Periodontology
Gingival Recessions: From Etiology to Treatment Korkud Demirel
Gingival recessions and exposure of the root surface arouses esthetic problems, allows abrasion, reduces attached gingiva and presents difficulties to maintain oral hygiene. The understanding and knowledge of different stages and type of recession is crucial for predictable root coverage. Treatment options require high technical skills and adequate supportive treatment.
Gingival recessions are among the dental problems that are commonly undertreated due to the misperception of low treatment success. However, with the current techniques and understanding, coverage of recessions is highly predictable based on the diagnosis and more importantly the results can be maintained over a long periods. The high success rate and predictability is of course based on a careful screening of the possible etiology, a well established diagnosis and choosing the right surgical technique. In this lecture a brief history of recessions in periodontal literature will be followed by current classification with its pitfalls and success rates of various techniques will be discussed.
Learning objectives:
Understand the Etiology of Gingival recessions
Understand the Classification of gingival recessions
Understand the Treatment options
Understand the Technical considerations
10:00 - 11:00
Implantology
New Trends and Proven Concepts for Challenging Cases in Therapy with Implants From Single Tooth Replacement to Edentulous Case Restauration Orcan Yüksel
The usage of CT (or CBCT) diagnostic imaging opened us the way of significant additional diagnostic information in aesthetic or functional areas where implants are planed. We can use also in the next stage the “Guided Surgery” which allows us precise implant placement to prosthetic driven implantation protocol, but has also factors of surgery driven implantation, that utilizes safety and effective use of residual bone. The decision “flapless or with flap” is also depended on the need of “graft or graft less” treatment planning. In both directions the new surgical concepts will be discussed. Whether the smallest gap or edentulous jaw, esthetical demanding single crown or implant-supported prosthesis –Treatment protocols are as individual as our patients needs. The new knowledge on implant treatment set some standards over almost two decades in clinic and lab. But the knowledge is still growing. All over the world oral surgeons, dentists and prosthodontists are looking for solutions for challenging cases. Do immediate implantation and late implantation or flap and flapless surgery have the same success rates? And what is success? The diagnostics and treatment planning of dental implants in the aesthetic zone will be described. The presentation will provide insight into possibilities and limitations of Guided Surgery techniques.
Learning objectives:
Understand the Aesthetic Window
How to plan the right implant positioning from prosthetic view
Understand the immediate Loading Concepts with Guided surgery and a final restoration
Learn the safe and predictable Bone harvesting technique with guided surger
11:00 - 11:15
Break & Exhibition Visit
11:15 - 12:15
Implantology
The Bone Ring Technique: New augmentation perspectives in implant dentistry. Method and 5 Year clinical obserations Orcan Yüksel
Big bone defects at single tooth loss, reduced dentition jaws and high atrophic jaws was treated with cortical-cancellous-autogenous-bone-grafts harvested from chin, palatal or retro molar region or with the Allografts (Processed Human Allograft ) from a tissue bank. The recipient site can be prepared with a corresponding trephine to achieve a accurate fit (like a bed). Implants were placed 1-2 mm subcrestaly with a conical connection-type implant system and fixed with a membrane screw to achieve a good fixation and a revascularisation. A non-resorbable bovine bone substitute material with a biodegradable collagen membrane are covering the bone ring to prevent the volume. A two-stage method was usually chosen for bone defect augmentations with autogenous blocks and then restored by implant placement.
Alternative procedure is an augmentation technique which allows bone transplantation and implantation to be performed on large three-dimensional bone defects in a single operation. So-called bone ring augmentation technique can be used today for almost all indications, also including sinus lift. The patient’s treatment time is reduced by approx. five months compared with classical bone block augmentation. The second surgical procedure is no longer required.
Learning objectives:
Learn about vertical and lateral augmentation
Undersstand bone harvesting procedure for the ring technique
Understand the importance of anatomical knowledge for the bone harvesting technique from mandible
How to plan for soft tissue preparation for successful augmentation
Learn about long Term Aesthetic influencing factors
Understand how to do Decision making for implant placement in the anterior region of the maxilla
The term ‘Precancer’was extensively used to describe clinical presentations that may have a potential to become cancer. Although the term conveys the concept of various process of cancer development, but it is unlikely for different tissues and patients to behave in a uniform fashion. Hence the term ‘POTENTIALLY MALIGNANT DISORDERS’ was recommended by WHO in 2005. This terminology conveys that not all disorders described under this term may transform in to cancer, and are also indicators of future malignancies elsewhere in a clinically normal appearing mucosa
Learning objectives:
Definition, classification & nomenclature of Potentially malignant disorders
Understanding the biology of oral precancers
Achieving consistency in diagnosing the PMD’s in the clinical practice
Early diagnosis of PMD’s by vigilant review of normal appearing mucosa
Instrument processing is a critical element of a dental clinic infection control program. Improper procedures may lead to risk for patients and dental healthcare providers. In addition, recent research has shown that certain dental devices present challenges for proper cleaning and sterilization. Understanding which items need additional care and the mechanisms available to manage these items is an important part of every clinic’s infection control program. This course details the technology, processes and procedures necessary to ensure the highest level of safety for the delivery of oral health care services. Information provided in this course can be immediately applied to the dental clinic setting to improve quality assurance in sterilization.
This lecture takes the participant through the process of managing instrument sterilization. Included in the program is a discussion of the technology that is available and what the current best practices are for sterilization. Ensuring instruments are safe for use on patients is one of the most important infection control practices. Lapses in procedure or technology may have serious consequences for patients and practitioners.
Learning objectives:
Describe each step of the process necessary to ensure proper instrument sterilization
Understand the various mechanisms of sterilization and determine which one is best suited for their needs
Define methods of sterility assurance
Determine which items must be sterilized and which can be disinfected
14:45 - 15:30
Dental Management
Building a Dental Practice Business Plan Jack Broussard
In order to establish a practice on a sound footing, a Business plan must be developed using reliable information and achievable projections, This course will described the fundamentals of a good Business Plan. Attendees will be able to use the information provided to evaluate their own dental practice.
Learning objectives:
Understand The Fundementals of A Business Plan & Applied Strategic Planning
Develop Sound Business Projections
Gather Reliable Demongraphics
Establish Goals & Implementation Plans
15:30 - 16:15
Dental Management
How to Mould Every Technology Aspect to Bringing Your Clinic to the New Era Mohd Hijazi
Embedding technology to the maximum in a dental clinic/centre, our approach is just different than many other, we plant a technology seed in every step along the way, to opening and operating a dental practice.
Our aim is to go green, go wireless, paperless, effortless, and above all eliminate human error to the minimum, a clinic’s manager will be able to see the new horizon technology will bring to the practice, any practice workflow, can and will be moulded and changed to a simpler, easier and more eco friendly environment by integrating many technology solutions that are waiting to be used.
Information technology, and the new world of automation, we are here today to befriend with technology and IT. Many of you would just say” why would i bother, my practice is great i am working a lot and making a lot of money”.
Covering the following:
Starting a practice
Dealing with an existing practice
Design an IT based workflow to fit you and your staff, not the other way around
Tackling all kind of problems
How can you notice the difference in the first month
How can you get to the next level in less than 6 months
Learning objectives:
Understanding IT and technology potential support to a practice
Understand the impact of a work flow in a practice and how it would dramatically affect you and your practice
How to make the connection between every human resources in a practice by IT & Technology
The increasing demand for esthetic restorations can Be met partly with any one of the various PFM or in a better way with all-ceramic systems Currently available, because absence of metal allows light transmission through the restoration and permits a close match to the natural dentition. This principle is also applicable to restorations upon dental implants. However, the sthetic value of a cosmetic restoration may be compromised by other factors contributing to the composition of a pleasing smile, such as amount of gingival display, gingival architecture, clinical crown dimensions, and tooth position. Presurgical planning, implant positioning, soft tissue management, esthetic bone grafting, provisionalization, and prosthetic management are the treatment considerations that affect the treatment outcomes that are associated with dental implants in the anterior maxillary area of the oral cavity Each should be approached with caution to help avoid postoperative esthetic complications and to maximize the esthetic outcome.
In such instances, an interdisciplinary approach is necessary to evaluate, diagnose, and resolve esthetic problems using a combination of orthodontic, periodontic, and prosthodontic treatments. When patient treatment requires a comprehensive approach, communication among the disciplines is critical in achieving improved esthetic outcomes in the anterior maxilla.
Learning objectives:
How to make diagnosis of possible complications in the soft and hard tissue of Anterior Maxillae
Understand all ceramic restorations in Ant. Maxillae CAD-CAM MADMAM press ceramics vlinical
Learn about limitations on natural teeth and implants
17:00 - 17:30
Aesthetic Dentistry
Tooth Discolouraton:Aetiology and Management Manuel S. Thomas
TIn the management of patients with discoloured tooth, knowledge of the mechanisms behind tooth discolouration is of relevance as it can influence the treatment plan. In certain instances it may even have an effect on the outcome of treatment. A grasp in the pathological process involved in tooth staining will also allow the dental practitioner to explain to the patient the exact nature of the condition. An overview of the aetiology, the clinical appearance of tooth discolouration and the various modalities available to restore the sparkling smile are discussed in this presentation.
Discolouration of the tooth is one of the most frequent reasons why a patient seeks dental care. Tooth discolouration is usually aesthetically displeasing and psychologically traumatizing. An understanding of the aetiology of tooth discolouration is important to a dentist in order to make the correct diagnosis. The knowledge of the cause of discolouration will also help the dental practitioner to explain the exact nature of the condition to the patient. In some instances, the mechanism of staining may have an effect on the outcome of treatment and influence the treatment options offered by the dentist to the patients. The treatment of tooth discolouration consists of identifying the aetiology and implementing the required therapy. Scaling and polishing of the teeth using prophylactic paste applied with a rotating rubber cup may remove many extrinsic stains. For more stubborn extrinsic and intrinsic stain, various bleaching techniques may be attempted. Partial (e.g. laminate veneers) or fullcoverage dental restorations may be used to treat generalized intrinsic tooth discolouration in which bleaching is not indicated or in
Learning objectives:
Learn about aetiology of tooth discolouration
Learn about classification of tooth discolouration
Learn about clinical features and diagnosis
Learn about management of tooth discolouration (which includes tooth bleaching and veneering)
17:30 - 18:00
Exhibition Visit
Time
Aeedc Conference Hall
Chairpersons
Ziad Salameh
Khaild Al Gergawi
09:00 - 10:00
CAD CAM
Chairside and Labside Cad/Cam Systems - Possibilities and Limitations Andreas Kurbad
With a chairside CAD/CAM system it is possible to get a complete all ceramic reconstruction in only one treatment session. This fact requires some special things in the management in the dental office.
An important role with a big future plays the intraoral scanning – the next step from conventional impressions to a full digital workflow. But also indirect treatment with conventional impression is useful and interesting with the Cerec technology. The workflow of both methods will be shown by a clinical case.
Learning objectives:
Understand general principles of the clinical use of CAD/CAM systems
Understand digital impression technique as the future way to get data and models from a clinical situation
Learn about design of low an non-invasive restorations
Learn about selection of technique and materials for production and cementation
10:00 - 10:30
CAD CAM
Are all zirconia frameworks the same? Moustafa Aboushelib
This lecture will present in full details the differences between commercial zirconia frameworks and will illustrate, based on a long series of investigations and research work, how the performance of the frameworks could be significantly influenced by common clinical and laboratory procedures. Common causes of fracture will be presented and tips and tricks to achieve long term clinical success will be presented. The lecture will briefly introduce future zirconia materials and new applications as resin bonded zirconia restorations and ceramic implants.
Learning objectives:
Introduce to fixed prosthodontists differences between commercially available zirconia frameworks
Advice on suitable surface treatments of zirconia frameworks to achieve good bonding
Explain common causes of fracture of zirconia frameworks
Introduce the concepts of resin bonded cantilever zirconia restorations
10:30 - 11:00
CAD CAM
The way to a beautiful zirconia veneered restorations Moustafa Aboushelib
This lecture will introduce to dentists and ceramists the principles behind shading zirconia frameworks and how to build ceramic veneers that mimic natural teeth in terms of shade, colour, translucency, and opalescence. New veneering technologies will be presented including press-on, double veneering, CAD/CAM veneering, and wax-on veneering. Differences between these veneering method will be illustrated and principles of selection as well.
Recommendations about location and type of finish line preparation and its influence on aesthetics will be explained. Interaction between veneer type, framework
Learning objectives:
How to achieve excellent shade match for zirconia restorations
• Knowledge about the influence of masking liners on the strength and colour
Preparation guide lines and finish line geometry suggested for zirconia restorations
11:00 - 11:15
Break & Exhibition Visit
11:15 - 12:00
CAD CAM
How to achieve long-lasting full Ceramic restorations using a CADCAM system at Chair-side Joerg Vogt
Owing to the increased demand for safe and esthetically pleasing dental materials, new high- strength ceramic materials have been recently introduced as materials for dental devices. Since these materials have proved to be inimical to conventional dental processing technology, new sophisticated processing technologies and systems have been anticipated for introduction into dentistry. One solution to this is the introduction of computer- aided design and computer-aided manufacturing (CAD/CAM) technology.
High strength ceramics have been developed as the core/framework material for all-ceramic restorations because of their improved esthetics and mechanical properties; The introduction of zirconia to the dental field by the CAD/CAM techniques opened the design and application limits of allceramic restorations especially in high-load bearing areas and long span fixed partial dentures. Different CAD/CAM systems were introduced depending on the digitization method of the working model, in lab milling machines or outsourced centralized milling centers. The advantages of using CAD/CAM technology for the fabrication of crowns and FPDs: 1) application of new materials, 2) reduced labor, 3) cost effectiveness and 4) quality control.
Learning objectives:
To introduce the CAD/CAM concept and its clinical advantages and limitations in the daily clinical practice.
To introduce to the general practitioner and specialists the latest technique and materials used in CAD/CAM to achieve high end results
To expose the new digital workflow process in dental practice to the attendance and its economic and outcome benefits
Using CAD CAM Technology (Hardware/ Software) with different materials to produce the State-of-The-Art prosthetics ranging from Single Restorations to Multiple Restorations for different situations with high accuracy
CAD CAM Technology is no longer the Future, it is the present. Comparing CAD CAM Technology to the previous fabrication techniques has been concluded worldwide and proven to be a Time-saving and precise technique preferred by Dentists and Lab Technicians all over the world... Is it too complicated? Does it need a Computer whiz? Is it cost-effective? Are the results superior?
Learning objectives:
Demonstrating CAD CAM Versatility and ease of use
Achieving the best aesthetics and precision using CAD CAM
Discussing the different types of Bridge Restorations that can be fabricated by CAD CAM
Other indications for CAD CAM and the difference between CAD CAM and Traditional methods.
12:45 - 2:00
Lunch & Exhibition Visit
Chairpersons
Jumana Sabbarini
Moustapha Saad
14:00 - 14:30
Maxillofacial Surgery
Primary and Secondary Surgery in Cleft Lip and Palate Deformity Anwar Alkhaja
According to Ralf Millard a natural – looking result following closure of a congenital cleft lip is a work of art. In very wide complete unilateral or bilateral cleft, no matter what the technique used for closure, any adjunct surgical, non-surgical is welcome. A lip adhesion procedure reduces the wide cleft by molding the maxillary segments into closer approximation and consequently facilitates the subsequent construction of a more perfect final lip result. However, even after an almost perfect primary lip nose repair, some secondary lip nose corrections might be required due to changes in facial appearance as a result of the growth.
Learning objectives:
Understand the importance of multideciplinary approach in the care of children with cleft lip and palate deformity
What is the role of lip adhesion procedure in wide complete unilateral or bilateral cleft lip
Importance of staged primary and secondary surgery in the growing cleft child
Perfectionism is a desire but not always an obtainable result in cleft surgery
14:30 - 15:30
Pediatric Dentistry
Nasoalveolar Molding (NAM) Therapy In Infants Born With Clefts of The Lip, Alveolus, Nose and Palate(joint lecture) Mohd Mansoor
The aim of this talk is to describe the important and unique aspects of oral care and management in patients born with cleft deformity. The talk is segmented into three sections based on the age groups 0-1yr, 1-6yrs and 6-12yrs. The talk will address the skeletal, dental, hard and soft tissue consequences seen in these age groups as a result of their cleft deformity and surgical repairs.
Learning objectives:
Participants will be able to identify common neonatal oral anomalies seen in patients with cleft deformity
Participants will be exposed to the latest techniques in pre surgical infant orthopedics (Naso-alveolar and ear molding)
Participants will understand the factors that lead to feeding challenges in infants born with cleft deformity and ways to manage them
Participants will learn about the unique risk factors that are associated with the caries process in patients with cleft deformity
Participants will be able to understand why and how speech impairment occurs in patients with cleft deformity and it’s importance before interceptive orthodontics
Participants will understand the various factors that can contribute to midface hypoplasia in patients with cleft deformity and ways to manage it
Participants will be exposed to the occlusal, hard and soft tissue anomalies seen as a consequence of cleft lip and palate surgery and ways to manage them
Treatment planning and its success rate will be reviewed in different procedures performed in Pediatric Dentistry. Review of bleeding after cementation of stainless steel crowns. Decision making in performing stainless steel crowns instead of placement of fillings.Decision making in opening pulp chambers in deep cavities. Technical details in administering local anesthesia to children in order to increase success rate.Dcision making in placing space maintainers. Success rate of stainless steel crowns and space maintainers .Cllenges in anesthetizing and treatment planning of first permanent molars affected with Molar Incisor Hypomineralization. Advocating preventive dental care at a young age is the ultimate purpose of this presentation.We are faced on a daily basis by multiple challenges in Pediatric Dentistry ranging from behavior management to treatment planning of new clinical scenarios as in Molar Incisor Hypo mineralization.This presentation will discuss the new challenges in managing children with behavior difficulties. What are the limitations of our scope of practice? How fair our expectations are from young children? Physical restraint with parental cons
Learning objectives:
Acquiring skills in administering local anesthesia while reviewing pitfalls
Decision making in placing a filling versus a stainless steel crown
Proper indication of inhalation sedation alone versus oral and inhalation sedation
Restoring teeth diagnosed with Molar Incisor Hypomineralization
16:00 - 16:45
Periodontology
Advanced Gingival Aesthetic Mohanad Al Sabbagh
The role of gingival tissue in periodontal health is discussed, along with esthetic consideration. An evidence-based approach is used to provide algorithms that may help guide the clinician as to the most appropriate technique to use for a given situation. A subset of basic clinical techniques is discussed in detail, along with a consideration of common post- and intraoperative complications.
Learning objectives:
Compare the various techniques and how they differ, with respect to the goals for soft tissue augmentation
Learn about soft tissue grafting for gingival recession
Learn about the current understanding of gingival recession
Review of recent evidence in various techniques for soft tissue grafting
16:45 -17:30
Photography
The Art of the Complete Exam: Implementing Digital Photography & Diagnostic Records for Predictable Success Neeraj Khanna
Why perform a complete examination? The very core of what we do is diagnosing and treatment planning. To do this effectively, the clinician needs to perform a more comprehensive examination. One way to enhance this experienceis to use digital photography. Since its introduction, digital photography has become a simple yet valuable tool in helping clinicians be more comprehensive. In addition, using the right diagnostic records will give the clinician all the armamentarium needed to provide a complete comprehensive treatment plan. Case examples will be used to illustrate the importance of the clinical examination, and how digital photography along with diagnostic records enhances the predictability of the treatment outcome.
Learning objectives:
Understanding the 12 steps to a complete examination
Introduction to digital photography – cameras, settings, etc.
Learn the proper techniques of taking photos
Learn which photos are important to take
Learn what to look for when reviewing photos
Learn to use digital photography for esthetic cases
Learn and understand the need to have diagnostic records
What diagnostic records are needed • Learn to use the photos and records to treatment plan in 2-D & 3-D
17:30 - 18:00
Exhibition Visit
Time
Aeedc Conference Hall
Chairpersons
Neeraj Khanna
Emad Abu Sirdana
09:00 - 09:45
Radiology
Evaluation of imaging modalities for the diagnosis of bisphosphonate-related osteonecrosis of the jaws Werner Shintaku
The use of bisphosphonate (BP) has increased considerably in recent years. It is becoming an integral part of the management of patients with several diseases including osteoporosis and bone metastasis. Even though their application has shown to be effective in reducing pain and minimizing the risk of skeletal-related events, such as bone fractures, their administration may be associated with adverse effects such as osteonecrosis of the jaws (ONJ). ONJ is a clinical entity that all medical and dental doctors should be aware of, since if it is not dealt with readily and effectively, it may deteriorate the clinical status and quality of life of affected patients. This presentation will provide an evaluation of different imaging modalities for the detection of ONJ.
The etiology of ONJ is poorly understood, but preferential mandibular uptake of intravenous bisphosphonates has been implicated. Imaging plays an important role in the diagnostic process of these events assisting not only in the identification of necrotic sites, but also in the treatment of these patients. This presentation evaluates the available imaging modalities mentioning their advantages and disadvantages, as well as sensitivity and specificity of these modalities.
Learning objectives:
Learn about the use of intravenous and oral bisphosphates
Understand etiology and treatment associated with bisphosphonaterelated osteonecrosis of the jaws (BONJ)
Understand present the imaging modalities available to detect and monitor sites of BONJ
Understand sensitivity and specificity of different imaging modalities associated with ONJ
09:45 - 10:15
Radiology
Pregnancy and Dental X-rays Saad Al Bayatti
He benefits of X-rays as a diagnostic tool are clearly recognized. Hazards of uncontrolled exposure to X-ray were noticed and materialized as somatic and genetic effects in those who were unaware from exposure. In dentistry, X-ray examination constitutes a vital role in diagnosis and treatment procedures, and patients are exposed more than once in a single treatment session.
Pregnant ladies express frank fears from exposure to X-rays. Patients fears should not be overlooked. Patients have the right to know their treatment options and risks. Pregnant patient or worker has a right to know the magnitude and type of potential radiation effects that might result from in utero exposure.
Learning objectives:
Recognize the effects of X-rays on the foetus
Clarify the fears related to dental X-rays
Assuring dental staff about the safety of dental X-rays
The development of fundamental information technologies over the last decades has revolutionised all aspects of our lives, and these technologies are now rapidly being implemented into medicine and dentistry. These new technologies include digital imaging, 3-D modelling, computer-simulated surgery, surgical navigation systems and robotic surgery. These technologies will change the way dentistry is practised and will improve quality of care, safety and predictability of outcomes and reduce patient morbidity.
The lecture will address the current use of these new technologies and have a look at how dentistry could be practised in 2020.
Learning objectives:
Brief introduction to some fundamental information technologies and how they have changed society
Brief overview of use of new technologies in medicine
Overview of currently used new technologies in dentistry
A subjective view of the future of how dentistry may be practised with full implementation of new technologies
11:00 - 11:15
Break & Exhibition Visit
11:15 - 12:00
Orthodontics
Interceptive Orthodontic Treatment in the mixed dentition Derek Mahony
Understanding when to treat is based on the identification, evaluation, control and neutralization of worsening factors of an initial malocclusion. This requires knowledge of factors such as growth patterns and a rational choice of diagnostic and therapeutic treatment procedures. The orthodontic practitioner must have a thorough understanding of craniofacial growth and of the development of the dental arches in order to provide the patient with the most effective and efficient regimen of treatment.
The concept of early treatment must be defined further within the context of overall orthodontic intervention to derive principles to guide the clinician in providing effective early treatment. It is the goal of early treatment to minimize or eliminate skeletal, dentoalveolar and muscular problems by the end of the transition to the permanent dentition. At this time, it is hoped that skeletal imbalances have been resolved in all three planes of space and that major abnormalities in the occlusion may be corrected so that a relatively straightforward final fixed appliance phase can resolve the remaining problems.
Learning objectives:
The identification, evaluation, control and neutralization of worsening factors in a developing malocclusion.
Review of facial growth patterns and a rational choice of diagnostic and therapeutic orthodontic treatment procedures.
Doctors will be shown how to minimize skeletal, dentoalveolar and muscular problems, by the end of the transition to the permanent dentition.
A review of how Leeway space can be used to advantage in the mixed dentition
12:00 - 12:45
Orthodontics
Occlusal Asymmetries: Etiology, Prevalence, Diagnosis and Treatment - part II Jon Artun
Occlusal asymmetries may be a consequence of tooth migrations following premature loss of deciduous molars and/or early loss of permanent first molars, or be acquired for hereditary reasons. In subjects with no underlying malocclusion, occlusal asymmetries due to premature tooth loss may sometimes be treated with simple premolar extraction. However, tooth migration superimposed on a genuine malocclusion may severely complicate the necessary orthodontic treatment procedures. Orthognathic surgery may be needed if the asymmetry is due to skeletal discrepancies. I will in my presentation discuss diagnosis and treatment of various types of occlusal asymmetries and illustrate with treated cases.
Learning objectives:
Understand occlusal consequences of premature loss of deciduous molars in different types of malocclusion
Understand occlusal consequences of early loss of permanent first molars in different types of malocclusion
Understand effect of premature tooth loss on prevalence of occlusal asymmetries
Understand effect of premature tooth loss on orthodontic treatment need
Maxillofacial prosthetics is one of the subspecialty widely required now a day, Lack of people who know how to deal with the final prostheses will reflect on the service provided to those patients need facial prostheses.
This workshop will demonstrate the different type of prostheses and what technique used to fabricate them, and the materials used with it.
Participant will be involved in making the facial prostheses, how to get an advantage of the tissue surrounded the affected area to increase the stability of the prostheses.
Extra oral implant prostheses will be covered in this workshop also.
Learning objectives:
Understand some different terminology regarding maxillofacial prosthetics
Describe methods and technique to construct different types of facial prostheses
Describe different type of maxillofacial prostheses
Show end result for some cases
Describe different materials to be used for facial prostheses
14:15 - 14:45
Laser Dentistry
Laser – the modern tool for selective caries removal, painless cavity preparation and CAD CAM techniques in Aesthetic Dentistry Norbert Gutknecht
First lasers used for cavity preparation failed, because there was no understanding of biophysical interaction of different wavelength with different tissue surfaces.
After trying an Er:YAG Laser combined with a water spray first cavites have been drilled without any thermal damages and pulpal side effects. Today we have evidence that this tool is one of the best instruments for selective caries removal and cavity preparation
Learning objectives:
To understand the interaction of lasers on dental hard tissue
To know why we can remove caries selectively by laser alone
To learn what kind of wavelength are the best for this indication
To understand why we have not thermal side effects
Why we can prepare a retentive surface
14:45 - 15:30
Laser Dentistry
The Clinical Application of Lasers and Principle-based Patient Care Michael A. Miyasaki
Today many more clinicians are purchasing lasers and discovering how the laser can help them in their everyday practice and improve patient care. This course will help the clinician understand the different modes of delivering the laser energy to the therapeutic area and control it’s interaction to minimize patient discomfort and maximize healing. The clinician will see how to use the laser for many of the most common procedures, and how to select the proper power settings. Suggestions will also be given to maximize the return on the laser investment.
Learning objectives:
Understand the use of the different delivery modes of laser energy
Understand how to successfully control the soft tissue diode laser and its tissue interaction
Understand the use of the laser for common laser procedures
Understand the laser’s return on investment for the practice and how to maximize it
15:30 - 16:30
Radiology
Intraoral Imaging: A Comparison of Systems in the Identification of Root Fractures Werner Shintaku
Dental fractures are a common cause of tooth loss. Epidemiologic data reveal that splits or fractures are the third most common cause of tooth loss in industrialized countries. The clinical diagnosis of root fractures is considered to be difficult because several signs and symptoms are shared with other common dental or oral pathologies. Radiographic examination can play a significant role in the diagnosis of dental fractures. The purpose of this study was to compare conventional silver-halide x-ray film and the latest digital radiographic imaging systems for the detection of simulated dental fractures and to provide information about these digital systems to assist dentists to fulfil their needs. The problem resides in the fact that if left unresolved a dental fracture finally leads to dental loss by extraction, which will cause a considerable reduction in the individual quality of life. With the introduction of new imaging system it is imperative to verify if they perform as well as accepted methodologies. Detection of any diagnostic information is task dependent, that is to say one system may be superior in the task of detection of caries; however it may be inferior for the identification of a dental fracture. Unfortunately, there is lack of evidence in the current scientific literature comparing conventional and digital systems for the identification of dental fractures. These studies are essential to support, validate and promote digital technology among dentists. Consequently, the primary intend of this study is to present the comparison of existing film-based radiography with each type of currently available digital systems for the detection of induced dental fractures.
Learning objectives:
Learn about present the current intraoral digital technology
Understand the application of digital radiography for the detection of dental fractures
Understand the relative radiation dose associated with intraoral digital systems
16:30 - 17:30
Anaesthesia
Who needs Conscious Sedation in Dentistry? – a novel Assessment Tool Paul Coulthard
A service evaluation was carried out to assess the need for sedation in a population of dental attenders (n=607) in the North West of England. Using the novel assessment tool, the Indicator of Sedation Need’ IOSN tool three clinical aspects of sedation need were assessed; treatment complexity, medical and behavioural indicators and patient reported anxiety using the Modified Dental Anxiety Scale.
Results showed that females were 3.8 times more likely than males to be placed within the high need for sedation group. Factors such as age, deprivation and practice location were not associated with the need for sedation.
Learning objectives:
Understand the types of conscious sedation used in dental treatment
Understand the principals of conscious sedation practical techniques
Understand the clinical indications for conscious sedation
Understand the development of the, ‘Indicator of Sedation Need’ (IOSN) tool and how it can be used
17:30 - 18:00
Exhibition Visit
Time
Aeedc Conference Hall
Chairpersons
Shoaib H. Siddiqui
Ayman Balshe
09:00 - 9:30
Dental Ergonomics
Alternative Therapeutic Approach to Temporomandibular Joint Disorder Suad Trebinjac
Temporomandibular joint (TMJ) disorder affects adults causing unpleasant pain localised not only to the joint region but also to the head and neck. Sometimes it is difficult to detect real cause of pain and causal treatment can not be applied. However, there are many therapeutic options with aim at alleviating pain and providing better functional outcome.
While some of these options are known and routinely practiced like pain killers, muscle relaxants, steroids and surgery there are other alternative options which could be also beneficial and safe. One of them is Proliferation (Prolo) therapy which gain more popularity particularly in USA.
Learning objectives:
To highlight importance of recognizing TMJ disorder as an unpleasant and sometimes debilitating medical condition with multifactorial ethiology
To review the steps in proper diagnostic and ordinary treatment of this condition
To introduce alternative therapeutic options including presentation of recent research results
To propose a multidisciplinary team approach for management of severe and therapeutic resistant cases
09:30 - 10:00
Dental Ergonomics
Overcome Neck & Upper Back Pain: Preventing Neck & Upper Back pain in Dental professionals Abduladheem Kamkar
Temporomandibular joint (TMJ) disorder affects adults causing unpleasant pain localised not only to the joint region but also to the head and neck. Sometimes it is difficult to detect real cause of pain and causal treatment can not be applied. However, there are many therapeutic options with aim at alleviating pain and providing better functional outcome.
While some of these options are known and routinely practiced like pain killers, muscle relaxants, steroids and surgery there are other alternative options which could be also beneficial and safe. One of them is Proliferation (Prolo) therapy which gain more popularity particularly in USA.
Learning objectives:
To highlight importance of recognizing TMJ disorder as an unpleasant and sometimes debilitating medical condition with multifactorial ethiology
To review the steps in proper diagnostic and ordinary treatment of this condition
To introduce alternative therapeutic options including presentation of recent research results
To propose a multidisciplinary team approach for management of severe and therapeutic resistant cases
10:00 - 11:00
Oral Hygiene
Contemporary Approaches to Managing Dentin Hypersensitivity Evaristo Delgado
Dentin hypersensitivity continues to be a problem for patients and practitioners alike. The increase in erosion, patient aging and recessions, and periodontal disease all have resulted in an increased occurrence of dentinal hypersensitivity. Correct diagnosis and effective treatment are critical to relieving a problem which can seriously impact a patient’s quality of life.
This presentation will provide the participant an overview of dentin hypersensitivity, its etiology, diagnosis and management. Traditional methods of management will be reviewed, as well as a new treatment method for professional management of this problem
Learning objectives:
The biology of dentinal hypersensitivity
The current methods of treating dentinal hypersensitivity
New approaches to treating dentinal hypersensitivity
11:00 - 11:15
Break & Exhibition Visit
11:15 - 12:15
Oral Hygiene
Systemic Health and the Management of Gingival Inflammation Through the Use of Anti-Bacterial and Anti-Inflammatory Agents. Evaristo Delgado
This presentation will provide an overview of the inflammation process with descriptions of both acute and chronic inflammation. The focus will be on the current model of periodontal disease, the host response, and the connection between chronic inflammation and overall systemic health. Examples of how oral inflammation has been shown to affect overall health will be given. The role of periodontal diseases in relation to systemic diseases, specifically diabetes and CVD, will be explored and the seminar will conclude with a discussion of therapeutic options.
Learning objectives:
Understand the gingivitis-periodontitis continuum
Understand the role oral infection and inflammation have on systemic health
Understand the relationships between oral health and systemic health, specifically diabetes and CVD.
Understand how antibacterial and anti-inflammatory oral care products can play an important role in helping improve a patient’s oral health and possibly his/her overall health
12:15 - 12:45
Endodontics
Contributions and Limits of Endodontic Therapy in the Treatment of Radicular Cysts and Peri- Apical Lesions Boukais Hamid
Bacterial infection of the dental pulp may lead to peri-apical lesions wich are generally diagnosed either during routine dental radiographic examination or following acute pain in a tooth.
More than 90% of these lesions can be classified as dental granulomas, radicular cysts or abscesses. The evidence of cysts within peri-apical lesions, varies between 6% and 55%. The occurrence of granulomas ranges between 9,3 and 87,1%, and of abcess 28,7% and 70,07%.
In the past, the majority of peri apical lesions were treated by surgical procedures, which are not without risks and complications such as injuries of blood vessels and nerves of the adjacent teeth. But, the progress achieved in the field of endodontics treatments, specifically in the root canal filling technics , improved means of disinfection and the use of calcium hydroxide and MTA, allowed a gradually restriction of the indication for endodontic surgery. Studies have reported a success rate of up 85% after endodontic treatment of teeth with peri-apical lesions, but it is not yet well established if cysts treatment should be surgical or not surgical. Trough our lecture, we would like, after a brief reminder of the important elements of differential diagnosis and a presentation of a series of clinical cases from our clinical experience in this area, emphasis the beneficial effect of endodontic therapy in the treatment of peri-apical periodontitis, peri apical lesions and radicular cysts.
Learning objectives:
To know how to diagnose peri-apical lesions;
To make difference between granulomas and cysts by using radiological examination
To perform endodontic treatment of peri-apical lesions
To follow the evolution and the healing of these lesions after treatment
12:45 - 14:00
Lunch & Exhibition Visit
Chairpersons
Kaveh Seyedan
Boukais Hamid
14:00 - 14:45
Prosthodontics
Contemporary All Ceramic Restorations:Decision Making Tamer El-Gendy
The Edentulous elderly patients with advanced residual ridge resorption present one of the greatest challenges facing the dental profession today. Patients who wear complete dentures experience considerable difficulty adapting to their prosthesis. A well-fitting complete denture appears to be an acceptable alternative to natural teeth. Progressive bone loss of alveolar ridge is related to inadequate load remodeling stimulus of the jaw bone through the use of complete denture, this will result in instability of the prosthesis causing more serious functional and psychological problems. Rehabilitation of completely edentulous patients using dental implants is a highly successful treatment modality that has been clinically documented in several scientific publications over the past 35 years.
Learning objectives:
Complete pre-treatment examination of the edentulous patient
Patient selection
Limitations in treatment of completely edentulous patient
Criteria for clinical success of dental implants
Keys for successful treatment
Number and location of implants required to treat completely edentulous patient
Different options of treating completely edentulous mandibles i.e. Implant- tissue supported prosthesis (Locator attachment over-denture, Locator Bar over-denture) and implant-supported prosthesis (Fixed detachable prosthesis)
Pros and cons of each treatment option
Maintenance required
14:45 - 15:30
Restorative Dentistry
The Use Of Electrobond Improves Microtensile Bond Strength And Reduces Nanoleakage Expression Of Dental Adhesives Guido Pasquantonio
The aim of this study is to investigate the effects of an electric field produced by a new device for the application of etch-and-rinse adhesives on demineralized dentin. The results show that the use of electrically assisted application of the adhesives is able to improve the efficiency of bonding. Microtensile bond strength tests reveal significant results compared with the controls, treated according to standard procedures. The ElectroBond can improve the infiltration of resin into the demineralized collagen matrix of etched dentin. The results were supported also by the FE-SEM and TEM images, which reveal a reduced nanoleakage in the adhesive interface.
Learning objectives:
Increased microtensile bond strength
Reduced nanoleakage expression
Enhanced resin infiltration
Increased water substitution rate by modified water dipole
15:30 - 16:15
Endodontics
What's New in Endo Instruments Roland Arsan
There is not only one quality of NITI endo instruments in the market
1. Those which break 2. Those which cannot be sterilized 3. Those which can be easily deformed 4. Those that can be deformed through continuous use and break rarely
After a series of studies undertaken at the University of Strasbourg, we are now able to offer a new generation of NITI endo instruments, where deformations caused through continuous use are rendered visible, instead of breaking inside the canal. For one century, stainless steel instruments were used for endodontic treatment and success was very limited. Stainless steel is not flexible, which is why we had two solutions: stop shaping 1-2mm above the apex, or change the apex original location and increase the diameter.
Thanks to the flexibility of NITI, the apex can be reached without stress or pressure and due to this, original form of the canal and diameter of the apex are not changed. The taper of the instruments allows us to irrigate the entire volume on all canal length, canal filling is much more hermetic, and the percentage of success is very high. The disadvantages
Learning objectives:
Develop a good understanding of the difference between treatment with stainless steel and NITI instruments
Understand the benefits that using chemical products (irrigation and chelatant) in the canal brings, as well as an understanding of their use
Recognise the advantages and disadvantages of the most popular NITI instruments on the market
Understand the problems that we can be confronted with in a canal and ways to resolve them
Realise that GPs can also achieve the same results as endo specialists
16:15 - 16:45
Endodontics
The Endodontist vs The Implantologist - A Tug of War Shoaib H. Siddiqui
Several studies have been published comparing Endodontic and Dental Implant therapies, favouring the latter. To the reader such discussions may be misleading and could possibly affect future general dental practice. The Focal Sepsis Theory is discussed initially in brief and the discussion moves on to talk about Implant strategies and its role in eradicating Endodontics. Advancement in Endodontics is presented also. The presentation is concluded by encouraging the co-existence of both treatment options.
Current literature seems to be focusing more on Endodontics as compared to Implant therapy. The fight for retaining and/or extracting a tooth is not new in dentistry. Both treatment options are at best only if treatment planning is unbiased as well as keeping the patient’s interest in mind. This tug-ofwar must come to an end since recognition and respect of each discipline of clinical dentistry is mandatory. The war is not which is better: Endo vs Implants. The war, in reality, is between the practitioners: The Endodontists vs The Implantologists. This presentation could be interesting and views/ participation from the audience is of great importance.
Learning objectives:
The Endodontics vs Implants debate is more political than clinical
Both treatment options have their own significance in different clinical scenarios
Advancements in Endodontics and Restorative materials has made the treatment more predictable
Future with Tissue Engineering is bright for Endodontics
16:45 -17:30
Endodontics
Modern Microsurgical Endodontics - Raising the Bar Yaser Alasousi
Endodontic surgery has now evolved into endodontic microsurgery. By using state of the art equipment, instruments and materials that match biological concepts with clinical practice, we believe that micro-surgical approaches produce predictable outcomes in the healing of lesions of endodontic origin. In this presentation I attempted to provide the most current concepts, techniques, instruments and materials with the aim of demonstrating how far we have come. Our ultimate goal is to teach and train the future generation of graduate students and our colleagues to incorporate these techniques and concepts into everyday practice. On the basis of published research, we believe that endodontic microsurgery with MTA is a predictable procedure to save teeth.
Learning objectives:
Describe the evolution and current status of magnification and light amplification in endodontic surgery
Discuss the advantages of using a surgical operating microscope
Describe essential equipment that is used in endodontic microsurgery
Explain what can be accomplished with microsurgical techniques
