Day 1 :
Keynote Forum
Arthur Goren & Iryna Branets
New York University College of Dentistry, USA
Keynote: Pediatric Panoramic and Cephalometric Exposure to Organs of the Head and Neck
Time : 09:55-10:20
Biography:
Arthur Goren is a Clinical Professor in the Department of Cardiology and Comprehensive Care, NYU College of Dentistry and Clinical Associate Professor, Department of Prosthodontics and Digital Technology, SUNY Stony Brook School of Dental Medicine. He is also past Director of Radiology at SUNY Stony Brook School of Dental Medicine. He is a Fellow of the American Academy of Oral and Maxillofacial Radiology and has published numerous papers in the field of Radiology. He is also a Reviewer in Radiology for several peer reviewed journals. He has lectured both nationally and internationally. Iryna Branets, DDS is a Clinical Educator in the Department of Cariology and Comprehensive Care, New York University College of Dentistry. Dr. Branets graduated from the Medical University, Ivano-Frankivsk, Ukraine and New York University College of Dentistry. Dr. Branets is a member of the American Dental Association, American Academy of Oral and Maxillofacial Radiology and the American Academy of Facial Esthetics. Research interests are radiation dosimetry, radiation dose reduction and radiation image quality.
Abstract:
Background: Very little research has been performed using anthropomorphic juvenile phantoms and Optically Stimulated Luminescent dosimeters to measure the absorbed doses and energy imparted to children during panoramic and cephalometric radiographic examinations of children.rnrnObjectives: To measure juvenile patient radiation dose to the organs of the head and neck during digital panoramic and cephalometric radiography.rnrnMethods & Materials: Two juvenile anthropomorphic CIRS phantoms 5 yr old and 10 yr old were filled with Optically Stimulated Luminescent dosimeters at 21 head and neck organ sites. An Instrumentarium OP100D orthopantogramograph was used to expose the phantoms at 73kVp, 6.4mA and 16.8 s for panoramic imaging and at 85kVp, 12mA, and 17.6s for cephalometric imaging. The effective radiation dose was calculated for all the organs of the head and neck. Organ fractions irradiated were determined from ICRP-89. Organ equivalent doses and overall effective doses (micro Sieverts) were based on either one panoramic view or one cephalometric view and the ICRP-103 tissue weighting factors.rnrnResults: Overall measured organ doses were higher for the 5 yr old than the 10 yr old for both the panoramic and the cephalometric imaging. The highest doses seen were in the glands, extrathoracic airway and the oral mucosa. The organ equivalent dose in micro Sieverts also yielded similar results. The effective dose in micro Sieverts for the 5 yr old was 27.8 (pan) and 6.5 (ceph), while the 10 yr old results were 26.3 (pan and 3.8 (ceph).rnrnConclusions: This was the first study to evaluate radiation exposure to juvenile CIRS phantoms using OSL dot dosimetry in conjunction with panoramic and cephalometric imaging to provide organ equivalent doses and overall effective dose for 10 yr and 5 yr olds based on ICRP-103 tissue weighting factors.
Keynote Forum
Fellus patrick
President, French Society of Pediatric orthodontics
Keynote: From sucking to swallowing deglutition by cortical or subcortical ways
Time : 10:20-10:45
Biography:
robert university hospital debrernPresident of the French Society of Pediatric orthodonticsrnorthodontist qualified expert author of three booksrnrehabilitation of swallowingrnorthodontics dentitionrndysfunction in dysmorphosis contribution froggymouth
Abstract:
Physiological swallowing and the abandonment of the suction are essential to build a beautiful occlusion.This acquisition occurs spontaneously for 60% of children at age 4 years; sample from which recruits children who will Never need orthodontic treatment.When the child require orthodontic treatment, acquiring a good swallowing will reduce the duration of treatment and ensure the stability of the results. This change in the swallowing program Can be done by cortical or subcortical ways
Keynote Forum
Dimitrios Tziafas
Hamdan Bin Mohemmed College of Dental Medicine, UAE
Keynote: What is on the horizon in terms of dentin-pulp complex tissue engineering?
Time : 11:00-11:25
Biography:
Dimitrios Tziafas is Professor of Endodontics in Endodontic Program of Hamdan Bin Mohammed College of Dental Medicine, DHCC Dubai, UAE. He received his DDS and PhD in Aristotle University of Thessaloniki, Greece (AUTH). After post-doc research in Institute Biologie Medicale, Faculte de Medecine, Universite Louis Pasteur, Strasbourg, France, he served as: Professor and Chair of the Department of Endodontology at AUTH and Director of Master Programs in Endodontics in AUTH (1999-2013) and European University College, Dubai (2013-2016), President of IADR – Continental European Division (2006-2008), Chairman of the 42nd IADR-CED meeting and Member of the Research Committee of European Society of Endodontology. He published 8 invited reviews and 50+ research papers in international peer-reviewed scientific journals (Endodontology and Basic Science), a monograph on Reparative Dentinogenesis and textbooks chapters relating to Dentin-Pulp Biology. 25+ lectures as invited keynote speaker and 100+ research presentations in international meetings.
Abstract:
Entering the era of molecular dentistry, novel treatment modalities and biomaterials, able to regenerate craniofacial and oral tissues are designed and tested at preclinical level. Biomedical research, seems to convert progressively the paradigm of traditional dentistry where the lost tooth structure is replaced by an appropriate dental material, into a new regenerative paradigm where the lost tooth structure should be replaced with tooth structure. Numerous experimental approaches support the working hypothesis that the therapeutic control of dentin-pulp complex regeneration is now possible. Among other clinical situations, the clinical challenges in the development of effective therapies in teeth with deep dentinal cavities, extensive loss of crown tooth structure and compromised pulp functions, offer exciting opportunities for the near future. In this presentation the biological insights of the real therapeutic needs in the currently used vital pulp treatment modalities and the newly introduced materials will be reviewed. The most promising molecules-based dentin-pulp complex tissue engineering strategies, and how they can work in a clinically predictable way, will be further discussed.
Keynote Forum
Henryk Matusiewicz
Poznań University of Technology, Poland
Keynote: Potential release of in vivo, ex vivo traces metals from metallic medical implants in the human body
Time : 11:25-11:50
Biography:
Dr. Henryk Matusiewicz is professor of chemistry in the Department of Analytical Chemistry at Poznan University of Technology, Poland. Development and application of novel analytical methodologies: modern methods of sample preparation, development of spectrochemical methods for the quantification of elements, application of analytical methods to problems of environmental, biological and clinical chemistry and inorganic trace and ultratrace analysis, including speciation analysis and fractionation are his main research interests. He has published over 150 original publications in the area of trace element analytical chemistry, 10 authoritative reviews, 9 invited book chapters and co-edited one book. He has presented over 100 contributed or invited talks at national and international conferences and symposia on spectroscopy and analytical chemistry. rnHe completed his Ph.D degree in chemistry at Poznan University of Technology in 1973 and Dr. Sc. degree (habilitation) in analytical chemistry at the University of Warsaw in 1987. He was a postdoctoral research associate at the Department of Chemistry, Colorado State University, USA (1975-1978) and in the Department of Chemistry, University of Massachusetts, USA (1982-1984), International Visiting Scientist at the Elemental Analysis Research Center, US Food and Drug Administration, Cincinnati, USA (1984-1985), Distinguished Visiting Scientist at the National Research Council of Canada, Institute for Environmental Chemistry, Ottawa, Canada (1988-1986, 2011; 3 months each year), Visiting Professor (DAAD) at the University of Hannover, the University of Dortmund and at Max-Planck-Institute für Metallforschung, Dortmund, Germany (1992) and Visiting Professor at the University of Oviedo, Spain (1997).
Abstract:
Metal ion release from metallic materials, e.g. metallic alloys and pure metals, implanted into the human body in dental and orthopedic surgery is becoming a major cause for concern. This lecture provides an overview of both metallic alloys and pure metals used in implant materials in dental surgery. Additionally, a short section is dedicated to important biomaterials and their corrosive behavior in both real solutions and various types of media that model human biological fluids and tissues. The presentation gives an overview of analytical methods, techniques and different approaches applied to the measurement of in vivo, ex vivo trace metals released into body fluids and tissues from patients carrying metal dental implants. Reference levels of ion concentrations in body fluids and tissues that have been determined by a host of studies are presented in this lecture.
- Dentistry: Tools and Techniques, Diagnosis and Prevention of Oral Disease, Forensic Dentistry or Odontology, Cosmetic Dentistry, Therapy and Treatment and Oral and Dental Health
Session Introduction
Redi Gerxhani
University of Chieti, School of orthodontics, Italy
Title: Biography Dr. Redi Gerxhani has graduated at the age of 25 in 2006 at the University of Chieti, Italy. In January 2007 joined the post-graduate school of orthodontics in the same university, completed in 2009. Since 2012 he is Adjunct Professor and instructor at the post graduate school of orthodontics, University of Chieti, Italy. He is a private practitioner in several structures in Italy, owner in Orthodontic Private office in Ravenna and Pescara, Italy. He has been speaker in national and international scientific events.
Biography:
Biography Dr. Redi Gerxhani has graduated at the age of 25 in 2006 at the University of Chieti, Italy. In January 2007 joined the post-graduate school of orthodontics in the same university, completed in 2009. Since 2012 he is Adjunct Professor and instructor at the post graduate school of orthodontics, University of Chieti, Italy. He is a private practitioner in several structures in Italy, owner in Orthodontic Private office in Ravenna and Pescara, Italy. He has been speaker in national and international scientific events.
Abstract:
The prevalence of severely impacted second molars is about 2.3% it results to be one of the rarest diseases in the orthodontic field. In spite of this it can represent one of the most difficult clinical problems to solve for the orthodontist. With the widespread predictability of skeletal anchorage, procedures such as extraction and surgical repositioning of impacted second molars are gradually being replaced by orthodontic or surgical orthodontic treatments. Currently the orthodontic-surgical treatment with the aid of skeletal anchorage is the most predictable treatment choice. The use of miniscrews reduces treatment time, it is comfortable for the patient, it is easy to insert and remove and is placed directly by the orthodontist, with a light local anesthesia. We tested the corrective effectiveness of a submerged technique, which provides the extraction of the 3rd molar and the concomitant insertion of a miniscrew, an attachment on the 2nd molar and a traction gear. Our technique provides that all of the components, miniscrew, attachment, traction gear, have to be covered by soft tissues, in order to avoid periimplantitis, occlusal trauma on the miniscrew, and discomfort for the patient. The technique was tested on 9 patients. Each patient filled in and signed a questionnaire where the totality of the ones who had previously been treated with orthodontic braces, stated that the discomfort during the submerged uprighting period was absolutely irrelevant, compared with traditional orthodontics discomfort.
All treatments but one had a good outcome. Not any miniscrew failed, even in cases where the miniscrew was placed in thin layer of cortical bone with no medullar bone underneath. The risk of miniscrew failure resulted to be much lower also because there was no oral exposure of the miniscrews.
Conclusion: The technique we described resulted to be a very good compromise between the need of the clinician to apply unwieldy instruments and to minimize the risk of miniscrew failure, and the patients' need to have no discomfort. Irrelevance of discomfort was highly assessed by all patients in the questionnaire we dispensed. In addition, the increasing case series allows us to highly assert the validity and predictability of this method.
Biography:
Abstract:
Background: Radiographic examination is one of the primary diagnostic tools used in dentistry. In some patients, obtaining a correct intraoral periapical radiograph can be very difficult. These include individuals with severe gag reflex, pediatric patients who are reluctant to intraoral film placement, patients with macroglossia or microstomia, post radiation therapy patients with trismus or patients with limited sulcus depth etc. For such patients, recently an alternative technique was suggested in which periapical radiographs were taken by using extraoral approach. The purpose of our study is to evaluate the accuracy of extra oral periapical radiograph for determining working length by comparing it with two other sets of radiograph obtained with intraoral approaches.
Objective: To determine the accuracy of extra oral periapical radiography in obtaining root length by comparing it with the radiographs obtained from standard intraoral approach and extended distance intraoral approach.
Methods: It was an in-vitro, comparative study conducted at the dental clinics of AKUH. ERC exemption was obtained for this work, ref # 3407Sur-ERC-14. We included premolars and molars of a standard Phantom head mounted with metal and radiopaque teeth. Radiation was exposed using three radiographic approaches: standard intraoral, extended length intraoral and extra oral. Since, the unit of analysis was individual root, thus, we had a total of 36 images. The images were stored in VinWix software already installed in our clinic setup. The length of the roots was determined using the scale function of the measuring tool inbuilt in the software. Data was analyzed using SPSS version 19.0 and Graph Pad software. Pearson correlation coefficient and Bland-Altman test was applied to determine whether the tooth length readings obtained from three different approaches were correlated. A p-value of 0.05 was taken as statistically significant.
Results: The correlation between standard intraoral & extended intraoral was 0.97; correlation between standard intraoral & extraoral method was 0.82 while correlation between extended intraoral & extraoral was 0.76. The results of Bland Altman test showed that the average discrepancy between these methods is not large enough to be considered as significant.
Conclusions: It appears that the extra oral radiographic method can be used in root length determination in subjects where intraoral radiography is not possible.
Siamak Sabour
Beheshti University of Medical Science, Iran
Title: Diagnostic (Validity, reliability) and prediction studies, rule of thumb in clinical researches
Biography:
Abstract:
Reliability (precision) and validity (accuracy) are two important methodological issues in all fields of researches. The reliability is being assessed by inappropriate tests such as paired t.test and Pearson correlation coefficient which are among common mistakes. For quantitative variable Intra Class Correlation Coefficient (ICC) and for qualitative variables weighted kappa should be used. Regarding reliability or agreement, it is important to know that an individual based instead of group based approach using appropriate tests should be considered. Sensitivity, specificity,)positive predictive value (PPV), negative predictive value (NPV), likelihood ratio positive and likelihood ratio negative as well as diagnostic accuracy and odds ratio are among the tests to evaluate the validity of a single test compared to a gold standard. For prediction studies, we need two different cohort data set or at least one cohort dataset splitting that to develop our prediction model and then to validate it. Briefly, in reliability and validity as well as prediction studies, appropriate statistical tests with correct interpretation and correct study design should be applied by researchers. Otherwise, misdiagnosis and mismanagement of the patients cannot be avoided.
Biography:
Shirley Gutkowski, RDH, BSDH is an international speaker, writer, and practiced general dental hygienist. She is a graduate of Marquette University. Coâ€author of The Purple Guide: Developing Your Clinical Dental Hygiene Career and publisher of The Purple Guide series of books for dental hygienists. She is the 2006â€07 President of the Wisconsin Dental Hygienists’Association and CAREERfusion technology coach. She is also the 2008 Alumna of the Year award winner from Marquette University School of Health Science. Gutkowski is listed as author on nearly 200 papers ranging from caries management (consumer and professional) to periodontal disease managment (dental and medicial journals).
Abstract:
Anyone frustrated with motivating patients to brush better to decrease decay, needs to be in this audience. Remineralization therapy is the latest and greatest dental hygiene procedure since the middle 1980’s. With today’s technology, clinicians become the key players in enamel repair by healing the oral environment as well as the enamel itself. This course goes beyond better brushing, beyond sealants, beyond anything you’ve done before!
Siti Rusdiana Puspa Dewi
University of Sriwijaya, Indonesia
Title: Anticariogenic Effect of Gambir Extract on Enamel Tooth Surface Exposed by Stretococcus Mutans
Biography:
Siti Rusdiana Puspa Dewi has completed her Bachelor degree of Dentistry at age of 23 years old from North Sumatera University, Medan, Indonesia, and postgraduate studies (Master degree of Health) from Sriwijaya University, School of Medicine, Palembang, Indonesia. She is now lecture in Sriwijaya University, Palembang, Indonesia.
Abstract:
Introduction. Dental caries is the most common problem in many nations in the world, especially in Indonesia. Elimination of bacteria as one of caries causal can be done in many ways, one of them is using gambir plant extract. Gambir has chemical compounds like catechin and tannin, which have anticariogenic effect. The aim of this study was to determine anticariogenic effect of gambir extract on enamel tooth surface exposed by Streptococcus mutans. Methods. An experimental study, in vitro, had been conducted in Integrated Laboratory Pasca Sarjana Unsri, Province’s Health Laboratory of South Sumatera, dan Metalurgy’s Laboratory of Engineering Faculty of University of Indonesia, and held on March to April 2015. There were 35 first and second upper premolar samples and divided into 5 groups; each groups using 40%, 50%, 60% gambir extract, negative control or placebo, and positive control (using cefadroxyl 500mg). Data were analyzed by using SPSS 22 vers. Results. The results showed that 60% gambir extract had equal effect of reducing the decline of micropores in enamel topography to cefadroxyl 500 mg, 50% gambir extract had equal effect in reducing the decline of calcium’s weight to cefadroxyl 500 mg and had dose-dependent effect, 40% gambir extract had equal effect in lowering colonies of Streptococcus mutans to cefadroxyl 500 mg, and had dose-dependent effect. Conclusion. It can be concluded that 60% gambir extract has equal anticariogenic effect to cefadroxyl 500 mg.
- Oral and Maxillofacial Surgery, Orthodontics, Restorative Dentistry, Pediatric Dentistry, Biomaterial Science , Dental Ethics and Future Trends in Dentistry
Session Introduction
Henryk Matusiewicz
Poznań University of Technology, Poland
Title: Potential release of in vivo, ex vivo traces metals from metallic medical implants in the human body
Biography:
Dr. Henryk Matusiewicz is professor of chemistry in the Department of Analytical Chemistry at Poznan University of Technology, Poland. He has presented over 100 contributed or invited talks at national and international conferences and symposia on spectroscopy and analytical chemistry. Prof. Matusiewicz has served on the Editorial Advisory Boards of Journal of Analytical Atomic Spectrometry (1988-1997), Spectrochimica Acta Part B (1995-2000) and serves on the Editorial Advisory Boards of Microchemical Journal, Applied Spectroscopy Reviews, The Open Analytical Chemistry Journal and Austin Journal of Analytical & Pharmaceutical Chemistry. He is a member of the Committee of Analytical Chemistry of the Polish Academy of Sciences and Chairman of Trace Analysis Commision.
Abstract:
Metal ion release from metallic materials, e.g. metallic alloys and pure metals, implanted into the human body in dental and orthopedic surgery is becoming a major cause for concern. This lecture provides an overview of both metallic alloys and pure metals used in implant materials in dental surgery. Additionally, a short section is dedicated to important biomaterials and their corrosive behavior in both real solutions and various types of media that model human biological fluids and tissues. The presentation gives an overview of analytical methods, techniques and different approaches applied to the measurement of in vivo, ex vivo trace metals released into body fluids and tissues from patients carrying metal dental implants. Reference levels of ion concentrations in body fluids and tissues that have been determined by a host of studies are presented in this lecture.
Biography:
Hani Dalati is a visiting Consultant in Orthodontist at Health Point Hospital in Abu Dhabi (UAE), a Partner at the Springs Dental Care and the Greengates Dental Centre in Leeds (UK), Associate Programme Leader (MClinDent in Orthodontics) at the BPP University and the City of London Dental School and he serves as an Examiner at the Royal College of Surgeons of England. He was awarded the 'Lifetime Achievement' Award of the American Biographical Institute in 2008, and he represented the United Kingdom to receive a Gold Medal from the American Biographical Institute in 2009. He was short-listed on a numerous occasions for the UK-based Smile and Dental Awards.
He has a number of publications and he is on the editorial and the review panels of a number of Scientific Dental Journals such as the American Journal of Orthodontics and Dentofacial Orthopaedics, and the Cleft Palate and Craniofacial Journal. He is an invited speaker to a number of National and International Dental and Facial Aesthetics Conferences.
Abstract:
This lecture will concentrate mainly on equipping the attending delegates with new ideas related to incorporating Botox and Dermal fillers into their dental and orthodontic practices where applicable in order to help them overcome a vast number of minor daily encountered obstacles.
This will help them to improve their treatment plans and to achieve the desired/optimum results.
The lecture additionally will cover other aspect such as: Patient assessment strategies, indications and contraindications to those techniques, Medico-legal aspects of incorporating those techniques into the daily practice, preparation and delivery of those materials, storage, dosage, selling strategies, management and treatment of possible complications, safety and risk issues related to Botox and Dermal Fillers and many others.
In brief, this lecture objective is to enable attendees to know these practical concepts, techniques and to be familiar with the materials, techniques, and instrumentation of both aesthetic and therapeutic facial injectables – Botox and Dermal Fillers .
Fadia M. Al-Hummayani
King Abdulaziz University, Saudi Arabia
Title: Treatment of pseudo Class III malocclusion by modified Hawley’s appliance with inverted labial bow
Biography:
Abstract:
Objective: The aim of this article is to highlight the method of construction and use a simple removable appliance termed as "Modified Hawley’s appliance with inverted labial bow" to treat pseudo class III malocclusion
Case Report: A female patient aged 16 years, presented with chief complaint of having a monkey bite; the lower anterior teeth overlapping the upper teeth and abnormal concave facial profile. On clinical examination the dental relationship suggested retroclined upper and lower incisors. The incisors were in end-to-end relationship with posterior open bite when the mandible guided in centric relation. However, due to a premature contact between upper and lower incisors an anterior functional mandibular shift in centric occlusion causes anterior cross-bite. Therefore, the diagnosis was a pseudo Class III malocclusion.
Treatment was done in two phases. Phase 1 treatment was done by "Modified Hawley’s appliance with inverted labial bow" to have positive overbite and overjet accomplished in 4 month and in phase II treatment was done with fixed appliances to align teeth and have proper over bite and overjet and it was accomplished in 8 months.
Conclusions: Modified Hawley’s appliance with inverted labial bow is easy to construct and patient friendly appliance to correct anterior crossbite in Pseudo class-III malocclusion
Maria A. Landin
University of Oslo, Norway
Title: Mapping the global gene expression during tooth development may provide new bio-therapeutics tools in dentistry
Biography:
Dr Maria A. Landin is a toxicologist, specialized in toxicogenomics, working with Prof Harald Osmundsen at the institute for Oral Biology. During her PhD, she investigated and mapped the global gene expression in murine tooth buds using molecular biological methods. This lead to creation of a microarray database (68 microarrays) entailing 16 time points of murine tooth development from the embryonic day 11th up to 7 days post-partum (E11.5- P7). During her Dr’s degree she aquired knowledge and skills in molecular biological techniques such as microarrays, real-time RT-PCR, isolation of proteins or RNA / DNA from tissues or cells. She also masters various immunological techniques and have extensive experience in animal experiments and microdissection. She established In Situ hibridisering (Ribo-and oligoprober) at the institute and participated in several projects looking at the effects of brominated and / or perfluorinated flame retardants in wild type and knockout mice. She also colaborated with the biofilm groupe at the institute, where microarrays with up to 30K oligo were used to assess the toxicity of furanone in vivo.Currently Dr.Landin researches on the rolle microRNAs (miRNAs) in the regulation of the murine transcriptome using loss of function studies.
Abstract:
Tooth Development in murine models occurs in a short time-span providing a window of genetics events and is a good model for organ development. Understanding the genetic processes that govern tooth development by mapping the global murine mRNA transcriptome and their regulators miRNAs may provide new bio-therepeutic tools in dentistry. Previous research focus has been on identifying one or more target proteins that can be used as a diagnostic tool and to find the most successful treatment. The understanding of the genetic events during murine tooth development may provide bio-tools for dentists and influence positively the clinical outcome in persistent infectious cases like periodontitis or perio-implantitis. For many patients with persistent infectious conditions with loss of bone and eventually loss of teeth may benefit of new treatment approaches. Extrapolation of genetic studies may contribute to increase knowledge on the numerous biological events in regeneration and healing processes of oral soft and hard tissues may generate new treatment strategies and give predictable results in restoration treatment after oral infections resistant to clinical treatment.
Roula albounni
Riyadh Colleges of Dentistry & Pharmacy, Kingdom of Saudi Arabia
Title: Indirect veneers as a permanent esthetic treatment
Biography:
Prof. Roula Albounni got her master and PHD certificates from Damascus University. She supervised for more than 30 master thesis and 3 PHD thesis in Damascus university, and promoted to professor degree in 2010, she was the head of endodontic and restorative department 2004-2011. Also she has some publications in universal certified journals. Currently she is working as full professor in Riyadh colleges of dentistry and pharmacy with undergraduate and postgraduate students
Abstract:
Every new material or technique introduced to the field of dentistry aims to achieve esthetic and successful dental treatments with minimal invasiveness. Therefore, indirect laminate veneers have developed for advanced esthetic problems of anterior teeth.
Tooth discolorations, rotated teeth, coronal fractures, congenital or acquired malformations, diastemas, discolored restorations, palatally positioned teeth, abrasions and erosions are the main esthetic problems for many patients, and it's basically the main indications for indirect laminate veneers.
Also, along passing time, Changes in color, shape, and structural abnormalities of anterior teeth might lead to important esthetic problems for patient, for that laminate veneers could be a good conservative solution for all these problems.
Indirect Laminate veneers are applied on prepared tooth surfaces by resin cements. Absence of necessity for tooth preparation, low cost, Intraoral polishing of indirect laminate veneers is easy to use, long term of longevity, all of these are some advantages of this technique, however, the main disadvantages of indirect veneers are high cost, difficulties to repair, and some time the invasive preparation comparing with direct composite veneers.
But it's worth mentioning that the ceramic veneers and the ideal application of this technique are the main factors to achieve long lifespan for successful outcome.
By this technique we can get lot of benefits with wide range of people who seek improvements in there distorted smile due to numerous problems in anterior teeth.
Bertolai Roberto
University of Florence, Italy
Title: Bone graf and Mesenchimal Stem Cells: Clinical observations and Histological analysis
Biography:
Roberto Bertolai completed his degree in Medicine and Surgery with honors from the University of Florence, with a degree in maxillofacial surgery which will be the subject of a subsequent publication. He did his Postgraduate Diploma in Dentistry in November 1987, with the highest grades and honors from the University of Florence and Postgraduate Diploma in Maxillofacial Surgery in 'October 2006 with honors degree from the University of Verona
Abstract:
Autologous bone, for it’s osteoconductive, osteoinductive and osteogenetic properties, has been considered to be the gold standard for maxillary sinus augmentation procedures. Autograft procedures brings also some disadvantages: sometimes the limited amount of available intraoral bone makes necessary to obtain bone from an extraoral site, and this carries an associated morbidity.
To overcome this problem we started using homologous freeze-dried bone in maxillary sinus augmentation procedures.
This bone is industrially processed with γ-irradiation to eliminate it’s disease transmission potential and it’s considered safe, but this treatment also eliminates the osteoinductive and osteogenetic properties, making it just an inert scaffold for regeneration.
Mesenchymal stem cells are successfully used in and orthopedic surgery for their amplification potential of healing mechanisms.
We assumed that mesenchymal stem cells can restore the osteogenetic and osteoinductive properties in homologous bone grafts.
The aim of this study was an histological evaluation of bone regeneration in maxillary sinus elevation using: 1) mesenchymal stem cells engineered freeze-dried bone allografts
2) freeze-dried bone allografts
Twenty patients (20M, 20F) with a mean age of 55.2 years affected by severe maxillary atrophy were treated with bilateral maxillary sinus floor elevation. For each patient were randomly assigned a “test†side and a “control" side, different from each other exclusively in the composition of the graft material. The "control" sides were composed by corticocancellous freeze-dried bone chips and the “test†sides were composed by corticocancellous freeze-dried bone chips engineered in a bone marrow mesenchymal stem cells concentrate. After three months bone biopsies were performed on the grafts and histological specimens were made in order to evaluate the healed bone from a histological point of view.
Histologically all the specimens showed active remodelling signs and all the tissues were free of inflammatory cells.

“Control†side specimens showed a substantial persistence of the grafted bone and, with the interposition of connective tissue, a considerable amount of newly formed bone.
“Test†side specimens showed a much more represented cellular component compared to the “control†sides. The grafted bone trabeculae, when detectable, were completely imprisoned inside new formed bone, in direct contact with it and without interposition of connective tissue.
Freeze-dried bone can be used successfully as graft material in the treatment of maxillary atrophy. The same bone engineered with stem cells showed a greater histological integration potential comparable with autografts histological morphology. Further studies are needed to confirm these hypotheses.
Mehdi A. Ebrahimi
The University of Hong Kong, Hong Kong
Title: Nano hybrid bioceramics for maxillofacial reconstruction and repair
Biography:
Ebrahimi M.A. has completed his MSc in maxillofacial surgery from Prince of Songkla University (Thailand) at 2011 with honor merit. He started his work on biomaterials with special focus on biphasic nano bioceramics at 2010 and developed cost effective techniques for preparation of bioceramics. He presented his experiences at different local and international conferences and published his works in reputed journals. Currently he is a researcher and PhD candidate at University of Hong Kong. His recent focus is on preparation of hybrid nano bioceramics with incorporation of collagen in comparison to biomimetic self assembly biomaterials for enhanced bone regeneration.
Abstract:
The most common biomaterials for skeletal maxillofacial repair are bioceramics because of their compositional similarity to the mineral phase of the bone and biocompatibility. Different compositional ratios of bioceramics have been also developed to overcome disadvantages of single-phase materials by combination of two or more ceramic phases. However, many bioceramics suffer from disadvantages such as; poor mechanical properties and lack of organic phase. Furthermore, the conventional bioceramics compose of microscale grain, whereas the bone inorganic phase is at the nanoscale level. Nano ceramic could promote osteoblast cells activity and enhance formation of new bone better than microscale bioceramics. Nanotopography and grain size rather than composition ratio, are the main factors influencing the biological properties of biomaterials that should be considered before clinical application. However, the superiority of natural bone is also due to the presence of collagen which adds strength and partial elasticity. Therefore, hybrid bioceramics of multiphasic origin including both organic and inorganic phase at nano-macro scale provides excellent alternatives for oral and maxillofacial applications. Many controversies are there with regards to the ideal properties of bioceramics and clinicians are left with much confusion in choice of ideal biomaterials from the market. Currently, there are no biomaterials that can simulate full properties of natural bone due to superiority and complexity of this structure. The aim of this paper is to provide the clinicians with basic necessary knowledge in bioceramics and introduce useful guidelines for proper selection of ideal biomaterials for maxillofacial bony repair based on clinical requirements.
Hamed Orafi
Jordan University of Science & Technology, Jordan
Title: Alveolar osteitis: Clinical features and etiology in fifty nine patients attending Dental School Clinic, Benghazi-Libya
Biography:
Abstract:
In this prospective clinical study fifty nine patients who attended the Benghazi Dental school& hospital oral surgery clinic, complaining of post extraction Dry socket, were noted for the etiology, gender, age , habits like smoking , medications taken, associated factors, skill of the operator, time of the execution of the procedure, compliance with post extraction instructions, and post procedure habits, the sample studied showed more incidence in the lower third molar tooth more than any tooth, females taking contraceptive bills more than others, in our sample smoking didn’t had any significant difference
Biography:
Abstract:
Despite the fact that there are ethical problems during Orthodontic interventions are continuously encountered by orthodontists who rarely deal with life or death decisions, There are important human values are at stake in the course of treatment including preventing pain , maintaining and restoring oral function for normal speech and eating, preserving and restoring the patient’s physical appearance and promoting a sense of control over and responsibility for his or her own health. The Last but not the least orthodontists particularly, to a great extent deal with children where ethical problems arise especially when there is moral uncertainty . This paper is going to present a clinical case as an example to show ethical dilemmas that orthodontists may face when advocating for the best interests of a child.
Biography:
Abstract:
Aim and objective of the Study
• To measure the efficacy of articaine and mepivacine buccal infiltrations supplemental to mepivacine IANB on mandibular first molar pulp anesthesia.
• To determine the time of onset and duration of pulpal anesthesia for each treatment.
• To assess patient reported feelings of numbness in teeth and soft tissues after each local anesthetic injection
Materials & Methods
• The volunteers received LA regimens randomly over two visits, at least one week apart following reading the information sheet and signing the formal consent
• The efficacy of pulp anesthesia was determined by electronic pulp testing
• The efficacy of pulp anesthesia was evaluated for mandibular first molar after both treatments before injection (baseline) and at intervals of 2 minutes for the first ten minutes and then at intervals of five minutes until 45 minutes after the injection. A control un anaesthetized tooth on the other side of the lower jaw was tested at base line, once again at 10 minutes and at the end of the trial (45 minutes).
• The discomfort of the injections was recorded by the volunteers after each treatment on standard 100mm visual analogue scales (VAS), with “no pain†(0 mm) and “unbearable pain†(100 mm).
• After all injections, the volunteers were asked to subjectively gauge soft tissue anesthesia of the lower lip, tongue, and teeth as soon as numbness is felt following either treatment.
Results
• All (23 volunteers) secured anesthetic success for first molar tooth following pulp testing after articaine and mepivacaine regimens within 10 min and continuously sustained for 45 min postinjection (P = 1).
• Differences between articaine regimen and mepivacaine regimen are statistically significant in regard to the number of episodes when there are no sensation on first molar pulp testing on 64 reading (maximum stimulation) at 2 min (P = 0.008) and 4 min (P = 0.019) but not at 6 min (P = 0.15) or 8 min (P = 0.32)..
Mohammed Shawki Hafez
Pharos University of Alexandria, Egypt
Title: Regenerative Endodontics:The future of RCT
Biography:
Mohammed Shawki Hafez has completed his master’s degree in endodontics and works as teaching assistant in Endodontic department - Pharos University of Alexandria (www.pua.edu.eg) and the head of continued education program of the faculty. He is a candidate for phd degree in endodontics from Tanta University. he also is interested in implants and earned Fellowship and membership from the International Congress of Oral Implantology ICOI –USA. He owns a private clinical practice (Al-Araak Dental and cosmetic center). He have been one of the organising committee for Alexandria International Dental Congress “AIDC†since 2004 and Pharos International student
Abstract:
The regeneration or replacement of oral tissues affected by inherited disorders, trauma, and neoplastic or infectious diseases is expected to solve many dental problems. Within the next 25 years, unparalleled advances in dentistry and endodontics are set to take place, with the availability of artificial teeth, bone, organs, and oral tissues; as well as the ability to stimulate endodontic regeneration , replace diseased tissues produce vaccinations against viruses , and genetically alter disease pathogens to help eradicate caries and periodontitis. Regenerative endodontic procedures can be defined as biologically based proce- dures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex. The objectives of regenerative endodontic procedures are to regenerate pulp-like tissue, ideally, the pulp-dentin complex; regenerate damaged coronal dentin, such as following a carious exposure; and regenerate resorbed root, cervical or apical dentin.
Seyed Amir Mousavi
Isfahan University of Medical Sciences, Iran
Title: Effect of cryogenic treatment with nitrogen on cutting efficacy of HERO files
Biography:
Abstract:
Introduction: Many efforts have been made to improve Ni-Ti alloy for endodontic use and it has been shown that surface properties and thus cutting efficiency of the rotary files can be improved by processes such as electro-polishing, ion implantation and surface coating. The aim of this study was to evaluate the effect of cryogenic treatment on cutting efficiency of Ni-Ti rotary files.
Materials and Methods: In this in vitro study, 60 Ni-Ti rotary instruments (Hero 642, #25, 0.04 taper) were selected and divided into 3 groups of 20. In group I no treatment was used. In group II the instruments were subjected to a deep cryogenic treatment in liquid nitrogen pool (-196°C) for 24 hours and after treatment were immediately tested for cutting efficiency. In group III after cryogenic treatment the temperature of the samples was raised slowly to room temperature for 24 hours. A new piece of test equipment was designed and used. The instruments were attached to the testing machine and rotated in Plexiglas samples for 10 seconds in a working length of 16 mm. The depth of grooves and weight loss of Plexiglas were measured after instrumentation. One-way and two-way ANOVA were used to compare the means of cutting efficacy between the three groups at 95% confidence interval.
Results: The instruments which were immediately tested for cutting efficiency had significantly more weight loss and deeper grooves (pweight < 0.001; pgroove = 0.022), indicating better cutting efficiency. However, there was no significant differences between group I and group III in cutting efficacy (p weight = 0.23; p groove = 0.61).
Conclusion: The results of this study showed that the surface properties of Ni-Ti alloy could be improved by the cryogenic treatment for a limited period of time after treatment, increasing the cutting efficiency of Ni-Ti rotary instruments.
AlKhawas MA
Al-Azhar University, Egypt
Title: Microscopy and Computed Tomography; Harmony and Perfection in Canal Detection
Biography:
Abstract:
Successful root canal treatment depends on proper cleaning and shaping in addition to total obturation of the root canal system which is complex and variant. Recognition of such variations in root canal morphology is an important step for both successful diagnosis and treatment of endodontic lesions. Unfortunately, the complexities of pulp space morphology are often masked by the uniform morphology of the external tooth surfaces. For evaluating such complexities of the pulp space morphology, different methods have been used such as canal staining and tooth clearing method. Also, conventional and digital radiographs have been used. With advancement of computed tomographic (CT) techniques, Cone Beam CT (CBCT) has been developed with high resolution and accuracy which is helpful in evaluation of the complex root canal morphology especially detection of the exact location canal orifices. Clinically, higher magnification at least using magnifying loupes is important for detecting root canal orifices. Besides, the Dental Operating Microscope (DOM) is considered one of the viable tools in detecting the root canal orifices due to its greater magnification. In conclusion, simultaneous using of both of DOM and CBCT for diagnosis of endodontic lesions is of great value for detecting root canal orifices.
Hani Dalati
Royal College of Surgeons, UK
Title: The Current Orthodontist’s Role in the Cosmetic/ Implant Dental Practice
Biography:
Hani Dalati is a visiting Consultant in Orthodontist at Health Point Hospital in Abu Dhabi (UAE), a Partner at the Springs Dental Care and the Greengates Dental Centre in Leeds (UK), Associate Programme Leader (MClinDent in Orthodontics) at the BPP University and the City of London Dental School and he serves as an Examiner at the Royal College of Surgeons of England. He was awarded the 'Lifetime Achievement' Award of the American Biographical Institute in 2008, and he represented the United Kingdom to receive a Gold Medal from the American Biographical Institute in 2009. He was short-listed on a numerous occasions for the UK-based Smile and Dental Awards.
He has a number of publications and he is on the editorial and the review panels of a number of Scientific Dental Journals such as the American Journal of Orthodontics and Dentofacial Orthopaedics, and the Cleft Palate and Craniofacial Journal. He is an invited speaker to a number of National and International Dental and Facial Aesthetics Conferences.
Abstract:
As patients are becoming more aware of the need for the so called “Perfect Smiles†in order to fit better into the society and get higher on the salary scale, Cosmetic and Dental Implant Treatments are booming in the 21st century.
Traditional Orthodontics had to be changed in order to follow this Cosmetic Trend/ Progress hence we hear more nowadays about the speedy braces, Self-ligating braces, social-6 braces and cosmetic braces to facilitate the “Smile Design†treatment plans.
In our lecture today, we will discuss the new role of the Contemporary Orthodontist in the daily routine of the Cosmetic/ Dental Implant Practice and how much the input of a simple orthodontic treatment before some cosmetic and dental implant work can and will definitely improve the end results and avoid the patient plenty of un-necessary related procedures, complications and follow ups. A brief touch of the use of Botulinum Toxin and Dermal fillers in the dental practice would be included.
Siti Rusdiana Puspa Dewi
University of Sriwijaya, Indonesia
Title: Anticariogenic Effect of Gambir Extract on Enamel Tooth Surface Exposed by Stretococcus Mutans
Biography:
Siti Rusdiana Puspa Dewi has completed her Bachelor degree of Dentistry at age of 23 years old from North Sumatera University, Medan, Indonesia, and postgraduate studies (Master degree of Health) from Sriwijaya University, School of Medicine, Palembang, Indonesia. She is now lecture in Sriwijaya University, Palembang, Indonesia.
Abstract:
Introduction. Dental caries is the most common problem in many nations in the world, especially in Indonesia. Elimination of bacteria as one of caries causal can be done in many ways, one of them is using gambir plant extract. Gambir has chemical compounds like catechin and tannin, which have anticariogenic effect. The aim of this study was to determine anticariogenic effect of gambir extract on enamel tooth surface exposed by Streptococcus mutans.
Methods. An experimental study, in vitro, had been conducted in Integrated Laboratory Pasca Sarjana Unsri, Province’s Health Laboratory of South Sumatera, dan Metalurgy’s Laboratory of Engineering Faculty of University of Indonesia, and held on March to April 2015. There were 35 first and second upper premolar samples and divided into 5 groups; each groups using 40%, 50%, 60% gambir extract, negative control or placebo, and positive control (using cefadroxyl 500mg). Data were analyzed by using SPSS 22 vers.
Results. The results showed that 60% gambir extract had equal effect of reducing the decline of micropores in enamel topography to cefadroxyl 500 mg, 50% gambir extract had equal effect in reducing the decline of calcium’s weight to cefadroxyl 500 mg and had dose-dependent effect, 40% gambir extract had equal effect in lowering colonies of Streptococcus mutans to cefadroxyl 500 mg, and had dose-dependent effect.
Conclusion. It can be concluded that 60% gambir extract has equal anticariogenic effect to cefadroxyl 500 mg.
S. Sai Kalyan
Pravara Institute of Medical Sciences, India
Title: Revascularization and regenerative strategies in Endodontics
Biography:
Abstract:
We stand on the world of revolution in Endodontics: Understanding, Treating and Ultimately preventing the causes of Pulpal disease. But medical revolution only happens when there is paradigm shift in interventional strategies from replacement towards regeneration. We did it for cancer, we are doing it for Alzheimer’s….can we do it for the diseased Pulp? Cell transplantation is the most established practice in regenerative medicine. It does not always obtain the good result because of the low survival rate of transplanted cells. In addition, the use of ex vivo manipulated cell products faces many translational hurdles in treating non-vital disease. Recently, the body cells are focused as a potential source for therapeutics. Some researchers have demonstrated that endogenous stem cells may be recruited to a desired anatomic site pharmacologically. This is spurring interest in developing new generation of biomaterials that incorporate and release selected powerful extracellular influences in a near-physiological fashion, and subsequently capture endogenous cells and influence their fates for regeneration. The use of patient-derived products such as platelet-rich preparations that contain a multitude of endogenous growth factors and proteins is a clinically translatable biotechnology for this proposes. These simple and cost efficient procedures may have a potential impact in reducing the economic costs for standard medical treatments in Regenerative Endodontics.
Yasmine Farouk
Nahda University, Egypt
Title: Salivary Carbonic Anhydrase and some salivary factors as biomarkers of caries risk in children
Biography:
Abstract:
Aim of the study: to assess the role of carbonic anhydrase and salivary PH and some buffering system components (phosphate buffer concentration) as well as, salivary flow rate in both stimulated and unstimulated saliva as caries biomarkers in children with high and low caries index.
Materials and Methods: The study included 120 children divided equally between two age groups 3-5 and 13-15 years. The two groups were divided according to caries risk into two subgroups; low and high caries risk groups. Two samples were taken from each child; saliva – un-stimulated and stimulated. Salivary carbonic anhydrase activity, as well as flow rate, PH value and phosphate buffer levels were estimated in both groups of saliva samples.
Results: The investigations showed significantly higher carbonic anhydrase activity (p < 0.001) in both saliva samples in low caries risk group compared to high caries risk one. In children with low caries risk, both unstimulated and stimulated saliva show significantly higher phosphate buffer concentrations (p < 0.001), as well as PH values.
Conclusion: The results suggest that salivary carbonic anhydrase activity represents a valid biomarker for the estimation of risk for caries incidence in children.
Chao Li
Sichuan Cancer Hospital & institute, China
Title: Systematic Evaluation on the Use of Acellular Dermis Matrix Graft in Prevention Frey Syndrome after Parotid Neoplasm Surgery
Biography:
Abstract:
Objective: To study the effectiveness and safety of acellular der-mal matrix (ADM) graft in preventing Frey syndrome after parotid neoplasm surgery, we reviewed foreign reported clinical random-ized controlled trials systematically. Based on this review, we aimed to assess the effectiveness of ADM graft and provide reliable evi-dence for clinical application. Methods: We reviewed foreign-language databases, such as MEDLINE, applied meta-analysis with Rev.Man 5, and drew forest plots with odds ratio as effect size.
Results: Three trials were recruited. The morbidity of Frey syndrome in experimental group was significantly lower than that in control on both subjective index and objective index, with odds ratios at 0.03 (95% confidence interval, 0.01Y0.11) and 0.03 (95% confidence interval, 0.01Y0.12), respectively. There was no significant difference between ADM group and blank control in total adverse reactions and complication incidence, whereas results differed for a kind of specific adverse reaction or complication.
Conclusions: Based on existing research data, implanting ADM could effectively prevent Frey syndrome, and its poor prognosis effects did not significantly increase, which suggested that its total safety was reliable. Nevertheless, further investigations about the difference on a specific adverse reaction or complication were still needed.
Biography:
Abstract:
There have been many advances in the management of head and neck infections over the past decade. New classes of antimicrobial agents, noninvasive imaging techniques, improved culturing methods are just some of the changes that have occurred which have enhanced dramatically our ability to diagnose and treat these infections with speed and accuracy.
Concerns among the lay population regarding the perceived shifting of infectious disease patterns and their subsequent manifestations have become a topic of discussion in the news media. For example Time magazine has suggested that antibiotics are so overused that the human body has become saturated and that the human immune system is so depressed that it provides an environment for the creation of ‘‘bacterial monsters’’
The impressive ability of bacteria and viruses to adapt, change, and mutate in response to our pharmacologic bombardment is a testimony to the complex and unpredictable nature of these microbes. For every new drug we formulate, resistance develops to an older and often used one. For every organism that we eradicate, another one suddenly emerges to take its place. To those of us in the clinical trenches, it seems that we are in a war with an ever-expanding number of increasingly virulent and destructive microbes.
Objective:
It is my hope that by summarizing the information provided by various outstanding contributors to this serious issue of antibiotic resistance and genetic mutation of these deadly bugs will help to resolve some of the important issues we currently face.
Nora Al-Nomay
King Saud Bin Abdulaziz University, Saudi Arabia
Title: Principles of Ethics in dental research and practice
Biography:
Dr Nora Saleh has done her Bachelor of dental and oral surgery from King Saud University Riyadh followed by her post-graduation in Periodontics and certification in clinical practice in 1999, she did her master in Bioethics from King Saud Bin Abudulaziz University of Health Affairs in 2015. Her master’s research was titled “Knowledge, Attitude, and Practices of Clinical Investigators in Saudi Arabia toward Compliance with (ICH-GCP Standards) Ethical guidelinesâ€. Her research interests are in determinants and management of periodontal diseases and in ethics in dental and Islamic ethical studies.She is working as an Assistant professor and also as a consultant in ministry of national guard, and the College of Dentistry, King Saud Bin Abdulaziz University since2011. She has membership in religion affair department and she is also a member of Dental Public Health Committee since2004. Her voluntary activities include her work as religious mentor in religion affair department. She has attended many conferences both national and international to present her papers.
Abstract:
The practice of dentistry has changed in ways that highlight the relevance of ethical issues. People come to dentists for help with some of their most pressing needs - relief from pain, suffering and restoration of oral health and well-being. Although compassion, competence and autonomy are not exclusive to dentistry, the practice of dentistry requires dentists to represent these values to a higher degree than in other occupations, particularly when managing patients with severe pain or when dental procedures requires patients to tolerate high levels of anxiety and discomfort. The Objectives of this presentation is describe the meaning and importance of ethics in the context of dental practice and research, outline principles of ethics and code of dental professional conduct. In addition this presentation provides knowledge that will help audience differentiate between ethical and legal issues in dentistry and list characteristics of professionalism among dentists. This lecture would be of interest to participants who seek a better understanding of ethical guidelines and protocols, particularly those focusing on dental practice and research.
Nagy Abdulsamee Abdulhameed
Misr University for Science & Technology, Egypt
Title: Biosmart Dentistry: Is It Myth Or Truth?
Biography:
Nagy Abdul-Samee Abdul-Hameed is a Vice Dean for Graduate Studies & Researches, Professor and Head of Dental Biomaterials, College of Oral and Dental Medicine, Misr University for Science & Technology.
Abstract:
Smart materials are those materials having properties which may be altered in a controlled fashion by stimuli, such as stress, temperature, moisture, pH, and electric or magnetic fields. Examples include piezoelectric materials, which produce a voltage when stress is applied or vice versa, shape memory alloys or shape memory polymers which are thermo responsive, and pH sensitive polymers which swell or shrink as a response to change in pH. Smart behavior occurs when a material can sense some stimulus from its environment and react to it in a useful, reliable, reproducible, and usually reversible manner. These properties have a beneficial application in various fields including dentistry. Shape memory alloys, zirconia, and smart seal are examples of materials exhibiting a smart behavior in dentistry.
There is a strong trend in material science to develop and apply these intelligent materials. These materials would potentially allow new and ground breaking dental therapies with a significantly enhanced clinical outcome of treatments. The numerous applications they have been put to, no wonder tells us that these smart materials hold a real good promise for the future of dentistry. The aim of the presentation is to show how dentists and dentistry made use of these smart materials for benefits of their patients.
B M Shanthala
Coorg Institute of Dental Sciences, India
Title: Current uses of diode lasers in Dentistry
Biography:
Abstract:
Recent advance in laser technology has revolutionized the dental practice. The individual laser type owing to its physical properties and tissue interactions has range of application in dental practice. Diode laser are semiconductor lasers used for multitude application in dental procedures.
The objective o the presentation is to highlight the uses of diode lasers in dental procedures as pulpotomy medicament and canal disinfectants, in frenectomies and laser applied fluoride therapy (LAFT).
LAFT is a combination of laser irradiation combined with fluoride application. This combination improves the resistance of enamel surface to acids in the process of caries by creating the microspaces in the enamel surface and serves as the reservoirs of fluorides. This was tested by evaluating the loosely bound fluoride and the SEM evaluation of the enamel surfaces exposed to LAFT.
Diode lasers used as canal disinfectants demonstrated better antibacterial properties. In frenectomies, diode lasers demonstrated better patient satisfaction and healing as compared to conventional surgical procedures.
Diode laser as a plpotomy medicament demonstrated better pulpal response by maintaining the integrity of odontoblastic layer, reduced inflammation and necrosis when compared to formocresol.
In conclusion, diode laser has proven to have a multitude of application in preventive and restorative procedures and in diagnosis of caries.
Basel M. Abozor
Ibn Sina National College for medical studies, Saudi Arabia.
Title: Apical Extrusion: an update
Biography:
Basel M. Abozor has completed his MSc. from Cairo University. He is the director of Endodontic division at Ibn Sina Ntional College for Medical studies. He had lectured at national and inernational conference and published articles in peer reviwed journals. Recently he won tow reserch awards at conferences in saudia arabia.
Abstract:
Apical extrusion of debris,microorganisms and irrigants can participate in causation of interappointment or posttreatment pain due to changes in the endodontic environmental conditions; and secondary intraradicular infections.
The aim of the lecture is to conduct a review and analysis of recent published data on apical extrusion. Clinical of the studies finding will be discussed.
- Oral and Maxillofacial Surgery
Session Introduction
N Vasudev Ballal
Manipal University, India
Title: Evaluation of smear layer removal using maleic acid with different irrigation techniques
Biography:
N Vasudev Ballal graduated with a Bachelor degree of Dentistry from the SDM College of Dental Sciences, India. He received Master’s degree in the specialty of Conservative Dentistry and Endodontics and PhD degree in Endodontics from Manipal College of Dental Sciences, Manipal University, India. Currently, he upholds the position of Professor in the specialty of Conservative Dentistry and Endodontics. He serves as an Editorial Board Member of 12 international journals and reviewer of 45 international journals. He has received the best reviewer award out of top 10 reviewers in the world by Elsevier publishers and American Association of Endodontists in 2014. He has received several international awards for his outstanding contribution in research activities. He has 95 plus publications to his credit in various international and national journals. His topic of profound interest is on root canal irrigating agents, intracanal medicaments, root canal disinfection, endodontic materials and smear layer. He has participated in various conferences and delivered guest lectures both at the national and international levels. He has authored a chapter on smear layer in text book “Essentials of Endodonticsâ€. His published manuscripts have been cited numerously as much as 195 times and with H index of 9.
Abstract:
Objective/Aim of the study: The aim of this study was to evaluate the efficacy of NaviTip, NaviTip FX and EndoUltra in removal of smear layer from the instrumented root canal when used with 7% maleic acid (MA). Methods: Thirty extracted human maxillary anterior teeth were decoronated to standardize the root length to 15 mm. The canals were enlarged to size F5 using protaper files. 5 ml of 2.5% NaOCl was used as an irrigating agent between each instrument change. Samples were then divided into three groups (n=10) based on irrigation regimen. Group 1- EndoUltra group: 2.5 ml of 7% MA was irrigated for 30 sec. Then the root canals were irrigated with 5 ml of distilled water for 1 min following which, EndoUltra device was activated for 30 seconds within the canal. The same procedure was repeated once more, so that the total irrigation time with 7% MA and activation time with EndoUltra was 1 min. Group II: Navitip FX group: 5 ml of 7% MA was irrigated using 15 size Navitip FX needle for 1 min. Group III: Navitip group (control): 5 ml of 7% MA was irrigated using 30 gauge Navitip needle for 1 min. All the specimens were then subjected to SEM analysis. Results & Conclusions: On intra-group comparison, NaviTip and NaviTip FX groups removed smear layer better in the coronal and middle third when compared to the apical third. However, in EndoUltra group, there was no significant difference between coronal, middle and apical thirds. On inter-group comparison, Navitip group removed smear layer less efficiently as compared to Navitip FX and EndoUltra groups in all the thirds of the root canal. When Navitip FX group was compared to EndoUlra group, there was no significant difference between them in coronal and middle thirds. However, in the apical third, EndoUltra group removed smear layer more effectively. EndoUltra removed smear layer more efficiently than NaviTip FX and NaviTip from the apical third of the root canal system when used along with 7% MA.
Jothi V
Manipal University, India
Title: Antimicrobial efficacy of an anti-plaque agent against periodontal pathogens
Biography:
Jothi V completed her Bachelors in Dental Surgery and earned her Master’s in specialty of Periodontology from Manipal College of Dental Sciences, a constituent of Manipal University, Karnataka, India. Following which she has acquired a certificate in Laser dentistry. Her clinical interests are focused on esthetic periodontal surgical procedures. Her research interests are directed towards periodontal microbiology. She has over 30 published articles in various national and international reputed journals. She is also a reviewer and Member of Editorial Board of scientific journals.
Abstract:
The oral cavity has always provided pre-requisites for an extensive number of microbiota to thrive and create an organized community nurturing the growth of a variety of other organisms. This diverse flora either remains residential to the tissues or get pathogenic owing to the imbalance in the homeostatic conditions prevailing within the host. Periodontal disease is a chronic inflammatory lesion in which the causative components are attributed to the environment, host, along with vast prevalence of periodontopathogens. Fifteen extracted teeth specimens were inoculated with three periodontal pathogens to create a biofilm. The specimens were then divided into 3 groups. Group 1: 5 specimens were treated with anti-plaque test agent. Group 2: 5 specimens treated with CHX (0.2%) and Group: 5 specimens treated with saline. The results of the present study showed comparable antimicrobial effect between test agent and Chx (0.2%) compared to control group. Hence, within limitations of this study, it could be concluded that this anti-plaque agent could be recommended for use in patients with chronic periodontitis.
Mohammed hussein al-bodbaij
King Fahad hospital- Hofuf, Saudi Arabia
Title: Intra-lesional steroid treatment of Central Giant Cell Granuloma of the mandible
Time : 09:40-10:00
Biography:
Mohammed got his Bachelor degree of Dental Surgery (BDS) in 1997 from King Saud University at Riyadh. He joined Ministry of Health at KSA soon after internship year to work in primary health care center. After 2 years, he transferred to oral & Maxillofacial Surgery department at King Fahad Hofuf Hospital to work as a resident. Two years later, he attended MSc OMFS course at Eastman Dental Institute at University College London (UCL) where he got the degree in 2005. Then returned back to KFHH working as a specialist. Since 2007, he has worked as an acting consultant. In 2013, he got the fellowship of MFD RCSI, Irland. During his career, he gave many local and international speeches and had few publications. Dr. Al-Bodbaij is a member of Saudi Dental Society and member of Saudi Society of Oral & Maxillofacial. At present, Mohammed is the head of oral & maxillofacial surgery department at King Fahad hospital- Hofuf.
Abstract:
Central giant cell granuloma (CGCG) is a benign lesion, CGCG occurs mainly in children and young adults with more than 60% of all cases occurring before the age of 30 years and female to male ratio of 2:1. The mandibular / maxillary ratio is from 2:1 to 3:1. Surgery is the traditional treatment of CGCG. Calcitonin and intralesional steroid were used with good results. In this case report, a 14 years old Saudi girl presented with a hard swelling of left side of the mandible with few months duration. Investigations including blood tests, radiographs and biopsy were done which confirmed the diagnosed of CGCG. Lesion has been treated using six weekly intralesional injections of steroid which gave very good result. Patient has been followed up for 10 months with radiographic evidence of defect refill with bone and no sign of recurrence.
Ahmad Ali Alshadwi
King Faisal Specialist Hospital and Research Centre, Saudi Arabia
Title: Virtual Treatment Planning in Orthognathic Surgery: Where Are We Now??
Time : 10:00-10:20
Biography:
Dr. Alshadwi has graduated from king Saud University College of Dentistry then jointed the oral surgery staff in King Faisal Hospital and received scholarship to the US, Where he finished an OMFS internship in Boston Medical Centre and then joined Boston University OMFS Residency. After that he joint King Faisal Specialist Hospital and Research Centre in Riyadh, KSA as associate consultant. Dr. Alshadwi is candidate for the American Board of Oral & Maxillofacial Surgery, in addition to that he has several publication and authored few book chapters. Dr. Alshadwi maintain practice focused on Orthognathic and TMJ surgeries inaddition to facial cosmatics and trigeminal nerve repair procedures.
Abstract:
By incorporating three-dimensional (3D) imaging and computer-aided design and manufacturing techniques, 3D computer-assisted technology has been applied widely to provide accurate guidance for assessment and treatment planning in clinical practice. This technology has recently been used in orthognathic surgery to improve surgical planning and outcome. The modality will gradually become popular. This presentation reviews the literature concerning the use of computer-assisted techniques in orthognathic surgery including surgical planning, simulation, intraoperative translation of the virtual surgery and postoperative evaluation. A Medline, PubMed and ScienceDirect search was performed to find relevant articles with regard to 3D computer-assisted orthognathic surgery in the past 10 years. A total of 381 articles were revealed, out of which 78 were publications addressed the topic of this study. The purpose of this presentation is to present an overview of the state-of-art methods for 3D computer-assisted technology in orthognathic surgery. From this presentation we can conclude that the use of computer-assisted technique in orthognathic surgery provides the benefit of optimal functional and aesthetic results, patient satisfaction, precise translation of the treatment plan and facilitating intraoperative manipulation.
Mehdi A. Ebrahimi
The University of Hong Kong, Hong Kong
Title: Nano hybrid bioceramics for maxillofacial reconstruction and repair
Time : 10:20-10:40
Biography:
Ebrahimi M.A. has completed his MSc in maxillofacial surgery from Prince of Songkla University (Thailand) at 2011 with honor merit. He started his work on biomaterials with special focus on biphasic nano bioceramics at 2010 and developed cost effective techniques for preparation of bioceramics. He presented his experiences at different local and international conferences and published his works in reputed journals. Currently he is a researcher and PhD candidate at University of Hong Kong. His recent focus is on preparation of hybrid nano bioceramics with incorporation of collagen in comparison to biomimetic self assembly biomaterials for enhanced bone regeneration.
Abstract:
The most common biomaterials for skeletal maxillofacial repair are bioceramics because of their compositional similarity to the mineral phase of the bone and biocompatibility. Different compositional ratios of bioceramics have been also developed to overcome disadvantages of single-phase materials by combination of two or more ceramic phases. However, many bioceramics suffer from disadvantages such as; poor mechanical properties and lack of organic phase. Furthermore, the conventional bioceramics compose of microscale grain, whereas the bone inorganic phase is at the nanoscale level. Nano ceramic could promote osteoblast cells activity and enhance formation of new bone better than microscale bioceramics. Nanotopography and grain size rather than composition ratio, are the main factors influencing the biological properties of biomaterials that should be considered before clinical application. However, the superiority of natural bone is also due to the presence of collagen which adds strength and partial elasticity. Therefore, hybrid bioceramics of multiphasic origin including both organic and inorganic phase at nano-macro scale provides excellent alternatives for oral and maxillofacial applications. Many controversies are there with regards to the ideal properties of bioceramics and clinicians are left with much confusion in choice of ideal biomaterials from the market. Currently, there are no biomaterials that can simulate full properties of natural bone due to superiority and complexity of this structure. The aim of this paper is to provide the clinicians with basic necessary knowledge in bioceramics and introduce useful guidelines for proper selection of ideal biomaterials for maxillofacial bony repair based on clinical requirements.
Giath Gazal
Taibah Dental College, Saudi Arabia
Title: Articaine and mepivacaine buccal infiltration in securing mandibular first molar pulp anesthesia following mepivacaine inferior alveolar nerve block: A randomized, double-blind crossover study
Time : 11:25-11:45
Biography:
Abstract:
Aim and objective of the Study • To measure the efficacy of articaine and mepivacine buccal infiltrations supplemental to mepivacine IANB on mandibular first molar pulp anaesthesia. • To determine the time of onset and duration of pulpal anaesthesia for each treatment. • To assess patient reported feelings of numbness in teeth and soft tissues after each local anaesthetic injection Materials & Methods • The volunteers received LA regimens randomly over two visits, at least one week apart following reading the information sheet and signing the formal consent • The efficacy of pulp anaesthesia was determined by electronic pulp testing • The efficacy of pulp anaesthesia was evaluated for mandibular first molar after both treatments before injection (baseline) and at intervals of 2 minutes for the first ten minutes and then at intervals of five minutes until 45 minutes after the injection. A control unanaesthetised tooth on the other side of the lower jaw was tested at base line, once again at 10 minutes and at the end of the trial (45 minutes). • The discomfort of the injections was recorded by the volunteers after each treatment on standard 100mm visual analogue scales (VAS), with “no pain†(0 mm) and “unbearable pain†(100 mm). • After all injections, the volunteers were asked to subjectively gauge soft tissue anaesthesia of the lower lip, tongue, and teeth as soon as numbness is felt following either treatment. Results • All (23 volunteers) secured anesthetic success for first molar tooth following pulp testing after articaine and mepivacaine regimens within 10 min and continuously sustained for 45 min postinjection (P = 1). • Differences between articaine regimen and mepivacaine regimen are statistically significant in regard to the number of episodes when there are no sensation on first molar pulp testing on 64 reading (maximum stimulation) at 2 min (P = 0.008) and 4 min (P = 0.019) but not at 6 min (P = 0.15) or 8 min (P = 0.32).
Jehad Al Sukhun
UAE University, UAE
Title: Bridging The Gap: Reconstruction of Soft and Hard Tissues in Oral & Maxillofacial Surgery and Implantology
Time : 11:45-12:05
Biography:
Dr. Jehad Al Sukhun is a British / Jordanian oral and maxillofacial surgeon with a Master’s degree in oral and maxillofacial surgery from the University of Manchester and a PhD from the University of London in the United Kingdom. He has gained a number of fellowships and professional memberships in the United States, United Kingdom and Australia. During his PhD studies at the University of London, he obtained in-depth knowledge and experience in maxillofacial Implantology and computer aided surgery using Finite Element Analysis. He worked at well reputed academic University Hospitals in the UK e.g. Royal Manchester University Hospital, Royal Surrey County Hospital and a UAE University College, Dubai. He has gained significant clinical experience in specialized dentistry, Implantology, oncology, trauma, Orthognathic surgery, reconstructive and cosmetic plastic surgery. He developed particular interest on the use of bioresorbable plates for reconstructing orbital fractures. During his work in the field of oral and maxillofacial surgery, Professor Al-Sukhun produced more than 45 papers published in international peer review journals. Professor Al Sukhun sits on the editorial.
Abstract:
Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which bone regeneration is required in small or large quantity, such as for loss of cortical bone at the time of implant placement, loss of bone due to peri implantitis, skeletal reconstruction of large bone defects created by trauma, infection, tumour resection and skeletal abnormalities, or cases in which the regenerative process is compromised, including avascular necrosis, atrophic non-unions and osteoporosis. Currently, there is a plethora of different strategies to augment the impaired or 'insufficient' bone-regeneration process, including the 'gold standard' autologous bone graft, free fibula vascularised graft, allograft implantation, and use of growth factors, osteoconductive scaffolds, osteoprogenitor cells and distraction osteogenesis. Improved 'local' strategies in terms of tissue engineering and gene therapy, or even 'systemic' enhancement of bone repair, are under intense investigation, in an effort to overcome the limitations of the current methods, to produce bone-graft substitutes with biomechanical properties that are as identical to normal bone as possible, to accelerate the overall regeneration process, or even to address systemic conditions, such as skeletal disorders and osteoporosis. Over the past year we have seen new products approved and released to the market. And the pipeline of therapies on the horizon continues to expand. This paper demonstrates the various approaches, material, implants produced by various commercial companies to reconstruct soft and hard tissue defects and its application in implant dentistry and oral surgery.
Biography:
Dr. Ankita Chugh has completed BDS in 2003 and MDS in Oral and Maxillofacial surgery in 2007 .Now she is working as faculty in Department of Dentistry at All India Institute of Medical Sciences (AIIMS), Jodhpur India. She has published and reviwed more than 50 papers in national and international peer journals and presented many papers in national conferences.
Abstract:
Oral submucous fibrosis (OSMF) is defined as a chronic disease of oral mucosa characterized by inflammation and progressive fibrosis of the lamina propria and deeper connective tissue layers. The pathogenesis of the disease is not well established, but is believed to be multifactorial. The treatment for patients afflicted with oral submucous fibrosis is focused on relieving the symptoms and improving the mouth opening by therapeutic and/or surgical means. Medical management which forms the first line of treatment includes topical, intralesional and systemic usage of agents like placental extracts, steroids, vitamins and hyaluronidase. However the role of these medications in advanced cases of oral submucous fibrosis with established restricted mouth opening is limited. Submucous fibrosis with a severe degree of trismus is a great surgical challenge. The surgical procedures include excision of fibrous bands with or without coverage of the surgically created defect. Materials commonly used for coverage of defect include skin or placental grafts, tongue flaps, palatal flaps, radial forearm free vacularized, buccal fat pad grafts, nasolabial flaps and many more. This presentation will focus on the intricacies of surgical procedure with emphasis on two locally available tissue replacements that is Buccal pad of Fat and Nasolabial flap.
- Diagnosis and Prevention of Oral Disease
Session Introduction
Rosa Carrieri Rossi
Sao Paulo federal University, Brazil
Title: Dentofacial characteristics of oral breathers with different ages: “A retrospective case-control study
Time : 11:15-11:35
Biography:
Rosa is orthodontics professor at Association Educartiva of Brazil since 30 and has completed his PhD in Federal University of Sao Paulo- UNIFESP Brasil of Division of Pediatric Otolaryngology. Her research is oral breathing and respiratory sleep disorders.
Abstract:
The influence of the breathing mode on the morphology of the dentoskeletal complex has not yet been fully demonstrated. The aim of This an observational retrospective case-control study was to investigate the variables associated with craniofacial developmental features in oral (OB) and nasal breathing (NB) of 1596 patients. Nasal breathing individuals formed the control group and oral breathing study group. Radiographic, clinical data and models were analyzed. Patients were divided into three age groups: 5-12; 13-18; and 19-57 years old. Qualitative data were performed with the chi-square test to identify the associations between the variables examined. Odds ratio tests were performed on the variables, when the results of the x2 tests indicated an association with the "breathing mode" variable with a reliability of 95% and a significance of p < 0.05. The results showed that Class II malocclusion was associated with OB in all age groups. Small jaw and increased lower anterior facial height (LAFH) were associated with OB in patients 5 to 18-years of age, and retruded mandible was associated with OB only in younger patients, the 5-12 year old age group.The conclusion was that dental and skeletal factors, such as Class II malocclusion, small and retruded mandible and increased LAFH supports an association with oral breathing.
Sana AlRaisi
General Dental Practice, UAE
Title: Do GDP use fluoride varnish in practice as a part of dental prevention? Fluoride and their use in dental practice
Time : 15:10-15:30
Biography:
Sana AlRaisi currently GDP in U.A.E has around 10 years of experience. She gained her MFDS from Royal College of Surgeon Edinburgh in 2013. She worked in DHA government sector, Before that completed her General Professional Training in Glasgow after graduating from Dundee University, Scotland UK 2005.
Abstract:
There are many Dental guidelines and recommendation for prevention of dental caries is providing many methods and their effectiveness in reducing the disease. Application of fluoride is widely researched, and the overall conclusion was that Fluoride is a natural mineral that have a potential of reducing dental caries. All evidence suggested if applied carefully and periodically to the tooth in the appropriate concentration taking into account patient age and weight believed to be safe and effective way in prevention of dental caries in both primary and permanent dentition. In this article will be reviewing the following subject.1) the history and the use of fluoride and how it alters the tooth structure and their effect on both primary and secondary dentition. 2) The different forms of fluoride available and how each contributes in reducing dental caries. 3) The controversy about the safety of using fluoride topically and systematically including fluorosis. 4) The forms of topical fluoride (varnishes, gels) can be used in dental practice and their availability in the markets further more how these can be delivered safely to the patient by the general dentist. General dentist should double their effort in order to change their current practice from delivering dental treatments only to focusing more on prevention of the diseases in the first place. So many ways and methods discussed in the literatures are proven their effectiveness and abilities reducing dental caries. Fluoride application is one way that general practitioners can easily deliver competently.
Siti Rusdiana Puspa Dewi
University of Sriwijaya, Indonesia
Title: Anticariogenic effect of gambir extract on enamel tooth surface exposed by stretococcus mutans
Time : 14:20-14:40
Biography:
Siti Rusdiana Puspa Dewi has completed her Bachelor degree of Dentistry at age of 23 years old from North Sumatera University, Medan, Indonesia, and postgraduate studies (Master degree of Health) from Sriwijaya University, School of Medicine, Palembang, Indonesia. She is now lecture in Sriwijaya University, Palembang, Indonesia.
Abstract:
Introduction. Dental caries is the most common problem in many nations in the world, especially in Indonesia. Elimination of bacteria as one of caries causal can be done in many ways, one of them is using gambir plant extract. Gambir has chemical compounds like catechin and tannin, which have anticariogenic effect. The aim of this study was to determine anticariogenic effect of gambir extract on enamel tooth surface exposed by Streptococcus mutans. Methods. An experimental study, in vitro, had been conducted in Integrated Laboratory Pasca Sarjana Unsri, Province’s Health Laboratory of South Sumatera, dan Metalurgy’s Laboratory of Engineering Faculty of University of Indonesia, and held on March to April 2015. There were 35 first and second upper premolar samples and divided into 5 groups; each groups using 40%, 50%, 60% gambir extract, negative control or placebo, and positive control (using cefadroxyl 500mg). Data were analyzed by using SPSS 22 vers. Results. The results showed that 60% gambir extract had equal effect of reducing the decline of micropores in enamel topography to cefadroxyl 500 mg, 50% gambir extract had equal effect in reducing the decline of calcium’s weight to cefadroxyl 500 mg and had dose-dependent effect, 40% gambir extract had equal effect in lowering colonies of Streptococcus mutans to cefadroxyl 500 mg, and had dose-dependent effect. Conclusion. It can be concluded that 60% gambir extract has equal anticariogenic effect to cefadroxyl 500 mg.
Denis Bourgeois
University of Lyons, France
Title: New challenge in individual prophylaxis: Let's talk about the disruption of the biofilm
Biography:
Denis Bourgeois currently is the Dean of the Faculty of Dentistry of the University of Lyons, France, Member of the ADF (French Dental Association) Foreign Affairs Committee and President of the GADEF (Federation of French-speaking dental Associations). He was also the Delegate, member of the WHO Delegation (1990-2000), Delegate, member of the ADF Delegation (2002-2014), Member (2005-2008) and Chair (2009-2012), FDI World Dental Development and Health, Promotion Committee (now the Public Health Committee), Director, Continuing Education (CE) Programmes in French for Africa (2005-2009), Director, Regional CE Programmes for Africa (2009-2014), Regional Coordinator, Live.Learn.Laugh Programme (2004-2010; 2010-2014) and Contributions to various FDI Projects and Task Teams: Manpower – GCI – Strategy for Africa.
Abstract:
The literature raises the question of the efficiency of brushing and its limits, the issue of quality cleaning the interdental space, in the interest of removing plaque often with success criteria not adapted to the situation of the patient. The oral health must find a balance between the acceptability, efficacy in terms of disruption of the biofilm, and non-traumatic techniques. From there it will depend on patient motivation, of the dental team, the long-term preservation of optimal oral health. This lecture aims to present the latest results in the microbiome of supragingival plaque, to assess the needs, methods and techniques to control biofilm disruption of the interdental space and finally to analyze the impact of use of brushes calibrated on clinical parameters of populations' young adults
Biography:
Dr Santosh R Patil is currently serving as Assistant professor at College of Dentistry, AlJouf University, Kingdom of Saudi Arabia. He has got about 100 publications in various international and national journals. Has also authored many books in the field of Oral Medicine and Radiology
Abstract:
The responsibility of a clinician is not only to identify a particular condition but also to formulate proper treatment plan. Sometimes, consultations with or referred of the patient to physician is required so that not only the patients correctly managed and treated but also the clinician is medico legally covered. Understanding these problems will enable the clinician to treat the total patient and not merely the periodontal reflection of underlying disease. One of the commonly considered premedication is admistration of prophylactic antibiotics in patients with numerous medical conditions to prevent bacteremia. This presentation is a guideline intended to help the dental practitioners make decisions regarding antibiotic prophylaxis and also considering premedications in other conditions where the dental patients at risk.
Sana AlRaisi
General Dental Practice, UAE
Title: Early Childhood Caries is preventable but the prevalence of the disease is increasing!! Prevention par 1 Are we aware of it as general practitioners or we too busy trying to treat.
Time : 13:40-14:00
Biography:
Sana AlRaisi currently GDP in U.A.E has around 10 years of experience. She gained her MFDS from Royal College of Surgeon Edinburgh in 2013. She worked in DHA government sector, Before that completed her General Professional Training in Glasgow after graduating from Dundee University, Scotland UK 2005.
Abstract:
This paper is first part of series discussing the current thinking of early childhood dental caries and prevention. it will discuss the caries and prevention in general giving an introduction to the further more detailed reviewing of the methods used for caries prevention. The purpose of the paper: 1) to modify and redirect current GDP thinking toward preventing the dental disease instead of treating it. To encourage GDP to educate parents of the importance of early dental consultation and scheduling the first child appointment as early as the first tooth erupt.2) To enable them to identify the risk factors and systematically implement the prevention methods in their daily practice in references to recent recommendation and guideline. The paper will be discussing three main subjects including 1) An introduction of early childhood caries causes, prevalence, its effect and tools of assessing risk factors. 2) Common methods for caries preventions their use, effectiveness and controversy around them. 3) References to recommendation and guild line currently used in caries prevention. “Early childhood caries is significant public health problem in selected population and is also found throughout the general populationâ€. So As GDP we should do our best to educate the parent and guardian and other health professionals of the importance of prevention of ECC and to aims our goal in reducing prevalence of the EEC through delivering the methods of prevention in our daily practice by following appropriate recommendations and guidelines.
- Orthodontics
Session Introduction
Mohamad Hani Nouri Dalati
Royal College of Surgeons, UK
Title: Botox and Dermal Fillers Use In Dentistry
Time : 11:50-12:10
Biography:
Hani Dalati is a visiting Consultant in Orthodontist at Health Point Hospital in Abu Dhabi (UAE), a Partner at the Springs Dental Care and the Greengates Dental Centre in Leeds (UK), Associate Programme Leader (MClinDent in Orthodontics) at the BPP University and the City of London Dental School and he serves as an Examiner at the Royal College of Surgeons of England. He was awarded the 'Lifetime Achievement' Award of the American Biographical Institute in 2008, and he represented the United Kingdom to receive a Gold Medal from the American Biographical Institute in 2009. He was short-listed on a numerous occasions for the UK-based Smile and Dental Awards. He has a number of publications and he is on the editorial and the review panels of a number of Scientific Dental Journals such as the American Journal of Orthodontics and Dentofacial Orthopaedics, and the Cleft Palate and Craniofacial Journal. He is an invited speaker to a number of National and International Dental and Facial Aesthetics Conferences.
Abstract:
This lecture will concentrate mainly on equipping the attending delegates with new ideas related to incorporating Botox and Dermal fillers into their dental and orthodontic practices where applicable in order to help them overcome a vast number of minor daily encountered obstacles. This will help them to improve their treatment plans and to achieve the desired/optimum results. The lecture additionally will cover other aspect such as: Patient assessment strategies, indications and contraindications to those techniques, Medico-legal aspects of incorporating those techniques into the daily practice, preparation and delivery of those materials, storage, dosage, selling strategies, management and treatment of possible complications, safety and risk issues related to Botox and Dermal Fillers and many others. In brief, this lecture objective is to enable attendees to know these practical concepts, techniques and to be familiar with the materials, techniques, and instrumentation of both aesthetic and therapeutic facial injectables – Botox and Dermal Fillers
Fadia M. Al-Hummayani
King Abdulaziz University, KSA
Title: Treatment of pseudo Class III malocclusion by modified Hawley’s appliance with inverted labial bow
Time : 12:10-12:30
Biography:
Fadia Al-Hummayani is an Assistant Professor and Consultant Orthodontist. She teaches both the undergraduate, Saudi board and Master dental students at King Abdulaziz University/ College of Dentistry. Completed her Master’s and Clinical Certificate in Orthodontics from King Saud University/Dental School, Riyadh, Saudi Arabia in 1999. She got the Assistance Professor position through research and publications in reputed journals in 2006. She won the Aesthetic Dentistry MENA Award 2010 on the case presented in this meeting as the best treated case organized by Emirate Medical Association (EMA - Dental Society) and CAPP (Centre for Advance Professional Practices) in United Arab of Emirates, Dubai.
Abstract:
Objective: The aim of this article is to highlight the method of construction and use a simple removable appliance termed as "Modified Hawley’s appliance with inverted labial bow" to treat pseudo class III malocclusion Case Report: A female patient aged 16 years, presented with chief complaint of having a monkey bite; the lower anterior teeth overlapping the upper teeth and abnormal concave facial profile. On clinical examination the dental relationship suggested retroclined upper and lower incisors. The incisors were in end-to-end relationship with posterior open bite when the mandible guided in centric relation. However, due to a premature contact between upper and lower incisors an anterior functional mandibular shift in centric occlusion causes anterior cross-bite. Therefore, the diagnosis was a pseudo Class III malocclusion. Treatment was done in two phases. Phase 1 treatment was done by "Modified Hawley’s appliance with inverted labial bow" to have positive overbite and overjet accomplished in 4 month and in phase II treatment was done with fixed appliances to align teeth and have proper over bite and overjet and it was accomplished in 8 months. Conclusions: Modified Hawley’s appliance with inverted labial bow is easy to construct and patient friendly appliance to correct anterior crossbite in Pseudo class-III malocclusion Keywords: Pseudo class-III malocclusion; teeth, Modified Hawley’s appliance; anterior cross-bite.
Maen Mahfouz
Alzafer Hospital, Saudi Arabia
Title: The Ethical Dilemmas in Orthodontics
Time : 12:30-12:50
Biography:
Dr. Maen Mahfouz received his DDS degree in 1998 from Al-Ba’ath University in Humus, Syria , received his MDS and Specialty in Orthodontics - Pediatric Dentistry in 2003 from Cairo University, Cairo, Egypt , certified by Palestinian Medical Council (Palestinian Board in Orthodontics) (2005) , certified by Saudi commission for health specialties(Professional Accreditation Certificate in Orthodontics)(2014) and is currently an orthodontist at Ministry of Health - Saudi Arabia. He was an orthodontist at dental department- Alzafer hospital -Najran -Saudi Arabia and was a former lecturer at the Dental faculty - Arab American University- Jenin, Palestine. He is a member in Palestinian Orthodontic Society (POS) ,a member in Arab Orthodontic Society (AOS) and a fellow of World Federation of orthodontists (WFO). He is interested in researches in Orthodontics ,Orthognathic Surgery, Skeletal Anchorage and Smile Design. He has shared many of international conferences in different countries. He is an author and reviewer of several published papers in international reputed journals.
Abstract:
Despite the fact that there are ethical problems during Orthodontic interventions are continuously encountered by orthodontists who rarely deal with life or death decisions, There are important human values are at stake in the course of treatment including preventing pain , maintaining and restoring oral function for normal speech and eating, preserving and restoring the patient’s physical appearance and promoting a sense of control over and responsibility for his or her own health. The Last but not the least orthodontists particularly, to a great extent deal with children where ethical problems arise especially when there is moral uncertainty . This paper is going to present a clinical case as an example to show ethical dilemmas that orthodontists may face when advocating for the best interests of a child. Key Words: Ethical, dilemmas, Orthodontics.
Angie Salah Abu Taleb
Cairo University, Egypt
Title: Craniofacial morphology of skeletal Class III malocclusion in two different age groups
Time : 13:35-13:55
Biography:
Angie Salah Abu Taleb is an Orthodontist. Has been practicing dentistry since November 2006. Worked as a Teaching Assistant at Modern Sciences and Arts University _ 6 October City / Egypt_ from November 2007 till September 2012, currently working as an Assistant Lecturer at the Ahram Canadian University_ 6 October City / Egypt since March 2014, and as an Orthodontist at Senan Dental Clinic _ 6 October /Egypt. Had the Bachelor Degree of Dental Sciences in June 2006. Was a resident at the Orthodontic clinic at El kasr ElEiny Hospital /Cairo University from February 2009 till September 2013. Earned the MSc. Of Clinical Orthodontics and Dento facial Orthopeadics in December 2013 from the faculty of Dentistry / Cairo University.
Abstract:
Introduction: The purpose of this study was to investigate the different components of skeletal class III, and its relative growth transformation in the three dimensions of space. Materials and methods: The sample of skeletal Class III included 79 individuals; 41 in mixed dentition stage, and 38 in permanent dentition stage. The control group included 83 individuals; 40 in mixed dentition stage, and 43 in permanent dentition stage. Lateral and postero-anterior films were taken for each individual, and then digitally analyzed, and planned measurements were performed. Results: Among skeletal Class III types, combined maxillary retrusion and mandibular protrusion showed the highest percentage of incidence, and normal vertical growth pattern showed the highest incidence. Mandibular rotation didn’t increase with age in skeletal Class III individuals. Transverse dimensions of the mandible of skeletal Class III individuals had no correlation with the antero-posterior discrepancy. Conclusions: Treatment of skeletal Class III cases is recommended in the early mixed dentition stage with big emphasis on the antero-posterior dimension. Keywords: Craniofacial, Skeletal Class III, Growth of face and mandible, Lateral cephalometric measurements, Postero-anterior measurements.
Juma Alkhabuli, Hedayat Elsheikh
1. RAK Medical and Health Sciences University, UAE 2. Julphar Pharmaceuticals Egypt
Title: Workshop on Use of antibiotics in dental practice
Biography:
Abstract:
Oral microbial flora is comprised of diverse range of microorganisms including bacteria, fungi and protozoa. Examples of commensal microorganisms that are potentially pathogenic and may cause infection include Staphylococcus aureus, Streptococcus pyogenes, Haemophilus influenzae and actinomycetes. Oral infections are mainly odontogenic in origin and clinically presented in several forms and occasionally in quite serious condition that necessitates immediate intervention. In dental practice antibiotic therapy is mainly used to treat or prevent the spread of odontogenic infection. The presentation will shed light on the common oral bacterial infections with emphasis on the most effective antibiotics used to control oral infections and prevent their spread.
Kiran H
Raja Rajeshwari Dental College & Hospital, India
Title: Micro-implants : stretching the boundaries of orthodontics
Time : 14:55-15:15
Biography:
Dr. Kiran.H has completed his Masters in Orthodontics & Dentofacial Orthopedics from Rajiv Gandhi University of Health Sciences, Bangalore. He is presently working as Associate Professor, Department of Orthodontics, RajaRajeswari Dental College & Hospital, Bangalore. He has published various articles in national and international peer reviewed journals. Also he is the associate editor for Karnataka State Dental Journal and Bangalore Dental Journal.
Abstract:
Worldwide, dentists are one among the highest earned professionals. They command good respect in the society and dentistry itself is known to be a glamorous profession. Our educational institutes no doubt impart a thorough knowledge about dentistry; seldom teach financial knowledge to budding dentists. Many of our professional colleague’s end up on the wrong side of destiny by squandering their hard earned money without worrying about the future. It is highly critical that they have a minimum financial knowledge, like knowing the difference between an asset and a liability, which enables them to maintain a good and healthy financial balance sheet. Investing the money wisely would take out a lot of stress out of our lives and we will have more time to spend with family and friends. Through my small talk, I would like to shed light on some of the basic financial skills and knowledge our brethrens should possess irrespective of their professional experience, to enhance their handling of money for upliftment of the self and the society as a whole.
Deema Al-Shammery
Riyadh Colleges of Dentistry, Saudi Arabia
Title: Orthodontic Endodontic Relationship
Time : 15:15-15:35
Biography:
Deema Al AlShammery is a Lecturer in Orthodontics at Riyadh colleges of Dentistry and Pharmacy. Had the bachelor degree of dental science in 2010 at King Saud University. Earned the masters of Orthodontics in 2014 from Riyadh colleges of Dentistry and Pharmacy. He is a Clinical Coordinator, orthodontic scientific activity coordinator & vice president of academic advisory committee.
Abstract:
Background: There is a lot of information on the concise relationship between endodontics and orthodontics during treatment planning decisions. It is ranges from effects on the pulp from orthodontic treatment and the potential for resorption during tooth movement, to the clinical management of teeth requiring integrated endodontic and orthodontic treatment. This paper reviews the literature based on the definition of endodontics and the scope of endodontic practice as they relate to common orthodontic-endodontic treatment planning challenges, There is no published study until now about the relationship of Endodontic regeneration and active orthodontic movement and whether active orthodontic movement will inhibit or interfere with the regeneration procedure. The available evidence limited to apexification and active orthodontic treatment. Aim of the study: In this paper a review of the literature regarding orthodontic and endodontic relationship will be presented with a case report for a 12 years old female under active orthodontic treatment with a history of trauma and open apex in tooth #11, she was referred for endodontic regeneration procedure. Conclusion: active orthodontic treatment will not interfere with endodontic regeneration procedure.
Biography:
Dr. Yon H Lai completed his B.A. (Chem.) from Hunter College in 1985 and D.D.S. from New York University, College of Dentistry in 1989. Currently he is the Director of Cleft Palate Center, NYU College of Dentistry, Clinical Professor, Orthodontic Dept. NYU, Instructor, Institute of Reconstructive Plastic Surgery, New York University Medical Center, Treasurer, New York City Orthodontic Business Association (NYCOBA), Board of Directors of Global Bank, NY and President of NYU Orthodontists Alumni Association.
Abstract:
"What's new in Orthodontics?" In 100 years of history of orthodontics, there were a few milestones. As with other aspects of science, the advances in orthodontic in the past 20 years is substantial. The invention especially from the past 5 years or so is mind boggling! Do clinicians know which ones are worth applying to their practices?
Biography:
Abstract:
Permanent teeth which fail to erupt normally, a combination between the oral surgeon and orthodontist may be essential to help the eruption or even complete removal of some of these teeth when required. A simple surgical procedure performed, on the top of the impacted tooth to create a small window to expose the hidden tooth underneath. Once the tooth is exposed, the oral surgeon will bond an orthodontic hook or button on the exposed tooth. The bracket will have a miniature a chain attached to it. The oral surgeon will guide the chain back to the orthodontic arch wire where it will be temporarily attached. Sometimes the surgeon will leave the exposed impacted tooth completely uncovered by suturing the gum up high above the tooth or making a window in the gum covering the tooth. Most of the time, the gum will be returned to its original location and sutured back with only the chain remaining visible as it exits a small hole in the gum. Also other orthodontic treatment may be helpful like application of orthodontic screws A new Anchorage device (Gazzaz Device) is helpful to either redirect the tooth to grow toward its normal direction in the jaw or it is become so loose to be easily removed without complicated surgery which may necessitate wide exposure and even bone removal.
Rami Farmaui
Beirut Arab University, Saudi Arabia
Title: Early Orthodontic Treatment: The Long-Lasting debate
Biography:
Abstract:
The efficiency of early orthodontic treatment has been a controversial issue among researchers and practitioners for the last century. Supporters considered that early treatment helps to create an environment in which a more favorable dentofacial development can occur. Opponents claimed that most early (preadolescent phase I) orthodontic treatment has to be followed by a second stage of treatment (comprehensive fixed, phase II) during adolescence when the permanent teeth are available for final positioning. This presentation aims to focus on the appropriate timing of early treatment for selected preadolescent patients and which techniques or appliances are applicable to achieve satisfactory treatment outcome.
Hafiz Taha Mahmood
The Aga Khan University Hospital, Pakistan
Title: The Association between the Frontal Sinus Morphological Variations and the Cervical Vertebral Maturation for the Assessment of Skeletal Maturity
Biography:
Abstract:
Introduction: The assessment of skeletal maturity is important for planning dentofacial orthopedics or orthognathic surgery for the treatment of different skeletal malocclusions. Cervical vertebral maturation is widely used method to evaluate skeletal maturity of patients undergoing orthodontic treatment. In the past decade, another method is being proposed which is based on frontal sinus morphology. So, the aim of this study is to evaluate the association between frontal sinus morphological variations and cervical vertebral maturation for the assessment of skeletal maturity. Method: Lateral cephalograms of 252 subjects aged 8-21 years were collected from the dental clinics of AKUH. The sample was divided into six groups based on cervical vertebral maturation stages. The frontal sinus index was calculated by dividing frontal sinus height and width and the cervical vertebral maturation stages were evaluated on the same radiograph. Data were analyzed using SPSS (version 19). Kruskal-Wallis test was applied to compare frontal sinus index at different cervical stages and Post hoc Dunnett t3 test was applied to compare frontal sinus index between adjacent cervical stage intervals in males and females. A p-value of ≤ 0.05 was considered as statistically significant. Results: The frontal sinus height and width were significantly associated with the individual cervical vertebral maturation stages in males and females. However, frontal sinus index wasn’t significantly associated with the individual cervical vertebral maturation stages in males and females. Conclusion: Frontal sinus index cannot differentiate between pre-pubertal, pubertal and post-pubertal adolescent growth stages therefore; it cannot be used as a reliable maturity indicator.
Laith Makki Hummadi Al-Masari
European University College, UAE
Title: Long-term Post Orthodontic Stability of Mandibular Incisors after PAOO
Biography:
Laith Makki Hummadi Al-Masari completed his Graduation from Mustansiriya University, College of Dentistry, Baghdad, Iraq acquiring a Bachelor degree in Dental Surgery in 2006 and his Master’s degree in Orthodontics at the European University College, Dubai. Furthermore he obtained a Certificate of Specialty in Orthodontics from the prestigious Malmö University, Sweden in 2014. He completed his internship and general dentist from 2006-2009 in Ajman University of Science & Technology. He is also qualified in 2010 with an Implantology certificate from the ID-SC in Dubai, in collaboration with Sharjah University, UAE.
Abstract:
Orthodontic treatment combined with alveolar corticotomy plus augmentation grafting is a technique known as Periodontally Accelerated Osteogenic Orthodontics (PAOO) or Wilckodontics. Benefits of PAOO include: 1) orthodontic treatment times 3X to 4X more rapid, 2) enhanced scope of malocclusion treatment, including a reduction of extractions and/or orthognathic surgery, 3) greater stability of clinical outcomes and less relapse, and 4) increase alveolar volume and enhanced periodontal health. The focus of the presentation is on recently published data demonstrating significantly greater stability of the mandibular incisors 5-years and 10-years after orthodontic treatment. Overview: Long term stability: A consensus in orthodontic literature indicates that the mandibular anterior segment will increase in crowding. This is true whether or not crowding was previously eliminated with orthodontic treatment. Our research demonstrates that PAOO therapy results in significantly greater stability following orthodontic treatment at 5-year and at 10-years using irregularity index in order to quantify mandibular anterior crowding. Re-crowding of mandibular incisors at 5-years was 1.5 mm for PAOO and 4.3 mm for control; at 10-years the comparism was 2.1 VS 4.5 mm, respectively. Increased mandibular anterior stability of orthodontic outcomes following PAOO is likely due to high tissue turnover induced by decortication as well as the thicker cortical bone resulting from the augmentation grafting.
Mani Alikhani
Harvard school of dental medicine, USA
Title: Advanced Mechanotherapy: Stages of Orthodontic Treatment
Biography:
Dr. Mani Alikhani is an Associate Professor in the Department of Orthodontics at New York University College of Dentistry and Associate Professor at Harvard school of dental medicine. He obtained his DMD degree from Tufts University, a PhD in Molecular Biology from Boston University, and a Certificate of Orthodontics form New York University. Dr. Alikhani is a founding member and Director of the Consortium for Translational Orthodontic Research at New York University (CTOR, www.orthodonticscientist.org), the only center of its kind dedicated to translational research in the field of orthodontics. His research effort in orthodontics and bone biology has produced many patents for new and safer treatments to move teeth faster and grow bone in the jaws. Dr. Alikhani has a private practice dedicated to Orthodontics in Brooklyn, NY. He is also author of first interactive book in Orthodontics, “Mechanotherapy in Orthodonticsâ€. This comprehensive orthodontic book was created to guide students and clinicians from basic biomechanics principles into advanced mechanotherapy concepts.
Abstract:
In our busy orthodontic practices we forget that the Laws of Physics still govern any movement in the universe, including the teeth of our patients. In these modules we will first review basic biomechanics principles, before discussing setups that produce efficient mechanics such as one-couple and two-couple systems. These principles will be presented in the context of clinical cases: how to start a case, what are the stages of treatment, how to control the side effects, and how to shorten the treatment time by efficient mechanics. Learning objectives: 1. Review of basic mechanical principles and advanced one couple system and two-couple system 2. Understand the different stages of orthodontic treatment 3. Introduction to advanced mechanotherapy tools.
Biography:
Abstract:
In orthodontics we know that the rate that bones remodels determines a patient’s own biology by stimulating a cytokines response allowing the patient’s bone to remodel faster. When incorporating Micro-osteoperforation into a patient’s orthodontic treatment, treatment can be reduced by up to 2.3 fold. The techniques is also of value to facilitate challenging movements like canine rotation, molar production, bite closure, bite opening, arch expansion. Patient did not report significant pain or discomfort during or after the procedure or any other complications.
Mohamad Hani Nouri Dalati
Royal College of Surgeons, UK
Title: The Current Orthodontist’s Role in the Cosmetic/ Implant Dental Practice
Time : 14:10-14:30
Biography:
Hani Dalati is a visiting Consultant in Orthodontist at Health Point Hospital in Abu Dhabi (UAE), a Partner at the Springs Dental Care and the Greengates Dental Centre in Leeds (UK), Associate Programme Leader (MClinDent in Orthodontics) at the BPP University and the City of London Dental School and he serves as an Examiner at the Royal College of Surgeons of England. He was awarded the 'Lifetime Achievement' Award of the American Biographical Institute in 2008, and he represented the United Kingdom to receive a Gold Medal from the American Biographical Institute in 2009. He was short-listed on a numerous occasions for the UK-based Smile and Dental Awards. He has a number of publications and he is on the editorial and the review panels of a number of Scientific Dental Journals such as the American Journal of Orthodontics and Dentofacial Orthopaedics, and the Cleft Palate and Craniofacial Journal. He is an invited speaker to a number of National and International Dental and Facial Aesthetics Conferences.
Abstract:
As patients are becoming more aware of the need for the so called “Perfect Smiles†in order to fit better into the society and get higher on the salary scale, Cosmetic and Dental Implant Treatments are booming in the 21st century. Traditional Orthodontics had to be changed in order to follow this Cosmetic Trend/ Progress hence we hear more nowadays about the speedy braces, Self-ligating braces, social-6 braces and cosmetic braces to facilitate the “Smile Design†treatment plans. In our lecture today, we will discuss the new role of the Contemporary Orthodontist in the daily routine of the Cosmetic/ Dental Implant Practice and how much the input of a simple orthodontic treatment before some cosmetic and dental implant work can and will definitely improve the end results and avoid the patient plenty of un-necessary related procedures, complications and follow ups. A brief touch of the use of Botulinum Toxin and Dermal fillers in the dental practice would be included.
- Cosmetic Dentistry
Session Introduction
Ali mudher
The Iraqi Dental Association, Iraq
Title: Traumatic Challenges in cosmetic Dentistry
Time : 10:55-11:15
Biography:
Mudher Ali is General Secretary and Board member of the Iraqi Dental Association. Councilor at the IAOR (Iraqi Association of Oral Research)which belongs to the international Association for Dental Research IADR). Certified specialist of Lumineers and Veneers . Head department of prosthodontics at the Iraqia university. He Was selected as one of the best ten personal fair and honest personality among the Iraqi community in 2013-2014 which is organized by TEDX. (in Iraq).
Abstract:
Introduction The most important skills that physicians of the orofacial complex must develop is sound oral diagnosis and treatment planning .The clinician face challenges in cosmetic dentistry that may force him to find a solution within several hours .This article discuss a clinical case report for a patient with a traumatic accident for the two upper anterior central incisors .The main goal of the patient is to restore his profile immediately or otherwise a tribe crisis will explore leading to disaster between two Iraqi tribes which might end in killing means .This put the clinician under high tension pressure responsibility to restore the profile of the patient to the most acceptable scientific and practical results. MATERIALS AND METHODS A 20 years old patient has attended our private practice complaining of a traumatic accident for the two upper central incisors due to fight crises. The two centrals were fractured almost up to the level of the gum .Proper extra and intra oral diagnosis were carried out to find the most suitable way to achieve the goal of the patient .Highly proper delicate root canal therapy was decided immediately to be finished in one hour . Then the patient is left for another one hour for settling the endodontic treatment. Then a fibro post was selected properly and cemented with rely-x uncem 3m company (American product ).Following this step, good etching and bonding was achieved .Then complete carving and sculpturing was made for the two centrals using Empress direct composite restoration .Finally proper occlusal adjustment was carried out with final finishing and polishing . Results A satisfied restored profile was achieved for the patient within several hours .The old profile indicated that the two centrals were out of occlusion. This point was corrected with the new profile which made the patient happier and psychologically more stable. The crises between the tribes were resolved. The expected horrible end between the two Iraqi tribes was vanished. Conclusion In many occasions the clinician may face challenges in cosmetic dentistry .The decision for a proper treatment plan in many instances is a real challenge .The treatment plan should be based on the type and the extent of treatment to be performed. So when planning complex esthetic cases, it is necessary to evaluate, diagnose and often treat occlusal factors taking into consideration the main goal of the patient to be achieved .To achieve a proper treatment plan gathering together with the desire of the patient, in many occasion is a point of challenge .
- Periodontology
Session Introduction
Presanthila Janam
Govt Dental College, India
Title: Antimicrobial Photodynamic therapy in Periodontal patients
Time : 15:35-15:55
Biography:
Abstract:
The antimicrobial approach to periodontal therapy has been used for many years, recognizing that the prevalence and severity of these diseases can be reduced by mechanical plaque removal or by the use of a variety of systemic or topically applied antimicrobial agents aimed at inhibiting pathogenic bacteria.In this era of scientific explosion, there is increasing awareness about microbial resistance-related phenomena. Resistance development may be the consequence of injudicious use of antibiotics in common bacterial or viral infections. Following insufficient drug concentrations within the sulcus fluid or biofilm, there might be lack of efficacy. Periodontal sulcus concentrations of antibiotic drugs may remain below the minimum inhibitory concentration of the target organisms. It is known that local and systemic antibiotics may lead to bacterial resistance, allergies, gastro-intestinal disorders and others along with reducing patient compliance.However, in future more difficulties with antibiotic therapy can emerge because of an increased resistance to most antibiotics used in periodontics and increase in the number of immune-suppressed patients. For these reasons, antimicrobial photodynamic therapy has been proposed as a novel treatment option in controlling the subgingival microorganisms as it was found to be effective in killing microbes in localized topical infections. Photodynamic therapy (PDT) is a laser-initiated photochemical reaction, involving the use of a photosensitizer (PS) activated by light of a specific wavelength in the presence of oxygen. This leads to the formation of toxic oxygen species which can damage proteins, lipids, nucleic acids and other cellular components. Applications of photodynamic therapy in dentistry are growing rapidly for the treatment of oral cancer, bacterial and fungal infections and photodynamic diagnosis of malignant transformation of oral lesions. Photodynamic therapy has been efficacious in the management of peri-implantitis, endodontic infections and oral biofilms such as plaque. Redox properties of photosensitizers for the reduction of bacterial burden in periodontitis patients have been studied earlier. Most of the subgingival plaque samples were successfully destroyed by photodynamic means in vitro. Photosensitization of P. gingivalis and F.Nucleatum has been reported in some in vitro and animal studies.The absence of genotoxic and mutagenic effects, no risk of developing resistance to its antimicrobial action and increased healing process favours its long-term safety and use. Thus, aPDT represents a novel therapeutic approach in the management of various dental conditions. Clinical trials to evaluate the effects of antimicrobial photodynamic therapy (aPDT) as an adjunct in the management of chronic and aggressive periodontitis patients are being conducted. Of these, many studies report additional clinical benefits when aPDT and SRP were given in combination to patients with periodontitis. This talk elaborates this novel treatment in the management of periodontal infections.
Hossam A. Eid
Gulf Medical University, UAE
Title: Non surgical management of periodontitis related halitosis among adults
Time : 16:10-16:30
Biography:
Dr. Hossam has completed his PhD at August 2007 from Suez Canal University and promoted as associate professor at October 2012. He is senior member at Periodontology department, college of Dentistry, Gulf Medical University, Ajman, UAE. He has published more than 30 papers in reputed journals and serving as an editorial board member & reviewer of 5 reputed journals. Dr. Hossam has led a research team to record 5 bacterial strains at Genbank, Maryland, USA, December 2012
Abstract:
Introduction: Management of periodontitis‑related oral malodor may include simple measures such as scaling and root planning (SRP) and oral hygiene instructions. Aim: A prospective cross‑sectional study was conducted to evaluate the effect of non‑surgical management of periodontitis on controlling halitosis (oral malodor) measured by Halimeter.Methodology: Clinical data were recorded from 60 participants who were grouped as periodontitis (case), non‑surgically treated periodontitis and healthy (control). Volatile sulfur compounds were measured in parts per billion (ppb) as a caliber for halitosis for each group using a Halimeter. Data were statisticallyanalyzed utilizing the Chi‑square distribution test (P < 0.05). Results: In the average, case group showed strong halitosis 230.00 ± 54.29 ppb that was reduced to weak halitosis 124.25 ± 26.43 ppb following non‑surgical (SRP) management of chronic periodontitis, with the deeper pockets, increased halitosis was measured as mean halitosis of periodontitis and treated cases 188.90 ± 14.22 ppb and 114.70 ± 20.75 ppb, 240.25 ± 58.08 ppb and 128.25 ± 39.31 ppb and 294.33 ± 19.64 ppb and 137.50 ± 23.36 ppb, respectively, in 5‑6, 6.1‑7 and 7.1‑8 mm groups respectively. Conclusion: Based on study results, halitosis is directly related to periodontitis and periodontal pocket depth among the adults, which can be successfully controlled by SRP. Key words: Halimeter, halitosis, non‑surgical therapy, periodontitis
Junima Rajkarnikar
nepal medical college, Nepal
Title: Efficacy of lateral pedicle graft in the treatment of isolated gingival recession defects
Time : 16:30-16:50
Biography:
Dr Junima has completed his BDS at the age of 26 years from ManipalUniversity and MDS in Periodontology from Kathmandu University. She is an Assistant Professor and the Head of Department of Periodontology in College of Dental Sciences and Hospital- Nepal Medical College. She has published around 5 papers till date. She has also presented papers in various dental conferences in Nepal and India.
Abstract:
Gingival recession is defined as the displacement of the gingival margin apical to the cementoenamel junction. It is the most common mucogingival deformity and should be treated at its earliest detection. Exposed root surfaces are more likely to develop root sensitivity and root caries and pose esthetic problems. Among various procedures, laterally positioned pedicle graft (LPG) is widely used successfully to cover Miller’s class-I and Class-II recession defects. The main advantages of the laterally positioned pedicle graft are that it is relatively easy and not time-consuming, it produces excellent esthetic results and no second surgical site is involved for donor harvesting. Thus the present study was undertaken to understand the efficacy of lateral pedicle grafts in various grades of gingival recession defects.
Presanthila Janam
Govt Dental College, India
Title: Antimicrobial Photodynamic therapy in Periodontal patients
Time : 15:50-16:10
Biography:
Abstract:
Antimicrobial Photodynamic therapy in Periodontal patients The antimicrobial approach to periodontal therapy has been used for many years, recognizing that the prevalence and severity of these diseases can be reduced by mechanical plaque removal or by the use of a variety of systemic or topically applied antimicrobial agents aimed at inhibiting pathogenic bacteria.In this era of scientific explosion, there is increasing awareness about microbial resistance-related phenomena. Resistance development may be the consequence of injudicious use of antibiotics in common bacterial or viral infections. Following insufficient drug concentrations within the sulcus fluid or biofilm, there might be lack of efficacy. Periodontal sulcus concentrations of antibiotic drugs may remain below the minimum inhibitory concentration of the target organisms. It is known that local and systemic antibiotics may lead to bacterial resistance, allergies, gastro-intestinal disorders and others along with reducing patient compliance.However, in future more difficulties with antibiotic therapy can emerge because of an increased resistance to most antibiotics used in periodontics and increase in the number of immune-suppressed patients. For these reasons, antimicrobial photodynamic therapy has been proposed as a novel treatment option in controlling the subgingival microorganisms as it was found to be effective in killing microbes in localized topical infections. Photodynamic therapy (PDT) is a laser-initiated photochemical reaction, involving the use of a photosensitizer (PS) activated by light of a specific wavelength in the presence of oxygen. This leads to the formation of toxic oxygen species which can damage proteins, lipids, nucleic acids and other cellular components. Applications of photodynamic therapy in dentistry are growing rapidly for the treatment of oral cancer, bacterial and fungal infections and photodynamic diagnosis of malignant transformation of oral lesions. Photodynamic therapy has been efficacious in the management of peri-implantitis, endodontic infections and oral biofilms such as plaque. Redox properties of photosensitizers for the reduction of bacterial burden in periodontitis patients have been studied earlier. Most of the subgingival plaque samples were successfully destroyed by photodynamic means in vitro. Photosensitization of P. gingivalis and F.Nucleatum has been reported in some in vitro and animal studies.The absence of genotoxic and mutagenic effects, no risk of developing resistance to its antimicrobial action and increased healing process favours its long-term safety and use. Thus, aPDT represents a novel therapeutic approach in the management of various dental conditions. Clinical trials to evaluate the effects of antimicrobial photodynamic therapy (aPDT) as an adjunct in the management of chronic and aggressive periodontitis patients are being conducted. Of these, many studies report additional clinical benefits when aPDT and SRP were given in combination to patients with periodontitis. This talk elaborates this novel treatment in the management of periodontal infections.
Biography:
Abstract:
Background & Objectives Plant alkaloids are being widely explored in the field of medicine, considering their lesser side effects and proven medicinal properties. The present study is designed to bring out the effects of pomegranate extract based mouth rinse in gingivitis patients as an adjunct to supragingival scaling. Methods 45 subjects diagnosed with chronic gingivitis were recruited into the study. Following baseline data collection in the form of Plaque index, Gingival Index, MDA and Thiol levels in saliva and GCF were evaluated. Supragingival scaling was performed in all the subjects and later divided in to 3 groups of 15 subjects each based on the different mouth rinses ascertained namely, distilled water group, 0.2% Chlorhexidine group and the test group. After a follow-up period of 1 month, the subjects were recalled for final data collection. Results The mean Plaque scores in the test group(1.01±0.17) as well as the 0.2% Chlorhexidine group(1.04±0.24 ) were significantly lesser when compared with the distilled water group(1.72±0.14). There was a greater reduction in the gingival index in the 0.2%Chlorhexidine group(52.22%) and the test group(59.07%) when compared with the distilled water group(17.04%). There was a greater reduction in the salivary and GCF MDA levels in the test group(54.04±13.71&69.28±12.54 ) and 0.2% Chlorhexidine group(56.54±27.01&43.64±20.2) when compared with distilled water group(32.82±14.13&21.62±24.03). The mean salivary and GCF Thiol levels at the end of 1 month follow-up period was found to be (240.00±143.48 & 274±89.35) for the distilled water group, (240.00±124.38&254.67±141.10) for the 0.2% Chlorhexidine group and (431.33±123.97& 449.33±153.41) for the test group respectively. Interpretation & Conclusion The present study which lasted for 1 month provided evidence for the additional benefits of mouth rinses used as an adjuvant in maintaining better oral hygiene. Pomegranate based mouth rinse provided improved oral hygiene and decreased gingival inflammation as compared to the control groups. Keywords : Punica granatum; Clorhexidine gluconate; Gingivitis; Anti-oxidants; Pro-oxidants; Dental Plaque
Fatme Mouchref Hamasni
Lebanese University School of Dentistry, Lebanon
Title: Is periodontitis a purely oral disease??
Biography:
Fatme Mouchref Hamasni has completed her PhD in Periodontology from the Lebanese University (LU) School of dentistry. she is the director of post graduate program in Periodontology at the (LU)
Abstract:
Periodontitis is a disease which currently represents a major global plague. Over 90 % of the population worldwide suffers from a bacterial colonization around teeth which cause a tissue breakdown and alveolar bone loss; the attachment loss deepens the sulcus, creating a microbial niche “the periodontal pocketâ€, such that pockets with depths of 4 to 12 mm can harbor on the order of 107 to 109 bacterial cells. Periodontal lesions are recognized as continually renewing reservoirs for the systemic spread of bacterial antigens, Gram-negative bacteria, cytokines, and other proinflammatory mediators. The gap between allopathic medicine and dental medicine is quickly closed, due to significant findings supporting the association between periodontal disease and systemic conditions such as cardiovascular disease, type 2 diabetes mellitus, adverse pregnancy outcomes, and osteoporosis. This communication will focus on the current knowledge linking periodontal infections to a set of systemic diseases placing oral health in the perspective of systemic health.
Gauresh Kumar Patel
Chitwan Medical College, Nepal
Title: PRF- Platelet Rich Fibrin or Poor’s Regenerative Fibrin????
Biography:
Abstract:
Since ages human being has been searching for an ideal regenerative material. But quest has been like a never ending search. Man tried to use different material at different time, but all with some drawbacks. Sometimes it was antigenicity, sometimes adaptability, sometimes it was predictability, and most of the times it was affordability. Recently there has been a paradigm shift with utilization of growth factors in periodontology. Out of all growth factors Platelet Rich Fibrin (PRF), mostly answers all the problems. In present case series we would like to focus on the importance of PRF, in various treatment procedures in periodontology, and would like to stress on the fact â€has the quest ended, have we found our ideal regenerative material in form of PRF, which can be an material for most poor of the poor.â€
Reem N Atout
University of Manitoba, Canada
Title: Periodontal plastic and reconstructive gingival and bone grafting therapy- When should we graft?
Biography:
Dr. Reem N. Atout joined the periodontal department at the University of Manitoba as an assistant professor in September 2010 after her one year experience as a clinic instructor in the department of Periodontology at Harvard University. She received her Bachelor's degree in Dental Surgery (BDS) from Jordan University of Science and Technology in 2000, and shortly after that moved to California where she obtained her California dental license and practiced in general dentistry for a few years. In 2006, Dr. Atout joined the University of Alabama in Birmingham where she continued her training and earned a Master in Science (MS) and her Certificate in Periodontology. Dr. Atout is also a fellow of the Royal College of Dentists of Canada (FRCDC), a diplomate of the American Board of Periodontology and a member of the Canadian and American Academy of Periodontists, and the Canadian Dental Association
Abstract:
Esthetics is becoming a major component of the success of any dental treatment. Sometimes we are faced with some challenges with replacing the missing periodontium (soft tissue and bone) when we are working on natural teeth or dental implants Replacing missing teeth with Dental implants treatment has evolved over the years, initially when dental implants were used the main purpose of them was anchorage. Blade implants were used and esthetic was not a major concern. Nowadays a definition of a successful implant includes patients’ and clinician esthetic satisfaction. Especially that dental esthetics can affect the quality-of-life and the psychosocial wellbeing of patients. My presentation will give the dental practitioners the ability to identify the restorative and esthetic challenges with soft and hard tissue deficiencies, the need and timing of soft and hard tissue augmentation, mainly when it is involving heavily restored teeth, teeth in the esthetic zone and around dental implants. The different surgical techniques advantages and disadvantages of each in addition to their treatment objectives will be discussed. The presentation will have clinical cases with a variety of surgical techniques. Questions and discussion of the cases will be used to engage the audience. After this presentation the audience should be able to: 1. Diagnose areas at high risk of recession or future soft tissue complications. 2. Stage periodontal and prosthetic treatment to achieve optimal esthetic results 3. Review different periodontal plastic surgical techniques.
Ali Kassem
Umeå University, Sweden
Title: Toll-like receptors (TLRs) and inflammatory bone modeling
Biography:
Dr. Ali Kassem graduated with a Master degree in Dental science from Sahlgrenska Akademin, Gothenburg University in 2008 and completed his Ph.D from Umeå University. Currently, he works as a clinician and teacher in the Department of Oral Diagnostics, School of Dentistry at Umeå University.
Abstract:
Patients with inflammatory or infectious conditions such as periodontitis, peri-implantitis, osteomyelitis, rheumatoid arthritis, septic arthritis or loosened joint prosthesis display varying severity of destruction in the adjacent bone tissue. Bone loss in inflammatory diseases is considered a consequence of cytokine-induced osteoclast formation. Hence, osteotropic cytokines and their receptors have been suggested to be important for the pathogenesis of inflammation-induced osteolysis. Bacterial components recognized by Toll-like receptors (TLRs) in the innate immune system may also be involved. Lipopolysaccharide, fimbria, lipoproteins and flagellin from pathogenic bacteria such as P. gingivalis, S. aureus and S. typhimurium are ligands for TLRs. Since the susceptibility to, or the severity of inflammation-associated bone diseases are likely related to differences in the tissue response and the mechanisms by which pathogens interact with bone cells are not fully understood, we aimed to elucidate the importance of different TLRs for inflammation-induced bone loss. Activation of TLR2 and TLR5 ex vivo and in vivo in periosteal bones increased osteoclast formation, bone resorption and osteoclastic and osteoclastogenic genes expression. We showed that TLR2- and TLR5-induced bone resorption is independent of inflammatory molecules. Interestingly, we found that TLR2 and TLR5 activation in vivo resulted also in locally increased new bone formation at both periosteal and endosteal sides and in the bone marrow compartment. In conclusion, activation of TLR2 and TLR5 in osteoblasts results in bone loss associated with enhanced osteoclast formation and activity, as well as with increased osteoblast differentiation and new bone formation, indicating that inflammation causes bone modelling. The data provide explanation why P. gingivalis and flagella-expressing bacteria can stimulate bone loss. Since TLR2 and TLR5 can also be activated by endogenous ligands produced in inflammatory processes, the data also contribute to the understanding of inflammation-induced bone loss in autoimmune diseases. Keywords: Toll-like receptor, osteoclast, osteoblast, bone resorption, bone formation, P. gingivalis, S. aureus, flagellin.
safieh Kuriri
Jazan University, Saudi Arabia
Title: Periodontal Therapy in Female Patients – A Review
Time : 16:25-16:45
Biography:
Abstract:
Women had unique sex hormones changes..Thus the female body has a series of reaction to the hormonal changes seen within. As a result of these changes, they are more prone to the development of periodontal disease and show periodontal manifestation. Hormonal effects reflect physiological/ pathological changes in almost all types of tissues of the body. Estrogen and progesterone receptors are demonstrated in gingival tissue that is why it functions as target organ for sex hormones. ovarian hormones may increase inflammation in gingival tissues and exaggerate the response to local irritants. Female sex hormones alter subgingival bacterial plaque composition, Alter immunocompetency of the female Improper oral hygiene and hormonal imbalance seen during different life cycle of female patients exaggerates the oral tissues response to the plaque and other local factors thus worsening the condition. Clinician should recognizes, customizes, and appropriately alters the periodontal therapy according to the individual woman's needs based on the stage of her life cycle. Patients should be educated regarding the profound effects of the sex hormone on periodontal and oral tissues as well as the consistent need for home and office removal of local irritants.
- Restorative dentistry
Session Introduction
Pinar Gul
Atatürk University, Turkey
Title: Effects of thermal cycles and immersion in different beverages on color, translucency and hardness of different composite resins
Time : 10:35-10:55
Biography:
Dr Pinar Gul was born in Turkey in 1982. She graduated from Faculty of Dentistry, Atatatürk University in 2005. In the same year, she started her Ph.D. in the division of Restorative Dentistry of Atatürk University. She received her Ph.D. in 2012 and in same year, she became Assistant Prof. at the Faculty of Dentistry, Atatürk University.
Abstract:
Effects of thermal cycles and immersion in different beverages on color, translucency and hardness of different composite resins: The aim of this study is to evaluate the color stability, translucency and hardness of eight different composite resins, after thermal cycling and immersion in beverages. Six light-cured dimethacrylate-based composite (Clearfil Majestry Esthetic, Clearfil Majestry Posterior, Grandio, Grandio Flow, Arabesk Top, Valux Plus), ormocer (Admira) and silorane-based composite (Filtek Silorane) were tested in this study. Fifteen specimens (8x2 mm) of each composite were prepared. All samples were subjected to thermal cycling [(5.0 ± 0.5)~(55.0 ± 1.0) °C, 1000 cycles]. After thermal cycling, fifteen specimens in each group were divided into three subgroups (n = 5): distilled water (control), coffee, and red wine at 37°C for 30 days. With a spectrophotometer, the △E and Translucency Parameter (TP) were calculated against white and black backgrounds. Color, translucency and hardness of all samples were remeasured baseline, after thermal cycles and after immersion in beverages. The data were analyzed using repeated measured analysis of variance and Bonferroni multiple-comparison test (P<0.05). Red wine and coffee caused perceptible discolorations in all composite resin materials (△E>3.3). The effect of thermal cycles on color and transluceny was no statistically significant (P>0.05). TP values generally decreased especially after immersion in red wine (P<0.05). Hardness values were varied among composite resins but generally decreased after thermal cycles and immersion especially in red wine. Thermal cycling and immersion in beverages caused to decrease in hardness values for composite materials. Because of negative effects on color and translucency, it should be noted especially red wine consumption.
Mohammed hussein al-bodbaij
King Fahad hospital- Hofuf, Saudi Arabia
Title: Intra-lesional steroid treatment of Central Giant Cell Granuloma of the mandible
Time : 10:55-11:15
Biography:
Mohammed got his Bachelor degree of Dental Surgery (BDS) in 1997 from King Saud University at Riyadh. He joined Ministry of Health at KSA soon after internship year to work in primary health care center. After 2 years, he transferred to oral & Maxillofacial Surgery department at King Fahad Hofuf Hospital to work as a resident. Two years later, he attended MSc OMFS course at Eastman Dental Institute at University College London (UCL) where he got the degree in 2005. Then returned back to KFHH working as a specialist. Since 2007, he has worked as an acting consultant. In 2013, he got the fellowship of MFD RCSI, Irland. During his career, he gave many local and international speeches and had few publications. Dr. Al-Bodbaij is a member of Saudi Dental Society and member of Saudi Society of Oral & Maxillofacial. At present, Mohammed is the head of oral & maxillofacial surgery department at King Fahad hospital- Hofuf.
Abstract:
Central giant cell granuloma (CGCG) is a benign lesion, CGCG occurs mainly in children and young adults with more than 60% of all cases occurring before the age of 30 years and female to male ratio of 2:1. The mandibular / maxillary ratio is from 2:1 to 3:1. Surgery is the traditional treatment of CGCG. Calcitonin and intralesional steroid were used with good results. In this case report, a 14 years old Saudi girl presented with a hard swelling of left side of the mandible with few months duration. Investigations including blood tests, radiographs and biopsy were done which confirmed the diagnosed of CGCG. Lesion has been treated using six weekly intralesional injections of steroid which gave very good result. Patient has been followed up for 10 months with radiographic evidence of defect refill with bone and no sign of recurrence.
Hamed Orafi
Jordan University of Science & Technology, Jordan
Title: Alveolar osteitis: Clinical features and etiology in fifty nine patients attending Dental School Clinic, Benghazi-Libya
Biography:
Abstract:
In this prospective clinical study fifty nine patients who attended the Benghazi Dental school& hospital oral surgery clinic, complaining of post extraction Dry socket, were noted for the etiology, gender, age , habits like smoking , medications taken, associated factors, skill of the operator, time of the execution of the procedure, compliance with post extraction instructions, and post procedure habits, the sample studied showed more incidence in the lower third molar tooth more than any tooth, females taking contraceptive bills more than others, in our sample smoking didn’t had any significant difference.
Biography:
Abstract:
Aim and objective of the Study • To measure the efficacy of articaine and mepivacine buccal infiltrations supplemental to mepivacine IANB on mandibular first molar pulp anaesthesia. • To determine the time of onset and duration of pulpal anaesthesia for each treatment. • To assess patient reported feelings of numbness in teeth and soft tissues after each local anaesthetic injection Materials & Methods • The volunteers received LA regimens randomly over two visits, at least one week apart following reading the information sheet and signing the formal consent • The efficacy of pulp anaesthesia was determined by electronic pulp testing • The efficacy of pulp anaesthesia was evaluated for mandibular first molar after both treatments before injection (baseline) and at intervals of 2 minutes for the first ten minutes and then at intervals of five minutes until 45 minutes after the injection. A control unanaesthetised tooth on the other side of the lower jaw was tested at base line, once again at 10 minutes and at the end of the trial (45 minutes). • The discomfort of the injections was recorded by the volunteers after each treatment on standard 100mm visual analogue scales (VAS), with “no pain†(0 mm) and “unbearable pain†(100 mm). • After all injections, the volunteers were asked to subjectively gauge soft tissue anaesthesia of the lower lip, tongue, and teeth as soon as numbness is felt following either treatment. Results • All (23 volunteers) secured anesthetic success for first molar tooth following pulp testing after articaine and mepivacaine regimens within 10 min and continuously sustained for 45 min postinjection (P = 1). • Differences between articaine regimen and mepivacaine regimen are statistically significant in regard to the number of episodes when there are no sensation on first molar pulp testing on 64 reading (maximum stimulation) at 2 min (P = 0.008) and 4 min (P = 0.019) but not at 6 min (P = 0.15) or 8 min (P = 0.32).
Biography:
Dr. Jehad Al Sukhun is a British / Jordanian oral and maxillofacial surgeon with a Master’s degree in oral and maxillofacial surgery from the University of Manchester and a PhD from the University of London in the United Kingdom. He has gained a number of fellowships and professional memberships in the United States, United Kingdom and Australia. During his PhD studies at the University of London, he obtained in-depth knowledge and experience in maxillofacial Implantology and computer aided surgery using Finite Element Analysis. He worked at well reputed academic University Hospitals in the UK e.g. Royal Manchester University Hospital, Royal Surrey County Hospital and a UAE University College, Dubai. He has gained significant clinical experience in specialized dentistry, Implantology, oncology, trauma, Orthognathic surgery, reconstructive and cosmetic plastic surgery. He developed particular interest on the use of bioresorbable plates for reconstructing orbital fractures. During his work in the field of oral and maxillofacial surgery, Professor Al-Sukhun produced more than 45 papers published in international peer review journals. Professor Al Sukhun sits on the editorial.
Abstract:
Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which bone regeneration is required in small or large quantity, such as for loss of cortical bone at the time of implant placement, loss of bone due to peri implantitis, skeletal reconstruction of large bone defects created by trauma, infection, tumour resection and skeletal abnormalities, or cases in which the regenerative process is compromised, including avascular necrosis, atrophic non-unions and osteoporosis. Currently, there is a plethora of different strategies to augment the impaired or 'insufficient' bone-regeneration process, including the 'gold standard' autologous bone graft, free fibula vascularised graft, allograft implantation, and use of growth factors, osteoconductive scaffolds, osteoprogenitor cells and distraction osteogenesis. Improved 'local' strategies in terms of tissue engineering and gene therapy, or even 'systemic' enhancement of bone repair, are under intense investigation, in an effort to overcome the limitations of the current methods, to produce bone-graft substitutes with biomechanical properties that are as identical to normal bone as possible, to accelerate the overall regeneration process, or even to address systemic conditions, such as skeletal disorders and osteoporosis. Over the past year we have seen new products approved and released to the market. And the pipeline of therapies on the horizon continues to expand. This paper demonstrates the various approaches, material, implants produced by various commercial companies to reconstruct soft and hard tissue defects and its application in implant dentistry and oral surgery.
Biography:
Dr. Ankita Chugh has completed BDS in 2003 and MDS in Oral and Maxillofacial surgery in 2007 .Now she is working as faculty in Department of Dentistry at All India Institute of Medical Sciences (AIIMS), Jodhpur India. She has published and reviwed more than 50 papers in national and international peer journals and presented many papers in national conferences.
Abstract:
Oral submucous fibrosis (OSMF) is defined as a chronic disease of oral mucosa characterized by inflammation and progressive fibrosis of the lamina propria and deeper connective tissue layers. The pathogenesis of the disease is not well established, but is believed to be multifactorial. The treatment for patients afflicted with oral submucous fibrosis is focused on relieving the symptoms and improving the mouth opening by therapeutic and/or surgical means. Medical management which forms the first line of treatment includes topical, intralesional and systemic usage of agents like placental extracts, steroids, vitamins and hyaluronidase. However the role of these medications in advanced cases of oral submucous fibrosis with established restricted mouth opening is limited. Submucous fibrosis with a severe degree of trismus is a great surgical challenge. The surgical procedures include excision of fibrous bands with or without coverage of the surgically created defect. Materials commonly used for coverage of defect include skin or placental grafts, tongue flaps, palatal flaps, radial forearm free vacularized, buccal fat pad grafts, nasolabial flaps and many more. This presentation will focus on the intricacies of surgical procedure with emphasis on two locally available tissue replacements that is Buccal pad of Fat and Nasolabial flap.
Ahmad Ali Alshadwi
King Faisal Specialist Hospital and Research Centre, saudi arabia
Title: Virtual Treatment Planning in Orthognathic Surgery: Where Are We Now??
Biography:
Dr. Alshadwi has graduated from king Saud University College of Dentistry then jointed the oral surgery staff in King Faisal Hospital and received scholarship to the US, Where he finished an OMFS internship in Boston Medical Centre and then joined Boston University OMFS Residency. After that he joint King Faisal Specialist Hospital and Research Centre in Riyadh, KSA as associate consultant. Dr. Alshadwi is candidate for the American Board of Oral & Maxillofacial Surgery, in addition to that he has several publication and authored few book chapters. Dr. Alshadwi maintain practice focused on Orthognathic and TMJ surgeries inaddition to facial cosmatics and trigeminal nerve repair procedures.
Abstract:
By incorporating three-dimensional (3D) imaging and computer-aided design and manufacturing techniques, 3D computer-assisted technology has been applied widely to provide accurate guidance for assessment and treatment planning in clinical practice. This technology has recently been used in orthognathic surgery to improve surgical planning and outcome. The modality will gradually become popular. This presentation reviews the literature concerning the use of computer-assisted techniques in orthognathic surgery including surgical planning, simulation, intraoperative translation of the virtual surgery and postoperative evaluation. A Medline, PubMed and ScienceDirect search was performed to find relevant articles with regard to 3D computer-assisted orthognathic surgery in the past 10 years. A total of 381 articles were revealed, out of which 78 were publications addressed the topic of this study. The purpose of this presentation is to present an overview of the state-of-art methods for 3D computer-assisted technology in orthognathic surgery. From this presentation we can conclude that the use of computer-assisted technique in orthognathic surgery provides the benefit of optimal functional and aesthetic results, patient satisfaction, precise translation of the treatment plan and facilitating intraoperative manipulation.
Chao Li
Sichuan Cancer Hospital & institute, China
Title: Systematic Evaluation on the Use of Acellular Dermis Matrix Graft in Prevention Frey Syndrome after Parotid Neoplasm Surgery
Biography:
Abstract:
Objective: To study the effectiveness and safety of acellular der-mal matrix (ADM) graft in preventing Frey syndrome after parotid neoplasm surgery, we reviewed foreign reported clinical random-ized controlled trials systematically. Based on this review, we aimed to assess the effectiveness of ADM graft and provide reliable evi-dence for clinical application. Methods: We reviewed foreign-language databases, such as MEDLINE, applied meta-analysis with Rev.Man 5, and drew forest plots with odds ratio as effect size. Results: Three trials were recruited. The morbidity of Frey syndrome in experimental group was significantly lower than that in control on both subjective index and objective index, with odds ratios at 0.03 (95% confidence interval, 0.01Y0.11) and 0.03 (95% confidence interval, 0.01Y0.12), respectively. There was no significant difference between ADM group and blank control in total adverse reactions and complication incidence, whereas results differed for a kind of specific adverse reaction or complication. Conclusions: Based on existing research data, implanting ADM could effectively prevent Frey syndrome, and its poor prognosis effects did not significantly increase, which suggested that its total safety was reliable. Nevertheless, further investigations about the difference on a specific adverse reaction or complication were still needed. Key Words: Parotid neoplasm, acellular dermal matrix, Frey syndrome, systematical assessment.
Biography:
Abstract:
There have been many advances in the management of head and neck infections over the past decade. New classes of antimicrobial agents, noninvasive imaging techniques, improved culturing methods are just some of the changes that have occurred which have enhanced dramatically our ability to diagnose and treat these infections with speed and accuracy. Concerns among the lay population regarding the perceived shifting of infectious disease patterns and their subsequent manifestations have become a topic of discussion in the news media. For example Time magazine has suggested that antibiotics are so overused that the human body has become saturated and that the human immune system is so depressed that it provides an environment for the creation of ‘‘bacterial monsters’’ The impressive ability of bacteria and viruses to adapt, change, and mutate in response to our pharmacologic bombardment is a testimony to the complex and unpredictable nature of these microbes. For every new drug we formulate, resistance develops to an older and often used one. For every organism that we eradicate, another one suddenly emerges to take its place. To those of us in the clinical trenches, it seems that we are in a war with an ever-expanding number of increasingly virulent and destructive microbes. Objective: It is my hope that by summarizing the information provided by various outstanding contributors to this serious issue of antibiotic resistance and genetic mutation of these deadly bugs will help to resolve some of the important issues we currently face.
- Endodontics and Hypnodontics
Session Introduction
Yaser AlAsousi
Head of Endodontic Unit, Kuwait
Title: The current key elements for Endodontic excellence
Time : 11:15-11:35
Biography:
Dr. Alasousi has completed his Specialty Residency Program in Endodontics in State University of New York at Buffalo (2008) and Master Degree in Oral science - State University of New York at Buffalo, He also has Diplomate in the American Board of Endodontic and Fellowship in The Royal College of Dentists of Canada ( FRCDC) in Endodontic, He is Part time faculty in Kuwait University in school of dental medicine ( 2008- Present), He is consultant Endodontist at Bayan Dental ( Private Clinic ) and Head of Endodontic unit at Alfarwaniya Dental Center, Ministy of Health-Kuwait , also Endodontic Course Director for MGDS & KBAGD program - Ministry of Health- Kuwait (2008 till 2011) As a speaker, he has participated in international conferences and conducted multiple courses and workshops.
Abstract:
Nonsurgical root canal therapy has become a routine procedure in modern dentistry. The clinician is dedicated to excellence in the art and science of dentisty and to the highest standards of patient care. Successful endodontics depends on a number of factors. The abilities and knowledge of the dentist, including training and experience, are of primary importance. Clinicians must always have a scientifically sound, evidence-based rationale for every treatment decision that is made so they may best serve the patients who trust them with their care. 
If clinicians wish to approach treating these teeth, they should have the appropriate armamentarium and be capable of performing these very specialized techniques at the highest level. Appropriate diagnosis, instrumentation, obturation and restoration are the main steps involved in the treatment of teeth with pulpal and periapical diseases. Recent technical and scientific advances in endodontics have resulted in the retention of millions of teeth that would otherwise be lost. It is universally accepted that a natural tooth with a good prognosis is a superior choice to loss and replacement. One of the most important key element for successful treatment to believe in the philosophy of what you take out of a root canal are more important than what you put in it.
Fouad Abdulbaky Abduljabbar
Ministry of National Guard, saudi arabia
Title: Failure modes and prevention of NiTi rotary instruments
Time : 11:35-11:55
Biography:
Fouad Abduljabbar is a Consultant Endodontist. He is also a Director of Dental Supplies and Materials & Equipment of Endodontics department, Member of Dental Supplies & Materials &Equipment Committee and Clinical supervisor of Saudi board dental student and dental interns, Dental services, West Region, King Abdulaziz medical City, The ministry of National Guard, Jeddah, Saudi Arabia. He completed his Master of Dental Surgery and Clinical certificate in Endodontics, from The University of Hong Kong, 2009 and Bachelor of Dental Medicine and surgery from King Abdulaziz University, 2003. He has also published more than five papers in reputed journals and presented number of dental lectures, as well as dental courses in and out of Saudi Arabia
Abstract:
For 15 years, NiTi rotary instruments become an essential part of endodontics. Fractured instruments interfere the goals endodontic therapy. Instrument fracture may adversely affect the success rate of endodontic treatment. Many researches have been undertaken to understand the mechanisms of failure of NiTi instruments to minimize its occurrence. Factors related to clinician experience, technique, and competence have been shown to be influential. From an assessment of the literature presented and clinical cases, clinical recommendations are derived concerning prevention and management of this complication. The purpose of this presentation is to present points that clinical operators can take to reduce the risk of NiTi rotary instrument failure and prevent fracture during root canal preparation.
Radhika Kewalramani
Rajiv Gandhi University, India
Title: Prevalence and Location of Second Mesiobuccal Canal in Maxillary First Molar of Indian Population- A Cone Beam Computed Tomography Study
Time : 11:55-12:15
Biography:
Dr. Radhika Kewalramani is a postgraduate (IInd MDS) student of Conservative dentistry and Endodontics department of V.S Dental college and Hospital, affiliated to Rajiv Gandhi university, Bangalore, India and has done her undergraduation (BDS) from the reputed Manipal University, Manipal, Karnataka, India. She is the recipient of the prestigious IDA- Colgate schlorship in 2012 and is also the Karnataka state topper of post graduate entrance test held in 2014. She has attended various hands on courses in the field of conservative dentistry and endodontics and presented at various conventions and conferences throughout India.
Abstract:
The presence of elusive MB2 canal in mesiobuccal root of first maxillary molar has shown wide variations among different populations. However, no detailed study on a large group of Indian population on prevalence and location of MB2 canal in maxillary first molar is presented in literature. Aims and Objectives • To investigate the prevalence of MB2 canal in right and left maxillary first molar of Indian population. • To assess the location of the MB2 canal in permanent maxillary first molar . Material & Methodology • 300 CBCT scans of right and left maxillary first molar will be studied in sagittal, coronal and axial sections. Axial tomographic slices will be studied in cervico-apical direction from the pulp chamber to the apex of mesiobuccal root for the detection of MB2 canal. When MB2 is present, the floor of coronal cavity will be located and progressed 2mm apically to standardize observation of MB2 canal. The geometric position of MB2 canal will be studied according to protocol described by Gorduysus et al. The mid point of MB1, Palatal and MB2 canal will be found and straight lines will be drawn connecting these points. Another line will be drawn from MB2 perpendicular to MB1- P line. The distances between lines drawn will be measured in millimeter. The data will be analyzed using descrip¬tive statistics, with a value of P < 0.05 being statistically significant.
Mostafa Anwar
The British University, Egypt
Title: Evaluation of Single File Concept in Retreatment of Endodontically Treated Teeth
Time : 12:15-12:35
Biography:
Dr. Mostafa Anwar is an Assistant Lecturer of Endodontics at the Faculty of Dentistry, The British University in Egypt. He is also Infection Control Officer at the British University Dental Hospital. He is a Certified Healthcare & Hospital Management Specialist – AUC. He took a Master Degree of Endodontics from Ain Shams University in Egypt. His practice is limited to Micro-Endodontics. He is a Lecturer & Participant in many International Dental Conferences. He conducts many Lectures and Hands-on workshops on Endodontics all over Egypt. He is an Endodontics Specialist at Whity Dental Center, in Cairo (Egypt).
Abstract:
Introduction: In this study OneShape file (OS) was compared to R-endo file (RE) in retreatment of endodontically treated teeth in terms of time required for completion of retreatment procedure and amount of remaining gutta percha on root canal dentin. Methods: Sixty mandibular mesio-buccal canals with angles of curvature between 15 and 45 were prepared using protaper universal rotary files then obturated using guuta-percha and AH-plus sealer. Canals were then divided equally into 2 groups according to the retreatment system. Time required to reach the full working length and for complete removal of gutta-perha were meaured during retreatment procedure using a digital stopwatch. Also the amount of remaining guuta-percha on the root canal dentin was measured using Stereomicroscopic images analyzed by Image J software
Mohammad Naebi
Zahedan University of Medical Science, Iran
Title: Detection of the size of periapical lesions using particle swarm optimization algorithm
Time : 14:10-14:30
Biography:
Abstract:
Aim: One of the major problems of clinicians in observing the progress of the lesion, is that they have to compare new X-ray radiographs of patients with previous ones to determine the changes of the size of the lesion, and this would be associated with interpretation errors. Using a smart system in detection of the exact size of periapical lesions, we have responded to this problem, in this work. The purpose of this paper is detection of the size of periapical lesions with processing image using particle swarm optimization (PSO)algorithm in the X-Ray Digital (XRD) images that facilitate conducting a more accurate diagnosis. Methodology : Particle swarm optimization, in principle, is a computing evolutionary technique and an optimization population-based method. This algorithm is based on examination of the color changes around the tooth roots in the XRD images. The color of the periapical lesions around un healthy tooth root is darker(Lucent)compared with that of the healthy tooth root (Opaque). Methodology of this algorithm on XRD image is to investigate the color changes around tooth root and to show the size of periapical lesions. The difference between this study and previous ones iscomputation of the color changes by image processing algorithm for diagnosis of the size of periapical lesions. Results: After running the algorithm, if the lesion is apical root around, PSO algorithm can recognize size of periapical lesios and identify its location. Conclusions: This algorithm provides useful and successful results for the presented tests and experiments. Using this algorithm, it is possible to save time, reduce errors, and have a more accurate diagnosis. Among the potential applications of this algorithm is to intelligently help dentist robots, which will be used in the future.
Mohammed Shawki Hafez
Pharos University of Alexandria, Egypt
Title: Regenerative Endodontics:The future of RCT
Time : 14:30-14:50
Biography:
Mohammed Shawki Hafez has completed his master’s degree in endodontics and works as teaching assistant in Endodontic department - Pharos University of Alexandria (www.pua.edu.eg) and the head of continued education program of the faculty. He is a candidate for phd degree in endodontics from Tanta University. he also is interested in implants and earned Fellowship and membership from the International Congress of Oral Implantology ICOI –USA. He owns a private clinical practice (Al-Araak Dental and cosmetic center). He have been one of the organising committee for Alexandria International Dental Congress “AIDC†since 2004 and Pharos International student.
Abstract:
The regeneration or replacement of oral tissues affected by inherited disorders, trauma, and neoplastic or infectious diseases is expected to solve many dental problems. Within the next 25 years, unparalleled advances in dentistry and endodontics are set to take place, with the availability of artificial teeth, bone, organs, and oral tissues; as well as the ability to stimulate endodontic regeneration , replace diseased tissues produce vaccinations against viruses , and genetically alter disease pathogens to help eradicate caries and periodontitis. Regenerative endodontic procedures can be defined as biologically based proce- dures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex. The objectives of regenerative endodontic procedures are to regenerate pulp-like tissue, ideally, the pulp-dentin complex; regenerate damaged coronal dentin, such as following a carious exposure; and regenerate resorbed root, cervical or apical dentin.
Seyed Amir Mousavi
Isfahan University of Medical Sciences, Iran
Title: Effect of cryogenic treatment with nitrogen on cutting efficacy of HERO files
Biography:
Abstract:
Introduction: Many efforts have been made to improve Ni-Ti alloy for endodontic use and it has been shown that surface properties and thus cutting efficiency of the rotary files can be improved by processes such as electro-polishing, ion implantation and surface coating. The aim of this study was to evaluate the effect of cryogenic treatment on cutting efficiency of Ni-Ti rotary files. Materials and Methods: In this in vitro study, 60 Ni-Ti rotary instruments (Hero 642, #25, 0.04 taper) were selected and divided into 3 groups of 20. In group I no treatment was used. In group II the instruments were subjected to a deep cryogenic treatment in liquid nitrogen pool (-196°C) for 24 hours and after treatment were immediately tested for cutting efficiency. In group III after cryogenic treatment the temperature of the samples was raised slowly to room temperature for 24 hours. A new piece of test equipment was designed and used. The instruments were attached to the testing machine and rotated in Plexiglas samples for 10 seconds in a working length of 16 mm. The depth of grooves and weight loss of Plexiglas were measured after instrumentation. One-way and two-way ANOVA were used to compare the means of cutting efficacy between the three groups at 95% confidence interval. Results: The instruments which were immediately tested for cutting efficiency had significantly more weight loss and deeper grooves (pweight < 0.001; pgroove = 0.022), indicating better cutting efficiency. However, there was no significant differences between group I and group III in cutting efficacy (p weight = 0.23; p groove = 0.61). Conclusion: The results of this study showed that the surface properties of Ni-Ti alloy could be improved by the cryogenic treatment for a limited period of time after treatment, increasing the cutting efficiency of Ni-Ti rotary instruments. Key words: Plexiglas, Nickel-Titanium alloy, Root canal therapy
- Prosthodontics
Session Introduction
Mohamed khaled ahmed azzam
Ministry of National guard, Saudi Arabia
Title: Prevention of cross contamination in the area of infection control procedures in dental laboratory & clinic
Time : 10:55-11:15
Biography:
Dr Mohamed Khaled Azzam is an Associate Professor and Consultant Removable Prosthodontist .He is also the Departmental Academic and Intern coordinator,member of the Dental Laboratory Quality Improvement Committee, Deputy of the Department Quality Control Champion and Clinical supervisor of Saudi board dental students and dental interns -- King Abdulaziz medical City,Dental services, Western Region, The ministry of National Guard, Jeddah, Saudi Arabia. He completed his Masters and Doctorate degrees from Cairo University,Egypt, and a Clinical Certificate in Prosthodontics from Tuft's Dental School ,Boston ,USA in 1991 . He has also published papers in reputed journals and presented many presentations locally in Saudi Arabia and many other internationally.
Abstract:
INTRODUCTION AND AIM: This article focuses mainly on the prevention, communication, education and professional development in the area of safety and infection control procedures in dental clinics and laboratories, to assist both dental health providers and technicians to assume proper safety measures and avoiding cross infection to patients and colleagues. METHODOLOGY: Dental clinics, procedures and instruments in the laboratory liable to cross contamination were test run using culture sensitivity tests on blood agar and Mc.Conkey mediums in addition to swabs on monthly bases as for the following: 1-Clinics and laboratory air environment was tested 2-Alginate impressions, brushes, ragged wheels, pumice and lathes were tested 3-The laboratory better operated as a "Clean Dental Laboratory" not "Standard Dental Laboratory". RESULTS: Gram -ve pathogens as Klebsiella and fungal infection as well as commensals (staph.albicans) were present. By proper suction system in the clinics and lab. and regular air-conditioning filters cleaning fungal growth was avoided. Virkon 2% as a surface disinfectant and instruments soaked for 24 hours were used to eradicate pathogenic and non pathogenic bacteria .Presept half gram tablets diluted in half liter of water sprayed, wrapped and left for 10 minutes on incoming material to the laboratory as impressions, bite blocks, face-bows crowns also eradicated the pathogenic and non pathogenic organisms. IN CONCLUSION: The infection control measures should be taken very seriously for all patients and dental personnel for a safer, healthier and better life.
Ali Nankali
Barts and The London School of Medicine and Dentistry, UK
Title: The evaluation of the significance and influence of tissue preparations as well as bonding and cementation on the success of longevity of a crown treatment as a fixed prosthesis
Time : 11:15-11:35
Biography:
Dr Ali Nankali is a clinical Lecturer in Oral Adult Health in the Barts and the London Medical and Dental School. In 1998, he took a keen interest in restorative dentistry which led him to commence his extensive research on application of post and cores. Following his research, he proposed to the scientific board of the Orthopaedic and Implant department of the NMU a number of novel inventions including Nankali Post System, Nankali bur as well as new classifications for Post/Core and Masticatory force. Dr Nankali was awarded his PhD in 2004 by National Medical University (NMU) in Kiev, Ukraine where he registered as a specialist in Prosthodontics. Furthermore, his engineering background in addition to his prosthetics and Maxillofacial clinical experiences helped him in achieving ground-breaking outcomes on his researches related to distribution of masticatory force and mechanical strength of teeth's hard tissues that brought him to the attention of the scientific community. At his current position, Dr Nankali is involved with undergraduate, postgraduate students as well as regularly running CPD and other courses.
Abstract:
The purpose of this presentation is to evaluate the significance and influence of tissue preparations as well as bonding and cementation on the longevity of crown treatments as a fixed prosthesis for clinical practitioners. The reflection of teeth features on prepared hard tissue increases dramatically the stability factors such as the retention and resistance. Furthermore, the mathematical models illustrate the changes of the chemical bond’s strength according to the prepared surfaces. The amount of used cement for fixing an artificial crown and how long it was compressed are other important factors that lead to achieving a successful crown treatment. In this presentation for the first time, it is demonstrated that the correct usage (quantity, pressure and time) of cements in an appropriate prepared core dominates the determination of the effect of agents on the retention.
Rashmi Paramashivaiah
Krishnadevaraya College Dental Sciences, India
Title: Periodontitis and peri-implantitis:the common link between them
Time : 11:35-11:55
Biography:
Dr.Rashmi Paramashivaiah has completed her under-graduation from M.R.Ambedkar Dental college, Bangalore(2001) and Post-graduation from The Oxford Dental College, Bangalore(2004).After passing out she has worked in teaching capacity and has guided students both academically as well as clinically taking a keen interest in their progress. She has been actively involved as a Principal Investigator in a major clinical trial conducted by Semlar Research. Being not just a regular attendee at National and International Conferences, she has also presented several scientific papers at these gatherings. She has been awarded a prize for her paper on peri-implantitis at ISOI, Bangalore in 2012. She has been a guest speaker for SLAAD(Colombo),Colgate and her institution on more than one occasion .Her literary skills have got recognition in the form of publications in varied journals. She is continuing her career by acting as a guide and co-guide to the post graduate candidates at the present teaching institute.
Abstract:
Introduction : Gone is the era of removable partial dentures for edentulous ridges, currently the focus is on implant supported superstructures for oral rehabilitation. Implants have shifted from being a complex and expensive option to simple and feasible choice. However implants are not entirely devoid of complications.Some percentage of implants may not sustain over prolonged periods of time due to several factors. Peri-implantitis is one such factor leading to late failure of implants . Clinical Significance : Periodontitis being a multifactorial disease is one of the leading causes of tooth loss all over the globe.After loss of teeth either partially or completely, the question arises about whether the implants which replace the missing teeth also will face the same fate and have peri-implantitis.Thus it is clinically relevant to examine the relationship between periodontitis and peri-implantitis. Summary and Conclusion: Evidence in the form of studies is conflicting, making it difficult to arrive at a definitive conclusion.There are insufficient long term studies with proper controls.Some evidence points to a history of severe chronic generalized periodontitis and aggressive periodontitis having a role in future peri-implantitis. Contrarily few studies show a successful survival of implants in subjects who have lost teeth due to periodontitis previously provided they are on a regular maintenance regimen. Key words : Bone loss ; Denture ; Implants ; Periodontitis ; Peri-implantitis ;Tooth loss.
N.Kannan natarajan
Narayana Dental College & Hospital, India
Title: Medically Compromised Patients: The Dentists’ Nightmare
Biography:
Dr.N.Kannan did B.D.S. from Government Dental College, Hyderabad, Andhra Pradesh, India in 1991. He did post graduation in Oral Medicine and Maxillofacial Radiology from S.D.M. College of Dental sciences, Dharwad, Karnataka , India in 1995. Awarded Best Paper Award in the 5th & in the 6th National Conference of the Indian Academy of Oral Medicine and Radiology in 1993 & 1994 respectively. He is the Founder President of Tobacco Free Initiative of Narayana, Nellore, India. He has received advanced training in Reiki therapy in 2005, in Sujok therapy in 2011 in Pranic Healing in 2012 and is a certified Master in all these therapies. He did Diploma in Business Management from ICFAI in 2013. He did MSc Biotechnology from Periyar University in 2014. He did Diploma in Hospital Administration from NIHFW, New Delhi, India in 2015. He has written 80 poems in English. He has served Indian Academy of Oral Medicine and Radiology as Joint Secy, EC Member, Vice president and Hon General Secy. He is presently Hon. General Secretary Indian Dental Association, Nellore Branch, Andhra Pradesh He has delivered 20 Guest lectures in various National & International Conferences. He has 25 International Publications He has a post graduate teaching experience of 20years in the specialty of Oral Medicine and Maxillofacial Radiology and guided 40 post graduate students He is presently working as the Professor & Head, Dept. of Oral Medicine and Maxillofacial Radiology in Narayana dental College, Nellore, India.
Abstract:
Present day advances in medical sciences and technology has resulted in substantial increase in the volume of dental patients with systemic illnesses. The term Medically Compromised refers to dental patients with impaired health status like pregnancy, or patients with systemic diseases like ischemic heart disease, congenital heart disease, liver disease, renal disease, asthma, patients with immunodeficiency and patients with altered immune status. Absence or inadequacy of precautions needed to be taken while carrying out routine dental treatment in these patients may result in worsening their medical status or even result in a fatality. Care needs to be taken while prescribing medications for these patients in the form of altered dosage or altering the medications themselves. Medico-legal litigations are reportedly on the rise in all the countries across the globe due to increased patient activism and awareness of their rights and sensationalization of such cases by the media. Worsening of the patient’s medical status or fatality occurring as a result of inadequacy of precautions can prove to be nightmarish to the dentist’s practice, life and reputation. Many of these medical conditions can be identified by detailed case history recording and thorough clinical examination. There may be alterations in the oral cavity as a result of some of these systemic diseases or due to medications/treatment received for these diseases which may present as taste alterations, salivary alterations, oral ulcerations, petechiae, ecchymosis, pigmentations, candidiasis, necrosis and gingival overgrowth. This presentation will be highlighting the maxillofacial & general clinical features useful for suspecting presence of the underlying systemic conditions and precautions needed to be taken during the dental treatment of these patients.
Bertolai Roberto
University of Florence, Italy
Title: Bone graf and Mesenchimal Stem Cells: Clinical observations and Histological analysis
Biography:
Abstract:
Autologous bone, for it’s osteoconductive, osteoinductive and osteogenetic properties, has been considered to be the gold standard for maxillary sinus augmentation procedures. Autograft procedures brings also some disadvantages: sometimes the limited amount of available intraoral bone makes necessary to obtain bone from an extraoral site, and this carries an associated morbidity.
To overcome this problem we started using homologous freeze-dried bone in maxillary sinus augmentation procedures.
This bone is industrially processed with γ-irradiation to eliminate it’s disease transmission potential and it’s considered safe, but this treatment also eliminates the osteoinductive and osteogenetic properties, making it just an inert scaffold for regeneration.
Mesenchymal stem cells are successfully used in and orthopedic surgery for their amplification potential of healing mechanisms.
We assumed that mesenchymal stem cells can restore the osteogenetic and osteoinductive properties in homologous bone grafts.
The aim of this study was an histological evaluation of bone regeneration in maxillary sinus elevation using: 1) mesenchymal stem cells engineered freeze-dried bone allografts
2) freeze-dried bone allografts Twenty patients (20M, 20F) with a mean age of 55.2 years affected by severe maxillary atrophy were treated with bilateral maxillary sinus floor elevation. For each patient were randomly assigned a “test†side and a “control" side, different from each other exclusively in the composition of the graft material. The "control" sides were composed by corticocancellous freeze-dried bone chips and the “test†sides were composed by corticocancellous freeze-dried bone chips engineered in a bone marrow mesenchymal stem cells concentrate. After three months bone biopsies were performed on the grafts and histological specimens were made in order to evaluate the healed bone from a histological point of view. Histologically all the specimens showed active remodelling signs and all the tissues were free of inflammatory cells.

“Control†side specimens showed a substantial persistence of the grafted bone and, with the interposition of connective tissue, a considerable amount of newly formed bone.
“Test†side specimens showed a much more represented cellular component compared to the “control†sides. The grafted bone trabeculae, when detectable, were completely imprisoned inside new formed bone, in direct contact with it and without interposition of connective tissue. Freeze-dried bone can be used successfully as graft material in the treatment of maxillary atrophy. The same bone engineered with stem cells showed a greater histological integration potential comparable with autografts histological morphology. Further studies are needed to confirm these hypotheses.
Shraddha Bahirwani
Shyamala Reddy Dental College, India
Title: Women and their Health depends on Oral health
Biography:
Abstract:
At the outset let is recognize that everyone has their own idea of health and they work around it for their well-being! Well, for many, Health is the absence of Disease. WHO in 1948 defined heath as a complete state of physical, mental and social well-being and not merely an absence of disease. We all know that a healthy mind in a healthy body is strongly correlated and to take it further, that significantly affects our response and behaviour both at work and home. In order to deliver well, one has to be at the best of their health. Productivity is directly tied to our health. My presentation focuses on oral health for women which are directly proportional to their overall health as the only source of carrying nutrition to our body IS the mouth!
Rami M.F Abuaradeh
Saudi German Hospital, Dubai
Title: “Early Orthodontic Treatment: The Long-Lasting debateâ€
Biography:
Abstract:
The efficiency of early orthodontic treatment has been a controversial issue among researchers and practitioners for the last century. Supporters considered that early treatment helps to create an environment in which a more favorable dentofacial development can occur. Opponents claimed that most early (preadolescent phase I) orthodontic treatment has to be followed by a second stage of treatment (comprehensive fixed, phase II) during adolescence when the permanent teeth are available for final positioning. This presentation aims to focus on the appropriate timing of early treatment for selected preadolescent patients and which techniques or appliances are applicable to achieve satisfactory treatment outcome.
Abdalwhab Zwiri
AlJouf University, Saudi Arabia
Title: Tobacco associated oral changes in geriatric population
Biography:
Dr Abdalwhab Zwiri is currently serving as Assistant professor at College of Dentistry, AlJouf University, Kingdom of Saudi Arabia. He has got many publications in various international and national journals. Has also presented papers and posters at various conferences.
Abstract:
Oral health is an important factor determining the quality of life in aged individuals. The increased number of aged individuals implies an important demographic change worldwide. The quality of life for older adults can be affected by the many complex diseases/conditions which are associated with aging. These can be more deleterious when accompanied with smoking and tobacco chewing. Smoking is a known cause of cardiovascular diseases. It also causes cancer of the oral cavity and tongue, leukoplakia, and other premalignant lesions and conditions, gingival and periodontal diseases, caries, staining of teeth and dentures. This paper aims to guide dental physicians in identifying oral lesions that occur due to the use of tobacco, followed by a differential diagnosis, and then arrange for tests and referrals as per the need.
Richard Leesungbok
Kyung Hee University School of Dentistry, South Korea
Title: Effective oral rehabilitation for elderly-disabled patients with smart loading protocols, magnetic attachments, and CAD/CAM technology
Biography:
Abstract:
The change of treatment paradigm for elderly patients Since dental implant has been applied as an artificial root for a replacement of tooth in edentulous site, treatment planning for prostheses has been significantly changed. When there was no alternative but to employ removable denture on the distal extension of partial edentulism in the past, dental implants have been a revolutionary tooth-replacement option for those patients. If dental implants are placed on the partial edentulous site, they will alter the conventional treatment method (A, B) for removable partial denture and eventually evolve into a new treatment paradigm(C, D) that natural teeth and implants co-exist in the same oral cavity. A. Fixed partial denture; crown & bridge B. Removable partial denture C. Implant supported fixed partial denture D. Implant assisted removable partial denture What is a universal design? The term “Universal design†refers to the design that can be used for all. Barrier-free designed device, facility, and equipment can be readily used by non-disabled people as well as by disabled people. Universal design in device, facility, and equipment can be accessed by everyone without difficulty regardless of disability. 7 principles of universal design 1. Equitable use 2. Flexibility in use 3. Simple and intuitive 4. Perceptible information 5. Tolerance for error 6. Low physical effort 7. Size and space for approach and use Smart Loading Protocols The scientific evidence for ‘immediate loading’ in implant dentistry except on partially edentulous maxilla is sufficient. But, in some of clinical reports, immediate loading even in posterior maxilla sometimes show good results under limited conditions as follows, 1) Utilize micro-rough surface treated implants, 2) Maintain around 30~55Ncm of insertion torque on implant surgery, 3) Confirm the implant bed of at least 5mm remaining bone thickness vertically, when cortical bone fixation technique (bicortical fixation) with sinus floor elevation is applied, In only those cases that primary stability effect is expected, which depends on pure physical force and no micro-movement what so ever, during 1 week post-insertion and etc. immediate loading by connecting immediate functional restorations is possible.
- Oral Implantology
Location:
Session Introduction
Cesare D Orsogna
University of Dental School Lingotto Torino, Italy
Title: Micromovements and Bacterial Benetration on Different Implant-Abutment Connection System
Time : 16:50-17:10
Biography:
Cesare D’Orsogna he graduate in Dentistry at the University European of Madrid (Spain) (Prof. J.Jimenez) - After a three-year general practice at the University European of Madrid Hospital in Spain, and one year general practice at the University Gabriele D’Annunzio in Italy, he received his specialty certificate through two-year of Post graduate in Periodontics and Dental Implantology at the New York University College of Dentistry (Prof. P. Fletcher) - He received his specialty certificate through one year of Master in fixed Prosthodontics at the University of Dental School Lingotto in Torino. (Prof. G. Schierano) - Recently it has lectured nationwide and international in Bangkok (Thailand) for FDI 2015, Italy, Spain. - He published an article with title “Microgap, micromovement and Bacterial penetration in different implant-abutment connection system†at the New York University College of Dentistry and at the FDI 2015 in Bangkok. - He is a member of several national societies (SidP, AIOP,SIO) - His dental practice in Italy, is related in Implantology, Prosthodontics and Periodontics.
Abstract:
Aim and purpose: The aim of this study was to analyse micromotion, presence of microgap and to evaluate, in vitro, the bacterial penetration through the implant-abutment interface of external hexagon, internal hexagon and morse taper connection, subjected to mechanical fatigue. A microgap has been described at the level of the implant-abutment connection. This microgap can be colonized by bacteria, and this fact could have relevance on the remodelling of the peri-implant crestal bone and on the long-term health of the peri-implant tissue. Dental implants like natural teeth can be affected by microorganism with the effect of peri-implantitis and peri-implant mucositis. Material and method: Multiples dental implants of external hexagon,internal hexagon, and morse taper connection, and their conical abutments with 10-years or longer follow-up times were found through a Pub Med, manual search and different international universities. Results: Presumably Morse cone connection implants showed the lowest count of microorganism, unlike external and internal hex implants showed a higher incidence of bacteria. Summary and conclusion: However, the pumping effect caused by the micromovements plays and important role for crestal bone resorption. Is ascerained that the bone is contaminated with the presence of the microorganism and with the liquid contained in dental implant?
Tatjana NimÄenko
University of Health Sciences, Lithuania
Title: Immediate implantation after tooth extraction in molar area
Time : 17:10-17:30
Biography:
Dr.Tatjana NimÄenko received her dental degree from Lithuanian University of Health Sciences in 2011. She continued to build her skills at the same university, studying Oral surgery at Maxillofacial Surgery Department. During 3 years residency studies she received specialized training in surgical principles, oral and facial surgery, trauma surgery and obtained a Specialist in Oral Surgery in 2013. Throughout her residency and after graduation Dr.Tatjana pursued advanced studies in implantology. She specialises in minimally invasive alveolar bone reconstruction, piezo-surgery, surgically facilitated orthodontics and takes special interest in teeth autotransplantation. Dr. Tatjana has published several articles on teeth autotransplantation and other oral surgery topics. She has also given lectures locally and regionally, is a member of International Team for Implantology and Lithuanian Association of Maxillo-facial Surgeons.
Abstract:
During the past decades implant therapy has shown to be a successful option for tooth replacement, thus dental implants considered as an alternative to traditional solutions of dental arch rehabilitation. However, reduced alveolar bone height or presence of anatomical structures very often present a challenge to implant therapy usually in posterior areas of the maxilla and the mandible. Therefor, additional bone augmentation procedures are necessary prior to insertion of traditional (modified variations of Brånemark System) implants. Although augmentation procedures have been considered successful, they are more technically demanding and therefore require skillful operators. They are associated with significant postoperative morbidity and complications, are often more expensive and usually require more painful and longer healing times thus prolonging overall treatment time before patients are able to chew on their implant-supported prosthesis. The development of the implant’s macro design and surface, as well as surgical technique improvement lead to the changes of surgical protocols. Esthetically and funcionally successful, long-lasting results can now be achieved in clinically complicated situations with reduced bone quality and quantity. Placement of improved geometry dental implants immediately after tooth extraction thus adapting to the existing anatomy is an alternative treatment modality to bone grafting procedures. It avoids additional surgical intervention, is less traumatic to surrounding tissue, less expensive and more attractive to patients. Consequently, this presentation introduces a series of “one surgery†concept procedures of immediate implantations after tooth extractions in molar regions.
Neveen M Ahmed
Jeddah Speciality Dental Center, KSA
Title: Deficient cytokine control modulates temporomandibular joint pain in rheumatoid arthritis
Time : 17:30-17:50
Biography:
Neveen Ahmed has completed hes PhD at the age of 38 years from Karolinska Institutet, Stockholm, Sweden and postdoctoral studies from Queen Marry University, London, UK. She is Consultant Pediatric Dentista at Jeddah Dental Speciality Center. She has published 3 papers in reputed journals.
Abstract:
The aim was to investigate how endogenous cytokine control of tumor necrosis factor (TNF) influences temporomandibular joint (TMJ) pain in relation to the role of anti-citrullinated peptide antibodies (ACPA) in patients with rheumatoid arthritis (RA). Twenty-six consecutive patients with TMJ RA were included. TMJ pain intensity at rest, on maximum mouth opening, chewing and palpation were assessed. Mandibular movement capacity and degree of anterior open bite, i.e. a clinical sign of structural destruction of TMJ tissues, were also assessed. The systemic inflammatory activity was assessed by DAS28. TMJ synovial fluid and blood samples were obtained and analyzed for TNF, its soluble receptor TNFsRII and ACPA. Ratios between the TMJ synovial fluid concentrations were used in the statistical analysis. The study was approved by the local ethical committee. Results: High TNF concentration in relation to TNFsRII concentration in TMJ synovial fluid was associated with TMJ pain on posterior palpation on maximum mouth opening. ACPA correlated significantly to the TNF concentration but not to the TNFsRII concentration, indicating that increased inflammatory activity is mainly due to an insufficient increase in anti-inflammatory mediators. This study indicates that TMJ pain on palpation in RA is related to a deficiency in local cytokine control that contributes to increased inflammatory activity, including lowered mechanical pain thresholds over the TMJ.
Sara M Al Gahtani
Narayana Dental College & Hospital, India
Title: Effect of Benzylisothiocyanate on acid production of salivary sediment
Biography:
Sara M Al Gahtani is a dentist and a faculty member at King Saud University. She earned her Doctor of Dental Surgery (DDS) Bachelor Degree with honor in 2013. Since the beginning of 2014, she has been working as a teaching assistant at the division of Oral Microbiology in Oral Medicine and Diagnostic Sciences department at College of Dentistry, King Saud University. She contributes in teaching undergraduate courses on medical and oral microbiology to students of the dental baccalaureate program.
Abstract:
Benzylisothiocyanate (BIT) is an aromatic compound extracted from the root of Salvadora Persica L. It has been found to have antibacterial effect against certain microorganisms. Salivary supernatant has buffering capacity that helps to reduce acid production and hence enamel demineralization. The effect of BIT on acid production by salivary sediment was investigated in the presence and absence of salivary supernatant. Six experiments were prepared as the following: (1) suspended salivary sediment (SSS) system (16.7%) (Negative control), (2) glucose (positive control) (5%), (3) glucose and 100mg/ml BIT, (4) salivary supernatant (33.3%), (5) salivary supernatant with glucose, (6) salivary supernatant glucose and 100mg/ml BIT. Incubation was done in a water bath at 37°C and pH was monitored at 15-minute intervals for a period of one hour. BIT at a concentration of 100g/ml had a slight inhibitory effect on acid production by SSS system. When the supernatant was added to the incubation mixture, a dramatic inhibitory effect on acid production was found. An additive effect on acid production inhibition was shown when both BIT and supernatant were added to the incubation mixture. The inhibitory action of BIT on acid production was almost the same in the absence and presence of supernatant. In conclusion, BIT like hypothiocyanate inhibits acid production by oral flora. In addition, BIT and salivary supernatant have an additive effect in preventing pH fall which helps to prevent enamel demineralization.
Hisham Barakat
American Board of Oral Implantology, USA
Title: Four Techniques you need to know before placing Implants in thin Ridges
Time : 16:45-17:05
Biography:
Dr. Hisham Barakat graduated from dental school in 1998. He then completed a one-year Advanced Education in General Dentistry Residency (AEGD) at Louisiana State University. He also completed a two-year General Practice Residency (GPR) at the Louisiana State University Health Sciences Center (LSUHSC).Following both of these, he joined a large group practice in Virginia Beach, where he served from 2003-2010. During this time, he was both a board member and a core doctor. Dr. Barakat is a Diplomate of the American Board of Oral Implantology (ABOI). Doctors with the ABOI/ID have to complete a rigorous exam to prove their high level of knowledge and proficiency in implant dentistry. Dr. Barakat is one of just 445 dentists certified by the ABOI in the United State and one of 10 practitioners in Virginia to hold this certification.In addition to this, Dr. Barakat has been awarded Mastership status in the Academy of General Dentistry (MAGD). To achieve this, he was required to attend over 1,100 hours of continuing education covering all phases of dentistry, 400 of which involved participation courses and case presentations.
Abstract:
Everyday Dentists are challenged by patients who are eager to have their missing teeth replaced but as soon as they realize that their edentulous area is 4 mm or less in thickness they start thinking about different modalities other than dental implants. This Lecture will help the dentist understand the other techniques out there that will allow the dentist to place implants in thin ridges on the same day of treatment without having to do extensive bone augmentation surgeries or wait for months before placing Implants. The Objective of this lecture: 1- Take home methods that they can apply in their practice the next day. 2- Understanding the different techniques and tools out there that will impact their patients and their practice. 3- Understanding the techniques by following a step by step protocol that's fully supported by published literature and articles.
Asokan kadankodan
Kerala university of health sciences, India
Title: Rehabilitation of atrophic edentulous maxilla using zygomatic implants
Biography:
Dr.Ashokan has completed his MDS from AB Shetty memorial institute of dental sciences, Mangalore University & post graduate certification in advanced oral Implantology from College Dental surgery, Manipal, MAHE University. He is also a fellow of International Congress of Oral Implantology and World clinical laser laser institute, US. He is the former member of Dental Council of India and President of Indian Dental Association Kerala State. Presently he is The Executive Committee member of Indian Society of periodontology [ISP], the editorial board member of Journal of Indian society of Periodontology [JISP] and Dentistry India edition. Also maintains a very successful clinical practice focused to Implant Dentistry, Periodontics &Laser Dentistry for the last 20years. Lectured in many National and international Conferences on Implant dentistry, Laser dentistry and periodontics and travelled extensively in Europe, US, Australia, Singapore, Thailand and UAE in this connection.
Abstract:
Results from various studies show that the use of zygomatic implants represents a predictable alternative to bone grafting in the rehabilitation of severely atrophic edentulous maxilla. Traditional methods involve sinus lift and bone augmentation procedures using large volume of on lay bone grafts and alloplastic materials to enable implant placement and Osseo integration. Theses procedures are expensive, time consuming and less predictable. A rigid anchorage achieved by using zygomatic implants in combination with regular implants in the residual anterior maxilla proved to be much more predictable and less invasive alternative to sinus lift and bone grafting. This paper is an exclusive presentation of surgical procedures and prosthetic rehabilitation of severely atrophic edentulous maxilla and its clinical outcome in the long run.
Abdelsalam Elaskary
private practice, Egypt
Title: Management of apical migration of dental implant related tissues
Biography:
- Dr. Abdelsalam Elaskary is currently a visiting lecturer at University of New York, while maintaining a private practice limited to periodontics, dental implants and oral reconstruction in Alexandria, Egypt. He authored two text books in the field of dental Implantology, “Reconstructive Aesthetic Implant Surgeryâ€. & “fundamentals of esthetic implant dentistry†published by Wiley –Blackwell. - Dr. Elaskary is a society editor for the Implant dentistry journal. He is the current president of the Arab society of oral Implantology in Cairo and a founding board member of the Arabian academy of aesthetic dentistry, an active member, fellow and the vice president of the international congress of oral implantologists.
Abstract:
Apical migration of tissues related to dental implant supported restorations has become a common daily clinical dilemma that face clinicians. Too far labial and/or deep implant placement, thin tissue phenotype and defective labial plate of bone are all among the causative factors. The treatment approach to dental implant related gingival recession might be preventive or corrective intervention. the preventive measures would be the routine use of connective tissue grafts or the use of platform switching implant platform , etc. the corrective intervention depends mainly on the type of the recession occurred and on the existing level of the adjacent peri-implant papillae , the amount of attached gingiva, and the remained amount of labial bone ; among the Methods that specifically designed to treat implant related gingival recession are soft tissue focused solutions , or combined with the use of 3 dimensional bone grafting techniques, the use of inter positioned osteotomies ( sandwich osteotomy) and or the use of a novel modified composite allograft technique that will be introduced in the presentation . This presentation will overview the factors that lead to implant related gingival recession , a novel classifications of implant related gingival recession, a novel treatment philosophy , a novel guide to measure the success of the treatment degree of the improvement of the treatment , and clinical applications for the treatment of each implant recession class.
Abdelsalam Elaskary
private practice, Egypt
Title: Your optimal guide to Diagnosis & Management of Dental Implant Complications
Biography:
- Dr. Abdelsalam Elaskary is currently a visiting lecturer at University of New York, while maintaining a private practice limited to periodontics, dental implants and oral reconstruction in Alexandria, Egypt. He authored two text books in the field of dental Implantology, “Reconstructive Aesthetic Implant Surgeryâ€. & “fundamentals of esthetic implant dentistry†published by Wiley –Blackwell.
Abstract:
A comprehensive course & a clinical step by step guide that touches the daily practice of every clinician performing dental implants service, a unique detailed clinical overview of related treatment complications with dental implant therapy that includes : poor diagnostic skills , regenerative complications, with emphasis on the potential risk factors that might escalate the failure rate, the various implant placement errors and the potential treatment complications that occurs along with immediate implant therapy in the aesthetic zone.. This course will focus on how to identify, avoid and treat potential treatment complications with dental implant therapy in a step by step protocol, and offers a new philosophy on bone grafting predictability on a long term follow up, also gives an insight on a new treatment modalities to repair a defective labial plate of bone in immediate implant therapy. The candidate will be able to learn: • The Philosophy & management of implant related complications. • How to predict any treatment complication prior to occurrence. • The most predictable regenerative approach. • Why do regenerative materials fail? • How to repair a defective labia plate f bone in immediate implant therapy • The long term fate of most of the current regenerative therapies.
Souheil Hussaini
Rutgers School of Dental Medicine, USA
Title: A Clinical Classification for Dental Implant According to Implant Location
Biography:
Abstract:
Vikrant Kundu
Mirell Dental Implant, Netherlands
Title: BONIT coating implant Faster and better bone healing outcome
Biography:
Abstract:
Bone is connective tissue composed of organic matrix collagenous matrix, fine re-inforcing inorganic calcium phosphate and bone forming bone degrading cells. Calcium phosphate materials which are similar to bone in composition and in having bioactive and osteoconductive properties create a broad and many modification of the implant surface coating. The osseointegration process which happen between dental implant surface and jaw bones should be considered as the main factor influence the long term success of implant supporting prostheses. For that the modification of surface not affect the osseointegration process success but the time of osseointegration.one of this surface technology of coating is the calcium phosphate materials which similar to bone in composition.as updating and improving the outcome of result success of and time of osseointegration, Mirell implant go for BONIT BONIT is an electrochemically deposited calcium phosphate coating. The structure of coating makes it strongly hydrophilic and results in a high capillary effect. This capillary effect transports growth factors from the blood to the coating, and therefore also directly to the metallic implant surface where they are immobilized. As a result of the bone-like chemical environment, stem cells are stimulated to form osteoblasts and initialize the formation of new bone tissue. The capillary affect in forms a very important basis for successful osseointegration of BONIT coated implants. The BONIT coating is fully resorbed over a period of 6-12 weeks after implant insertion and is simultaneously replaced by newly formed bone tissue, with the ultimate result that an optimum bond between bone and implant has been formed in place of the coating.
Henryk Matusiewicz
Poznań University of Technology, Poland
Title: Potential release of in vivo, ex vivo traces metals from metallic medical implants in the human body
Biography:
Abstract:
Metal ion release from metallic materials, e.g. metallic alloys and pure metals, implanted into the human body in dental and orthopedic surgery is becoming a major cause for concern. This lecture provides an overview of both metallic alloys and pure metals used in implant materials in dental surgery. Additionally, a short section is dedicated to important biomaterials and their corrosive behavior in both real solutions and various types of media that model human biological fluids and tissues. The presentation gives an overview of analytical methods, techniques and different approaches applied to the measurement of in vivo, ex vivo trace metals released into body fluids and tissues from patients carrying metal dental implants. Reference levels of ion concentrations in body fluids and tissues that have been determined by a host of studies are presented in this lecture.
- Dentistry: Tools and Techniques
Session Introduction
Maria A. Landin
University of Oslo, Norway
Title: Mapping the global gene expression during tooth development may provide new bio-therapeutics tools in dentistry
Time : 11:55-12:15
Biography:
Dr Maria A. Landin is a toxicologist, specialized in toxicogenomics, working with Prof Harald Osmundsen at the institute for Oral Biology. During her PhD, she investigated and mapped the global gene expression in murine tooth buds using molecular biological methods. This lead to creation of a microarray database (68 microarrays) entailing 16 time points of murine tooth development from the embryonic day 11th up to 7 days post-partum (E11.5- P7). During her Dr’s degree she aquired knowledge and skills in molecular biological techniques such as microarrays, real-time RT-PCR, isolation of proteins or RNA / DNA from tissues or cells. She also masters various immunological techniques and have extensive experience in animal experiments and microdissection. She established In Situ hibridisering (Ribo-and oligoprober) at the institute and participated in several projects looking at the effects of brominated and / or perfluorinated flame retardants in wild type and knockout mice. She also colaborated with the biofilm groupe at the institute, where microarrays with up to 30K oligo were used to assess the toxicity of furanone in vivo.Currently Dr.Landin researches on the rolle microRNAs (miRNAs) in the regulation of the murine transcriptome using loss of function studies.
Abstract:
Tooth Development in murine models occurs in a short time-span providing a window of genetics events and is a good model for organ development. Understanding the genetic processes that govern tooth development by mapping the global murine mRNA transcriptome and their regulators miRNAs may provide new bio-therepeutic tools in dentistry. Previous research focus has been on identifying one or more target proteins that can be used as a diagnostic tool and to find the most successful treatment. The understanding of the genetic events during murine tooth development may provide bio-tools for dentists and influence positively the clinical outcome in persistent infectious cases like periodontitis or perio-implantitis. For many patients with persistent infectious conditions with loss of bone and eventually loss of teeth may benefit of new treatment approaches. Extrapolation of genetic studies may contribute to increase knowledge on the numerous biological events in regeneration and healing processes of oral soft and hard tissues may generate new treatment strategies and give predictable results in restoration treatment after oral infections resistant to clinical treatment.
Evgeny Roshchin
Russian Federation
Title: New opportunities for functional diagnostic. Articulation concept FIRA
Time : 12:15-12:35
Biography:
In 2004 graduated from the Moscow State University of Medicine and Dentistry. Doctor prosthodontist, orthodontist dentist. In 2011 awarded the academic degree - PhD. Since 2010, he engaged in their own research. Author of 13 patents. The main area of research is devoted to functional diagnostics in dentistry and analysis of the parameters involved in the articulation of the lower jaw. He is the primary developer of the new optical axiograph Dentograf, which may be used for the articulation of research n / h, even during childhood. The main developer of the first electronic articulator, allowing full play any trajectory n / h using plaster models, on a pre-recorded trajectories. Author of new diagnostic algorithms for patients with TMJ dysfunction. In 2013. Director Prosystom. The company is engaged in the development and manufacture of equipment for functional diagnostics, as well as the development of software allowing patients to carry out a comprehensive analysis on the previously obtained axiography data, computed tomography and electromyography. In 2016. our company has developed a new sensor that allows you to record the presence of bruxism patients during sleep.
Abstract:
Using additional equipment allows you to get information about the patients’ problems to plan the subsequent functional treatment. One of the important components that need to consider in the prosthodontic treatment planning is the individual trajectory of lower jaw movement. To register lower jaw articulation we use a new optical axiograph Dentograf, allowing obtaining the necessary data for programming mechanical and virtual articulator. This device may use in patients with any pathology of occlusion. The use of mechanical articulator allows producing prosthodontic constructions according to the individual protrusion and laterotrusion movements. In our study, we tried to reproduce additional, previously not used movements using plaster models of jaws: chewing, mouth opening. As a result, we have significantly upgraded the classical structure of the mechanical articulator. Our researches and using of additional devices formed the basis for articulation concept FIRA, which consists in the study and analysis of individual trajectories of lower jaw movement and implementing the data in the subsequent treatment. To minimize errors in the planning of functional treatment we have tried to eliminate unnecessary digital recounts of joint trajectories for obtaining numerical values of angles for programming the mechanical articulator.
Deepti Dhodi
La dentaalya, India
Title: Cone Beam CT… A New Eye to View Dental Pathologies
Time : 12:35-12:55
Biography:
Dr. Deepti Dhodi is a cosmetic dentist with her private practice in New Delhi She has done her graduation in 2005 from B.J.S Dental college, hospital and research institute, Ludhiana, Punjab. She has done her residency in 2007 from Guru Teg Bahadur Hospital (govt. of Delhi) She has worked as associate dentist with Indraprastha Apollo Hospital, New Delhi. She is the silver member of IDA. She has completed her advanced aesthetic course from Smile India; one of the premier institutes in continuing dental education in India. She actively participates in the oral health care camps organized by IDA in association with Colgate. She also conducts oral health workshops and talks in the primary schools to create dental awareness among children. She has presented many papers latest being the one in Annual conference of IAACD ( Indian academy of aesthetic and cosmetic dentistry) in 2015.
Abstract:
Imaging in dentistry has always been an important aspect in assessing the dental diseases in conjunction with clinical assessment. CBCT (cone beam computed tomography) ideal in capturing images of hard tissues especially in the maxillofacial region has revolutionized the imaging modality in dentistry from conventional 2D IOPAs to 3D scans and is of great use in all the fields of dentistry. It has also expanded its role of imaging, from only diagnosis to guiding various operative and surgical procedures. In ENDODONTICS 1. Identify anatomic and pathologic alterations 2. Iatrogenic root perforation 3. Internal &external resorption 4. Accessory canal identification 5. Vertical root fractures 6. Surgical management of fractured instrument DENTAL TRAUMA CBCT identify dental root fractures, and the displacement, luxation injuries & avulsion DENTAL IMPLANT CBCT provides information concerning all structures (the mandibular and alveolar bone morphology, the maxillary sinuses, incisive canal, mandibular canal, and mental foramina) CYSTS/TUMORS/ACUTE INFECTIONS, CBCT shows the actual size of the lesion, its spatial relationship with anatomic landmarks and how far the lesion may extended from the oral cavity into the base of the skull, cervical, spine, paranasal sinuses or nasopharynx ORTHOGNATHIC SURGERY For complex cases, particularly those requiring combined orthodontic/surgical management, CBCT may be justified. ORTHODONTICS CBCT offers an undistorted view to accurately visualize both erupted and non-erupted teeth, tooth root orientation and anomalous structures TEMPOROMANDIBULAR JOINT Fibrous and bony ankylosis, tumors and tumor-like conditions in the region of the TMJ are also well seen with CBCT
Dareen Mohamed Khattab
Alexandria Univeristy, Egypt
Title: Role of Multidetector Computed Tomography in Assessment of Fibro-Osseous Lesions of Craniofacial Complex
Time : 11:55-12:15
Biography:
Dareen Mohamed Khattab studied medicine at Alexandria University, Egypt, 2008.Had a Master’s degree of Radio diagnosis and Interventional radiology, Alexandria University, Egypt, 2014.A member-in-training in RSNA, a reviewer at the Biological Sciences Journal, has 4 years’ experience in radio-diagnosis, radiology specialist at Dar Ashaa, Alex, Egypt. Author of a book (utility of MDCT in fibro-osseous lesions of craniofacial complex) published by Lambert Academic Publishing, available online since Feb.2015
Abstract:
Fibro-osseous lesions of the craniofacial bones comprise a diverse group of pathologic conditions that includes developmental lesions, reactive or dysplastic diseases, and neoplasms.They share many similar histopathological features with other non-fibro-osseous disease processes that develop within the jawbones. Thus a definitive diagnosis of fibro-osseous lesions (FOLs) requires a correlation of the histological features with the clinical, radiographic, and intra-operative findings. This study highlights the importance of the role of Multidetector row CT images, in assessment of fibro-osseous lesions in craniofacial complex in patients with known fibro-osseous lesions, facial disfigurement, and facial swelling. MDCT including reformations better delineate craniofacial complex anatomy than do single detector row CT images. It becomes possible to depict the complete path of complex structures. It is confirmed to be valuable in diagnosis and in guiding the surgical interventions by allowing pre-operative delineation of craniofacial complex anatomy. The proximity of the various components is best appreciated when the area is viewed in axial and coronal sections and different reconstructive methods using submillimetric thickness .MDCT is a powerful diagnostic and illustrative tool that will narrow the gap between the radiologists and the surgeons.
Fabio Savastano
International College of Neuromuscular Orthodontics and Gnathology, Italy
Title: Workshop on Neuromuscular approach to Temporomandibular Disorders
Time : 13:40-15:10
Biography:
Graduated in Medicine and Surgery in 1987 cum laude at the University of Naples, Italy. Master in Orthodontics at the University of Padua in 1990. Adjunct professor at the University des Les Valls, Andorra. Practice limited to orthodontics and gnathology since 1991 in Albenga. President of ICNOG, International College of Neuromuscular Orthodontics and Gnathology, and International member of the AAO, American Association of Orthodontics, is member of numerous associations and has lectured in Brazil, Canada,U.A.E., Spain,Bahrain,India and Italy on "Neuromuscular Orthodontics".
Abstract:
Neuromuscular dentistry is the understanding of the relationship between the Temperomandibular joints(TMJ), teeth, muscles and nerves. It enables the optimum physiologic position of the jaw to be established to assist in the correction of the underlying causes of craniofacial – Temperomandibular joint, head and neck pain. Neuromuscular dentistry is also used to determine the optimum physiologic jaw position prior to complex dental restorative procedures, cosmetic dentistry, dental sleep medicine procedures, dentofacialorthopaedics and orthodontics. It is a treatment modality of dentistry that focuses on correcting the physiologic “misalignment†of the jaw at the Temperomandibular joint (TMJ). This lecture focuses on diagnosis and treatment of temporo-mandibular disorders according to neuromuscular principals and phylosophy. The procedure is described according to the ICNOG (International College of Neuromuscular Orthodontics and Gnathology) protocol.
Hosamuddin Hamza
K Line International, Egypt
Title: Clear Aligners For Outpatients with Severe Malalignment
Time : 12:15-12:35
Biography:
Hosamuddin Hamza has obtained his B.D.S. degree from Cairo University (Egypt) in 2005. Since then, he dedicated himself for working on scientific research and developing new techniques for dental therapy. He has participated in several courses/workshops on different dental specialties. In 2014, he joined the R&D Unit of K Line International with focus on orthodontic clear aligners. He also serves as a Research Fellow at the Orthopaedic Department, October 6 University, Cairo, Egypt. He has several publications in the orthopaedic field.
Abstract:
Objectives: To widespread the use of clear aligners to include cases with severe malalignment. To develop new engagers system that is applicable by patients and does not necessitate several visits to dental clinic. To help outpatients to achieve optimal benefit from clear aligner therapy with minimal office recalls. To implement new material in the clear aligners field. Methods: This is a call for participation targeting researchers in dental materials and orthodontics. The author serves as a technical coordinator at a clear aligners' company serving worldwide. In many cases, dentists ask to avoid building composite engagers on teeth as the patients are travelling outpatients, and using such engagers is not applicable for them. However, these patients are dismissed as optimal results are not guaranteed without using engagers. Composite engagers have the function of better anchorage and more force precision commonly used in severe malalignment/malocclusion cases. Results: New material needs to be developed to replace composite engagers that are routinely built up by dentists at dental clinics. The author wishes to find material being applied by the patient him/herself rather than requiring several office recalls. Conclusions: This discovery should consider biocompatibility, easy attach/detach and high sustainability to masticatory forces and intraoral conditions.
Raghda Saeed
Al Zallal Medical Centre, Saudi Arabia
Title: The Use of Diode Laser in Gingival and lips depigmentation
Time : 12:35-12:55
Biography:
Abstract:
Lasers Have Been used in Dentistry To treat a number of Dental problems like Caries, Gingival recontouring , Root canal Decontamination , Biopsy or lesion removal , Pain Relief of aphthous ulcers , Bleaching ,, wound healing , pocket decontamination . Applications for and Research on Lasers in Dentistry continues to expand that There are currently more than 20 cleared indications for the use of lasers in dentistry in USA. Melanin pigmentation of the Gingiva and lips is a common occurrence, as a result of abnormal deposition of melanin. scalpel surgery , electro surgery, cryosurgery , chemical agents , CO2 laser , ND :YAG laser have been used to treat it , however Diode laser offers a minimally invasive , safe treatment option ,easy handling ,short treatment time , Decontamination Haemostasis , and no recurrence
Biography:
Abstract:
Coronal fracture of the anterior teeth is relatively common form of dental trauma, Different treatment modalities for complicated crown fractures are proposed depending on severity of the fracture as well as soft tissue damage, Clinical significance in doing reattachment is with immediate restoration of function, esthetics, phonetics, and positive psychological response, The advances in adhesive dentistry have allowed dentists to use the patient’s own fragment to restore the fractured tooth. Reattachment is such an ultraconservative technique which provides safe, fast, and esthetically pleasing results especially when there is an intact fracture fragment, an immediate fracture fragment reattachment using pre-fabricated fiber post with dual cure cement–A challenging, conservative, aesthetics, rehabilitating, functionally, and economically viable single visit procedure. This resembled a ‘Richmond Crown’ is discussed in this paper.
- Oral and Dental Health
Session Introduction
N.Kannan natarajan
Narayana Dental College & Hospital, India
Title: Medically Compromised Patients: The Dentists’ Nightmare
Time : 17:25-17:45
Biography:
Dr.N.Kannan did B.D.S. from Government Dental College, Hyderabad, Andhra Pradesh, India in 1991. He did post graduation in Oral Medicine and Maxillofacial Radiology from S.D.M. College of Dental sciences, Dharwad, Karnataka , India in 1995. Awarded Best Paper Award in the 5th & in the 6th National Conference of the Indian Academy of Oral Medicine and Radiology in 1993 & 1994 respectively. He is the Founder President of Tobacco Free Initiative of Narayana, Nellore, India. He has received advanced training in Reiki therapy in 2005, in Sujok therapy in 2011 in Pranic Healing in 2012 and is a certified Master in all these therapies. He did Diploma in Business Management from ICFAI in 2013. He did MSc Biotechnology from Periyar University in 2014. He did Diploma in Hospital Administration from NIHFW, New Delhi, India in 2015. He has written 80 poems in English. He has served Indian Academy of Oral Medicine and Radiology as Joint Secy, EC Member, Vice president and Hon General Secy. He is presently Hon. General Secretary Indian Dental Association, Nellore Branch, Andhra Pradesh He has delivered 20 Guest lectures in various National & International Conferences. He has 25 International Publications He has a post graduate teaching experience of 20years in the specialty of Oral Medicine and Maxillofacial Radiology and guided 40 post graduate students He is presently working as the Professor & Head, Dept. of Oral Medicine and Maxillofacial Radiology in Narayana dental College, Nellore, India.
Abstract:
Present day advances in medical sciences and technology has resulted in substantial increase in the volume of dental patients with systemic illnesses. The term Medically Compromised refers to dental patients with impaired health status like pregnancy, or patients with systemic diseases like ischemic heart disease, congenital heart disease, liver disease, renal disease, asthma, patients with immunodeficiency and patients with altered immune status. Absence or inadequacy of precautions needed to be taken while carrying out routine dental treatment in these patients may result in worsening their medical status or even result in a fatality. Care needs to be taken while prescribing medications for these patients in the form of altered dosage or altering the medications themselves. Medico-legal litigations are reportedly on the rise in all the countries across the globe due to increased patient activism and awareness of their rights and sensationalization of such cases by the media. Worsening of the patient’s medical status or fatality occurring as a result of inadequacy of precautions can prove to be nightmarish to the dentist’s practice, life and reputation. Many of these medical conditions can be identified by detailed case history recording and thorough clinical examination. There may be alterations in the oral cavity as a result of some of these systemic diseases or due to medications/treatment received for these diseases which may present as taste alterations, salivary alterations, oral ulcerations, petechiae, ecchymosis, pigmentations, candidiasis, necrosis and gingival overgrowth. This presentation will be highlighting the maxillofacial & general clinical features useful for suspecting presence of the underlying systemic conditions and precautions needed to be taken during the dental treatment of these patients.
Sara AlGahtani
King Saud University, Saudi Arabia
Title: Effect of Benzylisothiocyanate on acid production of salivary sediment
Time : 17:50-18:10
Biography:
Abstract:
Benzylisothiocyanate (BIT) is an aromatic compound extracted from the root of Salvadora Persica L. It has been found to have antibacterial effect against certain microorganisms. Salivary supernatant has buffering capacity that helps to reduce acid production and hence enamel demineralization. The effect of BIT on acid production by salivary sediment was investigated in the presence and absence of salivary supernatant. Six experiments were prepared as the following : (1) suspended salivary sediment (SSS) system (16.7%)(negative control) ,(2) glucose (positive control)(5%) ,(3) glucose and 100 ?g/ml BIT ,(4) salivary supernatant (33.3%) ,(5) salivary supernatant with glucose ,(6) salivary supernatant , glucose and 100 ?g/ml BIT . Incubation was done in a water bath at 37°C and pH was monitored at 15-minute intervals for a period of one hour. BIT at a concentration of 100 ?g/ml had a slight inhibitory effect on acid production by SSS system. When the supernatant was added to the incubation mixture, a dramatic inhibitory effect on acid production was found. An additive effect on acid production inhibition was shown when both BIT and supernatant were added to the incubation mixture. The inhibitory action of BIT on acid production was almost the same in the absence and presence of supernatant. In conclusion, BIT like hypothiocyanate inhibits acid production by oral flora. In addition, BIT and salivary supernatant have an additive effect in preventing pH fall which helps to prevent enamel demineralization.
Nelson Rossi
University of Barcelona, Spain
Title: Surgical approaches to speed up orthodontic treatment in adults
Time : 15:30-15:50
Biography:
Abstract:
Recently there has been an increase in the search for shorter treatments, which led researchers to study the possibility of speeding up mechanisms for resorption and bone apposition and the variation of chemical mediators capable of stimulating colony formation of osteoclasts and osteoblasts. This lecture aims to describe the current state of science and clinical evidence available at the time to base the procedures described. Biological principles of tooth movement followed by the description the surgical procedures (e.g. microperforations, piezotomy, piezopuncture, corticotomy and periodontal accelerated osteogenic orthodontics) and its influence on the behavior of cells and biological mediators as well as current status in clinical practice will be described.
Bishnupati Singh
Regional Institute of Medical Sciences, India
Title: Replacement of missing teeth in young adult patients: Diagnosis, treatment options and outcome of care. A Review.
Biography:
Abstract:
Patients often present with congenital and acquired tooth loss, traumatic injuries and it is incumbent on the Prosthodontics team to diagnose educate and provide care plans that address the range of issues concerning the young adult needing tooth replacement therapy. The challenge in treating patients with missing teeth in young adult patients and concomitant malocclusion is how to achieve the best esthetic and functional results, particularly in the long term. The diagnostic phase is critical and involves an interdisciplinary team. Auto transplantation of teeth and orthodontic space closure represent viable biological approaches for replacement of incisors because of the permanence of the result, particularly in growing individuals. Even if solid comparative research data for the different replacement methods so far are not available, a compilation of all treatment modalities can produce treatment results that are almost indistinguishable from an intact dentition. This will lead to progressive care plans that engage removable, fixed and implant Prosthodontics with an eye to multidisciplinary approach. This presentation will review the critical points of assessment, key points to outline in the process of informed consent and then provide clinical examples of care plans for the transitional adult in our practice. The goal should be that patients who have received treatment for missing teeth will have treatment results that are indistinguishable from normal appearance. A prerequisite is that the therapy is based on a complete diagnosis, that the indications for the selected approach are present, and that attention to detail throughout treatment is exercised by all involved in the treatment. Objectives: The participant will understand at the conclusion of this presentation: • The diagnostic issues needed in addressing the issues of tooth loss in the young adult. • The range of treatment options for tooth replacement including advantages and challenges. • The outcomes of care when electing to perform tooth replacement in this population.
Biography:
Abstract:
Aim of the study: to evaluate the stress patterns induced in bone surrounding mini-implants in mandibular overdenture with different cantilever distal extension bases using three dimensional finite element analysis. Materials and methods: Mini-implant retained overdenture prosthesis were simulated on the computer software with three different cantilever extensions (6,12 and 18 mm) of the overdenture base to evaluate the effect of cantilever distal extensions on the pattern of stress distribution in bone surrounding mini-implants. Results: on vertical and oblique loading application the highest Von Misses stresses were noticed with 18 mm distal cantilever extension and the least Von Misses stresses were noticed with 6 mm distal cantilever extension. The stresses induced around the neck of the posterior mini-implants were higher than stresses induced around the neck of the anterior ones. Conclusion: Decreasing the cantilever extension may reduce the stresses induced in the mini-implants. The most distant abutment in cantilever prosthesis may be subjected to the highest stresses. Key words: Mini-implant, Finite element analysis, stress analysis, Cantilever.
Biography:
Abstract:
The approach to the diagnosis and treatment of periodontal disease is changing. The disease has not changed, but dentistry's understanding of the pathogenesis and appreciation for the influence of host factors has improved. Initially, the link between systemic disease and periodontal diseases was thought to be unidirectional. Currently, there is increasing evidence that the relationship between these entities may be bidirectional. Various hypothesis, including common susceptibility, systemic inflammation, direct bacterial infection and cross-reactivity, or molecular mimicry, between bacterial antigens and self-antigens, have been postulated to explain these relationships. In this scenario, the association of periodontal disease with systemic diseases has set the stage for introducing the concept of periodontal medicine. Increasing evidence is available from many investigators to indicate periodontitis as a risk factor for cardiovascular diseases, diabetes mellitus, low birth weight infants, pulmonary diseases, rheumatoid arthritis and recently, osteoporosis, pancreatic cancer, metabolic syndrome, renal diseases and neurodegenerative diseases such as Alzheimer's disease. This has brought a shift in the perspective, with research being now focused on the potential impact of periodontal diseases on systemic health. General practitioners are at a more advantageous position to provide early patient counselling for preventing and improving prognosis of several systemic pathologic conditions. By identifying people who are at greater risk of developing severe adult periodontitis, we may be able to carry out earlier or more aggressive intervention for these patients. Close collaboration between physicians and dentists will help to treat patients with systemic diseases better. Strategies to deal with etiologically relevant systemic factors will provide predictable treatment regimens to save patient’s dentition.
sagar abichandani
SDM college of Dental Sciences, India
Title: TELESCOPIC OVERDENTURES – a viable treatment modality of atrophic alveolar ridges or Esthetic decision making in implant dentistry
Biography:
Abstract:
There is increased awareness of and demand for esthetics in traditional restorative dentistry as well as implant-related care. Predictable delivery of highly esthetic, naturally appearing implant restorations is dependent on a host of factors, some of which are hardware-based and some of which are related to the morphology and tissue quality of the proposed implant site. An organized approach to patient evaluation and treatment planning by the implant treatment team will improve recognition of these factors of esthetic significance and will facilitate the development of strategies to achieve esthetic excellence on a more predictable basis. The ability to achieve harmonious, indistinguishable prosthesis from adjacent natural teeth in the esthetic zone is sometimes challenging. Placement of dental implants in the esthetic zone is a technique-sensitive procedure with little room for error. Guidelines are presented for ideal implant positioning and for a variety of therapeutic modalities that can be implemented for addressing different clinical situations involving replacement of missing teeth in the esthetic zone. This presentation will highlight the concepts and guidelines for predictable success in implant therapy
Salah hegazy
Mansoura University, Egypt
Title: Effect of different attachments and denture base materials on the retention of mandibular tooth supported overdentures .
Biography:
Abstract:
Purpose: To compare the retentive strengths of thermo-elastic resin versus processed acrylic resin denture base regarding tooth retained and supported mandibular overdenture with different abutment preparations/attachments. Materials and Methods: Eighteen patients with edentulous maxilla and partially edentulous mandibles with two canines remaining. The two canines were endodontically treated, shortened 3-4 mm above the gingival margins; cementation of two long metal copings was done. Patients had two mandibular overdentures fabricated: one with processed acrylic resin denture bases and the other one were fabricated with thermo-elastic resin surrounding the abutment teeth. After two months the abutments were reshaped and shortened to have a dome shaped preparation approximately 1-2 mm above the gingival margins. After another two months patients received two stud attachments. Retention of the overdentures of each abutment preparation was measured after 24 hours and after one month from its insertion date using a digital forcimeter device. Results: There was a statistically significant difference among groups, one day and 30 days after mandibular overdenture (MOD) insertion. The greatest retention values were observed in the tooth retained MOD with long copings group followed by the tooth retained MOD with stud attachments one; the lowest retention values were obtained in the tooth supported MOD with short copings group. The retention values of the thermo-elastic acrylic resin MOD were greater than the processed acrylic resin MOD for all groups. Finally the retention values at one day after MOD insertion were greater than the values after 30 days for processed and thermo-elastic acrylic resin MODs. Conclusion: In this pilot study, the thermo-elastic acrylic resins demonstrated more retention than processed acrylic resin dentures
- Oral and Dental Health
Session Introduction
N.Kannan natarajan
Narayana Dental College & Hospital, India
Title: Medically Compromised Patients: The Dentists’ Nightmare
Time : 12:05-12:25
Biography:
Dr.N.Kannan did B.D.S. from Government Dental College, Hyderabad, Andhra Pradesh, India in 1991. He did post graduation in Oral Medicine and Maxillofacial Radiology from S.D.M. College of Dental sciences, Dharwad, Karnataka , India in 1995. Awarded Best Paper Award in the 5th & in the 6th National Conference of the Indian Academy of Oral Medicine and Radiology in 1993 & 1994 respectively. He is the Founder President of Tobacco Free Initiative of Narayana, Nellore, India. He has received advanced training in Reiki therapy in 2005, in Sujok therapy in 2011 in Pranic Healing in 2012 and is a certified Master in all these therapies. He did Diploma in Business Management from ICFAI in 2013. He did MSc Biotechnology from Periyar University in 2014. He did Diploma in Hospital Administration from NIHFW, New Delhi, India in 2015. He has written 80 poems in English. He has served Indian Academy of Oral Medicine and Radiology as Joint Secy, EC Member, Vice president and Hon General Secy. He is presently Hon. General Secretary Indian Dental Association, Nellore Branch, Andhra Pradesh He has delivered 20 Guest lectures in various National & International Conferences. He has 25 International Publications He has a post graduate teaching experience of 20years in the specialty of Oral Medicine and Maxillofacial Radiology and guided 40 post graduate students He is presently working as the Professor & Head, Dept. of Oral Medicine and Maxillofacial Radiology in Narayana dental College, Nellore, India.
Abstract:
Present day advances in medical sciences and technology has resulted in substantial increase in the volume of dental patients with systemic illnesses. The term Medically Compromised refers to dental patients with impaired health status like pregnancy, or patients with systemic diseases like ischemic heart disease, congenital heart disease, liver disease, renal disease, asthma, patients with immunodeficiency and patients with altered immune status. Absence or inadequacy of precautions needed to be taken while carrying out routine dental treatment in these patients may result in worsening their medical status or even result in a fatality. Care needs to be taken while prescribing medications for these patients in the form of altered dosage or altering the medications themselves. Medico-legal litigations are reportedly on the rise in all the countries across the globe due to increased patient activism and awareness of their rights and sensationalization of such cases by the media. Worsening of the patient’s medical status or fatality occurring as a result of inadequacy of precautions can prove to be nightmarish to the dentist’s practice, life and reputation. Many of these medical conditions can be identified by detailed case history recording and thorough clinical examination. There may be alterations in the oral cavity as a result of some of these systemic diseases or due to medications/treatment received for these diseases which may present as taste alterations, salivary alterations, oral ulcerations, petechiae, ecchymosis, pigmentations, candidiasis, necrosis and gingival overgrowth. This presentation will be highlighting the maxillofacial & general clinical features useful for suspecting presence of the underlying systemic conditions and precautions needed to be taken during the dental treatment of these patients.
Bertolai Roberto
University of Florence, Italy
Title: Bone graf and Mesenchimal Stem Cells: Clinical observations and Histological analysis
Time : 12:25-12:45
Biography:
Abstract:
Autologous bone, for it’s osteoconductive, osteoinductive and osteogenetic properties, has been considered to be the gold standard for maxillary sinus augmentation procedures. Autograft procedures brings also some disadvantages: sometimes the limited amount of available intraoral bone makes necessary to obtain bone from an extraoral site, and this carries an associated morbidity.
To overcome this problem we started using homologous freeze-dried bone in maxillary sinus augmentation procedures.
This bone is industrially processed with γ-irradiation to eliminate it’s disease transmission potential and it’s considered safe, but this treatment also eliminates the osteoinductive and osteogenetic properties, making it just an inert scaffold for regeneration.
Mesenchymal stem cells are successfully used in and orthopedic surgery for their amplification potential of healing mechanisms.
We assumed that mesenchymal stem cells can restore the osteogenetic and osteoinductive properties in homologous bone grafts.
The aim of this study was an histological evaluation of bone regeneration in maxillary sinus elevation using: 1) mesenchymal stem cells engineered freeze-dried bone allografts
2) freeze-dried bone allografts Twenty patients (20M, 20F) with a mean age of 55.2 years affected by severe maxillary atrophy were treated with bilateral maxillary sinus floor elevation. For each patient were randomly assigned a “test†side and a “control" side, different from each other exclusively in the composition of the graft material. The "control" sides were composed by corticocancellous freeze-dried bone chips and the “test†sides were composed by corticocancellous freeze-dried bone chips engineered in a bone marrow mesenchymal stem cells concentrate. After three months bone biopsies were performed on the grafts and histological specimens were made in order to evaluate the healed bone from a histological point of view. Histologically all the specimens showed active remodelling signs and all the tissues were free of inflammatory cells.

“Control†side specimens showed a substantial persistence of the grafted bone and, with the interposition of connective tissue, a considerable amount of newly formed bone.
“Test†side specimens showed a much more represented cellular component compared to the “control†sides. The grafted bone trabeculae, when detectable, were completely imprisoned inside new formed bone, in direct contact with it and without interposition of connective tissue. Freeze-dried bone can be used successfully as graft material in the treatment of maxillary atrophy. The same bone engineered with stem cells showed a greater histological integration potential comparable with autografts histological morphology. Further studies are needed to confirm these hypotheses.
Shraddha Bahirwani
Shyamala Reddy Dental College, India
Title: Women and their Health depends on Oral health
Time : 12:45-13:05
Biography:
Abstract:
At the outset let is recognize that everyone has their own idea of health and they work around it for their well-being! Well, for many, Health is the absence of Disease. WHO in 1948 defined heath as a complete state of physical, mental and social well-being and not merely an absence of disease. We all know that a healthy mind in a healthy body is strongly correlated and to take it further, that significantly affects our response and behaviour both at work and home. In order to deliver well, one has to be at the best of their health. Productivity is directly tied to our health. My presentation focuses on oral health for women which are directly proportional to their overall health as the only source of carrying nutrition to our body IS the mouth!
- Therapy and Treatment
Session Introduction
Hussien alattas
Najran university, saudi arabia
Title: Diagnosis and treatment of the severely worn dentition
Time : 15:10-15:30
Biography:
Hussien A Alattas is a Vice Dean, Professor and Head of Dental Restorative, College of Dentistry , Najran University , Saudi Arabia.. He has published several papers in reputed international journals. Participate as a speaker in several international dental conferences.
Abstract:
Diagnosis and treatment of severely worn dentition presents a significant clinical challenge. One of the most demanding aspects essential to long-term success of such cases involves the development of sufficient restorative space, while simultaneously fulfilling aesthetic, occlusal and functional parameters. Diagnosis is the most important part of treatment, as the clinician should gather enough information to help prevent further progression of pathology. Thus, the treatment plan must involve control of symptoms and removal of causes. This article focuses on the phase by phase diagnosis and treatment of such a patient including occupational /psychological counseling
Narges Mirjalili
Arad Dental Polyclinics, Iran
Title: The supportive oral measures preceding radiation therapy in patients diagnosed with nasopharyngeal carcinoma
Time : 15:30-15:50
Biography:
Dr. Narges Mirjalili has completed her Masters in Oral Medicine at the age of 28 from Tehran University of Medical Sciences and her Doctorate degree in dentistry from Shahid Sadoughi University. She is the Management associate of Arad Dental Polyclinic and also practice as an oral medicine specialist there. She was an assistant professor at Shahid Sadoughi University, department of oral biomedical sciences. She has published papers in reputed journals and a book on plasmacytoid masses of the oral cavity.
Abstract:
We all know that one of the main causes of death world wide is head and neck cancer. As the incidence of cancer patients are increasing, dentists have a higher chance of visiting such patients at their offices. Radiation to the head and neck region, especially in nasopharyngeal carcinoma patients, has serious adverse effects on oral and dental health. Despite advanced radiation methods, such as intensity modulated radiation therapy: IMRT, and the use of protective drugs, such as Amifostine, the burden of radition-related consequences in the patients with head and neck carcinomas is yet significant. There are some simple measures that, if be taken at the proper time, can reduce the negative effects of ionizing radiation on the oral hard and soft tissues, particularly salivary glands and teeth. The following steps, with known mechanisms, will be beneficial to the patients and will enhance their quality of life during and after radiation therapy period. 1- Elimination of all the sources of oral infections 2- Hydration 3- In-office fluoride therapy 4- Home use of Xylitol mouth wash 5- Frequent stimulation of salivary glands by mechanical and chemical methods These five simple and non-expensive steps not only soothe the severity of immediate radiation-induced consequences, such as mucositis, but also reduce the magnitude of post-radiation effcts, such as dry mouth and apple-core tooth decays.
Sultan Aldeyab
National Guard health Affairs, Saudi Arabia
Title: Correction of excessive spaces in the esthetic zone
Time : 15:40-16:00
Biography:
Dr. Sultan Aldeyab has completed his AEGD certificate with honor in 2008. Then he got Saudi Board of Restorative Dentistry with honor from 2008-2012. He is working in Restorative Department in King Abduaziz Medical City (National Guard) Riyadh, He is teaching restorative post graduate resident and lecturing undergraduate student in dental collage of King Saud Bin Abdulaziz University for Health Sciences. He got many awards and he has many publications and lectures.
Abstract:
Introduction: The use of porcelain crowns and veneers to solve esthetic problems has been shown to be a valid management option especially in the anterior esthetic zone. This case report discusses a patient having diastema in the anterior region. The patient was treated with orthodontic treatment and porcelain crowns & veneers in the maxillary arch for the closure of diastema. Clinical report: A 35 year old male patient with a chief complaint of discolored anterior teeth and gaps between the teeth. The patient was unhappy with the appearance of his teeth. After thorough examination, impressions for diagnostic models were made in irreversible hydrocolloid. The models were studied to decide the shape and size of the restorations with help of a diagnostic wax up. Before proceeding for tooth preparation, shade was selected using Classical shade guide. The maxillary teeth were then prepared from right 2nd premolar to the left 2ndpremolar to receive porcelain crowns and laminate veneers. Impression of the maxillary arch was made in addition silicone. The laminates were etched with 4% hydrofluoric acid. After etching, they were washed thoroughly using liberal amount of water. On drying, a coat of Silane coupling agent was applied. The prepared teeth were etched using 37% phosphoric acid for 15 seconds. On air drying, bonding agent was applied & light cured for 10 seconds. Composite luting agent was used for cementation. The laminates were spot cured for 5 seconds initially. Excess cement was removed with explorer and then complete curing was done for 20 seconds. On completion of the cementation procedure, the occlusion was checked in centric and eccentric positions for interferences. The high points were removed and polished. Discussion: The etiology of diastema may be attributed to the following factors: (a) Hereditary- congenitally missing teeth, tooth and jaw size discrepancy, supernumerary teeth & frenum attachments; (b) Developmental problems- habits, periodontal disease, tooth loss, posterior bite collapse. Treatment planning for diastema correction includes orthodontic closure, restorative therapy, surgical correction or multidisciplinary approach depending upon the cause of diastema. Conclusion: Orthodontic treatment, bonded porcelain crowns & veneers can provide successful esthetic and functional long-term service for patients.
Biography:
She completed her bachelor degree at the age of 22 years from Modern Sciences and Arts (MSA) University and during her internship; she worked as a training dentist at many governmental hospitals and universities. She worked with cosmetics specially composite veneers in jordan for 1 year and then worked as gp dentist in qatar.
Abstract:
Composite veneers are used to improve the colour, shape, size and texture of teeth to make them more attractive. They can be used to fix minor chips and cracks in teeth. They are different from porcelain veneers in that they require little if any tooth reduction (drilling) and the treatment can be completed in a single visit. However unlike porcelain veneers, composite veneers can be prone to staining and may not last as long. To create composite veneers, composite material is applied to the front surfaces of the teeth and sculpted to the desired shape and finish under the hands of an experienced cosmetic dentist fillings†are made of composite resin and are directly placed on the tooth and cured (set) with a blue light. These composite resin veneers can improve the appearance of teeth significantly and normally last 3 to 5 years. However, being more porous than porcelain veneers, they can stain and chip over time and may require regular polishing to address this spoiling. The larger the restoration and the greater the number of restorations, the more challenging it is for your prosthodontist to control the size, shape and colour of your veneers using direct composite fillings. If many teeth, or large portions of teeth, are involved porcelain veneers may be the preferred option.
Ali .Saafan
Cairo University, Egypt
Title: Selective and nonselective laser applications in treatment of head and neck hemangiomas and vascular malformations
Biography:
Ali saafan has completed his PhD from laser institute Cairo University . He is the director of dental laser unit in laser medical center – Cairo University. He has published more than 20 papers in reputed journals and has been serving as a referee in many scientific international medical laser journals
Abstract:
Lasers have become a treatment of choice for some types of hemangiomas and vascular malformations ..Aim of the work :The aim of this study was to help in stabilization different techniques of laser application in the treatment of soft tissue hemangiomas and vascular mal formations in head and neck .Patients and methods : Different types of lasers were used in this study , ND:YAG 106 4nm , Diode 980nm were applied for non selective photo thermolysis through a fiber optic with gauge 400um with average power 6w-10w in continuous mode , and Dye laser 595 was applied for selective photo thermolysis superficially with energy ranging from 10-12 joule with pulse duration 1.5ms .A series of 100 patients were treated in this study , 46 hemangioma , 38 vascular malformation and 16 lymphangioma .Patients were followed up for five years for detection of recurrence . Results: The procedures were easy to perform in minimum operation time and well tolerated by all patients. No recurrence was detected in hemangiomas , five cases recurrence were detected in vascular malformation and two cases recurrence were detected in lymphangioma. The recurrence were detected in high flow lesions and large communicated lympangiomas. Conclusion: Laser can be considered as an excellent noninvasive safe tool for the treatment of hemangiomas and vascular malformations, in case of use the suitable, parameters and delivery techniques
Biography:
Arpit Doshi is an orthodontist, certified implantologist and laser dentist in Ghatkopar east and has a clinical experience of 8 years. He is the Director of Spaceline Dental Studio, he is a dynamic personality who has gravitated the team of doctors with his hard work and determination and managed to transform the dream of a high-tech dental studio into reality. He extensively practises laser dentistry using erbium and diode lasers.
Abstract:
Low Level Laser Therapy :- Low level laser dentistry is mainly underestimated. It is mainly used in orthodontics for faster tooth movements, post extraction pain and probably any kind of pain, with faster healing post surgeries. The only physical risk in laser therapy is the risk of an eye damage. While never reported to have occurred, the risk of an eye damage must be considered, especially when using an invisible and collimated (parallel) beam. Suitable protective goggles should be worn by the patient for extra oral therapy in the face. The therapeutic lasers offer improved possibilities in the treatment of pain, wound healing, inflammation and oedema. However, they also offer the dentist a possibility to treat indications previously not within the capability of the general dentist. Diode Laser:- Since the introduction of the first dental diode laser in 1995, numerous diode lasers are now available. Oral surgery procedures that require the removal of soft tissue can be achieved by vaporization (ablation) and/or cutting (incision, excision, or dissection) with the diode laser. Some of these soft-tissue applications include but are not limited to gingivectomy, frenectomy, hemorrhagic lesion removal, gingival sculpting techniques associated with implant recovering or therapy, and subgingival curettage.3 The advantages for laser soft-tissue oral surgery include improved hemostasis, reduced intraoperative and postoperative pain/discomfort, decreased postoperative swelling, eliminated need for sutures, reduced bacterial count at the wound site, reduced operator time, and versatility. Because of its versatility, this laser may be a useful alternative for soft-tissue oral surgery compared to traditional periodontal surgery. It is also used for depigmentation of gums and disinfection of periodontal pockets and root canals. Erbium Laser :- The term laser is an acronym for light amplification by stimulated emission of radiation. Erbium lasers are categorized in the mid-infrared range of the electromagnetic spectrum, with light emitted as invisible, nonionizing, thermal radiation. Currently, two types of erbium lasers are available, each emitting a unique wavelength, depending on the material present in the laser rod inside the device. The rods contain the active medium, host crystals, into which dopant atoms are uniformly distributed. According to current science, laser light energy must be converted into some other form of energy to produce a biologic effect. Both types of erbium lasers are categorized as laser light that is converted into acoustic (mechanical) energy. This type of energy is in the form of a shock wave, physically disrupting the target tissue. Although wavelength is a major factor, laser peak power, pulse duration, pulse energy, and beam focusing are critical parameters. Production of acoustic shock waves is due to the rapid, volumetric expansion occurring when water changes from liquid to gas. This expansion causes the surrounding tooth structure to explode, causing an explosive expansion. The water spray of the handpiece accelerates this effect by removing exploded tissue, transferring minimal heat to the remaining tooth. The Er,Cr:YSGG wave length has two pulse width options for hard tissues and soft tissues. The longer pulse width used for soft tissue haemostasis. The uses of erbium, has a wide range right from cutting of bone sinus lift surgeries, pips phenomenon in periodontal pockets and irrigation of root canals. Conclusion :- The concepts are going to be illustrated with clinical cases and also uses of specific wavelengths according to the absorption in tissues will be discussed. The difference between laser scalpel and electro surgery at microscopic level will also be discussed.
Biography:
Abstract:
Marc Geissberger
University of the Pacific School of Dentistry, USA
Title: Adhesive Dentistry - Maximizing The Placement of Anterior and Posterior Composites
Biography:
Dr. Marc Geissberger is a Professor and Chair of the Department of Integrated Reconstructive Dental Sciences at University of the Pacific, School of Dentistry. He runs Pacific’s prestigious complex and esthetic rehabilitation program. He is a fellow of the American Dental Education Association’s leadership institute, researcher, as well as a published author in the areas of dental materials, contemporary fixed prosthodontics, and esthetic dentistry. He has lectured nationally and internationally in the areas of adhesive dentistry, cosmetic dentistry, photography, ceramic, fixed prosthodontics and treatment planning. Dr. Geissberger serves as a consultant for many dental materials companies and helps guide product development. During his 25 years in academia he has maintained a private practice geared toward restorative dentistry with his brother and fellow Pacific alum Dr. Jeffrey Geissberger. He believes his continual involvement in providing patient care as well as a role in academia has given him a unique balance that allows him to blend the best of both worlds.
Abstract:
The use of composite resin material as a direct restorative for anterior and posterior restorations has dramatically increased in the market place. With self-etching technology emerging as a viable alternative to traditional techniques and the development of new technology to assist clinicians with bulk fill techniques, it is easy to be get confused and fall behind. What materials will you advocate for use in your practice? What has the literature been revealing on materials in current use? Should practitioners change their current techniques? What preparation design will you utilize? This program will attempt to make sense of all of the products and techniques available in today’s market place and will focus on materials and their applications as well as a brief review of some of the literature. Emphasis will be placed on new developments in the composite area as well as outline what developments to watch for in the coming years. During this program practitioners will understand: • self-etching principles and how they are applied to composite resins • How to reproduce natural tooth characteristics using composite resin • How to improve the appearance and longevity of composite restorations • what is required of materials to be utilized for bulk fill and how to place them correctly • proper placement techniques that maximize clinical outcomes and esthetics • how to control post-op sensitivity • The mechanisms of bonding systems and learn to control sensitivity • The differences between the various composites available to clinicians
- Dental Biomaterial Science
Session Introduction
Sai Kalyan
Pravara Institute of Medical Sciences, India
Title: revascularization and regenerative strategies in Endodontics
Time : 15:10-15:30
Biography:
Abstract:
We stand on the world of revolution in Endodontics: Understanding, Treating and Ultimately preventing the causes of Pulpal disease. But medical revolution only happens when there is paradigm shift in interventional strategies from replacement towards regeneration. We did it for cancer, we are doing it for Alzheimer’s….can we do it for the diseased Pulp? Cell transplantation is the most established practice in regenerative medicine. It does not always obtain the good result because of the low survival rate of transplanted cells. In addition, the use of ex vivo manipulated cell products faces many translational hurdles in treating non-vital disease. Recently, the body cells are focused as a potential source for therapeutics. Some researchers have demonstrated that endogenous stem cells may be recruited to a desired anatomic site pharmacologically. This is spurring interest in developing new generation of biomaterials that incorporate and release selected powerful extracellular influences in a near-physiological fashion, and subsequently capture endogenous cells and influence their fates for regeneration. The use of patient-derived products such as platelet-rich preparations that contain a multitude of endogenous growth factors and proteins is a clinically translatable biotechnology for this proposes. These simple and cost efficient procedures may have a potential impact in reducing the economic costs for standard medical treatments in Regenerative Endodontics. OBJECTIVES 1. To understand the basic principles behind regenerative aspects in Endodontics and Periradicular surgeries 2. Deliver In depth knowledge of platelet derived regenerative modalities 3. To understand the importance of growth factors in regenerative dentistry 4. Provide applied knowledge about the preparation of first and second generation platelet derived modalities 5. To understand the role of scaffolds in revascularization/regeneration 6. Practical application of the various bench top preparation techniques 7. Importance of coronal seal and methods of achieving it using MTA (including material aspects.) 8. To give an in-depth understanding in the areas of • Stem cell treasure for Engineering Pulp-Dentine complex • Embryonic stem cells & Postnatal stem cells • DPSC(Dental pulp stem cells) • SHED (Stem cells from human exfoliated deciduous teeth) • Stem Cells from Apical Papilla • Stem cells from Periodontal ligament • Isolation of stem cells & Cryopreservation • Role of growth factors in activating tissue engineering • Scaffold effect • Bioroot formation a permanent replacement to implants
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Session Introduction
Mehdi A. Ebrahimi
The University of Hong Kong, Hong Kong
Title: Nano hybrid bioceramics for maxillofacial reconstruction and repair
Biography:
Ebrahimi M.A. has completed his MSc in maxillofacial surgery from Prince of Songkla University (Thailand) at 2011 with honor merit. He started his work on biomaterials with special focus on biphasic nano bioceramics at 2010 and developed cost effective techniques for preparation of bioceramics. He presented his experiences at different local and international conferences and published his works in reputed journals. Currently he is a researcher and PhD candidate at University of Hong Kong. His recent focus is on preparation of hybrid nano bioceramics with incorporation of collagen in comparison to biomimetic self assembly biomaterials for enhanced bone regeneration.
Abstract:
The most common biomaterials for skeletal maxillofacial repair are bioceramics because of their compositional similarity to the mineral phase of the bone and biocompatibility. Different compositional ratios of bioceramics have been also developed to overcome disadvantages of single-phase materials by combination of two or more ceramic phases. However, many bioceramics suffer from disadvantages such as; poor mechanical properties and lack of organic phase. Furthermore, the conventional bioceramics compose of microscale grain, whereas the bone inorganic phase is at the nanoscale level. Nano ceramic could promote osteoblast cells activity and enhance formation of new bone better than microscale bioceramics. Nanotopography and grain size rather than composition ratio, are the main factors influencing the biological properties of biomaterials that should be considered before clinical application. However, the superiority of natural bone is also due to the presence of collagen which adds strength and partial elasticity. Therefore, hybrid bioceramics of multiphasic origin including both organic and inorganic phase at nano-macro scale provides excellent alternatives for oral and maxillofacial applications. Many controversies are there with regards to the ideal properties of bioceramics and clinicians are left with much confusion in choice of ideal biomaterials from the market. Currently, there are no biomaterials that can simulate full properties of natural bone due to superiority and complexity of this structure. The aim of this paper is to provide the clinicians with basic necessary knowledge in bioceramics and introduce useful guidelines for proper selection of ideal biomaterials for maxillofacial bony repair based on clinical requirements.
Sai Kalyan
Pravara Institute of Medical Sciences, India
Title: revascularization and regenerative strategies in Endodontics
Biography:
Abstract:
We stand on the world of revolution in Endodontics: Understanding, Treating and Ultimately preventing the causes of Pulpal disease. But medical revolution only happens when there is paradigm shift in interventional strategies from replacement towards regeneration. We did it for cancer, we are doing it for Alzheimer’s….can we do it for the diseased Pulp? Cell transplantation is the most established practice in regenerative medicine. It does not always obtain the good result because of the low survival rate of transplanted cells. In addition, the use of ex vivo manipulated cell products faces many translational hurdles in treating non-vital disease. Recently, the body cells are focused as a potential source for therapeutics. Some researchers have demonstrated that endogenous stem cells may be recruited to a desired anatomic site pharmacologically. This is spurring interest in developing new generation of biomaterials that incorporate and release selected powerful extracellular influences in a near-physiological fashion, and subsequently capture endogenous cells and influence their fates for regeneration. The use of patient-derived products such as platelet-rich preparations that contain a multitude of endogenous growth factors and proteins is a clinically translatable biotechnology for this proposes. These simple and cost efficient procedures may have a potential impact in reducing the economic costs for standard medical treatments in Regenerative Endodontics. OBJECTIVES 1. To understand the basic principles behind regenerative aspects in Endodontics and Periradicular surgeries 2. Deliver In depth knowledge of platelet derived regenerative modalities 3. To understand the importance of growth factors in regenerative dentistry 4. Provide applied knowledge about the preparation of first and second generation platelet derived modalities 5. To understand the role of scaffolds in revascularization/regeneration 6. Practical application of the various bench top preparation techniques 7. Importance of coronal seal and methods of achieving it using MTA (including material aspects.) 8. To give an in-depth understanding in the areas of • Stem cell treasure for Engineering Pulp-Dentine complex • Embryonic stem cells & Postnatal stem cells • DPSC(Dental pulp stem cells) • SHED (Stem cells from human exfoliated deciduous teeth) • Stem Cells from Apical Papilla • Stem cells from Periodontal ligament • Isolation of stem cells & Cryopreservation • Role of growth factors in activating tissue engineering • Scaffold effect • Bioroot formation a permanent replacement to implants
- Future Trends in Dentistry
Session Introduction
Nagy Abdulsamee Abdulhameed
Misr University for Science & Technology, Egypt
Title: Biosmart Dentistry: Is It Myth Or Truth?
Time : 15:50-16:10
Biography:
Nagy Abdul-Samee Abdul-Hameed is currently a Professor and Head of Dental Biomaterials, Consultant Prosthodontics and Vice Dean of Graduate Studies & Researches, Faculty of Oral and Dental Medicine at Misr University for Science & Technology, Egypt. He obtained his Bachelor Degree in Dental Sciences from Faculty of Dentistry, Cairo University, in May 1975 and Master Degree in Prosthodontics from Faculty of Dentistry, Alexandria University in December 1980. He also received Doctor of Philosophy in Dental Biomaterials from the same University in April 1985. He worked as a Demonstrator in Prosthodontic and Dental Biomaterials Departments at Faculty of Dentistry, Mansura University and as an Assistant Lecturer, Lecturer and Associate Professor in Dental Biomaterials Department in the same university. He also served as a Consultant Prosthodontic for 12 years at the Dental Center, King Fahad Hospital, Al-Madinah Al-Menawarah, Kingdom of Saudia Arabia. He is an Associate Professor, Professor and Head of Dental Biomaterials, Vice Dean of Graduate Studies & Researches at the Faculty of Oral and Dental Medicine, Misr University for Science & Technology.
Abstract:
Smart materials are those materials having properties which may be altered in a controlled fashion by stimuli, such as stress, temperature, moisture, pH, and electric or magnetic fields. Examples include piezoelectric materials, which produce a voltage when stress is applied or vice versa, shape memory alloys or shape memory polymers which are thermo responsive, and pH sensitive polymers which swell or shrink as a response to change in pH. Smart behavior occurs when a material can sense some stimulus from its environment and react to it in a useful, reliable, reproducible, and usually reversible manner. These properties have a beneficial application in various fields including dentistry. Shape memory alloys, zirconia, and smart seal are examples of materials exhibiting a smart behavior in dentistry. There is a strong trend in material science to develop and apply these intelligent materials. These materials would potentially allow new and ground breaking dental therapies with a significantly enhanced clinical outcome of treatments. The numerous applications they have been put to, no wonder tells us that these smart materials hold a real good promise for the future of dentistry. The aim of the presentation is to show how dentists and dentistry made use of these smart materials for benefits of their patients.
B.M.Shanthala Mallikarjun Bhuthanahosur
Coorg Institute of Dental Sciences, India
Title: Current uses of diode lasers in Dentistry
Time : 16:25-16:45
Biography:
Graduated in 1992 and Post graduation in Pedodontics and preventive Dentistry from ABMIDS, Mangalore University, 1994. Presently working as Professor & Head, Department of Pedodontics, Coorg Institute of Dental Sciences. Professional memberships in Indian Dental Association (IDA), Indian Society of Pedodontics and Preventive Dentistry (ISPPD), International Association of Dental Research (IADR). Worked as Treasurer, ISPPD from 1995-1997, Organising Chairman 9th National PG Convention, 1st National PG Symposium, ISPPD. Twenty years of experience as Paediatric Dental Practitioner. Participated in Deans Forums ( South East Asian Association of Dental Education, SEAADE 2013, 2014 &2015). Presently reviewer of the journals Indian Journal of Dental Research and Rajiv Gandhi University of Dental Sciences Journal Have presented a poster in SEAADE 2014 & paper presentation in IADR 2015. Have publications in national & international Dental journals. Guest speaker in National & International Conferences and Pedodontics CDE. Actively involved in the research activities. The topics of interests are use of Lasers in Paediatric Dentistry, Infiltration concept in Preventive Dentistry and natural medicines in dentistry.
Abstract:
Recent advance in laser technology has revolutionized the dental practice. The individual laser type owing to its physical properties and tissue interactions has range of application in dental practice. Diode laser are semiconductor lasers used for multitude application in dental procedures. The objective o the presentation is to highlight the uses of diode lasers in dental procedures as pulpotomy medicament and canal disinfectants, in frenectomies and laser applied fluoride therapy (LAFT). LAFT is a combination of laser irradiation combined with fluoride application. This combination improves the resistance of enamel surface to acids in the process of caries by creating the microspaces in the enamel surface and serves as the reservoirs of fluorides. This was tested by evaluating the loosely bound fluoride and the SEM evaluation of the enamel surfaces exposed to LAFT. Diode lasers used as canal disinfectants demonstrated better antibacterial properties. In frenectomies, diode lasers demonstrated better patient satisfaction and healing as compared to conventional surgical procedures. Diode laser as a plpotomy medicament demonstrated better pulpal response by maintaining the integrity of odontoblastic layer, reduced inflammation and necrosis when compared to formocresol. In conclusion, diode laser has proven to have a multitude of application in preventive and restorative procedures and in diagnosis of caries.
Haya Alayadi
King Saud Universty, Saudi Arabia
Title: The Rationality Toward an Organized Oral and Dental Research
Time : 16:45-17:05
Biography:
Haya M AlAyadi, A 28 year old Saudi. Has completed two major Masters in Health System and Quality Management, SA. And the second in Dental Public Health, UK. She is a Lecturer in King Saud Universty, also chairman of quality in the dental health department. And PhD candidate, researching in the field of dental clinical outcomes and economical planning of dental and oral services at Kings Collage London.
Abstract:
The new psychosocial model of health led to viewing health from different prospective. Thus, the three main aims of health promotion are, reduction of disease that is based on biomedical model. Second and third are promoting health and improving the quality of life which is linked with psychosocial model. Moreover, there are a prolifration of researches in the gulf countries in both models. However, these researches are unorganized efforts that cannot be reliable by decision makers to approach the aim of health promotion. This lecture discus the rationality toward organized oral and dental research and presenting a proposal that could be implemented in the gulf region in this regard.
Janita Shah
Dentist at Ministry of Health, Victoria, Seychelles
Title: Video Presentation on Fast track orthodontics – A review
Time : 17:05-17:25
Biography:
Janita Shah has completed her Bachelor of Dental Surgery at Manipal University, India and has been practicing as a dentist at the Ministry of Health, Seychelles since the past two years.
Abstract:
The orthodontic patient’s number one concern has always been “how long will I have to wear the braces for?†Recent developments in the field of orthodontics have made it possible to increase the speed and efficiency of orthodontic tooth movement such that there is a dramatic decrease in treatment time. Various pharmaceutical, surgical, mechanical/physical simulation methods have been utilized in an attempt to enhance the periodontium’s response to orthodontic forces, and subsequently accelerate tooth movement. This scientific poster reviews the need for shortening orthodontic treatment time, the different modalities available in order to do so, as well as their limitations and future scope for further improvement.
Abdul Hameed
General Dentist, Dubai
Title: Handling Panfacial Trauma - Should We Stick to Protocols???
Time : 16:55-17:15
Biography:
Abstract:
Trauma is the most important cause of severe morbidity among young population. It has been termed as the "neglected disease of modern society". Maxillofacial injury is usually seen in majority of road traffic accidents. Panfacial trauma represents about 10% of all the facial fractures and remains the most challenging facial injury pattern to treat. Since decades, the focus is to develop an organized plan to treat the Panfacial trauma so as to retain the facial form and functions post operatively. The goal of treatment is to restore the anatomy in all three dimensions, plating the maxillofacial buttresses wherever necessary through the flexible approach at the same adhering to basic principle. In the present day scenario because of high velocity accidents, patterns of fracture are so varied, that it is difficult to adhere to any specific sequence or pattern. The correct timing of surgical intervention and use of rigid fixation allows the restoration of morphological and functional nature of face after Panfacial fractures. The aim of presenting the paper is to review the principles that determine the choice of method of treatment and the outcome in traumatic injuries and to present one such case of Panfacial trauma which was successfully managed following these principles
- Pediatric Dentistry
Session Introduction
Roula AL-Bounni
Riyadh Colleges of Dentistry & Pharmacy, Saudi Arabia
Title: Indirect veneers as a permanent esthetic treatment
Biography:
Prof. Roula Albounni got her master and PHD certificates from Damascus University. She supervised for more than 30 master thesis and 3 PHD thesis in Damascus university, and promoted to professor degree in 2010, she was the head of endodontic and restorative department 2004-2011. Also she has some publications in universal certified journals. Currently she is working as full professor in Riyadh colleges of dentistry and pharmacy with undergraduate and postgraduate students
Abstract:
Every new material or technique introduced to the field of dentistry aims to achieve esthetic and successful dental treatments with minimal invasiveness. Therefore, indirect laminate veneers have developed for advanced esthetic problems of anterior teeth. Tooth discolorations, rotated teeth, coronal fractures, congenital or acquired malformations, diastemas, discolored restorations, palatally positioned teeth, abrasions and erosions are the main esthetic problems for many patients, and it's basically the main indications for indirect laminate veneers. Also, along passing time, Changes in color, shape, and structural abnormalities of anterior teeth might lead to important esthetic problems for patient, for that laminate veneers could be a good conservative solution for all these problems. Indirect Laminate veneers are applied on prepared tooth surfaces by resin cements. Absence of necessity for tooth preparation, low cost, Intraoral polishing of indirect laminate veneers is easy to use, long term of longevity, all of these are some advantages of this technique, however, the main disadvantages of indirect veneers are high cost, difficulties to repair, and some time the invasive preparation comparing with direct composite veneers. But it's worth mentioning that the ceramic veneers and the ideal application of this technique are the main factors to achieve long lifespan for successful outcome. By this technique we can get lot of benefits with wide range of people who seek improvements in there distorted smile due to numerous problems in anterior teeth.
Marc Geissberger
University of the Pacific School of Dentistry, USA
Title: Cutting Edge Techniques and Materials to Maximize Success of Posterior Composite Resin Restorations
Biography:
Dr. Marc Geissberger is a Professor and Chair of the Department of Integrated Reconstructive Dental Sciences at University of the Pacific, School of Dentistry. He runs Pacific’s prestigious complex and esthetic rehabilitation program. He is a fellow of the American Dental Education Association’s leadership institute, researcher, as well as a published author in the areas of dental materials, contemporary fixed prosthodontics, and esthetic dentistry. He has lectured nationally and internationally in the areas of adhesive dentistry, cosmetic dentistry, photography, ceramic, fixed prosthodontics and treatment planning. Dr. Geissberger serves as a consultant for many dental materials companies and helps guide product development. During his 25 years in academia he has maintained a private practice geared toward restorative dentistry with his brother and fellow Pacific alum Dr. Jeffrey Geissberger. He believes his continual involvement in providing patient care as well as a role in academia has given him a unique balance that allows him to blend the best of both worlds.
Abstract:
The use of composite resin material as a direct restorative for anterior and posterior restorations has dramatically increased in the market place. With self-etching technology emerging as a viable alternative to traditional techniques and the development of new technology to assist clinicians with bulk fill techniques, it is easy to be getting confused and fall behind. What materials will you advocate for use in your practice? What has the literature been revealing on materials in current use? Should practitioners change their current techniques? What preparation design will you utilize? This lecture/hands-on will attempt to make sense of all of the products and techniques available in today’s market place and will focus on materials and their applications as well as a brief review of some of the literature. Emphasis will be placed on new developments in the composite area as well as outline what developments to watch for in the coming years. During this program practitioners will understand: • self-etching principles and how they are applied to composite resins • what is required of materials to be utilized for bulk-filled and the differences between several current materials • how to successfully and predictably place a bulk-filled restoration • proper placement techniques that maximize clinical outcomes and esthetics • how to select and place an appropriate matrix system • how to create and maintain correct posterior anatomy and contours
Basel Abozor
Ibn Sina National College for medical studies, Saudi Arabia
Title: Apical Extrusion: an update.
Biography:
Basel M. Abozor has completed his MSc. from Cairo University. He is the director of Endodontic division at Ibn Sina Ntional College for Medical studies. He had lectured at national and inernational conference and published articles in peer reviwed journals. Recently he won tow reserch awards at conferences in saudia arabia.
Abstract:
Apical extrusion of debris,microorganisms and irrigants can participate in causation of interappointment or posttreatment pain due to changes in the endodontic environmental conditions; and secondary intraradicular infections. The aim of the lecture is to conduct a review and analysis of recent published data on apical extrusion. Clinical of the studies finding will be discussed.
Arthur Goren & Branets Iryna
New York University College of Dentistry, USA
Title: Pediatric Panoramic and Cephalometric Exposure to Organs of the Head and Neck
Time : 15:50-16:10
Biography:
Dr. Branets is a Clinical Educator in the Department of Cariology and Comprehensive Care, NYU College of Dentistry and Research Assistant Professor, Department of Prosthodontics and Digital Technology, SUNY Stony Brook School of Dental Medicine. She has published several papers in reputed journals and is serving as an editorial board member. Dr. Branets is a member of the American Academy of Oral and Maxillofacial Radiology. She has lectured both nationally and internationally. Dr. Goren is Clinical Professor in the Department of Cariology and Comprehensive Care, NYU College of Dentistry and Clinical Associate Professor, Department of Prosthodontics and Digital Technology, SUNY Stony Brook School of Dental Medicine. He is also past Director of Radiology, SUNY Stony Brook School of Dental Medicine. Dr. Goren is a Fellow of the American Academy of Oral and Maxillofacial Radiology and has published numerous papers in the field of Radiology. He is also a Reviewer in Radiology for several peer reviewed journals. Dr. Goren has lectured both nationally and internationally.
Abstract:
Background: Very little research has been performed using anthropomorphic juvenile phantoms and Optically Stimulated Luminescent dosimeters to measure the absorbed doses and energy imparted to children during panoramic and cephalometric radiographic examinations of children. Objectives: To measure juvenile patient radiation dose to the organs of the head and neck during digital panoramic and cephalometric radiography. Methods and Materials: Two juvenile anthropomorphic CIRS phantoms 5 yr old and 10 yr old were filled with Optically Stimulated Luminescent dosimeters at 21 head and neck organ sites. An Instrumentarium OP100D orthopantogramograph was used to expose the phantoms at 73 kVp, 6.4 mA, and 16.8 s for panoramic imaging and at 85 kVp, 12 mA, and 17.6 s for cephalometric imaging. The effective radiation dose was calculated for all the organs of the head and neck. Organ fractions irradiated were determined from ICRP-89. Organ equivalent doses and overall effective doses (micro Sieverts) were based on either one panoramic view or one cephalometric view and the ICRP-103 tissue weighting factors. Results: Overall measured organ doses were higher for the 5 yr old than the 10 yr old for both the panoramic and the cephalometric imaging. The highest doses seen were in the glands, extrathoracic airway and the oral mucosa. The organ equivalent dose in micro Sieverts also yielded similar results. The effective dose in micro Sieverts for the 5 yr old was 27.8 (pan) and 6.5 (ceph), while the 10 yr old results were 26.3 (pan and 3.8 (ceph). Conclusions: This was the first study to evaluate radiation exposure to juvenile CIRS phantoms using OSL dot dosimetry in conjunction with panoramic and cephalometric imaging to provide organ equivalent doses and overall effective dose for 10 yr and 5 yr olds based on ICRP-103 tissue weighting factors.
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Session Introduction
Sana AlRaisi
General Dental Practice, UAE
Title: Early Childhood Caries is preventable but the prevalence of the disease is increasing!! Prevention par 1 Are we aware of it as general practitioners or we too busy trying to treat.
Biography:
Sana AlRaisi currently GDP in U.A.E has around 10 years of experience. She gained her MFDS from Royal College of Surgeon Edinburgh in 2013. She worked in DHA government sector, Before that completed her General Professional Training in Glasgow after graduating from Dundee University, Scotland UK 2005.
Abstract:
This paper is first part of series discussing the current thinking of early childhood dental caries and prevention. it will discuss the caries and prevention in general giving an introduction to the further more detailed reviewing of the methods used for caries prevention. The purpose of the paper: 1) to modify and redirect current GDP thinking toward preventing the dental disease instead of treating it. To encourage GDP to educate parents of the importance of early dental consultation and scheduling the first child appointment as early as the first tooth erupt.2) To enable them to identify the risk factors and systematically implement the prevention methods in their daily practice in references to recent recommendation and guideline. The paper will be discussing three main subjects including 1) An introduction of early childhood caries causes, prevalence, its effect and tools of assessing risk factors. 2) Common methods for caries preventions their use, effectiveness and controversy around them. 3) References to recommendation and guild line currently used in caries prevention. “Early childhood caries is significant public health problem in selected population and is also found throughout the general populationâ€. So As GDP we should do our best to educate the parent and guardian and other health professionals of the importance of prevention of ECC and to aims our goal in reducing prevalence of the EEC through delivering the methods of prevention in our daily practice by following appropriate recommendations and guidelines.
Rosa Carrieri Rossi
Sao Paulo federal University, Brazil
Title: Dentofacial characteristics of oral breathers with different ages: “A retrospective case-control study
Biography:
Rosa is orthodontics professor at Association Educartiva of Brazil since 30 and has completed his PhD in Federal University of Sao Paulo- UNIFESP Brasil of Division of Pediatric Otolaryngology. Her research is oral breathing and respiratory sleep disorders.
Abstract:
The influence of the breathing mode on the morphology of the dentoskeletal complex has not yet been fully demonstrated. The aim of This an observational retrospective case-control study was to investigate the variables associated with craniofacial developmental features in oral (OB) and nasal breathing (NB) of 1596 patients. Nasal breathing individuals formed the control group and oral breathing study group. Radiographic, clinical data and models were analyzed. Patients were divided into three age groups: 5-12; 13-18; and 19-57 years old. Qualitative data were performed with the chi-square test to identify the associations between the variables examined. Odds ratio tests were performed on the variables, when the results of the x2 tests indicated an association with the "breathing mode" variable with a reliability of 95% and a significance of p < 0.05. The results showed that Class II malocclusion was associated with OB in all age groups. Small jaw and increased lower anterior facial height (LAFH) were associated with OB in patients 5 to 18-years of age, and retruded mandible was associated with OB only in younger patients, the 5-12 year old age group.The conclusion was that dental and skeletal factors, such as Class II malocclusion, small and retruded mandible and increased LAFH supports an association with oral breathing.
Siti Rusdiana Puspa Dewi
University of Sriwijaya, Indonesia
Title: Anticariogenic effect of gambir extract on enamel tooth surface exposed by stretococcus mutans
Biography:
Siti Rusdiana Puspa Dewi has completed her Bachelor degree of Dentistry at age of 23 years old from North Sumatera University, Medan, Indonesia, and postgraduate studies (Master degree of Health) from Sriwijaya University, School of Medicine, Palembang, Indonesia. She is now lecture in Sriwijaya University, Palembang, Indonesia.
Abstract:
Introduction. Dental caries is the most common problem in many nations in the world, especially in Indonesia. Elimination of bacteria as one of caries causal can be done in many ways, one of them is using gambir plant extract. Gambir has chemical compounds like catechin and tannin, which have anticariogenic effect. The aim of this study was to determine anticariogenic effect of gambir extract on enamel tooth surface exposed by Streptococcus mutans. Methods. An experimental study, in vitro, had been conducted in Integrated Laboratory Pasca Sarjana Unsri, Province’s Health Laboratory of South Sumatera, dan Metalurgy’s Laboratory of Engineering Faculty of University of Indonesia, and held on March to April 2015. There were 35 first and second upper premolar samples and divided into 5 groups; each groups using 40%, 50%, 60% gambir extract, negative control or placebo, and positive control (using cefadroxyl 500mg). Data were analyzed by using SPSS 22 vers. Results. The results showed that 60% gambir extract had equal effect of reducing the decline of micropores in enamel topography to cefadroxyl 500 mg, 50% gambir extract had equal effect in reducing the decline of calcium’s weight to cefadroxyl 500 mg and had dose-dependent effect, 40% gambir extract had equal effect in lowering colonies of Streptococcus mutans to cefadroxyl 500 mg, and had dose-dependent effect. Conclusion. It can be concluded that 60% gambir extract has equal anticariogenic effect to cefadroxyl 500 mg.
Junima Rajkarnikar
nepal medical college, Nepal
Title: Efficacy of lateral pedicle graft in the treatment of isolated gingival recession defects
Biography:
Dr Junima has completed his BDS at the age of 26 years from ManipalUniversity and MDS in Periodontology from Kathmandu University. She is an Assistant Professor and the Head of Department of Periodontology in College of Dental Sciences and Hospital- Nepal Medical College. She has published around 5 papers till date. She has also presented papers in various dental conferences in Nepal and India.
Abstract:
Gingival recession is defined as the displacement of the gingival margin apical to the cementoenamel junction. It is the most common mucogingival deformity and should be treated at its earliest detection. Exposed root surfaces are more likely to develop root sensitivity and root caries and pose esthetic problems. Among various procedures, laterally positioned pedicle graft (LPG) is widely used successfully to cover Miller’s class-I and Class-II recession defects. The main advantages of the laterally positioned pedicle graft are that it is relatively easy and not time-consuming, it produces excellent esthetic results and no second surgical site is involved for donor harvesting. Thus the present study was undertaken to understand the efficacy of lateral pedicle grafts in various grades of gingival recession defects.
Denis Bourgeois
University of Lyons, France
Title: New challenge in individual prophylaxis: Let's talk about the disruption of the biofilm
Biography:
Denis Bourgeois currently is the Dean of the Faculty of Dentistry of the University of Lyons, France, Member of the ADF (French Dental Association) Foreign Affairs Committee and President of the GADEF (Federation of French-speaking dental Associations). He was also the Delegate, member of the WHO Delegation (1990-2000), Delegate, member of the ADF Delegation (2002-2014), Member (2005-2008) and Chair (2009-2012), FDI World Dental Development and Health, Promotion Committee (now the Public Health Committee), Director, Continuing Education (CE) Programmes in French for Africa (2005-2009), Director, Regional CE Programmes for Africa (2009-2014), Regional Coordinator, Live.Learn.Laugh Programme (2004-2010; 2010-2014) and Contributions to various FDI Projects and Task Teams: Manpower – GCI – Strategy for Africa.
Abstract:
The literature raises the question of the efficiency of brushing and its limits, the issue of quality cleaning the interdental space, in the interest of removing plaque often with success criteria not adapted to the situation of the patient. The oral health must find a balance between the acceptability, efficacy in terms of disruption of the biofilm, and non-traumatic techniques. From there it will depend on patient motivation, of the dental team, the long-term preservation of optimal oral health. This lecture aims to present the latest results in the microbiome of supragingival plaque, to assess the needs, methods and techniques to control biofilm disruption of the interdental space and finally to analyze the impact of use of brushes calibrated on clinical parameters of populations' young adults
Biography:
Dr Santosh R Patil is currently serving as Assistant professor at College of Dentistry, AlJouf University, Kingdom of Saudi Arabia. He has got about 100 publications in various international and national journals. Has also authored many books in the field of Oral Medicine and Radiology
Abstract:
The responsibility of a clinician is not only to identify a particular condition but also to formulate proper treatment plan. Sometimes, consultations with or referred of the patient to physician is required so that not only the patients correctly managed and treated but also the clinician is medico legally covered. Understanding these problems will enable the clinician to treat the total patient and not merely the periodontal reflection of underlying disease. One of the commonly considered premedication is admistration of prophylactic antibiotics in patients with numerous medical conditions to prevent bacteremia. This presentation is a guideline intended to help the dental practitioners make decisions regarding antibiotic prophylaxis and also considering premedications in other conditions where the dental patients at risk.
Sana AlRaisi
General Dental Practice, UAE
Title: Do GDP use fluoride varnish in practice as a part of dental prevention? Fluoride and their use in dental practice
Biography:
Sana AlRaisi currently GDP in U.A.E has around 10 years of experience. She gained her MFDS from Royal College of Surgeon Edinburgh in 2013. She worked in DHA government sector, Before that completed her General Professional Training in Glasgow after graduating from Dundee University, Scotland UK 2005.
Abstract:
There are many Dental guidelines and recommendation for prevention of dental caries is providing many methods and their effectiveness in reducing the disease. Application of fluoride is widely researched, and the overall conclusion was that Fluoride is a natural mineral that have a potential of reducing dental caries. All evidence suggested if applied carefully and periodically to the tooth in the appropriate concentration taking into account patient age and weight believed to be safe and effective way in prevention of dental caries in both primary and permanent dentition. In this article will be reviewing the following subject.1) the history and the use of fluoride and how it alters the tooth structure and their effect on both primary and secondary dentition. 2) The different forms of fluoride available and how each contributes in reducing dental caries. 3) The controversy about the safety of using fluoride topically and systematically including fluorosis. 4) The forms of topical fluoride (varnishes, gels) can be used in dental practice and their availability in the markets further more how these can be delivered safely to the patient by the general dentist. General dentist should double their effort in order to change their current practice from delivering dental treatments only to focusing more on prevention of the diseases in the first place. So many ways and methods discussed in the literatures are proven their effectiveness and abilities reducing dental caries. Fluoride application is one way that general practitioners can easily deliver competently.
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Session Introduction
Fouad Abdulbaky Abduljabbar
Ministry of National Guard, saudi arabia
Title: Failure modes and prevention of NiTi rotary instruments
Biography:
Fouad Abduljabbar is a Consultant Endodontist. He is also a Director of Dental Supplies and Materials & Equipment of Endodontics department, Member of Dental Supplies & Materials &Equipment Committee and Clinical supervisor of Saudi board dental student and dental interns, Dental services, West Region, King Abdulaziz medical City, The ministry of National Guard, Jeddah, Saudi Arabia. He completed his Master of Dental Surgery and Clinical certificate in Endodontics, from The University of Hong Kong, 2009 and Bachelor of Dental Medicine and surgery from King Abdulaziz University, 2003. He has also published more than five papers in reputed journals and presented number of dental lectures, as well as dental courses in and out of Saudi Arabia
Abstract:
For 15 years, NiTi rotary instruments become an essential part of endodontics. Fractured instruments interfere the goals endodontic therapy. Instrument fracture may adversely affect the success rate of endodontic treatment. Many researches have been undertaken to understand the mechanisms of failure of NiTi instruments to minimize its occurrence. Factors related to clinician experience, technique, and competence have been shown to be influential. From an assessment of the literature presented and clinical cases, clinical recommendations are derived concerning prevention and management of this complication. The purpose of this presentation is to present points that clinical operators can take to reduce the risk of NiTi rotary instrument failure and prevent fracture during root canal preparation.
Mohammad Naebi
Zahedan University of Medical Science, Iran
Title: Detection of the size of periapical lesions using particle swarm optimization algorithm
Biography:
Abstract:
Aim: One of the major problems of clinicians in observing the progress of the lesion, is that they have to compare new X-ray radiographs of patients with previous ones to determine the changes of the size of the lesion, and this would be associated with interpretation errors. Using a smart system in detection of the exact size of periapical lesions, we have responded to this problem, in this work. The purpose of this paper is detection of the size of periapical lesions with processing image using particle swarm optimization (PSO)algorithm in the X-Ray Digital (XRD) images that facilitate conducting a more accurate diagnosis. Methodology : Particle swarm optimization, in principle, is a computing evolutionary technique and an optimization population-based method. This algorithm is based on examination of the color changes around the tooth roots in the XRD images. The color of the periapical lesions around un healthy tooth root is darker(Lucent)compared with that of the healthy tooth root (Opaque). Methodology of this algorithm on XRD image is to investigate the color changes around tooth root and to show the size of periapical lesions. The difference between this study and previous ones iscomputation of the color changes by image processing algorithm for diagnosis of the size of periapical lesions. Results: After running the algorithm, if the lesion is apical root around, PSO algorithm can recognize size of periapical lesios and identify its location. Conclusions: This algorithm provides useful and successful results for the presented tests and experiments. Using this algorithm, it is possible to save time, reduce errors, and have a more accurate diagnosis. Among the potential applications of this algorithm is to intelligently help dentist robots, which will be used in the future.
Mohammed Shawki Hafez
Pharos University of Alexandria, Egypt
Title: Regenerative Endodontics:The future of RCT
Biography:
Mohammed Shawki Hafez has completed his master’s degree in endodontics and works as teaching assistant in Endodontic department - Pharos University of Alexandria (www.pua.edu.eg) and the head of continued education program of the faculty. He is a candidate for phd degree in endodontics from Tanta University. he also is interested in implants and earned Fellowship and membership from the International Congress of Oral Implantology ICOI –USA. He owns a private clinical practice (Al-Araak Dental and cosmetic center). He have been one of the organising committee for Alexandria International Dental Congress “AIDC†since 2004 and Pharos International student.
Abstract:
The regeneration or replacement of oral tissues affected by inherited disorders, trauma, and neoplastic or infectious diseases is expected to solve many dental problems. Within the next 25 years, unparalleled advances in dentistry and endodontics are set to take place, with the availability of artificial teeth, bone, organs, and oral tissues; as well as the ability to stimulate endodontic regeneration , replace diseased tissues produce vaccinations against viruses , and genetically alter disease pathogens to help eradicate caries and periodontitis. Regenerative endodontic procedures can be defined as biologically based proce- dures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex. The objectives of regenerative endodontic procedures are to regenerate pulp-like tissue, ideally, the pulp-dentin complex; regenerate damaged coronal dentin, such as following a carious exposure; and regenerate resorbed root, cervical or apical dentin.
Seyed Amir Mousavi
Isfahan University of Medical Sciences, Iran
Title: Effect of cryogenic treatment with nitrogen on cutting efficacy of HERO files
Biography:
Abstract:
Introduction: Many efforts have been made to improve Ni-Ti alloy for endodontic use and it has been shown that surface properties and thus cutting efficiency of the rotary files can be improved by processes such as electro-polishing, ion implantation and surface coating. The aim of this study was to evaluate the effect of cryogenic treatment on cutting efficiency of Ni-Ti rotary files. Materials and Methods: In this in vitro study, 60 Ni-Ti rotary instruments (Hero 642, #25, 0.04 taper) were selected and divided into 3 groups of 20. In group I no treatment was used. In group II the instruments were subjected to a deep cryogenic treatment in liquid nitrogen pool (-196°C) for 24 hours and after treatment were immediately tested for cutting efficiency. In group III after cryogenic treatment the temperature of the samples was raised slowly to room temperature for 24 hours. A new piece of test equipment was designed and used. The instruments were attached to the testing machine and rotated in Plexiglas samples for 10 seconds in a working length of 16 mm. The depth of grooves and weight loss of Plexiglas were measured after instrumentation. One-way and two-way ANOVA were used to compare the means of cutting efficacy between the three groups at 95% confidence interval. Results: The instruments which were immediately tested for cutting efficiency had significantly more weight loss and deeper grooves (pweight < 0.001; pgroove = 0.022), indicating better cutting efficiency. However, there was no significant differences between group I and group III in cutting efficacy (p weight = 0.23; p groove = 0.61). Conclusion: The results of this study showed that the surface properties of Ni-Ti alloy could be improved by the cryogenic treatment for a limited period of time after treatment, increasing the cutting efficiency of Ni-Ti rotary instruments. Key words: Plexiglas, Nickel-Titanium alloy, Root canal therapy
Mostafa Anwar
The British University, Egypt
Title: Evaluation of Single File Concept in Retreatment of Endodontically Treated Teeth
Biography:
Abstract:
Introduction: In this study OneShape file (OS) was compared to R-endo file (RE) in retreatment of endodontically treated teeth in terms of time required for completion of retreatment procedure and amount of remaining gutta percha on root canal dentin. Methods: Sixty mandibular mesio-buccal canals with angles of curvature between 15 and 45 were prepared using protaper universal rotary files then obturated using guuta-percha and AH-plus sealer. Canals were then divided equally into 2 groups according to the retreatment system. Time required to reach the full working length and for complete removal of gutta-perha were meaured during retreatment procedure using a digital stopwatch. Also the amount of remaining guuta-percha on the root canal dentin was measured using Stereomicroscopic images analyzed by Image J software
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Session Introduction
M Kirthiga
Syamala Reddy Dental College, India
Title: Aberrant dental morphological details in 6-10 year old school children in Indian population - A cross sectional survey
Biography:
He had completed his postgraduation from COLLEGE OF DENTAL SCIENCES, DAVANGERE, INDIA in 2014. Have been ranked 8th in post graduation exams in the university of Karnataka. He had been nominated as the best post graduate student for the year 2014-15 in INDIA. Have presented 5 papers in national and international conferences. 4 publications in international journals. delivered one guest lecture in SRI RAMACHANDRA UNIVERSITY, CHENNAI, INDIA.
Abstract:
Background: Variations in the structure of teeth have always been of great curiosity to the dentist from the scientific and practical point of view. Aim: To evaluate the prevalence of a few aberrant morphological features namely cusp of carabelli in primary second molar and in permanent first molar, five cusp in primary second molar and permanent first molar, shoveling and double shoveling with respect to permanent central incisors, four cusped primary second molar and permanent first molar, six cusped primary second molar and permanent first molar, seven cusped primary second molar and permanent first molar in 6-10 year old children belonging to East Bengaluru, a city in India. Design: A cross sectional survey was conducted among 2111 children by two stage sampling method. Class III examination was performed. The findings were subjected to chi-square test. Results: 83.8% of the studied population had one or more of the variations checked for. The variation most commonly seen was double shoveling (66.6%) followed by shoveling (65.7%). No significant results were observed in any trait with respect to gender. Conclusion: This study is the first of its kind, providing a baseline data of the prevalence of morphological details in the pediatric Indian population. KEY WORDS: prevalence, morphological variations, school children.
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Session Introduction
Nora Al-Nomay
King Saud Bin Abdulaziz University, Saudi Arabia
Title: Principles of Ethics in dental research and practice
Biography:
Dr Nora Saleh has done her Bachelor of dental and oral surgery from King Saud University Riyadh followed by her post-graduation in Periodontics and certification in clinical practice in 1999; she did her master in Bioethics from King Saud Bin Abudulaziz University of Health Affairs in 2015. Her master’s research was titled “Knowledge, Attitude, and Practices of Clinical Investigators in Saudi Arabia toward Compliance with (ICH-GCP Standards) Ethical guidelinesâ€. Her research interests are in determinants and management of periodontal diseases and in ethics in dental and Islamic ethical studies. She is working as an Assistant professor and also as a consultant in ministry of National Guard, and the College of Dentistry, King Saud Bin Abdulaziz University since2011. She has membership in religion affair department and she is also a member of Dental Public Health Committee since2004. Her voluntary activities include her work as religious mentor in religion affair department. She has attended many conferences both national and international to present her papers.
Abstract:
The practice of dentistry has changed in ways that highlight the relevance of ethical issues. People come to dentists for help with some of their most pressing needs - relief from pain, suffering and restoration of oral health and well-being. Although compassion, competence and autonomy are not exclusive to dentistry, the practice of dentistry requires dentists to represent these values to a higher degree than in other occupations, particularly when managing patients with severe pain or when dental procedures requires patients to tolerate high levels of anxiety and discomfort. The Objectives of this presentation is describe the meaning and importance of ethics in the context of dental practice and research, outline principles of ethics and code of dental professional conduct. In addition this presentation provides knowledge that will help audience differentiate between ethical and legal issues in dentistry and list characteristics of professionalism among dentists. This lecture would be of interest to participants who seek a better understanding of ethical guidelines and protocols, particularly those focusing on dental practice and research
Suman Panda
Jazan University, saudi arabia
Title: Diabetes in the Young and their Oral Health: A Significant Overview
Biography:
Dr. Suman Panda has completed his MDS in Pedodontics and Preventive Dentistry from the esteemed Christian Dental College, CMC, Ludhiana in the year 2005. Presently, he is working as an Assistant Professor and Coordinator, Department of Pedodontics, College of Dentistry, Jazan University. He has been a guest Speaker in several Conferences and has participated in various National and International Conference.
Abstract:
Diabetes, one of the most common non communicable diseases (NCDs) affecting the human population worldwide, is caused by the malfunction of insulin dependent glucose and lipid metabolism. It presents with the classical triad of symptoms i.e polydipsia, polyuria and polyphagia sometimes accompanied by chronic fatigue, irritability and weight loss. Several oral health problems are associated with diabetes. Periodontal disease as concomitants of diabetes is a widely accepted phenomenon that has been shown in numerous studies both for Type I and Type II diabetes. However, it is imperative to understand that other oral manifestations should not be ignored as caring for them will improve the oral health, thereby contributing directly to the quality of life of the affected children or the young adult. These include, Cheilosis, Tooth loss, Dental caries in poorly controlled diabetes, Altered microbial flora of the oral cavity etc. An effort is also made to formulate a plan for an individualized therapeutic alliance among the patient and family, the physician and other members of the health care team including the family dentist and dental hygienist, and the nutritionist.
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Session Introduction
Saima Akram Butt
Ishrat-ul-ebad Khan Institute of oral health sciences, Pakistan
Title: Microbiological evaluation of dental unit water systems in teaching hospitals in Karachi Pakistan
Biography:
Abstract:
Objectives: The microbial quality of water in dental unit water system (DUWS) is of considerable importance because patients and dental staff are regularly exposed to water and aerosol generated from the dental units. The objective of this study is to evaluate the DUWS in teaching hospitals and to determine the total viable count and the different species of micro-organisms present. Methods: Water samples were taken from ten different dental units from each of the four dental teaching institutes. The samples were collected from the distal outlet of the 3-in-1 syringe. Analysis was done using spss version 16 Results: The mean TVC value for all the water samples was 2.843 log CFU/ml. multiple colonies of micro-organisms were isolated including Klebsiella pneumoniae and the opputunistic pathogens such as Legionellae Conclusions: The study emphasizes the need for effective mechanisms to reduce the microbial burden within DUWS and highlights the risk of occupational exposure and cross infection in dental practice.
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Session Introduction
Yasmine Farouk
Nahda University, Egypt
Title: Salivary Carbonic Anhydrase and some salivary factors as biomarkers of caries risk in children
Biography:
Abstract:
Aim of the study: to assess the role of carbonic anhydrase and salivary PH and some buffering system components (phosphate buffer concentration) as well as, salivary flow rate in both stimulated and unstimulated saliva as caries biomarkers in children with high and low caries index. Materials and Methods: The study included 120 children divided equally between two age groups 3-5 and 13-15 years. The two groups were divided according to caries risk into two subgroups; low and high caries risk groups. Two samples were taken from each child; saliva – un-stimulated and stimulated. Salivary carbonic anhydrase activity, as well as flow rate, PH value and phosphate buffer levels were estimated in both groups of saliva samples. Results: The investigations showed significantly higher carbonic anhydrase activity (p < 0.001) in both saliva samples in low caries risk group compared to high caries risk one. In children with low caries risk, both unstimulated and stimulated saliva show significantly higher phosphate buffer concentrations (p < 0.001), as well as PH values. Conclusion: The results suggest that salivary carbonic anhydrase activity represents a valid biomarker for the estimation of risk for caries incidence in children. Key words: Salivary biomarkers, carbonic anhydrase, caries risk.
Fouad Salama
King Saud University, saudi arabia
Title: Infant Oral Health for Health Care Professionals
Biography:
Abstract:
We hypothesize that viewing educational presentation with video will provide health care professionals with instructive information on infant oral health (IOH). Therefore, the purpose of this study was to evaluate an IOH education program for family medicine residents and dental interns and to assess if this intervention would improve their knowledge regarding the provision of IOH assessment. A questionnaire was completed immediately before and after an educational intervention. We concluded that the educational intervention used to educate family medicine residents and dental interns was effective in improving their knowledge and teaching them basic information on IOH. The study methods will be explained including the participants who were family medicine residents and dental interns. The intervention in the form of a PowerPoint presentation and video of IOH for health care providers will be presented in details. Understanding of an Infant first visit to dentist and explanation of the components of dental home and anticipatory guidance will be discussed. Caries risk assessment and diet practice as well as the importance of perinatal oral care will be reviewed. Periodic examination and prevention as well as oral hygiene practice and fluoride application will be presented. Assessment in the form of a questionnaire will be explained and the 16 questions (true/false/don't know or multiple choice) questionnaire which was based on the information presented in the lecture and video will be presented. Six questions were added to the post test to ask whether participants thought the presentation was helpful in improving their knowledge and if they plan to use it in their practice. Summary of the results will be presented. For family medicine residents, there was a significant difference between the pretest and post-test scores (P<0.001). The mean score on the pretest was 10.03 (+/-1.79 SD), and the mean score on the post-test was 13.08 (+/-1.40). Thirty-four (92%) reported they were very likely to incorporate this information into their daily practice. For dental interns, there was a significant difference for the correct answers between the pretest and post-test scores (P<0.001). The majority reported the presentation was helpful in improving their understanding of IOH and were very satisfied with the presentation. Also the majority reported that the presentation was very effective in teaching them about IOH and they were very likely to use and incorporate this information into their daily practice.
Ummi Arifach
Padjadjaran University, Indonesia
Title: The DMF-T Index For The Apprentice Of Sukamiskin’s Youth Correctional Institution in Bandung City
Biography:
Ummi arifach has completed undergraduate dentistry education program in 2015 at Padjadjaran University . She is a young dentist / Co –ass at Dental Hospital of Padjadjaran University.
Abstract:
Caries is one of the most common disease in oral cavity. It could might be happen to anyone and including in this case, The Apprentice of Correctional Institution or Convicted Child. The apprentice of correctional institution is a child below 18 years old which are already convicted by the court to serve out detention in Youth Correctional Institution. The apprentices have the same right as normal kids including health facilities. Their oral health in caries cases can be determined using the DMF-T index.The DMF-T index describes a level of permanent damage or decay. Sampling technique for the DMF-T index is a simple random sampling. The amount of samples decided by Slovin’s Methods for 66 person. The inspection for sampling is being held at Sukamiskin’s Youth Correctional Institution, Bandung City. The outcome of this investigation showed that DMF-T index is 4,83. The D-T component is the biggest contributor of this index with scale of 4,79. Followed by M-T component with scale of 0,03 and F-T component with scale of 0,01. The conclusion of this study is shown that the DMF-T index from Sukamiskin’s Youth Correctional Institution in Bandung City, are classified to high category.