Day 1 :
Keynote Forum
Maxine Feinberg
Immediate President American Dental Association, USA
Keynote: Improving overall health through interprofessional collaboration: A new age
Time : 10:00-10:45
Biography:
Maxine Feinberg, a Cranford, New Jersey Periodontist, is the Immediate President of the American Dental Association. She has served as Fourth District Trustee to the ADA Board of Trustees and was the first women to serve as President of the New Jersey Dental Association. She served as a Delegate in both the ADA and New Jersey Dental Association House of Delegates. She was appointed to the New Jersey State Board of Dentistry where she served for 10 years, one term as President. She serves on the New Jersey Dental Advisory Committee for Medicaid and will be an attending periodontist at Jersey Shore Medical Center. She has served as the Board of Trustee Liaison to the Council on Access, Prevention and Interprofessional Relations, Commission on Dental Accreditation and Council on Dental Benefit Programs. She Chaired the ADA Task Force on Student Debt. She initiated the New Jersey Give Kids A Smile campaign in 2002 and 2003 and was chair of the ADA Council on Members Insurance and Retirement Plans in 2007 and 2008. She was a recipient of NJDA’s Distinguished Service Award and Give Kids A Smile Pioneer Award. She is a Fellow in the American College of Dentists, the International College of Dentists and the Pierre Fauchard Academy. A Graduate of New York University and the New York University College of Dentistry, she has maintained a private periodontal practice for the last 30 years in Union County, New Jersey.
Abstract:
The goal of interprofessional learning is to prepare all health professionals to deliberatively work together with the common goal of building a better patient centered US health care system. Dentists today are able to contribute in many ways to improving patients’ overall health outcomes by treating their dental disease and restoring and maintaining their oral health. Today’s health professions mandate interprofessional education and collaboration as part of their core curricula; ensuring that today’s graduates will be comfortable having the necessary dialogue to insure optimum patient care. For those of us who are in practice; we can take advantage of a new environment in healthcare brought about in large part by solid data on the connection between dental health and overall health and changes in reimbursement models in medicine. According to the CDC, 29.1 million Americans have diabetes mellitus. 27.8% or 8.1 million of them are undiagnosed. 176 billion dollars of direct medical costs can be directly attributed to diabetes, that’s one in five health care dollars. 27 million people visit a dentist every year that don’t see a physician. Think of the number of patients that could be screened for prediabetes diabetes and hypertension. The estimated medical cost savings of this type collaboration could be close to 150 million dollars. 19.4 million patients with insurance visit a physician each year and don’t see a dentist. That’s about 50 dentists per practicing dentist in this country. Imagine what we could do to improve the overall health if we started to communicate with our colleagues in medicine, podiatry, pharmacy. On average Type 2 diabetics with untreated disease pay $7,056 compared to those who are treated who pay $4,216. A recent study showed that those diabetics that received periodontal care early in their diagnosis, before initiating medication saved $1,799. Researchers at Columbia University have shown that the number of missing teeth and the percentage of deep periodontal pockets can be an accurate indicator of prediabetes in 3 out of 4 cases. In the past, we were armed with nothing more than anecdotal information and were not seriously taken by our physician colleagues. Today we have solid data and the landscape for reimbursement is charged by accountable care organizations, outcomes based payments have created new opportunities collaboration that would ultimately improve our patients’ overall health and potentially could save millions of dollars in health care dollars.
Keynote Forum
Ronald S Brown
Howard University, USA
Keynote: Defining the etiopathophysiology is the key with respect to the mechanism of drug-induced gingival overgrowth (DIGO)
Time : 10:45-11:30
Biography:
Ronald S Brown (DDS, MS Dipl. ABOM, FACD and FICD) graduated from Georgetown University School of Dentistry in 1971. He practiced General Dentistry in the US Army and private practice in the DC metropolitan area until 1985. He graduated with an MS in Pharmacology and a certificate in Oral Medicine in 1988, also from Georgetown University. He has held faculty positions at Georgetown University School of Dentistry, University of Texas Health Science Center at Houston, Dental Branch and currently serves as a Professor at Howard University College of Dentistry, as a Clinical Associate Professor at Georgetown University Medical Center and as a Volunteer Clinical Research Associate at NHLBI/NIH. His research interests concern Oral Inflammatory Disorders, Oral Graft vs. Host Disease and Drug-induced gingival overgrowth. He has presented over 175 CDE presentations and is recognized as one of the top CDE presenters by Dentistry Today. He has over 100 peer reviewed journal publications, and he has written over ten books and book chapters. He received the Abraham Reiner Diamond Pin Award for lifetime achievement in the field of Oral Medicine and the Organization of Teachers of Oral Diagnosis Outstanding Educator Award. He is a past President of the American Academy of Oral Medicine, the current President of the American Board of Oral Medicine and the current Secretary of the American Board of Dental Specialties.
Abstract:
The disfiguring side-effect of DIGO (drug-induced gingival overgrowth) was first reported in 1939. The mechanism and the development of successful repeatable therapeutic protocols have baffled researchers and clinicians for over 85 years. Recently, a conceptual unifying hypothesis describing the mechanism was developed which has led to the elucidation of the first mechanistic step. The initial query was to determine a commonality between the three very different drug categories (Anti-convulsants, Calcium channel blocking agents and calcineurin inhibitors) which could plug into a defined pathway. The pathway was eventually put together as decreased cation flux leading to decreased cellular folate intake, decreased AP-1, increased TIMP-1; decreased MMP-1 & 2 and decreased collagenase activation. The determination of the pathway has potential even beyond the development of successful therapeutic protocols for DIGO.
- Endodontics | Prosthodontics and Periodontology | Current Concepts in Oral Health
Location: Philadelphia, 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.