FDI World Dental Federation

Scientific Programme

Workshops and Forums

A forum is a gathering of people whose aims are to promote the interchange of ideas usually on a defined theme. Invited speakers are requested beforehand to prepare papers for presentation on the theme.

Forums take place in a relaxed atmosphere that is conducive to free discussion. They are open to all registered congress participants. Everyone with an interest in any of the topics is welcome to attend and participate. The following forums will take place between 24-27 October.

Dental Practice Committee Forum
Wednesday, 24 October (09.00-11.30)

Quality Assurance and Improvement in Dentistry (QA/I)
Claudio Pagliani, Italy
Peter Engel, Germany
Philippe Calfon, France

This DPC Forum essentially focuses on:

The increasing ‘quality pressure’ and the associated driving forces
The goals and advantages of quality assurance / improvement (QA/I) systems/models
The complexities and risks associated with the implementation of QA/I in the healthcare arena
The importance of a correct understanding of QA/I

It is obvious that today, more emphasis is placed on quality issues than ever before. In all sectors there is a general and continuously increasing pressure for quality assurance/improvement (QA/I) and the healthcare sector is no exception. Many systems/models for QA/I are being developed and/or increasingly being implemented to different levels of care; thus, health professionals need to be aware of the broader definition of quality and its multidimensional nature which includes the process and management of quality, the many systems/models of QA/I, the particular demands from the healthcare sector and the potential risks that QA/I may carry for healthcare delivery.

If you want to read about the Dental Practice Committee Forum that was held in Shenzhen in September 2006, please click here.

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Science Committee Forums

Science Committee Forum I
Thursday, 25 October (09.00-11.30)

Birds, Bugs, Bioterrorism and Dentistry
Lakshman Perera Samaranayake, Hong Kong SAR China

Understand:

How emerging infectious threats such as avian flu and biological threats (e.g. anthrax) may affect the practice of routine dentistry
Measures that could be taken in dentistry during outbreaks of readily transmissible diseases
Regional variations in infection protocol appertaining to above

Microbes are ubiquitous and new variants emerge regularly posing a constant threat to the dental clinician. The agent of SARS a coronavirus which causes severe acute respiratory syndrome was the first readily transmissible infectious agent, which emerged this century, while the current H5N1 avian flu virus appears to be the second in line. These together with threats related to biological agents such as anthrax may affect the routine practice of dentistry in manifold ways. This forum provides a platform to discuss these imminent issues in different parts of the world and how the dental community may respond to such threats.

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Science Committee Forum II
Thursday, 25 October (14.00-16.30)

Amalgam or Composite: What's your Choice?
Esra Yildiz, Turkey
Sibel Antonson, USA
Derek Jones, Canada
P.L. Fan, USA

To understand the performance requirements of posterior restorative materials
To understand the biological issues associated with amalgam and resin composite
To be able to make an informed choice regarding the selection of a direct posterior restorative material

Amalgam has been widely in use for posterior areas for more than a century. In recent years, it has been the subject of intense criticism due to concerns about the effect of Hg, corrosion, and along with the necessity to remove sound tooth structure for retention. Nowadays, aesthetic demands of patients has prompted the intensive use of resin composites as an amalgam alternative. Although tooth colour materials use allows more conservative preparations and provides adhesion to dental hard tissues, post-operative hypersensitivity, discoloration and secondary caries can be consequence of the polymerization shrinkage. Despite the numerous improvements that have been made to date to restorative materials, the search for an ideal material will continue for a long time to come.

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Science Committee Forum III
Friday , 26 October (09.00-11.30)

ICDAS* and Clinical Practice: Towards a New Classification System for the Identification of Dental Carious Lesions
Martin Tyas, Australia
Graham Mount, Australia
Nigel Pitts, UK
P.L. Fan, USA
Kim Ekstrand, Denmark

To understand what ICDAS is / is not
To know more of the international Evidence Base supporting ICDAS
To contribute to the development of a classification system of lesions for use in general practice, which is compatible with both ICDAS and parallel work around restorative caries management, with the aim of replacing the Black system

The original classification of caries lesions was proposed by GV Black in the early 1900s and is still in widespread use. The advent of more knowledge about the preventive management of dental caries as well as the development of adhesive, bioactive restorative materials has led to the potential for arrest and remineralisation of early lesions and the current recognition of minimal intervention dentistry. Black’s classification is now inappropriate and a new classification is required for use in general practice. This classification should also ensure more robust international compatibility between systems used in practice, clinical research, epidemiological surveys and dental education.

*ICDAS: the International Caries Detection and Assessment System

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Special Olympics Special Smiles
Friday, 26 October (09.00-11.30)

Steven P. Perlman, USA
Luc Marks, Belgium

Special Olympics Special Smiles
Dentistry for children and adults with special needs
How you can make a difference

This presentation will inform participants about “Special Olympics Special Smiles,” a global initiative for children and adults with intellectual disabilities. All aspects of the program will be discussed as how one may become involved at the local level. The program will eventually take place in every country in the world. It is universally acknowledged that access to and the ability to receive quality dental care is the number one health problem that people with intellectual disabilities face. In addition, barriers to dental care and a discussion of the factors affecting oral care of this population will be discussed.

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Young Dentists Forum
Saturday, 27 October (14.00-16.30)

Dental Startup

Quality Management System in the Dental Practice
Simona Dianisková, Slovakia

Understand the benefit of introducing a quality management system in the dental practice
Select the most appropriate quality management system for own practice
Learn to know the Slovak model of the Quality plan for dental offices

The development of quality management system in dental care has been very popular in the last decade. Recently there has occurred a lawful condition in some countries to introduce a quality management plan into the dental office. Higher quality is a condition for higher productivity. Measures for quality self-control lead to continuous improvement of efficiency. Important is to motivate the whole dental team to participate in the quality plan. A functioning quality management system could play a big role in the risk management and could protect the dental care provider in the case of a claim.

The main goal of quality plan in the dental practice is still to straighten patient’s satisfaction.

Organising the Construction of Your Own New Clinic
Chris Traianou, Switzerland

Find a budget regarding the size of your project
Evaluate a perfect area/building together with an architect, renovation?
Insurance and payment/credits
Time-schedule / construction problems
Details in planning the final concept
Helpful tips and tricks

The planning and construction of a clinic needs serious evaluation long time in advance, with the help of a specialized architect. it is an advantage to get the propriety during construction phase of the whole building to be able to include early all technical aspects. Modern materials, illumination, sterilisation, cooperate identity, ergonomical working and wheelchair access show only few aspects of the complexity. The time schedule must be follow very precisely to be able to start working at the opening day. To find good dental nurses can take a long time and needs early recruitment. Advertisement/homepage must be well timed to have a successful start.

Marketing in Dentistry – Useful tips for your Daily Practice
Paulo Murilo Fontoura Jr. , Brazil

After the lecture, the attendance should be able to:

Understand that marketing is not something far from their daily practice. Marketing is something they can start doing on their next day in the office
Get back to the office and use what they learn. No magic, just easy and low-cost ways to build a more profitable practice.

Marketing: Definition, History, Evolution - A brief introduction
Useful tips that can be applied by the attendance on daily practice
How to make patients accept treatment plans.
Daily in-house activities that impact and help you build a thriving dental practice.

Teamwork: the key of the success
Lamberto Villani

• Promote importance of effective communication between dentist and dental technician to ensure successful teamwork approach

• Update dentists on importance of knowledge of latest materials (such as Zirconium dioxide )

• Most important differences between ZrO² and other metal-free materials

• Overview on etkon CAD- CAM system

The continuous evolution in the modern society is changing the habits and ways of behavior of the people, thanks also to the continuous messages received through internet, TV channels, magazines and mass media. Due to an increasing emphasis on beauty and health as well as revolutionary developments of dental materials and procedures, esthetic dentistry is, next to implantology, the main branch of modern dentistry with constant growth.

Today's dental reconstructive therapeutic concepts require restoration of high esthetic quality and excellent biocompatibility. Full ceramic reconstructions accomplish these requirements compared to the classic metal porcelain reconstruction.

Overview on all Metal-Free systems

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Joint World Dental Development and Health Promotion Committee - Public Health Section - Science Committee Forum
Thursday, 25 October (09.00-11.30 & 14.00-16.30)

Oral Health in the Gulf States through Fluoride

Understand the extent of oral health problems in the region of the Gulf states
Know about government policies to address them
Get an up-to-date overview about the use of fluoride in preventing dental decay
Learn about fluoride as part of an essential health package and overall health policy

Dental Directors from some of the Gulf Cooperation Council countries will outline examples of their programs and highlight the role of fluoride in preventing dental decay. Experts from the three organising FDI committees will examine of the evidence base for the prevention of dental caries by using different fluoride vehicles. Reporting on a recent Global Consultation on Oral Health through Fluoride, organised by the FDI, WHO and IADR, experts will outline methods to increase access to appropriate fluoride.

MORNING

The Global Consultation on Oral Health through Fluoride – concept, execution and further action
Christopher Holmgren, France

To learn of the problems of access to appropriate exposure to fluoride for dental caries prevention and control;
To learn what actions have been proposed to improve access to appropriate exposure to fluoride

For more than 60 years fluoride has been used for caries prevention. Unfortunately, 80 to 85% of the world's population do not benefit from appropriate exposure to fluoride. These are often the world's poorest who have little or no access to dental care. The Global Consultation on “Oral Health through Fluoride”, held in November 2006, and co-sponsored by the FDI, WHO and the IADR examined how access to appropriate fluoride exposure could be improved. The consultation resulted in a call to action to promote dental health by using fluoride and stated that “Access to fluoride for oral health is a human right.”

Oral health and fluoride based preventive programs in the Gulf Cooperation Council Countries
15 minute presentations

Chairman: Mohammad Al-Rafee, Saudi Arabia

Oral Health in the United Arab Emirates
Eissa Al-Hosani, UAE

Upon completion of this activity, participants should be able to:

Appreciate the Prevalence of Dental Caries amongst the 5, 12 and 15 year old UAE children.
Recognize the impact of consumption of non fluoridated water.
Activate necessary measures for prevention to eliminate or minimize the risk to dental caries.

Previous investigations have shown high caries prevalence among children in the UAE.
A national survey for dental caries was carried out on 5, 12 and 15 year-old children in 2002. The aims were to provide information on caries status of children.
The methods conformed to those of the WHO. The study population represented 5%. The prevalence of caries in the in 5, 12 and 15 year-old were 83%, 54% and 65% respectively. The mean dmft was 5.1 in 5-year-olds, while the mean DMFT was 1.6 in 12-year-olds and 2.5 in 15-year-olds. There was variation between the regions.
The results have shown very prevalent caries in 5-year-olds and moderate in12 and 15 year old children.

School Dental Programs in Kuwait
Sabiha Al Mutawa, Kuwait

At the end of this presentation learner should be able to understand:

Effective use oral health promotion and prevention through school-based approach.
Fluoride varnish as a tool for caries prevention.
Comprehensive oral health care delivery system for school children.
International collaborations and school-based program such as theSchool Oral Health Program, Kuwait-Forsyth are effective in improving access to care and oral health of children.

School Oral Health program is a joint venture of MOH, Kuwait and Forsyth Institute, Boston. This program has been serving the oral health needs of Kuwaiti school children since 1983. In 1994 School Oral Health Program was expanded to all governorates. It is a preventive, education and treatment program with emphasis on prevention.

Our efforts through prevention and health education, has stabilized the disease levels in our child/school populations.

It is a rare national school oral health Program worldwide and only one of its kinds in the gulf region, this program has become a model program in gulf region.

Oral Health in the Kingdom of Bahrain: the Past, Present & Future
Abbas Al-Fardan, Bahrain

To highlight health gains achieved by the Kingdom of Bahrain.
To discuss the prevalence of main oral diseases in Bahrain.
To highlight community based oral health programs implemented in Bahrain.
To analyze critically these programs showing their strength and weaknesses, and finally conclude challenges facing oral health and measures planned to compact them.

The presentation will highlight main health determinants in the kingdom of Bahrain & shedding more lights on oral health status, discussing prevalence of oral disease in the kingdom as reported on consecutive national oral survey over the last 20 years. More account will be given to the development of community based oral health program and critical analysis of their strengths and opportunities of improvement and finally present the challenges facing oral health and measures planned to overcome them.

Fluoride Levels in Drinking Water, Dental Caries and Fluorosis in Saudi Arabia
Abdullah Al Dosari, Saudi Arabia

Prepare a detailed fluoride map for Saudi Arabia:

Determine the prevalence of dental caries and dental fluorosis, therefore providing baseline data for Saudi Arabia population
Identify areas with high prevalence of dental fluorosis which require urgent defluoridation of household water supply
Suggest preventive measures in areas with high caries prevalence and low levels of fluoride
Suggest curative measures in areas with high prevalence of dental fluorosis and high fluoride levels.

This project was designed to study fluoride levels in drinking water, Dental caries and fluorosis in Saudi Arabia. Water samples were collected From each city, town and village and analyzed for fluoride level. Three Age group children (6-7 years, 12-13 years, 15-17 years)were assessed for DMFT and dental fluorosis. . In this part of the study, the Eastern Province, Aseer, Jizan, Najran, and Baha were covered.

Oral Health and Preventive Programs in Oman
Salahudeen Al Bulushi, Oman

Oral health status & habits
Caries trend in the Omani population
Primary Oral health service
Water fluoridation
Omani Food Based Dietary Guidelines
Preventive strategy in Oman

During the past three decades many epidemiological studies and reports show a substantial decline in the prevalence of dental caries in the majority of the highly industrialised countries. Dental caries remains a major public health problem in Oman, affecting 70-80% of schoolchildren and the vast majority of adults.

The Ministry of Health five year health plan (2006-2010) anticipates that in the light of changing living conditions and dietary habits, the incidence of dental caries will remain high. The principle reasons for this increase are growing consumption of sugars and inadequate exposure to fluoride.

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AFTERNOON

Fluoride for the Prevention and Control of Dental Caries – review of the evidence base
John Clarkson, Ireland
Jacinta McLoughlin, Ireland

To understand

The evidence supporting the use of water fluoridation and salt fluoridation
The role of fluoride toothpaste in the prevention of dental caries and the limitations of low concentration toothpastes
The strengths and limitations of evidence supporting the use of fluoride mouthrinses, gels, varnishes and tablets

Water fluoridation continues to play a significant role in the prevention of dental caries. Evidence will be presented demonstrating the effectiveness of water fluoridation over 40 years. Salt fluoridation is used in parts of Europe and especially in South America and data showing its effectiveness will be outlined. There is extensive evidence from clinical trials supporting the use of fluoride toothpaste and its effectiveness. However there is no clear evidence supporting the use of low concentration toothpastes. Evidence based guidelines for the use of professionally or self-applied fluoride systems will be presented.

Improving Access to Fluoride through Appropriate Means (automatic, professionally and self-applied)
Wim van Palenstein Helderman, the Netherlands

To learn the in and outs of the different delivery systems for fluoride
To learn about the effectiveness of different fluoride measures in controlling dental caries
To learn how to consider the pros and cons of different fluoride means

With regard to fluoride preventive programmes, there is no such thing as the “most effective one” to be recommended to all populations. However, fluoride toothpaste and water fluoridation have the strongest evidence to control caries at a population level. Fluoride toothpaste should be considered the vehicle of first choice for the distribution of fluoride. Additional benefit of toothbrushing with fluoride toothpaste is the maintenance of healthy periodontal tissues. In the case where the vast majority of the population use a fluoride toothpaste regularly, the implementation of a second fluoride vehicle has only minimal additional effectiveness in the control of caries.

Fluoride as Part of an Essential Health Care Package – The Philippines Experience
Bella Monse, the Philippines

To learn about the oral and general health realities in a low income country
To understand the rational underlying horizontal, population based holistic approaches
To be aware about the huge potential and effectiveness of fluoride interventions in school programs

The health of Filipino children is alarmingly poor. The Essential Health Care Package (EHCP) focuses on simple evidence-based cost-effective measures (daily hand washing with soap, fluoride tooth brushing and de-worming twice a year). These are mass interventions in community day care centers and public elementary schools, using existing school structures and personal. The program was designed as a stepwise approach determined by the available manpower and financial resources of the government. Capacity building and fund allocation are urgently needed for scaling up the program to include safe and effective measures for pain relief (Oral Urgent Treatment).

Dental Fluorosis – Dissecting Fact from Fiction
Christopher Holmgren, France

To examine the differences between normative assessments and social perceptions of dental fluorosis
To learn how the anti-fluoridationist lobby deliberately misuse research data on fluoride and fluorosis.

Dental fluorosis can occur from inappropriate exposure to fluoride during tooth formation. The severity of dental fluorosis ranges from very minimal changes only seen under close examination to more severe and evident changes. Epidemiological indices take these different presentations of fluorosis into account but results are often summarily reported as fluorosis being present or absent. This has the effect of severely overestimating the true social impact of fluorosis and also provides ammunition to the anti-fluoridationist lobby.

Helping governments decide on a fluoride policy
Peter Cooney, Canada

briefly review Canada's Oral Health strategy
examine policies on fluoride
determine how fluoride policies fit with universal/targeted health promotion and disease prevention interventions

Many countries review their national fluoride policies on a regular basis.
This presentation will look at one country's oral health strategic plan and how fluoride policy has been influenced by the recent global consultation on oral health through fluoride. The policy recommending an optimum fluoride level of public water supplies will be reviewed as a case example.

An overview of Canada's five year strategic plan will be provided with emphasis on national needs assessment followed by evidence-based universal and targeted health promotion/disease prevention interventions. The specific fluoridation policy review will discuss how a panel of Canadian and US experts reviewed current international scientific evidence, how this information was compared to recommendations from the global consultation on fluorides and how a national recommended optimum fluoride level was determined for Canada.

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Women Dentists Worldwide Forum
Saturday, 27 October (09.00-11.30 & 14.00-16.30)

“80 is the New 60” - all day programme

Improve skills in diagnosing the patient requiring RPD
Understand effective techniques for efficient endodontics in the older patient
Explore delivery of dental care for the elderly in Germany

Learn simple techniques for improving dental care for the older patient
Improved well-being for the older dentist

Improving the lives of the Older Dental Patient

The morning session will explore various aspects of dental care for the elderly and how we can make dentistry more inclusive to this growing group of patients.

09.10-10.00

Dealing with the problems of removable prosthodontics – A Mystery
Asha Samant , USA

Without proper diagnosis denture delivery can become a war of attrition between the patient and the dentist. This session will give some practical advice and techniques to ensure minimum difficulty with provision and acceptance of RPD.

10.00-10.30

Modern Endodontics – Life with your own Teeth even at Eighty! Ivana Miletic, Croatia

New techniques and new materials today which improve endodontics generally save roots, and restorative procedures save crowns. Endodontics in older patient's will have a greater role in complete dental care which improves longevity of tooth and quality of life. This session will explore these techniques.

10.30-10.45

Dental care for the elderly in Germany
Brita Petersen, Germany

10.45-11.00

A Few Simple Dental tips for treating the Elderly patient
Christine Osborne, United Kingdom

11.00 – 11.30 – Break

11.30 – 12.30

Presentations-activities of Women Dentists Worldwide

12.30

Women Dentists Worldwide Lunch and Section business meeting

Agenda available on the day

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Improving the Lives of Older Women Dentists

The afternoon session will aim to encourage the older dentist to consider their own health and well-being in the dental practice.

14.00-14.15

Keeping Healthy
Brita Petersen, Germany

14.15-15.30

Various Speakers and Interactive session

15.45

Leave for a Local Practice Visit

Number strictly limited - By invitation, available on the day

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