Day 2 :
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
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.
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.
King Saud Bin Abdulaziz University for Health Sciences, KSA
Time : 11:05 Am - 11:50 Am
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.
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.
Princess Nora bint Abdul Rahman University, KSA
Time : 11:50 Am - 12:20 Pm
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.
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.