28th Euro Dentistry Congress

Biography:

Dr. Ramnath Elangovan has completed his BDS in Adhiparasakthi Dental College and Hospital, Melmaruvathur, Kanchipuram, Tamilnadu, INDIA and currently pursuing his final year of Postgraduation in Department of Periodontics at Adhiparasakthi Dental College and Hospital, Melmaruvathur, Kanchipuram, Tamilnadu, INDIA.  After completing his Under graduation, he worked as a Tutor in same institution in the Department of Conservative Dentistry and Endodontics for a year. His immense interest in Implants, Regenerative medicine and Research made him to pursue his career in the Department of Periodontics. He has various Publications in National and International Journals in his Post-Graduation and a major interest in spreading awareness about oral health and hygiene.

Abstract:

Pulpo-periodontal lesion is one of the most complicated condition to be treated as it needs more accurate diagnostic skills and precise treatment plans. The major challenge in the treatment of the pulpo-periodontal lesion is to treat the endodontic infection along with the regeneration of the lost periodontal structures associated with the lesion. The prognosis of the tooth depends upon the extension of the periodontal structure loss around the tooth. Root canal therapy and guided tissue regeneration technique with bone grafts and collagen membranes serve as a best mode of treatment for pulpo -periodontal lesions. There are many systematic approaches and materials that are available for the treatment of the Endo-Perio lesion. Membranes used in Guided Tissue Regeneration procedures should enhance the growth of lost periodontal structures and also adapt to the surface contours of the bone and root surfaces. Autogenous grafts have proven to be the golden standard in the field of regenerative medicine. Amniotic membrane is one such gift from mother nature which has  a reservoir of Mesenchymal Stem Cells which enhances the healing process along with various other properties such as   Anti-Microbial (broad-spectrum against bacteria, fungi, protozoa, and viruses), Reduction of pain, Anti-Scarring and Anti-inflammatory effects, Tissue repair with enhanced bone remodeling, osteogenesis, and chondrogenesis, Accelerating fibrogenesis and angiogenesis, Increased extracellular matrix deposition. This case series   presents the successful management of teeth affected by Pulpo-Periodontal lesion with Guarded Prognosis using Amniotic Membrane as a Guided Tissue Regeneration Membrane.

Biography:

Abstract:

Biography:

Dr.Zainab Sulaimani is an implantologist who has been practicing implant dentistry since 2011. Dr. Sulaimani is 1992 graduate from King Saud university, in the capital Riyadh, Saudi Arabia. Dr.Sulaimani is a member of SDS Saudi dental society, and KSA Implant club. Dr.Sulaimani worked in ministry of health M.O.H for 26 years, during these years she believes strongly in the value of continuing education. As she finished 4 years of (SBARD) Saudi Boar in Advanced restorative Dentistry since 2007. In 2011 she had fellowship in Implant dentistry (SF.). Now dr.Sulaimani has experience in practicing implant surgery in esthetic & non esthetic zone, since 9 years ago.

Abstract:

Rapid prototyping is a method of producing solid physical copies of human anatomy from 3D computer data. Stereolithography is the most widely known and used rapid prototyping and the one most often technique used to generate medical models and computer-generated surgical guides for osteotomy site preparation in dental implant surgery. SurgiGuides are the computer-designed and stereolithography-generated surgical guides used during osteotomy site preparation. Stereolithography interfaces a patient's 3D CT study with the SimPlant plan. Made of acrylic resin, SurgiGuides contain one or more steel drilling sleeves, each of a defined diameter and with minimal tolerance, to control and ensure the accuracy of each osteotomy site preparation in two planes-bucco- lingually and mesiodistally. SurgiGuide design is based on the presurgical 3D positioning of implant icons using SimPlant (Materialise) interactive software, which transfers the prosthetically driven surgical treatment plan onto the CT. SurgiGuides can be supported by bone, teeth, teeth and mucosa, mucosa, or supragingival pre-existing dental implant components and mucosa. This article presents a case for teeth and mucosa supported implant placement for mandible, and bone supported for maxilla for the aim of complete oral rehabilitation with implants.

Biography:

Abstract:

Biography:

Dr. karim sherif adly is an assistant lecturer in  Crown and Bridge Department,  Faculty of Dental Medicine, Al-Azhar University. (Cairo-Boys).he get PHD in 2019.he is the founder of scuba diving relation to dental health.he has a big vision in this aspect. Dr. karim recived BDS in 2009 and MDS in 2015. Dr. karim continued his research in CAD/CAM and digital dentistry.he continued his researches in Faculty of Dental Medicine, Al-Azhar University.

Abstract:

Purpose: evaluation of effect of environmental pressure changes simulating scuba diving on microleakage of zirconia restoration. Autonomous diving, also known as SCUBA (Self Contained Underwater Breathing Apparatus) diving, was developed in the 40’s. When mentioning the term SCUBA, in general an open circuit equipment is meant, although this term also comprises closed circuit equipment with re-inhalation, which use carbon dioxide filters. Despite the fact that diving with a pressurized air tank has been the subject of study for more than seventy years, there are still unknown aspects about it. Methods: A total of forty-eight zirconia monolithic crowns cemented to natural teeth were used in the study. The samples were assigned to three equal groups (n=16 each) according to environmental pressure change. 1 bar:  3 bar: 5 bar: Each group was divided into two subgroups (n=8), according to the type of luting cement used  Subgroup PANavia f 2.0,Subgroup rely x unicem. Results: Irrespective of cement, totally it was found that the highest mean ± SD values of Leakage were recorded for 5 Bar subgroup (14.163±3.9%) followed by 3 Bar  subgroup mean ± SD values (10.243±2.3%) meanwhile the lowest mean ± SD value was recorded with Control subgroup (3.1084±1.3%). The difference between groups was statistically significant as indicated by one way ANOVA followed by Tukey’s pair-wise post-hoc test (F=84.8, P=<0.0001<0.05).Conclusion: The environmental pressure changes affect the microleakage of translucent monolithic zirconia.

Biography:

Reader, Department of Conservative Dentistry and Endodontics, Pacific Dental College and Hospital,

Abstract:

Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.

Biography:

Dr. Islam Shawky is an expert in the field of digital dentistry,cone beam computed tomography and 3-D printing,specialized in diagnosis and planning using all CBCT softwares,looking forward for advancements in digital dentistry for more accurate dental planning, working as assistant professor and manager of radiology center at faculty of dentistry,Misr international university.

Abstract:

Background: Conventional radiographs are not an efficient diagnostic imaging modality to detect vertical root fracture. Cone‑beam computed tomography (CBCT) is a three dimensional imaging modality that overcomes the limitations of conventional radiography in the detection of vertical root fractures (VRFS), although metallic structures produce artifacts in the produced images and since most of the teeth with VRF are endodontically treated and have metallic posts in root canal so fracture detection may be difficult. Aim: This study aimed to determine the diagnostic accuracy of CBCT using metal artifact reduction algorithm in detection of VRF of teeth with metallic posts compared to digital intraoral radiography. Materials and Methods: One hundred and twenty single‑rooted extracted human teeth were endodontically treated then placed in an acrylic block and metallic posts were inserted. The teeth roots were divided into two groups; one with induced VRF and the other having intact roots. Then, each tooth was coded and imaged three times using CBCT with and without metal artifact reduction algorithm and digital periapical radiography. Data were collected and statistically analyzed. Results: Digital periapical radiography showed statistically significantly lower diagnostic accuracy than CBCT modalities (P ≤ 0.05). The use of metal artifact reduction algorithm improved the diagnostic accuracy from CBCT1 to CBCT2 but with no statistically significant difference (P ≥ 0.05). Conclusion: From the study, we can conclude that in case of presence of metallic posts, CBCT with metal artifact reduction algorithm can improve detection of VRF. Keywords: Cone‑beam computed tomography, metal artifact, metallic post, periapical radiography, vertical root fracture.

Biography:

Dr. Kavalipurapu Venkata Teja has completed his graduation in 2016 and currently pursuing masters in Endodontics. He has attended various national and international conferences and has publications to his credit. Currently he is working on Irrigant flow rates and endodontic pain management.

Abstract:

Adequate pain management is an essential key to success in both endodontics and restorative dentistry. There are several ways to reduce pain during and after the root canal treatment, one of them being administering analgesics preoperatively and/or postoperatively. Single oral preoperative dosage before root canal treatment may decrease the establishment of central sensitization, whereby spinal neurons increase their responsiveness to peripheral nociceptive input which could amplify postoperative pain and it is also helpful in reducing the postoperative analgesic intake. Whether pre-emptive analgesia is more effective than preventive regimens in managing postoperative pain is still controversial. Aim: To evaluate the postoperative pain levels and analgesic intake on pre- emptive versus postoperative oral administration of Paracetmol in single visit root canal treatment.

Objectives :

* To evaluate the post operative pain levels.

* To evaluate the postoperative analgesic intake.

Materials and methods: 100 patients who presented with symptomatic irreversible pulpitis and with a moderate to severe base line VAS scores were selected for the study and were randomly allocated into two groups as follows

Group I: Pre-emptive group (n=50)

Group II: Preventive group  (n=50)

Patients in group I were administered preoperatively with 600mg of Paracetmol tablet 1 hour before the procedure, where as in group II patients were not administred any analgesic preoperatively. The treatment procedure was finished in single visit and 200mg Paracetmol tablet was admistered 8 hourly in both the groups. The patients were asked to take tablets only when required and evaluated for pain scores and analgesic intake at 6,24,48,72 hour intervals. Results: There was a statistical significant decrease (p<0.05) in pain levels in Pre emptive group compared to preventive group at 6,24,48 and 72 hours and the significant decrease in tablet intake in group I was seen at 24 and 48 hours where as the intake was almost nil at 72 hours in both the groups.Conclusion: Within the limitations of the present study, it can be concluded that preemptive analgesic administration was benificial in reduction of postoperative pain levels and analgesic intake in patients with symptomatic irreversible pulpitis undergoing single visit root canal treatment.

Biography:

Dr.med.dent Tsengelsaikhan Nyamdorj is the Head of the Department of Graduate Studies, Graduate School of Mongolian National University of Medical Sciences. Her research areas are oral health, socioeconomic status and medical education. She is an editor of Mongolian language academic journal “Innovation Dentistry” since 2014.

Abstract:

Although inequalities in dental caries have been well-reported, there is only one Mongolian study on the association between socioeconomic status (SES) and caries experience, which was published ten years ago. This study aimed to determine the dental health status of Mongolian children living in urban and suburban areas of Ulaanbaatar city and examine its association with income and parental educational attainment. An oral examination was conducted by dentists and caries were measured as deft/DMFT indices. A questionnaire including demographic characteristics and socioeconomic status was completed by their parents or caregiver. Parental educational attainment and household income were used as the measures of SES. The relative index of inequality (RII) and slope index of inequality (SII) were employed to examine the association between SES on deft and DMFT after adjusting for covariates. Dental caries prevalence (those with deft/DMFT > 0) was 89.3% among the total number of participants. The mean deft/DMFT values for age groups 1–6, 7–12, and 13–18 were 5.83 (SD = 4.37, deft), 5.77 (SD = 3.31, deft/DMFT), and 3.59 (SD = 2.69, DMFT), respectively. Rather than residence area and parental educational attainment, significant caries experience inequality was observed in relation to income (RII 0.65 95%, CI 0.52 to 0.82, SII −2.30, 95% CI −4.16 to −0.45). A prevention strategy for lower socioeconomic groups and building integrated oral health surveillance to monitor epidemiological trends for further evaluation of its progress is necessary. Keywords: oral health inequality; caries prevalence; socioeconomic status; Mongolia

Biography:

Miss Melissa Loh is currently in her second year as a Dental Core Trainee at the University of Liverpool Dental Hospital, having graduated from the University of Liverpool Dental Hospital in 2017. Miss Loh is interested in dental health promotion and patient satisfaction and hence undertook this project to gain some experience with quality improvement processes within the Oral Medicine department.

Abstract:

In the Oral Medicine department at the University of Liverpool Dental Hospital, there are monthly designated Dysplasia clinics whereby patients are reviewed following their clinical and/or their histological diagnosis of intra-oral Dysplasia. The Patient reported Experience Measures (PREMs) tool adopted from the “Guide for Commissioning Oral Surgery and Oral Medicine” [1] has been utilised to obtain patient feedback following their consultation. This tool allows for a simple, reproducible and quantifiable avenue for collecting how patients have perceived their experience and care through the department. The objectives of this tool, designed as a patient questionnaire was completed following meeting with a clinician on these designated clinics. This questionnaire (as seen in figure 1) collected information concerning the quality of service provided in the Oral Medicine department. Enabling the department to identify possible areas for improvement and hence consider altering patient’s experiences through the Dysplasia clinic. A total of 100 questionnaires were distributed and the data inputted on an Excel spreadsheet to analyse the results and comments from the participants. It is of paramount importance and in line with the General Dental Council’s Standards for the Dental Team document [2] that a high standard of patient care and a good quality of professional value is maintained during managing patients. It is arguably of particular importance with these clinics as often patients diagnosed with dysplasia can exhibit understandably anxiety when considering the malignant potential.

Biography:

Dr. 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.

Biography:

Massimiliano Ciaravolo is from Department of Biomedical and Dental Sciences CAGLIARI University, Italy.

Abstract: