Day 1 :
Barts and the London Medical and Dental School, UK
Keynote: Posture and postitioning
Time : 10:00-10:45
Ali Nankali is a Clinical Senior Lecturer at Teaching and Innovation Centre of the Barts and the London Medical and Dental School. In 1998, he took a keen interest in Restorative Dentistry which led him to commence his extensive research on application of post and cores. Following his research, he proposed a number of novel inventions such as Nankali Post System, Nankali bur and Masticatory Force classification. He was awarded his PhD in 2004 by National Medical University in Kiev/Ukraine where he registered as a specialist in Prosthodontics. His Engineering background in addition to his Prosthetics and Maxillofacial clinical experiences helped him in achieving interesting outcomes on his researches. At his current position, he is involved with undergraduate, Post-graduate teaching as well as regularly running external courses such as CPD courses. He is also an international speaker.
Maintaining a good posture helps practitioners to achieve superior outcomes and protects them from future problems such as back pain. This is the central theme of the course. Having a correct position allows the practitioner to see the working areas properly which optimizes performance and avoids iatrogenic damages. Some clinicians think that having their eyes closer to the working area would help them to have better control of their handpiece. Yet, being too close to the targeted surface area would not only decrease the level of accuracy, but also create discomfort for the patient. When practitioners have to move their head or change their posture to check the task done, it means that at the time of the procedure the clinician was not able to see the working surface area correctly. Not having the most suitable posture for the task would most likely let your treatment outcomes down. Studies demonstrate that about 85.5% of clinicians have a forward head posture, while 68.8% have a round shoulder posture. More interestingly 36.1% of practitioners suffer scoliosis and hyperlordosis. Most of the work postures studies demonstrate a high risk to the lower back and neck however, even with an appropriate posture muscle strengthening exercises for the neck can play an important role minimizing the risk. There are some situations where the practitioner stands to do tasks such as extracting a tooth or taking impressions.
University of Insubria School of Medicine, Italy
Keynote: Analysis of the height/width ratio of peri-implant soft tissues in different types of implant connections and oral sectors
Time : 11:05-11:50
Cristian Scognamiglio has completed his degree in Dentistry and Oral Surgery at the University of Insubria (Varese-Italy). He is an international speaker providing lectures on surgery topics and organizes practical workshops (regarding Suture Techniques and Implant Positioning). He is an author of different scientific papers published on international editorials and congresses. In 2018, thanks to one of his studies, he won the prize as the Best Scientific Research in Oral Surgery issued by the Italian Society of Periodontology and Implantology.
Modern implantology has been focused on the peri-implant mucosa maturation patterns, with particular attention on the frontal area, aiming to obtain a functional and aesthetic optimal result. The study analyzed 294 implants, in order to obtain a tridimensional model; the measurements were done with digital 3D technology at one year from the provisional crown placement. All the recorded data were analyzed with Test Pearson 2-Tailed (95% confidence range) by IBM. For the research we measured the width of the peri-implant mucosa, calculated from the implant connection to the buccal mucosa surface on a line perpendicular to the main implant axis. For the height of the peri-implant tissues, we considered as well, the same geometrical line as the apical point of the measure to calculate the perpendicular distance to the most coronal gingival point. The purpose of the following study is to give the guidelines for a correct implant positioning respecting the biological rules, in addition, it analyzes the height/width ratio of the peri-implant buccal tissues between different type of connections and comparing different areas in the oral cavity. The present research compares the ratio between the height/width of the peri-implant mucosa considering the variables of the residual buccal bone and the difference in six implant brand, finding some important relations.