Day 1 :
- Dental Hygiene and Oral Health, Oral and Maxillofacial Surgery, Dental Public Health and Oral Diseases
Chair
Ehsan Birang
Shahid Beheshti University School of Dentistry
Session Introduction
Anam Ahmed
1. Department of Gastroenterology, AIIMS, New Delhi
Title: Dental Enamel defects and other Oral Manifestations in patients with celiac disease
Biography:
Dr. Anam Ahmed is a dental surgeon and has done masters in Medical Anatomy. Presently working as Senior research fellow in Celiac team of Dept of Gastroenterology, AIIMS, New Delhi. Making use of both her medical and basic science background she is working on oral manifestations of patients with Celiac disease in Indian population.
Abstract:
Celiac disease (gluten sensitive enteropathy) is a chronic autoimmune disorder which affects 40-60 million people globally and 5-8 million people in India. Initially considered a disease found in children is now known to occur at any age group. Many patients lack gastrointestinal symptoms which causes delay in diagnosis, thus, dental enamel defects and recurrent aphthous ulcers, which may occur in patients with celiac disease (CeD), may be the only manifestation of this disorder. Others include Xerostomia, Cheilosis and Glossitis. To observe various oral manifestations in Indian population, known CeD patients (n=90) were screened from tertiary care unit of department of Gastroenterology, AIIMS, New Delhi (Celiac clinic) and relatives of patients from Otolaryngology department, AIIMS, New Delhi were taken as control subjects (n=30). Questionnaire was designed and filled by a dental surgeon and images of manifestations were captured. Various enamel defects were found in 69(76.7%) patients with CeD and 8(26.7%) controls. Enamel defects were more prominent in molars followed by incisors and canines. Xerostomia was complained by 58(64.4%) CeD patients and 10(33.3%) controls. Recurrence of aphthous ulcers was complained by 8(8.9%) CeD patients and 2(6.7%) controls. Glossitis and Lichen planus was found in 4(4.4%) and 2(2.2%) patients respectively but none of the controls had either of these manifestations. Cheilosis being another important oral manifestation was found in 10(11.1%) CeD patients and 1(3.3%) controls. Dental caries was found in 37(41.1%) CeD patients and 4(13.3%) controls, this might either be due to xerostomia or altered salivary content in CeD patients. Patients having such manifestations and with clinical suspicion of CeD should be advised to obtain serologic screening for CeD and, if positive, standard procedure should be followed for confirmation of diagnosis. Dentists here can play an important role in identifying people who may have unrecognized CeD. Appropriate referral and a timely diagnosis can help prevent serious complications of this disorder.
Arthur D. Goren
New York University College of Dentistry, USA
Title: CBCT Dosimetry For Endodontic Procedures
Biography:
Arthur D. Goren , New York University College of Dentistry, USA
Abstract:
Background: No studies have been done to evaluate radiation exposure to a 30 year old female CIRS phantom using OSL dot dosimetry utilizing three dimensional imaging for endodontic purposes.
Methods: An anthropomorphic phantom corresponding to a 30 year old female was used for all exposures. CBCT scans were taken on a Sirona Orthophos SL machine and a Morita 3D Accuitomo machine. The preset endodontic settings for maxillary anterior, premolar and molar were used for the Sirona machine and for the Morita CBCT the field of view selected was to image the anterior maxilla and the maxillary first molar. Dosimetry was performed using optically stimulated luminescent (OSL) dosimeters. The effective radiation dose was calculated for the organs of the head and neck. Organ fractions irradiated were determined from ICRP-89. Overall effective doses were calculated in micro-Sieverts for the results and were based on the ICRP-103 tissue weighting factors.
Results: The effective doses measured with the Morita CBCT were significantly less when compared to those taken with the Sirona CBCT. The highest organ dose exposures were in the salivary glands, oral mucosa, and extrathoracic airway. The differences between the CBCTs in the dosimetry was due to differences in the field of view and tube current settings.
Conclusion: This was the first study to evaluate radiation exposure to a female CIRS phantom using OSL dot dosimetry using three dimensional imaging for endodontic purposes. Restricting the field of view and selective tube current allows CBCT imaging to be used for endodontics following the ALARA principle.
Biography:
Garvey Young is a thought leader and entrepreneur with 7 years of experience in the digital marketing industry. After receiving his B.A in Marketing and MBA from Quinnipiac University, he went on to develop innovative mobile applications before spending two years at IBM as a mobile app platform sales leader and consultant. He then left IBM in order to master marketing in the digital
Abstract:
Congrats, we have entered the Golden Age of digital media and technology is consistently changing how dental businesses operate. Now is the time for you to transition from just having a “social media” presence, to converting facebook ads to monthly revenue and a consistent stream of new clients/life time relationships. No more waisting money on marketing and hoping that it will have a positive impact on your business. This talk will teach you the methods and strategies that marketing companies employ to consistently bring dentists new clients in order to grow…on autopilot. Don’t miss this rare opportunity to learn what millennials are doing in the dentistry field
Pankaj Prakash Kharade
Aligarh Muslim University, India.
Title: Evidence based treatment approach in maxillary sinus lift procedures and grafting for successful implant treatment outcome
Biography:
Dr Pankaj Kharade is a faculty in Department of Prosthodontics at Aligarh Muslim University (Central University by act of Parliment). He has completed his M.D.S. from esteemed Dr. R Ahmed Dental College, Kolkata. He is a recipient of super specialty fellowship in Maxillofacial Prosthesis and Oncology from prestigious Tata Memorial Hospital, Mumbai. He was part of several clinical cancer research projects at Tata Memorial Hospital, Mumbai. He has been awarded Fellowship by Japan Prosthodontic Society as well. After his extensive training in Maxillary sinus grafting and Implantology at Department of Oral Rehabilitation and Regenerative Medicine, at Okayama University, Japan, he was also selected by National Academy of Medical Sciences, New Delhi for advanced training in Dental Implantology at Maulana Azad Institute of Dental Sciences, New Delhi. He has also worked in various premier institutes of India such as Maulana Azad Institute of Dental Sciences, New Delhi & PGIMER
Abstract:
Dental implant placement is critical in posterior maxilla with excessively resorbed residual ridges. Maxillary sinus lift is a surgical procedure which aims to upsurge the quantity of bone in the posterior region of maxilla, by lifting the lower Schneiderian membrane and inserting a bone graft. It happens because of pneumatization of sinus after loss of tooth in posterior region of maxilla. There are fundamentally two techniques of maxillary sinus grafting viz. lateral approach and crestal approach. Each of them is having its own indications, advantages and drawbacks. Elementary aim of sinus lift procedure is to generate bone essential for osseointegration of dental implants. Studies have shown that sinus lift procedures are having superior treatment outcome in comparison to use of short length implant for prosthetic rehabilitation of missing teeth in posterior region of maxilla. This paper flings light on various clinical contemplations related to maxillary sinus lift and grafting for successful outcome of implant supported prosthesis treatment.