This presentation discusses the aeshetic challenges resulting from abnormal gingival displays ranging from gingival recession defects to gingival overgrowth. The presntation will provide diagnostic aids to identify etiologic factors compromising gingival display, different treatment modalities including gingival grafting, gingivectomy, and cosmetic crown lenghening to correct the gingival/periodontal structures, and discuss various methods to maintain healthy and attractive smiles.

An attractive smile is an important element of facial cosmetics. A compromised gingival display can have a negative affect on the esthetics of a smile. There is a wide range of reasons for non-desirable gingival appearance. Identifying the factors behind compromised gingival displays will lead to proper diagnosis, treatment, and maintenance of cosmetic gingival display and therefore, the overall smile and facial aesthetics.

• Understand key anatomical features of periodontium
• Proper diagnosis of limitations of gingival display
• Learn about aesthetic gingival surgery
• determining prognosis and limitations of treatment

In this lecture, we present the most recent technique in presurgical infant orthopedics for infants born with unilateral (UCLP) and bilateral (BCLP) clefts of the lip, alveolus, nose and palate. Nasoalveolar Molding (NAM), a new form of presurgical infant orthopedics, is used by almost 40% of cleft palate teams in the United States. It is composed of an intra oral acrylic alveolar molding plate, retention buttons and an extra oral nasal molding system. The objective of NAM is to reduce the severity of CLCP deformities in the nose, lip and alveolar processes prior to the initial surgical repair. Most surgeons agree that a patient with a milder cleft deformity will obtain a better cosmetic surgical outcome then a patient with a more severe presurgical cleft deformity. NAM can achieve presurgical reduction in nasal cartilage deformity, reduction in size of the alveolar gap, approximation of the lip segments at rest, increase the surface area of nasal mucosal lining, and nonsurgical elongation of the columella. It has been reported that there is a reduction in the number and cost of secondary surgeries needed especially if combined with gingivoperiosteoplasty. The reports are abundant in the literature describing the benefits of NAM and it has become the standard of care in many Cleft Palate Centers.

• Learn about the unique anatomy of unilateral and bilateral cleft deformity
• Learn about the indications and timing of NAM therapy
• Understand the biomechanics and appliance design of NAM appliance
• Learn about the weekly NAM adjustments (activation) and how to manage complications should they arise

Significant improvements have taken place in all aspects of dentistry in the past 25 years. Improvements have also occurred in the area of dental trauma: increased knowledge of the outcome of treatment approaches, improvement in materials and techniques, and other factors ultimately leading to better management and more predictable results.

Management of dental trauma in children and adolescents by a pediatric dentist is of special importance, since growth and maturation play an important role in the decision making process. This vision enables different decisions that directly alter the final treatment when the child is ready for the permanent restoration.

• A better understanding of the concept of dental trauma in children
• Focusing on the role of prevention of dental trauma and its complications
• Learning the appropriate management techniques involved in dental traumatology
• Grasping the importance of growth when dealing with trauma in young patients

Sleep disordered breathing has reached epidemic levels worldwide. Practice parameters published by the American Academy of Sleep Medicine now recommend oral appliances as first line treatment for snoring and mild to moderate obstructive sleep apnea. Dentists and their staff play a critical role in identifying these patients and, working with their medical colleagues, offer a non surgical alternative to CPAP. Since other factors can contribute and predispose patients to sleep disordered breathing, a multi disciplinary early approach is critical to optimize sagittal and transverse development of the arches, airway growth and temporomandibular function.

• Screen sleep disordered breathing (SDB) patients in the dental practice
• Refer suspected SDB patients to a sleep physician for a comprehensive evaluation
• Understand various types of oral appliances available to the dental sleep medicine practitioner
• Recognize the importance of early treatment of malocclusion and airway
• Practice within evidence based AASM published parameters

Sleep disordered breathing has reached epidemic levels worldwide. Practice parameters published by the American Academy of Sleep Medicine now recommend oral appliances as first line treatment for snoring and mild to moderate obstructive sleep apnea. Dentists and their staff play a critical role in identifying these patients and, working with their medical colleagues, offer a non surgical alternative to CPAP. Since other factors can contribute and predispose patients to sleep disordered breathing, a multi disciplinary early approach is critical to optimize sagittal and transverse development of the arches, airway growth and temporomandibular function.

• Learn the technology of Computer-Controlled Local Anesthetic Delivery Systems
• (C-LADs)
• Learn the techniques and injection dynamics associated with the administration of comfortable palatal injections that anesthetize multiple maxillary teeth and related gingival tissue without collateral anesthesia to the patient’s lip or face
• Learn the techniques for the newly discovered Anterior Middle Superior Alveolar (AMSA) Nerve Block
• Learn the techniques for the administration of the newly discovered Palatal- Anterior Superior Alveolar (P-ASA) Nerve Block
• Learn the techniques for delivery of the newly discovered STAIntraligamentary Injection, which can eliminate the need for a Mandibular Block

This presentation will highlight the latest cutting edge processes used to carry out aesthetic dentistry in the most minimally invasive way. In the past and still presently Cosmetic dentistry has been perceived to be available only to the few and uses destructive and techniques that were irreversible and risky.

Using the concept of Progressive smile design through the combined processes of alignment bleaching and bonding, patients of all budgets are now ale to receive cosmetic and aesthetic dentistry in a far more lon invasive and reversible manner. This approach is becoming widely used in Europe and now the US and is starting to redefine the traditional processes behind cosmetic dentistry. This process of treatment also has been accepted by many more patients in these regions because of the lower risk and removal of barriers to treatment. The presenter will outline and review the latest removable alignment techniques, the most efficient and usable whitening systems and the latest composites –all which combine to provide a real alternative to aggressive ceramic restorations. The presenter will also outline the principles of pre-alignment before ceramic restorations and the subjects of retention and ethical space creation. The presentation

• Appreciate a new and revolutionary approach to cosmetic dentistry
• Understand the advantages of Progressive smile design VS traditional smile design and what tools they need to provide this to patients
• Understand benefits of photography
• Get insight into alignment refined combined bleaching and bonding

While fabrication techniques can be a viable solution for most ceramic veneer cases, there are distinct advantages and disadvantages to all techniques.

The key to aesthetic success remains largely in the artistic capabilities of the ceramist. Materials and techniques work differently in different hands,

Therefore, it is imperative for a relationship to be built between the clinician and technician that suits the patient’s needs both functionally and aesthetically.

• Learning different techniques for veneer Fabrication using different ceramic materials
• Using the right technique for the right case, in means of Indications.
• Leucite Reinforced, Lithium disilicate or Zirconia.. etc. What to use for my veneer case?
• Observing clinical cases and their implementations

No more than one per cent of implantologists are using computer-guided implantology techniques. Despite the fact that benefit is huge in terms of patient’s security, precision linked to aesthetic emergence profile, pain control with minimally invasive techniques and bearing in mind that pre-implant anatomic investigation is enhanced using the 3D images... After twenty years of efforts, it is clear that dentists are not ready to integrate computerguided implantology in their everyday practice in the way it is proposed today. Several reasons can explain this issue : the system is too heavy to implement, too expensive (a simple surgical box costs 5000€), this approach needs to be done based on a strong training, easiness to work on computers (which is not the professional objective of all implantologists) and at last, delays are considerably increased in comparison to a classical implant treatment.

In fact, the question is not to know if dentists are ready to implement computer-guided implantology in their everyday practice but more to know if computer-guided implantology is ready to be integrated in our everyday practice. The technique, in the way it is commercialized is responsible of this situation, not the dentists. A team of French scientists met to analyze and proposed a cheap, a simple and a good sense solution to solve this issue. This lecture will introduce the New deal in Computer-guided Implantology. How to make it as safe but simpler, faster rand cheaper ?

• Allow participants to understand the benefit we can draw from using imaging based implant treatments in terms of accuracy, security, aesthetic results
• Allow participants understanding the difference in between volume rendering and surface rendering images
• Allow participants to get access to the latest developments in the full line of image based implant surgery and guided implantology

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.

• Allow participants to understand the benefit we can draw from using imaging based implant treatments in terms of accuracy, security, aesthetic results
• Allow participants understanding the difference in between volume rendering and surface rendering images
• Allow participants to get access to the latest developments in the full line of image based implant surgery and guided implantology

The WHO Global Oral Health Programme has worked hard over the past decade or so to increase the awareness of oral health worldwide as oral health is important component of general health and quality of life. Meanwhile, oral disease is still a major public health problem to all countries. The WHO Global Oral Health Programme formulated the policies and necessary actions to the continuous improvement of oral health. The strategy is that oral disease prevention and the promotion of oral health needs to be integrated with chronic disease prevention and general health promotion because of common risk factors. Integration of the prevention of specific oral disease manifestations with the control of infectious diseases is particularly relevant in the case of HIV AIDS. At the World Health Assembly in 2007, the Member States agreed on an action plan for oral health and integrated disease prevention, Resolution WHA60.17. The policy forms the basis for future development or adjustment of oral health programmes at national level. Clinical and public health research has shown that a number of individual, professional and community preventive measures are effective in preventing most oral diseases. However, advances in oral health science have not yet benefited the poor and disadvantaged populations worldwide. The major challenges of the future will be to translate knowledge and experiences in oral disease prevention and health promotion into action programmes.

• Describe the policy of WHO in promoting oral health globally and at regional level
• Understand the common risk factors approach to integrated NCD prevention
• Understand the equity issue in oral health at global and regional levels
• Analyze the social determinants in oral health and disease

Although relatively rare, occupational exposures to blood that may occur from a splash to the eye, a cut or scrape with a sharp instrument or a splash to non-intact skin may present a risk for transmission of bloodborne diseases. Transmission of disease from patient to healthcare workers has been well-documented.

This lecture helps participants understand the global and regional epidemiology of bloodborne diseases such as Hepatitis B, Hepatitis C and HIV. The presentation provides clinically relevant information regarding prevention of exposure incidents, and the appropriate plan for response when an exposure does occur. Understanding the risks and implementing appropriate prevention and response plans is vital to the health of every dental health-care provider. At the end of this course participants will be able to develop an exposure management plan for their clinic setting.

• Understand the modes of transmission in the oral health care setting
• Develop an appropriate clinical protocol for responding to occupational exposures to blood
• Understand the risk associated with bloodborne exposures
• Describe the appropriate medical followup in response to an exposure incident

The significance of mouth and teeth cleanliness has been recognized from the earliest days of civilization to the 21st century. Mother Nature has blessed upon us many herbs and plants, many of which have excellent medicinal properties. Various herbal products and their extracts such as Guava, Pomegranate, Neem, Propolis, Tulsi, Green Tea, cocoa, Aloe vera etc, have shown significant advantages over the chemical ones. If herbal products can be formulated which can be easily prepared and used by people at home using simple effective methods, it may lead to a significant improvement in the general dental health of the population.

Periodontal diseases are chronic bacterial infections that lead to gingival inflammation, periodontal tissue destruction and alveolar bone loss. Acting as powerful allies in the fight against periodontal diseases, natural compounds can help safeguard against lethal age related diseases that emanate from our mouths. There are many naturally occurring products which are used in homeopathic and herbal practice as antiseptic, anti-inflammatory, antimycotic and bacteriostatic agents. Naturally occurring fruits and plants such as Guava, Pomegranate, Neem, Propolis, Tulsi, Green Tea, cocoa, Aloe vera have been used as astringent, haemostatic, ant diabetic, anti helminthic and also for diarrhoea and dysentery, along with various other medical benefits. Various studies have shown beneficial results of the extracts of these products in improving general oral and periodontal health. The aim of present study was to investigate the possible efficacy of extracts of these naturally occurring products as anti plaque and anti-inflammatory agents.

• To explore the possibility of use of naturally occurring substances as an adjunct to maintaining oral health
• To study the benefits of such substances
• To study the feasibility of use of such substances
• To provide cost effective solution to oral health maintenance

WHO has a long tradition of epidemiological survey methodology and surveillance. The so-called WHO Global Oral Health Data Bank was established in the mid-1960es, the bank emerged from the gathering of information from surveys on the growing burden of dental caries among children conducted particularly in industrialized countries. Most of the surveys carried out in these countries during the 1960es were motivated by the concern for planning of oral health services or organization of public health intervention programmes. WHO encouraged Member States to report information on disease level for international comparisons and by use of a standardized methodology. For intercountry comparison, certain standard age groups were suggested: 5-6 years, 12 years, 15 years, 35-44 years and 65-74 years (or 65 years or more), and a simplified pathfinder sampling methodology was developed for urgent data collection in countries or settings where probability sampling was not possible. In order to ensure data of high validity and reliability, WHO published a Manuel: WHO Oral Health Surveys - Basic Methods, describing basic instruments and record forms for use in collection of clinical data. Criteria for recording clinical conditions were recommended, focussing on dentition status, prosthetic status and needs, dental caries and dental treatment needs, developmental anomalies of teeth, periodontal disease and treatment needs, oral mucosal lesions and oral precancer/cancer. Special attempts have been made to provide high quality data through specification of clearly defined examination criteria, training and calibration trials for assessment of intra - or interexaminer variability.WHO also prepared guidelines for post-survey action in terms of standard statistical analysis, provision of tables and preparation of survey reports. The update version of the manual will be discussed during the intervention.

• Describe the WHO recommendation to basic oral health surveys
• Understand the rationality of pathfinder surveys and
• Indicate the updates in WHO survey methodology
• Understand the public health relevance of national surveillance systems

One of the major clinical problems related to direct posterior composite restorations is the clinician’s inability to achieve ideal interproximal contact. Class II composite restorations with open contacts often result in food impaction leading to periodontal inflammation and disease, interproximal bone loss and recurrent caries. This presentation will address the importance of proper matrix management for direct posterior Class II composite restorations to enable clinicians to create predictable interproximal contacts on a routine basis. The most widely used matrix systems on the market will be reviewed according to indications, contraindications and placement technique by means of clinical case reports.

• Learn what different matrix systems are available for Class II posterior composite restorations
• Learn when to use what system in different clinical situations
• Gain the knowledge to achieve good interproximal contact on a routine basis in clinical situations
• Realize the importance of the correct placement of matrix systems at the gingival margin to ensure long lasting posterior restorations
• Appreciate the potential use of stem cells in clinical dentistry

Excessive wear on teeth can lead to not only loss of tooth tissue but also a loss in facial height with accompanying reduction of facial aesthetics.

After a review of the literature and the use of occlusal splints several case studies will be given to show improvements in the occlusion and facial aesthetics. These will range from the use of Dahl Appliances to full dentures to partial and full mouth reconstruction.

By performing a partial or full mouth reconstruction at an increased vertical dimension using gnathologic principles facial aesthetics can be re-established and improved, the occlusion stabilised and wear reduced.

This lecture will address loss of Vertical Dimension due to wear and treatment options to improve facial aesthetics and occlusion.

Occlusal wear is one of the biggest problems facing restorative dentists worldwide. Wear often leads to loss of vertical dimension. This paper aims to review the different health options and then show case studies to support increasing vertical dimension and improving facial aesthetics. Occlusalconsiderations will be paramount during the presentation.

• To assess whether tooth wear has led to loss of vertical dimension
• Assessing how to achieve the correct vertical dimension
• To learn how to handle the increase in Vertical Dimension from an occlusal point of view
• Understanding the technicians role in the technique

All the dental work is art. Art is based on proportion, rules, emotion and harmony. To create perfect smile you have to create harmony first. This lecture helps you how to design harmony in a conscious way to create perfect smiles and how to communicate with the patients.

Every single elements (toothshape, incisal curve, edge caracter, toothcolor) has got a typical effect on the patient’s face. Therefore the perfect outcome is based on the correct designing according to smile design rules and new smile design concept (Smylist® design) that can help dentist to be able to choose all the smile elements to the patient’s facecharacter and personality.

Software simulation is the best way for communication with the patient, can help dentists to be able to simulate smiles, and microcaracters on the patient’s portrait before the treatment starts, and check the effect of more than 60.000 smiletypes and choosing the most harmonious smiletype. Software provide a perfect communication among dentist, patient an dental technician, and create a common languge among them.

• Understand digital dentistry
• Understand software assisted smile simulation
• Understand aesthetic dentistry

Many public dental health programmes are built around an educational component, based on the firm belief that the health problem at hand, is related to behaviour in the population. This is, at least when it comes to dental caries, a well founded assumption. The following steps in reasoning are that health behaviour emerges from a favorable attitude which is based on knowledge.

The lecture will explore the evidence behind education as a direct means to promote health behaviour and discuss other factors with potential influence on health behaviour.

• Describe the evidence of a direct effect of health education on health behaviour
• Understand the role of other influences than health education on health behaviour
• Understand the biological background to key elements in health behaviour

Cosmetic dentistry uses many methods and offers a variety of solutions to people who aim to improve the visual appearance of their teeth. These methods vary from simple tooth whitening to complex multiple tooth reconstruction,

The concept of placing porcelain on teeth without preparing away tooth structure or with minimally invasive preparation is one of these methods that gets patients’ attention. The challenge has always been creating thin natural looking results without making the teeth look bulky and too big, so has this challenge really achieved?

• Material Updates in serving the cosmetic field
• Getting to know the correct image of the veneer world leaders
• The material strength and aesthetic and how to balance between them
• Observing clinical cases and comparing

The Clinic and Lab Communication is the key to success for any restoration. In this workshop, we will learn “What Dentist expect from the Lab and What Laboratory expect from the Dentist” .

Clinic and Laboratory communication play an important role in ensuring best/ excellent laboratory work results. We are here today to share with you some information and tips/techniques related to “Prosthetic Procedures for Best Quality Results”. The lecture will help you understand the correct procedures/ tips about shade selection essentials, how to do single temporary/complex bridges fast and how to solve the problems during the delivery of bridge.

• To give the best tips on tooth preparation
• To edify the way of how to take perfect impression
• To provide an excellent occlusion registration tips
• To give you a quick solution on how to solve the problems during the delivery of bridge (rocking, non fitting, high occlusion and contact)