training at Whipps Cross Hospital, London, as part of his continued training to pursue a career in OMFS. Aitor has achieved a number of publications in peer-reviewed journals and has presented some of his work at a national and international level. He is a member of the British Medical Association and British Association of Oral and Maxillofacial Surgery and has developed a particular interest in the treatment of patients under intravenous sedation.
Abstract:
Introduction: Antimicrobial prophylaxis against Infective Endocarditis (IE) in patients undergoing interventional procedures is no longer recommended in the UK. The National Institute for Health and Care Excellence (NICE) Guidelines published in 2008 has been object of significant controversy within the scientific community. A number of recently published case reports add on argument to the debate. We present a case of IE following dental treatment for which NICE guidelines were followed.
Case report: A 59-year-old gentleman presented with a 1 week history of general malaise, nausea, loss of appetite and lethargy after minimal exertion. Known mitral valve prolapse was reported, and an initial differential diagnosis included subacute bacterial endocarditis. An echocardiogram and Streptococcus mitis growth in the blood cultures supported the likely diagnosis. He was referred to the Oral and Maxillofacial Surgery Department where his previous dental history revealed dental treatment 1 month before admission. In line with the current guidelines, the patient did not receive antibiotics pre-operatively.
Discussion: Dental professionals should be able to recognise the signs and symptoms of IE. It is important to remain informed about such a pathological entity and be aware of its diagnosis and management. Patients with certain cardiac conditions who are at increased risk of developing IE still remain at risk, despite the recent change in the NICE guidelines. The promotion of preventive dentistry and medicine is crucial to reduce the overall risk of IE. The incidence of IE since this radical change in practice remains to be quantified and act upon. Involving patients in informed decision-making and individualization of cases when antibiotic prophylaxis is considered seem to be a more ethical approach.
Walaa KM Hafez
Cairo University, KSA
Title: Evaluation of marginal bone stability around immediate implants
Time : 13:45-14:05
Biography:
Walaa KM Hafez from Cairo University, KSA, made his valuable remarks at International Conference & Exhibition on Dentistry
Abstract:
Aim: The aim of the study was to evaluate marginal bone changes following immediate implantation in the maxillary anterior region.
Patients & Methods: This study was conducted on 20 adult patients indicated for extraction & immediate implant insertion in one or more of the upper anterior teeth. The peri-implant defect was filled with mixture of autogenous bone (collected from the chin) & PRF (platelets rich fibrin) and covered with PRF membrane to cover the implant site. The changes in the marginal bone were assessed at 0, 3, and 6 months using CBCT. All data were collected and statistically analyzed. The data were presented as means and standard deviation (SD) values. Wilcoxon signed-rank test was used for the changes in mean defect height, width and area after 6 months. Spearman’s correlation coefficient was used to find out the correlation between clinical and radiographic bone height in cross-section.
Results: The marginal bone was stable in 83% of cases with 6 month follow up period. Through the whole study period (Immediate – 6 months); the radiographic height showed statistically non-significant decrease at the mesial side. Distally and cross-sectionly, there was a statistically significant decrease in mean defect height. As regards the defect depth, the change in depth was limited to the 2 mm bone margin.
Conclusions: Particulate autogenous bone - PRF mix is effective in obliterating the buccal bone defect around immediate implants in the maxillary anterior region. The marginal bone was stable in 83% of cases with 6 month follow up period.
Marco Roy
Poznan University of Medical Sciences, Poznan Poland
Title: Photofunctionalization: A New Method to Bio-Activate the Titanium Implant Surface
Time : 14:05-14:25
Biography:
Marco Roy has completed his dental degree at the Poznan University at the age of 24 years. He is attending a postdoctoral study at Poznan University of medical sciences in the field of dental implantology. He is an Assistant Professor in the department of Implant prosthodontics. He has published in reputed journals and has been actively participating in research groups.
Abstract:
Titanium implant surfaces inevitably undergo biological aging, associated with lower bone-implant-contact (BIC) values. Already 4 weeks from manufacturing the implant surfaces are contaminated with polycarbonyls and hydrocarbons that modify their physio-chemical state, leading to significant reductions of BIC values (45-75%). and, likely, low numbers of stem cells actually reaching the surface of the fixture. However, photofunctionalization (UV light irradiation) of the surface can reverse the biological aging of titanium, recovering BIC values virtually to 100% and greatly enhancing the osteointegration process. In our study we investigated how UV irradiation may affect osteogenic environment, increasing cell adhesion, migration, proliferation and differentiation. First, we evaluated how the changes in surface molecular composition affect hydrophilicity and electrostatic state of titanium and how it is correlate with UV intensity. Second we tested the hypothesis that the bio-activated titanium surface may attract more stem/progenitor cells and/or promote their osteogenic differentiation. To this aim, human osteogenic cells seeded onto bio-activated or untreated surfaces were compared at different time points for cellular and molecular properties. Particular attention was focused on the expression profiles of regulatory gene networks (HOX and TALE) known to reflect positional, embryological and hierarchical identity of human stromal cell populations, thus providing useful biological markers.
Abhinav Gupta
AMU, India
Title: Guidelines and rationale behind Abutment selection and designing in Implant Prosthodontics
Time : 14:25-14:45
Biography:
Dr. Abhinav Gupta has completed his BDS and MDS in Prosthodontics and Oral Implantology from Manipal Academy Of Higher Education, Manipal, India . He is a consultant and senior Assistant Professor in Department of Prosthodontics, Aligarh Muslim University, Aligarh. He has worked in a govt. funded research project in the field of oral implants at Maulana Azad institute of Dental Sciences, New Delhi. He has completed one year advanced training in oral implantology from DGOI Germany. He has research articles published in both national and international journals.
Abstract:
The implant evolution has become a "restorative driven" field and it is therefore important to know the designing principles of abutments and its connection to the implants and its rationale for use in clinical practice. During the past several decades, there has been a significant increase in the number of dental implant manufacturers and implant restorative components available for clinicians and dental laboratory technicians. Selecting the appropriate abutment can be both complex and confusing with the ever-increasing number of implant choices and transepithelial abutments available. Many restorative dentists resort to fabricating costly custom abutments to avoid the selection process. Although custom abutments are at times necessary, prefabricated abutments are usually more desirable. This article will describe the various abutments available and how to select the correct abutment for a given clinical situation in an organized, systematic fashion. Criteria discussed include implant position, angulation, soft tissue height, and interocclusal space. The latest modifications and developments in implant abutments are reviewed along with an indirect method of selecting abutments in a laboratory setting.
Nicola Luigi Bragazzic
University of Genoa, Italy
Title: Ramadan fasting and oral pathologies
Time : 14:45-15:05
Biography:
He was born on the 2nd of March in 1986 in Carrara (MS), Tuscany (Italy) and is currently a MD, a MSc, a PhD and a resident in Public Health. He got his MD (medical degree) on the 15th of July in 2011 with a final mark of 110/110 cum laude with a thesis on Personalized Nanomedicine ("Nanomolecular aspects of medicine, at the cutting-edge of the nanobiosciences in the field of health-care") and the joint Italo-Russian MSc (Master of Science) in nanobiotechnologies at Lomonosov Moscow State University (27th April 2012). He got his PhD in nanochemistry and nanobiotechnology at Marburg University, Germany with a final mark of “very good†and is currently a resident in Public Health at University of Genoa, Italy, 3rd year. He is author and/or co-author of several publications.
Abstract:
Ramadan fasting represents one of the five pillars of the Islam creed. Even though patients are exempted from observing this religious duty, they could be willing to take part into the religious ceremonies. Here, we review the extant literature focusing on the impact of Ramadan fasting on patients suffering from oral pathologies. From the collected evidences, we can claim that: 1) trans-cultural counseling of patients suffering from oral diseases is extremely important; 2) Muslim subjects could experience malodour and halitosis; the exact etiology of this phenomenon is complex, due to the accumulation of sulphur-containing compounds in the oral cavity, a decrease in salivation and changes in the oral microflora. An accurate oral hygiene when breaking the fast is recommended, for example using miswak which has anti-bacterial properties; 3) dental operations can be performed using special precautions, changing drugs and administering intramuscular or trans-dermal treatment instead of oral agents; appointments can be delayed or postponed, if necessary and possible; 4) patients with chronic systemic diseases, and especially metabolic disorders, such as diabetes, should take care of their oral cavity; 5) mouthwash and mouth-rinsing without water swallowing are allowed practices in Islam and ameliorate athletic performances, even though some patients or subjects could be reluctant to do it, perceiving these practices as a break of the fast.