Day 1 :
Keynote Forum
Kashif Hafeez
Royal College of Surgeons, UK
Keynote: Dental implants, when is the right time to graft?
Time : 10:00-10:30
Biography:
of Surgeons, Edinburgh. He has completed his Post-graduate certifi cate in Medical and Dental Education from Oxford Brookes University. He has special interest in Oral Surgery and Dental Implantology and is practising as visiting Implantologist to various practices. He has been a Post-graduate Dental Foundation Trainer for Oxford Deanery from 2010 to 2015 and due to his passion for quality in education he has been appointed as Examiner for Royal College of Surgeons Ireland and Royal College of Surgeons Edinburgh. He teaches at the M Clindent programme, City of London Dental School, BPP University and lectures internationally on Oral surgery and Dental Implantology. He has been presenting his scientifi c work & research at prominent International Dental Conferences. He serves as an advisor & expert for GDC UK. In addition, he serves as Editorial Board Member for Porodental CPD and visiting teaching faculty abroad. He was honoured with the Best Dentist award by APPS UK in 2013.
Abstract:
Dental implants play predictability due to their high treatment cost and sky-high patient demands. Th e patients who require bone graft ing for dental implants are either complex from the very start or they are rendered complex by our planning and execution of the dental treatment. Th e treatment planning in dental implantology starts very early even before the extraction of the off ending tooth. In predictable cases if we have planned the journey of the patient correctly the need for bone graft ing remains basic and the whole procedure is minimally invasive. In complex dental implant cases bone graft ing is paramount in achieving the high success rates what we are proud of today. It enables us to place implants in the bony envelope and achieve maximum osseointegration. On the other hand, it increases the complexity of the treatment and raises the cost; especially autograft s leads to another surgical site and can prove difficult for the patients to accept. Th e amelioration in the graft materials has given us the liberty to choose the materials of diff erent signifi cance and apply them according to our needs. ‘A stitch in time saves nine’ is the hypothesis in bone graft ing and dealing with complex cases. Decent treatment planning and to predict the right time for bone graft ing is our most important job and the preservation of bone levels at the time of extraction or initial surgery saves a lot of hassle aft erwards. Th e speaker will share his experience for using diff erent graft materials and he will focus light on the procedures of predictable bone graft ing. Th e invasiveness of the procedure can be signifi cantly reduced by suitable planning and bone graft ing at the appropriate time. Learning objectives include: To understand the need for bone graft ing; to appreciate the indications of diff erent graft materials; to fi gure out the technique to reduce the complexity of the treatment; how can we maintain the bone levels during dental implants treatment? and; How can we tackle difficult cases of bone grafting?
Keynote Forum
Adam Nulty
Implant Dental Surgeon, UK
Keynote: 21st century implants planning and restoration with 3D imaging & 3D printed drill guides: The guide to accurate and aesthetic implants
Time : 10:30-11:00
Biography:
Adam Nulty (BChD, MJDF, RCS, EngPGCert and MSc) is an Implant Dental Surgeon and has special interest in Restorative and Aesthetic Dentistry. He is a Practice Principal for Dentist on the Rock, Lecturer & Mentor Online for MSc Restorative & Aesthetic Dentistry at Manchester University & Healthcare. He is also Learning, Lecturer & Mentor for Osstem & BAIRD one year Implant Course and Lecturer & Mentor for Nobel Esthetic Alliance Course. He has become a highly experience and motivated Clinician by increasing his knowledge and experience in Post-graduate education for many years. He has a special interest in Restorative & Aesthetic Dentistry and Implantology. He helps to teach on the Restorative and Aesthetics Masters program as well as the BAIRD 1 year Implant Course. He has been the winner of several industry awards like Best Young Dentist 2015, 2014 Best Health & Beauty Provider and two 2015 Aesthetic Dental Awards for Removable Orthodontic Appliance and for a Patient Choice Facial Aesthetics Case.
Abstract:
With current technology Implant Surgeons, Restorative Dentists and technicians are now able to use low dose, cone beam CT data to produce precise drilling templates to help with implantation of any brand of implants. This talk will help the listener determine the optimal implant position, taking the existing bone as well as the planned prosthetical position into account. Simplifying the treatment planning with a clear treatment strategy not only benefits the oral health of the patient but the dentist can save treatment time and prevent many of the risks that are associated with implant treatment. After this digital template is validated by the dentist via the software, the surgical stent is created by a 3D printer. Because the complete treatment plan is made digitally before the procedure, in some cases it can make sense to prepare a provisional restoration using the template beforehand. Previously, it was considered unneeded or an excessive X-ray dose to use CAD/CAM guides in immediate implant cases but with the accuracy now available, this is no longer the case as the treatment plan is predictable and the provisional are accurate. The second part of the talk will discuss the use of digital implant planning to create a provisional crown with composite contouring of a stock abutment to maintain gingival size and shape leading to the ultimate in tooth replacement aesthetics.
- Periodontics | Restorative Dentistry | Dental and Oral Health | Oral and Maxillofacial Surgery
Chair
Adam Nulty
Implant Dental Surgeon, UK
Co-Chair
Wan Zaripah Wan Bakar
Universiti Sains Malaysia Health Campus, Malaysia
Session Introduction
Lamia Abi Aad
Lebanese University, Lebanan
Title: Musculoskeletal Disorders among Lebanese Dentists
Time : 11:20-11:50
Biography:
Dr. Lamia Abi Aad graduated in 1984, obtaining her License in Dental Science (LSD, Doctor) from the faculty of dentistry at the Free University of Brussels (ULB) in Belgium. She received her post graduate degrees “Diplôme d'Etudes Supérieures Spécialisé” (DES) in Oral Biology in 2007 and her Diplôme d'Etudes Supérieures (DESS) in Community Oral Health and Epidemiology from the Lebanese University Beirut in 2009. Dr. Lamia Abi Aad has 30 years of experience in restorative and aesthetic dentistry and runs her own private dental clinic since 1985 in the center of Beirut. In addition to that she works at the health center of the Internal Security Forces of Lebanon, is mentor for fourth year students at the Faculty of Dentistry and teaches Public Health at the Lebanese University Beirut (LUB). She is also working in prevention and promotion of dental health in the community (schools and associations). She published several scientific articles on epidemiology studies, including surveys of dental practice of Lebanese dentists. Further Dr. Abi Aad is member of the Lebanese Dental Association (LDA) and founder of the ADDUB (Association of Lebanese Dentist graduated from Belgium Universities) and UNIBEL (Association of Lebanese graduated from Belgium Universities).
Abstract:
Objective: Dentists are exposed to musculoskeletal disorders, which are related to the work environments. Th e objective of this survey is to determine the prevalence of MSD among dentists in Lebanon. Materials & Methods: A questionnaire was distributed by the authors to the participants during the congress of the Lebanese Dental Association in September 2013. Th e recorded data was analyzed with SPSS 20. P-value<0.05 was considered to be statistically signifi cant.
Results: 219 dental practitioners participated in the study of which 92.7% suff ered from MSD and 40% had a prevalence of at least one MSD symptom over the past 12 months. Most common areas aff ected by MSD in order of magnitude were low back (61.8%), neck (51.5%), shoulders (39.5), fi ngers (14.1%), wrist (11.8%), and elbow (8.6%). Neck pain was related to the working hours per day. Females had a higher frequency than males in the most area. Permanent pain is inversely proportional to the physical activity. Conclusions: High prevalence of MSD exists among our dental practitioners aff ecting the daily practice. Further studies are needed to identify the specifi c risk factors for MSD so as to introduce eff ective remedial measures.
Zubaida Al Karaawi
Prince Sultan Medical Military City, Saudi Arabia
Title: Moderate and Deep Sedation Experience in Paediatric Dental Patients in Riyadh
Time : 11:50-12:20
Biography:
Zubaida Al Karaawi has completed her Master’s degree in 1999 in Pediatric Dentistry and PhD in Clinical Dentistry from UCL, London in 2004. She had completed six months course and passed the examination in Sedation and Pain Management from the Eastman Dental Institute in 2006. She is a Consultant in Pediatric Dentistry and teaching in the Saudi Board Program (Pediatric Dentistry) at Prince Sultan Medical Military City in Riyadh. She has published several papers in reputed journals.
Abstract:
The prevalence of dental caries among Saudi children is greater than 80%. Changing in the lifestyle of the Saudi population in the past decades is associated with high prevalence of dental caries such as an increase in the consumption of sugary food, carbonated drinks and lack of awareness towards proper oral health maintenance. Many of those children attended dental clinic if they have dental pain or dental abscess that makes treatment on dental chair is challenging for the dentist. Th erefore, many of those young children receive dental treatment under sedation or general anesthesia (GA). Oral sedation in pediatric dental clinic was initiated more than ten years ago in Prince Sultan Medical Military City (PSMMC) in Riyadh. Oral sedation was provided as single drug and monitored by the pedodontist. All patients received sedation were healthy children (ASA1). Sedative drugs were either midazolam 0.3-0.5mg/ kg or Vallergan Forte (alimemazine tartrate) 1-2 mg/kg. Th ough for the safety of the patients, the hospital policy has changed and oral sedation (midazolam) was provided and monitored only by the anesthesiologist in the dental chair for four years. Patient safety was still a great concern for the hospital administrationand it was decided to follow same protocol of sedation in the dental day case operating room as the area is fully equipped to deal with any emergencies and possibility to administer GA. In addition, the recovery area has advanced monitoring machines and qualifi ed recovery nurses. Unfortunately,dental treatment provided was minimal as midazolam in its own was not eff ective enough and children were fully awake and uncooperative.Th erefore, a new protocol has been approved by the department of anesthesia to administer multiple sedative drugs as a cocktail of IM or IV midazolam, ketamine and atropine (doses are adjusted according to the patient’s body weight). IV line is applied for all patients treated under sedation for IV fluids and for immediate interaction in case of emergencies. All patients must have pretreatment assessment and full blood profi le few days before the treatment. Patients are required to fast 6-8 hours before the operation. Patients who received multiple sedative drugs are usually in state of moderate to deep sedation and hence they require longer time for recovery similar to that for the GA. Pedodontists who treat patients under sedation, must have passed the test of the sedation course provided by the hospital. In our sedation protocol, showed successful dental treatment without any complications and reduce the need for GA. However, dental sedation is provided only inselective cases and not an alternative to dental treatment on dental chair with behavior management or treatment under GA.
Prapulla Devi V
Subbaiah Dental College and research Institute, India
Title: BIOMARKERS: The future of periodontal diagnosis
Time : 12:20-12:50
Biography:
Prapulla Devi V has completed her Post-graduation in Periodontics from the Government Dental College and Research Institute, Bangalore, India. She is an Associate Professor in Subbaiah Dental College and Research Institute. She has published many papers in reputed international journals. She is the author of a chapter on “Plaque Biofi lm” in a textbook dedicated to gingival and periodontal diseases. She is serving as an Editorial Board Member of reputed journals.
Abstract:
Periodontitis is a group of infl ammatory diseases that aff ect the connective tissue attachment and supporting alveolar bone around the teeth. Periodontal diagnostic procedures should provide information to the clinician regarding the type of periodontal disease present, the location and the severity of the disease. Th e present periodontal diagnostic parameters incudes: probing depth, clinical attachment level, plaque index and radiographs. Th ough these diagnostic parameters are easy to use, non-invasive and cost effective, they do not measure the periodontal risk and the current disease status. Today, biomarkers play a great role in diagnosis of periodontal disease and disease monitoring. Th is presentation aims to focus light on this futuristic diagnosis of periodontal diseases using biomarkers.
Aishah Alhododi
University of Leeds, UK
Title: Oestrogen receptor (ER) expression and activity during osteogenic differentiation of dental pulp cells
Time : 12:50-13:20
Biography:
Dr. Aishah Alhodhodi is professor of University of Leeds, UK
Abstract:
Oestradiol (E2) maintains skeletal tissue integrity and significantly enhances osteogenic potency of mesenchymal stem cells. The activity of E2 is regulated both acutely and chronically through the interaction with high affinity oestrogen receptors (ERs). There is very little literature on the expression and activity of ER isoforms in dental pulp tissue and their regulation during osteogenesis of dental pulp cells. The aim of this study is to explore the expression and regulation of ER subtypes, ERα and ERβ in human dental pulp cells during their osteogenic differentiation. Human dental pulp cells derived from healthy female donors aged 20-24 yrs. were cultured. Cells were differentiated down an osteogenic lineage or cultured under basal conditions to provide controls. The cells were harvested on days 7, 14 and 21 for ER profiling by RT-PCR and Western blot. The results showed that both ERα and ERβ mRNAs were expressed in human dental pulp cells. However, only ER-β was up regulated during osteogenic induction. ERβ protein was also detected by Western blot with ERα showing only faint reactivity. We suggest that ERβ may be the principal isoform expressed in human dental pulp cells and may actively participate in the osteogenic differentiation process of these cells.
Fawaz Alzoubi
Kuwait University, Kuwait
Title: A Completely Digital Paradigm From Surgery To Full Mouth Implant Restoration, Are We There Yet?
Time : 14:00-14:30
Biography:
Fawaz Alzoubi has completed his graduation in Medical Sciences from Kuwait University. He then completed his Dentistry training at Kuwait University, Faculty of Dentistry. He has worked as a General Dental Practitioner for three years in the Ministry of Health. He has joined a scholarship position sponsored by Kuwait University, Faculty of Dentistry to pursue advanced training and graduate degrees. He has completed his Master’s (MA) and a Doctorate (Ed.D) degree from the University of the Pacifi c, GladysL. Benered School of Education concentrating in Health Care and Dental Education with special emphasis on Implant Dentistry. He holds faculty positions at the University of the Pacifi c, Arthur A. Dugoni School of Dentistry and currently working as Assistant Professor in the faculty of Dentistry, Kuwait University. He has presented multiple presentations within the fi eld of Implant Dentistry. He is a Diplomate of the American Board of General Dentistry, Diplomate of the American Board of Oral Implantology/Implant Dentistry, Fellow of the Academy of General Dentistry, Fellow of the American Academy of Implant Dentistry, and a member of The Delta Epsilon Iota Academic
Honor Society.
Abstract:
Computer Assisted Design and Computer Assisted Manufacturing (CAD/CAM) digital methods have revolutionized many aspects of medical and dental practices. Implant dentistry is a fi eld that has benefi ted signifi cantly from such technology. Currently, CAD/CAM technology is being implemented heavily within this field both at the surgical and restorative aspects and is becoming verypopular both at clinical and laboratory level. Due to this increased popularity, a critical review of this technology covering advantages, disadvantages, limitations and possible future improvements will be covered. Implications at the surgical, restorative, and laboratory level will also be reviewed and presented. Th is presentation aims to clarify common misconceptions and presents this technology as an additional tool that might be helpful to clinicians practicing implant dentistry. Th e following questions will be discussed: How accurate is this innovation at the surgical and restorative level?; Is this innovation reliable for all types of implant treatment?; What errors should be identifi ed and addressed before, during and aft er treatment to improve the overall outcome? and; Are we at a time and age to rely completely on this innovation to deliver implant treatment on everyday practice?
Wan Zaripah Wan Bakar,
Universiti Sains Malaysia Health Campus, Malaysia
Title: Marginal Gap Evaluation of Metal Onlay and Resin Nano Ceramic (RNC) (LAVA â„¢ Ultimate CAD/CAM Blocks) Onlays
Time : 14:30-15:00
Biography:
Wan Zaripah Wan Bakar is a Senior Lecturer and Consultant Prosthodontist at University Sains Malaysia, Malaysia. She has completed her Doctorate in Clinical Dentistry (Prosthodontics) at University of Adelaide, Australia in 2006. She has completed her Post-doctoral Research Fellow program from University of Texas Health Science Center at San Antonio (UTHSCSA), USA in 2013. She has published more than 30 articles.
Abstract:
This study is to assess and compare the marginal gap of metal based on onlay and nano resin ceramic (Lava™ Ultimate block) onlay. The study was carried out in vitro on two extracted lower sound human mandibular molars. One extracted tooth was prepared to receive a metal onlay and another one for RNC (Lava TM Ultimate) onlay, which was fabricated using CAD/CAM technology. After fabrication of 12 metal and 12 ceramic onlays, marginal analysis was done under Leica stereomicroscope (Leica, Germany). The gapwidth was measured at 10 defi ned landmarks which include three points on the buccal and lingual surfaces and two points on the mesial and distal surfaces. Mann–Whitney Test was used for statistical analysis (P=0.05). It was observed that overall RNC onlays (Lava™ Ultimate block) showed signifi cant lower marginal gap measured with the exception of the landmark 5 and 6 at disto-lingual site. Landmarks 7 at mid-lingual site showed no signifi cant difference between both groups. It was concluded that, the marginal gap observed were all within the clinically acceptable limit (120 μm). Based on the results obtained, the resin nano ceramic onlays (Lava™ Ultimate block) CAD/CAM can be one of alternative materials for the metal onlay in term of marginal gap.
Kruthi Nanduri
Apollo Hospitals, India
Title: “Gain Without Painâ€: Evaluating Preemptive Analgesic Effects of Dextrometharphan in Reducing Postoperative Pain
Time : 15:00-15:30
Biography:
Kruthi Nanduri has completed Master’s in Oral & Maxillofacial Surgery from DR. NTR University of Health Sciences, India. She worked as an Assistant Professor in Sibar Institute of Dental Sciences, India. She is presently working as a Consultant Maxillofacial Surgeon in Apollo hospitals, Mysore, India. She has several publications to her credit in various journals of national and international repute. Her areas of interest include maxillofacial trauma, pathology and aesthetic surgery.
Abstract:
Post-operative pain is the most common complication following any surgical procedure. Commonly performed minor oral surgical procedures like surgical removal of impacted third molars are associated with considerable amount of postoperative pain as incision & subsequent inflammatory response cause central sensitization and increased conduction of nociceptive impulses to central nervous system which not only increases the pain but also causes non painful stimuli to be perceived as pain. NMDA receptors play a role in this increased central sensitization. Pre-emptive analgesia is a treatment that is initiated before the surgical procedure in order to reduce this sensitization. Hence, we have undertaken a prospective study to evaluate the preemptive analgesic effects of Dextromethorphan, an NMDA receptor antagonist in reducing the postoperative pain following surgical removal of bilaterally impacted mandibular third molars.
Dareen Mohamed AbdelHameed Khattab
Alexandria University, Egypt
Title: Role of Multidetector Computed Tomography in assessment of Fibro-osseous lesions of craniofacial complex
Time : 15:30-16:00
Biography:
Dareen Mohamed Abdel Hameed Khattab has studied Medicine at Alexandria University, Egypt. She has received her Master’s degree in Radio Diagnosis and Interventional Radiology from Alexandria University, Egypt, 2014. She is a member-in-training in RSNA, a Reviewer at the Biological Sciences Journal. She has fi ve years of experience in radio-diagnosis and is a Radiology Specialist at Dar Ashaa, Alex, Egypt. She is the author of a book “Utility of MDCT in fi bro-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 neo-plasms. They share many similar histo-pathological features with other nonfibro-osseous disease processes that develop within the jaw bones. Thus a definitive diagnosis offi bro-osseous lesions (FOLs) requires a correlation of the histological features with the clinical, radiographic and intra-operative fi ndings. Th is study highlights the importance of the role of multi-detector row CT images, in assessment offi bro-osseous lesions in craniofacial complex in patients with known fi bro-osseous lesions, facial disfigurement and facial swelling. Multidetector computed tomography (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 valuable in diagnosis and in guiding the surgical interventions by allowing pre-operative delineation of craniofacial complex anatomy. Th e proximity of the various components is best appreciated when the area is viewed inaxial and coronal sections and different reconstructive methods using sub-millimetric thickness. MDCT is a powerful diagnostic and illustrative tool that will narrow the gap between the radiologists and the surgeons.
Omar Farouq Al Shannaq
German Board of Oral Implantology, Saudi Arabia
Title: Creative Extraction technique for complicated cases to minimize complications at vital areas and preserve nerve, bone and sinus from injury
Time : 16:00-16:30
Biography:
Omar Farouq Al Shannaq has completed his German Board of Oral Implantology (GBOI) from Mûnster University in corporation with DGZI. He is the Director, Organizer and Representative of the German Association of Dental Implantology in United Arab Emirates. He is the Founder of the coming Advanced German Board of Oral Implantology. He is also a Clinical Supervisor of the Advanced German Board students in United Arab Emirates. He is a member of the DGZI and GBOI.
Abstract:
This technique is used to minimize the surgical extraction complications at vital areas and will help us to preserve the bone from being lost during extraction. And this also makes it end in a smoother and easier extraction which will help us to minimize the post operative pain and bleeding after the surgery. This simple idea which turned into a technique will be explained easily in a power point slide show, which will show how to handle cases close to vital areas, especially wisdom teeth which are in close or direct contact with the inferior alveolar canal. Th e technique is also supported with a clinical case, which will help us to go through all the techniques including the treatment plans till the extraction. The clinical case is supported with Cone Beam Computed Tomography (CBCT) and panoramic technique before and aft er to show us the exact benefit of this technique. And it will also show how it can be used by the dentists to handle such difficult extraction cases safely without any doubt or fear to hurt their patients since; this idea is so simple and applicable.