ABSTRACTS OF INVITED SPEAKERS
|Year : 2023 | Volume
| Issue : 7 | Page : 194-197
|Abstracts of invited speakers
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|Date of Web Publication||16-Mar-2023|
|How to cite this article:|
. Abstracts of invited speakers. J Conserv Dent 2023;26, Suppl S1:194-7
| G.V. Black Oration|| |
Chronicles of biomimetic dentistry
HOD of Conservative Dentistry and Endodontics in YMT Dental College and Hospital, Navi Mumbai. She is the Immediate past president of the prestigious IACDE which has created a platform for showcasing clinical skills in Conservative Dentistry and endodontics.
The term “Bio” means life and “mimesis” in Greek means irritate.
As restorative dentistry steps closer to mimicking the natural tooth, Biomimetic Dentistry has progressed in its protocols, materials and techniques. The adhesive revolution bought by Michael Buonocore in 1955 changed the face of Conservative Dentistry, and a second revolution by David Alleman, Deliperi and Pascal Magne is embarking a new chapter in the field. With the use of Bioactive materials, improved and meticulous protocols, advances in bonding and morphologically driven tooth preparation designs (MDTP), we are now able to achieve utmost preservation of tooth structure while restoring its natural form and function. MDTP's are current practices in restorative dentistry which focuses on tooth conservation and adhesion. Therefore, integrating science and dynamics of natural tooth and Biomimetics to deliver best treatment out comes have been solicited. In this lecture, we will strive to outline the guidelines and shine light on the knowledge of Biomimetic adhesive dentistry.
| Stephen Cohen oration lecture|| |
Publishing your research – A view point
He is Dean, Professor and HOD of Conservative Dentistry and Endodontics, Tema Dental College Nerul, Navi Mumbai. He is Editor In Chief for the Journal of Conservative Dentistry. He is Diplomat of Indian board of Microrestorative and Endodontics and Indian Board of Endodontics.
This talk will cover the various requirements for publishing a research paper. Starting from the types of submission and their individual requirements the lecture will highlight the common mistakes done by the authors and how they can be prevented and highlighted to bring out the best will be discussed so that the young researchers can get a view point on what to do and what not to do.
Endodontic microsurgery: Unfolding the enigma of unmanageable complications
Prof and HOD of Cons. and Endodontics, Principal, Post graduate Institute of Dental Science, Dean, Faculty of Dental Sciences, University of Health Sciences Received. Gold Medal for being the Best House Surgeon K.G's Medical College Lucknow.
Endodontic surgery is mostly indicated in cases with persistent or refractory periradicular pathosis that does not heal even after nonsurgical retreatment. Although studies have reported high success rate of non surgical retreatment , periradicular surgery is more predictable treatment for management of such cases as it takes care of both intraradicular as well as extraradicular disinfection. Success rate of peiradicular surgery has been reported to be more than 90% in recent reviews using modern microsurgical principles, however, periradicular lesions with periodontal communication (apicomarginal defects) and loss of both buccal and lingual or palatal cortical plate (through and through lesions ) has been reported with a significantly low rate of success. Recent researches have advocated the use various modes of guided tissue regeneration as an adjunct to periapical surgery for achieving regeneration instead of repair. However, different materials and techniques led to varying results on the healing of different type of lesions. In this presentation, effects of different regenerative techniques and materials on the outcome of endodontic surgery will be evaluated and evidence-based results of work of last 10 years by our group using cost effective alternatives of the commonly used regenerative techniques and materials will be elaborated and discussed to help clinicians make decisions in the pre- operative planning stage of endodontic surgery.
Access cavity designs: Current concepts
He is an Alumni of prestigious MCODS, is also Masters in dental lasers from university of Vienna. At present he is a vice dean prof and head at MA Rangoonwala college of dentistry Poona. A micro endodontist par excellence, he has represented India at platforms like American Endodontics Congress USA, IFEA SEOUL and A P E C New Delhi.
When the ardent clinical depiction of the continuously tapering canals, efficiently cleansed accessory canals & isthmi and intricately filled lateral fills are appreciated, the access cavity lays down the foundation and stands its test of time. The access preparation forms the base of the pyramid in the Endodontic triad emphasising its foothold in the outcome of the treatment. The huge role played by magnification coupled with innumerable clinical research and intervention of science & technology, unfolds the importance of conservation of tooth structure (PCD) or minimally invasive preparations. Though the newer designs have increased the strength of the teeth thereby reducing the catastrophic failures, it also urges one to ponder on the challenges of the complete removal of the pulpal tissue and debris, thorough cleaning & shaping of the canals etc. Like the old saying goes 'Everything in Moderation is the Secret', a wise clinician determines the extent or the design of the access cavity preparations according to the scenario. This presentation is the amalgamation of the various designs and its practical implications in clinical practice.
Root fracture – Current evidence
A. R. Pradeep Kumar
He completed B.D.S. from Annamalai University and received speciality training in Conservative Dentistry and Endodontics from Tamil Nadu Government Dental College. He is currently working as a Professor and HOD In Thai Moogambiga Dental College and Hospital in Chennai.
Vertical root fracture is confined to the root and is one of the important complications after root canal treatment which usually leads to removal of the affected root or tooth. Cracked tooth exhibits a fracture line in the crown which can extend to the pulp, floor of the pulp chamber and sometimes to the root. On the other hand, trauma to anterior teeth can lead to a horizontal root fracture which can have a better prognosis with early treatment. This lecture will present the current evidence on prevention and management of cracks and fractures in teeth.
Clinical applications of hard tissue lasers in dentistry
N. Kiran Kumar
He completed his under graduation from K G Dental College. Sullia (1998) and further obtained his MDS degree in Conservative Dentistry and Endodontics from RV Dental College, Bangalore (2006). He has been instrumental in bringing revolutionary changes in various aspects of functioning of Rajiv Gandhi University of Health Sciences, Bengaluru.
Since the initial application of LASER in dentistry by Maiman, laser technology has evolved to be an exceptional tool in dentistry with wide range of applications. Even though soft tissue lasers have found a niche in dentistry, the real hope of patients and dentist was been in the development of laser that would remove hard tissue in a conservative and safe manner. Hard tissue lasers have wavelengths with higher affinity for Hydroxyapatite and highest absorption of water. This property makes it a versatile equipment in conservative dentistry as well as in Endodontics application. Laser assisted cavity preparation is advantageous because of its ease, comfort, specificity and efficiency. In addition to this, it helps in selective caries removal with minimal intervention which stands to be the current strategy in caries removal. Old restorative materials can be removed with efficiency. Its photothermal effect, adds on its application in initiation of curing of photoinitiated restorative material. Its ability to alter the surface chemistry of dental hard tissue makes it a valuable tool in remineralization of white spot lesions, prevention of recurrent caries and helps in achieving prolonged and effective desensitization of hypersensitive dentin. In preventive dentistry, apart from sterilizing fissure, a perfect marginal quality of sealing material can be achieved. In adhesive dentistry, Hard tissue laser plays an important role in improving bond by laser etching of enamel and dentin with no smear layer formation. Studies prove its efficiency in bleaching. Bactericidal property of laser helps in cavity disinfection. Its application extends to endodontics in disinfection of root canal with added advantage in regenerative endodontics, where sterility of root canal in essential for regeneration of pulp and dentin. Apart from this, lasers are used in apicoectomy with less discomfort, less contamination of surgical site and reduced risk of trauma to adjacent tissue. Laser assisted pulp therapy provides decontamination, hemostatic & coagulant effect, reduced rise in pulp temperature, dentinal melting and biostimulatory effect. Crown lengthening can be performed based on its effect on soft tissue and bone. Studies report hard tissue laser assisted soft tissue surgeries heal rapidly with less collateral damage. With the above mentioned clinical applications, laser technology has become an essential component of contemporary dental practice.
“INNER SPACE” of dentine adhesion
The key challenge for new dental adhesive is to be simultaneously effective on two dental substrates of conflicting nature. Bonding effectively and durably to organic and humid dentin is the most puzzling task in adhesive dentistry. Much of the research and development of dental adhesives has focused on making the clinical procedure more user friendly by reducing the number of bottles. Although clinicians certainly prefer less complicated and more versatile adhesive materials, there is a trade-off between simplification of dental adhesives and clinical outcomes. This presentation will discuss adhesion strategies, highlighting the substrate as a major challenge to obtain durable adhesive restoration and leaves a few thoughts in regard to recent research that may have implications for future adhesive material.
Seven myths about endodontics
He has graduated from Jordan University in 1992 (BDS). And continued his higher education in Endodontics in St. Joseph University in Lebanon 2001 (DESE). Dr. Hammo has been lecturing locally and globally (more than 80 International conferences). He has publications in different scientific journals.
Endodontics is undoubtedly an incredibly vital and important part of many practices. It is also a field that is continually evolving and improving, though perhaps in a quieter way than some of its specialty counterparts. Some endodontic myths, though widely believed, may not be the truth when challenged under the experimental model, involving both the lab bench and the clinical reality. The purpose of this presentation is to evaluate 7 common myths that influence daily endodontic decision-making plans.
Regeneration in endodontics: Current trends and future perspectives
Sai Kalyan Surapaneni
He is an academician and bio researcher. He is currently working as a director for research and academics at Prevest Research laboratory, India. He is an adjunct faculty at Terna Dental College and leads the department of regenerative dentistry.
Science is constantly updated, what is considered as the treatment of the present age becomes obsolete in a few years. We have all seen clinical Dentistry transcend over the years as new data have accrued regarding biological concepts and improvements in procedural techniques have opened up newer treatment vistas. Regenerative technology was once considered a thing of the distant future, but we can already see numerous regenerative procedures being performed on a day to day basis.
We stand on the world of revolution in dentistry: Understanding, Treating and Ultimately preventing the causes of disease. But medical revolution only happens when there is paradigm shift in interventional strategies from replacement towards regeneration.
Cell transplantation does not always obtain the good result because of the low survival rate of transplanted cells. In addition, the use of ex vivo manipulated cell products faces many translational hurdles in treating non-vital disease. Recently, the body cells are focused as a potential source for therapeutics. Some researchers have demonstrated that endogenous stem cells may be recruited to a desired anatomic site pharmacologically. This is spurring interest in developing new generation of biomaterials that incorporate and release selected powerful extracellular influences in a near-physiological fashion, and subsequently capture endogenous cells and influence their fates for regeneration. The use of patient-derived products such as platelet-rich preparations that contain a multitude of endogenous growth factors and proteins is a clinically translatable biotechnology for this proposes. These simple and cost efficient procedures may have a potential impact in reducing the economic costs for standard medical treatments in regenerative dentistry.
There have been numerous attempts on pulpal regeneration using pletelet derived factors, however their outcomes varied. The variation in outcomes can be attributed to non standardized regenerative protocols. Use of bioactive materials and a thorough knowledge of medicaments are essential for successful regenerative therapy. The future of regenerative endodontics lies in overcoming the existing roadblocks and incorporating cutting edge technologies to improve the clinical and histological outcomes.
My lecture would outline the various protocols followed today and lay emphasis on the various factors that can play a vital role in regeneration.
- To understand the basic principles behind regenerative aspects in dentistry
- Deliver In depth knowledge of platelet derived regenerative modalities
- To understand the importance of growth factors in regenerative dentistry
- Provide applied knowledge about the preparation of first and second generationplatelet derived modalities
- To understand the role of scaffolds in revascularization
- Practical application of the various benchtop preparation techniques
- Material aspects
- Pitfalls and present understanding
- Future directives and scope for research.
Magnification and illumination-a restoratively device path to clinical excellence
Mithra N. Hegde
She is currently serving as the Vice Principal and Professor in the Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University) and has been a clinical practitioner since 30 years al Dental Speciality and Cosmetic Clinic, Kankanady, Mangaluru.
Advances in science and research has led to lot of changes in clinical techniques of restorative dentistry. The approach to diagnose, treat and prevent is precise and perfect with the use of magnification and illumination in clinical practices. This presentation gives the clinical tips and techniques to success in restorative dentistry.
Lifelike composite restorations: Step by step guide
Did his both BDS and MDS from R. Ahmed Dental College, Kolkata. At present Prof and HOD in the Dept of Conservative Dentistry and Endodontics, BIDSH, Patna. Has multiple publications and been invited as speaker in many conferences. Served as Scientific chairman in National and PG conventions.
”Look deep into nature, and then you will understand everything clear” - Albert Einstein
Today in the era of Biomimmetic Restorative dentistry we restorative dentists aims to replace the lost tooth structure in its totality. The restoration should replicate the tooth biologically, structurally and morphologically. Although lots of literature is available in the library regarding the science and philosophy of Biomimetic restorative dentistry but there is very little literature on composite sculpting techniques in posterior tooth to create life like restorations. In this presentation all composite lovers who are struggling with direct composite sculpting will be guided in a step by step manner to create their dream life like artistic posterior composite restorations.
Cone beam CT in endodontics: Applications and diagnosis
She is a diplomat in Oral and Maxillofacial radiology and currently holds position of associate professor in the division of OMR at the Department of Oncology and Diagnostic Sciences at University of Maryland (UMSOD), Baltimore, MD
CBCT is an excellent 3D imaging modality used frequently in dentistry. This lecture will provide an insight into basic principles of CBCT imaging in endodontics and interpretation. A case-based approach will be used to methodically review radiographic findings. The presentation will include 3-D illustrated case presentations, discussions, and interactive CBCT interpretations. At conclusion, the attendees will be able to:
- Recognize common anatomic features seen in CBCT images of the maxillofacial region
- Step wise approach to location and mapping of accessory neurovascular channels
- Describe the radiographic signs of disease seen in CBCT volumes and develop appropriate differential diagnoses.
Management of separated instruments
He completed his BDS from Rajah Muthiah Dental College. Annamalai University. His MDS is from Tamil Nadu Government Dental College, Chennai. Currently he is Professor and Head of Department of Conservative and Endodontics, Meenakshi Ammal Dental College. He had won IACDE Academic award for excellence in 2016.
Instrument separation or fracture prevents the complete cleaning and shaping of the root canal and can compromise the treatment outcome. In this presentation the prevalence, reasons for instrument fracture & various techniques used for retrieval of fractured instruments will be discussed in detail, along with a few case reports. The prognosis of endodontic treatment in teeth with separated instruments & prevention of instrument fracture will also be covered in this presentation.
U, Me and composites
R. S. Mohan Kumar
He completed his BDS and MDS both are from Saveetha Dental College. He has a fellowship in Implantology and diploma in Lasers. He is a diplomat in Indian Board of Micro Restorative and Endodontics (IBMRE).
Restorative dentistry has steadily evolved, progressing from mechanical retention to advanced adhesion. This transition was made possible by immense scientific research in the field of adhesive materials and bonding techniques. Collectively the science, principles and techniques of adhesive dentistry are also dependent on the principles of light since what is true by lamp light may not reflect the same way in sunlight. Understanding the physical properties of light plays a pivotal role in not just a theoretically functional restorations but in creating non descript, exemplarily natural looking restorations. This lecture will illuminate the aspects of light that could help you create exclusive restorations with composites.
A journey of intra coronal cast restorations; inlays to onlays: Typical and atypical ones
He has held all posts Professor, Head and Principal. He was ex Editor and Vice President of Indian Association of Conservative Dentistry and Endodontics. He was President of Indian Dental Association Kolkata City Branch and is still actively associated with IDA.
Single unit indirect restorations other than crowns are fast disappearing other than in pg curriculum that too mostly in examinations. But inlays with/without cusp cappings and onlays save a lot of tooth structures and live a way for the next phase of treatment after its life is over. Onlays are also slowly making its way in post endodontically treated teeth. Some guidelines will be set in this presentations for inlays and onlays for ready use in routine clinical situations and practice.
Broken file dilemma
With more than 13 years of experience as a clinical, researcher and lecturer in developing strategies and guidance in root canal treatment and dental hygiene. Lecturer and course director of endo-dam team for more than three years with 18 credit hours including workshop and lecture. Course director by (Bypass Like a Boss) for more than a year with 9 credit hours including workshops. Previous silver member in Style Italiano endodontics. Previous bronze member in 3D cleaning project. Honorarium member in Endohaveli group.
Radicular separation of endodontic instruments is the worst nightmare facing every dentist in the modern dentistry. Instrument separation inside the canal worsens the root canal procedures and make cleaning and shaping the canal more difficult. Hindering the procedures will affect the outcome and the prognosis of the case. Separation mode is a complicated phenomenon affected by many factors which I will clarify in my lecture and how to prevent that. Managing a separated instrument will range from orthograde to surgical option. Orthograde conservative conventional options including removal or bypassing the fragment will be the specific part of our lecture. A decision should be taken either to bypass or to retrieve according to many affecting factors which I will clarify. The main goal is not only removing the separated fragment but also the tooth integrity should be maintained so bypass is a good option in many situations.
I will clarify when, why and how to bypass a broken file fragment through different protocols and trials. I will clarify all the available treatment options that clinician can perform in broken file cases. I will clarify all non-surgical retreatment protocols and related instruments and techniques. I will clarify ledge cases, how to prevent and recent advanced tips for management. I will clarify management of severely curved canals with recent tips and tricks
Clinicians should be familiar with all options in facing broken file cases even before referral if needed, severely curved canals, non-surgical retreaments and ledge cases.
Lectures content and topics:
- Advanced tips of ledge management
- Effective management of curved canals
- Kurdi's exclusive techniques of bypassing broken files
- Retrieval simplification (from past to recent conservative) 5-do more with less (non surgical retreatments).
Shining away with beautiful composites
He completed graduation and post-graduation in 2005 from Dr. R Ahmed Dental College Kolkata Currently Professor in Buddha Institute of Dental Sciences and Hospital Patna. Has micro dentistry practice for last 13 years. Former Associate Editor JCD. Currently vice president IACDE.
Aesthetic restorations are integral part of modern day dental practice, in which composite restoration being dentists consider that colour matching is the most important hurdle, but a good finishing and polishing procedure can create the proper shape, texture and shine of a composite restoration. Finishing and polishing are of importance to reduce surface roughness leading to smooth glossy surface which will eventually decrease plaque accumulation, reduce chance of secondary caries, improves periodontal health. But in today's context, apart from these we consider 3D anatomy creation, macro and micro texture simulation, light reflection zones etc for the success of this final step. Dentist often perplexed about the proper steps of finishing and polishing and also about the right choice of abrasives in day to day practice. This lecture will elaborate the uses of diamond points, stones, disks, strips, gloss etc in right steps to create final macro and micro aesthetics in composite restorations.
Nano particles in disinfection of root canals
Dental infection is polymicrobial infection. Difficulty in eliminating microorganisms is due to:
- Complex anatomy of the root canal
- In access ability to conventional instrumentation
- Ability of microorganisms to penetrate the dentinal tubules and organise as a Biofilm. Routinely used irrigants and intra canal medicaments were unsuccessful in achieving desired results because of rapid release and degradation of antibacterial agents leading to inefficiency.
To overcome this, antibacterial Nano particles offering numerous advantages like - large surface area to volume ratio, Ultra small size of the particles and excellent chemical and physical properties has been discussed.
Top ten tips for successful and long lasting bonding
Accomplished teacher with 30 years of teaching experience, at both undergraduate and post graduate level Extensive research experience with numerous publications and presentations to his credit. Undergraduate and Post tgraduate leaching at the RGUHS University.
Universal Adhesives also known as multi mode adhesives are becoming immensely popular due to their simplicity of use and the potential to use them in multiple clinical scenarios. Furthermore they can be used with multiple restorative materials, in many cases without the need for additional surface treatments. These materials are complex admixtures and need to be used judiciously to achieve desirable results .This presentation will discuss the clinical implications in using universal adhesives with a variety of restorative materials. It will also analyse the benefits and pitfalls, when compared to regular etch and rinse and self etch adhesives. Clinical recommendations will be provided for specific scenarios to simplify the bonding protocol.
The don'ts in endodontic therapy
Professor and Head, Department of Conservative Dentistry and Endodontics, Centre of Dental Education and Research, All India Institute of Medical Sciences. 36 national and 26 international publications in high impact journals. Podium speaker for 71 national and specialty conferences.
Deciding “what not to do is as important as deciding what to do” - Steve Jobs This is aptly applicable for endodontic therapy. To improve the success of endodontic therapy we are always tutored on “what to do”. Although this is necessary and important but the endodontic procedure is challenging and involves multiple steps with variations to suit a particular clinical situation. Hence sometimes knowing what not to do helps us focus on what we need to do and can prevent pitfalls. This presentation is designed on a 'thought process and experience' and would offer practical advice on some of the most common challenges that endodontists face. It would delineate “what not to do”, starting from the diagnosis and covering all the steps of endodontic therapy. This information will give a better understanding of what endodontists are dealing with, make it easier to avoid pitfalls and will help improve the quality of endodontic work.
Remember there are both do and don'ts in Endodontic. Let's focus on the DONTS.
Source of Support: None, Conflict of Interest: None
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