Madridge Journal of Dentistry and Oral Surgery

ISSN: 2639-0434

International Conference on Dentistry

April 3-5, 2017, Dubai, UAE
Accepted Abstracts
DOI: 10.18689/2639-0434.a1.005

Work flow for implant placement and restoration, utilizing digital dentistry

Adam Filali

Boston University, USA

Although CAD/CAM systems have been utilized in the practice of dentistry for many years, they are becoming increasingly popular in todayʼs growing digital age.

This course will provide you with the knowledge and experience needed to utilize the Sirona Cone Beam CT forthe surgical planning of implants in your dental practice. Through asystematic approach, you will learn how to incorporate guided surgery technology into your practice, discussrestoration-driven implant placements, and master digital treatment planning and workflows for the fabrication of surgical guides.

The focus of this lecture is to integrate guided surgery into your practice and to be able to communicate with your team and patients.

Dr. Filali completed his degree in General Dentistry in 1996, followed by three years of intensive training in the study of Prosthodontics, the discipline focusing on full mouth rehabilitation. This field of dentistry pays special attention to the esthetic appearance and clinical reconstruction of the mouth. Dr. Filali received his Prosthodontic specialty training at the highly esteemed and prestigious Boston University Henry M. Goldman School of Dental Medicine in 2009. Pursuing his specialized interests, he continued his education by acquiring numerous certifications and credentials in this field.

Chronobiologically modulated chemotherapy in oral cancer

Akhilanand Chaurasia

King Georgeʼs Medical University, India

Chronobiology is the study of the temporal relationships of biologic phenomena. All living things evolved in a milieu characterized by constant change based upon the cyclic relationships of the sun, earth, and moon. The circadian periodicity is genetically retained by all living organisms. Circadian organization is such a basic property of life that derangements may have lethal consequences. Mammalian circadian rhythms result from a complex organization involving molecular clocks within nearly all “normal” cells and a dedicated neuroanatomical system which coordinates the so-called “peripheral oscillators.” The core of the central clock system is constituted by the suprachiasmatic nuclei that are located on the floor of the hypothalamus. This circadian organization is responsible for predictable changes in the tolerability and efficacy of anticancer agents The circadian rhythm dependent chemotherapy provides indirect evidence for time-dependent variability of the response of the human and murine to anticancer drugs. Doxorubicin, cisplatin, 5-fluorouracil and FUDR have been studied in oral cancer for their circadian pharmacodynamics and toxicology. The outcome of these studies clearly concluded that circadian dependent administration of anticancer drugs reduces drug toxicity and allows substantial increase in the maximally tolerated dose which results in better treatment efficacy and greater comfort for oral cancer patients. Thus chronobiologically modulated chemotherapy hold promising results in treatment of oral cancer and other cancer with increased efficacy and decreased toxicity. In coming years the future of cancer treatment lies in circadian rhythm dependent chemotherapy.

Dr. Akhilanand Chaurasia, Associate professor and consultant at King George Medical University, Lucknow has dedicated meticulous efforts and supreme services pertaining to oral medicine and oral biology. Dr. Akhilanand chaurasia has an elite academic record. He is graduated from King Georgeʼs Medical University in 2005 and completed his postgraduation from University of Kerala in 2009. He has diploma in Healthcare biomedical waste management. He has remarkable credit of contributing to academics by publishing 54 manuscripts, peer reviewers of more than 150 international journals, editor in cheif of 2 national journals, associate editor of 1 international journal, editor of 10 international journals, editorial board members of 17 international journals, ambassador of European association of cancer research. He is fellow of many prestigious and pristine organizations of dentistry. He is member of 30 international organizations. He is active guide and mentor of postgraduate programmes. Currently he is persueing PhD in chronobiology of Head and Neck cancer.

Utility of digital volume tomography in maxillofacial trauma Anuraag B Choudhary

VSPM Dental College, India

Purpose: To assess the diagnostic quality of images generated using the newly developed digital volume tomography (DVT) system and comparing them with conventional images from patients with maxillofacial trauma.

Materials and Methods: The study population included 22 male patients aged 18 to 60 years with a history of maxillofacial trauma. Each patient had undergone conventional radiographic and DVT examinations to analyze the number of fracture lines in the jaws and to compare the images for their diagnostic quality by an oral radiologist and a general radiologist using the chi-square test.

Results: A statistically significant difference was found between the number of fracture lines evaluated on the conventional radiographs and on DVT, especially for condylar head (7) and the midface (4.41 to 4.57), zygomaticomaxillary complex and Le Fort fractures, respectively.

Conclusions: The detection of fracture lines and visualization within the mandibular-maxillary area using DVT was superior to using conventional radiographs.

Effect of smoking on post-operative healing following minor oral surgical procedures

Bushra Alsolami and Alaa Sanari

King Abdulaziz University, Jeddah

Introduction: Proper care of the mouth following tooth extractions can reduce complications and expedite the healing process. In contrast, smoking negatively affects the healing process and increase the chance of developing an infection. This is especially true if a patient smokes soon after surgery.

Objectives: To compare post-extraction symptoms (pain, bleeding, swelling, trismus and infection) between smokers and nonsmokers at day 1, 2, 7, and 21 following extraction.

Methods: A prospective study was conducted recruiting patients undergoing minor oral surgical procedures at King Abdulaziz University Faculty of Dentistry (KAUFD) and following them at day 1, 2, 7, and 21 after extraction. Data collection form included, first; patient`s demographics, medical history, smoking status, type and frequency of smoking, second; Compliance with postoperative instructions, third; Post-operative evaluation included: Pain using visual analogue scale (0-10), Bleeding (no, <1hr, 1-2hrs, >2hrs, >3hrs), Swelling (no, mild, moderate, severe), Trismus and Infection. Follow-up of the patient was performed.

Results: A total of 85 patients were included in this study, 64% were females and 31% were smokers. Cigarettes was the most frequent type of smoking (88.5%), followed by Shisha 3.8%. 96.2% of smokers reported smoking after extraction. Smokers were more likely to be male (p<0.0001), to be of older age group (p =0.001), and to declare not following post-operative instructions (p<0.0001). On the 1st post-operative day, postoperative evaluation comparing smokers to non-smokers showed no statistically significant differences in swelling, trismus and infection. However, bleeding and smoking were found to be significantly associated (p=0.009). On the 2nd post-operative day, only swelling was found to be significantly different between smokers and non-smokers (p=0.04). By the 7th and 21st post-operative days, no differences in post-operative complications was found.

Conclusion: The Initial postoperative complications may differ between smokers and non-smokers, however eventually these differences seem to fade with time.

Bushra Alsolami and Alaa Sanari graduated from king Abdulaziz University faculty of dentistry in Jeddah, Saudi Arabia. Received a bachelorʼs degree in 2015. However, as for Research interest is health care improvement, quality of care, outcome and patient education. Their interest started during internship at different hospitals.

Get up your nerve to deal with the mandibular nerve

Charbel Allam

St Joseph University School, Lebanon

Educational Objectives:

The paresthesias of the inferior dental nerve consists of a complication that can occur after performing various dental procedures such as cystectomies, extraction of impacted teeth, apicoectomies, endodontic treatments, local anesthetic deposition, preprosthetic or implantologic surgery. The possible mechanisms of nervous lesions are mechanical, chemical and thermal. Mechanical injury includes compression, stretching, partial or total resection. This could be done during surgical procedure to laterally reposition the mandibular nerve in preparation for placement of implants or extraction of the lower third molar or during endodontic surgery to take off overfilling materials from the mandibular canal. Chemical trauma can be due to certain toxic components of the endodontic filling materials and irrigating solutions. Thermal injury is a consequence of bone overheating during the execution of surgical techniques. We present different clinical cases of paresthesia of the inferior dental nerve to explain the etiology and the treatment of this complication step by step.

3 Main Points:
At conclusion, participants should be able to:

_perform how totreat the complication thatcanoccur
_perform how to manipulate the inferior dental nerve.
_perform how to increase the rate of success of the surgical act.

Biomimetic oral appliance therapy as a possible solution for obstructive sleep apnea

Dave Singh and Mark Kraver

BioModeling Solutions, USA

Various modalities are available for the treatment of obstructive sleep apnea (OSA), including: continuous positive airway pressure (CPAP), surgical interventions, and mandibular advancement devices (MADs). A 54 year old male reported to our office with symptoms of daytime sleepiness. Screening for OSA, he scored 15 on an Epworth sleepiness scale (ESS). This screening was followed by a home sleep study (HST), which demonstrated an AHI of 27hr-1 with 13% of total sleep time in REM, and a mean oxygen desaturation nadir (SpO2) of 86%. Craniofacial and intra-oral examination revealed he had extensive, bilateral torus mandibularis with an intermolar maxillary bone width of 34mm. Therefore, treatment with biomimetic oral appliance therapy (BOAT) was discussed. BOAT differs from MADs in that it consists of simultaneous, non-surgical, midfacial redevelopment in combination with mandibular repositioning. After obtaining informed consent, the patient elected to undergo surgical reduction of the mandibular tori followed by BOAT, since these devices are FDA-approved. After 6 months of BOAT, he scored 2 on a follow up ESS. On intra-oral examination, it was found the intermolar bone width had increased to 36mm. Therefore, another HST was performed with no device in the mouth while sleeping, which demonstrated the AHI fell to 5. 3hr-1hr; and he spent 27% of sleep time in REM sleep, with a mean SpO2 of 93% without any appliances in the mouth. These findings suggest that BOAT may represent a potential cure for OSA. However, long term follow-up is warranted to ensure that the current sleep quality is maintained.

Prof. Dave Singh is a US citizen who was born, educated and trained in England, UK. He holds three doctorates (from the universities of Newcastle, Bristol and Dundee, UK). He is a member of the World Association of Sleep Medicine and Fellow of the World Federation of Orthodontists. He has about 200 publications in the medical, dental and orthodontic literature. Previously, he was Visiting Professor at University of Michigan and University of Hawaii, USA. In addition, at the Center of Craniofacial Disorders, UPR, he led a NIH-NIDCR funded program of research. Currently, he is the CEO of BioModeling Solutions, Inc.

Clinical considerations of angled implants

Haitham Agha

University of Missouri, USA

Placement of an osseointegrated implant in an axial direction relative to the tooth it is replacing has historically been a basic goal of implant placement. However, angled implant placement does have its indications in prosthodontics. Although an angled implant placement may avoid or reduce the need for bone grafts, it may create prosthodontic challenges. A review of the angled implant concept and some clinical cases that received angled implants will be reviewed, and their management discussed.

Haitham Othman Agha, works as a clinical assistant professor at University of Missouri – Kansas City, graduated dental school 2008 from Egypt and did residency in prosthodontics 2014 in Rutgers University, New Jersey, USA.

The effectiveness of manual dynamic agitation on root canal irrigated with Sodium Hypochlorite 2.5%

Irene Mariani Nurisawati

Padjadjaran University, Indonesia

Manual dynamic agitation is a method of agitation using gutta percha point which help irrigant to flow into the apical part of root canal and gives better cleanliness. The aim of this study is to know the difference between non agitation and manual dynamic agitation techniques in root canal apical one third irrigated with sodium hypochlorite 2.5%.

The method of research for non agitation group (A) : the sample was irrigated with 18 ml sodium hypochlorite 2.5%. Manual dynamic agitation group (B) : 200 push and pull strokes with gutta percha point was introduced into the working length of root canal with total 18 ml irrigant delivered. Samples used in this research were 30 maxillary central incisive teeth. The samples were examined under a stereomicroscope at a magnification x16. The results were scored with Wu & Wesselink scoring technique and tested with independent sample t test.

The result showed the significance value of 0.002 (α = 0.05). The average value for group A was 0.121 whilst group B was 0.055.

The conlusion of this research is there is a significant difference between group A and B. Manual dynamic agitation gives better cleanliness in root canal apical one third than non agitation technique and more effective.

Irene has completed her bachelor degree at the age of 22 years from Dentistry Faculty in Padjadjaran University, Indonesia. She is now continuing her education in the professional degree of dentistry in Padjadjaran University. She was a treasurer of Smilemotion event held by Faculty of Dentistry Padjadjaran University in order to gain charity for lip and palate cleft surgery. She is now an active member of co-assistant group in Dentistry Faculty, Padjadjaran University year 2012.

Effectiveness of Chinese acupuncture on pain relief following surgical removal of impacted third molars: A self-controlled clinical trial

Joul Kassis

Damascus University, Syria

Introduction: The extraction of the third molar commonly produces severe pain, swelling, and functional disability. The most common treatment for postoperative pain is nonsteroidal anti-inflammatory drugs. Unfortunately, these medications are associated with systematic side effects.

Acupuncture as a physical therapy may provide effective pain relief without these side effects.

Aim: This research is a self-controlled clinical trial designed to evaluate the effectiveness of Chinese acupuncture treatment in pain relief following the surgical extraction of impacted third molars.

Materials and Methods: Acupuncture treatment was applied to 50 patients for 20 min immediately fol-lowing surgical extraction of all impacted third molars on the left side of all patients.

Pain assessment was performed using a standardized questionnaire that contained information about the name and age of the patient, numbering and classification of the impacted tooth, timing and duration of the surgical operation, and a table with the visual analogue scale (VAS) for measuring pain intensity.

The pain intensity was measured several times. The measurement was started by the author himself who did the first two measurements. The patient was then asked to continue evaluating the pain intensity for the following periods: after 6 and 12 h and on the second, third, fourth, fifth, sixth, and seventh days.

Results: Pain intensity values were less for the acupuncture group for all studied periods.

Conclusion: Acupuncture treatment following surgical extraction of impacted third molars could reduce postoperative pain values.

Joul Kassis has completed his bachelor degree in Dentistry at the age of 23 years from Damascus University and completed his master degree in Oral and Maxillofacial Surgery (OMFS) at the age of 28 years from department of Oral and Maxillofacial Surgery at Faculty of Dentistry, Damascus University. He was the head of Doctors at the department of OMFS and a supervisor for four years on the dental school students. He has publication in the Journal of oral and maxillofacial surgery, medicine and pathology. Now he is a member of the Austrlaian Dental Association, New South wales Branch, Australia.

Pulpal regeneration in endodontics

Khalid Al-Hezaimi

King Saud University, Saudi Arabia

The demand for predictable treatment modalities in regenerative medicine continues to escalate as researchers seek to gain a better understanding of the cellular and molecular mechanisms involved in regeneration and as clinicians seek more predictable outcomes and user-friendly techniques. Further development of this powerful protein therapeutics has been achieved by combining them with tissue-specific biomaterials to provide a substrate for new tissue regeneration as well as an ability to attenuate release of the recombinant growth factor. To appreciate the significance of this new class of regenerative therapeutics, it is helpful to understand the basis for their emergence.

At conclusion, participants should be able to:

1-Know the Historical prospective of vital pulp therapy
2-Know the indication and clinical application of growth factors in Endodontics
3-Pre-Clinical and Clinical trial of using the growth factors as pulp capping material

Endodontist-Periodontist, Diplomat of the American Board of Endodontics & Periodontics. Published over 90 papers, most of the work on regeneration of the pup/guided bone regeneration/ and bone regeneration around dental implants.

The effect of implant collar design and developments over the years on soft tissue and bone level - a systematic review

Klenise Paranhos

New York University College of Dentistry, USA

Purpose: This systematic review compares the effect ofrough-surfaced and machined implant necks on marginal bone loss in adult patients.

Materials and Methods: An onlinesearch was assembled with a combination of Medical Subject Headings (MeSH terms) and free-text words of the literature published up to February of 2016, to identify studies that compared modifications in the implant neck area and measured marginal alterations.

Results: The primary search yielded 1,110 significant titles. After filtering, data extraction and quality assessment, eighteen full text studies were selected and divided according to the follow-up at one year, three years and five or more years.

Conclusion: In short-term cases, defined as ≤ 1 year follow-up, rough neck implant surfaces showed better marginal bone preservation than smooth neck implant surfaces However, there was no difference between implant designs in longer-term studies, defined as ≥ 3ys follow-up. These data do not suggest a long-term advantage to the use of either implant design.

Effect of surgical mandibular setback on pharyngeal airway

Miral Awdah

Saad Specialist Hospital, Saudi Arabia

Background: Using of jaw osteotomies in treatment of maxillofacial deformities has an effect on pharyngeal airway space as well as facial appearance.

Aim of Study: The purpose of this study was evaluation the effect of mandibular setback surgery on sagittal dimension of upper and lower pharyngeal airway and hyoid bone position.

Patients and Methods: 32 patients (16 males and 16 females) with average age 23.59 years (range 17 to 47 years) who suffered from skeletal class III malocclusion were examined prospectively. All patients underwent mandibular setback surgery only. The average of mandibular setback was 6.97 mm (range 3 to 13 mm). 16 patients received vertical ramus osteotomy (VRO) versus 16 patients bilateral sagittal split osteotomy (BSSO). Rigid internal fixation was used with lag titanium screws. Lateral cephalometric analysis was performed preoperatively, 3 months and 1 year postoperatively with particular attention to pharyngeal airway and hyoid bone changes.

Results: The lateral cephalometric demonestrated that the surgical mandibular setback significantly decrease upper and lower pharyngeal airway width (12.54±5.46% and 13.97±5.89% respectively), and hyoid bone moved inferoposteriorly 3 months after surgery (P<0.05). After 1 year of surgery the decrease of upper and lower pharyngeal airway became less (7.83±6.39% and 8.46±5.95% respectively) but still significantly narrower compared with its presurgical position, and hyoid bone relapsed superoanteriorly close to its original position (P<0.05). Analysis revealed a statistically significant correlation between decrease in pharyngeal airway and amount of mandibular setback (r > 0.70) without significant differences between the two techniques.

Conclusion: Careful airway analysis should be performed, particularly in correction with large anteroposterior discrepancies.

Keywords: Mandibular setback, bilateral sagittal split osteotomy, vertical ramus osteotomy, pharyngeal airway, hyoid bone.

Mr. Miral Awdah is an Associate Consultant, Oral & Maxillofacial Surgeon at Saad Specialist Hospital, Al-Khobar, Saudi Arabia. He graduated from Tishreen University with BDS in 2001. Following internship in Jordan University Hospital, he got his High Diploma after 2 years research in TMJ surgery in 2005, and his Master Degree (MSc) with grade honor in OMFS after 3 years clinical research in augmentation of facial skeleton in 2008 from Aleppo University. He was certified by The Arab Board and Jordanian Medical Council in OMFS in 2009. After 4 years clinical research in surgical correction of skeletal facial deformities, he got his PhD with grade honor in OMFS in 2012 from Damascus University. He granted an invention in Orthognathic Surgery which was certified by the Commercial and Industrial Property Protection Directorate in Damascus in 2011. In 2015, He undertook clinical attachment within Maxillofacial and Head & Neck Surgery at The University Hospitals Coventry and Warwickshire (UHCW), UK. Mr. Awdah has many published researches in several medical journals.

Use of laser photobiomodulation in dentistry

Mohammed Saleem Ismail Alhabeel

Director of Development for Laser Dentistry, Saudi Arabia

1. Presentation outline:

  • Laser biophysics and tissue interaction
  • Overview of lasers used in dentistry
  • Mechanism of photobiomodulation
  • Calculation and parameters in photobiomodulation
  • Laser delivery systems in dentistry
  • Clinical application of laser photobiomodulation in dentistry
  • Conclusion

2. Audience take away:

  • Review of current uses of lasers in dentistry
  • How lasers interact with living tissue at cellular level
  • How lasers can be used effectively and safely in dentistry

Dr. Saleem: BDS, MSc in Laser Dental Science, Diplomate American Board of Laser Surgery, Director of International Laser Dentistry Courses, Director of Development in American Board of Laser Dentistry, Director of Dental Department at Salamaty clinic in Saudi Arabia.
Dr. Mohammed Saleem Alhabeel is a Diplomate of the ABLS in oral and maxillofacial laser surgery. He holds a MSc in laser dentistry from Genoa University, and holds postgraduate diplomas in oral surgery and dental implants. His background includes oral laser surgery in Saudi Arabia at the Salamaty Polyclinic in Arar City. Dr. Saleem sits on the editorial board in the International Journal of Dentistry and Oral Health. He has recently launched in partnership with the American Board of LaserSurgery the First International Course in Laser Dentistry on Cyprus, Egypt, Dubai and Saudi Arabia.

Single file concept in root canal treatment and retreatment

Mostafa A S1, Karim M E2 and Maram F O2

1The British University, Egypt
2Ain Shams University, Egypt

Introduction: In this study One Shape file (OS) which was already designed as a shaping file was compared to R-Endo file (RE) in retreatment of endodontically treated teeth in terms of time required for completion of retreatment procedure and amount of remaining gutta-percha on root canal dentin.

Methods: Sixty mandibular mesio-buccal canals with angles of curvature between 15 and 45 degrees were prepared using Protaper Universal rotary files then obturated using gutta-percha and AH-Plus sealer. Canals were then divided equally into 2 groups according to the retreatment system. Time required to reach the full working length (T1) and for complete removal of gutta-percha (T2) were measured during retreatment procedure using a digital stopwatch. Also the amount of remaining gutta-percha on the root canal dentin was measured using Stereomicroscopic images analyzed by Image J software.

Results: OS group recorded statistically significant less time required for retreatment and less amount of remaining gutta-percha than RE group. As for the effect of Retreatment system on the percentage of remaining filling material regardless of canal curvature and Canal third:

There was statistically significant differencebetween (R-Endo) (47.61 ± 7.27) and (One Shape) (35.01 ± 5.77) where (p<0.0001). The lowest mean percentage of remaining filling material was shown in (One Shape) (35.01 ± 5.77). As for the effect of retreatment system on time required for retreatment regardless of canal curvature and (T1 and T2):

There was statistically significant differencebetween (R-Endo) (46.41 ±2.86) and (One Shape) (35.12 ±6.57) where (p=0.007). The lowest mean time was shown in (One Shape) (35.12 ±6.57).

Conclusion: OS system showed less time required for retreatment and less amount of remaining gutta-percha on the root canal dentin when compared and analyzed by Image J software.

Keywords: Retreatment, OneShape, R-Endo, Image J, Time, Stereomicroscope.

Mostafa Anwar graduated from Faculty of Dentistry – Ain Shams University.
He is an Assistant Lecturer of Endodontics at Faculty of Dentistry, The British University in Egypt & Infection Control Officer at the British University Dental Hospital. He is a Certified Healthcare & Hospital Management Specialist – AUC.
He took a Master Degree of Endodontics from Ain Shams University in Egypt, June 2015.
His practice is limited to Micro-Endodontics. He is a Lecturer & Participant in many International Dental Conferences. He conducted many Lectures and Hands-on workshops on Endodontics all over Egypt. He is an Endodontics Specialist at Whity Dental Center, Cairo (Egypt).

Enamel demineralization around two different bracket adhesive systems: An in vivo study

Naif Almosa, Abdulmohsen Alqasir, Mohammad Aldekhayyil and Abdullah Aljelayel

King Saud University, Saudi Arabia

Objectives: To compare the enamel demineralization around the two precoated adhesive bracket systems, APC Flash-Free and APC PLUS, in clinical settings.

Material and Method: This prospective experimental in-vivo study includes 40 premolar teeth, which are planned for extraction due to orthodontic purposes. They were divided into two groups (Group A; n=20 Bonded with APC Flash Free ceramic bracket and group B; n=20 Bonded with APC Plus ceramic bracket). Then, the teeth were extracted, sectioned, and examined under the Scanning Electron Microscope (SEM) to evaluate the amount of demineralization from the enamel surface to the deepest point.

Results: findings revealed that the mean values of demineralization under SEM were significantly higher in APC Plus compared to APC Flash Free (149.95 μm vs. 112.96 μm, respectively) (P< 0.05). The difference between the two systems was mainly found in the middle part of the facial surfaces, while there were no differences between the two systems in the proximal parts.

Conclusion: The enamel demineralization around APC Flash free adhesive bracket system was significantly less than that of APC plus Adhesive bracket system.

Dr. Almosa completed his dental education at King Saud University, Riyadh, Saudi Arabia, followed by orthodontic training and PhD at University of Gothenburg, Sweden. He is currently Assistant Professor in Orthodontic department at King Saud University in Riyadh.

Multidisciplinary approach the ultimate result

Rami Al Fodeh

Dental school-Jordan University of Science and Technology, Jordan

The increasing demand for esthetic restorations can be met with any one of the various all-ceramic systems currently available, because absence of metal allows light transmission through the restoration and permits a close match to the natural dentition. However, the esthetic value of a cosmetic restoration may be compromised by other factors contributing to the composition of a pleasing smile, such as amount of gingival display, gingival architecture, clinical crown dimensions, and tooth position. It is often necessary for many dental disciplines, including prosthodontics, oral and maxillofacial surgery, endodontics, and orthodontics, to interact in the planning and treatment of patients who required complex treatment. In such instances, an interdisciplinary approach is necessary to evaluate, diagnose, and resolve esthetic problems using a combination of orthodontic, periodontic, and prosthodontic treatments. When patient treatment requires a comprehensive approach, communication among the disciplines is critical in achieving improved esthetic outcomes. This presentation describes a multidisciplinary approach to the treatment of patients required complex multispecialty participation to optimize the final result.

Faster, easier, safer rotary endodontics!!! The science of simplicity

Reham Hassan

University of Minia, Egypt

There are many factors that serve to influence which endodontic mechanical file system or hybrid technique is selected to prepare any given canal. Altruistically, the most important factor should be the desire to produce a predictably successful shaping result. Clinically, the shaping experience is measured by safety, cutting efficiency, and the fewest number of files required to minimally or fully prepare a root canal. Certainly, the cost associated with preparing any given canal is a factor that is influenced by the market, and the clinical and business practice models. Regardless of the preparation philosophy, methods should be utilized that promote 3-D disinfection, and filling root canal systems.

Reham Hassan has over 10 years clinical experience as a specialist in endodontic practice. She acquired her PhD in Endodontics from Cairo University in 2013; she originally earned her Bachelor of Science (BSc) degree at Misr University of Science and Technology in 2005. She then continued her educational journey at Cairo University where she obtained a Master degree (MSc) in conservative Dentistry in 2010.
Dr. Reham holds a faculty position at the University of Minia as a lecturer; she has been involved in both undergraduate and postgraduate teaching since 2006, she also works as an Endodontist in her private practice.
She balances out her heavy workload by going to the gym regularly.

23 Years of implant dentistry. Science, predictability and patient satisfaction

Roque Braz de Oliveira

New York University Dentistry, USA

Dental implants exist in the world since ever. In a scientific evidence based approach they started with professor P I Branemark in the sixtyʼs. Today there are so many differences. We have so many implant shapes, implant surfaces, connections, but how predictable are they preforming?How predictable implant surgery and implant restorations can be?

The aim of this presentation is show a 23 years follow up of implant cases with a scientific and systematic approach in simple to difficult cases evaluating full success of patients and dentist satisfaction

Roque Braz de Oliveira, graduated from dental school in Portugal, started is practice in Lisbon, Portugal in 1996. In1999 he went to NYUCD for the Post graduation in prosthodontics for international students. In 2000, he started the implant program and finished in 2002.
In the past six years he is faculty in the department of Periodontology and implant dentistry at New York University Dentistry, invited faculty at Faculdade de MedicinaDentaria de Lisboa and at Instituto Superior das Ciencias da Saude.
He presents in many countries; main topic is implant Dentistry. Published clinical investigation and long term clinical results in the most important scientific Academies.

Anterior palate microimplant: A new trend in orthodontics

Samer Mheissen

Private Clinic, Syria

The lecture aim is redirecting the use of microimplant from the interradicular spaces to the anterior palate because it is hard, safe, and more efficient for our intervention.

A new trend of the usage of palatal microimplant is multifunctional like mesialization, distalization and molar intrusion.

My new intervention and use of this trend is control the vertical dimension during functional therapy.

Samer Mheissen. D. D. S. Orthodontics. Certificazions:
Doctor of Dental Surgery by Damascus University Dentistry School, 2006
Specialized in Orthodontics 2011
Professional Positions
06/2011 – 12/2012 Supervisor, specialtyʼs program of Orthodontics in Ministry of Health,
Daraʼa directorate. Daraʼa, Syria
Publication: Book: Examination of Mastication Muscles (Arabic Language)
Letter to editor JCO: LETTERS Correction of Class III Malocclusion with the Carriere
Motion Appliance
VOLUME 50 : NUMBER 06 : PAGES (384) 2016
AJODO a case report in publish: Control the Vertical Dimension During Functional
Treatment By MMI Aplliance
Patent: two orthodontic patent( pending).

Regulation of HbA1c of uncontrolled diabetic obese and normal weight patients by self-performed oral hygiene control

Sana Faiq Hadratie, Abdullatif A.L. and Al. Jubory

Ministry of Health / Baghdad- Rusafah Health Office, Iraq

Background: The association between periodontal diseases incidence and development and the metabolic diseases as Diabetes Mellitus and Obesity are recently have attract great deal of researchers attention and investigation. The periodontal health proved to reduce the systemic inflammatory reactions and positively improve the glycemic control of diabetes Type2 patients.

The aim of the study: was to investigate the influence of oral hygiene control on the glycemic control of obese and normal weight moderately controlled Diabetic Type 2 patients, in addition to study the association of obesity with the gingival inflammation.

Materials and Methods: Cross sectional study of three months duration. Included 30 moderately controlled diabetic type2 patients who attend the Specialist Center for Endocrine and Diabetes diseases Baghdad Al-Russafa administration / Iraqi Ministry of Health, were grouped into two groups, G1 of normal weight diabetics, and G2 obese diabetics according to their BMI level, the oral hygiene status measured by their PLI, GI, BBOP, PDI, CAL was conducted at each of the five visits of three weeks interval between each till the end of three months duration of the study and the level of their glycemic control measured by HbA1c level was conducted at the first and the fifth visit of the research duration, BMI was measured at the first and the fifth visit also. Paired t-test, ANOVA, Quisquare and Pearson correlation statistical analysis was used to investigate the significance of the improved glycemic control after oral hygiene control (OHC) of both G1 and G2.

Results: periodontal parameters of both G1 and G2 were significantly improved after OHC with a significant reduction in HbA1c level of both normal weight and obese patients.

Conclusion: The Oral Hygiene Control (OHC) is sufficient to improve reduction in Diabetes control level with or without overweight. OHC home care and professional measures could improve the gain in periodontal health in normal weight diabetics and overweight diabetics Obesity has an association with the presence of bleeding on probing as an indicator of the gingival inflammation in diabetic Type2 patients.

Keywords: Periodontitis, diabetes Type II, oral hygiene.

Sana F. Hadratie, B.D.S, M.Sc. Periodontology gained the Bachelor degree in dental surgery and master degree in Periodontology from the University of Baghdad, Iraq in 2000 and 2013 respectively.
She works as a specialist dentist in the periodontology department And as head of Continual Medical Education and Strategic Planning at Al-Baladyat specialist dental clinic in Baghdad, Iraq.
She has nine yearsʼ experience in treating periodontal problems of Diabetic patients in both governmental and private clinics. She is also a speaker and participant in many symposiums held by health offices in Iraq.

Immediate implant placement and restoration in anterior esthetic zone: Tooth in a day concept

Sandeep Singh

Dental Health & Sciences, SHIATS, Deemed University, India
Sahaj Dental Care & Academy, India

Immediate implant placement and provisional restoration serve to provide shorter treatment time than alternative protocols do and are intended to preserve alveolar bone as well as to develop and preserve the adjacent soft tissue architecture viz., papilla, marginal gingiva while maintaining the zenith.. Success and survival rates for immediately placed implants are comparable to those for early and delayed placement implants. In the anterior esthetic zone, great care and planning must precede immediate implant placement. With respect to esthetics, preservation of crestal bone and natural-looking soft-tissue architecture are essential. Considerations include implant design, the implant-abutment interface, the patientʼs biotype, the buccal bone plate, crestal bone position, positioning of implant and patientʼs expectation.

Educational Objectives:

The overall goal of this Hands-on Workshop is to provide the participants with information on Immediate Implant Placement and Chair-side Restoration at extraction site. On completion of this Workshop, participants will be able to :

1. Describe the rationale for immediate implant placement and chair-side restoration.
2. Review the survival and success rates of immediate implant placement.
3. List and describe the factors involved in achieving excellent results in the anterior esthetic zone.
4. Review the influence of implant design and adjunctive restorative and surgical components on short and long term functional and esthetic success.

Yes! The patient said ‘yes’! 7 simple steps to treatment acceptance

Virginia Moore

Moore Practice Success, USA

Utilizing your finest in clinical skills is only possible after a patient says “yes” to your treatment recommendations. This process involves crucial elements of understanding how decisions are made, what can impact the decision positively and/or negatively and the role of the Doctor and every team member.

Attendees will learn:

  • What to say and do to positively impact a patientʼs decision
  • How team involvement makes the difference
  • The one piece of technology that is integral to treatment acceptance

Benefits of Attendance:

  • Increase treatment acceptance
  • Greater health for patients
  • Doctors are better able to apply their skills, experience, training and technology to greater numbers of patients

Hundreds of Doctors are utilizing these techniques to help patients make the best decisions about their oral health. The results are healthier patients and dental practices.

As a graduate of the ADA KEMP (American Dental Association, Kellogg School Executive Management Program for Dentist), Virginia has positively impacted the business aspects of dental practices throughout the United States and Canada.
As a speaker, Virginia has been invited back for repeat engagements on the top dental meetings in the U.S. and has spoken at meetings in the Middle East and Asia.
Virginia is a contributor to “The ADA Practical Guide to Expert Business Strategies”, is the author of two essential training guides and co-author of 8 books on practice management.
Virginia holds membership in the National Speakerʼs Association, and is a member and Past-President of Academy of Dental Management Consultants.

Pitfalls in the management of oral lesions

Tarek El Sayed Mohamed Konbar

Dental 8 clinics, Kuwait

The aim of the presentation is to show the audience different oral lesions in soft and hard tissue of the oral cavity and presenting more than 100 slides of defferent cases fir oral lesions like fibrous dysplasia, carcinoma, osteosarcoma, and some sundromes as cliedocranial dysostosis, eagle syndrome, tori, ranula, pilonidal cyst etc.. and the proper management of each case with different modalities of tissue examination or biopsies and mistakes that can arise during the course of treatment. Audience are general dental practitioners and specialists in the field of oral and maxillofacial surgery.

Tarek El Sayed Mohamed Konbar, consultant oral surgeon & implant surgeon and head of oral surgery department in dental 8 clinics JCI Accredited Hawalley & Mahboula Kuwait, graduated from alexandria faculty of dentistry Egypt 1986, master of oral surgery from the same school 1991 and Diploma of fellowship of the Royal college of surgeon of Edinburgh UK 2001.

Pros and cons of the free-hand technique of dental implant surgery

Tarek El Sayed Mohamed Konbar

Dental 8 Clinics, Kuwait

The primary technique used in the dental implant surgery with a success rate of over 90% was the free-hand technique that was proved to be easier, quicker and less costly compared with the surgical guided technique that is more costly, time consuming and needs special equipment as the (CBCT )cone- beam Computerized tomography and (CAD_CAM )computer-assisted design and computer assisted manufacture and the soft wares it is mainly a flapless- technique. For a single implant placement, the guided surgery technique will be more demanding and even not necessary and more costly on the otherhand, the free-hand technique is more suitable for a single implant placement. The availability of irrigation during surgery and more visibility of bone both from the labial and palatal side in the free-hand technique added to the pros of this technique especially if we need to augment the alveolar ridge simultaneously with implant placement in addition to the enucleation of any associated pathology in the proposed site of implant placement, hence a more definitive diagnosis and a better evaluation of the bone quality and quatity. The possibility of little more postoperative pain and discomfort and alveolar bone loss due to flap elevation will be the cons of this technique with the presentation of some cases of implant surgery done by the free-hand technique i will emphasize the pros and cons of this technique and how to improve the outcome of this technique

Tarek El Sayed Mohamed Konbar, consultant oral surgeon &implant surgeon and head of oral surgery department in dental 8 clinics JCI Accredited hawalley & mahboula kuwait, graduated from alexandria faculty of dentistry Egypt 1986, mastyer of oral surgery from the same school 1991 and diploma of fellowship of the Royal college of surgeon of Edinburgh UK 2001.