Scientific Programme

Saturday, 27 October 2007

 

MORNING (09.00am-11.30am)

Steps to Insure Success with Dental Implants
Robert L. Schneider, USA

  • Develop a higher comfort level when being the leader in the “team” approach to implant dentistry
  • Understand the potential limitations of implant treatment for your patient
  • Be more familiar with the implant components for the “simple” single tooth restoration to the full mouth rehabilitation

The steps to a successful dental implant restoration begin with diagnosis and treatment planning. Today’s dental implant systems have evolved into a more simplistic and predictable approach such as the Straumann concept. The “team” approach to treatment planning and the use of simple restorative procedures will be presented with patient treatment illustrating the concept and predictable outcome for these patients. Simple to more complex patient treatment options will be presented including fixed and removable prosthodontic treatment plans.

 

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Oral Manifestations of Systemic Diseases: Blood Dyscrasias, Infectious Diseases, and Oral Manifestations of Immunosuppression: Biology, Recognition, Management
Sol Silverman, USA

  • Be able to develop a differential diagnosis from history, signs and symptoms
  • Be able to order or refer for appropriate tests
  • Be able to discuss/prescribe appropriate treatment(s)
  • Be able to understand risks and prognosis

This course updates some important diseases/conditions affecting the dental office and personnel. AIDS, tuberculosis, hepatitis, candidiasis, herpes, hematologic disorders (benign and malignant), and human papilloma viruses are included. Because immune suppression is often involved, opportunistic infections, immunopathic conditions, and transmissible malignancies are covered. Relevant epidemiologic, demographic, and biologic data is reviewed. Clinical features, diagnosis, and treatment are illustrated. Transmission risks for health care workers and patients are assessed.

 

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Oral Precancer – Its Detection and Management
Saman Warnakulasurya, United Kingdom

  • Importance of screening
  • White and red patches – clinical presentation
  • To biopsy or not
  • New diagnostic kits – are they sensitive?
  • Evidence based management of precancer
  • Assisting tobacco cessation

Diagnosis of precancer necessitates a good understanding of clinical presentation of all white/red lesions. Biopsy is recommended to exclude other disorders and assess dysplasia. Toluidine blue, brush biopsy and autofluorescence may serve as screening tools but their sensitivity and specificity need further assessment.

Treatment modalities to eradicate leukoplakia include surgery, lasers, use of systemic anti oxidants, e.g. beta carotene. Due to limited number of RCTs there are no evidence based recommendations. As tobacco and betel quid are major etiologic factors, involvement of the dental profession in providing assistance for cessation of such habits remains a key issue in the management.

 

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Contemporary Team Care in Cleft Management: Long-term Treatment Outcomes
Karin Vargervik, USA

Upon completion of this lecture the participant will be able to:

  • Identify various types of clefts
  • Explain etiologic factors causing clefting
  • Explain characteristics of growth and development of children with clefts
  • Compare various surgical and non-surgical treatment modalities
  • Verbalize principles of team work and interdisciplinary interaction for optimal patient management
  • Successfully interact with specialists in different fields of health care
  • Appropriately refer patients

The presentation will describe the embryology, main features and growth characteristics of the most common orofacial clefts. Comprehensive team care will be discussed and the importance of interdisciplinary management will be demonstrated by long-term treatment outcomes of speech, hearing, jaw and facial growth, occlusion and oral health.

 

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Dental Traumatology – Recent Advances in Treatment
Jens Andreasen, Denmark

A trauma to the primary or permanent dentition implies damage to pulp and periodontal cells.
The lecture will describe the positive and sometimes negative effects of:

  • Repositioning
  • Splinting
  • Endodontic treatment
  • Treatment timing
  • Antibiotics therapy

The purpose being to present evidence based approach to treatment of traumatic dental injuries.

Treatment of dental traumas has recently undergone significant changes as it has become apparent that many previous treatment modalities did not have the desired effect and in fact in some cases led to complications in pulp and PDL healing. At this course the value of repositioning, splinting (rigid-flexible), splinting period and the use of antibiotics will be demonstrated for 13 different traumatypes (luxations, avulsions and crown, root and bone fractures). Long term prognosis will be described based on a follow-up study (1-20 years) of 2000 treated trauma cases.

 

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Restorative Management of the Deteriorating Dentition
Andrew J. Cautley, New Zealand

At the end of this lecture the audience should be able to:

  • Recognise the features of the ‘deteriorating dentition’
  • Identify steps in examining the patient
  • Understand the principals of stabilisation
  • Appreciate the complexities of treatment planning and options
  • Understand ongoing maintenance requirements for such patients

As the population ages and people place a higher priority on retaining natural teeth, dentists are being challenged by an increasing number of patients whose dentitions are ‘falling apart’. The treatment of these patients can be complex, but there are some important principles applicable in most cases. The presentation will be illustrated with clinical examples, and the focus will be on the provision of maintainable and durable treatment modalities.

 

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Managing Tooth Wear
Sandip Popat, United Kingdom

  • To enable the clinician to review the methods available for the conservative management of toothwear
  • To recognize the problems which may arise in the provision of restorations for young patients
  • To look at methods of space creation in particular the ‘Dahl concept’

Toothwear is common and is a recognized problem affecting children, adolescents and adults. Treatment can be complex and demanding. Correct diagnosis and prevention are key to successful management. A lack of space for restorative materials and short clinical crown height provide the main challenges. Increasing the vertical dimension can provide a very conservative and reliable method for managing wear. This may be achieved using both fixed and removable restorations. This presentation discusses the problems of accurate diagnoses and aetiology and the restorative techniques available for conservative toothwear management. Particular emphasis is placed on space creation using the ‘Dahl’ concept .

 

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GlaxoSmithKline Symposium:
Gingival Health - the Foundation for Oral Health

By attending this symposium, you will be able to:

  • Understand why patients cannot always meet the very high standards of mechanical plaque control that their dental professional may prescribe
  • Apply new approaches to behaviour change and patient compliance augmenting mechanical plaque control with appropriate chemical adjuncts

Overview: Many patients are unable to perform the very high standards of mechanical plaque control that their dental professional prescribes, resulting in the continuing disease process and gingival inflammation which may jeopardize restorative procedures. In this symposium three world-class periodontists will take a step-wise practical approach to gaining improved gingival health through enhanced compliance and both mechanical and chemical plaque control measures; then maintaining that improved gingival health and avoiding relapse and the ongoing need for professional maintenance.

Presentations will include techniques and tips to motivate patients for the necessary behaviour changes in mechanical oral hygiene, use of chemical adjuncts, and appropriate oral hygiene products.

Motivation and Behaviour Changes for Improved Patient Compliance
Hugo De Bruyn, Belgium

Adjunctive use of chemical plaque control agents to gain improved periodontal health
Nicola X. West, United Kingdom

Maintaining improved periodontal health – what is the role for oral hygiene products?
Connie H. Drisko, USA

 

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AFTERNOON (14.00-16.30)

IADR Symposium:
The Science of Ageing Well
Angus Walls, United Kingdom

By the end of this session you should:

  • Understand current concepts of ageing and how the affects of ageing can be minimized
  • Understand how ageing affects people and so moderates the manner in which dental care can be provided
  • Understand age specific risk factors for oral diseases and changes to care pathways that can address them

Oral health is important for quality of life. Extending the oral health span to the life span of the individual is critical to successful ageing. In evolutionary terms man’s life span was 35-years, life expectancy at birth now exceeds 70 years and that for 65-year-olds is nearly 90. The profession needs to enable a system that evolved to work for 30-years to function for 2-3 times that period.

This presentation will review ageing, its impact on oral health and disease and also the impact of oral health on ageing to help the listener to facilitate healthy ageing for their patients.

This is a programme by the International Association of Dental Research.

 

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How To Improve Your External Sinus Lift?
An Evidence – Based Presentation
Nabil Barakat, Lebanon

  • Understand the indications and limitations of the operative approach in the augmentation of the posterior maxilla
  • Recognize benefits and procedures for the external sinus lift
  • Gain knowledge of how to treat
  • Introduction of the “Piezo Surgery” technique in the osteotomy and sinus mucosa reflection

In the posterior atrophic maxilla, the absence of alveolar bone with pneumatization of the maxillary sinus is a limiting factor for the placement of implants. We will discuss the evolution of the technique of external sinus lift from 1980 until now. (Boyne 1980) The first objective is to obtain vital bone which allows the osseointegration of implants capable of withstanding occlusal loads (Wallace 2001). To improve the rate of success, we have to optimize the surgical technique based on the blood supply to the EMS (External Maxillary Sinus) which comes from the bony walls (Geha 2006). We will present clinical cases operated on the evidence-based presented in our lecture.

 

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New Technologies in Orthodontic Therapy
What types of orthodontic treatment can be successfully done with the new Invisalign Appliance?
Robert Boyd, USA

  • Be able to select the types of malocclusions that can be successfully treated with the Invisalign appliance
  • Be able to integrate Invisalign with multidisciplinary treatment involving restorative implants, porcelain laminates, esthetic composite restorations, and complex orthodontic treatments such as Class II and III correction, premolar extractions, and orthognathic surgery

This course will present the scope of orthodontic treatment that is possible using the new Invisalign appliance. Dr. Boyd will show many fully documented patient treatments where successful treatment was accomplished for space closure, crowding, open and deep overbites, and in multidisciplinary treatment involving implants, porcelain laminates and composite bonding. In addition, new and efficient methods for class II correction that do not depend on distalization, treatment of severely crowded patients who require premolar extraction and orthognathic surgical treatment with Invisalign will also be shown. Finally, the latest 3D hardware and software imaging tools for integrated 3D skeletal, facial and tooth surface models will give a glimpse of how orthodontic treatment will be planned in the future.

 

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Use of Microimplant Anchorage for Interdisciplinary Treatment
Hee-Moon Kyung, Korea

At the end of this course, the participant will:

  • Understand the various ways of microimplants for minor tooth movement
  • Become familiar with the surgical procedures
  • Understand the simplified biomechanics following microimplant placement

Nowadays microimplants are commonly used to obtain anchorage without patient’s cooperation. This kind of anchorage is very useful for minor tooth movement of interdisciplinary treatment as well as full arch orthodontic treatment.

Many cases will show how general dentists can do minortooth movement with microimplants. This course also will introduce the guideline for choosing, insertion methods and clinical considerations of microimplants.

 

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Taking the Mystery out of Occlusion
Adrian Yap, Singapore

  • To understand what occlusion is and review its classification
  • To appreciate when to conform, modify and reorganize the occlusion
  • To be familiar with the various reference positions used for restorative work
  • To learn when and how to assess the occlusion
  • To identify good occlusal practices in implant dentistry

Dentists cannot repair, replace, remove or move teeth without being involved in occlusion. Occlusion is much more than physical tooth/restoration contacts and is best defined physiologically as the functional relationship between the components of the masticatory system. The latter is comprised of teeth, periodontium and the articulatory system which includes the Temporomandibular joints and masticatory muscles.

This lecture series revisits the fundamentals of occlusion using a simplistic and pragmatic approach. The assessment/management of occlusion as well as the association of occlusion with TMD/bruxism will be discussed. Special emphasis will be placed on occlusal considerations in implant dentistry and splint therapy. Proper management of the occlusion is crucial for successful dentistry and maintenance of oral wellness.

 

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Endodontics in the Third Dimension: The Micro-Clinical Approach
Khaled A. Balto, Saudi Arabia

At conclusion, participants should be able to:

  • Describe a clinical protocol and treatment results for direct pulp capping performed under magnification
  • Describe how the use of recent armamentariums can lead to predictable clinical results in nonsurgical root canal re-treatment
  • Describe a contemporary approach for simultaneous ortho-retrograde manipulation for managing root canal failures

The field of endodontics has seen remarkable changes in the past decade. Several breakthroughs in the field are re-shaping the theory and practice of root canal treatment. This resulted in better manipulation of routine and challenging clinical situations where clinicians can look into root canals whether in orthograde or retrograde manner. These approaches added depth of vision into the site of operation; giving an insight into a novel third dimensional clinical approach. The purpose of this presentation is to shed the light on the use of microscopes in the filed of endodontics to attain predictable results in different treatment modalities.

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How to Make Ceramics Look Real
Mauro Fradeani, Italy

  • Evaluate the appropriate treatment strategy in the aesthetic area
  • Optimize the aesthetic result
  • Select the best ceramic material
  • Select the right option using natural abutments or implants

Designing anterior restorations with optimum aesthetics requires correct treatment planning, evaluation of a suitable ceramic material, and skillful application and techniques.
The use of metal-free ceramic materials allows to achieve excellent aesthetic results in the anterior area for crowns and veneers fabrication.
Material selection with dental ceramist is fundamental in management of complex rehabilitation cases.
Several clinical follow-up of glass ceramic and alumina and zirconia systems indicate the adequacy of these materials for anterior and posterior restorations.
Clinical and technical suggestions for obtaining aesthetic and durable results will be supplied.

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