Day 2 :
Keynote Forum
Sonya Dunbar
RDH, MHA Geriatric ToothFairy, USA
Keynote: How dirty teeth and tongues are killing our geriatric population
Time : 10:00-10:45
Biography:
Sonya Dunbar, also known as the Geriatric Tooth fairy is a registered Dental Hygienist she has and over 25 years of dental experience in private practice, skilled nursing facilities, academia and marketing and has proudly served her country in the United States Navy. For the last 15 years, she worked in long-term care facilities both as a Dental Hygienist providing clinical treatment and as a staff trainer providing in-services and hands-on training to the staff and we cannot forget her very entertaining seminars packed with valuable information on Geriatric oral care. That experience has afforded her the opportunity to learn the concerns, desires, needs, and expectations of patients and their families as well as those of facility staff and administration. Her experience also created a desire in her to do things better to improve the quality of care and level of customer service provided to residents, staff, and administration of long-term care facilities.
Abstract:
In my 15 plus years working as a dental hygienist in long-term care facilities, I have seen the most reprehensible oral care imaginable. I have witnessed dentures that had not been removed or cleaned in years. I have seen tube-fed residents who had
not had their teeth brushed in months because of the staff’s failure to see the necessity of providing oral home care. I recently treated a patient who had so much tartar build up on his lower anterior teeth that he could not close his mouth or properly chew his food. I have listened to the countless, heart-wrenching accounts of elders so embarrassed by their dental condition that they were ashamed to smile or even let me examine their mouths. Dental health plays a significant role in mental and emotional health and well-being. Therefore, caregiver provision of proper oral homecare helps maintain the dignity of the geriatric community. Whether the neglect is due to caregivers’ lack of knowledge or lack of compassion, the result is detrimental to the systemic health of the elderly. Uncontrolled oral bacteria can lead to pneumonia, diabetes, strokes, and heart attacks. It has even been linked to Alzheimer’s disease. Frequently, cognitive impairment intensifies preexisting oral problems. For instance, elders with Alzheimer’s typically have poor oral care and a higher incidence of oral diseases. The most deplorable aspect of this situation is the fact that it is readily preventable. The quality of life and systemic health of residents in long-term care facilities can be significantly improved by simple, consistent, and effective oral care practices
Keynote Forum
Emil Svoboda
University of Toronto, Canada
Keynote: Prevention of peri-implant disease by design and protocol
Time : 10:00-10:45
Biography:
Svoboda obtained a Bachelor of Science at the University of Toronto & then proceeded to earn a PhD and a Licence to Practice Dentistry from the Faculty of Dentistry at the same University. In 1982 he began his private Practice in Brampton as a General Dentist. Dr. Svoboda provided a wide range of services for his patients including tooth repair, removal & replacement with fixed bridges and dentures. In 1990 Dr. Svoboda started to include Dental Implants in his treatments. Today, Dr. Svoboda devotes much of his time, providing treatment involving dental Implants for his Patients and Patients referred to him by other professionals. Implant treatment involves Special Diagnostic, Surgical & Prosthetic components. Dr. Svoboda usually provides all Phases of Implant Treatment for his patients in his office. Dr. Svoboda is a longstanding member of many local dental organizations, including the Canadian Dental Association, Ontario Dental Association and Halton-Peel Dental Association.
Abstract:
The incidence of prosthetic related peri-implant disease is on the rise. Abutment manufacturers must comply with Government and ISO Standards in order to sell their products in North America. These standards assume that the dentist will install these abutments according to manufacturer’s specifications and thus optimize the implant-abutment connection. The current screw-in prosthesis installation systems make it unlikely that dentists can consistently comply with these regulations. The basis of the problem rests in the fact that all dental models are inaccurate, and thus the prosthesis made to fit a dental model is also inaccurate. The screw-in installation technique dictates that the abutments are to be attached to the prosthesis on the dental model, before being installed into the mouth. The abutments are thus constrained by the inaccurate prosthesis, and their fit onto their respective dental implants cannot be optimized. It exposes our patients to the known “technique related” risk factor for peri-implant disease, known as the implant-abutment misfit or macrogap. Applying an intra-oral cementation step to the screw-in technique, can solve this macrogap and misfit problem. The technique involves the use of “well designed” custom abutments, prostheses and supporting techniques that are sensitive to the Gingival Effects™ and precludes cement voids, overhangs and open margins
Keynote Forum
Sonya Dunbar
RDH, MHA Geriatric ToothFairy
Keynote: How dirty teeth and tongues are killing our geriatric population
Time : 11:00-11:30
Biography:
Sonya Dunbar, also known as the Geriatric Tooth fairy is a registered Dental Hygienist she has and over 25 years of dental experience in private practice, skilled nursing facilities, academia and marketing and has proudly served her country in the United States Navy. For the last 15 years, she worked in long-term care facilities both as a Dental Hygienist providing clinical treatment and as a staff trainer providing in-services and hands-on training to the staff and we cannot forget her very
entertaining seminars packed with valuable information on Geriatric oral care. That experience has afforded her the opportunity to learn the concerns, desires, needs, and expectations of patients and their families as well as those of facility staff and administration. Her experience also created a desire in her to do things better to improve the quality of care and level of customer service provided to residents, staff, and administration of long-term care facilities.
Abstract:
In my 15 plus years working as a dental hygienist in long-term care facilities, I have seen the most reprehensible oral care
imaginable. I have witnessed dentures that had not been removed or cleaned in years. I have seen tube-fed residents who had not had their teeth brushed in months because of the staff’s failure to see the necessity of providing oral home care. I recently treated a patient who had so much tartar build up on his lower anterior teeth that he could not close his mouth or properly chew his food. I have listened to the countless, heart-wrenching accounts of elders so embarrassed by their dental condition that they were ashamed to smile or even let me examine their mouths. Dental health plays a significant role in mental and emotional health and well-being. Therefore, caregiver provision of proper oral homecare helps maintain the dignity of the geriatric community. Whether the neglect is due to caregivers’ lack of knowledge or lack of compassion, the result is detrimental to the systemic health of the elderly. Uncontrolled oral bacteria can lead to pneumonia, diabetes, strokes, and heart attacks. It has even been linked to Alzheimer’s disease. Frequently, cognitive impairment intensifies preexisting oral problems. For instance, elders with Alzheimer’s typically have poor oral care and a higher incidence of oral diseases. The most deplorable aspect of this situation is the fact that it is readily preventable. The quality of life and systemic health of residents in long-term care facilities can be significantly improved by simple, consistent, and effective oral care practices.
- Dental Sleep Medicine | Oral and Maxillofacial Surgery | Orthodontics | Cosmetic Dentistry | Oral Implantology | Preventive Dentistry
Location: San Francisco, USA
Chair
James L Ratcliff
Rowpar Pharmaceuticals, Inc., USA
Co-Chair
Alex A Giannini
Georgetown Univesity School of Dentistry, USA
Session Introduction
Umesh Pratap Verma
King Georges Medical University, India
Title: Outcomes of minimal invasive implant therapy
Biography:
Umesh Pratap Verma did his Master of Dental Surgery (Periodontics), KGMU University, Lucknow and Bachelor of Dental Surgery, KGMU Lucknow. He has also persuaded his Diploma in Pharmacy, GSVM Medical College, Kanpur with BSc (Botany, Chemistry, Zoology), RML University, Faizabad. He had been previously working as Lecturer, Dept. of Periodontology, KGMU Lucknow, Aug 2005-08 and as Assistant Professor, Dept. of Periodontology, KGMU, Lucknow, 2008-12 got promoted as Associate Professor, Dept. of Periodontology, KGMU, Lucknow, 2012-14. Currently, he is an additional Prof. Periodontology, KGMU, Lucknow. He has published more than 30 papers in reputed journals and has been serving as an editorial board member of the much elite organization. He has many current assigned to projects under him.
Abstract:
Nowadays, the clinicians basically focused on patient-centered therapy either they prefer the surgical or non-surgical method of treatment. Dental implants were alleviated patient from the effects of loss of teeth and alveolar bone around it. A major factor that determines the success of a dental implant is osseointegration, which is a direct structural and functional connection between bone tissue and the implant. Implant dentistry, a different type of surgical technique and various biomaterials were introduced since the 1970s. The well-documented correlation between flap elevation and bone loss resulted in the introduction of minimally invasive or flapless techniques, an approach that is gaining popularity in Implantology. Flapless implant placement technique is minimally invasive implant placement under which the implant is placed without reflecting mucoperiosteal flap so that the blood supply of bone is not hampered and it is thought to be beneficial in various outcomes. Flapless approach for implant placement is reported to significantly reduce the surgical time, lessen patient discomfort, and increase patient acceptance. As there are comparable or better results found in different studies for flapless implant survival rate, marginal bone level, keratinized mucosa, and esthetic outcomes, a surgeon well adapted to flapless approach can implement this technique for their benefit. The present oral presentation includes a comprehensive review of various aspects of minimal invasive implant therapy with clinical presentation series of various cases.
Pradeep Acharya
B.P.Koirala Institute of Health Sciences, Nepal
Title: Incidence of dry socket after extraction and its causative factors experience at BPKIHS
Biography:
Pradeep Acharya is an acting member within the team of oral and maxillofacial surgeons at BP Koirala Institute of Health Sciences, Dharan, Nepal serving the underprivileged population of Nepal from a public sector institution. His vision to improve the healthcare of these people has motivated him to enroll in various research activities and training the next generation of healthcare professionals. Further presently working as an associated professor in the department he has also contributed to world scientific literature.
Abstract:
Background: Dry socket is one of the most common complications of tooth extraction and its prevalence may reach up to >35%. Several contributing factors have been reported to be associated with an increased risk of dry socket.
Objectives: To evaluate the incidence of dry socket in BPKIHS after extraction and assessment of factor associated with the dry socket.
Material and Method: Data related to this study were collected from all patients visiting oral and maxillofacial surgery department for routine extraction. The target sample of this study comprised of 1636 patients during 6 months of the period for extraction. The data included age, sex, traumatic extraction, smoking, site of extraction, medically compromised patients, use of local anesthetics, and operators were also collected.
Results: The total number of patients who underwent dental extraction in 2016 at BPKIHS was 1636. The number of teeth extracted was 2151. Only 68 patients returned with dry sockets giving an incidence of 4% of cases and 3.2% of the teeth extracted. Dry socket had been found to be affected significantly by female 66% and male 34%. There were 13(19%) cases of the dry socket with a medical history and 55(81%) cases of the dry socket with single extraction.
Conclusion: It is recommended to identify high-risk groups when performing extraction to consider measures in order to reduce postoperative complications
Sakshi Malik
Daswani Dental College and Hospital, Kota, India
Title: Assessment of dental caries and eruption of primary teeth in children with protein energy malnutrition
Biography:
Sakshi Malik did her graduation in dental surgery in 2011 and post-graduation in 2015 from Rajasthan University of Health Sciences, Jaipur. She has done her MDS in Pediatrics and Preventive Dentistry and thereafter, she has worked as Senior Resident, Department of Dentistry, Government Medical College and Hospital, Udaipur from 2015 to 2018. Currently, she is working as Senior Lecturer in Daswani Dental College and Hospital, Kota and simultaneously is into practice at her own private clinic. Interested in research, Dr. Malik has presented research papers in National and International Conferences both in India and abroad and has a number of published papers to her credit in indexed journals. As a part of social responsibility, she has been organizing oral health camps in schools to create awareness among children.
Abstract:
Nutrition is a basic human need and adequate wholesome diet is essential for the proper growth and development of the human body. Prolonged nutritional deficits lead to chronic malnutrition in children. Malnutrition, with its two constituents of protein-energy malnutrition and micronutrient deficiencies, continues to be a major health burden in developing countries, especially in Asia and Africa. PEM, while generally considered a health problem in developing countries, is not rare in developed countries. According to the reports by the United Nations in 2008, around 923 million people worldwide are suffering from malnutrition. Malnutrition has severe effects on the growth and differentiation of different tissues. Even oral tissues, including the teeth, are very sensitive to the changes in the nutritional supply at these particular developing stages, thus increasing the ill effects on the oral structures. The present study seeks to bring out the association of early childhood malnutrition with dental caries and altered eruption timing as a potential explanatory variable in the relationship between PEM and dental caries. The data was collected on the basis of the examination conducted on 200 children under 5 years of age with protein-energy malnutrition in rural areas of Udaipur district. The nutritional status assessment was done by a Pediatrician looking for the signs of malnutrition: eye, pitting oedema and appearance. Anthropometric measures were taken according to WHO criteria. These measurements included: upper arm circumference, weight, age and length/height of the child. This data was converted into weight for age, height for age, weight for height and arm circumference for age and compared with the WHO standard charts for protein-energy malnutrition patients. Blood samples were collected from each child to determine total protein level, serum albumin, and serum globulin levels after obtaining the consent from the parents. Questionnaires detailing information on child-related factors like age at commencement of weaning, immunization coverage and a number of diarrhoea episodes, etc. were administered. The oral health status of these children was assessed according to the WHO - Oral Health Survey Protocol. Assessment for the following was carried out: Caries and delayed eruption. Statistical analysis was done using SPSS version 20. Chi-square test, Students t-test, and Pearsons correlation were employed. The result showed that the majority of the study population was in <-3 SD and below, which signifies a severe form of malnutrition. Caries was found in very few children, only 10% of the study population showed carious teeth. The delayed eruption was found in a large number of children that constituted almost 45%
of the study population
Soumya Vishwanth
Consultant Periodontist, India
Title: Why pick on teeth – Toothpicks then and now
Biography:
Soumya Vishwanath has completed her Masters in Periodontology from A.E.C.S Maaruti College of Dental Sciences and Research Centre, Bangalore, India. She has had the experience of teaching both in India as well as in Libya at the Libyan International Medical University. She has been a part of the team incharge of formulating and executing Dental Curriculum and the Internship program at the University. At present, she is a successful dental practitioner and Consultant Periodontist to many dental clinics in Bangalore, India. She is a member of the committee in research with relation to Periodontics and has to her credit a few publications
Abstract:
The history of the toothpick is as old as mankind and as universal as eating. Its story knows no bounds, and it is revealed in the records of anthropology as surely in annals of etiquette. The story of the toothpick consists of an information set in prehistoric Africa, China, Brazil, Japan, Sweden, and the United States. The toothpick is the story of everyone and everything at every time. This paper traces the evolution, history, and development of this magnificent piece of everyday use and its ill effects on periodontium when not used in the right technique.
Hafsa Affendi
Rutgers School of Dental Medicine, USA
Title: Current concepts in diagnosis and management of Non-odontogenic Orofacial pain
Biography:
Abstract:
Biography:
3D Printing (3DP), otherwise known as additive manufacturing is the forerunner in today’s digital dentistry. 3DP as a technique surfaced back in the 1980s but has turned mainstream only since lean methodologies entered prototyping more recently in the 21st century. Its advent began when Charles Hull printed, for the first time, in 1983, a three-dimensional object using the first 3D printer. 3DP is a process of producing 3D solid objects from a digital file in STL format (Surface tesselation language file or Standard triangulation language file) by a 3D printer by joining, bonding, sintering or polymerizing small volume elements. As evident in the Gartner Hype Cycles for 2017, 3DP is making critical inroads today in dentistry driven primarily by its superior customization propensity
Abstract:
Nourah Abdul Kader has completed her degree in Bachelors of Dental Surgery at the age of 23 years from Tamil Nadu Dr. M.G.R. Medical University, Chennai, India. She has also completed a Basic Implantology course. She is a triple gold medallist, holding a GPA of 4.0 and has received the Best Academic Performer Award during the academic period 2012-17. She has presented papers and posters in various National and International conferences for which she has won laurels. She has written an article on 3D Printing in Dentistry after exploring the influence it has on modern digital dentistry. She aspires to learn from some of the great minds in dentistry throughout the world to help the underserved people.
Biography:
Amr Abouzeid has completed his BDS in 2014, he has attended many courses in DSD with the DSD concepts inventors Dr Christian Cochman, Mrl. Livio Yoshinaga and he has become a DSD certified team member. He is a DSD course instructor in since 2016, he has given many courses in multiple cities in Egypt that include both software and clinical application. He has trained over 250 dentists on DSD template. He has finished NBDE 1,2 in 2018. Furthermore, he has many contributions at many conferences in Egypt, and the USA which includes oral presentations, poster presentations, and conference moderation. Also, he has publications in many local and international journals
Abstract:
Digital Smile Design is considered a hot topic in modern dentistry, seeking the perfection and the ideal results are now much easier to be done by this magnificent tool. In the workshop, we will have many topics to be discussed before the hands-on and software application. First, we will talk about the ideal smile parameters, Then the motivational mock-up and how to use it to communicate with your patients and convince them about your treatment plan. Also, we will discuss the classification of different cases and how to deal with them separately to produce the ideal smile. And Finally, we will apply all of this knowledge on a case, every participant on his own laptop, and start the digital designing using DSD template that you will receive it from me. N.B I can accept any number of participants on the lectures, However, in the hands-on, it should not be over ten participants
- Dental Surgery | Endodontics | Prosthodontics | Preventive Dentistry | Dental Education and Training
Location: San Francisco, USA
Chair
Alex A Giannini
Georgetown Univesity School of Dentistry
Co-Chair
Sonya Dunbar
RDH, MHA Geriatric ToothFairy
Session Introduction
Greta Kersyte
Lithuanian University of Health Sciences, Lithuania
Title: Human dentin as an autologous bone grafting material
Biography:
Greta Kersyte is a third-year dental student from Lithuanian University of Health Sciences (LUHS). A delegate of Lithuania in International Association of Dental
Students (IADS) and a Liaison officer of Editorial Board for IADS Magazine where she has written 9 articles so far. She has been doing practice in Maxillofacial and Oral Surgery department in LUHS, also has done an Erasmus exchange program in Universitat de Barcelona. From the first year very interested in the surgical field and doing a clinical study about the usage of autologous dentin
Abstract:
Regenerative dentistry has a need to develop better bone grafting materials. Bone augmentations and guided bone regeneration (GBR) offers the clinician a chance to solve the problem of space deficiency due to morphologic and pathologic problems of insufficient bone volume or space. Bone grafting materials are commonly categorized to 4 major categories: autogenous bone, alloplastic bone, allograft bone, xenograft bone. There has been made many studies on how each type of bone graft is effective in the GBR procedure and autologous bone graft is considered by many to be the "golden standard" due to its ability for osteogenesis, osteoinduction and osteoconduction. Its advantage is the rapid healing time without immune rejection. How ever the shortcomings of an autologous bone is that the harvest amount is limited, resorption after graft is unavoidable and that there is another surgical site for the patient other that the area of the defect. We are studying the usage of autologous bone as grafting material for alveolar socket preservation after the third molar extraction. In control group after 3 months (n=11) the depht of periodontal socket was 4,63 +- 0,48mm whereas in sudy group (n=13) 1,43 +-0,35mm. Patients also confirmed that food stuck less to the site which was grafted. So this video presentation will focus on human dentin which can be used as
an autologous bone grafting material
Ghaidaa Ureiga
Ministry of Health, Saudi Arabia
Title: Caries risk factors for children seen in jeddah speciality dental center
Biography:
Abstract: Dental caries is the most common chronic infectious disease in children affecting both sexes. It is multifactorial in origin that is influenced by biomedical factors (diet, microorganism, and tooth) and the social determinants of health. The purpose of this study was to evaluate the association between dental caries and gender, body mass index (BMI), and socioeconomic status (SES) in Saudi children aged 2-12-year-old seen in Jeddah Speciality Dental Center.
Method: The study included 59 caries-free children and 118 children with caries experience. Personal data and family SES were assessed by a questionnaire. Children were examined for caries according to WHO criteria. Based on the age and sex-specific Centre for Disease Control and Prevention (CDC) 2000 growth charts, the weight status of the children were categorized by the BMI percentile into 4 groups: underweight (< 5th percentile), normal weight (5th to < 85th percentile), overweight (85th to < 95th percentile), and obese (≥ 95th percentile). BMI percentile values for the children was generated using a web-based the calculator on a CDC website (http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx)5.
Results: Of 177 participated children, 47% (n=84) were males. The mean age of children was 5.8 years. Chi-square test showed that there is no association between caries status and gender and BMI groups, p-value = 0.74 and 0.87, respectively. However, the significant association between dental caries and lower family monthly income was observed with p-value < 0.001. Additionally, caries experience was also associated with the lower parental educational level (p-value ≤ 0.001).
Conclusion: No significant associations of dental caries were found with gender and all 4 categories of BMI for the selected age in this study sample. Pairwise comparison showed the negative association between dental caries and SES. Moreover, significantly less number of children with caries was observed for highly educated mothers
Abstract:
Ghaidaa Ureiga is a general dentist from Jeddah, Saudi Arabia. In September 2014, she received her BDS degree from Al-Batarji Medical College (BMC) in Jeddah. From August 2014 to 2015, she completed her internship program at BMC, Jeddah Specialty Dental Center (JSDC), King Fahad Hospital, and Jeddah Maternity and Children’s Hospital, mainly in the pediatric dentistry and maxillofacial clinics. From January 2016 to May 2018, she joined the pediatric dentistry department at JSDC, Ministry of Health (MOH) as a trainee since 2014
Yasemin Erdogan
Istanbul University School of Dental Medicine, Turkey
Title: Two case studies for indicating interdental papilla regeneration between the implant and natural tooth and soft tissue re-establishing around of implant
Biography:
Yasemin Erdogan has completed his bachelor degree at the age of 24 years from Marmara University and gained DMD title and was PhD student about prosthodontics dentistry in Istanbul University School of Dental Medicine. She quit her PhD and moved the San Francisco Bay area. She works a volunteer dentist much organization. She is the director of Bay Area brunch of Whitetulip Health Foundation
Abstract:
In recent years, clinician and dentist's esthetic demand in dentistry has increased rapidly, driven by an enhanced awareness of beauty and aesthetics. The ultimate goal in modern restorative dentistry is to achieve "white" and "pink" esthetics in esthetically important zones. "White esthetics" is the natural dentition or the restoration of dental hard tissues with suitable materials. "Pink esthetics" refers to the surrounding soft tissues, which includes the interdental papilla and gingiva that can enhance or diminish the esthetic result. Reconstruction of the lost interdental papilla is one of the most challenging and least predictable problems. Restoration and maintenance of these tissues with adequate surgical and prosthetic techniques are a real challenge in modern esthetic dentistry. Treatment of marginal tissue recession and esthetic defects around teeth and implants are some of the aesthetic problems associated with the interdental papilla that have to be corrected in today’s scenario. This case study describes a clinical case of gingival conditioning with provisional implant-supported prostheses to improve the aesthetics of the soft tissues adjacent to implants. Gradual
application of pressure to the tissues is an easy, nontraumatic technique for inducing the formation of papillae and reestablishing the
appropriate shape and contour of the gingival tissues, thereby improving esthetics and phonetics. Soft tissue which is surrounding to implant is reshaped by gradually adding composite material to the provisional implant-supported restoration. Patients were seen weekly and soft tissue was observed. The proposed treatment proved to be effective in remodeling the surrounding soft tissues, providing suitable contours, and restoring esthetics and function surrounding of the implant. At the end of treatment, interdental
papilla was created between natural tooth and implant