Day 2 :
University of Turin, Italy
Time : 09:30-10:05
Elias El Haddad is a Freelancer and Owner of El Haddad Dental Clinic in Turin, Italy. He is a Scientific Manager of the Periodontology Department U.O.A of Odontostomatology Complex Structure of Dentistry and Maxillofacial Surgery, Martini Hospital, Turin. He completed his Graduation in Medicine and General Surgery at University of Turin; specialized in General Pathology at University of Turin and; completed Post-graduation in Implantology and Periodontics at the New York University. He dedicated himself to Implantology since 1988 following numerous courses in Italy and abroad.
A reduced or non-existent keratinized mucosa around the natural teeth and around the implants can promote inflammation of the mucous membrane plaque, the risk of bone resorption, the soft tissue dehiscence and also the loss of clinical attack. Managing patient requests with success that meets function and esthetics in reconstructive periodontology is among the biggest challenges in dentistry. The restoration of the keratinized tissue around the natural teeth is a technique that guarantees excellent functional and aesthetic results, in the long term very predictable. Despite the controversies, which still exist today in the literature, the presence of a good quality and quantity of keratinized tissue around the implants is necessary to prevent inflammatory phenomena such as mucositis and periimplantitis. In this report the simplest surgical techniques will be examined. Safe clinical outcome at a distance, combined with various clinical cases of rehabilitations on natural elements and implants.
- E El Haddad1, D Lauritano, V Candotto and F Carinci (2016) Implant-Abutment leaking of the replace conical connection with the Nobel biocare implant system. An in vitro study of the microbiological penetration from the external environment to the implant-abutment space. Oral Implantol. 9(2): 76–82.
University of Bari, Italy
Keynote: Use of growth factors and lasers in the management of high risk hemorrhagic patients and of patients with bone neoplasms after bisphosphonates
Time : 10:05-10:40
Francesco Inchingolo completed his MD and specialized in Hygiene and Preventive Medicine (Master in Public Heath); Dental Medicine; Maxillofacial Surgery; Odontostomatology; Experimental Medicine at National Council of Research (C.N.R.). He was Researcher and Assistant Professor in Dentistry at School of Medicine, Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Italy. He was Principal Investigator in various research projects founded from University of Bari Aldo Moro. He was invited Reviewer and Editorial Board Member in international journals. He was the Head of International Master Degree Course in Advanced Oral Surgery and Implant Surgery at University of Bari Aldo Moro, Italy. He was the invited speaker in national and international courses and conferences. He was the winner of Sant Apollonia Award from ANDI (Italian Dental National Association) in 1999 for the best clinical and scientific report in dental sciences. He was the Visiting Professor at City Unity College, Greece - Cyprus (and affiliated institutions) and BPP University London-UK. He was the author of over 66 scientific papers in international indexed journals with impact factor (h-index: 15 and citations: 719), book chapters, one international patent, and author of more than 200 articles in national journals.
Autologous growth factors appear as the new frontier to support all surgical maneuvers to restore the tissues that need regeneration. The use of Concentrated Growth Factors (CGFs) in combination with appropriate surgical techniques is a performing procedure in regenerative and reconstructive therapy. Literature and clinical cases will be presented step-by-step to document the benefits of this approach that provides a quick and easy way to handle oral surgery and implantology. The goal is to use a little invasive technique and at the same time extremely effective for handling both simple and complex cases. The report aims to provide an overview of surgical solutions in implant rehabilitation in compromised sites in terms of space and stability with the techniques of managing jaw and mandibular atrophies. In addition, treatment techniques for high risk haemorrhagic patients and patients with bisphosphonate osteonecrosis will be considered with autologous membrane preparation techniques, autologous fillers, LPRF, CGF and PRP. Particular attention will be given to methods of preparing autologous membranes, membranes for the preservation of the alveolus, techniques for incorporating the growth factors in biomaterials.
- Inchingolo F, Cantore S, Dipalma G, Georgakopoulos I, Almasri M, Gheno E, Motta A, Marrelli M, Farronato D, Ballini A and Marzullo A (2017) Platelet rich fibrin in the management of medication-related osteonecrosis of the jaw: a clinical and histopathological evaluation. J Biol Regul Homeost Agents 31(3):811-816.
- Abenavoli F M, De Angelis F, Orefici A, Santacroce L and Dipalma G (2017) Conservative surgical approach to restore necrotic columella in patients undergoing neonatal usage of nasogastric tube. Inchingolo Ann Maxillofac Surg. 7(1):89-91.
- Romita P, Foti C, Masciopinto L, Nettis E, Di Leo E, Calogiuri G, Bonamonte D, Angelini G, Dipalma G, Ballini A and Inchingolo F (2017) Allergic contact dermatitis to acrylates. J Biol Regul Homeost Agents. 31(2):529-534.
- Inchingolo F, Vermesan D, Inchingolo A D, Malcangi G, Santacroce L, Scacco S, Benagiano V, Girolamo F, Cagiano R, Caprio M, Longo L, Abbinante A, Inchingolo A M, Dipalma G, Tarullo A and Tattoli M (2017) Bedsores successfully treated with topical phenytoin. Acta Biomed. 88(1):45-48.
- Inchingolo F, Paracchini L, D E Angelis F, Cielo A, Orefici A, Spitaleri D, Santacroce L, Gheno E and Palermo A (2017) Biomechanical behaviour of a jawbone loaded with a prosthetic system supported by monophasic and biphasic implants. Oral Implantol 9:65-70.
Lebanese University, Lebanon
Keynote: Accuracy of an electronic apical foramen locator in revision endodontic treatment in the presence of different solvents: A randomized controlled clinical trial
Time : 10:55-11:30
Edmond Koyess completed his graduation from Saint-Joseph University in Beirut Lebanon. He received Post-graduate certificate in Oral Biology and Endodontics from Rene Descartes, Paris. He completed his Doctorate degree in Odontologic Sciences from Lebanese University. Presently, he is Director of Master in Endodontics at Lebanese University and Fellow of International College of Dentists. He is an International Lecturer and Opinion Leader in Endodontics.
Aim of this study is to evaluate the accuracy of an electronic apical locator in the determination of working length during an endodontic retreatment, in presence of different solvents in vivo. 120 canals needing retreatment were included in the study. Among those, 30 canals filled with gutta-percha, 30 with filling paste only, 30 with resin points and 30 were judged empty of filling material. The retreatment was initiated using the corresponding solvent respectively: xylol, orange solvent, acrylic liquid monomer and sodium hypochlorite. When the first exploring file reached the estimated length, two measurements were done using the electronic apex locator and the radiograph method. The values were compared by two observers blinded to the aim of the study. A non-parametric test of Kruskal-Wallis was used. A p-value less than 0.05 was considered statistically significant. The results were noted in charts. The results showed an accuracy of 83% in presence of xylol, 87% in presence of orange solvent, 77% in presence of monomer, and 87% in presence of ClONa, which gives an average of 83%. The presence of the solvents tested and sodium hypochlorite have no significant effect on the percentage of accuracy of the apical foramen locator. The particular cases of periapical lesions and apical resorption should make the subject of a different study.
Lebanese University, Lebanon
Time : 11:30-13:15
Ziad E F Noujeim is a Senior Lecturer, Postgraduate Tutor, and Clinical Professor of Oral Surgery and Oral Pathology at Lebanese University, Beirut. He is an attending oral surgeon at Lebanese Army Hospital and Baabda University Hospital. He is a Diplomate of the European Board of Oral Surgery, Fellow of the International College of Dentists and the American College of Oral and Maxillofacial Surgeon, and former Clinical Fellow at Massachusetts General Hospital/Harvard School of Dental Medicine, in Boston, USA. He has published 22 scientific articles in reputed journals, among them, 11 were listed on PubMed. He is presently an Editor-in-Chief of the Journal of the Lebanese Dental Association-JLDA and Section Editor of the Annals of Maxillofacial Surgery-AMS.
Over the past three decades, many dental schools, worldwide, have introduced Problem-Based Learning-PBL-in their programs. One of the main reasons for change has included the obvious dissatisfaction of dental students with the conventional model of dental education. PBL was introduced in its modern form at McMaster University Medical School in Canada, in the 1960s, and as applied now, the problem comes first, before any formal study or relevant literature review: this learning method is student-centered, i.e., students are directly involved in deciding what and how they will learn. In this tutorial-like learning, students are guided by a facilitator, and the learning takes place in relatively small groups. PBL contrasts with conventional educational approaches to dental education that are usually teacher-centered rather than student-centered. This method fulfills three important principles related to the development of new knowledge, namely, activation of prior knowledge, elaboration of knowledge, and encoding specificity. It also improves clinical and diagnostic reasoning ability, and fosters development of skills and attributes that oral health professionals will need in the future. PBL tutorial identifies cues in the dental problem presentation, formulates a coherent statement about it, generates hypotheses that arise out of the cues, decides on an inquiry plan, and discusses the final treatment planning and its implementation. Our specialized PBL workshop will focus on dental analgesia difficulties, dental and oral diseases, and jaw disorders. During 120 minutes, this method will help participants integrating knowledge with daily dental practice, nurtures their ability to analyze dental problems, and develops teamwork and communication skills in their minds. Ultimately, PBL meets dentistry trends for today’s lifestyle by cultivating mind independence, scientific curiosity, and necessary skills for self-directed, life-long learning. With PBL applied in dentistry, oral health providers are able to provide the highest standards of dental care in a proficient, professional, caring, and ethical manner.
- Abdelkarim A, Schween D and Ford T (2018). Attitudes towards Problem-Based Learning of Faculty Members at 12 U.S. Medical and Dental Schools: A Comparative Study J Dent Educ. 82(2):144-151.
- Chuenjitwongsa S, Oliver RG and Bullock AD (2017). Developing educators of European undergraduate dental students: Towards an agreed curriculum. Eur J Dent Educ.
- Von Bergmann H, Walker J, Dalrymple KR and Shuler CF(2017). Dental Faculty Members' Pedagogic Beliefs and Curriculum Aims in Problem-Based Learning: An Exploratory Study. J Dent Educ. 81(8):937-947.
- Bai X, Zhang X, Wang X, Lu L, Liu Q and Zhou Q (2017). Follow-up assessment of problem-based learning in dental alveolar surgery education: a pilot trial. Int Dent J. 67(3):180-185.
- Hoffman GR and Sasidharan P (2016). A Medical School Elective Can Promote an Interest in and an Exposure to the Scope of Oral and Maxillofacial Surgery: Education, Exemplars, and Electives. J Oral Maxillofac Surg. 74(4):665-7.
- Orthodontics | Pediatric Dentistry| Orofacial Myology |Oral and Maxillofacial Surgery | Public Health Dentistry
King’s College Hospital NHS Foundation Trust, UK
Ziad E F Noujeim
Lebanese University, Lebanon
King’s College London, United Kingdom
Time : 14:45-15:10
Sanjana Sudarshan is a General Dental Practitioner and is due to commence a Senior House Officer position in Oral and Maxillofacial Surgery at The Royal London Hospital. She is focused on furthering her post graduate education and is on course to gaining The Diploma of Membership of the Joint Dental Faculties at The Royal College of Surgeons of England. Sanjana has a keen interest in Paediatric and Orthodontic Dentistry and aspires to specialise in the field of Orthodontics.
Child caries is a significant issue in our population, in both permanent and deciduous dentition, with at least a third of children across all age groups having caries into dentine. The benefits of frequent oral health reviews are numerous including early detection and enhanced prevention. This is of increased importance for children possessing high caries risk factors such poor plaque control, highly cariogenic diets or children with previous or existing carious lesions. This audit uses retrospective data collection to assess whether appropriate recall intervals are being assigned to high risk paediatric patients at Wedgwood House Dental Practice in accordance to the guidance provided by National Institute of Clinical Excellence (NICE). The first 50 high risk patients under the age of 18 attending for an Oral Health Assessment or Oral Health Review were included in the study sample. The results of the first cycle of the audit showed that only 32% of high risk children were given the appropriate recall interval of 3 months. Furthermore, it was shown that only 56% of high risk children were assessed and assigned the correct risk status. Therefore, interventions to increase the adherence to guidelines were put in place: teaching and training for staff; posters displayed in key locations throughout the practice; handouts of guidance literature; and encouraging dentists to add a reminder of the correct recalls to their proformas. Time was allowed for the interventions to take effect and the audit was repeated using same methodology as previously. The second cycle of audit results collected showed that now 96% of children were being correctly assessed and 60% of these high risk children were now correctly being recalled at 3 months. This shows an 87% increase in correct recall intervals being assigned to high risk children, thus highlighting the positive impact of the interventions.
Key words: Paediatric, caries, risk assessment, oral health review, recall intervals, prevention.
Kafr Elsheikh University, Egypt
Time : 15:10-15:35
Marwa Sabry is an Assistant Lecturer at Paediatric Dentistry and Dental Public Health Department, Kafr El-Sheikh University, Egypt. She has completed a Bachelor of Dentistry degree and MS in Dental Public Health from Alexandria University, MS in Hospital Administration from High Institution of Public Health, and Diploma in Total Quality Management from American University in Cairo. She is working in the field of Health Administration, Quality management and Public Health since 10 year. She plays an active role in community, she cooperates number of national and international associations to provide health educational programs and epidemiological surveys to raise people’s awareness.
Background & Aim: Child abuse and neglect is a very serious problem that has long consequences for those involved and for society in general. Dental professionals are in an exceptional position to identify and report these cases. Statistics of previous studies revealed that only one percent of dentists reported suspected cases. Aims of the study are to help dentists to learn about their ethical responsibilities and legal obligation toward child abuse cases and how to detect and report them.
Methods: This study will demonstrate types and consequences of child abuse and neglect and the prevalence worldwide. In addition, ethical and legal concerns of different health care organizations related to dentists’ are reporting suspected cases. Oral symptoms of child abuse and neglect will be discussed and classified according to the type: physical abuse, sexual abuse and neglect. Physical abuse may results in lacerations of tongue, oral mucosa, palate, gingiva alveolar mucosa or frenum; fractured, displaced, or avulsed teeth; facial bone and jaw fractures; burns; or other injuries. Sexual abuse may represents significant oral manifestations as oral and perioral gonorrhoea, unexplained erythema or petechiae of the palate, particularly at the junction of the hard and soft palate, pseudomembranous and condylomatous lesions of lips, tongue, palate and nose-pharynx. Dental neglect is detected by untreated early Childhood Caries, odontogenous infection or pain, periodontal diseases.
Conclusion: Child abuse and neglect can be prevented by dentist’s awareness about their roles of reporting these cases and strengthen their abilities to detect them in early stage.
Federal University of Minas Gerais, Brazil
Time : 15:35-16:00
Juliana Gabrielle Martins is a Pediatric Dentist and has completed her MSc and PhD in Pediatric Dentistry from UFMG, Belo Horizonte, Brazil. She was a Visiting Researcher at Harvard University (2015/2016). She has published papers in reputed journals and has been serving as an Editorial Board Member of the Journal of Alcohol and Drug Abuse. Furthermore, she is currently a Reviewer of the Journal of Addiction & Neuropharmacology and for the Journal Ciência & Saúde Coletiva, and she is the Collaborator of the Master in Pediatric Dentistry at Barcelona University and Researcher at Johns Hopkins University - Public Policy Center (UPF).
Increased consumption of processed foods, both by children and adults, is one of the factors linked to the onset of caries since most of them have sugar in their composition. The objective was to analyze the dietary pattern in children attending the "Baby Clinic" of the Universidade Federal de Minas Gerais (UFMG), Brazil and, consequently, to analyze the dental caries experience in early childhood. This is a cross-sectional observational study with a sample of 134 children, aged 0-36 months, attending until the first semester of 2017. The habits of food, hygiene, sociodemographic and economic factors were evaluated by means of a questionnaire addressed to parents / guardians. To evaluate the prevalence of dental caries, oral clinical examination was performed. Descriptive and bivariate analyzes were performed (p<0.05). The prevalence of caries was 17.9% (n = 24). Of the 134 children treated 71 (53.0%) were males, with a mean age of 14 months. It was observed that 70.9% of the mothers who reported not adding sugar to the bottle did so without knowing. The most cited bottle-fed foods were 'Mucilon', 'Toddy' and 'Farinha Lactea Cereal Flour'. In the bivariate analysis, maternal schooling (p <0.01), adding sugar in the bottle (p = 0.04) and consuming sugary foods more than 3 times a day (p <0.01) were associated with presence of dental caries. The high prevalence of dental caries observed in young children is a reality. Therefore, the need for family counseling for food and dental care is observed earlier.
- Martins J G, Paiva H N, Paiva P P, Ferreira R C, Pordeus I, Zarzar P M and Kawachi I (2017). New Evidence about the "Dark Side" of Social Cohesion in Promoting Binge Drinking among Adolescents. PLOS ONE. https://doi.org/10.1371/journal.pone.0178652.
- Martins-Oliveira J G, Jorge K O, Ferreira R C, Ferreira E F, Vale M P and Zarzar P M (2016).Risk of alcohol dependence: prevalence, related problems and socioeconomic factors. Ciência & Saúde Coletiva, (21) 17-26.
- Video Presentations
Maharashtra University of Health Sciences, India
Time : 16:15-16:45
Sudhir Dole is the First Certified Ozone Therapy Dentist Specialist in India practicing Ozone Therapy in Dentistry at Mumbai, India. He is the Speaker and Mentor for certification courses in ozone dentistry and key note speaker at various conferences in India.
Biological dentistry using synergistic ozone technologies and minimal invasive/non-invasive dentistry with 100% safe protocols and skills make us learn how and when to use ozone, learn which protocol to use and how to adapt it in clinical practice, learn how to motivate both team members and patients, learn what limitations ozone has in clinical care and to know what other areas of healthcare ozone can be used in. Expanding services and investing in ozone technologies get returns of the fees paid in one month, and to become a biological dentist and have a synergistic approach in your practice using ozone. Bioenergetics and bio-oxidative ozone has its effects and treatment functions in oral medicine replacing as a safest adjunct and fastest healer than all other therapies as well can be effective in conjunction with other treatment modalities. The topical application ozone and aqueous ozone which is completely safe is highly recommended as supplementary adjunct and supportive adjunct to other supportive treatments like irrigation system, disinfectants, fumigation, purified water and bottled water, natural antibiotic, immunomodulatory stimulant, anti-inflammatory and analgesic in all specialities of dentistry. Properties of ozone: 3000 times more effective disinfectant because of high concentration of oxygen content and minimal or zero side effects; high antimicrobial activity; anti-inflammatory and analgesic; faster healing capacity and hemostat; induces increased blood circulation; gaseous ozone is highly effective for cure of dental problems as there is easy accessibility to any areas and difficult anatomies; its supplementary benefits for irrigation agents are very useful in endodontics for minimizing the cytotoxicity and it's irritating effects on surrounding structures and to heal its effects on vital structures; disinfection and increasing potency of liquids, increasing efficiency of equipments and instruments by using ozonated water in clinic/dental set up; good carrier for tissues, grafts, membranes, hair strands for maintaining their vitality; increases the natural immunity and improved natural immunity by inducing the immunoglobulins and its activity and; it's benefits to activate RBC, WBCS and blood derivatives which cause increase in blood circulation to high level thus by increasing the energy by promoting carbohydrate and protein metabolisation.
Jyoti Oberoi is pursuing PHD in clinical hypnosis from Dr. D.Y.Patil School of Dentistry, Deemed University, Nerul Navi Mumbai, Maharashtra from where she did her graduation as bachelor of dental surgery (B.D.S.) and Post Graduated in Pedodontics. She is director of Gurukrupa Medical Trust and practicing there as dentist, Pedodontist and Implantologist since 2010. As well she is running ADC Inc. as training centre and academy for dental education. She has presented more than 10 posters/papers in national/international conferences and won prizes for the same. She has 8 publications on her name.
Majority of pediatric dental patients reveal a great anxiety and fear during routine oral procedures. Such attitude of children to dental procedures is a cause of irregular visits to dental clinics, which, in consequence, may lead to greater damage to teeth, which otherwise could have been saved by simple procedures. Clinical hypnosis could be a non−invasive therapeutic option to increase treatment comfort both for the patients and dentists. This article gives an overview about some basic facts and the main indications for hypnosis in dentistry. The indications for using hypnosis in dentistry are: the management of fear and anxiety, hypnosis for dental analgesia, control of bleeding, control of salivation, control of bruxism, control of gag reflex, pediatric dental hypnosis. Commonly used techniques are also listed. This kind of psychotherapy may be used in everyday dental practice, however some profound knowledge in this field is needed from a clinician.
Key words: dental hypnosis, dental fear and anxiety, dental phobia, dental analgesia.