Day 3 :
Keynote Forum
Harry Marget
East Bentleigh Dental Group, Australia.
Keynote: How to Build, Maintain and Grow a $10 Million Dollar Dental Practice
Time : 10:00-10:30
Biography:
Dr Harry Marget graduated from the University of Adelaide dental school in 1972 and at that time he completed a short training program at the dental school on how to finish certain procedures. On December 25 of the same year he moved to Melbourne and took a position working seven days a week at a conservative dental practice in the affluent Melbourne suburb of Hawthorn. There it was required that the dentist perform all procedures including molar endodontics, molar surgery and crown and bridge.After a two year training program in Endodontics at the University of Melbourne, Dr Marget ventured off on considerable overseas trips to learn from Masters in dental procedures from as far afield as the United Kingdom, the United States, and South America to India, South Africa and Israel.Between 1974 and 1994, Dr Marget opened no less than three dental practices from scratch and built them up to $3 million dollar business. After 3 to 5 years he sold them off at a considerable profit. In each and every case, careful selection of the type of procedures offered, staffing recruitment, training and business management, were the key elements to the success.Since that time Dr Marget has operated the one dental practice in the family suburb of East Bentleigh, building it up to comprise of 10 surgeries. Currently with a professional clinical roster of 10 general dentists, 3 dentists specialising in oral surgery and implantology, periodontics and orthodontics respectively, 4 hygienists and oral therapists and a resident anaesthetist. Dr Marget boasts one of the bigger dental practices in Victoria.With all this success you think Harry would be satisfied, but his plans are to expand to 18 surgeries and he is soon looking to employ more than 20 dentists. It has been Harry’s life passion to help other dentists understand the business of “busyness†in dentistry.
Abstract:
With over 40 years’ experience, Dr Marget imparts his knowledge on how to build a $10 million dollar dental practice in Australia in the current economic environment, without resorting to strange and unusual methods. Today the challenges for dentists are many. Even establishing professionals can feel overwhelmed by the influx of new graduates and overseas trained dentists. Add in the impact of health fund restrictions, dental association regulations and increasing overhead costs. Creating real profit can seem rather difficult.In his presentation Dr Marget will show that all of these things are in fact not negatives but positives and that all of the above can be turned into real and positive outcomes. Utilising simple and basic home-grown philosophies, your prospective success requires nothing more than careful planning, sensible thinking and a warm heart.
Keynote Forum
Lise Slack
Registered Dental Hygienist/Inventor X-Products, Australia
Keynote: Perio/Peri-implantitis...is it a Time Bomb? Let’s diffuse it...
Time : 10:30-11:00
Biography:
Lise Slack is an International speaker, clinical dental hygienist, published author, inventor/developer/patentee of two oral care products and director of the charity i-Hope. The love of teeth comes from her dentist dad in South Africa which is also Lise’s country of birth and education.Lise spent five years in the UK working for SmithKlein Beecham promoting/distributing Amoxil antibiotics for prevention of dental bacterial endocarditis. At the same time Lise was in the project designing/marketing the brand/logos for Corsodyl Chlorhexidine Gluconate 2mg/ml antimicrobial mouthwash.Eleven years ago Lise, her husband and two young daughters immigrated to Australia where she continues the battle against periodontitis and peri-implantitis. Lise has written several articles on the long term maintenance of the periodontal health and dental implants. After three decades of data collecting from her patients she invented the unique X-Floss and X-Ribbon now available in several countries.Lise’s innovative character and passion for the work as dental hygienist has opened doors to see Lise speak/teach at international dental/hygiene conferences on implant/perio maintenance. Lise is an active member of the Dental Hygienists’ Association in Australia. Lise is also passionate about rescuing orphans and her charity i-Hope is currently building their second safehouse in Asia.
Abstract:
Perio/implant patients need to continue indefinitely with excellent long term oral hygiene. Come and equip yourself with a few proven and fresh techniques and motivation to use and pass on to your patients who are desperate to keep the teeth in their mouths. Included the use of soft tissue diode lasers which encourage biostimulation.Conclusion:The attendees should be able to return to their clinic with proven, effective and very practical ways on how to prevent infection. Motivate patients sufficiently about the need for long term maintenance of these conditions. Recall useful information about the disease periodontitis/peri-implantitis and some risk factors involved. Be encouraged about the crucial role dental professionals play in preventing periodontitis/peri-implantitis.
- Current Concepts in Dental and Oral Health
Location: Brisbane
Session Introduction
Anthony Ancell
Woollahra Dental Practice, Australia
Title: Ortho-postural Dentistry: A broader view of oral health
Time : 12:45-13:10
Biography:
Dr Anthony Ancell is the Principle Dentist at Woollahra Dental Practice. Since leaving Sydney University as a dentist in 1980 he has had an incredible journey in his profession. The realization of how important dentistry can be has had a huge impact on his enjoyment. Anthony is trained as a Dentist and a pioneer of ortho-postural dentistry. This is his prime area of interest. Anthony has practices located in Woollahra and Queanbeyan.
Abstract:
If you thought oral health was only about brushing and flossing this will open your eyes (and your mouth) to a much bigger picture. A must for anybody with a mouth and interested in their health, and yet may never have fully connected the two. Dr. Anthony Ancell joins us to discuss ortho-postural dentistry. Anthony is not only a dentist in a private practice in Sydney, but he is also a world-leader in the concept of ortho-postural dentistry; how the shape and health of your mouth impacts your ability to breathe well, sleep well, your posture and much, much more.
Lynette G Wallace
University of Sydney, Australia.
Title: Looking at the interactions between physiological coherence, dental caries mouthbreathing, heart rate and emotional health
Time : 13:10-13:35
Biography:
Lynette Wallace graduated from University of Sydney in 1994 with Honours. She has been in private practice in Bowral since 1994. She takes a multi-diciplinary approach to patient care, studying both in the USA and Australia in orthodontics and neuromuscular dentistry and kinesiology. She is currently enrolled in the MClin Dent program with BPP University City of London. Her key area of interest lies in looking at the whole body physiological coherence and its links with mouth breathing and dental caries, using biofeedback computer monitoring.
Abstract:
Talks about physiological coherence and how it can be measured with biofeedback computer program as an adjunct to treatment. Effect of mouthbreathing on the autonomic nervous system which takes its cue from breathing frequency and controls 90% of the body’s involuntary functions including immune system response, hormonal response, metabolism and digestion. How biofeedback monitoring is used in mouthbreathing program in conjunction with myofunctional trainers to display and monitor progress using Heart Rate Variability HRV, not only with conversion to nasal breathing but also a changes in emotional state, mental focus, motivation and energy. Relationship of physiological coherence to dental caries and how it activates and deactivates salivary proteins. Relationship of coherence to interproximal decay, How coherence reflects an ordered synchronization between the sympathetic branches of the autonomic nervous system in the flow of information throughout the body.
Janet Wallace
The University of Newcastle, Australia.
Title: Dental hygiene student placement in residential aged care facilities: what do the students gain from the placement experience?
Time : 14:20-14:45
Biography:
Dr Janet Wallace is an Oral Health Therapist Lecturer at the University of Newcastle, Australia. Janet has extensive experience in clinical practice and a special interest in teaching experiential oral health student learning in aged care. In 2009, Janet implemented a residential aged care student placement program for final year dental hygiene students; this research has generated international publications, national and international conference presentations and significant grants to expand the research. Janet is a member of the Faculty of Health and Medicine, Faculty Board at the University of Newcastle, a life member of ADOHTA, a peer reviewer for the Australian and New Zealand Journal of Dental and Oral Health Therapy and an appointed member of the Dental Council of NSW.
Abstract:
Aim: The aim of this study was to determine whether dental hygiene students from the University of Newcastle, Australia, attending residential aged care facilities (RACFs) during a placement program gained any knowledge about the oral care of elderly patients and the RACF environment. Method: Final year dental hygiene students undertook a 12-week placement, one day per week, in one of 17 residential aged care facilities on the NSW Central Coast. Students completed pre and post-placement questionnaires, which recorded their knowledge of medical, dental and environmental issues related to older people. The placement questionnaires usedfive point Likert scales, ranging from strongly agree to strongly disagree, pre- and post-mean scores were produced for each question and P values calculated using a paired t-test. Results: Thirty three students attended the placement, 26 (79%) completed both the pre- and post-placement questionnaires. Post-placement mean scores as compared to pre-placement mean scores showed significant improvement in student knowledge of medical (P < 0.05) and dental (P < 0.05) conditions specific to the older person and improvement in knowledge (P < 0.05) about the residential aged care facility environment. Conclusion: The placement program enhanced student knowledge across three subject categories; medical and dental conditions of the older person and the structure and services of the residential aged care environment.
Sally Bing
Bing Dental, New Zealand
Title: Revolutionizing the world of Dental Hygienists
Time : 14:45-15:10
Biography:
Sally has been working in dentistry for 20 years and she is a NZDC qualified Dental Hygienist. In addition to Dental Hygienist, she has Dental Technology and Dental Therapy qualifications, also qualified in Self Expression and Leadership with certification from the Landmark Forum organization. Worked with the One 2 One Charitable Trust in Cambodia. Sally shared oral health information and inspiration in the Cannons Creek area near Porirua, an initiative sponsored by Colgate and Listerine.
Abstract:
Trained dental hygienists that are fresh from school are boxed in and therefore limited in what they can do for their clients. Their mantra: \"Gum/Periodontal disease is dental hygienists responsibility\". This has to change it\'s time to give the clients tools to take charge. The dental hygienist assists this process by building a trustful relationship with their clients and empowering them by educating and giving them tools to change habits. Result: happy clients that are motivated to take the responsibility to look after their oral health.
- Business of Dentistry
Location: Brisbane
Session Introduction
Geoff Parkes
The Australian College of Dental Education, Australia
Title: Understanding the business of dentistry
Time : 11:15-11:40
Biography:
Geoff Parkes is a founder and director of the Australian College of Dental Education. The college was established in 2013 to provide dental graduates and practicing dentists with post-graduate level business education. Students can elect to undertake study towards formal post-graduate qualifications, or else enrol in individual subjects of their choosing. All study is conducted on-line over 15-week semesters, and features high-level interaction for students with highly qualified educators and dental professionals across a variety of disciplines. Geoff’s background includes an MBA from Monash University, and many years of healthcare experience with GE Medical Systems and as Director of Equipment for Henry Schein Halas in Australia. Geoff is also a Director of Dental Advantage Consulting Group, and is committed to helping dentists align the objectives of ethical and profitable dentistry, with optimal patient health outcomes at the forefront. He owns and operates two successful dental practices in Australia, and has had numerous articles published in the dental industry press relating to the business of dentistry.
Abstract:
Dental graduates are typically underprepared for the business of dental practice. Increased supply of dentists and relative lack of opportunity in the private sector mean that traditional mentorship pathways are no longer as frequently available to young dentists and, even so, may not be as appropriate or effective for today’s competitive environment. Young dentists, faced with the challenge of developing their clinical skills “on the jobâ€, in many cases do not learn that successful dentistry can often be as much what happens outside the mouth as inside. Engaging with prospective patients, effective communication, providing a high quality patient or “customer†experience are as important to many of todays’ consumers of dental services as is the clinical outcome. This presentation highlights the need for dentists in the private sector, whether they be new practice owners, prospective owners or employed dentists, to fully understand the business environment in which they and their patients operate, to prepare themselves fully for this, and to implement effective strategies. Using real-life examples, and encompassing areas such as dental practice operation, marketing, human resources management, accounting, health economics and entrepreneurship, this presentation details the specific benefits for dentists of undertaking formal business study following completion of their undergraduate degrees.
Krystal May
Choice Dental Consulting, Australia
Title: The functional dental team
Time : 11:40-12:05
Biography:
Krystal is a qualified dental assistant with a particular passion for educating dental teams. She has been involved in the dental industry for most of her life, witnessing first-hand the ‘behind-the-scenes’ running of her family’s 2 dental practices and working in the industry for more than 14 years. Her passion for the dental world has grown as she has cemented her presence in the online forum with her successful dental blog Extreme Dental Practice.
Abstract:
The dental team can be of underestimated relevance to the success of the dental practice. Speaking to every member of the dental team, Krystal will touch the audience, igniting their passion for delivering outstanding patient care and service delivery. She will highlight the importance of a vision for the dental practice and the need to align the entire team with that goal. Krystal will touch on the topics of self-motivation, team playing and leading by example. The audience will be left with an inspired taste in their mouths, truly compelled to return to their dental practices with a new level of excitement and commitment.
Etta Liang
Precision Dentures, Australia
Title: Contemporary biometrics in dental practice
Time : 12:05-12:30
Biography:
Etta Liang began her training as a dental technician in 1980 and opened a commercial dental laboratory in Berwick specializing in ceramics in 1987. She then completed her degree in Dental Prosthetics in 1993 and has been in private practice ever since. She opened another clinic in Southbank in 2008 for which she won ‘Best Clinic Award’ from the ADPA Aus. She has gone on to complete many training courses in Precision Equilibrated Dentures, Temporomandibular Joint Dysfunction and Biometrics. She has trained in Liechtenstein, Milwaukee, Santiago, Queensland, New South Wales and Victoria. She has lectured at RMIT University, to trainee dental prosthetists, and her peers in NSW, QLD, VIC, WA, and New Zealand. Her lectures in the past have focused on Biometrics, Clinical Presentation, Clinical Photography, and Intra Oral (Gothic Arch/Arros Head) Tracing.
Abstract:
Today there are a variety of dental diagnostic tools available to dental practitioners all around the world. The focus of this presentation will be on contemporary biometrics and the implications of measurement for treatment. The main biometric tools that will be explored are TekScan, JVA, EMG, and EGN. Each of these diagnostic instruments will be introduced and their relationship to treatment of patients, referrals to specialists and allied health professionals explained. Most of the information is based on my own clinical experience in dental practice which will be presented through a series of and before, and after photos of patients in my clinic over the years.
Jolene Sukkarieh
My Financial Group Health and Dental Exchange, Australia
Title: Dental market update and corporate trends in Australia
Time : 12:30-12:55
Biography:
Jolene Sukkarieh is a Director of My Financial group Health, a group of financial services companies specifically servicing the dental community. She holds a Master of Commerce in Financial Planning and is a SPAA registered SMSf specialist. She has also helped with over 70 dental practice start ups and wealth advice for over 400 dentists. She lectures to the graduates at Griffith University and holds special lectures for graduating dentists from UQ and JCU each year plus runs a host of scientific and non scientific dental industry updates every year to benefit the groups’ clients. It is because of this working relationship with the dental community that the group is kept informed on what is happening in the industry and as a result can advise clients accordingly. Clients of the group and she receive personalized fee for service independent and unbiased advice.
Abstract:
The dental Industry in Australia has undergone and continues to have dynamic change. Those who are in the industry need an awareness of both opportunities and challenges that the industry presents in the short, medium and long term. Most of the data used for analysis is subscribed to and drawn from the ABN, IBIS and other major research houses with up to date statistical information sourced from America, the UK and Australia. This synopsis will give an up to date and real account of the Dental industry today as well as past history and the future direction of the corporate dental environment.
- Oral Pathology and Clinical Physiology
Location: Brisbane
Session Introduction
Garth D Pettit
4 Your Smile 2 Shine Pty Ltd.,Australia
Title: Paint your mouth
Time : 11:55-12:20
Biography:
Garth D Pettit graduated Bachelor of Dental Surgery (BDS) in November 1953 from University of Adelaide, School of Dentistry. He retired from dental practice in December 1991. His expertise, gathered over a period ongoing since 1995, is teaching people of all ages how to prevent common oral diseases such as tooth decay, gum diseases, bad breath and stained teeth. However his research he did in 2001, led him to believe that the 500 year old instruction Brush Your Teeth was misleading, often did not prevent these diseases and in fact could be a cause of these diseases. In February 2011 he published, in Amazon Kindle, twelve eBooks. Two were new and ten were from electronic copies of his original 10 Mouth Wise Oral HealthCare Manuals. They were titled “Oral 7 Hygiene – Paint Your Mouth. Visit 1 of 12 Visits to GarGarThe Dentist†etc. Later they were re-titled “Paint Your Mouthâ€, then “How Do I Look After My Kids Teeth?†Now they are to published under the title “Teaching Oral Disease Preventionâ€.
Abstract:
“Paint Your Mouth†is an instruction. It is unique, totally oral, oral hygiene instruction that is infinitely more efficient in preventing oral diseases than the 15th Century instruction “Brush Your Teethâ€. “Brush Your Teeth†was invented by a Chinese Emperor in 1498, the year he patented the first tooth brush made with bristles. Bristles were taken from the back of a Siberian hog’s neck. The tooth brush handle was made from either bamboo or bone. The bristles were inserted into and at right angles to the handle. A tooth brush in this, the 21st century is made with plastic handles and nylon bristles. Even the name tooth brush is archaic. It refers to only surface in the mouth to brush: teeth. I call a tooth brush, Mouth Brush, and tooth paste Mouth Paste. In 1996, 5 years after retiring from dental practice my granddaughter was diagnosed the early tooth decay in a front, upper deciduous tooth. Angrily I made this mission: “Prevent Oral Disease in Childrenâ€.But, in these books childrenlearn much more than the oral hygiene instruction. They are taught that when they eat or drink their whole mouth is covered with harmful plaque, not just teeth but also gums, tongue, roof, floor, cheeks and lips inside the mouth. Combining “Paint Your Mouth†and knowledge they acquire from the books will help them to enjoy their lives free from common oral diseases and many general disease such as heart attacks, high blood pressure, Alzheimers disease, strokes, diabetes and more.
John A. Loudon
University of Sydney, Australia.
Title: The Dental-Systemic Disease Connection Conundrum Improved Management Through Understanding
Time : 12:20-12:45
Biography:
John Loudon obtained his undergraduate training in dentistry and went on to complete a PhD at Sydney University in biochemistry. He then completed post-doctoral studies in Japan, Tsukuba science city, USA, Roswell Park Cancer Inst. in renin-angiotensin molecular biology. He has obtained specialist Certification and a Fellowship within the field of Oral & Maxillofacial Pathology at The Ohio State University. He has written over ten significant single author articles in addition to contributing towards numerous co-authored works and is an invited reviewer. He maintains a focused interest in cardiac and vascular disease, cancer and infectious diseases in addition to dental sciences research.
Abstract:
The concept of focal infection has been revisited with mounting evidence that chronic dental infections such as periodontal disease align with vasculopathy (atheroma) and hypertrophic cardiomyopathy. Paradoxically, heart disease as measured by an irreversible ischaemic cardiac \'event\' is not strongly clinically related to focal chronic dental infections. Further, this paradox is also extended to neurology whereby dementia, although relating to vasculopathy, is not strongly positively clinically correlated with inflammatory dental disease. A plausible rationale to explain these paradoxes is presented whereby proinflammatory cytokines and bacterial lipopolysaccharide are pictured as mediators of cellular homeostasis, maintaining a prosurvival, and cytoprotective environment. Dysregulation of the immune system forms an important driver in determining imbalance in homeostasis during chronic inflammation leading to vasculopathy and cardiac pathology such as hypertrophy. Excessive prosurvival stimulus often times via cancer-related cascades reflects the dysregulated homeostasis observed in the pathology of chronic inflammation. By moderating dysregulated homeostasis agents such as rebamipide, resveratrol and amlexanox may target such pathologies. Notably, amlexanox, an immunomodulatory drug used to manage aphthous ulcers may be repurposed in this respect as its mechanism of action includes targeting key kinase enzymes involved in innate immunity that align with dysregulated inflammation. A strategy is therefore proposed for restoring imbalance in homeostasis seen in chronic dental inflammatory conditions to help prevent systemic comorbidities.
Nihal Bandara
University of Queensland, Australia
Title: Fungi in the Oral cavity: The opportunistic foes
Time : 12:45-13:10
Biography:
Dr. Nihal Bandara has received his Bachelor of Dental Surgery (BDS) with honours from The University of Peradeniya, Sri Lanka, and graduated with honours as the Most Outstanding Dental Student of Sri Lanka (2001-2006). Subsequently, He received my Ph.D. in Oral microbiology (specializing, in mycology, bacteriology and molecular biology) from The Faculty of Dentistry, the University of Hong Kong under three distinguished scientists, Professor Lakshman Samaranayake, Professor L. J Jin and Dr. Rory Watt. His thesis was based on the communal interactions of Candida and bacteria in mixed species biofilms that could cause a variety of oral and non-oral infections. After completion of his Ph.D, he joined the laboratory of Dr. Hugh Smyth at the College of Pharmacy, University of Texas at Austin, Texas, USA to pursue work on novel approaches for drug delivery into microbial biofilms. Currently, he is a Senior Postdoctoral Research Fellow at the School of Dentistry, University of Queensland, Australia and investigate on eradication of oral candidal infections using novel drug delivery technologies. Dr. Bandara has published over 15 research articles, 2 book chapters, 2 provisional patents and many abstracts and attended a number of international conferences. He has won many national and international awards for his excellence in dentistry and research. Specially, the International Association for Dental Research awarded him the IADR Research in Prevention Travel Award at its 89th General Sessions held in California. Also, in 2011, the University of Hong Kong awarded him the Research Output Award for the most outstanding scientific output from its Faculty of Dentistry.
Abstract:
Candida is a dimorphic fungus commonly isolated in skin, mucosa, gut and genitourinary tract. Over 50% oral cavities are colonized by Candida as a commensal organism. Due to its versatility and the ability to live in many body sites, Candida is considered an important opportunistic pathogen. According to US National Nosocomial Infections Surveillance System, Candida is the 4th most common cause of bloodstream infection. Candida biofilms can readily develop in immunocompromised hosts including individuals under immunosuppressives or broad-spectrum antibiotic therapy, neonates, patients with diabetes and HIV and patients having indwelling devices. Thus, Candida becomes opportunistically pathogenic and causes superficial infections in the mucosa to deep, invasive and life-threatening systemic candidiasis. In addition the incidence of noncandidal oral infections such as aspergillosis, cryptococcosis, histoplasmosis, blastomycosis, paracoccidioidomycosis, and zygomycosis (mucormycosis) is gradually increasing. Thus, the knowledge of oral fungal infections will be highly beneficial for oral health care professionals in the prevention and management of such infections in routine dental patients.
Farrukh Faraz
Maulana Azad Institute of Dental Sciences, India
Title: Adjunctive photodynamic therapy for treatment of localized chronic periodontitis
Time : 13:55-14:20
Biography:
Dr. Faraz is currently working as Associate Professor at Maulana Azad Institute of Dental Sciences. He did his graduation in Dental Surgery in year 1997 and subsequently obtained MDS in Periodontis in July 2002. He has been a merit scholarship holder and has been awarded a number of merit certificates during the graduation as well as post graduation.
Abstract:
Background: Adjunctive treatment modalities are often required to supplement mechanical periodontal therapy as it often fails to debride completely the deeper pockets and furcations. Photodynamic Therapy (PDT), “the light induced inactivation of cells, microorganisms or molecules†has been used as antimicrobial periodontal treatment on the concept of generating singlet oxygen and free radicals that are cytotoxic to microorganisms, by activating a photosensitizer agent using diode laser. This paper describes a clinical study to evaluate the benefits of using PDT along with scaling and root planing (SRP) compared to SRP alone. Aim: To find out the clinical outcome of photodynamic therapy when used along with conventional non-surgical treatment of localized deep periodontal pockets. Materials & Methods: Thirty patients with periodontal pockets of ≥6 mm in at least two non-adjacent teeth were included in study. One of the teeth received PDT after full mouth SRP, while another served as control. Plaque Index, Modified Sulcular Bleeding Index, Probing Pocket depth and Clinical Attachment Level were recorded at baseline, after 1 month and 3 months postoperatively. Results: Significant improvement was observed in both groups in terms of all recorded parameters 3 months postoperatively. At 1 month interval, inter-group difference was significant in terms of modified Sulcular bleeding index, and Probing Depth which decreased more at sites treated with PDT compared to the test sites. Conclusion: Antimicrobial PDT used along with SRP results in significant higher reduction in bleeding scores, and pocket depth reduction compared with SRP alone.
Neha Saksena
SGT University, India.
Title: Ginigival Biotype linked to Racio-ethnicity: Southern region of Asian Subcontinent
Time : 14:20-14:45
Biography:
Neha Saksena has completed her BDS and shall complete her MDS (Periodontology) in the summer of 2015 from Pt. BD Sharma University, Rohtak, India. She is an academically active student and has attended various conferences and continuing dental education programmes. She has 5 published papers to her credit including 1 in an international journal. She also has delivered 9 oral and poster presentations in various national specialty and general dentistry conferences. She has been a recipient of 3rd best paper presentation award at the 12th Indian Society of Periodontology Post Graduate Convention, 2013.
Abstract:
An immense variation in and significance of Gingival Biotype (GB) or Gingival Thickness (GT) has been widely recognized in the literature. To begin with, gingival morphology was explained by Ochsenbein and Ross as scalloped (thin) gingiva and flat (thick) gingiva. Later on, Claffey and Shanley defined a thin tissue biotype having GT of ≤ 1.5mm and a thick tissue biotype having ≥ 2mm. India, being a predominant part of the southern region of Asian subcontinent is popularly known as the “Land of Diversityâ€. Among the racial diversity in India, two major racial types identified are the Ancestral North Indians (ANI) corresponding to the Indo-Aryan population of northern India and Ancestral South Indians (ASI) corresponding to the Dravidian population of southern India. Until now, gingival biotype has been assessed in populations belonging to the Caucasian race. A cross-sectional study with a total of 100 periodontally healthy subjects belonging to the two major racio-ethnic groups of India, whose gingival biotype measured by a non-invasive ultrasonographic device were evaluated. The inclusion of individuals was on the basis of individual’s name, place of birth, mother tongue and self identification. The study revealed a thicker biotype in ASI group but it was found to be statistically insignificant. Within the racio-ethic group, a thicker biotype was found in males, older age group and mandibular arch. Gingival Biotype has proven its relevance as a diagnostic and a prognostic factor prior to any esthetic procedure and thus further research is necessary.
Abhishek Parolia
International Medical University, Malaysia
Title: Debridement in Endodontics
Time : 14:45-15:10
Biography:
Dr Abhishek Parolia has served as an assistant professor and reader in Manipal University and currently working as a senior lecturer in International Medical University, Kuala Lumpur. He graduated from Manipal University and perused his masters in the field of Conservative Dentistry and Endodontics at the same university. He was awarded a gold medal in Conservative Dentistry and Endodontics. He is actively involved in research and received Research Incentive Award in 2010 and 2011 from Manipal University and Marquis Award (USA) in 2011. He received an award for his significant contribution as a newcomer in the School of Dentistry, International Medical University, Malaysia. He was also awarded for his Invaluable contribution in leading ICDAS initiative from the school of Dentistry, International Medical University in 2014. He is a member of ICDAS National Benchmark Group, Malaysia. He has published many scientific papers in national and international peer-reviewed journals and authored chapters “Diagnosis in Endodontics†in the book entitled Essentials of Endodontics, published in 2012 by Quintessence India and “Propolis and its implications in oral health†in the book entitled Beneficial Effects of Propolis on Human Health and Chronic Diseases. Volume 2, Published in 2012 by Nova Publications USA. He is a reviewer of Indian Journal of Dental Research, Journal of Dental Education, European Journal of Dentistry, Malaysian Dental Journal, International Journal of Dental Hygiene and member of editorial board of Journal of Conservative Dentistry. He is a member of FODI, Malaysian Dental Association, International Association of Dental Research and International Cariology group. He has conducted workshops and lectured locally and internationally at many countries namely India, Malaysia, Indonesia, Dubai, Brazil and Canada.
Abstract:
The main goal of endodontic therapy is thorough chemomechanical debridement of the entire root canal system followed by a three-dimensional obturation with an inert filling material and a final coronal restoration. Debridement of the root canal plays a very critical role to achieve a successful endodontic outcome. Endodontic disease is a biofilm-mediated infection, and primary aim in the management of endodontic disease is the elimination of bacterial biofilm from the root canal system. It is important to apply the biofilm concept to endodontic microbiology to understand the pathogenic potential of the root canal microbiota as well as to form the basis for new approaches for disinfection. From these aspects, the formation of biofilms carries particular clinical significance because not only host defence mechanisms but also therapeutic efforts including chemical and mechanical antimicrobial treatment measures have the most difficult task of dealing with organisms that are gathered in a biofilm. This presentation will highlight the role of biofilm, challenges, latest techniques and concepts in the debridement of root canal.
- Basic Dentistry
Location: Brisbane
Session Introduction
Mahmoud Bakr
Griffith University, Australia
Title: The effect of early exposure to haptic feedback during preclinical dental education on the development of psychomotor skills in restorative dentistry?
Time : 15:10-15:35
Biography:
Dr. Bakr received his Bachelor Degree in Dental Medicine and Surgery from Cairo University in 2004. He completed his Masters Degree in Oral Biology from Cairo University in 2010. He was appointed as an academic within different departments in the Faculty of Dentistry (Cairo University) with a special focus on Oral Histopathology and Restorative Dentistry in 2005, where he gained experience in Dental Education for five years. After moving to Australia in 2010, Dr. Bakr was appointed to teach within the School of Biomedical Sciences (University of Queensland). Dr. Bakr held different positions in Griffith University including sessional teaching of Oral Biology, Head and Neck Anatomy, sessional clinical supervision, Casual lecturing in Restorative Dentistry, besides being appointed as a Research Assistant in the Haptic Dental Simulation (Simodont®) research project. In 2012, was Dr. Bakr was appointed as a full-time Lecturer in General Dental Practice. In 2013, he completed a Graduate Certificate in Higher Education from Griffith University. Currently Dr. Bakr doing a PhD investigating the role of PTH in the healing of stress fractures in bone.
Abstract:
Haptic simulators have been successfully used in medical education but are relatively new tools in dental education. This study aimed to evaluate the effect of early exposure to haptic feedback (via the MOOG Simodont® Virtual Dental Trainer) on the development of psychomotor skills and on the subsequent performance of a previously unseen manual task. Forty (40) second year Dental Science students enrolled at Griffith University (Australia) were randomly divided into two groups. They were then given manual dexterity tasks in a haptic and a non-haptic environment but in a different sequence for each group (early- or late-haptic experience). Pre-experimental, post experimental and flow questionnaires were completed by participants. The Mental Rotation Test –A (MRT-A) was used to control for differences in visual-spatial abilities. Borg’s CR-10 scale was used to control for possible differences in mental effort between haptic and non-haptic training sessions. Overall, the students accepted the new dental simulator well. Participants commented both positively and negatively on the fidelity of the preclinical experience. The group that ended with haptic training performed slightly (though not significantly) better than the group that commenced training with haptics (Paired t-test; P= 0.06). Our study showed that haptic simulators could be combined with other methods in preclinical dental skills development but there is no clear evidence in this study that early exposure per se to haptic feedback and the MOOG Simodont® Virtual Dental Trainer could better assist in the development of psychomotor skills in Restorative Dentistry.
Rui Franco
Beurze Tandartsen, Netherlands
Title: Cementation of aesthetic resin composite indirect restorations
Time : 15:35-16:00
Biography:
Dr. Rui Franco has completed his Masters Degree in Aesthetic Dentistry at the age of 23 from Instituto Superior de Ciências de Saúde Egas Moniz, Portugal in 2009. In 2010 he did a post-graduation in dental implants. Since 2010 he started co-owning the Vale de Milhaços Medical Center and also became the Clinical Director from this multi-discipline private practice. At the end of 2011 Rui Franco started living and working in the Netherlands, where he continues to improve his studies in order to excel in the dental care provided by him.
Abstract:
Presently resin composites enable the dentist to faithfully reproduce the anatomy and dental morphology in the same way that only ceramic could. However, when resin composites are applied in direct restorations they always trigger tensions from its polymerization contraction. This negative factor is inherent in the use of composite resins. In the presence of a large cavity, it may be indicated to apply a laboratory restoration, this is, an indirect restoration. The longevity of indirect restorations is largely determined by its bond strength, depending on the cementing technique used. The use of resin cements is increasing in these restorations, but there is still no consensus about the best technique to be applied. The case reviewed in this work is based on an entire review on the current techniques of resin cements in indirect aesthetic composite restorations. It is performed an analysis of the clinical and laboratory procedures of an indirect aesthetic resin composite restoration in a lower left first molar. Are detailed aspects the mechanical and physical properties of resin cements, as well as variants of the different types of polymerization and adhesion to the tooth structure. The objectives of this study are to contribute, through a detailed literature review, to the assessment of the state of the art of resin cements, giving special emphasis to the influence of its mechanical and physical properties as well as the cementing technique in the clinical success of an indirect aesthetic composite restoration.
Massimiliano Zuppardi
Zuppardi Dental Studio, Australia.
Title: Protocol for prosthetic implant restorations
Time : 17:15-17:40
Biography:
Massimiliano Zuppardi completed his dental technology degree in Naples and father, Giuseppe Zuppardi, mentored his development throughout the 1980\'s. Max has been rewarded with acceptance in to the International Oral Design Group, which recognizes dental ceramists whose artistic talent, character and performance of craftsmanship are of the highest degree. Max further developed his skill by learning from master technicians such as Willi Geller, M.H.Poltz, P.Adar, D.Shultz and R.Pascetta. Max\'s speciality lies in aesthetics and morphology and he is continually keeping up to date with the most innovative technology in dental restoration. He is also a dental educator who has lectured extensively around the world. He gives hands-on courses for technicians on aesthetics, precision and morphology. Max and his family moved from Naples, Italy to Manly, Sydney at the end of 2011.
Abstract:
The aim of this practical lecture is to outline the ideal steps in prosthetic implant restorations, from a single tooth to a full mouth rehabilitation. The lecture will cover all stages: an accurate patient analysis, the treatment plan, selecting all the parameters for an ideal restoration, the mock up, the temporary and the selection of the materials for the final restoration. Crucial for implant cases, the lecture will also discuss the emergence profile management for ideal soft tissue support areas for cleansing. This is achieved by the compensation of the flange, supported by a ceramic ZI or TI framework, without having to resort to invasive surgery with bone augmentation and soft tissue grafts. The stages will be explained through the presentation of a case study. The lecture will cover the protocol to obtain a precise passive Procera Implant Bridge in a predictable manner, through systematic technology (CAD/CAM). The discussion will cover all the concepts, issues and compromises, such as the reduction of fracture and chipping risks in the morphological reconstruction. By combining shape, functionality and color the aesthetic result will be an optimal integration in situ.
Harnie Jo
University of Otago, New Zealand
Title: Survival times and reasons for failure of orthodontic retainers (pilot study)
Time : 17:40-18:00
Biography:
Harnie graduated from the University of Otago, New Zealand with a Bachelor of Dental Surgery degree. She is currently working full-time as a general dental practitioner in a private dental practice at Gisborne, on the East Coast of the North Island of New Zealand. Her dental interests include Oral surgery and Endodontics. Harnie’s pilot study on Survival Times and Reasons for Failure of Orthodontic Retainers was awarded the Ivoclar Vivadent Student Research Elective Award in Dentistry for 2014. In her spare time, she enjoys musical appreciation, the outdoors, yoga and swimming.
Abstract:
Abstract Retainers are an essential component of successful orthodontic treatment, required to be worn for sufficient periods of time following fixed appliance therapy to prevent relapse. Retainer failure may compromise treatment outcomes. Objective: The aims of this retrospective study were to assess the survival times and the reasons for failure of orthodontic retainers used at the School of Dentistry, Otago University. Methods: 117 retainers were included in this study. Eligibility for inclusion required retention periods be of at least 24 months. Data regarding types of retainers, survival time, and reasons for failure were collected. Results: Hawley, vacuum-formed and fixed retainers were used at the School of Dentistry for retention. Overall, 58.8% of maxillary retainers and 59.2% of the mandibular retainers survived for 24 months or more. At 24-months retention, the survival rates were 52.9% for upper fixed retainers, 57.1% for upper vacuum-formed retainers, 57.9% for lower fixed retainers, 63.3% for upper Hawley retainers, and 72.7% for lower vacuum-formed retainers. The majority of failures occurred within the first six months of retention, particularly for upper and lower fixed retainers (35.3% and 31.6%). The most common reasons for failure were breakage (63.6% for Hawley; 66.7% for upper vacuum-formed retainers) and debonding (82.4% for lower fixed retainers). Conclusion: Over the 24-month retention period, upper fixed and upper vacuum-formed retainers had the lowest survival rates, while lower vacuum-formed and upper Hawley retainers had the highest survival rates. Breakage and debonding were the two main reasons for failure.
- Orthodonitics
Location: Brisbane
Session Introduction
Kenji Ojima
Japan Academy of Aligner Orthodontics, Japan
Title: Acceleration treatment of extraction cases with Invisalign system
Time : 14:50-15:15
Biography:
Dr. Kenji Ojima is the President of Japan Academy of Aligner Orthodontics. Studied Dentistry at the University of Showa(Tokyo-JAPAN). He Postgraduated in Orthodontics at the University of Showa. Own\'s private practice as a specialist for orthodontics in Tokyo.-Hongo since 2007 with Dr.Dan and　Dr.Kumagai.He also serves as American Academy of Cosmetic Orthodontics Asian Chapter President. Chairman of Frontier Invisalign JAPAN study group and Boarding member of Strategic Aligner Orthodontics JAPAN. ・Studied in Dr.W Schupp. More than 50 times visited to Dr.Schupp and Dr.Julia office in Cologne.
Abstract:
In recent years, application limit of the orthodontic treatment with Invisalign® system is expanded to a large extraction cases the amount of movement of the teeth highest difficulty level is not limited to the orthodontic treatment less amount of movement of the teeth.ô´•I will report and show you three extraction cases. Case (1) 14, 24, 34 and 44 ext case. Case (2) 13, 23, 34 and 44 ext case. Case (3) 15, 25 ext case then class II finish.and We report made to shorten the treatment period, to use in combination with the Acceledent® and Invisalign system.
Lise Slack
Registered Dental Hygienist, Australia.
Title: Lazin is Amazin – Soft tissue Diode Laser is a MUST HAVE for your practice
Time : 15:15-15:40
Biography:
Lise Slack is an International speaker, clinical dental hygienist, published author, inventor/developer/patentee of two oral care products and director of the charity i-Hope. The love of teeth comes from her dentist dad in South Africa which is also Lise’s country of birth and education. Lise spent five years in the UK working for SmithKlein Beecham promoting/distributing Amoxil antibiotics for prevention of dental bacterial endocarditis. At the same time Lise was in the project designing/marketing the brand/logos for Corsodyl Chlorhexidine Gluconate 2mg/ml antimicrobial mouthwash. Eleven years ago Lise, her husband and two young daughters immigrated to Australia where she continues the battle against periodontitis and peri-implantitis. Lise has written several articles on the long term maintenance of the periodontal health and dental implants. After three decades of data collecting from her patients she invented the unique X-Floss and XRibbon now available in several countries. Lise’s innovative character and passion for the work as dental hygienist has opened doors to see Lise speak/teach at international dental/hygiene conferences on implant/perio maintenance. Lise is an active member of the Dental Hygienists’ Association in Australia. Lise is also passionate about rescuing orphans and her charity i-Hope is currently building their second safehouse in Asia.
Abstract:
introduction to the effective and affordable little machine that is easy to use and that will help to make several common yet tricky procedures easier. Minor dental surgical procedures like crown lengthening, biopsy, operculectomy, fiberotomy, frenectomy, dark gingival pigmentation removal, implant exposure and the non-surgical biostimulation in stubborn deeper periodontal pockets. At the conclusion of this seminar, the attendees should be able to: 1 Return to their clinic with a clear understanding of the long list of benefits when using the soft tissue diode laser for common minor surgical dental procedures in the practice. 2 Have good insight of the various daily procedures where the soft tissue diode laser can be used and applied. 3 Recall useful information about how to implement this laser into their practice. 4 Be convinced about the ease of use of this laser that will improve their quality of work.
Rashad Murad
International Congress of Oral Implantologists, Syria
Title: Factors influencing the results and success rate of intentional replantation procedures
Time : 15:40-16:05
Biography:
Dr Rashad Murad currently serves as the international president of ICOI-Syria. He is the Chief Director of Dental Association in Damascus.General Manager and owner of Advanced Dental Care Syria For Treatment and Cosmetic Dentistry Center.
Abstract:
Aim: To address the indications, contraindications, surgical procedures, complications following treatment, factors influencing the results and success rate of intentional re-plantation procedures. For many years, intentional replantation has been a treatment option for teeth that would be difficult, if not impossible, to treat using traditional root canal therapy. It is a viable alternative in the case of unsuccessful endodontic procedures; however it must be accomplished as quickly as possible. The preservation of cell vitality in the periodontal ligament, the removal of all tissue debris and irritating substances from the root surface, achievement of a good apical seal and reinforcement of the crown structure are critical in ensuring normal function of the reimplanted tooth.
Mohamed Zaghloul
University of Dundee, Scotland
Title: Is orthodontics limited to fixing braces to patient teeth?
Time : 16:20-16:45
Biography:
Dr. Mohamed Zaghloul graduated from Alexandria College of Dentistry, Egypt in 2007. He completed one year of training in Alexandria University Hospital. Since 2008 he began to focus on orthodontics and worked for one year as an assistant to an orthodontist, increasing his knowledge by courses, scientific meetings, conferences and reading recent books and papers. In 2013 he applied for Orthodontics master program from University of Dundee held in Egypt for the first time and it was approved by the program director professor David Bearn. His practice is limited to orthodontics. He spoke at many scientific meetings in Egypt.
Abstract:
Orthodontics is not only fixing braces to patient teeth . we can classify orthodontics to big 5 types of interventions firstly 1-preventive orthodontics which aims to predict the problem and trying to prevent it before it becomes more complicated for example space maintainers which are used to keep spaces of extracted teeth for erupting ones or for aprosthesis. 2-interciptive orthodontics which aims to interrupting orthodontic problem and preventing it\'s complexity for example correction of skeletal calss II with mandibular retrognathism with amyofunctional appliance as twin block or correcting skeletal class III in agrowing patient with maxillary retrusion with face mask also correcting of adevelopping open bite with tongue gaurd appliance which aim to retain soft tissue balance and establishing normal over jet normal over bite .Also utilizing of leeway spaces in decreasing the need for fixed appliance in the future .3- Corrective which means management of malocclusion already after it became complicated 4- camouflage treatment by extracting teeth and trying to improve dental and soft tissue relation with dento alveolar movements for example extracting upper first premolars to retract upper anteriors and upper lip in skeletal class II cases finally is Orthognathic surgery in which acombination of orthodontics and surgery are performed to correct skeletal base malrelation .finally I want to say that you can treat or at least decrease complexity of malocclusion by different means rather than fixing brackets on teeth.
Sumit Kumar Panchal
Indian Dental Association, India
Title: Tooth discoloration after traumatic injury
Time : 16:45-17:05
Biography:
Dr.Sumit Kumar Panchal has a BDS from D.J Dental College, India. He is currently in private practice since 2013 in New Delhi and consultant dental surgeon since 2013 at Saraswati Hospital, India. One of his articles has been published in dental update (Issue vol-12, No- 4, March-April 2014 at page no- 40) in South Asia Edition.
Abstract:
Discolored teeth are seen frequently in the dental office and present a major challenge to dentists. It is essential to recognize the causes in order of establishing appropriate therapy. One of the reasons for tooth discoloration is due to a traumatic injury. This discoloration can vary from pink, yellow or dark gray, depending primarily on the degree of pulp condition and response following injury. The dental pulp may become inflamed and bleed or may mineralize as post traumatic sequelae. Of these conditions depend upon the color change of the affected tooth. To ignore pulpar responses can lead to misdiagnosis and inappropriate treatment. Keywords - Discolored teeth, traumatic injury, Dental pulp condition, Bleeding, Misdiagnosis and inappropriate treatment.
Suhaila Rada Hassan Albanai
Hamad Medical Corporation, Qatar
Title: Effects of 10% and 15% Carbamide Peroxide bleaching procedures on tooth sensitivity – A systematic review
Time : 17:05-17:30
Biography:
Dr. Suhayla Reda Hassan Al Banai is currently a consultant prosthodontics at Hamad Medical Corporation, Qatar. She has Bachelor’s Degree in Dentistry from King Saud University, Riyadh Kingdom of Saudi Arabia and Master degree in Crown and Bridge Prosthodontic from Cairo University, Egypt. Dr. Suhayla has membership in Prosthodontics (MRD), Royal College of Surgeon in Edinburgh, UK and MCLinDent (Master of Clinical Dentistry) Prosthodontics from Queen Mary University of London, UK. She is the Regional Dental Adviser (Qatar) for the Royal College of Surgeon of Edinburgh, UK and Dartmouth Clinical Microsystems Institute (DCMI) certified Coach. USA. She has published two single paper, was speaker and presented many posters at local and international conferences and she is Coach & faculty in CCITP (Clinical care improvement training program), Hamad Medical Corporation. Qatar.
Abstract:
Problem Statement: Tooth whitening was used for over one hundred and fifty years. The question concerning the whiteness of teeth is a complex one since tooth whiteness will vary from individual to individual, and is also dependent on the age of the individual and culture etc. Tooth whitening following treatment may also be dependent on the type of whitening system used to whiten the teeth. There are a number of side-effects to the process and these include tooth sensitivity and gingival irritation (Dahl & Pallensen 2003, ADA Council on Scientific Affairs 2009). Normally these side effects should resolve after approximately 48 hours although in extreme situations this may last for several months. Description: Tooth whitening is not a new technique in dentistry. The question concerning the whiteness of teeth is a complex one since tooth whiteness will vary from individual to individual, dependent on the age and culture etc. Tooth whitening following treatment may be dependent on the type of whitening system used to whiten the teeth. There are a number of side-effects to the process and these include tooth sensitivity and gingival irritation. Some individuals may experience no pain or sensitivity following the procedure. Purpose: To systematically review the available published literature until 31st December 2014 in order to identify all relevant studies for inclusion and to determine whether there was any evidence demonstrating that the application of 10% and 15% carbamide peroxide in tooth whitening procedures resulted in tooth (dentine) sensitivity.
Razan Mohammad Baabdullah
King Abdulaziz University, Saudi Arabia
Title: The prevalence rate of third molar impaction among Jeddah population
Time : 17:30-17:55
Biography:
Razan Mohammad Baabdullah is currently a dental intern at King Abdulaziz University. As a professional licensed and certified speaker and educator, she has delivered numerous keynotes and educational sessions at professional conferences and training events. She has been involved with youth development for over seven years as an administrator, teacher, and director.
Abstract:
Purpose: There is a lack of data about the prevalence rate and the pattern of third molar impaction in Saudi Arabia. The purpose of this study is to determine the prevalence rate and the pattern of third molar impaction if present and its association with other factors like age, gender, local and racial factors. Methods: The investigators implemented a retrospective study composed of 1866 digital orthopantomogrmas (OPG) of the patients who attended dental clinics in King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia. Digital OPGs of 580 patients aged between 18 and 55 years were selected from these records and evaluated for the prevalence rate of third molar impactions and their pattern. Other study variables were grouped into the following categories: age, gender, and nationality. Descriptive and bivariate statistics were computed and the P-value was set at .05. Results: The sample was composed of 580 patients, 77.1% of them presented with at least one impacted third molar with no significant difference between gender and nationality groups regarding the prevalence rate of impaction but younger people showed higher prevalence rate. There was a statistically significant association between gender and angulation pattern. Of the 914 impactions, there was a predilection for mandibular than maxillary impactions but not statistically significant (Mandibular, 52.8% vs Maxillary, 47.2%; P= 0.085). Vertical impaction was the most frequent (34.1%). The most common level of impaction in the maxilla was level C while level A was the most common in the mandible; 53.6% and 47.6% respectively. Conclusion: The results of this study suggest that the prevalence rate of third molar impaction in Jeddah population is high and the rate is expected to rise over time. Future studies will focus on the etiology of third molar impaction.
- Pediatric Dentistry
Location: Brisbane
Session Introduction
Pirkko-Liisa Tarvonen
University of Eastern Finland,Finland.
Title: Children’s self-care practices in Pyongyang, Democratic People’s Republic of Korea: comparison of children’s and their guardian’s reports
Time : 15:10-15:35
Biography:
Dr. Pirkko-Liisa Tarvonen graduated and specialized in public health care at University of Turku, Finland. With thirty years of experience in dental public health, she works as Senior Dental Officer at University Dental Clinic in Helsinki, Finland. She has also gained experience as project coordinator to develop patient classification model and to organize out-of-hours emergency oral health care as well as national information systems for oral health care. Since 2007, she has worked voluntarily as project coordinator in a development collaboration project to support primary oral health care and dental education in Democratic People’s Republic of Korea.
Abstract:
Objectives: The aim of this study was to evaluate the oral self-care practices among primary school children in Pyongyang, Democratic People’s Republic of Korea (DPRK), after six years operations of Children’s Oral Health Promotion Programme (COHPP). Methods: The COHPP as part of the development collaboration has educated kindergarten and primary school teachers in oral self-care; the teachers in turn have educated children and their parents along with the school work. The COHPP has also provided toothbrushes and fluoride toothpaste for children, and education materials for kindergartens and primary schools. After six years operations of the programme, in September 2013 a convenience sample 200 children (10 years of age) and their 200 guardians were selected for the study. Both groups were separately asked by structured, self-completed questionnaires about the child’s brushing frequency, use of fluoride toothpaste, use of sweet snacks (juice, ice cream, candy and biscuit) as well as the child’s main thirst quencher. Children’s own report was compared to the guardian’s report. Results: Brushing twice a day was common; 89% of the children and 78% of the guardians reported the child brushing his / her teeth at least twice a day. Of the reports 71% were unanimous; no association observed (p=0.239). All children and 92% of parents reported the child using fluoride toothpaste. Furthermore, snacking was popular: 90% of the children and 88% of parents reported the child eating sweet snacks at least twice a day, the unanimity being significant (p=0.047). 72% of children and 80% of parents reported the child using water as the main thirst quencher; others drank juice, cider, tea or milk. No association between the reports was observed (p=0.446). Conclusions: The COHPP has probably promoted beneficial self-care practices in its action sphere. However, sweet snacks were popular among primary school children. Implementation of the program to the whole country is important as is continuous evaluation.
Joanna Granich
The University of Western Australia, Australia.
Title: Oral health, dental needs and barriers in children with an autism spectrum disorder
Time : 15:35-16:00
Biography:
Joanna Granich is the Clinical Trials Coordinator at the Telethon Kids Institute in Perth, Western Australia. Her role involves managing randomized controlled trials focused on investigating the effectiveness of medications and educational interventions for children with autism. Jo holds a Masters of Public Health by research from the University of Western Australia. She is also a registered sessional dental therapist in a private dental practice. She has a special interest in oral health of children with autism. Her other research interests include early intervention; complementary and alternative as well as prescribed medication use as treatments for children with autism.
Abstract:
Children with an autism spectrum disorder (ASD) are a high-risk group for oral health problems due to difficulties in communication and understanding of the medical and functional need for oral health. There are no specific reports in Australia about dental health of children with ASD. We aimed to identify oral health, dental needs, oral hygiene, dental experience and related barriers to dental services of children with ASD as perceived by parents. An online survey completed by parents (n=73) of children with ASD (aged 2-17 years) was used to obtain data. Forty percent of children had oral health problems, commonly cited were stained teeth, bad breath and dental decay. The majority (53%) of children required physical, verbal or visual supports to brush their teeth with half of parents (51%) experiencing difficulties with the child’s daily oral care. One third (32%) of children felt afraid or anxious to visit the dentist, commonly cited reasons were oral instrumentation, bright lights and smells. Major barrier to seeking services was the operator’s lack of skills to adequately manage and treat children with ASD. Specific dental education for parents of children with ASD is imperative as part of a public dental health plan. Equally, a health promotion campaign may enhance awareness in this population about dental disease, oral hygiene and preventive measures for optimal dental health. Strategies to reduce anxiety of children with ASD when seeking dental treatment are also needed. This includes education of dental professionals about ASD and behaviour management strategies.
Arish Naresh
Tairawhiti District Health Board, New Zealand
Title: Child oral health status in rural communities in New Zealand
Time : 16:15-16:40
Biography:
Arish Naresh is the Director of Allied Health and Technical, Tairawhiti DHB, New Zealand. Graduated from Fiji with honours in Dental Therapy in 2006 and moved to New Zealand to work as a registered dental therapist. Having had a strong public health interest, he then completed his post graduate studies in Leadership and Management and currently manages the dental services for Tairawhiti District Health located on the East Coast of NZ. Currently he is completing his Masters in Health Science. He is also the Director of Allied Health Services for the hospital and is a board member of NZ Dental and Oral Health Therapist Association. Arish is passionate about equity, equality and reducing inequalities especially for children and apart from his professional role he is also a board trustee of UNICEF New Zealand. He has been recognised for his contribution to migrant youth services by being recognised in the achievement category of Kiwibank Young New Zealander of the Year 2015. Arish enjoys football, rugby and music in his spare time.
Abstract:
Dental caries is a significant problem in New Zealand, with approximately fifty percent of children having experienced dental decay by age five. Dental care under general anaesthesia comprises as leading cause of admission to hospital for young children in a number of District Health Boards (DHBs) in New Zealand. The rate of decay is higher in Maori (indigenous) children compared to other ethnic groups. New Zealand was the first country in the world to introduce the profession of dental nursing (now known as dental therapists) in 1913 to combat the high rate of dental decay in children. The clinics were attached to schools but in more recent times, the School Dental Service focus has evolved to a Community Oral Health Service focus following the implementation of the “Good Oral Health for All, For Life†strategy. Dental care is free from birth until an individual’s eighteenth birthday and this presentation will highlight the successes, challenges and the future of child oral health in New Zealand with an added focus on child oral health status in the more geographical regions such as Tairawhiti. Access, equity and socioeconomic factors influencing the child’s health and oral health would also form part of the discussion. With more and more focus on early intervention and integrated care, some local and national strategies will be discussed that aid in the betterment of child health and oral health.
Asmaa Othman AlKhtib
Primary Health Corporation, Qatar
Title: Beautiful smile program: An attempt to address early childhood caries in Qatar
Time : 16:40-17:05
Biography:
Dr Asmaa Alkhtib holds a Clinical Doctoral degree in Paediatric Dentistry and a PhD in Population Health both from Melbourne University, Australia. Currently Dr Asmaa is the manager of Oral Health in Primary Health Corporation in Qatar. One of the her major roles is to implement the Beautiful Smiles Program, a comprehensive oral health program covering prevention, intervention and health promotion for children aged 0-5 years and pregnant women. This program is the first of it is kind in Qatar. Her research interests include public oral health especially on children, translational research, and capacity building of dental workforce.
Abstract:
Dental caries is a significant problem in Qatar. In a recent study we found that 89% of 4-5 years old Qatari children in governmental kindergartens had dental caries most of them had severe form of the disease. This high level of disease prevalence burden necessitates substantial preventive and measures from health authorities especially the Primary Health Care Corporation. The Beautiful Smile Program is a new comprehensive oral health program covering prevention, intervention and health promotion for children aged 1- 5 years old. This program envisions that all children in Qatar are enabled to have good oral health and have access to high quality oral health care. This program aims to create interdisciplinary collaboration between different health professionals in order to improve oral health of children especially during early childhood. The Program seeks to provide appropriate and timely dental treatment to children, in addition to preventing dental problems through education, early detection and appropriate actions by health practitioners at different levels. The program also targets pregnant women in antenatal services through provision of oral health promotion education as part of their routine health care. Services of this program will be provided through well-trained dentists and dental hygienist in collaboration with other health professionals who work in various sections in primary health care centres in Qatar.
- Tools and Techniques in Dentistry
Location: Brisbane
Session Introduction
Hatem A. Alhadainy
Tanta University, Egypt.
Title: Artificial floor technique: The biological concept for the treatment of furcation perforation
Time : 17:05-17:30
Biography:
Hatem A. Alhadainy, BDS (Egy), MSD (Restorative, Egy), PhD (Endo, Egy-USA), MS (Epidemiology, USA) is a professor and Chairman of Endodontic Department, Faculty of Dentistry, Tanta University. His work was concentrated on Endodontic research with extension in periodontology and Epidemiology. Dr. Alhadainy finished his Bachelor (1982) and Master degrees (1989) from Tanta University, Egypt and PhD degree as a channel program between Tanta University and University of Memphis, USA (1995). He also earned a MS Degree from Colorado State University, USA (2006). He is currently the Chairman of Endodontics Department in Tanta University from Aug. 2013. He was course director of postgraduate courses for several years. Dr. Alhadainy published more than 40 researches in National and International journals and reviewed several articles for international journals. He also presented researches in several international conferences including: Memphis, Chicago, Dallas (USA), Damarcus (Syria), Budapest (Hungary), Florence (Italy) Sanaa (Yemen) and Egypt.
Abstract:
Optimally, natural tooth structures should be used to repair a dental defect. If this is not possible, the objective should shifted to creating the optimal circumstances for healing the defect with normal tissues or repairing it with a material that has the closest properties to the lost tissues. The objectives of repairing furcation perforations are to seal the dentin defect and provide suitable conditions for formation of a new periodontal attachment. Some materials may provide adequate seal but may interfere with the formation of periodontal reattachment while others may initiate formation of new bone and periodontal attachment but cannot adequately seal the dentin defect. This may result in leakage of bacteria and their by-products into the lesion with eventual failure. Since the furcation perforation involves different types of inter-related tissues, each tissue within the defect should be considered separately. Artificial floor technique applies the biological concept for the repair of furcation perforations considering the periodontal wound and the dentinal wound of the defect separately. This new concept allows for a better understanding for the management of furcation perforation.
Shekhar Bhatia
The International Medical University, Malaysia.
Title: Performance of dental faculty members and undergraduates in caries detection after ICDAS training
Time : 17:30-17:55
Biography:
Dr. Shekhar Bhatia specializes in Conservative Dentistry & Endodontics and is presently working as Lecturer in International Medical University in Division of Clinical Dentistry. He pursued his B.D.S from Manipal University and M.D.S from J.S.S Dental College, Mysore with past experience as Senior lecturer in TMDCRC, India and lecturer in MAHSA University. He was appointed for the rank of Captain in Indian Army. He is a member of International association of Dental Research, Federation of Operative Dentistry of India, and Malaysian dental association. He has multiple publications in peer reviewed journals and has considerable experience in branch of Endodontics with more than thousands of Endodontic treatments done . He has special interest in Rotary Endodontics, single visit Endodontics, disinfection in Endodontics.
Abstract:
Introduction: ICDAS (the International Caries Detection and Assessment System) is a new approach for coding and recording the six stages of caries severity, varying from initial changes visible in enamel to frank cavitation in dentine. Objectives: To assess and compare the inter-examiner accuracy of the International Caries Detection and Assessment System (ICDAS) among dental faculty members and undergraduates after ICDAS training for dental caries detection. Materials and Methods: Twenty permanent human teeth, without sealants or restorations and with a range of ICDAS codes between 0 and 6, were selected from a pool of extracted teeth and cleaned. Digital images of selected surfaces were taken using the Shofu Camera. Three dental faculty members examined the teeth and the details of each code were discussed based on a published paper concerning ICDAS until a consensus was reached and thereafter the reference set was developed and validated by the international expert of ICDAS before initiating the training session. ICDAS training using E-learning program, extracted teeth exercise and photograph discussion was given to dental faculty members of different specializations and dental undergraduates. After the training the participants were requested to code the carious lesion using ICDAS on the selected extracted teeth. Thereafter, these codes were compared with the reference set coding, Kappa (weighted: Wkappa) statistics and Yates corrected Chi Square were used using SPSS 17.0. Results: For detection of caries the calibration indicated an inter-rater Wkappa ranging from 0.67-0.85 among dental faculty members and 0.57-0.75 among dental undergraduates. There was no significant difference in between the performances of dental faculty members and dental undergraduates using ICDAS for dental caries detection (p>0.05). Conclusion: The ICDAS can be learned and practiced by dentist of any specialization and dental undergraduates. However, it could be suggested that more time prac¬ticing and training could help the study participants in developing their skills in the caries detection process.