14^th International Conference on Dental Health September 14-16, 2016 Philadelphia, Pennsylvania, USA

Chair

Maxine Feinberg

Immediate President American Dental Association, USA

Co-Chair

Ronald S. Brown

Howard University

Session Introduction

Giancarlo Pongione

Pongione Dental Office, Italy

Title: Minimally invasive approach to the restoration of the anterior teeth

Time : 11:50-12:20

Biography:

Giancarlo Pongione has completed his Doctor of Dental Medicine from University “Tor Vergata” Rome (Italy), PhD in Biocompatibility of Dental Materials from University of Siena (Italy). He was past Visiting Professor at the University of Rome “La Sapienza”. He is the author of over 90 publications on the theme of Aesthetic Restorations and Endodontics, Speaker at numerous national and international congresses.

Abstract:

The development of adhesive restorative techniques has radically changed our treatments. Thanks to these improvements, today we can restore teeth with minimum sacrifice of good dental structure using direct composite, indirect ceramic and composite and veneers. For the restoration of little fractures of the enamel the best choice will be the direct technique but when we need to change the shape, the occlusion or to restore all the anterior teeth, the indirect solution is the best. Also with indirect, the new approach is to maintain the maximum of good dental structure because it has been shown that the percentage of success is higher when the enamel is preserved during the preparation. The aim of this presentation is to show all the new techniques available for the restoration of natural anterior teeth and implants using a “biomimetic” approach.

Tatiana Clementino

Private Dental Practitioner, Brazil

Title: Minimally invasive procedures for achievement of facial harmony

Biography:

Tatiana Clementino is a Dentist in Brazil, since 2000, and works both for her private office and for the State Government. She has completed her PhD from the Ludwig Maximilians University of Munich, in Germany in 2007. She has articles published in international journals in the field of Cariology and Dental Materials. She was a Docent at the University of Brasilia between 2011 and 2012. She worked in aesthetic dentistry for 14 years, but nowadays she teaches the use of botulinum toxin and fillers for post-graduation courses in Brazil and works exclusively with orofacial-harmonization.

Abstract:

Patients are seeking healthier lives, and at the same time their concern about having a beautiful face and maintaining a youthful appearance over time has increased. Minimally invasive procedures have expanded exponentially due to the scientific advances and availability of non-incision methods. The role of the dentist by his great understanding of the aging process, facial anatomy, and ideal proportions is the construction and maintenance of facial harmony. Treatments with botulinum toxin, hyaluronic acid, micro-needling and photodynamic therapy should be discussed as facial cosmetic options to achieve facial harmony by dentists. The current trend revolves around the paradigm shift from focal to global corrections. Volume contouring of the face in zones such as the periorbital region, midcheek, and lower face have thus evolved to make the face more natural-appearing and restore bone deficiencies. Class II patients with mild retrognatism and that fear the surgical procedures could have the perfil correction with the use of fillers. Regarding the use of neuromodulators, the tendency is the use of fewer products enhancing the maintenance of muscle activity, considering the smile and its consequences to balanced facial movements. The ability of the dentist to correlate fixed and mobile structures of the face, with facial and oral static and dynamics distinguish the professional dentist from others in terms of planning and results prediction.

Eduardo Sorgi

CETAO Institute, Brazil

Title: Minimally invasive intervention in aesthetic regions: Surgical and prosthetic details in anterior rehabilitation

Biography:

Eduardo Sorgi is a Specialist in Prosthodontics at the Universidade Estadual Paulista – UNESP, Specialist in Implant Dentistry in Federal Board of Dentistry – CFO, Master in Implantology from the Santo Amaro University – UNISA. He has completed PhD in Medical Sciences from the Federal University of São Paulo - UNIFESP and Post PhD in Immunology and Molecular Biology from the College St. Leopold Mandic, Campinas, SP. He is Author of the book "Stem Cells in Implantology" and Coordinator and Lecturer of the Specialization Course in Implantology at CETAO, SP. 

Abstract:

This presentation shows every detail of rehabilitation in aesthetic regions. Since surgery to remove the missing dental element, implant placement with simultaneous alveolar bone regeneration, soft tissue manipulation, tissue manipulation with temporary prostheses and customized ceramics. The focus on details and planning for cases in previous regions is the main point of the presentation.

Jenner Oscarly Argueta Zepeda

Academia de Endodoncia de Guatemala, Guatemala

Title: 3D obturation and instrumentation of the root canal system

Biography:

Jenner Oscarly Argueta Zepeda completed his graduation as a Dental Surgeon and Endodontist from San Carlos de Guatemala University. He won different kind of academic awards during his Pre-graduation and Post-graduation. He is the actual President of the Guatemalan Endodontics Academy; Director of the Endodontics Department from Mariano Gálvez de Guatemala University and is in charge of a social dental program provided by a non-profit organization to economical limited resources children. His clinical practice is focused to Endodontics and Restorative Dentistry.

Abstract:

Due to complexity and intricacies of root canal system is really important to create a path through a root canal disinfection can be done efficiently with the purpose of eliminate the major quantity of bacteria and contaminants. As a final step of the process, 3D obturation and seal are quite important to maintain residual microorganisms entombed preventing on this way the development of periradicular disease. During the workshop participants will be able to try novel instrumentation and obturation systems that could facilitate the root canal treatment process.

Lyusya (Lucy) Badishyan

University of Pennsylvania, USA

Title: Lasers in periodontal wound healing: Dream or reality?

Biography:

Lyusya (Lucy) Badishyan was the first in the field to teach and practice the clinical applications of laser dentistry. She studied at Tver Medical Academy, where she first learned about lasers. She received her DMD degree from University of Pennsylvania. She taught advanced courses on the clinical aspects of laser applications and performed scientific research in periodontal implant therapy. She is currently a Clinical Associate Professor at Department of Periodontics (UPENN) where she performs periodontal surgeries with variety of lasers.

Abstract:

A large number of studies have been reported the use of lasers in the field of periodontal therapy. Laser therapy has been gradually introduced in dentistry and successfully applied clinically since the early 1990s. The use of laser is considered effective and suitable for treating a variety of inflammatory and infections conditions, such as periodontal and peri-implant diseases. In addition, laser therapy may alleviate a patient’s physical and mental stress as well as intraoperative and postoperative pain. Various dental lasers have been used for soft and hard tissue periodontal therapy. With increasing evidence for benefits, laser therapy plays an important role in wound healing, tissue regeneration, disinfection in the treatment of oral diseases. We have observed in our clinical practices some excellent results from applying the periodontal protocol to cases of Peri-implantitis. Benefits of using lasers are real!

T Andre Shirdan

The CREW Process-Media, Pennsylvania, USA

Title: Stat-Ck- Periodontal conditions classified and dimystified in simple language and treatment methods

Biography:

T Andre Shirdan is an inspirational and motivational Speaker, Executive Coach, and certified Trainer. Since 1989, he has worked with thousands of practices helping to create systems for treatment planning, staff training, goal attainment, internal and external marketing, and computer systems integration. He founded Systems Practice Management, Inc., a dental practice management, training and consulting firm. He is co-creating the non-surgical periodontal protocol Stat-Ck. He is best known for creating The CREW Process - a better way to define practice philosophy, bring consistency to treatment and get the entire office in alignment.

Abstract:

Current studies have found over 80% of adults have some form of periodontal disease. Over 50% had gingivitis involving an average of three to four teeth. Subgingival calculus was found in 67% of the population. Adult periodontitis with pocket depth greater than or equal to 4 mm was present in 30% of the population, involving an average of three to four teeth. The fact that severe pockets greater than or equal to 6 mm were found in less than 5% of the population shows that periodontal treatment has made an impact on the current adult population. With this as our patient base what we find in the practice base is a 6% to 8% use of the ADA codes in the 4000 (periodontal treatment) range. The vast majority of registered dental hygienist and dentists who perform general periodontal services have a system to manage periodontal disease that includes probing to document the patient’s condition and to aid in diagnosis the disconnect between diagnosis and treatment is patient compliance and understanding of curative measures. In 1977, the World Health Organization introduced the CPITN- Community Periodontal Index of Treatment Needs. In 1992, the ADA and AAP introduced PSR- Periodontal Screening and Recording. In 2002, Dr Neil Gottehrer and I published Stat-Ck in Dentistry Today. Stat-Ck (pronounced “Stat-Check”) offers the practice method of quantifying periodontal disease clearly in language that patients understand while bringing consistency to treatment methods from clinician to clincian.

Chair

David Mazza

University of Maryland, USA

Co-Chair

Jenner Argueta

Academia de Endodoncia de Guatemala, Guatemala

Session Introduction

Marjana Knezevic

University of Pennsylvania, USA

Title: Human papillomaviruses in lesions of the oral mucosa

Biography:

Marjana Knezevic is Associate Clinical Faculty at University of Pennsylvania School of Dental Medicine, Pennsylvania, USA.

Abstract:

Human papillomavirus (HPV) are considered to initiate epithelial proliferation and contribute in the development of benign, premalignant and malignant oral lesions. The purpose of this study was to investigate the frequency of HPV in morphologically different oral lesions and determine the frequency of some types of HPV and their relationship with certain damage of oral cavity. The study included 120 subjects with different lesions of oral cavity (keratotic lesions, hyperplastic lesions, and erosive-ulcerative lesions). Oral specimens were collected with cytobrush. HPV DNA was detected by polymerase chain reaction (PCR) analysis. The presence of HPV DNA was detected in (28/120) 23.3% oral samples. HPV DNA was identified in veruca (40%), papilloma (31.8%), papilomatosis of palate (30%), lichen planus (20%), leukoplakia (19%), and erosive-ulcerative lesions (19.2%). In patients with hyperkeratotic and hyperplastic lesions of the mucosa of the oral cavity, the most frequent type was the unspecified type of HPV (10.6%) while high-risk HPV types were more frequent in patients with erosive-ulcereous lesions of the oral cavity. The most frequent types were HPV 16 (15.4%), followed by HPV 18 (11.5%) and HPV 31 (7.7%). HPV 33 was rarely found (3.8%) in oral lesions. HPV is probably associated with the development of hyperkeratotic and hyperplastic oral lesions. Additionally, there are some less frequent types of HPV, which influence the development of hyperkeratotic and hyperplastic lesions of the oral cavity and damaged oral mucosa increases the risk of HPV infection.

Isabelle Machado de Holanda

Universidade de São Paulo, Brazil

Title: Digital workflow for multidisciplinary diagnosis and dental treatment plan

Biography:

Isabelle Machado de Holanda has completed her Master of Science from Universidade de São Paulo and her Orthodontics advanced specialty training from Brazilian Dentistry Association. She was invited by Dr Stanley Malamed to take the IV Sedation Course as an international guest at the University of Southern California, (USC) also, has completed with awards, the Oral and Maxillofacial Surgery Externship Program at Indiana University (IUPUI) in 2010. Currently, she is a Dental Consultant in the Department of Dental Care at a Health Insurance Company in Brazil working principally with diagnosis and multidisciplinary treatment plan. She has been presenting in both national and international meetings.

Abstract:

Conventional dental approach techniques based on just visual and clinical examinations are limited for evaluating patients in a conclusive manner. Dentistry has seen intensive improvements and advanced at full steam from the traditional techniques to the digital world that has widened the scope of dental treatments and procedures. The clinician must listen to the patient and establish realistic treatment objectives based on the patient’s needs and expectations. The interaction between patient and dental specialist, beyond conventional dentistry, must be improved by photos, videos and modern radiology, including two-dimensional and three-dimensional images. During the treatment planning phase, the dental practitioner must apply a modern appointment protocol based upon the analysis of the patients facial and dental proportions, utilizing predetermined series of high quality digital photographs and videos, intra-oral images and also digital radiology to understand the relationship between teeth, gingiva, bones, lips, smile with the facial features in motion and with emotion. The objective is to result in a clear, accurately and optimized diagnosis, an attractive and understandable treatment presentation for patients. Furthermore, the protocol provides complete documentation of each case. This article presents a systematic approach for dental multidisciplinary treatment plan for diagnosis, communication, execution, and case maintenance using tools for communication and coordination among the operators to achieve a satisfying multidisciplinary treatment result.

Shih Chieh Andy Lo

Taipei Medical University, Taiwan

Title: Ridge augmentation of the anterior maxilla soft and hard tissue in aesthetic considerations

Biography:

Shih Chieh Lo is a Private Practitioner in Taipei. He is a Graduate of Taipei Medical University and finished the Master’s degree of Physiology in Taiwan Cheng Kung University. In addition, he is continuing the Master’s degree of Surgery in China Dalian Medical University. After that he completed one-year Clinician Program in Implant Dentistry at UCLA in 2011 and one-year Clinician Program in Comprehensive Esthetic & Implant Dentistry at UW in 2012. He further equipped himself by the award of Member and Specialist of Academy of Taiwan Cosmetic & Implant in Esthetic Implantology Dentistry in 2013. Next year, he completed the USC-Taiwan Comprehensive Surgical and Restorative Implant Training Program in USC in 2014. After that, he completed the USC-China Esthetic Dentistry Training Program in 2015. In addition, he is a key opinion speaker for VITA, SIC implant, Biotech implant, Sirona, Biolase and DMG dental company.

Abstract:

Success in implant dentistry involves four areas: Peri-implant soft tissue management, pre-implant augmentative surgery, precision in implant placement and quality of the prosthetic restoration. Until now, ridge augmentation of the anterior maxilla soft and hard tissue in aesthetic area is still a popular issue in esthetic dentistry. As we know, the most challenging situation is the single-tooth replacement, especially in the anterior maxilla, where a malposition of less than 1 mm or less than 10 degree can jeopardize the overall treatment outcome. Augmentation of soft tissue is sometimes necessary to predict the final esthetic outcome of the treatment (e.g., to obtain enough soft tissue to remodeling the papillae). According to the loss of the alveolar ridge, the quantity and quality of available soft tissue, and the need for future ridge augmentation, soft tissue augmentation procedures can be handled before, after, or at the same time with hard tissue augmentation and also at different stage during the whole implant-supported rehabilitation procedure.

Giancarlo Pongione

Pongione Dental Office, Italy

Title: TF adaptive and elements free

Biography:

Giancarlo Pongione has completed his Doctor of Dental Medicine from University “Tor Vergata” Rome (Italy) and PhD in Biocompatibility of Dental Materials from University of Siena, Italy. He was past Visiting Professor at the University of Rome “La Sapienza”. He is the author of over 90 publications on the theme of aesthetic restorations and endodontics and speaker at numerous national and international congresses.

Abstract:

Shaping is a very important step of an endodontic treatment because unshaped canals cannot be cleaned, disinfected and filled. After the shaping, to achieve the success, it is mandatory to fill the root canal system with warm gutta-percha and then to restore as soon as possible the tooth to avoid contamination of the endodontic space. The purpose of the workshop is to show how to shape with TF Adaptive instruments and how to fill the root canal system with elements free. Participants will receive all the information about instruments and techniques and during the hands on they can try to shape a plastic block and then fill them using the continuous wave of warm gutta-percha.

Nissaf Daoauhi

Dalenda Hadyaoui and Mounir Cherif, Tunisia

Title: Creating natural aesthetic smile using all ceramic restaorations

Biography:

Nissaf Daoauhi  is assistant  professor, in the Department of fixed prosthosontics. She was graduated from  Faculty of Dentistry –Tunisia  in 2010. She also got the degree of Implantology (Nobel Biocare Implants). SHe has published more than 15  papers in reputed journals and has been serving as an editorial board member of journals

Abstract:

Aesthetic is a primary consideration for patients seeking prosthodontics treatment because the smile constitutes an important component in the presentation of a human being. A non-harmonic smile decreases the beauty of the face and it can cause a discomfort in the social conviviality. To appear attractive, the maxillary anterior teeth must be in the proportion to facial morphology.  So, Smile design should involve the evaluation of certain elements in specific sequence .To achieve an optimal aesthetic result, the dentist must be familiar with such characteristics such as tooth shape and gingival aesthetic characteristics. All ceramic restorations are very popular because of their optimal esthetic result.

Nabila Jamil

Bangladesh University of Health Sciences, Bangladesh

Title: Palliative care: Role of a dentist

Biography:

Nabila Jamil has completed her graduation at Bangladesh Dental College Dhaka. She is currently continuing her Masters in Community Dentistry at Bangladesh University of Health Sciences (BUHS). She has also completed her Post-gradational training at Bangabandhu Sheikh Mujib Medical University Hospital. She is the owner of Sikder Dental Aid, a dental clinic.

Abstract:

Palliative care is the active total care of patients whose disease is not or no more responsive to curative treatment. The goal of palliative care is to achieve the best quality of life for patients and their families. Palliative care for the terminally ill patient is based on multidimensional philosophy to provide whole person comfort and maintaining optimal function. Although disease and discomfort of the mouth cavity and teeth are integral and obvious in terminally ill patient but usually it does not include dentistry in its team approach.  Dentist can have a significant role in the care of these patients by providing total, active comfort care of the oral cavity by alleviation of pain and prevention of infection from oral cavity because the function of the oral cavity is essential to the patient’s ability to thrive.  Moreover, Palliative care patient require special dental attention, ranging from operative and preventive care to support for patients physical and emotional aspects of well-being. This review will explore some common problems and their management encountered in palliative care dentistry for terminally ill adults. 

Chair

David Mazza

University of Maryland, USA

Co-Chair

Jenner Argueta

Academia de Endodoncia de Guatemala, Guatemala

Session Introduction

Isabelle Machado de Holanda

Universidade de São Paulo, Brazil

Title: Associated dental anomalies and the genetic aetiology: A twins study case

Time : 10:00-10:40

Biography:

Isabelle Machado de Holanda has completed her Master of Science studies from Universidade de São Paulo and Orthodontics Advanced Specialty training from Brazilian Dentistry Association. She was invited by Dr. Stanley Malamed to take the IV Sedation Course as an international guest at the University of Southern California, (USC). Also, she has completed, with awards, the Oral and Maxillofacial Surgery Externship Program at Indiana University (IUPUI) in 2010. Nowadays, she is a Dental Consultant in the Department of Dental Care at a Health Insurance Company in Brazil working principally with diagnosis and multidisciplinary treatment plan. She has been presenting in both national and international meetings.   

Abstract:

The influence of genetic factors in the etiology of associated dental anomalies is the hypothesis of several study cases in families. Studies of genes and interacting molecular pathways have shown the genetically and phenotypically heterogeneity of the condition. Tooth agenesis constitutes the most common developmental anomaly of the human dentition and is frequently associated with other dental anomalies, including ectopia, microdontia and enamel hypoplasia. The prevalence of agenesis is higher in families of affected patients. These evidences highlight the importance of early diagnosis and timely intervention. Also the recognition of the pattern of associated dental anomalies in the same family members. This article aims to present a monozygotic twin sisters study case of agenesis, microdontia, ectopia and delayed dental development demonstrating the high genetic contribution in the etiology of associated dental anomalies. A high correlation for a particular irregularity in pairs of monozygotic twins is evidence that genetics is an important etiology of such abnormality. Unlikely, dizygotic twins which have different genotypes would show a lower correlation for the same irregularity.

Julián Conejo

University of Pennsylvania, USA

Title: Optimized Bonding and Material Selection for Chairside CAD/CAM Dentistry

Time : 11:00-13:00

Biography:

Julian obtained his DDS from the Universidad Latina, Costa Rica in 2005, and then completed training as a specialist in Prosthodontics at the Universidad Intercontinental Mexico in 2008. He is a visiting scholar at the University of Pennsylvania School of Dental Medicine. Julian works in specialist private practice in prosthodontics, with a specific focus on implantology with CAD-CAM technology, in San Jose, Costa Rica. Julian was awarded the Young Clinician Award at the Nobel Biocare World Tour, in Mexico City, 2008 and the ICP Research Fellowship Awrad.He serves as a consultant to several international dental corporations.

Abstract:

With less invasive indirect restorations, bonding optimization and proper material selection is crucial for long term success. Scientific studies and step by step clinical protocols will be described in this lecture with the objective of improving success rates for bonded CAD/CAM restorations.

Yong Kun Kim

University of Pennsylvania, USA

Title: Advancements in bone biology and dental implants

Time : 13:45-14:15

Biography:

Dr. Yong Kun Kim is currently working as clinical assistant professor in department of periodontics, University of Pennsylvania, USA.

Abstract:

With advancement of knowledge in bone biology, Osseointegration of dental implants reached a level of high predictability.  Dental implants became a treatment option of choice today in management of single and multiple edentulous sites.  Speedy advancement of knowledge in implant dentistry, including guided bone regeneration and surgical techniques resulted, very commonly, technique driven dental care without much consideration of most important factor in dentistry, which is the concept of dental occlusion.  The most successful treatment outcome can only be achieved if technique follows the concept. This presentation will illustrate the importance of occlusal concept based oral rehabilitation rather than technique based approach

Analucia Gebler Philippi

Fedaral University of Santa Catarina, Brazil

Title: Relationship between denture wearing and swallowing

Time : 14:15-14:45

Biography:

Analucia Gebler Philippi holds a Master’s degree in Prosthetic Dentistry and Specialist in Prosthetic Dentistry and has a position as Assistant Professor at the Dentistry Department at the Federal University of Santa Catarina for the last 24 years. She has also been presiding the Catarinense Society of Specialists in Prosthetic Dentistry for the last 12 years.  
 

Abstract:

Aspiration pneumonia should be recognized as a dangerous condition, especially in older patients. Some patients with aspiration pneumonia have clinical signs, but some patients who aspirate have clinically silent aspiration, with no recognizable signs or symptoms. Concomitantly, prosthetic treatment with dentures is often required for the elderly. It is important to understand the relationship between denture wearing and feeding function from the perspective of swallowing, since not wearing dentures may result in an increased risk of dysphagia with aspiration in these individuals ignored. To help elucidating the role of complete denture wearing on the swallowing function, a randomized paired clinical trial using videofluoroscopic examination was performed. Ten healthy edentulous subjects were administered three swallows of 5 mL barium liquid, three swallows of 10 mL barium liquid, three swallows of 5 mL barium pudding, 3 swallows of 10 mL of barium pudding and 3 bites of barium dipped cracker with and without both complete dentures. After video acquisition and randomization, two independent speech pathologists performed 300 video evaluations considering penetration/aspiration scores and 14 MBSImP variables.             The results showed that wearing complete dentures significantly improved the swallowing function, especially considering solid food consumption (barium dipped cracker).

Juanita Benedict

Healthy Solutions for Dental Professionals, USA

Title: Beyond ergonomics: Why you are still practicing dentistry in pain and how to stop

Biography:

Juanita Benedict is a Doctor of Physical Therapy, Certified Ergonomic Assessment Specialist, dental blogger and founder of Healthy Solutions for Dental Professionals. Her expert knowledge of the body and personal experience in the dental field provides her a distinctive perspective on practicing dentistry in pain. She uses her unique skill set to consult dental professionals, speak with professional groups as well as students and regularly contributes to several blogs. Her mission is to rescue the health of dental professionals by providing high quality evidence based information that is easily accessible and implementable. 

Abstract:

In 2015 Business Insider ranked dentistry as the number one profession most dangerous to your health. Great advances have been made in dental ergonomics over the past few decades to address the serious health consequences of delivering dental care. This has created a greater awareness of the physical, psychological and financial consequences of dentistry and the need to change how dental professionals practice. Despite these advances, recent research reveals 60-80% of dentists and up to 95% of dental hygienists practice in pain. The fantastic news is that this pain can be 100% eliminated. Beyond Ergonomics is a course designed for practicing dental professionals who want to take action to improve their health and extend their careers by learning how to stop pain. Participants of this class will explore the fundamental building blocks of pain and learn strategies to interrupt it at the physiological level. Participants will discover the secrets of creating, organizing and performing effective individualized assessments in order to tailor interventions specifically designed for their bodies and unique delivery of care. Assessing environmental, physical and psychological contributions to pain and applying personalized strategies is the only way to realize pain free dentistry. Beyond Ergonomics empowers dental professionals to take control of their practice and regain your love of dentistry?