28^th Euro Dentistry Congress September 16-17, 2019 Amsterdam, Netherlands
Park Plaza Amsterdam Airport Hotel

Biography:

Akram Belmehdi is a Dental Doctor and a Specialist in the Department of Oral Surgery, Faculty of Dentistry, Mohamed V University, Rabat, Morocco. He is the Member of the Research Committee of Oral Biology and Pathology at the same university. He has published eight papers in reputed journals and has been serving as a Reviewer of Journal of Medical and Surgical Research. He has participated in more than 30 oral presentations and posters in national and international dental and medical conferences.

Abstract:

Introduction & Aim: Maxillary sinus is an integral entity of the orofacial sphere. As an oral surgeon or a dentist professional, it’s an obligation to know the different anatomical variations that can present this maxillary sinus. A good knowledge of sinus anatomy is an essential factor that allows dentists to avoid surgical complications (such as the potential risk of bleeding during oral surgeries: Caldwell-Luc and sinus lift) and to be able to opt for specific therapeutic modifications. The aim of this work is to determine the anatomical and radiological dimensions and variabilities of the maxillary sinus using cone beam on a regional population in Rabat.

Materials & Methods: A radiological descriptive and analytic transversal study was conducted on 200 cone beam images (200 maxillary sinus), performed between August and November of 2016, which concerned 100 patients (100 cone beam images for right sinuses and 100 images for left sinuses) aged 8 to 79; 48% male and 52% female. The study was carried out on the dimensions of the sinus of height, depth, width and volume. The anatomical variants that were evaluated included the shape of the floor, hypoplasias, and accessory sinuses, procreation of the orbital channels in the sinus, accessory ostia, intra-sinus septa and complete septations. SPSS (version 21) was used to analyze the data. Pearson correlation and linear regression were applied to compare quantitative variables.

Results: Regarding the dimensions of the maxillary sinus. Mean height, depth, width and volume values were 34.52±6.41mm, respectively; 35.71±4.40 mm; 23.99±4.86 mm; 14.19±5.6 cm³. Regarding variants: The most popular floor shape was the arcuate shape in 64% versus only 36% for the rectilinear form. Hypoplasia was rare; only six cases (3%) were found (66.7% were male and 33.3% female, 66.7% on the right side and 33.3% on the left side); unilateral. For accessory sinus and complete partitioning, they were present in 4.5% of the cases (37.5% of males and 62.5% of females, 55.5% at the right side and 44.5% at the level on the left side). As for the accessory ostia, they were found in the majority of cases 84% (45.2% male and 54.8% female, 52.3% located at the right side and 47.7% at the left side). They were in 84.6% bilateral and only in 15.4% unilateral, their length and average thickness were respectively 7.16±4.49 mm and 1.72±3.16 mm. However, intra-sinus septa were very rare 25.5% (55.9% were male and 44.1% female, 52% on the right side and 48% on the left side) strongly localized 1/3 average of the upper and lower walls, with an average height of 5.03 mm.

Discussion: The results of our research were close to those of other studies, in terms of dimensions on the one hand and the location and distribution of anatomo-radiological features on the other hand. Some of them have no predilection for sex, age and side (right and left of the sinus) as it was proven for septa and ostium accessories. Other forms were more prone to infection; these are hypoplasias and root-planar forms.

Biography:

Adel Elbardissy is an associate professor of pediatric dentstry at the Faculty of Dentistry Cairo University

Abstract:

Background: Few studies investigated the teaching of Dental Trauma at undergraduate levels, and explored the effectiveness of some teaching interventions on students. The last decade has seen an increasing use of advanced technology within the arena of dental educational intervention. The trend certainly anticipates the overall improvement towards reaching a precise diagnosis and appropriate management of traumatic dental injuries. Some Smartphone Applications are just but examples of this educational technology.

Aim: This study firstly aims at evaluating the knowledge of final year undergraduate students about dental trauma. Secondly, the study assesses the ability of a selected group of the students to diagnose and propose treatment plan/s using a Smartphone Application ‘Injured Tooth’. Design: dental undergraduate final year students, at Faculty of Dentistry, Egypt were invited to complete a Questionnaire on dental trauma after finishing all the lectures and relevant Case Studies’ Sessions. The same questionnaire was used to measurechanges in the knowledge level of sixty students selected to use ‘Injured Tooth’App during answering the Questionnaire.

Results:A total of 274 participated in the study. The mean percentage of correct answers was 77.8% (SD 17.3). The mean values for the total score were 8.4 (SD 1.4), with a range of 5–11. The mean percentage of correct answers of the selected students was 68.97(SD 20.2). The mean percentage of correct answers of the students using the Application was 95.8 (SD7.0).

Conclusions: Knowledge of the students regarding traumatic dental injuries is competent in some areas while considered inadequate in others. The use of the Application was effective in providing accessible knowledge to the students to guide them in proposing the possible management protocols for the different traumatic dental injuries presented in this Study.

Biography:

Omid Panahi was graduated from Centro Escolar University in 2013 in the field of Doctor of Dental Medicine (DMD), and MSc Oral and Maxillofacial Surgery at Yeditepe University, Istanbul, Turkey. He has published more than 40 papers in reputed journals and has been serving as an Editorial Board Member of ISI journals.

Abstract:

When Someone missed his/her teeth they will have some problems such as eating and laughing and also bad psychological state that can even affect his/her confidence and there are two option treatment plans according to their dentist’s opinion to choose dental implants or dentures. In this paper, I’ve tried to investigate the advantages of both treatment plans. Each treatment plans has its own advantages and disadvantages. Dental Implant treatment plan advantages are natural-looking, natural-acting and natural feeling teeth and Dentures advantages are versatility, cost, and aesthetics. Both treatments plans are used as an alternative for the missing teeth and can vary according to some of the parameters including the patient-specific treatment plan, functionality, financial aspect, the appearance of teeth and the comfort care.

Biography:

Nima Sabzchamanara has completed his Dental study from National Medical University Kiev Ukraine with Honored Diploma. He has certified with specialization in Therapeutic Dentistry in 2018, and is currently practicing with Microscopic Dentistry in private dental clinics in Kyiv, Ukraine.

Abstract:

Previous research on periodontal structure and function has shown a significant relationship between periodontal tissue and teeth. This study assessed dentist's beliefs about the relative efficacy of the health of periodontal tissue. A total of 505 patients in general practice were asked to respond to a list of 25 obligatory nourishment for a child while going to have the first teeth, for its effectiveness in dealing with patient's periodontal health especially includes chewing hard food. They were also asked to select the three types of effective nutrition for periodontal tissue. The indices of patient perceived importance of the periodontal health were derived and each compared with actual effectiveness as determined from a sample of 250 patients. Although the majority of patient's rated 18 of 25 types of nutrition as being very effective, there was no significant association between patients perceived nourishment effectiveness and actual effectiveness. The implications for patient training are discussed.

Biography:

Khadiza Begum has pursued her MDS in Prosthodontics with the highest percentile and first rank in the state Rajasthan University of Health Sciences. At present, she is posted as a Senior Specialist and Assistant Professor in the same university. She has also completed her Fellowship in Implantology with merits under Prof. George H Nentwig, Director at Oral Implantology, Gothe University of Frankfurt, Germany. She has been an active Speaker in Dental Education programs and conferences organized by Indian Dental Association and other international conferences. She has an eminent role in CDE (Continuing Dental Education Programs) organized by Indian Dental Association and State Health University. She has submitted her research and clinical case reports in the field of Dentistry and especially Prosthodontics to the State University for encouraging Dental Research and Education programs. Her articles and field work has been published in many eminent Journals around the world. Presently, she is working on advanced implant studies under the guidance of Dr. Porus Turner who is running his own Implantology centre in Mumbai, India.

Abstract:

Cone beam computed tomography (CBCT) is a medical imaging technique of X-ray computed tomography where the X-rays are divergent, forming a cone. CBCT systems have been designed for imaging hard tissues of the maxillofacial region. The increasing availability of this technology provides the dental clinician with an imaging modality capable of providing a three-dimensional representation of the maxillofacial skeleton with minimal distortion. This article is intended to elaborate and enunciate on the various applications and benefits of CBCT, in the realm of oral and maxillofacial surgery and Prosthodontics, over and beyond its obvious benefits in the rehabilitation of patients with implants. With the onus of meticulous reconstruction of near ideal occlusion resting on the prosthodontist, CBCT provides a unique imaging option, which can be a boon in various aspects of Prosthodontic practice - from imaging of the temporomandibular joint for accurate movement simulation, to template assisted maxillofacial reconstruction or even over denture therapy and CBCT guided implant surgery. CBCT could play a crucial role in lessening the burden of a hectic dental routine for the clinician and critically contribute to accurate and effective treatment for the patient. The fact that measurements from the CBCT are routinely accurate throughout the maxilla and mandible makes this an excellent imaging modality for planning implant placement. Using these features, an implantologist can gain confidence in treatment planning for complex surgical procedures such as sinus lift and ridge augmentation, apart from gaining a secure sense during intricate extraction procedures and implant placement - with or without a surgical guide. The countless advantages of this 3D imaging technique over conventional methods had brought a revolution in almost all the fields of dentistry from early diagnosis to treatment planning.

Biography:

Adel Elbardissy is an associate professor of pediatric dentstry at the Faculty of Dentistry Cairo University

Abstract:

Background: prevalence of traumatic dental injuries (TDIs) among visually impaired children varies from one country to another. Different factors aside visual impairment influences the prevalence as well as the severity of such injuries. Evaluating the level of the health care provided for those children by comparing number of traumatized cases and number of treated cases would help in documenting the need for creating a special health care program for them.

Aim: this study aims at assessment of traumatic dental injuries in a group of visually impaired Egyptian children and the effect of the relative factors in their prevalence.

Design: A descriptive cross-sectional study using a questionnaire and clinical examination was conducted to assess the prevalence of TDIs of the upper and lower permanent incisors and its relevant factors in children attending two governmental schools for blind children, one school for girls and the other one for boys.

Results: Among 402 blind students examined in the current study, 210 (52.2%) students were males and 192 (47.8%) were females. Prevalence of traumatic dental injuries among the study population was 9.95% (40 students).   Prevalence of traumatic dental injuries among males was (11.43%) while it was (8.33%) among females, the difference was not significant. Upper central incisors hadthe highest frequency of trauma (72.5%) and fracture of enamel and dentine was the most frequent TDIS (57.5%). Fall was the most common cause of injury (55%) and the most frequent place of injury was at home (55%). Mean age of children at time of injury is 11.85 (±1.47) years. Only five cases (12.5%) had dental treatment and restoration of their traumatic injuries.There were significant correlations between increased overjet and/ or inadequate lip coverage and the prevalence of TDIs.

Conclusions:Environmental factors proposed to influence the prevalence of TDIs are difficult to evaluate in the presence of other factors like human behavior and oral factors. The most significant oral factors in predisposing TDIs in blind children are increased overjet and inadequate lip coverage. More efforts are needed to provide better dental health care service for visually impaired children.

Biography:

Akram Belmehdi is a Dental Doctor and a Specialist in the Department of Oral Surgery, Faculty of Dentistry, Mohamed V University, Rabat, Morocco. He is the Member of the Research Committee of Oral Biology and Pathology at the same university. He has published 8 papers in reputed journals and has been serving as a Reviewer of Journal of Medical and Surgical Research. He has participated in more than 30 oral presentations and posters in national and international dental and medical conferences

Abstract:

Osteomyelitis (OM) is an inflammatory process of the bone. In the maxillofacial skeleton, usually both medullary and cortical bone are involved, hence the term is most often used to describe the inflammatory process in the basal and alveolar bone.

OMs are now rare in western European countries indicating not only the values of antibiotics and early treatment but the importance of predisposing factors such as poor nutrition, chronic debilitating illness and gross untreated disease.

OMs of the jaw can be a difficult disease to treat because the chronic forms have a marked tendency towards recurrence. OM of the jaw is not a singular entity. In the literature, two main types of OM are described. The presence of pus and/or fistulas and/or sequestrations is characteristics of the suppurative variants, thereby distinguishing them from the non-suppurative variants, which are chronic inflammatory processes of unknown etiology.

Material and methods

The aim of this work is to report clinical case series of variant osteomyelitis received in the oral surgery department of the faculty of dentistry of Rabat which have been successfully managed and treated with combination of surgical approach and medical treatment.

Discussion

Recurrent clinical signs in advanced mandibular chronic forms are pain, with or without local swelling, trismus, halitosis, and labiomental hypoesthesia. A careful assessment must make the diagnosis and avoid therapeutic errors. The usual radiological features (conventional radiography, CT, magnetic resonance imaging [MRI]) are osteolysis, periosteal osteogenesis, sequestra and sclerosis in primary forms.

Spontaneous infectious evolution can be done early towards local, regional or general extension. Secondarily, pathological fractures, delay of consolidation or transition to chronicity are possible.

Conclusion

Osteomyelitis is always considered to be a serious bone marrow infection with momentous morbidity and higher rate of recurrences. The early diagnosis and management help reduce the morbidity and extent of surgery. Surgical intervention will then enable the surgeon to harvest material for histopathologic diagnosis and bacterial identification. Antibiotic sensitivity testing helps in the selection of the appropriate therapeutic agent, whereas serial imaging may be required to monitor the response of the patient to treatment and help determine its end point.

Biography:

Åžebnem Nezahat Koçan was graduated from Marmara University, Faculty of Dentistry in 2016. She has been working as a Research Assistant at EskiÅŸehir Osmangazi University, Faculty of Dentistry, and Department of Pediatric Dentistry since 2018.

Abstract:

Biography:

Sukran Yildirim has started her dentistry education at the age of 19 years in Istanbul Medipol University and now, her education in fifth grade continues as an intern dentist. She still intern dentist. She published one research paper in an international congress as an oral presenter last year.

Abstract:

The aim of this study was to determine the medical consultation forms requested from the Periodontology Department for patients who had serious health problems. The adequacy of medical consultation forms for the patients who applied to the Periodontology Department of Esenler Hospital, Istanbul Medipol University Faculty of Dentistry between 2010 and 2019 was evaluated. Sociodemographic determinants like sex and age, medical status of patients and information contents of the forms from consultant physicians were assessed. Cardiology and Internal Medicine were found as the most consulted medical service when the forms were determined. The results showed that prophylactic antibiotic intake was detected as main dental issue and about close to half of the consultations resulted in an alteration in dental treatment plans. This study showed that dentists should provide safety treatment procedure for periodontal patients under the medical risk group. For this reason, to focus on understanding and revealing medical history formed by a joint consultation with the periodontists and physicians. The benefits of working together as a team in order to make an appropriate treatment strategy contributed to increase both dentists’ and physicians’ awareness about oral health related diseases.

Biography:

Åžebnem Nezahat Koçan was graduated from Marmara University, Faculty of Dentistry in 2016. She has been working as a Research Assistant at EskiÅŸehir Osmangazi University, Faculty of Dentistry, and Department of Pediatric Dentistry since 2018.

Abstract:

Cancer is rare in pediatric patients. According to 2014 World Cancer Report, childhood cancer incidence changes between 50 and 200 per million children. About 0.5-4.6% of total cancer rate are childhood cancers. It is characterized by different environmental, genetic effects and the proliferation of cells faster than normal. The cancers seen in children under 15 years of age are considered as childhood cancers and their symptoms may be confused with other diseases. Leukemia is the most common childhood cancer, and the most common subtype is acute lymphoblastic leukemia. After that, the other common cancers are brain tumors and lymphomas. Most common brain tumors in pediatric patients are glioma, ependymoma, medulloblastoma. Early diagnosis is important in terms of facilitating treatment and increasing the survival rate. It shows systemic symptoms as well as oral symptoms. Radiotherapy and agents using at chemotherapy have some effects on oral mucosa, teeth and other oral tissues. Dentists should have knowledge about the oral symptoms of childhood cancer and management of oral health before, during and after childhood cancer treatment. Present presentation is aimed to review and update the current knowledge about management and oral symptoms of childhood cancer in pediatric dentistry.

Biography:

Åžebnem Nezahat Koçan was graduated from Marmara University, Faculty of Dentistry in 2016. She has been working as a Research Assistant at EskiÅŸehir Osmangazi University, Faculty of Dentistry, and Department of Pediatric Dentistry since 2018.

Abstract:

Biography:

Abstract:

Periodontitis is a highly prevalent and complex disease, initiated by a dysbiotic biofilm but progressed largely by an exaggerated under-regulated host immune-inflammatory response. Its primary features include the loss of periodontal tissue support of the tooth, manifested through clinical attachment loss and radiographically assessed alveolar bone loss, presence of periodontal pocketing and gingival bleeding. Periodontitis could increase the systemic inflammation in patients with CVD due to bacteremias with periodontal origin. A male patient, 47, was presented to the University San Sebastian at Concepción, Chile, School of Dental Clinic on June 01, 2016 for oral and periodontal examination. The patient's medical history included dyslipidemia (DLP), coronary heart disease (CHD), acute coronary syndrome (ACS), angina and history of myocardial revascularization surgery in 2013. Full-mouth probing depths showed overall pockets up to 8 mm. Loss of attachment levels were in the range of 8 mm. The periodontal examination described the gingival margins as erythematous and edematous, with multiple periodontal abscesses, increased tooth mobility and furcation involvement. Radiographic evaluation showed severe alveolar bone loss. The diagnosis was generalized as severe chronic periodontitis. The nonsurgical periodontal treatment included scaling and root planning (SRP), local treatment with chlorhexidine and systemic treatment with amoxicillin and metronidazole. The treatment was successful with significant improvement of periodontal parameters. However, during 2017, it was not possible to continue the treatment due to worsening of the cardiovascular condition, in this case a new acute coronary syndrome (ACS) that was treated with angioplasty placing two medicated stent. Another acute episode of the coronary disease happened the same year and was treated with another angioplasty with balloon catheter. Drugs in use were: clopidogrel-75 mg day, carvedilol-3.125 mg bid, atorvastatin-80 mg at night, aspirine-100 mg day and enalapril-10 mg bid. Even with local and systemic drug treatment, aimed at prevention of systemic bacteremia due to the invasive periodontal procedures, the patient underwent a ACS, suggesting a possible antecedent infection link to a vascular plaque, leading to subsequent plaque destabilization, rupture and ACS. Despite the systemic condition, a maintenance non-invasive management of periodontitis was possible, avoiding its progression.

Biography:

Areej Ayed Derham has completed her BDS from King Abdulaziz University, Faculty of Dentistry. She is a seasoned dentist with experience in all phases of four-handed dentistry. Successfully challenged the global board of human development and became a dimplomate in both Applied Psychology and Sign Language. Member of International Association of Dental Research, Behavioral, Epidemiologic and Health Services, and Arab Society for Disability and Oral Health. Recently joined the Global Oral Health Inequalities Research Network. She has several ISI publications and presented them in well-organized conferences. Currently she is working on several papers and contributing too many others.

Abstract:

Aim: This article aims to present an advanced therapeutic approach based entirely on adhesive dentistry. Background: The restoration of endodontically-treated teeth (ETT) has been widely and controversially discussed in the dental literature, most of which recommends cuspal coverage of ETT to protect against potential tooth fracture. The main goal of conservative dentistry in managing ETT is to achieve minimally invasive preparation with maximal cuspal coverage. The “endocrown” follows this rationale. In addition, proximal caries with deep cervical margins are particularly complex to manage clinically. Moreover, there are various clinical approaches to such challenges, such as placing a base of composite resin to coronally displace proximal margins underneath indirect bonded restorations as known as deep margin elevation (DME) or coronal margin relocation. Case Description: This study is a clinical case report of an endocrown restoration performed on ETT with extensive coronal destruction. In combination with the clinical procedure presented here, some of the ETT with deep cervical margins were managed by applying direct composite resin restoration using the DME technique. Conclusion & Clinical Significance: The ideal treatment of ETT has been controversially discussed in the literature. Based on current evidence, endocrowns can be considered as a reliable treatment option for moderately mutilated ETT. The achieved adhesive monoblock system reduces the need for macro-retentive geometry and provides an efficient outcome and better esthetics. Furthermore, the DME technique represents another useful treatment approach for patients with financial restrictions and those with higher risk of negative outcomes involving more invasive surgical procedures. Thus, it could be used in clinical situations with deep subgingival cervical margin where isolation with a rubber dam remains possible.

Biography:

Rumeysa Cihangir was graduated from Istanbul University, Faculty of Dentistry and she is a PhD student at Istanbul University, Faculty of Dentistry, Department of Periodontology. Her PhD dissertation will be about neutrophil enzyme alterations of gingival crevicular fluid at smoker gingivitis patients. This study is still on progress. She has participated in many domestic congresses.

Abstract:

Objective: Papillon Lefevre Syndrome (PLS) is an autosomal recessive inherited genetic disorder characterized by palmoplantar hyperkeratosis and premature loss of deciduous and permanent teeth. Mutation of cathepsin C gene has been detected in the patient with PLS. In this case report, oral and radioghaphic findings of one PLS patient were discussed. Case: Fourteen year old male patient diagnosed with PLS after radiographic, dermatologic and dental examination was referred to our clinic due to severe gingival inflammation and mobility. Severe gingival inflammation, alveolar bone resorption and multiple teeth loss due to periodontal reasons were observed. Mild palmar and moderate plantar hyperkeratosis was observed but no other systemic problems were detected. After non-surgical periodontal treatment and antibiotherapy severe gingival inflammation was reduced but not eliminated completely, mobility score of some teeth reached to zero score; patient was motivated about oral hygiene and was taken into maintenance phases. After having extracted hopeless teeth patient was directed for prosthodontic rehabilitation. Conclusion: PLS is a rare autosomal recessive disorder. With PLS-specific dermatologic findings and characteristic periodontal view, it is possible to be able to identify the disease in its very early stages. Early diagnosis of the disease and institution of an appropriate periodontal and antimicrobial treatment might improve the prognosis.

Biography:

Abstract:

Introduction: Human saliva is a fluid with many biological functions essential for the maintenance of oral health.[1] Salivary flow and composition influences calculus formation and periodontal disease. Salivary calcium, magnesium due to its affinity to be readily taken up by plaque, is an important factor not only with regard to the onset of periodontitis but also significantly with regard to dental health. They are one of the most intensely studied potential markers for periodontal disease in saliva.[2,3] Cross-sectional and longitudinal studies have provided strong evidence that smoking is a significant risk factor for periodontal disease.[4] All of the surveys have reported increased quantities of calculus in smokers. It has long been known that smoking causes a marked increase in salivary flow rate as a simple reflex effect and this could explain the tendency of smokers to accumulate increased amounts of calculus. There is some evidence that smoking also increases the mineralizing potential of saliva [4]. An elevated level of salivary calcium in smokers is related to a greater degree of bone loss and lower mineral density of bones than in non-smokers [5,6] Smokers have comparatively higher oral pH than non-smokers. Therefore, there is a great possibility for this pH to extract calcium from the scales deposited on the teeth (or even from their teeth) of these individuals which might result in the elevated levels of salivary calcium, magnesium level.[6] Aims & Objectives: To estimate, analyze, compare and to correlate the variation in salivary calcium, magnesium levels and pH in periodontally healthy subjects and that of chronic periodontitis of smoker and non-smoker subjects. Results: • The mean PPD score is significantly higher among smokers than non-smokers (p<0.05). • The mean salivary calcium level is significantly higher among smokers than non-smokers (p<0.05). • There were no statistically significant differences in PI, GI, salivary magnesium and pH among smokers than non-smokers (p>0.05).