1Ministry of National Guard Health Affairs, Saudi Arabia
2University of California San Francisco, USA
Birth defects affect 2-3% of live births. A significant part of these involves the skull or face. Craniofacial anomalies (CFA) are a diverse group of deformities that primarily affect the growth of the cranium and facial bones. These abnormalities are congenital, and its involvement or effect could vary from mild to severe. Some are isolated or localized, but others could be part of a syndrome involving other regions of the body. The cause of these anomalies could be due to genetic, environmental factors or combination. Some of the most common CFA are: cleft lip and/or palate, craniosynostosis, mandibular malformations, ectodermal dysplasia, and cleidocranial dysplasia.
A standard treatment protocol must be followed to meet the essential needs of individuals with CFA. The treatment protocol of the most common craniofacial anomalies will be discussed focusing on the role of the orthodontist. The best interdisciplinary team care should not provide only the best outcomes but also the most efficient way of achieving the treatment goals.
Biography:
Najla Alrejaye is a Diplomate of the American Board of Orthodontics. She earned her Bachelor of Dental Surgery (BDS) degree from King Saud University. She completed her residency in Orthodontics at Boston University, where she received her Doctorate of Science in Dentistry (DScD) and Certificate of Advanced Graduate Studies in Orthodontics (CAGS). She completed an advanced fellowship program in Craniofacial and Special Care Orthodontics at University of California, San Francisco. She is currently an Assistant Consultant at Ministry of National Guard Health Affairs, Saudi Arabia. Her goals are to contribute to the profession through clinical care, education, and scientific research; and to improve care for individuals with craniofacial anomalies.
1Lecturer of Endodontics, The British University in Egypt, Egypt
2Professor of Endodontics, Faculty of Dentistry, Ain Shams University, Egypt
3Professor & Head of Endodontic Department, Faculty of Dentistry, Ain Shams University, Egypt
4Professor of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Egypt
5Professor of Pathology Tissue Culture and Cytogenetics, Oncology Institute, Cairo University, Egypt
Aim: To evaluate the possibility of hard tissue formation for repair of furcal perforation by using dental pulp stem cells.
Methods: The mandibular first molar teeth were bilaterally extracted in six dogs and transported to laboratory. The dental pulp stem cells were extracted using collagenase digestion and cultured. Cultured cells in Collagraft Bone Graft Matrix pieces impregnated with 10 ng/100Ml DMP1, was used to repair a furcation perforation autologously in the dogs and Teeth were coronally restored. Dogs were divided into three groups according to postoperative observation periods of 2 dogs, 16 teeth each: Group I (1 month), Group II (2 months) and Group III (3 months). At the end of every observation period the dogs were pharmacologically euthanized and histological sections were prepared. The Parameters evaluated were presence or absence of hard tissue bridge, Area fraction of newly formed hard tissue and Histopathological changes. Data were collected and statistically analyzed. ANOVA test was used for parametric variables. Turkey post hoc tests were used in case of significance. Fisher exact test was used for nonnumeric values
Results: 88.9% of the experimental samples showed hard tissue bridge, 11.1% of the experimental samples showed no hard tissue bridge formation. Statistical analysis showed a significant difference present between Group III and both of Groups I and II (P value = 0.001) in Area fraction of newly formed hard tissue. Negative control samples showed normal organized bone architecture and normal periodontal ligaments. Positive groups showed varying degrees of epithielium (50%) and well organized fibrous granulation tissue (50%) formed at the perforation site. 100% of the experimental samples showed new hard tissue most samples (94.4%) had acellular deposits of globular pattern.
Conclusion: Dental pulp stem cells and Dentin matrix protein 1 growth factor have the potential to form hard tissue.
Biography:
Hala Fayek Khalil is the Lecturer of Endodontics, Faculty of Dentistry at The British University in Egypt. He got the Doctorate Degree of Specialty (DDS) in Endodontics at Ain Shams University, Egypt. He got his Masterʼs Degree (MD) of conservative dentistry at Ain Shams University, Egypt and Bachelorʼs Degree in oral and dental Medicine from Cairo University.
Ortho Cert. Saudi Board of Orthodontic Resident, Saudi Arabia
Introduction: The optimal arrangement of maxillary and mandibular teeth is a subject of great concern to dentists and their patients. In addition to tooth size, shape, inclination, torque and alignment, how teeth fit and function together. Is defined as a disproportion among the sizes of individual teeth. In order to achieve a good occlusion with the correct overbite and overjet, the maxillary and mandibular teeth must be proportional in size.
Methodology: A review of the literature was conducted using the PUBMED and EBSCO databases. Literature was screened using the key words “Tooth-size Discrepancy”, “bolton ratio” and “orthodontic”.
Conclusion: Variation in the size and shape of teeth are predominantly genetically determined. Environmental factors may have an effect on tooth development. Aanomaly in the size of the upper lateral incisors is the most common cause of the TSD, but variation in premolars or other teeth may be present.
The challenges are to use all the parameters available, by the different specialties of Dentistry, and apply these concepts in each treated case. It is not a single detail that defines excellence, but the sum of many of them.
Biography:
Yahya Jaber Al Shahrani is BDS,MSc,Ortho Cert. Saudi Board of orthodontic Resident.
Senior Assistant Professor, PAPRSB Institute of Health Sciences
University Brunei Darussalam, Brunei Darussalam
Aim: The main objectives of the study were to assess the level of awareness of oral health among parents with regards to the potentially harmful effects of childrenʼs medicines on teeth and to determine the advice/guidance given by doctors, pediatricians and pharmacists.
Methods: 700 validated 20-item questionnaires were distributed to parents of preschoolers at nursery schools. Questions were closeended or open-ended and information on common medicines used by children, the mode of administration of medicines, precautions given as well as data on oral hygiene habits were gathered.
Results: The most common of medicines used by parents were antipyretics (66.1%), antihistamines (48.5%) and antitussives (40.7%). 90.5% parents reported their children take medicines in the form of a liquid. 71.8% parents mentioned the medication being taken by their children tasted sweet, however only 34.2% parents carried out oral hygiene practices after the administration of medicines.9.8% parents had received oral hygiene advice regarding medications of which 7% performed oral hygiene routines. Only 15.5% parents were aware of the association between medicines and oral health. 56.2%of parents had never taken their child to the dentist while less than 20% took their child to the dentist when the child was in pain. Most parents (71.4%) stated that doctors and pediatricians do not monitor the oral health of the child.
Conclusion: In prescribing/dispensing liquid medicines to children, doctors and pediatricians should educate and advise parents on the administration with regards to oral health as well as consider sugar-free alternatives where available.
Biography:
Dr Shahid Mitha graduated with a BDS degree, going on to specialize in Pediatric Dentistry from the prestigious Eastman Dental Institute, University of London in 1996. Following this, he joined academia as Registrar with FJ Dental College, Karachi, eventually departing as Associate Professor of Pediatric Dentistry and Head, of Dental Materials Science in 2009 after a 13-year period. A Diploma in Healthcare Management was one of the qualifications he picked up during this journey. He joined International Medical University (IMU) Kuala Lumpur the same year and was part of the pioneer team developing the curriculum for the BDS program and the lead for Pediatric Dentistry. With an increasing interest in Medical Education, he embarked on a Masters in Health Professionals Education from Maastricht University, Netherlands as well a PhD in Medical Education from Malaysia.
He has joined PAPRSB Institute of Health Sciences in UBD from December 2016 with the task of commencing the inaugural BDS program in August 2017. The first cohort is currently in Second Year whilst the second cohort has commenced in 2018.
1R4 Saudi Board in Pediatric Dentistry Resident, Kingdom of Saudi Arabia
2Assistant Professor, Program Director of Pediatric Dentistry at Riyadh Colleges of Dentistry and pharmacy, Kingdom of Saudi Arabia
Introduction: Over the past two decades improvements in both the safety of anesthetic agents and the techniques of operative dentistry have resulted in the popularity of “day case anesthesia”. The aim of this study is to evaluate the stress felt by parents of children undergoing dental treatment using heart rate and the Dental Anxiety Stress (DAS) questionnaire. The study will also aim to compare the stress felt between parents of children whom get chair side treatment to the stress felt by parents of children whom get there treatment under general anesthesia.
Methodology: The sample comprise of the parents (both mother and father). Group A comprise of 30 sets of parents of medically fit children aged between four to seven years of age, who have been decided for complete dental rehabilitation chair side. Group B will comprise of 30 sets of parents of medically fit children aged, who have been referred for complete dental rehabilitation under general anesthesia.
Results and Conclusion: Data collected for the normative population were taken from a population of 60 parents, with childrenʼs ages ranging from four to seven years of. Parents should be early provided with detailed information and instructions concerning planned medical procedures as well as preparation of children for hospitalization.
Biography:
Faisal Ali AlQhtani is a Registrar Pediatric Dentist. Holding master degree in dental sciences (MSc) and senior resident in the Saudi board for pediatric dentistry. Speaker and presenter in multiple national and international conferences and workshops inside and outside Saudi Arabia and with high interest in public awareness through TV live podcasting and social media. He is one of the winners in the King Khalid University First International Dental Conference Poster Presentations Competition. Member in multiple international societies and active member in the Saudi Dental Society and active member and one of the founding members of the Saudi Society of Pediatric Dentistry
1Lecturer of Endodontics, Faculty of Dentistry, The British University in Egypt, Egypt
2Lecturer of Endodontics, Faculty of Dentistry, Fayoum University, Egypt
Aim: Analysis of cyclic fatigue of a new preheated machined CM wireMPro endodontic files after exposure to lycopene,curcumin and Soduim hypochlorite for two different immersion observation periods; 5 minutes and 10 minutes
Methodology: Eighteen size 20 MPro files were used in this study, divided into three groups of 6 files each according to irrigantused: Group I lycopene, Group II curcumin and Group III Soduim hypochlorite. All files were immersed in irrigants for either 5 or 10 minutes. The cyclic fatigue tests were performed on all files of both immersion periods using a static cyclic fatigue testing device, which have an artificial stainless steel canal and tested using a custom-made static cyclic fatigue testing apparatus. Parameters recorded were time to fracture, number of cycles to failure (NCF) and mean length of fractured segments.
Results: Statistical analysis was performed using IBM SPSS Statistics Version 2.0 for Windows. Data was presented as mean and standard deviation (SD). The significance level was set at P ≤ 0.05. Kolmogorov-Smirnov and Shapiro-Wilk tests were used to assess data normality.
Because of the small sample size, a non-parametric test was used. Kruskal-Wallis test followed by Mann-Whitney U test was performed to compare between the different irrigants at each immersion time. Mann-Whitney U test was conducted to compare between the two immersion times within each irrigant group.Results showed no statistically significant difference between the different irrigants at the two observation periods and within the same group regarding time to fracture, number of cycles to failure (NCF) and mean length of fractured segments.
Conclusion: All tested irrigantslycopene, curcumin and Soduim hypochlorite had same effect on cyclic fatigue of the preheated machined CM wire Mpro endodontic files when used for 5 or 10 minutes.
Biography:
Hala Fayek Khalil is the Lecturer of Endodontics, Faculty of Dentistry at The British University in Egypt. He got the Doctorate Degree of Specialty (DDS) in Endodontics at Ain Shams University, Egypt. He got his Masterʼs Degree (MD) of conservative dentistry at Ain Shams University, Egypt and Bachelorʼs Degree in oral and dental Medicine from Cairo University.
1Vilnius University, Faculty of Medicine, Lithuania
2Medical Center Maxmeda, Lithuania
Periodontal disease and endometriosis are seen to share a common pathogenesis.
The aim of this study was to investigate whether or not an association exists between endometriosis and periodontal disease.
Methods: 35 women in total were examined in the Medical Center “Maxmeda” in 2018-2019. Only women with symptoms of periodontitis were selected. The annonymous questionnaire was contucted by asking woman how often they have dyspareunia. Women were examined anthropologically, genital transvaginal ultrasound testing was performed after menstruation and blood sample was taken for biochemical analysis. Menstrual bleeding intensity was measured by using the PBAC. STD were examined by the PCR. The serum level of CA125 was determined by IMMULITE 2000 XPi Immunoassay System.
Standard statistical software MS Excel 2018 and SPSS were used for statistical analysis of data. The values of various parameters were estimated to be as accurate as 95% of the final results. Differences were considered statistically reliable when the reliability level was p<0.05.
Results: The age of examined women ranged from 18 to 25 years. The average age was 22 (95 % CI 21, 07-22,79). Average BMI value was 21,67 ( 95% CI 20,99-22,35). Dental examination results: 46,7%-mild inflammation of the gums, 20,0%-bleeding gums, 16,7%- red or swollen gums, 10,0%-loose of shifting, 6,7%-bad breath, 3,3%- Pain when chewing 3,3%- Loose or sensitive teeth.
Annonymous questionnaire has showed that 87% of woman had dyspareunia. Menstrual bleeding intensity PBAC-min 45, max 93. STD: 83,3%-NO, 10%-Chlamidiosis, 6,7%-herpes genitalis CA125 levels: 3,3%-exceeds thenorm, 96,7%- Norm
Conclusion: The results of the present study indicate the existence of a relationship between endometriosis and periodontal disease. These kinds of patients should be not only fully examined by the odontologists but also by other medical doctors.
Biography:
Kamila Kasilovska is a third year dentistry student at Vilnius University. The most interesting fields are cosmetic dentistry, orthodontics and periodontics.
Faculty of Dentistry, Suez Canal University, Egypt
Objectives: Oral cavity has been an anatomic area of interest for laser surgical applications because of its easy accessibility and relatively high vascularity. Laser can deliver a precise cutting, wide ablation, rapid hemostasis which provides a dry field for ideal visibility. It also minimizes post-surgical swelling, scarring and pain in a single instrument. The aim of this study was to evaluate the effects of CO2 Laser (hard Laser) therapy in the treatment of periapical pathological conditions by digital radiographic assessment.
Methods: Thirty patients (18 males & 12 females), age ranged between 20-30 years suffering from periapical lesions related to either maxillary or mandibular teeth with radio-graphically evident apical radiolucency and free from any systemic diseases were selected in this study. Patients were divided equally into two groups: Group (1) unlased group-(control), which consisted of fifteen patients treated by conventional periapical surgery. Group 2, lased group consisted of fifteen patients treated using the carbon dioxide (CO2) Laser.
Results: In unlased group, mucoperiosteal flap had a regular outline, bleeding was observed markedly during curettage of lesion. In Lased group mucoperiosteal flap appeared dry and bloodless with an irregular outline.
Conclusions: 1) Removal of periapical lesions could be achieved by using CO2 Laser which causes vaporization and shrinkage that facilitate complete removal of the pathological tissues. 2) Using CO2 Laser in periapical surgery can improve hemostasis with good visualization of the operative field and sterilization of the pathological cavity, in addition to the reduction of post–operative pain. 3) To avoid any thermal effect of Laser on bone, application of short impulses (2-3 seconds) and a power exceeding 4-5 watts with copious irrigation is highly recommended.
Biography:
Dr. Amr Ali El-Swify is an Egyptian professor of Oral &Maxillofacial surgery at Suez Canal University, he was graduated 1981, from faculty of oral&dental medicine, Cairo University where he got his PhD of oral&maxillofacial surgery 1993. He was the chairman of oral & maxillofacial surgery department from 2004 to 2009 at the Suez Canal University & from 2010 to 2015 at Sinai University. He supervised & was Member of the Referee Committee For 47Masters and Doctorate thesis. Currently, he is the Chairman of Oral & maxillofacial surgery department at Suez Canal University, Egypt.
Jeddah Specialty Dental Center, Saudi Arabia
Trauma to the primary dentition present special problems and the management is often different as compared with permanent teeth. An appropriate emergency treatment plan is important for a good prognosis.
The management of adult dental trauma can be a daunting challenge for practitioners at any level. Like medical emergencies, initial management can have a large influence on prognosis. It is important that practitioners understand the basic principles of managing the acute presentations of dental trauma.
During last decade traumatic dental injuries were recognized as public dental health problem worldwide. Prevalence of traumatic dental injuries varies between countries. According to the existing data they are more prevalent in permanent than in primary dentition. All treatment procedures in case of dental trauma are directed to minimize undesired consequences despite that treatment of traumatic dental injuries in the young patient is often complicated and can continue during the rest of his/her life. The changing lifestyle and requirements of modern society lead to an emergence of new patterns of dental trauma. A regular update of knowledge in dental traumatology is required.
Biography:
Dr. Neveen Mahmoud Ahmed did his Bachelorʼs Degree in Dental Medicine & Surgery (1999); B.D.S in Faculty of Dentistry, King Abdulaziz University (KAAU), Jeddah, Saudi Arabia.In 2006 he did Master of Clinical Paediatric Dentistry. (M. Clin. Dent), Barts and The London. Queen Maryʼs School of Medicine and Dentistry, London, UK. In 2015 PhD of Medical Science (Temporomandibular Joint Pain in Children and Adult), Karolinska Institutet, Stockholm, Sweden. Now he is a Consultant pediatric dentist at Jeddah Specialty Center, Saudi Arabia.
Kingʼs College London, UK
Whether MI means maximum income, minimal intervention or my way of achieving predictable aesthetic outcomes in cases of tooth it makes no sense to cut more valuable tooth tissue away in a tooth wear situation.
With todayʼs adhesives and composites you will find this subject useful to planning and carrying out aesthetic changes in your practice. The lecture will cover how to obtain predictable outcomes through chairside planning methods with direct techniques. From the use of DSD, wax-ups and mock-ups where applicable to techniques to replace what is missing and carry out the occlusion corrections necessary to combine function with aesthetics while avoiding further tooth damage.
LOʼs:
1 planning cases at the chairside
2 managing the aesthetics in anterior tooth wear situations with composite
3 blending function with aesthetics
4 correction the occlusion following tooth surface loss
Biography:
Professor Brian Millar BDS, FDSRCS, PhD, FHEA is the Professor of Blended Learning in Dentistry at Kingʼs College London and NHS Consultant in Restorative Dentistry at the Kingʼs College London Dental Institute at Guyʼs, Kingʼs and St Thomasʼ Hospitals. Specialist in Prosthodontics and in Restorative Dentistry. Programme Director for the internationally popular MClinDent (Fixed & Removable Prosthodontics) now in its 22nd year with graduates in over 60 countries practising a higher level of clinical dentistry. In the past set up the highly successful MSc programmes in Aesthetic Dentistry and also Advanced General Dental Practice by blended learning at the KCL Dental Institute. With 38 years experience in clinical practice and currently an active specialist clinician in both hospital and private practice, particularly in treating tooth wear, aesthetic and occlusal problems utilising MI philosophies where possible. Experienced teacher to undergraduates and postgraduates and well-known provider of postgraduate education nationally and internationally at conferences through lectures, seminars, webinars and hands-on courses. Published over 180 papers, supervised over 200 PhD and Masters students, involved in setting up MOOCs with over 20,000 students. Series Editor of three books on Essentials in Esthetic Dentistry. As well leading on the silencing of the dental drill collaboration, research includes management of occlusal problems using MI techniques, bringing together aesthetics and function with a focus on tooth preservation.
Dental University of Monastir, Tunisia
Objective: The aim of this study was to assess the prevalence of oral sinus tracts of dental origin and the outcome of endodontic treatments.
Methods: Patientsʼ agewas between 13 and 80 years old with a mean of 25±5,and women to men sex ration of 3.42. A total number of 175 teeth were treated endodontically using theProtaper System®. Irrigation was done with 2.5 % sodium hypochlorite solution and calcium hydroxide was used as an inter-appointment medication. Teeth treated included: 41 upper molars, 40 lower molars, 45 upper premolars, 37 lower premolars, 11 upper incisors, 02 lower incisors, 04 upper canins and 01 lower canin.Of these, 31teeth presented oral sinus tracts:24 posterior teeth and 7 anterior ones.27 teeth, apart from those, presented apical periodontitis.
Results: Teeth with oral sinus tracts represented 17.7%. Periapical lesions were ≥5mm (PAI=5) in 84% of the cases. PreoperativePAI scores werebetween 2 and 4 (Ørstavik classification 2013). According to Wu and al criteria, 30 teeth with an intra-oral sinus tract were healing after endodontic treatment. A surgical intervention was conducted in one case, in which the tooth remained diseased after conservative treatment. And just one tooth with an extra-oral sinus tract, was extracted.
Conclusion: Within the limits of the study, the prevalence of sinus tracts of dental origin is very important. The latter are generally associated with a chronic inflammatory apical periodontitis. A favorable outcome is obtained with an adequate endodontic treatment.
Biography:
2014: Member of Oral Health and BuccofacialRehabilitation Research laboratory LR12ES11
2017: Member of Medical Association of Medenine
2017: President of the first international dental congress of Medenine governorate
2018: President of the Quality and Risk management cell in Sadok Mkaddem Hospital
Ainshams University Cairo, Egypt
This study was conducted in order to compare the amount of heat generated on the external root surface and the amount of lost dentin caused by three different types of ultrasonic tips.
Materials and Methods: The study was done in Magrabi Dental Center Research division, sixty extracted human mandibular first molars were used, and 3 mm fragments of Size 30 K- files were intentionally separated inside mesio-lingual canals.
Teeth were placed in eppendorf tubescontaining alginate to simulate human body. Two fine thermocouples connected to a digital thermometer were connected to the mesial and distal aspect of the mesial root.
The amount of lost dentin thickness was assessed through comparing pre- and post – instrumentation CT scan at 0.5 mm from the separated instrument.
Form this study conclusions could be summarized as follow:
The assembly used in the study proved to be efficient in measuring the external root surface temperature in situation simulation simulating clinical conditions.
1. The material of the tips, the time of application and the power intensity affected both the amount of heat generated and the amount of removed dentin.
2. The size of the ultrasonic tips may be an influencing factor that affects the amount of the remaining mesial and distal dentin thickness.
3. There is a potential risk of root perforation during the use of the ultrasonic tips.
Keywords: Ultrasonic tips, Broken instruments, Heat generation.
Biography:
Dr. Moataz Mahran D.S, M.S.C Endodontics graduated from Ainshams University 2003 Cairo, Egypt. He Received my Masterʼs degree in Endodontics from Ainshams University 2011 Cairo, Egypt. He is a private practitioner and Head of Endodontic department at Magrabi Dental Hospital Madinah road Jeddah, Saudi Arabia. His work is limited to MicroEndodontics with almost 30.000 canal has been treated. Member of the Irish Dental Council, British Endodontic Society and European Endodontic Society.
Indian Institute of Naturopathy, India
Oral health is multi-faceted term and includes the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex.
Definition further explains that oral health is a fundamental component of health and physical and mental well-being. It exists along a continuum influenced by the values and attitudes of individuals and communities; reflects the physiological, social and psychological attributes that are essential to the quality of life; is influenced by the individualʼs changing experiences, perceptions, expectations and ability to adapt to circumstances.
The link between sugars consumption and tooth decay,has been established by many research papers. The relationship between oral diseases and other non-communicable diseases, reinforcing the connection between oral health and overall health.
The importance of sharing meals with others, how diverse social and environmental factors influence food choices and eating behaviours, needs to be looked into since they can be responsible for dental decay.
So promoting healthy eating and overall nutritional well-being along with good oral hygiene practices,will be an important action towards healthy longevity. Poor oral health can cause discomfort and pain, hampering productivity.Promoting the consumption of water instead of sugary drinks and reducing the intake of confectioneries to a minimum, are also additional factors to support healthy longevity through oral health and hygiene.
Biography:
Dr. Prakash Kondekar is a Consultant Naturopath,Yoga & Bowen Therapist. He is the Honourable Director at the Indian Institute of Naturopathy. He authored four Books.
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