Day 1 :
Indiana University Schools of Dentistry and Medicine, USA
Time : 09:00-09:35
James E Jones is the Starkey Research Professor, Department of Pediatric Dentistry, Indiana University School of Dentistry and Clinical Professor of Pediatrics, Indiana University School of Medicine. He is a Life Fellow at the American Academy of Pediatric Dentistry, Fellow of the American College of Dentists, Fellow of the International College of Dentists and a Member of the Pierre Fauchard Academy. He has published over 100 articles and book chapters in the dental, medical and education literature. He has presented over 150 continuing education courses in the United States, the Caribbean, Europe, Asia, South America and the Middle East on a variety of topics related to higher education.
The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. This Web-based database allows providers of ambulatory anesthesia to track patient demographics and various outcomes of procedures. This presentation reviews a secondary analysis of data collected in the registry over a 4-year period, 2010–2014. Of the 7041 cases reviewed, no cases resulted in serious complications, including death, anaphylaxis, aspiration, cardiovascular adverse events, or neurologic adverse events. Of the 7041 cases reviewed, 196 (3.0%) resulted in a predischarge or postdischarge adverse event. The predischarge adverse event occurring with the highest frequency was laryngospasm, occurring in 35 cases (0.50%). The postdischarge adverse event occurring with the highest frequency was nausea, reported by 99 patients (5.0%) for the 1991 patients reached for follow-up by the dentist anesthesiologist following their procedure. This analysis provides strong clinical outcomes data to support the safety of office-based anesthesia as performed by dentist anesthesiologists in the treatment of pediatric dental patients. Example of a typical patient procedure will be presented for discussion.
- Davis L B, Saxen M A, Jones J E, Mc Glothlin James D, Yepes J F and Sanders B J (2018) Effects of different levels of ambient oxygen in an oxygen-enriched surgical environment and production of surgical fires. Anesthesia Progress 65(1):3-8.
- Saxen M A, Urman R D, Gabriel R A, Yepes J F and Jones J E (2017) Comparison of anesthesia for dental/oral surgery by office-based dentist anesthesiologists versus operating room-based physician anesthesiologists. Anesthesia Progress 64(4):212-220.
- Spera A, Saxen M, Yepes J, Jones J and Sanders B (2017) Office-based anesthesia: safety and outcomes in pediatric dental patients. Anesthesia Progress 64(3):144-152.
- Olabi N, Jones J E, Saxen M and Sanders B J (2012) The use of office based sedation by board certified pediatric dentists practicing in the United States. Anesthesia Progress 59(1):12-17.
University of Basel, Switzerland
Keynote: Orofacial dysfunction: Effects on speech interdisciplinary aspects for disorders in the orofacial system (including open bite, speech, habits) in childhood and interaction between orofacial disorders and musculoskeletal systems
Time : 09:35-10:10
Susanne Codoni has her expertise in evaluation and passion in improving the health and wellbeing. Her open and contextual evaluation of working is based on integral method and creates new pathways for improving healthcare. She studied logopedics, hard of hearing and deaf pedagogy in medical education at the University of Zurich. She is the Head of Cantonal Logopedic Service of Basel City. Since, 2002 various education and training courses including craniosacral therapy, NLP trainer, myofunctional therapy, myofacial release and MCFKSc. She is a Research Assistant at the clinic for cranio maxillo facial surgery with focus on interdisciplinary orientation with cleft lip and palate at University Hospital Basel. Since, 2002 she has a private practice, in 2011 she elected as Doctor Honoris Causa by the Medical Faculty at the Univsertity of Basel. Since 2011 she is a member of the study board of the MAS in Cranio Facial Kinetic Science, Senior Consultant at the Department of Oral, Pine Facial Surgery.
Orofacial disfunctions affect speech, breathing, swallowing, posture and the tooth holding apparatus. The orofacial system is anatomically and neurophysiologically intense and highly complex networked in permanent interaction with other body systems and often gives an idea of the complexity. As a sensomotor unit it is in constant interaction with a variety of other parts of the body. An unphysiological posture can severely disturb the performance of the mouth area. Symptoms of a general posture weakness in the orthopaedic sense, which the orthodontist can recognize by the child's open mouth, strain his teeth development and promote infections due to lack of nasal breathing. Respiratory problems caused by hyperplastic tonsils or adenoid can lead to sleep disturbances and also speech or voice disturbances. Such disfunctions are not only the result, but also be the cause of tooth malpositions. Grabowski emphasizes the interactions between the orofacial area and the entire body tooth malpositions and are often the visible image of multi-layered dysfunctions. Many diseases originate from the mouth. There are many interconnections and are susceptible to disturb the balance between tooth position, jaw development, total body tension, mouth closure and tongue function and speech. Multicausal interactions show up the close connection between breathing, swallowing, speech (dis-) functions, whole body posture, trunk musculature, fascia and tongue function should be emphasized and spotlights to a major challenge for all doctors, dentists and therapists involved in the care. The everyday work shows that monocausal and locally starting therapy leads to unsatisfactory results. In order to achieve stable results in this field, interdisciplinary systemic access in diagnostics and therapy is a prerequisite. Speech and voice disorders with the participation of the orofacial system and corresponding malfunction occur in any stage of one’s life.
- Codoni S, et al., (2019) Funktionsorientierte Logopädie Springer Verlag Heidelberg.
- Codoni S, Indri I, von Jackoswki JA and Spirgi I (2016) Spezielle Manuelle Verfahren in der Behandlung von kraniomandsibulären Dysfunktionen – Praktizierte Interdisziplinarität, MKG Chirurg, Springer Verlag Heidelberg .167-175.
- Codoni S "Auf den Zahn gefühlt – "Das orofaziale System im Netzwerk der muskuloskelettalen Einheit", 283-228. in Böhme, H. / Kordaß, B. / Slominski, B. (Hrsg.) Das Dentale - Faszination des oralen Systems in Wissenschaft und Kultur - Quintessenz , 1. Auflage 2015.
- Codoni S (2015) Die Zunge im fachübergreifenden Arbeitsfeld, ZMK Zahnmedizin, Kultur, Wissenschaft 3:134-142.
- Codoni S (2014) Vielfältige Wechselwirkungen zwischen orofazialem System und dem ganzen Körper - Les divers interactions entre le système oro-facial et la totalité du corps. Physio active 3:33-40.
- Grabowski R, Kuhnt G and Stahl F (2007) Interrelacion Between Occlusal findings and Orofacial myofunctional status in primary and mixed Detition: Part III: Interrelation between malocclusions and Orofacial dysfunctions. Journal of Orofacial Orthopedics /Fortschritte der Kieferorthopädie 68(6):462-476.