Marquette University, USA
Using physical therapy totreat temporomandibular disorders. A Cohort study
Yasser Khaled have visited, worked and studied in 15 different countries in 4 different continents. He is currently working as an Assistant Professor in Marquette University, School of Dentistry. He is specialized in Oral Pathology, Oral Medicine and Orofacial Pain. He have degrees of Master of Dental Sciences and a Master of Medical Sciences. His hobbies are playing tennis and travelling.
In the retrospective cohort study, 1331 patient records where screened from March 2010 to March 2015 at an oral medicine / orofacial pain practice. Eligible patients were those who were prescribed PT and: had follow up visits within 3 months; were greater than 12 years old; had no autoimmune polyarthritis; no history of trauma within 1 month of presentation and; no prior experience with PT for this condition. Comparisons were made between two groups: 1) those who underwent PT (n=44) (PT) and; 2) those who did not (n=44) (non-PT). Data was extracted
from patient record review. Primary outcome variables included patient reported pain severity scores on a 0-10 scale, and other clinical findings upon examination.
Nathan S Bryan
Baylor College of Medicine Houston, Texas, USA, USA
Oral Microbiome, Nitric Oxide and Systemic Health
Dr. Bryan earned his undergraduate Bachelor of Science degree in Biochemistry from theUniversity of Texas at Austin and his doctoral degree from Louisiana State University School ofMedicine in Shreveport where he was the recipient of the Dean’s Award for Excellence inResearch. He pursued his post-doctoral training as a Kirschstein Fellow at Boston UniversitySchool of Medicine in the Whitaker Cardiovascular Institute. After a two year post-doctoralfellowship, in 2006 Dr. Bryan was recruited to join faculty at the University of Texas HealthScience Center at Houston by Ferid Murad, M.D., Ph.D., 1998 Nobel Laureate in Medicine orPhysiology. During his tenure as faculty and independent investigator at UT, his researchfocused on drug discovery through screening natural product libraries for active compounds. Hisnine years at UT led to several discoveries which have resulted in eight issued US andinternational patents and nine pending worldwide. Specifically, Dr. Bryan was the first todescribe nitrite and nitrate as indispensable nutrients required for optimal cardiovascular health.He was the first to demonstrate and discover an endocrine function of nitric oxide via theformation of S-nitrosoglutathione and inorganic nitrite. Through the drug discovery program innatural product chemistry, Dr. Bryan discovered unique compositions of matter than can be usedto safely and effectively generate and restore nitric oxide in humans. This technology is nowvalidated in six published clinical trials and Dr. Bryan has 9 issued US and International patents.He is also a successful entrepreneur who has successfully commercialized his nitric oxidetechnology through a UT portfolio company, named to the Inc 5000 fastest growing companiesin the US for the past 3 years straight. Dr. Bryan has been involved in nitric oxide research forthe past 16 years and has made many seminal discoveries in the field. These discoveries andfindings have transformed the development of safe and effective functional bioactive naturalproducts in the treatment and prevention of human disease and may provide the basis for newpreventive or therapeutic strategies in many chronic diseases. Dr. Bryan has published a numberof highly cited papers and authored or edited 5 books. He is an international leader in molecularmedicine and nitric oxide biochemistry.
Nitric oxide is a critical signaling molecule responsible for regulating blood pressure, neurotransmission and immune function. Loss of nitric oxide production is the earliest event in the onset and progression of cardiovascular disease and many other age related diseases. The link between oral health and cardiovascular disease is well known. Patients with poor oral hygiene, periodontal disease and gingivitis have increased incidence of cardiovascular disease. Research over the past decade has revealed that oral commensal bacteria are responsible for nitric oxide production. Disruption of oral bacteria through antiseptic mouthwash or overgrowth of pathogenic bacteria leads to a loss of nitric oxide production. This lecture will described pathways of nitric oxide production, revelations of nitric oxide producing bacteria and discussions of how dental medicine professionals can incorporate nitric oxide diagnostics and therapies in their practice.
"Adjunct Clinical Assistant Professor Periodontology and Implant Dentistry Floor 5W Weissman, 421 First Avenue, USA", USA
Piezosurgery – Minimally invasive technology for maximal precision and optimal surgical results
The number and scope of instruments and pieces of equipment necessary for optimal diagnosis and treatment has grown exponentially in this time frame. One of the most critical instruments in my surgical armamentarium has been, for over 10 years, Piezosurgery. This microvibrating, ultraprecise, ultra-high tech piece of equipment is used in orthopedic, maxillofacial, neurosurgical and other specialties in dentistry and medicine. In my office, this technology is employed in most surgical procedures related to the eventual placement of dental implants. Whether the goal of the initial surgery is atraumatic extraction, ridge split for width augmentation, implant placement, osteotome or lateral approach for sinus augmentation the Piezosurgical unit has a place. A novel use for this unit is performing corticotomies to assist orthodontic tooth movement. Cases will be shown with both clear aligner and fixed appliance therapy. The additions of Piezosurgery to the group of procedures in PAOO (also called POPA, Wilckodontics) are an important addition to orthodontic therapy and are generally performed by periodontists and oral surgeons. Using surgically enhanced orthodontic therapy, tooth intrusions are more predictable, open bites can be closed more easily, and with hard and soft tissue grafting arches can be expanded dicer to get better occlusal schemes and torque roots palatally/lingually to keep the facial sufaces inside the alveolar housing.
There are appropriate tips and protocols to make these and other surgical visits (surgical debridement for treatment of peri-implantitis and crown lengthening to name a few) simpler during the procedure and more predictable in outcome. This workshop will demonstrate multiple uses of Piezosurgery. Attendees will be able to use different tips to simulate atraumatic extraction, implant placement, autogenous bone harvesting, ridge splitting and more. At the end, the participant will have seen both still photos and intraoral videos (through an operating microscope for unparalleled visibility) to familiarize him- or herself with clinical tips that will be usable in many patients. You will see why Piezosurgery should be incorporated in your surgical office protocols.
Dr. Khamis Gaballah
Ajman Univesity, UAE, UAE
Is coronectomy a viable option for the symptomatic impacted third molars?
Removal of mandibular third molars has the potential risk of causing neurologic disturbances of the inferior alveolar nerve (IAN). The incidence of IAN injury ranges from 1.3% to 5.3%. This risk depends mainly on the position of the tooth in relation to the inferior alveolar canal. If there is close proximity between the IAN and the roots, the incidence may be raise 4 folds higher.Coronectomy is the removal of the crown of a tooth, leaving the root ‘‘in situ.’’ When applied, it is a measure adopted to avoid damage to the IAN. With enormous growing support, this new technique is advocated although many surgeons have expressed resistance to the adoption of this treatment alternative as it is contrary to the dogma of exodontia. This resistance may be explained by the lack of long term follow up, in particular with regard to the potential risk of an intentionally retained root. many surgeons worry that the roots may become a source of infection. This talk will introduce the technique details and complications along with review of current literatures.
Abdel Rehman Tawfiq
Hendon BMI Hospital, UAE
Management of anxioud dental patients attending for oral surgery in Dubai : A new approach using concious sedation
Abdel Rahman Tawfik is a consultant oral surgeon with excellent surgical and diagnostic experience, sound academic background, and good managerial and communication skills. He is an effective thinker and doer, always thriving to extend my range and look for more scope and challenges in his career.
He have successfully reached the pinnacle of his career through strong academic background, commitment to teaching and clinical experience. His PhD and otherqualifications have enabled him to supervise trainees of all levels.
Anxiety is very prevalent among dental patients, especially those attending for Oral Surgery treatment, and this can be a major problem for both the patient and the dentists. It is normal that patients may encounter insignificant degrees of anxiety which can be easily managed by reassurance and establishing good understanding between the dentist and the patient. However, when the anxiety becomes unreasonable (phobia), managing of such patients becomes a challenging task and requires specific skills and procedures.
In the UK it’s thought that one in every three individuals has moderate degrees of anxiety, and around one in every ten adults has some form of extreme dental anxiety. These phobic patients can be managed efficiently via the use conscious sedation; a procedure that is strongly endorsed by the General Dental Council. This presentation highlight the importance of managing these anxious patients under conscious sedation.
Musculoskeletal Disease Center, USA
The role of inflammation on Temporomandibular joint disorder (TMJ)
Bouchra Edderkaoui is a research scientist at the Musculoskeletal Disease Center. She previously wored as a Assistant Research Professor at the Department of Medicine, Loma Linda University. She is a member of the American Society of Bone and Mineral Research.
The temporomandibular joint (TMJ) acts like a sliding hinge, connecting the two jawbones to the skull. It can have both rotational and translational movements, the complex movements necessary for eating, swallowing, talking and yawning. The TMJ is formed by the mandibular condyle fitting into the mandibular fossa of the temporal bone, and the articular disc that separates the two bones. Like other joints, synovial fluid within the TMJ facilitates movements
within the temporomandibular joint. Temporomandibular joint disorders (TMJD) causes orofacial pain, facial aching, difficulty chewing or pain while chewing, locking of the joint, making it difficult to open or close mouth which can affect daily activities such as chewing and speaking. Synovitis, which is characterized by the infiltration of inflammatory cells, often accompanies progression of TMJD symptoms. Synovial fibroblasts contribute to the inflammatory temporomandibular joint under pathogenic stimuli. Synovial fibroblasts and T cells participate in the perpetuation of joint inflammation in a mutual activation feedback, via secretion of cytokines and chemokines that stimulate each other suggesting a key role of inflammation in the development of TMJD. Several predictors of TMJD development have been proposed. These include general joint hypermobility, orofacial trauma, bacterial infection and systemic inflammation such as rheumatoid arthritis that usually affects multiple joints and TMJ becomes susceptible to the development of changes resulting from rheumatoid arthritis. Recent studies have reported significant increase in the expression of cytokines in TMJ of patients with TMJD compared to controls. Furthermore, the level of MCP-1 was found elevated in synovial fluid of TMJD patients with pain compared to TMJD patients without pain suggesting a complex role of inflammation in TMJD, so this paper will discuss the
potential roles of inflammation in temporomandibular joint pathology based on previously published data.
Oral biofilms – current problems, strategies for now and the future
Dr. Bindiya K Pahuja is an accomplished clinician and researcher in periodontics and bone grafting. She began placing dental implants after taking post graduation in implantology and periodontics. After completing a 3 year MDS program in periodontics Implant Surgery at IGMC Shimla she presented her work in bone graft at various platforms in India and abroad. She has more than 10 paper publications. She is a member of AO (academy of osseointegration)and AADR(American academy of dental research). Currently she is working at AIIMS as senior resident doctor where she is enrolled as a clinician for oral soft tissue handling and also involved in a research projects related to oral lichen planus.
Bacteria is the most primitive organism on this planet. It has been documented 3.8 billion years before the first known evidence of human beings .Their populations outnumber the people, plants and animals by a million fold on this earth. Higher life can’t exist without their symbiotic relationships. The oral cavity harbors more than 1011 species of microorganism including bacterias and viruses.The complex interactions between the microorganisms leads to the formation of biofilms. Biofilms are considered ubiquitous in the world. In most environmental niches, bacterias survive and multiply as surface attached biofilms and rarely as cell suspensions in liquids. Microorganisms behave entirely differently in biofilms. The species interact with each other both physically and chemically. The physical interactions between the microorganisms are solely based on their nutritional needs, where as
chemical interactions are responsible for their virulence.
Today, resistance has been developed to many antibiotics and this is becoming a global problem. Untraditional antibiotics to block the communication system of bacteria can be developed in future. Synthetic anti-quorum-sensing strategies could be developed in the future as possible alternatives to antibiotics. Additionally, techniques used during surgical and non-surgical procedures including lasers may be beneficial in disrupting biofilms. This talk will detail the current problems caused by and/or linked to biofilms (BRONJ, periodontal and peri-implant lesions), strategies to treat them and directions for future research.
Ajman Univesity, UAE, UAE
Poster: Fracture Resistance of Roots Restored with Bioceramic Endodontic Sealer
Duaa Abo Alsamh
Consultant Endodontic at PSMMC, Riyadh, KSA, Saudi Arabia
Poster: In Vitro Study Of The Antimicrobial Activity Of the Miswak Ethanolic Extract