Day 2 :
Keynote Forum
Mohammed Jafer
CAPHRI-Maastricht University, Netherlands
Keynote: Dental patients’ education on oral cancer and its risk factors in Saudi: Situation analysis including multiple perspective of dentists and dental-patients
Time : 10:00 Am - 10:45 Am
Biography:
Mohammed Jafer has completed his MPH and Dental Public Health Residency from Case Western Reserve University, Ohio and is pursuing his PhD at Maastricht University Faculty of Health, Medicine and Life Sciences, Netherlands. He is the former Vice-Dean of Jazan University Dental School, Saudi Arabia. He has published several papers in reputed journals and was a key-note speaker at the 1st International Oral Cancer conference in Saudi Arabia on February 14, 2017. He has recently been awarded the Saudi Aramco Prize for Public Health, 2017 for his work related to oral cancer prevention.
Abstract:
Oral cancer is a major oral health issue in the Jazan region of Saudi Arabia. According to the Saudi Cancer Registry, Jazan region has the highest prevalence of oral cancer in the country. However, limited effort regarding investigation and prevention of oral cancer and its risk factors has been initiated. Moreover, there is a lack of insight into dental patients’ education of oral cancer and its risk factors by dentists and dental-students that could contribute to reducing such disease burden in Jazan. Therefore, a multi-angle approach with five formative studies to investigate the practice of dental patients’ education in Jazan University Dental School clinics including dental students, dentists and dental patients was conducted. Data was collected through observing 95 dentists practices, questionnaire measuring dentists’ knowledge of oral cancer (n= 228), dentists’ perspectives (6 focus group interviews), patients perspectives (40 one-on-one interviews) and patients questionnaires (n= 300) to assess their knowledge and perception of oral cancer and its related issues including dental patients’ education practice. These studies revealed that the practice of dental patients’ education regarding oral cancer and its risk factors is limited. The lack of dental patients’ education practice and skills in the Jazan University Dental School formal education and training and the lack of dental patients’ education enforcement from the clinics supervision may have contributed to this current situation.
Keynote Forum
Abdullah Alzahem
King Saud Bin Abdulaziz University for Health Sciences, KSA
Keynote: Cheek-bite keratosis among temporomandibular disorders patients
Time : 11:05 Am - 11:50 Am
Biography:
Abdullah Alzahem is an Assistant Professor of Medical Education. He completed his graduation in 1995 with BDS degree and in 1998 completed Post-graduate studies in Temporomandibular Joint Disorders and Advanced General Dentistry in USA. In 2004, he is awarded with the prestigious Fellowship of General Dentistry Academy (FAGD), and in the same year appointed as Dental Consultant. In 2009, he completed successfully two-year Master’s program in Medical Education (MME). In 2015, he completed his PhD degree in Medical Education at Erasmus University Rotterdam, and was appointed as Director of Quality Assurance in King Saud bin Abdulaziz University for Health Sciences.
Abstract:
Cheek-biting commonly reported by patients with Temporomandibular Disorders (TMDs). This check biting may cause cheek-bite keratosis. The aim of this research is to study the prevalence of cheek-bite keratosis among TMDs patients. Cross-sectional survey conducted on 373 TMDs patients seen in the TMJ clinic by one TMJ specialist since 2013. Convenient sampling technique was followed where all screened patients having TMDs included in the study. TMDs patients who have check-bite keratosis are 226 patients (60.6%). Female TMDs patients are the majority (75.60%) and 78.8% of TMDs patients with cheek bit keratosis were female. The highest number of TMDs patients (4.6%) was at age of 20 years old. Cheek-bite keratosis is an important sign for TMDs screening for the general dentist in the first dental visit. Dentist who find cheek-bite keratosis during intra-oral examination, advised to ask more screening questions and do more clinical examination for TMDs.
Keynote Forum
Farhat Kazmi
Princess Nora bint Abdul Rahman University, KSA
Keynote: Odontogenic trauma causing dysplastic changes in oral mucosa: the ignored culprit
Time : 11:50 Am - 12:20 Pm
Biography:
Dr. Farhat Kazmi is expert in diagnosing the oral & maxillofacial diseases based on comprehensive, methodical history taking and astute observation of clinical features. She is uniquely qualified to combine expertise in histopathology diagnosis, clinical diagnosis, and treatment. Dr. Farhat Kazmi is academician having more than ten years of experience of teaching at undergraduate and post graduate level . She is currently working as an Associate Professor in College of Dentistry , Princess Noura Bint Abdurehman University , Riyadh, Saudi Arabia. She studied Dentistry from DeMontomerancy College of dentistry and received Bachelors of Dental surgery (BDS). Then she did her master’s (M. Phil) and PhD in Oral Pathology. Due to her significant contributions to the profession she has been awarded Fellowship by International College of Dentistry. Apart from teaching she has also organized various courses and workshops. She is Member of various academic organizations and has presented her research work both at national and international conferences. She has published more than twenty papers in reputed journals. Dr. Kazmi is also working as a reviewer and editorial board member in many journals.
Abstract:
Many carcinogenic agents are emphasized as predisposing factors for dysplastic changes leading to OSCC, but inflammation caused by odontogenic trauma has been ignored to certain extent. NF-κB family has vital role in the inflammation and is considered to be involved in the initiation and progression of oral cancer. The purpose of this study was to see the cause and effect relationship between the traumatic inflammation and the dysplastic changes observed in confirmed cases of OSCC using NF-κB pathway. The study was conducted on a sample of 28 patients of OSCC collected from University affiliated hospitals. Among these 23% patients presented with the clinical evidence of odontogenic trauma females made up 48% of cases, while 52% were males. The majority of lesions occurred on the buccal mucosa (57.14%) followed by tongue (33.33%) and retromolar region (9.53%). These specimens were then processed for the NF-κB analysis. The real time PCR reactions were set up for each sample after reverse transcriptase (RT-PCR) reactions with Eva Green primers. All the patients presented with mucosal trauma due to odontogenic reason showed threefold increase of NF-κB amplification, as compared to the other OSCC samples suggesting that inflammation caused as a result of trauma was one of the important initiating factors for dysplastic changes. Early detection and elimination of local trauma due to odontogenic causes could have prevented the dysplastic changes.
- Dental Public Health | Pedodontics and Preventive Dentistry | Cosmetic Dentistry | Pediatric Dentistry | Dental Sleep Medicine
Chair
Abhinav Wadkar
Rutgers School of Dental Medicine, USA
Co-Chair
Abdullah Alzahem
King Saud Bin Abdulaziz University for Health Sciences, KSA
Session Introduction
Beatrijs Deruyter
KU Leuven Periodontal Department, Belgium
Title: The use of FRP lasers: a necessity in long term periodontal treatment strategy
Biography:
She completed graduation from Brussels Free University, Dental School in 1980.
Using lasers since 1991
She did her Sola Master in Laser dentistry 2003-2004 Universities Vienna (Austria)
Master in Laserdentistry Academy for Laserdentistry (ALD) 2004-2009 (US)
MSc in Laserdentistry - University of Genoa (Italy)
PhDs “Lasers in periodontology” and instructor at KULeuven 2014-present
Abstract:
Since the high prevalence, worldwide, of periodontitis and periimplantitis, both proven to contribute and/or exacerbate systemic diseases by their inflammatory response, they are becoming a major concern in general health care. The search for finding a cost-effective and repeatable treatment for the majority of the population, without causing detrimental side effects, is a necessity and has been a question mark for many years. Since traditional treatment protocols cannot meet to all our expectations and have some contraindications, the rational of One Stage Full Mouth Disinfection (OFMD) has been the new paradigm in treatment strategy. However, a number of important details can be optimized. Lasers have taken an eminent place in periodontal care in the last two decades. The use of Free Running Pulsed (FRP) Lasers in particular, might solve some shortcomings in the traditional approach. The reason behind this is the way FRP lasers, by their very short bursts of energy, cannot only take care of bacterial and viral components of the periodontal infection, in hard as well as in soft tissue, but also by dissipation of that energy, have the capability to contribute to repair and at certain level regeneration. This can contribute to preservation of soft and hard tissue, in a cost-effective way. 53 patients having dpsi3+ or 4, undergoing all the same protocol of a true OFMD of scaling with adjunct of FRP laser treatment, with or without antibacterial support as indicated along microbiological assessment. Periodontal parameters were compared to baseline, at 2, 8 up to 14 months, without retreatment. Clinical outcome of the parameters for all cases were statistically significant improved to baseline.
Maryam Alfarhan
National Guard Health Affairs, KSA
Title: Dental public health capacity in the Kingdom of Saudi Arabia and the potential role of women
Time : 12:20 Pm - 12 : 50 Pm
Biography:
Maryam Alfarhan has completed her graduation from Faculty of Dental and Oral Surgery – King Saud University, Riyadh 1986, and received Dental Public Health Master’s degree in 1995 from University of London. Currently, she is Consultant of Dental Public Health and was appointed as Director, Oral Health Services program since 2007. During that period of time she developed oral health promotion programs as part of community dental service in the National Guard of Saudi Arabia. She worked extensively in the area of oral health promotion school based programs, and currently works on voluntary basis in the position of Executive Group Member of the Oral Health Working Group of the WFPHA. In 2017, she is awarded with the title of Diplomat of the Global Charter of the year 2017.
Abstract:
As Dental Public Health consultant my perspective was to study the needs of our community and address it through effective and efficient oral health care strategies. Saudi Arabia has the following socioeconomic indicators: GDP annual growth was four and GDP per capita, PPP, was $22713. Nearly all the country with sustainable access to improved water source and sustainable to improved sanitation. There are 2.3 dentist rates per 10000 populations. In 2004 it was reported in a sample size 12,200 of primary, intermediate and secondary students the caries prevalence was in primary teeth 74-90% and in permanent teeth 59-80%. Behaviour strategies were adopted to develop the organizational effectiveness for School Based dental Preventive Program in the Saudi National Guard primary schools in Riyadh. This strategy affects the people development, inspiration, participatory decision making, and efficient communication. The program objectives was to increase oral health awareness among school children as prime target, inform about importance of diet, provide regular examination in order to make repairs in earliest stages of diseases or decay and seal fully erupting molars of school children in primary schools. The mobile dental clinics were used in this program to provide dental care. Oral diseases are neglected epidemic tooth decay although it affects 60-90% of school aged children and nearly 100% of adults and seniors. The purpose of this policy and program is to encourage government, ministers of health, health departments, and health personal to initiate, implement, promote and support effective population-base dental prevention programs. Dental public health in Saudi Arabia facing many challenges, there is a need for well integrated dental public health systems which include acceptable guide lines and criteria, institutional, reflect population needs at same time cost-effective. There is a strong need to establish national dental public health association focusing on application of a board range of evidence-based approaches and interventions. Effective programs and policies in dental public health through scientific reasoning, including systematic uses of data and information systems and appropriate use of behavioural science theory and program planning. Women in Saudi Arabia will have potential role as leaders in dental public health like: leadership training for all high potentials, shedding biases regarding women in leaderships and thinking and behaving in new ways.
Tri Purnami Dewi R
University in Denpasar, Indonesia
Title: Effectiveness of piper betel leaf extract against the growth of Staphylococcus aureus (in vitro)
Time : 13:40 Pm - 14:10 Pm
Biography:
Tri Purnami Dewi R has completed her DDS degree in the year 1997 from Faculty of Dentistry, Hasanuddin University and Post-graduation in Health Sciences from Gadjah Mada University in 2004. She is currently pursuing a Doctoral Program of Medical Science at Faculty of Medicine Udayana University.
Abstract:
Infection of the oral cavity is an infection caused by the activity of pathological microorganisms such as Staphylococcus aureus bacteria. The use of herbal ingredients such as betel leaf extract, in the assumption, can be useful for inhibiting the growth of Staphylococcus aureus in the infection. This study aims to determine the effectiveness of antibacterial piper betel leaf extract 25% against the growth of Staphylococcus aureus. This research used posttest only control group design, composed of 27 samples of Staphylococcus aureus type A bacteria which were divided into 3 treatment groups, consists of : group I treated with 25% betel leaf extract, group II treated with lemongrass extract 25% and control group treated with Amoxicillin 500 mg. Result obtained by means parametric statistic test, that is one way-ANOVA, obtained p value 0.001 (p<0.05), so there is a significant difference in the inhibition zone of the three groups. Result of Post Hoc Test, that is Least Significant Difference (LSD) obtained p value 0.001 (p<0.05), there is significant difference in the measurement of inhibition zone between groups. Piper betel leaf extract is 25% more effective than lemongrass extract 25% and amoxicillin 500 mg against the growth of Staphylococcus aureus.
Biography:
Mirza Rustum Baig is graduated from Dr MGR Medical Univeristy, Chennai, India and went on to complete his clinical residency program from National University of Singapore in the Specialty of Prosthodontics. He acquired the Specialty membership in Restorative Dentistry with special emphasis in Prosthodontics from RCS Edinburgh followed by Fellowships from RCS Edinburgh and RCPS Glasgow. He is currently a clinical educator, researcher and consultant prosthodontist with Kuwait University Faculty of Dentistry. He has published 20 papers in peer-reviewed journals and is working on a number of research projects in the fields of Proshtodontics and Dental Materials. He is an active reviewer with several ISI and Scopus dental journals (Journal of Oral Implantology, Gerodontology, Journal of Advanced Prosthodontics and Indian Journal of Dental Research).
Abstract:
Background: Achievement of adequate fit of Co-Cr (cobalt-chromium) frameworks is an important requirement in PRDP (partial removable dental prostheses) treatment for which current evidence on the clinical factors influencing such fit is insufficient.
Objectives: The purpose of this investigation was to retrospectively evaluate the influence of major connector design, and numbers of guide plates and occlusal/incisal rests on the number of fabricated frameworks needed until the realization of clinically adequate fit of PRDP Co-Cr frameworks.
Materials & Method: Electronic case records of 100 partially dentate patients treated with Co-Cr PRDPs in single or both arches, by undergraduate dental students, were examined, and relevant data recorded by three examiners. The relationship between the three PRDP design features with the number of frameworks that were required to be made in each case were statistically analysed by analysis of variance (ANOVA) and Post hoc Tukey tests (α=0.05).
Results: Data were derived from 128 (53 maxillary and 75 mandibular) records of the treated partially edentulous arches. The major connector design, and numbers of guide plates and of rests were found not to be significantly correlated with the number of framework fabrication attempts, for both the arches combined, or when arches were considered independently (P>0.05).
Conclusions: In the present sample none of the component features of PRDP frameworks that were tested were associated with the fit of the frameworks, which suggests that other variables in the fabrication process of PRDP frameworks need investigating in relation to their accuracy of fit.
Clinical Significance: The design variations of Co-Cr partial denture frameworks do not affect the clinical fit acceptability.
Mingjie Wang
Zhejiang Chinese Medical University, China
Title: Plaque removal efficiency of a multi-surface novel power toothbrush: a clinical study
Time : 14:40 Pm - 15:10 Pm
Biography:
Mingjie Wang is pursuing his Bachelor’s degree of Dentisry from Zhejiang Chinese Medical University. During his internship, he got an opportunity to be an exchange student to study at Academic Center for Dentistry Amsterdam (ACTA), and he is going to attend Implantology Master’s course in ACTA. He has published two papers and another one paper is under review process.
Abstract:
Aim: A multi-surface novel power toothbrush had already marketed in China, the aim of the study was to evaluate the toothbrush in clinic to test the plaque removal efficiency on different areas of the dentition.
Methods: A split-mouth design, examiner-blind and single center study was executed. University students were instructed by staff and then brushed their teeth with novel multi-surface power toothbrushes and oscillating-rotating power toothbrushes (as the control group). Before cleaning, all the teeth of the students were colored, then started to be brushed. The total cleaning time in half mouth was 60s, and time points for taking photos for the study were 0s, 15s, 30s, 45s and 60s for the experiment group, and 0s, 30s and 60s for the control group. Rustogi Modification of the Navy Plaque Index and Image Pro-Plus software were adopted to score the plaque.
Results: Multi-surface power toothbrush was more effective in removing plaque in lingual, gingival marginal, buccal and approximal areas. Reduction rates of using multi-surface toothbrush for 30s were 54.94%, 62.34% and 56.47% in lingual, buccal and whole mouth respectively, which doubled the efficiency of oscillating-rotating mode. Using multi-surface toothbrush for 15 seconds shared a similar plaque removal efficiency with using oscillating-rotating mode for 60s.
Conclusions: Multi-surface power toothbrushes could improve the plaque removal efficiency in hard-to-clean areas and considerably shorten the time of brushing.
Majed Al-Dakhee
King Saud University,KSA
Title: Teeth whitening solutions
Time : 15:10 Pm - 15 :40 Pm
Biography:
Majed Al-Dakhee has completed his AEGD from University of South California and Saudi Board of Restorative Dentistry from Saudi Commission of Health Speciality. He is the Director of Dental Department at King Abdulaziz University Hospital, King Saud University Medical City, a premier Academic and Service organization. He has published more than 3 papers in reputed journals and has been Program Director in Restorative Dentistry Board Program.
Abstract:
When teeth become discoloured, especially when they become darker, there is a lot of time and money that is invested into improving the color of our teeth. The way our teeth look is of great importance to many people. Majority of us think that our smile is not white enough to be called as attractive smile. Although an attractive smile may be perceived by some as not a big issue, studies have confirmed that a whiter smile plays an important role in perceived self-esteem and success. In this systemic review lecture I go through an update of what dentistry reach in 2018 to make teeth whiter.
Marwa Mohamed Sabry
Kafr El-ShaikhUniversity, Egypt
Title: Role of dentist in detection and reporting child abuse and neglect
Time : 16:00 Pm - 16:30 Pm
Biography:
Marwa Mohamed Sabry is an Assistant Lecturer at Pediatric Dentistry and Dental Public Health Department, Kafr El-Sheikh University. She had received a Bachelor of Dentistry and MS in Dental Public Health from Alexandria University and MS in Hospital Administration from High Institution of Public Health and Diploma in Total Quality Management from American University in Cairo. She is working in the field of Health Administration, Quality Management and Public Health since 10 year. She plays an active role in community, cooperate number of national and international associations to provide health educational programs and epidemiological surveys to raise people awareness.
Abstract:
Background & Aim: Child abuse and neglect is a very serious problem that has long consequences for those involved and for society in general. Dental professionals are in an exceptional position to identify and report these cases. Statistics of previous studies revealed that only one percent of dentists reported suspected cases. Aims of lecture are to help dentists to learn about their ethical responsibilities and legal obligation toward child abuse cases and how to detect and report them.
Methods: This lecture will demonstrate types and consequences of child abuse and neglect and the prevalence worldwide. In addition, ethical and legal concerns of different health care organizations related to dentists’ reporting suspected cases. Oral symptoms of child abuse and neglect will be discussed and classified according to the type such as physical abuse, sexual abuse and neglect. Physical abuse may result lacerations of tongue, oral mucosa, palate, gingiva alveolar mucosa or frenum, fractured, displaced or avulsed teeth facial bone and jaw fractures, burns or other injuries. Sexual abuse may represents significant oral manifestations as oral and perioral gonorrhea, unexplained erythema or petechiae of the palate, particularly at the junction of the hard and soft palate, pseudomembranous and condylomatous lesions of lips, tongue, palate and nose-pharynx. Dental neglect is detected by untreated early childhood caries, odontogenic infection or pain, periodontal disease.
Conclusion: Child abuse and neglect can be prevented by increase in Dentist’s awareness about their roles of reporting these cases and strengthen their abilities to detect them in early stage.
Ridhayani Hatta
University of Sheffield, UK
Title: The role of Dangke (local dairy product in indonesia) as a cariostatic diet in reducing Streptococcal numbers in dental plaque
Time : 16:00 Pm - 16:30 Pm
Biography:
Ridhayani Hatta has completed her Bachelor’s from Hasanuddin University, Indonesia. Currently, she is pursuing her Master’s at School of Clinical Dentistry, The University of Sheffield. She is a General Practitioner in Makassar, South Sulawesi and a young Resercher in Hasanuddin University, Indonesia.
Abstract:
Objective: Dairy products were proven to prevent caries because their cariostatic properties inhibit the attachment of cariogenic bacteria such as Streptococcus that accumulates on dental plaque. Dangke is a typical dairy product from Enrekang, South Sulawesi and Indonesia which is traditionally processed and derived from cow's milk coagulation using coagulant from sap of papaya (papain enzyme). Dangke with high protein content that reached 17.20% is considered to be one of non-cariogenic food. The aim of this study was to asses the role of Dangke to reduce Streptococcal numbers in dental plaque.
Design & Methods: This study was a quasi experimental study with post-test including only control group design. It was performed in 15 subjects who met the inclusion criteria with simple random sampling method. The study group consisted of Dangke as treatment group and chadder cheese as control group. The plaque samples were taken twice in each group: directly after (T1) and two hours after the consumption of dairy products (T2), thus obtained 30 samples of plaque in each group. Evaluation of the amount of Streptococcus was done in the Microbiology Laboratory, Faculty of Medicine, Hasanuddin University.
Results: The mean colonies of Streptococcus in Dangke and cheddar cheese group on T1 were 19.44, 31.56 CFU/ml respectively, and T2 were 2.44, 27.56 CFU/ml respectively, with p-value in Dangke group was p=0.028 while in cheddar cheese group was p=0.746.
Conclusion: Dangke was effective to reduce Streptococcal numbers in dental plaque.
- Oral Cancer | Minimal Intervention Dentistry | Orthodontics and Dentofacial Orthopedics | Oral Maxillofacial Surgery
Chair
Abhinav Wadkar
Rutglers School of Dental Medicine, USA
Co-Chair
Abdullah Alzahem
King Saud Bin Abdulaziz University for Health Sciences, KSA
Session Introduction
Lutango Simangwa
University of Bergen, Norway
Title: Oral diseases and lifestyle factors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study
Time : 12:20 Pm - 12 : 50 Pm
Biography:
L D Simangwa has completed his graduation in Doctor of Dental Surgery (DDS) from the University of Dar Es Salaam, Tanzania in 2001 and attended internship training at Muhimbili National Hospital, Tanzania in 2002. He later joined University of Bergen in Norway and graduated with Master’s Programme in Oral Sciences in 2008. He then graduated Master of Dental Surgery (Restorative Dentistry) in 2013 from the Nizhny Novgorod State Medical Academy, Russia. He is currently a PhD candidate at the University of Bergen, Norway. He is a member of the Tanzanian Dental Association (TDA) and International Association for Dental Research (IADR).
Abstract:
Background & Aim: There are no reports on the associations between oral problems and lifestyle from adolescents in Maasai population areas. This study aimed to estimate the prevalence of oral diseases/problems and identify associated lifestyle factors in adolescents living in Maasai population areas, Tanzania.
Methods: The sample comprised a random selection of 23 out of 66 rural public primary schools. Classes with children aged 12-14 years were identified from each school and all adolescents in selected class were invited to participate. A questionnaire investigating lifestyle factors (dietary/behavioral) and a clinical examination was done.
Results: Out of a total of 989 invited adolescents, 906 (91.6%) accepted to participate (age 12-17 years, mean 13.4 years, SD 1.2). The prevalence of oral diseases is presented in brackets: bleeding gums (40.9%), dental fluorosis (89.7%) and TMD pain (11.8%). Logistic regression analyses revealed: adolescents with low frequency of cleaning teeth (OR=10.0, CI: 5.0-16.7), those who used wooden toothbrush (OR=1.7, CI: 1.1-2.5) and those with poor oral hygiene (OR=50.0, CI: 14.3-100.0) were more likely to present with bleeding gums. Adolescents reported to use non-tap water (OR=14.0, CI: 3.3-59.3) and trona (OR=11.6, CI: 5.8-23.0) were more likely to present with dental fluorosis. Adolescents with eating problems (OR=3.1, CI: 1.7-5.8) and those reported to clench and/or grind their teeth (OR=2.8, CI: 1.8-4.5) were more likely to present with TMD pain.
Conclusions: Oral problems were common among adolescents from Maasai population areas and associated with lifestyle factors such as oral hygiene, dietary habits and tooth clenching.
Tor Tegnander
Dental Clinic, Norway
Title: Relationship between clinical findings and magnetic resonance imaging in orofacial pain patients
Time : 13:50 Pm - 14:20 Pm
Biography:
Tor Tegnander is currently working on his PhD at the University of Bialystok. He finished his Dental degree in 1985 at the University of Oslo. He has finished Post-doctoral studies at the Dawson Centre for Advanced Dental Studies and at the Piper Education and Research Centre (PERC). He is a Fellow of the American Academy of Implant Dentistry. He has lectured internationally and nationally on Implantology and TMD
Abstract:
Background: Clinical problems of the temporomandibular joint (TMJ) and the masticatory musculature are both included in the term temporomandibular disorder (TMD). The field of TMD is well known for being one of the more controversial topics in dentistry. Studies show a marked difference in the prevalence of TMD from 16 to 64 %. The purpose of the present study was to examine whether patients with clinical TMD had pathological findings utilizing magnetic resonance imaging (MRI).
Material & Methods: The study population consisted of 64 patients with clinical TMD. Symptoms were recorded using a questionnaire, clinical examination included diagnosing occlusion in centric relation, and then a standardized MRI was performed. The images were read, utilizing the Piper system by the treating dentist and then read by two experienced radiologists blinded to clinical data.
Results: All patients had molar interferences in centric occlusion and limited anterior guidance. The patients also had changes in disc position when examining the MRI scans. 68 of the joints (55%) had changes corresponding to Piper IVa classification. It was also found more severe changes like disc degeneration, changes in condylar head, abnormal reduction and restriction in anterior movement. The most severe changes were corresponding to Piper Va and Vb (34 joints, 27%).
Conclusion: All the patients assessed due to TMD showed changes in their TMJ on MRI.
We also found posterior interferences in their occlusion and loss of anterior guidance.
Angelo Itri
University of Genoa, Italy
Title: VPT in permanent teeth: how to achieve clinical success with new materials
Time : 14:20 Pm - 14 : 50 Pm
Biography:
Angelo Itri is an Adjunct Professor at Genoa University (Department of Restorative Dentistry). He has completed his graduation in 2009 at Genoa University. He won 2010 Duillo Research Award in Genoa. In 2012, he served as Supervisor at Bioengineering University of Genoa. He is actively involved in research since 2006, focusing on dental implants, dental materials and prosthodontics. He participates in national and international dental conferences about vital pulp therapy.
Abstract:
Vital Pulp Therapy (VPT) is a biologic and conservative treatment modality to preserve the vitality and function of the coronal or remaining radicular pulp tissue in vital permanent teeth. The most important biological target of these therapeutic solutions is the dentinal bridge formation. Clinically, dentinal bridge formation is valued by Rx analysis where the pulp chamber is reduced after 3-6 months from VPT therapy. Usually, Clinical practice success on VPT procedure is made when no spontaneous pain is present. Clinical parameters to achieve success in VPT are no encoded. Aim of this lecture is to show the clinical methodic to achieve clinical success in VPT cases on permanent teeth.