Day 2 :
Keynote Forum
Ahmad A. Kanaan
Medical Director, Dr. Sulaiman Al Habib Medical Center, Saudi Arabia
Keynote: Some of the latest updates in dental implant
Time : 09:00-09:30
Biography:
Dr. Ahmad Kanaan has completed his doctor of Dental Surgery from the University of Detroit Mercy in 1996. Following his graduation, he completed a 3-years fellowship in dental implant and research at the Veterans Affair medical Center in Detroit, Michigan. He also completed a Masters of Science in medical research from Wayne State University in 1999. Dr Kanaan earned a Fellowship from the American Academy of General Dentistry and a diplomate in implant from the International Congress of Oral Implantology. He has conducted many research and published some in the field of implant dentistry. He is part of the implant design team in few implant companies. He lectured in many part of the world.
Abstract:
The field of Dental Implantology is constantly developing. Since the discovery of the biocompatibility of titanium in replacing teeth, there has been many improvement in the implant surface and design. These improvements has changed the osseointegration and made it faster and more predictable. The extraction of a tooth and immediate implant placement became new standard in implant dentistry now a days. Many studies shows high success and osseointegration of the implant surface in these immediate implant treatment. Nano technology was introduced in many fields, from computer chips, to medical industry and now in dental field. It started in dental material like composites and now it is in dental implants. We will review the history of early implant treatment until we land to the latest technology and review what is in the pipe line of implant innovation.
Keynote Forum
Ali Nankali,
Programme Lead, Barts and London School of Medicine and Dentistry
Keynote: The impact of CPD hands-on courses on practitioners’ skills, Cavity preparation
Time : 10:00-10:30
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 / consultant 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:
Aim: Cavity preparation is one of a daily dental practitioners’ involvements, hence clinicians should be confident for their preparations and achieve an appropriate designed cavity for planed restorations. This research was done to assess the strength of cavity preparations and avoid iatrogenic damages.
Methods: In 2015, six full-day “lectures – hands on” CPD courses delivered by eWisdom (London Deanery) at Barts and Dental Institute at Queen Mary University were dedicated for this study. 206 cavity preparations were observed and analysed to work out the most common existing issues and was tried to find appropriate solutions. About 12 practitioners attended each course with a minimum two cavity preparations by each individual, which was analysed and discussed accordingly. The main problem was detected on opening the contact area for the posterior teeth both for direct and indirect visions. Another main noticed issue were the differences in preparation accuracy between buccal and lingual/palatal side related to the sizes and axial wall angles. In this study number of factors such as: postures, visions and burs were determined to observe the deviations in achieved outcomes.
Results: The study demonstrated the impact of the “lectures – Hands on” CPD courses on outcomes. In addition, it illustrated that practitioners, who have difficulties in cavity preparations, can be divided in three groups: one group are those who not aware about their weaknesses, the second group they know about the issues yet they know the reason, and the third group they aware of the issues and they just need some appropriate more practice preferably under supervision. More interestingly, it was experiential that after finding the reasons of making mistakes, most of practitioners adjusted their work dramatically which approved the impact of this type of course.
Conclusion: Dental laboratories are one of the best places to help practitioners their weakness to improve, furthermore it will help educational systems to understand the clinicians needed.
Keynote Forum
Anka Letic
Professor of Oral Medicine, Univeristy of Milan, Italy
Keynote: Multidisciplinary oral rehabilitation in economically aggravated patients
Time : 9:30-10:00
Biography:
Anka Letic has completed her PhD at University of Belgrade, Serbia and Post-doctoral studies at Hammersmith Hospital, London, England. She worked as University Professor in Belgrade, Serbia, Fukuoka, Japan and Ras Al Khaimah. She has published five books and more than 45 papers in reputed journals and has been serving as an Editorial Board Member of repute journals. Her research interest includes “Synthetic bone substitutes for guided bone regeneration”. She is a Scientific Expert for European Commission in Horizon 2020 and Eurostar programs. Presently, she works as Dental Clinicians at International Dental Clinics in Rome and Milan, Italy.
Abstract:
The oral rehabilitation treatment aims to return esthetics, function, comfort, phonetics and health to the patient. Oral treatment requires careful planning, according to the biological and mechanical principles that rule contemporary dentistry. Complex clinical cases of oral rehabilitation require interdisciplinary treatment with the need for orthodontic treatment, endodontics, implants and prosthetics. This work describes multidisciplinary clinical cases of oral rehabilitation involving orthodontics, endodontics, periodontics, surgery, implant insertion and aesthetic restorative dentistry, with an implant-supported prosthesis approach. Therefore, it is crucial to gather the greatest quantity of data to determine the role that every single element can play in the prosthetic rehabilitation of the clinical case. Dental implants have been established as long-term supports for tooth replacements, and they have profoundly altered treatment concepts of traditional prosthodontics. The purpose of this lecture is to appraise tooth preservation in a different manner while considering implants as additional and even preferred support mechanisms for dental prostheses. Dental health situation can be associated with negative child and family experiences and lower oral health-related quality of life (OHRQoL) across all social groups; yet, families facing greater disadvantage may report lesser quality-of-life impact at the same level of disease experience. Thus, subjective quality-of-life measures may differ under varying social contexts, with possible implications for service utilization, evaluating oral health interventions, or quantifying disease morbidity in low socioeconomic status groups. This has implications in the support for partial or complete removable prostheses and the placement of dental implants.
- 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.