Presentations
HEAD AND NECK CANCER - THE MULTIDISCIPLINARY JOURNEY FROM DIAGNOSIS TO REHABILITATION
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Prof Jonathan Clark, Dr David Leinkram, A/Prof Dale Howes, & Mr Kai Cheng
Head and neck oncology is arguably the most morbid of all the cancers as it affects all of the five senses that give us our quality of life. This disease entity is reported to have an incidence of 3% to 5% of all cancers. However, scrutiny of the WHO Globocan statistics shows that cumulative incidence is similar to that of breast cancer but carries more than twice the mortality. More than 5100 cases were diagnosed in Australia in 2020 and over 16800 people are living with head and neck cancer.
This means that the chances of dentists having these patients present for pre or postoperative dental care are significant.
Effective treatment protocols for maxillary rehabilitation after ablation are essential to maintain ess functions of eating, speaking and swallowing and maintaining quality of life.
This will be a combined presentation highlighting international and Australian developed treatment protocols for head and neck cancers showing the journey from diagnosis, through planning, surgery and rehabilitation.
SECRETS TO SUCCESSFUL ADHESIVE BONDING
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Prof Vesna Miletic
Adhesive systems have significantly affected the trajectory of esthetic restorative dentistry over the past couple of decades. Longevity of composite restorations is largely affected by the quality of the adhesive bond. New adhesive systems and better understanding of the underlying mechanisms of adhesive-enamel and especially adhesive-dentin interaction have brought changes in clinical protocols. Current clinical protocols will be explained in great detail in this lecture. Clinical steps critically affecting the success of adhesive bonding will be discussed from the evidence-based standpoint followed by best-practice recommendations.
THE NEUROBIOLOGY OF STRESS AND UNCERTAINTY: UNDERSTANDING HOW OUR NERVOUS SYSTEM WORKS
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Ms Sophia Parnas
Even before the pandemic hit in 2020, many people were struggling with high levels of stress. This presentation explores the evolutionary background to the human stress response as well as the neurobiological, physical, behavioural and psychological aspects of stress. Participants are encouraged to ask questions towards the end.
LEADERSHIP CAPABILITIES NEEDED FOR POPULATION HEALTH IMPACT
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Prof Sreenivas Koka
Significant change most often occurs under either or both of the following conditions: Highly effective leadership or crisis. The challenge, then, of making an impact at the population health level in the absence of crisis is represented best by the challenge of being a highly effective leader. In population health, concepts and activities stretching across varied programs, organizations, aspirations, opportunities, fears and threats must be addressed. In this presentation, we will discuss those attributes that exemplify highly effective leadership with a specific focus on the various stakeholders whose contributions are necessary and/or desirable for population health initiatives to be successful.
DIGITAL TECHNOLOGY & USE OF REMOTE MONITORING IN ORTHODONTICS: HOW THEY COULD BENEFIT PUBLIC HEALTH
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Dr Oyku Dalci
“Digital technology had significant impact into our life since the introduction and sophistication of mobile phones. Digital technology started to make its way into dental and orthodontic offices with the introduction of computerized scheduling in the 1974. Today digital technology has touched on every aspect of dentistry and orthodontic treatment. It is now common place to perform virtual treatment planning as well as translate the plans into treatment execution with digitally driven appliance manufacture and placement using various CAD/CAM techniques from printed models, indirect bonding trays and custom made brackets to robotically bent wires. Furthermore it is also becoming possible to remotely monitor treatment and control it.”
Telehealth has been used since mid 20th century, however has become an indispensable part of medicine after the Covid19 restrictions. Remote orthodontic assessment and treatment monitoring has more recently evolved with the introduction of an AI based system that utilizes the photographs taken by the patients’ own smart phones. Use of this system reduces and even eliminates the need for clinical appointments for certain types of assessments and treatment modalities, freeing up chair and clinician time. This system is currently being tested for use in the public dental orthodontic system and shows.
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REFUGEE PATIENTS & TRAUMA - INFORMED CARE
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Dr Mitchell Smith
People of refugee background have high oral healthcare needs. Yet their experiences and health literacy levels can make interactions with the dental service challenging, for patient and provider. This talk will briefly cover definitions of refugees and their eligibility for public oral health care, and then will focus on providing care in what is termed a “trauma-informed” way.
HEAD AND NECK CANCER - THE ROLE OF THE ORAL CARE TEAM
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A/Prof Dale Howes
The oral environment in head and neck cancer becomes particularly important with the ravages of head and neck and other cancers and their treatment.
With over 16800 people living with head and neck cancer in Australia means that these patients could be in your surgeries every week! Other cancers, including breast and prostate have a significant bearing on dental treatment choices.
These cancers and trauma to the craniofacial structures significantly affect all five senses that contribute to our human quality of life. This arguably makes the morbidity of these diseases possibly greater than most others.
The responsibility therefore of the medical and dental professions is to identify the signs and symptoms as early as possible, educate our population and undertake research in the management of these cases to maximise treatment outcomes.
This lecture will outline:
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An introduction outlining incidence, mortality and morbidity.
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Oral screening.
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Surgical and functional reconstructive protocols in patient management.
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The role of the oral health care practitioner in head and neck cancer, including the dentist, oral hygienist, and dental therapist as independent practitioners and within a multidisciplinary team.
Day 1
2:15 - 3:00
The Lyceum
"IMAGINE IF I DIDN'T MEET YOU"
INTRODUCING DOMESTIC VIOLENCE SCREENING
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Ms Cecilia Correy
Domestic violence screening has been introduced in NSW Health settings in order to provide targeted support to vulnerable populations. This presentation will explore the benefits of domestic violence screening as an opportunity to identify risk and provide safety planning to women who access our dental services.
PERIODONTITIS AND GENERAL HEALTH - POSSIBLE RELATIONSHIP BETWEEN PERIODDONTITIS AND CANCER
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Prof Joerg Meyle - International Speaker
Periodontitis a chronic inflammatory disease, which is caused by a bacterial biofilm residing on the teeth and their root surfaces has a multitude of consequences not only for the local tissues but also for general health.
A number of associations has been reported during the last decades among them is the observation that periodontitis is associated with a higher risk to develop (oral) cancer.
During the last 10 years we focused on this subject and were able to demonstrate an impact of bacterial molecules on (oral) cancer cells in vitro rendering them to increase their immunosuppressive properties.
The underlying mechanism will be presented and discussed.
ACUTE DENTAL EMERGENCIES - THE 2020 IADT GUIDELINES EXPLAINED
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A/Prof Anne O'Connell - International Speaker
The world prevalence traumatic dental injuries is estimated to be 22.7% in primary teeth and 15.2% for permanent teeth and shows no significant difference in prevalence between geographical regions. As dentists, we know trauma dental injuries are time consuming and often technically challenging to treat. Individuals with traumatic dental injuries regularly present on an emergency basis where urgent appropriate management of patients require immediate decisions that may impact a successful outcome. Management of acute trauma in children and adolescents is especially complex. The International Association of Dental Traumatology (IADT) recently updated the guidelines for the acute management of traumatic dental injuries. The aim of this presentation is to highlight the current knowledge base on the management of traumatic dental injuries in all age groups in acute situations, discuss the rationale behind the 2020 recommendations and illustrate using cases. The current gaps in knowledge requires excellent clinical records and participation in contemporary well conducted studies using standardised criteria and a systematic approach.
SILVER DIAMINE FLUORIDE - FROM BENCH TO CHAIRSIDE​
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Dr Rosalyn Sulyanto - International Speaker
This presentation reviews the indications, effectiveness, and mechanisms of action of silver diamine fluoride and its applications in dentistry, with an emphasis on its use in pediatric patients and patients with special healthcare needs.
ORAL HEALTH CONSIDERATIONS OF HYPOPHOSPHATASIA​
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A/Prof Rosalyn Sulyanto - International Speaker
This presentation reviews etiology, clinical presentation, diagnosis, and management of hypophosphatasia, with emphasis on dental manifestations.
DIABETES MANAGEMENT UPDATE - OPTIMISING ORAL HEALTH
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Dr Avinash Suryawanshi
Modern diabetes management has profound benefits with regards to metabolic and cardiovascular health. There is increasing evidence of a two way relationship between diabetes and oral health. Optimal glycaemic control can prevent complications, improve wound healing and reduce the burden of dental and gum disease in patients with diabetes. ​​
THE NEW CLASSIFICATION OF PERIODONTITIS AND PERI-IMPLANT DISEASES - IMPLICATIONS ON TREATMENT PLANNING​
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Prof Axel Spahr
This lecture provides an overview of the new Classification of Periodontitis & Peri-Implant Diseases. It explains the characterisation and different forms of gingival, periodontal and peri-implant health, guides through the staging and grading procedure of the Periodontitis-Classification, explains the different stages of peri-implant diseases and addresses possible implications of the new classification system on our treatment planning.
Learning objectives:
- Definition of Gingival, Periodontal and Peri-Implant Health
- Classification of Periodontitis
- Classification of Peri-Implant Diseases
- Impact of New Classification on Treatment Planning
EFFICACY OF TREATMENT APPROACHES FOR IMMATURE PERMANENT TEETH WITH PULPAL NECROSIS
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A/Prof Bill Kahler
Regenerative endodontic treatment of immature teeth is now advocated as first treatment choice for immature teeth with pulp necrosis. Traditionally, calcium hydroxide apexification and more recently MTA apical barrier techniques are alternative approaches. A disadvantage of these approaches is no further root development and a belief that calcium hydroxide may weaken teeth. The veracity of that claim will be examined. Clinical outcomes regarding resolution of signs and symptoms of infection are similar for all approaches. Immature teeth with pulp necrosis treated with REPs generally show further root maturation although the results are variable. Furthermore, patient-based criteria such as tooth discoloration, indications for changing the treatment option, and number of treatment appointments are all important parameters for discussion before electing the appropriate treatment plan for the management of immature teeth with pulp necrosis. Recommendations for which treatment approach are dependent on aesthetic requirements and stage of root development.
Learning objectives
At conclusion, participants should be able to
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Describe the parameters of success in the treatment of immature teeth
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Evaluate patient and clinician based outcome measures.
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Evaluate the efficacy of three treatment approaches for immature permanent teeth with pulp necrosis