Day 1 :
Keynote Forum
Ridwaan Omar
Professor and Head of Prosthodontics, Kuwait University, Kuwait
Keynote: Limiting treatment goals in prosthodonticsRehabilitation of the worn dentition: Are there alternative approaches to the traditional one?
Time : 9:15-9:45
Biography:
Professor Ridwaan Omar obtained his academic and professional education at Guy’s Hospital Dental School, University of London and the Eastman Dental Institute, Unuiversity of London. He is the Head of Prosthodontics and serves as Vice Dean for Academic and Clinical Affairs. He has published more than 60 papers in reputed journals and has been serving as an editorial board member of several scholarly international journals repute.
Abstract:
Tooth wear has for long received much attention in an anthropological context. In contrast, the dental literature had afforded it less attention – until about the mid-1990s, when reports began appearing about the very high prevalence, in children and in adolescents, of tooth wear, due in the main to dental erosion. These findings appear to have triggered a strong interest in the subject, and over the past 10 years approximately 1500 publications have appeared in the PubMed database using the search terms "tooth erosion" OR "tooth abrasion" OR "tooth attrition". This represents a 50% increase over the preceding decade, in research covering the various areas of the field.
This presentation will briefly highlight some of the key areas of current interest, including topics such as mechanisms of wear, diagnosis, effects arising from systemic diseases – but in the main the focus will be on the different aspects of the management of the worn dentition.
From the traditional invasive approach to managing tooth wear, treatment nowadays is increasingly aimed at correcting or improving the effects of wear by a minimally-invasive nature. Therapeutic approaches, including novel ones arising from the rapid developments in dental materials science, will be reviewed. The need for more clinical trials on these newer approaches will be stressed.
Keynote Forum
Rafael L F Figueiredo
President of the Canadian Association of Public Health Dentistry, University of Alberta, Canada
Keynote: Emergency department visits for dental problems not associated with trauma in Alberta, Canada
Time : 9:45-10:15
Biography:
Rafael L F Figueiredo worked as a Researcher and an Instructor at University of Toronto, Faculty of Dentistry. He completed his MSc in 2011 and a Dental Public Health Specialty Degree in 2014 at University of Toronto. He has certification in Dental Public Health from Royal College of Dentists of Canada. He is an Assistant Adjunct Professor in Department of Dentistry, University of Alberta. In 2016, he became the President of the Canadian Association of Public Health Dentistry (CAPHD).
Abstract:
Aim: Emergency department (ED) visits for dental problems not associated with trauma (DPNAT) represent inappropriate utilization of health care resources increasing the economic burden on the health care system and affecting the quality of care delivered. The objective of this report is to describe the frequency of ED visits for DPNAT in Alberta, Canada.
Methods: ED visits for DPNAT (January 2011-April 2016) were identified using the codes from the International Statistical Classification of Diseases (ICD-10-CA). The data were gathered from the National Ambulatory Care Reporting System (NACRS) database and from the Alberta Real Time Syndromic Surveillance Net (ARTSSN). The information gathered was related to the primary diagnosis of the discharge disposition of the visits.
Results: A total of 147,357 ED visits for DPNAT in Alberta. The visits were made by 111,362 individuals representing 1.3 visits per person. The most prevalent primary diagnosis of ED visits for DPNAT was for diseases of pulp and periapical tissues (K04), such as periapical abscess, 45.0% of the visits, followed by disorders of teeth and supporting structures (K08), such as toothache (18.8%). The majority of the visits were made by patients from 20 to 44 years old (52.2%). ED visits for dental problems were more common than other general health conditions such as diabetes and asthma.
Conclusion: The frequency of ED visits for DPNAT suggests barriers faced by the population in accessing dental care resources especially for urgent dental issues. Policy efforts and political will are needed to provide alternative options for seeking emergency dental care.
Keynote Forum
Julietta V. Rau
Head of the Research Group at Institute of Structure of Matter, National Research Council, Rome, Italy
Keynote: Innovative nanostructured biomaterials for hard tissue implants
Time : 10:15-10:45
Biography:
Julietta V. Rau is Head of the Research Group at Institute of Structure of Matter-Italian National Research Council, Rome. She is an Author of more than 110 publications in international journals. She is Chair and Organizer of the biennial BioMaH “Biomaterials for Healthcare” international conference, member of international scientific committees of various international conferences and Editorial Board Member of several international journals. Her research interests include “Innovative biomaterials for regenerative medicine, bioactive nanostructured coatings for dental implants and cements for hard tissue applications”.
Abstract:
For early biomaterials, it was required to have a combination of physicochemical properties, suitable to replace human body tissues and to be biologically inert. Recent advances in cellular proteomics and genomics paved the way to the 4th generation of biomaterials, known as biomimetic and smart, and to their application in regenerative medicine. Titanium is extensively used for dental implants due to its outstanding mechanical characteristics and acceptable biocompatibility. However, properties of (metal implant/native hard tissue) interface can be improved, if titanium is properly treated and/or coated by bioactive materials, with the scope to optimize the long-term characteristics of implant and to elicit an improved cellular response. Among bulk materials, scaffolds, coatings and cements, doped calcium phosphates and glass-ceramics are investigated. Substituted calcium phosphates can endow coatings with particular properties from antibacterial to the magnetic one whereas, the focus point of bioactive glass-ceramic materials is their ability to continuously exchange ions with physiological liquids and to release appropriate trace elements stimulating cellular response, aimed to activate genes responsible for osteogenesis and tissue regeneration. The results of the present study suggest that novel nanostructured coatings can be particularly relevant for new strategies in tissue regeneration and replacement, ensuring necessary structural, chemical, morphological and mechanical characteristics, and improving the osseointegration of dental implants. Following the requirements of the modern biomedical technology, the novel research strategies in biomaterials field are nowadays directed towards biomaterials possessing characteristics suitable for drug delivery and for the controlled release of active principles, especially against infections.
- Dental Surgeries and Innovation, Oral and Maxillofacial Surgeries & Innovations, Oral Cancer and Dental Hygiene
Location:
Chair
Ridwaan Omar
Professor and Head of Prosthodontics, Universithy of Kuwait, Kuwait
Co-Chair
Julietta V. Rau
Head of the Research Group, Institute of Structure of Matter, Italian National Research Council, Italy
Session Introduction
Federico Rosti
University of Pavia, Italy
Title: Easy-method for indirect bonding
Biography:
Federico Rosti has completed his Master of Science in Dentistry in 2007 from and in 2011 he completed the postgraduate in Orthodontics from University of Pavia School of Medicine. His research interest includes class 2 corrections, impacted canine, lingual orthodontics, friction analysis.
Abstract:
Easy method for indirect bonding: Brackets positioning is the most important phase in fixed orthodontics. Accuracy in bonding phase allows reaching easily a correct tooth position and decreasing the need of repositioning brackets. Indirect bonding allows transferring the right bracket position from model casts to patient's teeth. This technique has several advantages: best comfort during in office practice, better brackets positioning, less root resorption due to round tripping and shorter appointments for bonding and rebonding. The aim of this work is to illustrate a simple and homemade technique to realize a PVS mask with a thermal-print coat to transfer bracket position from cast to the patient's teeth. While indirect bonding is recommended in vestibular bonding, it is necessary in lingual orthodontics because of the need of extra skills to bond bracket in the palatal side of the teeth. You can also customize bracket's base with composite resins to correct morphological anomalies, reducing the need of wire bending. This method of indirect bonding is simple and allows physicians to reach, after a short learning curve, good clinical results.
Emanuele Zavattero
University of Torino, Italy
Title: Intraoperative navigation in oral and maxillofacial surgery
Biography:
Emanuele Zavattero has completed his PhD at Torino University. He is pursuing his Post-doctoral studies at Torino University, Division of Maxillofacial Surgery. He has published more than 45 papers in scientific international journals. His research interest includes Navigational Surgery and Coputer-Assisted Surgery.
Abstract:
Aim: Aim of this study is to explore the indication and application of intraoperative navigation in cranio-maxillo-facial surgery. This study introduces our experience with the use of navigational techniques and summarizes its advantages in the oral and maxillofacial field.
Patients & Methods: 64 (105) patients including 88 zygomatic-orbital-maxillary fractures, five craniofacial fibrous displasia, five midface tumors, six chronic sinusitis and one case with facial foreign body were enrolled in the study. CT scans were performed and data imported onto the navigational platform (Brainlab, iPlan ENT-CMF 3.0) to plan the operation. The osteotomy lines, amount and range of resection, the reduction position of bony segments and the position and shape of the implants were determined and displayed by preoperative simulation with mirroring and virtual procedures. All operations were performed under the guidance of navigation system (Brainlab, Germany). The postoperative control was obtained for each patients by image-fusion, superimposing the preoperative CT dataset with the virtual template onto the postoperative CT dataset.
Results: All operations were performed successfully with the guidance of real-time navigation. Through registration, an accurate match between the real anatomy and the CT images was achieved (mean error < 1 mm). Good coincidence between virtual simulation and surgical result was achieved in all cases. All patients healed uneventfully and function and profile was improved significantly.
Discussion & Conclusion: Several studies in cranio-maxillofacial surgery have addressed the benefit and outcome improvement of computer-assisted surgery. In oral and maxillofacial surgery the demands for precision, optimal function and aesthetic results are high and the complex and distorted anatomy with loss of anatomic landmarks makes this type of surgery particularly difficult. The intraoperative control is achieved by real-time instrument tracking during surgery, keeping in mind that registration techniques used is a key element in precision of surgical navigation. To conclude, computer-assisted preoperative planning and surgery thus advance the difficult surgical field of orbital surgery and computer-assisted surgery should be practiced as part of the surgical routine of posttraumatic and primary orbital reconstruction.
Mohammad Taghi Baghani,
Shaahed University, Iran
Title: Clinical comparison between free gingival graft healing with and without low level laser therapy
Biography:
M T Baghani has completed his DDS at Shahid Beheshti University and he is pursuing his Post-doctoral studies in Prosthodontics at Shahed Dental School. He has published five papers in reputed journals.
Abstract:
Background: Free gingival graft is one of the most predictable procedures for gingival augmentation, but patients discomfort and pain during healing period of palatal donor site is a significant concern.
Aim: The aim of this study was to compare between free gingival graft healing with and without low level laser therapy in class one and two miller gingival recession clinically.
Material & Methods: 12 individuals needing bilateral gingival graft in the mandibular arch were enrolled in a double-blind study. Each individual had a 30-days interval between the two surgeries. The side receiving application of laser was defined as test side and was established upon surgery; laser application was simulated on the control side. The laser was applied in the immediate postoperative period and after 48 hours, and patients rated pain on a scale of 0 to 10 at 3 h, 24 h and 7th day after surgery, representing their experience of pain, respectively. Photographs were obtained at 0 and 30 days postoperatively and evaluated by three periodontists.
Results: 10 patients could make the study to the end. Laser group showed better color matching (P=0.04, P=0.05, P=0.015) and healing in donor site (P=0.000) in day 7, 14 and 21 after surgery and showed less discomfort and pain in 24 h (P=0.007). No statistically differences were observed between laser group and control group in terms of bleeding index and pocket depth and gingival index and gingival margin place (P=0.625).
Conclusion: According to the results of this study, the low level laser therapy can improve the discomfort and pain 24 h after surgery and promote donor site wound healing and color matching in graft site.