Day 1 :
- Public Health Dentistry | Oral Cancer Research | Dental Implants and Dentures | Prosthodontics & Implantology | Endodontics | Dental Biomaterials & Bioengineering
Location: Webinar
Session Introduction
Ayah Mohamed
Royal Free London NHS Foundation Trust, London, United Kingdom
Title: The impact of replacing removable retainers on the Orthodontic Department
Biography:
Ayah completed her undergraduate dental training with an Honours degree from Trinity College Dublin in 2017. She then worked as an associate dentist in busy general dental practices in the UK. Her passion for complex work led her to complete two years of postgraduate training. The first of these posts was as an Oral and Maxillofacial Surgery (OMFS) House Officer in London followed by a year in the Oral Medicine and OMFS Department in Bristol. She was involved with the Orthodontic team during these posts and conducted various projects. She has presented numerous poster and oral presentations at national conferences
Abstract:
The National Health Service in the United Kingdom currently offers one course of orthodontic treatment for patients who qualify for treatment and will review them for up to 1 year post completion of treatment during which any lost or broken retainers may need to be replaced.At present, these patients are overbooked onto busy clinics carrying several negative implications for the entire team.
To determine the various implications of replacing removable retainers on the Orthodontic Department and to identify possible solutions, a retrospective audit was conducted at the Royal Free Hospital NHS Foundation Trust between January and December 2018. The records of 22 patients who required replacement removable retainers were reviewed. The overall cost of fabrication and delivery of a removable retainer was calculated through discussions with trust financial analysts, clinicians and lab technicians.
A total of 22 patients were provided with replacement removable retainers. The appointments incurred an average cost of £255 with a patient contribution of only £40. A total of 44 appointments were required, resulting in overbooking of orthodontic clinics leading to significant stress to both the clinicians and lab technicians.
In conclusion, the process of providing patients with replacement removable retainers currently results in a financial loss to the department as well as an increased workload and stress to both the clinician and laboratory. We recommend increasing the replacement fee to provide a more financially sustainable service. Furthermore, offering patients the option to purchase a second set of retainers at debond can result in fewer overbooked clinics.
Ayah Mohamed
Royal Free London NHS Foundation Trust, London, United Kingdom
Title: The use of an endotracheal tube in the biphasic fixation of a mandibular fracture
Biography:
Ayah Mohamed completed her undergraduate dental training with an Honours degree from Trinity College Dublin in 2017. She then worked as an associate dentist in busy general dental practices in the UK. Her passion for complex work led her to complete two years of postgraduate training. The first of these posts was as an Oral and Maxillofacial Surgery (OMFS) House Officer in the Royal Free London NHS Foundation Trust followed by a year in the Oral Medicine and OMFS Department in the University Hospitals Bristol NHS Trust. She has presented numerous poster and oral presentations at regional and national conferences.
Abstract:
The concept of external fixation applied to the mandible describes a technique where long screws are passed through the skin, into either side of a fracture and secured in place using an external fixator. It is indicated in heavily comminuted fractures, in cases of pathological fractures or grossly infected fractures.
We present a modified version of the biphasic system in the repair of a left angle fracture in a 28-year-old male. The 3-week old fracture was heavily infected, hence external fixation was indicated. Following curettage and alignment of the fracture, two 50mm Schanz screws were placed either side of the fracture. A size 7 endotracheal tube was measured to length and perforations created corresponding to the pin positions. Acrylic resin was syringed into the prepared endotracheal tube, which was then seated, held in position until the resin was fully set and remained in place for the length of the healing period.
This technique uses readily available, cost-effective equipment. It is less technically demanding than the conventional technique as it omits the adjustable connecting rods between the pin pairs yet provides a secure framework without the bulky equipment yielding a successful outcome.
Whilst external fixation has been used in mandibular fractures, its use has diminished for several reasons. This case demonstrates that a sound practical knowledge of some of the traditional techniques holds a place in modern trauma management.
Ayah Mohamed
Royal Free London NHS Foundation Trust, London, United Kingdom
Title: Mantle Cell Lymphoma: A rare cause for a swollen palate
Biography:
Ayah completed her undergraduate dental training with an Honours degree from Trinity College Dublin in 2017. She then worked as an associate dentist in busy general dental practices in the UK. Her passion for complex work led her to complete two years of postgraduate training. The first of these posts was as an Oral and Maxillofacial Surgery (OMFS) House Officer in London followed by a year in the Oral Medicine and OMFS Department in Bristol. She has presented numerous posters and oral presentations at both regional and national conferences
Abstract:
Mantle Cell Lymphoma is a distinct subtype of non-Hodgkin’s lymphoma with a historically aggressive clinical course and poor prognosis. To the best of our knowledge, only 14 cases of Mantle Cell Lymphoma affecting the hard palate have been reported in the literature.
We describe the case of a 68-year-old female who was referred to the Oral Medicine Department in the Bristol Dental hospital in November 2018 regarding a mass in the hard palate. The patient was previously diagnosed with stage IV Mantle Cell Lymphoma of the upper tarsal conjunctiva in December 2014. Further investigations revealed lymphomatous deposits in other sites throughout the body. This patient underwent 6 cycles of chemotherapy followed by consolidation LACE autograph and maintenance Rituximab. Whilst Mantle Cell Lymphoma very rarely presents on the hard palate, knowledge of its clinical features and differential diagnoses is imperative in its accurate diagnosis and appropriate management.
This case aims to raise awareness amongst clinicians about the oral presentation of MCL. Although the oral cavity is a rare site for its presentation, it is crucial that an oral examination be performed in all patients with suspected MCL to aid in diagnosis and prevent unnecessary delays and investigations.
Nikita Visaria-Shah
Whittington Health Community Dental Services, London, UK
Title: Post-operative Complications in Paediatric Patients Treated under GA: A Quality Improvement Project
Biography:
Nikita graduated from the University of Leeds in 2017 and has since gained an range of experience working within General Dentistry, Oral & Maxillofacial Surgery and the Community Dental Services. She is currently completing her dental core training in Paediatric Dentistry at the Royal London Hospital where she has gained further experience in treating paediatric patients under inhalation sedation and general anaesthesia. She is co-author of the paediatric dental blog “Tooth FaiRead,” and is studying to complete her Post Graduate Certificate in Dental Education
Abstract:
Children admitted for extractions under General Anaesthesia (GA) are likely to experience pain and bleeding following discharge. The 2008 UK Guidelines for the use of GA in paediatric dentistry recommend written and verbal post-operative instructions should be provided following a GA.
The aim of this quality improvement project was to assess the post-operative experience of patients following treatment under GA, evaluating pain and bleeding together with patient satisfaction.
The following standards were used:
No post-operative pain lasting >48 hours
No post-operative bleeding not controlled by local measures
Evaluation of patient satisfaction
The first cycle was a retrospective case note review of 25 children. Data collection included: pre-operative GA assessor, operative surgeon and anaesthetist. Parents were contacted via telephone to complete a patient satisfaction questionnaire (PSQ) and questions on post-operative pain and bleeding experienced following discharge. The outcomes were reviewed in a local meeting and prior to the second cycle a standardised GA assessment template was created and a new GA information sheet was implemented.
Results:
Cycle 1:
No post-operative pain lasting >48 hours= 76%
No post-operative bleeding not controlled by local measures= 100%
Mean Patient Satisfaction Score= 74%
Cycle 2:
No post-operative pain lasting >48 hours= 100%
No post-operative bleeding not controlled by local measures= 100%
Mean Patient Satisfaction Score= 80%
Following these results it is recommended to devise a local protocol for pre-operative, intra-operative and post-operative analgesia regimens. In line with patient feedback it is also recommended to design a social story for or young children undergoing GA
Nima sabzchamanara
National Medical University, Ukraine
Title: Periodontal muscle training can strength the periodontal support Feet your teeth
Biography:
NIMA SABZCHAMANARA has completed his dental study from National Medical University Kiev Ukraine. He is the student of first year of Residency program, in the Department for Therapeutic dentistry. He has published only one abstract in a dental journal.
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 pracrice 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 include chewing hard food. They were also asked to select the three most effective nutrition for periodontal tissue. The imdices 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 nutrition as being very effective, there was no significant association between patient perceived nourishment effectiveness and actual effectiveness. The implications for patient training are discussed.
This study supported by only me and my supervisor Alla grigorivna demitrova.
Mina Dabirinezhad
Karolinska Institute Dentistry, Sweden
Title: Optimization of the Dental Direct Digital Imaging by applying the Self-Recognition Technology
Biography:
Abstract:
Abu-Hussein Muhamad
DDS,MScD,MSc, Cert.Ped,FICD, University of Athens , Greece
Title: Genetics and Orthodontics
Biography:
DDS , DPD(Drodont)Dentistry for Children1988.Postgraduate taught course (two-years) in Oral Biology/Pathology, Dental Faculty, University of Athens 1998 .Master of Biostatistics,School Mathematics/Medicine,Athens2001.Postgraduate Bioesthetic Dentistry. OBI,International Faculty.Diploma. Roth/Williams Center for Functional Occlusion, Postgraduate Certificate Diploma in Restorative and Aesthetic Dentistry. He is currently a member of EAPD ( The European Academy of Pediatric Dentistry) and the IAPD ( International Association of Pediatric Dentistry). The American Academy of Pediatric Dentistry (AAPD).194publications as author or co-author in peer-reviewed journals/bookchapters .120 lectures and CE courses(Cleft lip/palate,Pediatric Dentistry) in many countries .
Abstract:
Abu-Hussein Muhamad
DDS,MScD,MSc, Cert.Ped,FICD, University of Athens , Greece
Title: Orthodontic management of patients with cleft lip and palate
Biography:
DDS , DPD(Drodont)Dentistry for Children1988.Postgraduate taught course (two-years) in Oral Biology/Pathology, Dental Faculty, University of Athens 1998 .Master of Biostatistics,School Mathematics/Medicine,Athens2001.Postgraduate Bioesthetic Dentistry. OBI,International Faculty.Diploma. Roth/Williams Center for Functional Occlusion, Postgraduate Certificate Diploma in Restorative and Aesthetic Dentistry. He is currently a member of EAPD ( The European Academy of Pediatric Dentistry) and the IAPD ( International Association of Pediatric Dentistry). The American Academy of Pediatric Dentistry (AAPD).194publications as author or co-author in peer-reviewed journals/bookchapters .120 lectures and CE courses(Cleft lip/palate,Pediatric Dentistry) in many countries.
Abstract:
Adel Abdel Azeem El Bardissy
Cairo University, Egypt
Title: Dental Trauma: Assessment of undergraduate dental students: theoretical knowledge and practical use of smartphone application ‘injured tooth’
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.