7^th Annual Congress on Dental Medicine and Orthodontics November 18-19, 2019 Courtyard by Marriot Bali Seminyak Resort | Bali, Indonesia

Krishna Arora has completed his Masters of Dental Surgery from Rajiv Gandhi University of Health and Sciences, Bangalore. He has more than 10 publications to his credit including 4 original researches. He is currently working as an Associate Professor in the Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Melaka-Manipal Medical College, Malaysia.

Palatal tori are common among Asian and Eskimo. It is a slowly growing, flat-based bony protuberance or excrescence which occurs in the midline of the hard palate. Palatal tori have a high prevalence rate among Malaysian. Torus palatines’ can initially be as small as less than 2 cm in diameter. Throughout life it can slowly increase in size sometimes to the extent of filling the entire palatal vault. Studies have shown that tongue thrust is one of the oral habits which lead to anterior open bite and posterior crossbite. In this context, it is hypothesized that palatal tori may be associated with tongue thrusting. The basis of considering torus palatinus contributing to tongue thrusting habit is that the presence of torus palatinus may act as mechanical restrictions for positioning and movement of tongue. Consequently, the tongue will try to compensate by either being placed further anteriorly against the maxillary incisors leading to open bite, or it might rest inferiorly close to the floor of the mouth, disturbing the buccinator mechanism leading to crossbite. Hence, palatal tori could be associated with various kind of malocclusion, predominantly being the open bite. This is a study to evaluate its possible association with the various types of malocclusion.

 

 

 

Manuela Daian has finished her dentistry studies in Bucharest at the University for Medicine and Pharmacy Carol Davila. In 1999 she received her graduate training in Orthodontics at the same University. She started her career as an orthodontist in Greece and since 2009 she has been working in the Netherlands. She is aware that continuous training is very important . During the years she has enriched her knowledge by following seminars and courses at home and abroad. In addition to practical work, she is also involved in the educational field. In the period 2012-2014 she was also active in training of orthodontic assistants at the Academie Tandartsenpraktijk in Amersfoort and she has given scientific presentation on oral hygiene during orthodontic treatment, impacted cuspids and tooth autotransplantation. She is an Invisalign, Damon and Incognito certified orthodontist.

Introduction: Mandibular canine impaction with or without transmigration is regarded as a much rarer phenomenon and there are limited studies revealing its frequency of occurrence. Canine impactions occur 20 times more frequently in the maxilla than in the mandible and impacted maxillary canines have not been observed migrating across the midline palatal suture. The cause is usually a supernumerary tooth, an odontoma or crowding. It may, however, occur with no apparent reason. This problem has several solutions. The tooth could be surgically exposed and moved into the dental arch orthodontically, an autotransplantation could be performed or the cuspid can be extracted.

 

Case Presentation: Here we present a case of a 13 year old girl with an impacted and transmigrated lower cuspid. The autotransplantation was chosen as the treatment method. The autotransplantation was performed in the Clinic Paro Rotterdam. Because the root formation of the cuspid was complete an endodontic treatment was performed two weeks after the autotransplantation. The postoperative phase developed without complications and the orthodontic treatment was completed within 11 months after the autotransplantation.

 

Conclusion: In 1933 Harry Wright stated that in order to have a normal occlusion all the permanent teeth should be present and in a correct position. Referring to the impacted teeth and their treatment affirmed that: “Is easier to extract such a tooth than to aide his eruption”. Unfortunately, affirmations are still present; there are still clinicians who choose for extraction of the lower impacted cuspid even if the position of the cuspid allows the autotransplantation.

 

 

 

 

Jean-Fabien Grangeon has completed his graduated. He is currently the CEO of the Clinique Dentaire des Mascareignes and work as an Exclusive Practitioner in Periodontology and Implantology

Full arch reconstruction procedures are nowadays well described and we’ll go through all the tips and skills required that drive us to reproductible success.

We will present the new paradigm in modern implantology:

What is immediate implantation & loading:

We will present the new paradigm in modern implantology:

A clinical presentation of several surgical cases will be added in the second part of the conference showing its predictable results through single tooth replacement procedures and full arch reconstructions in one step.

Deepika Sharma is second orthodontist of Bhutan. She earned her postgraduate degree from the University of the East, Manila, Philippines with distinction. She received her bachelor’s degree from Dhaka Dental, Bangladesh. She completed her lingual orthodontic course from Kyungpook National University, Korea. She has been actively participating in WIOC (world implant orthodontic conferences). She is a registered practitioner under Bhutan medical and health council and former member of Philippine Association of Orthodontics. She currently serves as the head of department for Namsey dental clinic - the only private clinic in Bhutan, established under the King’s edict. Prior to that, she served under the royal government hospital. Dr. Deepika ensures each patient’s comfort, safety and happiness. She utilises the latest orthodontic technology and stays up to date with new techniques. In her quest to improve oral hygiene in Bhutan, Dr. Deepika hikes to remote schools to advocate students on proper oral hygiene.

Facial beauty has been a major factor since the ancient times; the perception of a beautiful face had varied across historical period and among human culture. People have always had their own ideal of beauty. Keeping this in mind beauty and esthetics, orthodontists have begun to pay particular attention to the facial profile and soft tissues when evaluating a patient for a treatment. Aim of the study was to evaluate and to correlate the anteroposterior position of lips on cephalometry using E line and Merrifield line and determine the most preferred soft tissue profile photographically in orthognathic Filipino adult patients. From the results of the study for adult Filipino patients with class I skeletal pattern, the mean difference of Z angle and E line to normal standard found was as higher as compared to normal standards. The mean Z-angle of Filipinos is 71.09±6.94 (standard value is 75-78), mean upper lip to E line is -0.38±2.18 (standard value is -4 mm) and 0.89±2.26 on lower lip to E line (standard is -2 mm as Filipinos have more protruded lips, round nose unlike Caucasians who have long noses and less protruded lips. So prior extractions, anterior position of lips should be well considered. For Filipino male and female, there was no difference in E line to upper lip and lower lip. But there was a higher Z angle of Filipino female than male. For Filipino adults when Eline and Merrifield line was compared there was a correlation found. As the E line increases Z angle decreases. For the perceptions orthodontist, orthodontic residents and laymen preferred figure B who had E line upper lip -2 mm lower lip -1 mm, Z angle was 77 degrees while least preferred was picture H whose Merrifield was 75 degrees E line upper lip was -3.5 mm and lower lip was 2 mm.

Vineet Alex has completed Masters in Dental Surgery (MDS) specializing in Oral Medicine & Radiology from Saveetha University. He is a Diplomate in Laser Science from University of Genova, Italy, Lectured on the present status of Forensic Dentistry in the first International Forensic Odontology conference in Goa, 2018. Keynote Speaker in 2nd Global Public Health conference, Colombo and 5th International Conference on Public Health, Malaysia 2019. Field of research includes Tobacco Associated Oral Diseases, cancer Awareness, Early Detection methods in Oral Cancer. He has numerous scientific national and international indexed publications, presently working as consultant oral and maxillofacial radiologist.

 

 

 

Head and neck cancer is one of the most life-threatening malignancies and is ranked as the sixth most frequently occurring malignancies in human body. Oral cancer accounts for its fair share and almost all of the cancers are oral squamous cell carcinomas. The oral cavity serves as the entry level for most of the carcinogens which makes it a potential target area for malignancies. The incidence rate of oral cancer is varied in its geographical pattern and is very high in South East Asia. The significance of oral cancer in recent years has increased because of its emergence in younger aged population. Inspite of its growing incidence the survival rate of oral cancer has not shown any significant progress. The foremost reason for less survival rate is contributed to the delay in its diagnosis and the predicament that is associated with definitive diagnostic modality. This points to the direction of the timing of diagnosis and the stage of the tumor. Oral cavity is functionally and anatomically complex in nature that its examination can fail even the well trained eye of an expert professional. Oral structures should be periodically examined and screened for any potential lesions.The anatomy of oropharynx is such that some areas are clearly visualized while few others pose difficulty for direct visualization. Premalignant lesions are missed or mistaken at this standpoint, while other lesions are misinterpreted due to the hindrance faced while palpating the posterior parts of oral tissues. Most of the patients initially ignore the symptoms relating it to a traumatic injury or a common oral sore, once the lesion starts its progression it invariably becomes asymptomatic and causes no evident discomfort. It is when the lesion enters the advanced stage, the symptoms become more evident and by the time it is in a more advanced state. Other important aspect which causes difficulty in definitive diagnosis is the selection of the biopsy site and sample tissue that is taken from the representative site. The tissue sample should have adequate quantitative pathological and normal cells for a prompt histopathological diagnosis. So, a specific paradigm should be designed for examination both visually and palpatory criteria. This studies the existing and adhered protocols in the diagnosis of oral cancer. Additional informative inputs that would be valuable in the spot on diagnosis and futuristic screening techniques have been mentioned. Thus, an early diagnosis can cause less damage to oral structures during interventional treatment and give a better prognosis.

 

 

 

 

 

 

 

 

 

 

 

Vineet Alex has completed Masters in Dental Surgery (MDS) specializing in Oral Medicine & Radiology from Saveetha University. He is a

Diplomate in Laser Science from University of Genova, Italy, Lectured on the present status of Forensic Dentistry in the first International

Forensic Odontology conference in Goa, 2018. Keynote Speaker in 2nd Global Public Health conference, Colombo and 5th International

Conference on Public Health, Malaysia 2019. Field of research includes Tobacco Associated Oral Diseases, cancer Awareness, Early

Detection methods in Oral Cancer. He has numerous scientific national and international indexed publications, presently working as

consultant oral and maxillofacial radiologist.

Head and neck cancer is one of the most life-threatening malignancies and is ranked as the sixth most

frequently occurring malignancies in human body. Oral cancer accounts for its fair share and almost

all of the cancers are oral squamous cell carcinomas. The oral cavity serves as the entry level for most of

the carcinogens which makes it a potential target area for malignancies. The incidence rate of oral cancer is

varied in its geographical pattern and is very high in South East Asia. The significance of oral cancer in recent

years has increased because of its emergence in younger aged population. Inspite of its growing incidence the

survival rate of oral cancer has not shown any significant progress. The foremost reason for less survival rate

is contributed to the delay in its diagnosis and the predicament that is associated with definitive diagnostic

modality. This points to the direction of the timing of diagnosis and the stage of the tumor. Oral cavity is

functionally and anatomically complex in nature that its examination can fail even the well trained eye of an

expert professional. Oral structures should be periodically examined and screened for any potential lesions.

The anatomy of oropharynx is such that some areas are clearly visualized while few others pose difficulty

for direct visualization. Premalignant lesions are missed or mistaken at this standpoint, while other lesions

are misinterpreted due to the hindrance faced while palpating the posterior parts of oral tissues. Most of the

patients initially ignore the symptoms relating it to a traumatic injury or a common oral sore, once the lesion

starts its progression it invariably becomes asymptomatic and causes no evident discomfort. It is when the

lesion enters the advanced stage, the symptoms become more evident and by the time it is in a more advanced

state. Other important aspect which causes difficulty in definitive diagnosis is the selection of the biopsy

site and sample tissue that is taken from the representative site. The tissue sample should have adequate

quantitative pathological and normal cells for a prompt histopathological diagnosis. So, a specific paradigm

should be designed for examination both visually and palpatory criteria. This studies the existing and adhered

protocols in the diagnosis of oral cancer. Additional informative inputs that would be valuable in the spot on

diagnosis and futuristic screening techniques have been mentioned. Thus, an early diagnosis can cause less

damage to oral structures during interventional treatment and give a better prognosis.

Mohammed Shaath has completed his Bachelors of Dental Surgery from the University of Manchester, 2014 and became a Member of the Faculty of Dental Surgery at the Royal College of Physicians and Surgeons, Glasgow in 2017. He has completed his Post-graduation in Facilitating Healthcare Learning from the University of Central Lancashire and currently working in General Practice providing Intravenous Sedation.

Aim: To understand the role of an oral and maxillofacial surgery dental core trainee in England. Expectations of a core trainee in assessment and management of dental trauma and lessons learnt from dental trauma audit.

 

Setting: North Manchester General Hospital, Oral and maxillofacial department.

 

Gold Standard: The online dental trauma guide.

 

Method: An audit was carried out to assess the management of dental trauma in accident and emergency department at the hospital. After identifying the limiting factors, changes were made to bring performance up to standards.

 

This presentation will look at what changes were made, the challenges and limitations faced in making those changes. Advice can be taken in implementing changes in hospital around the world to provide the best treatment and management for trauma patients.

Manuela Daian has finished her dentistry studies in Bucharest at the University for Medicine and Pharmacy Carol Davila. In 1999 she received her graduate training in Orthodontics at the same University. She started her career as an orthodontist in Greece and since 2009 she has been working in the Netherlands. She is aware that continuous training is very important . During the years she has enriched her knowledge by following seminars and courses at home and abroad. In addition to practical work, she is also involved in the educational field. In the period 2012-2014 she was also active in training of orthodontic assistants at the Academie Tandartsenpraktijk in Amersfoort and she has given scientific presentation on oral hygiene during orthodontic treatment, impacted cuspids and tooth autotransplantation. She is an Invisalign, Damon and Incognito certified orthodontist.

Introduction: Mandibular canine impaction with or without transmigration is regarded as a much rarer

phenomenon and there are limited studies revealing its frequency of occurrence. Canine impactions occur

20 times more frequently in the maxilla than in the mandible and impacted maxillary canines have not

been observed migrating across the midline palatal suture. The cause is usually a supernumerary tooth, an

odontoma or crowding. It may, however, occur with no apparent reason. This problem has several solutions.

The tooth could be surgically exposed and moved into the dental arch orthodontically, an autotransplantation

could be performed or the cuspid can be extracted.

 

Case Presentation: Here we present a case of a 13 year old girl with an impacted and transmigrated lower

cuspid. The autotransplantation was chosen as the treatment method. The autotransplantation was performed

in the Clinic Paro Rotterdam. Because the root formation of the cuspid was complete an endodontic treatment

was performed two weeks after the autotransplantation. The postoperative phase developed without

complications and the orthodontic treatment was completed within 11 months after the autotransplantation.

 

Conclusion: In 1933 Harry Wright stated that in order to have a normal occlusion all the permanent teeth

should be present and in a correct position. Referring to the impacted teeth and their treatment affirmed that:

“Is easier to extract such a tooth than to aide his eruption”. Unfortunately, affirmations are still present; there

are still clinicians who choose for extraction of the lower impacted cuspid even if the position of the cuspid

allows the autotransplantation.

Meli Chacón has completed her Graduation in Dentist from The University of Seville and Post-graduation training in Orthodontics and Dentofacial Orthopedics and also PhD degree from at the University of Seville, Spain.

Rapid maxillary expansion is a useful strategy in the treatment of malocclusion. It is applicable for correcting posterior crossbites (unilateral and bilateral), narrow maxillary arches, mandibular functional shift and dental crowding. This technique was first described by Angell and then, a number of banded loops or helices, jackscrew devices and spring-loaded devices have been incorporated in fixed or removable appliances to achieve widening of the maxillary arch. RME increases the upper arch transverse dimensions mainly by separation of the two maxillary halves (orthopedic effect), followed by buccal movement of the posterior teeth and alveolar processes (orthodontic effect). The effect of the appliance on the midpalatal suture has also been reported to vary with age. A greater response to RPE has been reported in younger subjects, whereas in older subjects the appliance becomes increasingly less effective, to the point where no sutural expansion takes place. This has been correlated with the increase with age of bony intercalations along the midpalatal suture line. It is thought that this osseous interlocking, and perhaps synostosis of the midpalatal suture, causes a mechanical resistance to the actions for the expansion device. The aim of this study will be to analyze the benefits of an early treatment of the anterior and posterior crossbite. It will be explained when it´s the correct time to treat a patient with anterior/posterior crossbite. It will be shown different appliances for this purpose. It will be also clarified when it’s the best time to refer a child for an orthodontic assessment by a general dentist.

Binoy Mathew has completed his B D S and M D S. He is an occasionally visiting doctor and working as Orthodontist, Maxillofacial surgeon in Valiyakulangara Dental Clinic for past 14 years.

Orthodontics is in a major turn of events now. Orthodontics was purely customized at one time where the orthodontist used evaluates each face for its specific individual patterns and plans the treatment accordingly. It used to fabricate the appliance considering these individual needs. Straight wire appliance was a major development in the field of orthodontics. The advent of straight wire system resulted in mass customization of orthodontic brackets. This resulted in a major jump in the industrial production of orthodontic arsenals. But this also resulted in a slow but steady decline of orthodontics as a profession. Then

came the need for invisible orthodontics and lingual appliance became the appliance of choice at this juncture. Lingual appliance is a difficult appliance to use both for the patient and the doctor. This situation resulted in the development of appliances that are un-noticeable and called shall appliances or aligners. This also gained much popularity. But now every laboratory throughout the world makes these aligners. The limitation of this system is the lack of predictable results, root movement and inconvenience of being a removable appliance. At this juncture orthodontist around the globe felt a need for better systems of orthodontics which

 

Manuela Daian has finished her dentistry studies in Bucharest at the University for Medicine and Pharmacy Carol Davila. In 1999 she received her graduate training in Orthodontics at the same University. She started her career as an orthodontist in Greece and since 2009 she has been working in the Netherlands. She is aware that continuous training is very important. During the years she has enriched her knowledge by following seminars and courses at home and abroad. In addition to practical work, she is also involved in the educational field. In the period 2012-2014 she was also active in training of orthodontic assistants at the Academie Tandartsenpraktijk in Amersfoort and she has given scientific presentation on oral hygiene during orthodontic treatment, impacted cuspids and tooth autotransplantation. She is an Invisalign, Damon and Incognito certified orthodontist

Anterior open bite (AOB) is defined as the lack of incisal contact between anterior teeth in centric relation. Prevalence in the population ranges from 1.5% to 11%.6. The age factor, however, affects prevalence, since sucking habits decrease and oral function matures with age. At six years old 4.2% present with AOB whereas at age 14 the prevalence decreases to 2%. Anterior open bite is considered to be one of the most difficult treatments. Proper diagnosis and treatment planning, successful treatment, and retention have been stressed for the long-term stability of open bite treatment. There are several factors that could be related to the development of open bite. Among these are an unfavorable mandibular growth pattern, heredity, imbalances between jaw postures, digit-sucking habits, nasopharyngeal airway obstruction, tongue posture and activity and head position. Various treatment modalities have been proposed for the correction of anterior open bites: surgical and nonsurgical. Vertical control during comprehensive orthodontic treatment has been a challenging problem in orthodontics. It is known that fixed appliance therapy tends to extrude teeth and increase the mandibular plane angle during treatment. More recently, some clinicians have introduced the use of clear aligners to control the vertical dimension, citing the development of posterior open bites at the end of clear aligner treatment. However, with a series of improvements (G series) introduced over the past few years, several clinical case reports using clear aligners have shown good vertical control of the posterior teeth. The biomechanics for anterior open bite correction with clear aligners involve the following: relative extrusion of the incisorspure, extrusion of the incisors, posterior intrusion of the maxillary and mandibular teeth. We will present an adult case treated with invisalign. The treatment duration was 40 weeks and the anterior open bite was mainly corrected with relative extrusion of the incisors.

Harshita has completed her Bachelors in Dental Surgery from Saraswati Dental College, Uttar Pradesh, India. She is currently working as Assistant Dental Surgeon in Vivekananda Polyclinic and Institute of Medical Sciences, Uttar Pradesh, India. She has presented two scientific presentations in different national conferences and has participated in various national conferences.

Syndromic children present delays in motor skills acquisition compared to those with normal development, which may interfere in activities such as grip strength and manual dexterity. Their clinical complexity demands comprehensive management by an extensive multidisciplinary team. Judging from the explosion of articles not only in scientific journals, but also in the mass media and on the internet, one could say that the term “stem cells” has become linked to the word “cure”. In the recent years, the field of dentistry has embossed its presence by taking major leaps in research and further bringing it into practice. Recently, scientists focus on tooth tissue engineering, as a potential treatment, beyond the existing prosthetic methods. Tooth engineering is a promising new therapeutic approach that seeks to replace the missing tooth with a bioengineered one or to restore the damaged dental tissue. Additional research needs to be performed, but nevertheless, the results of existing studies are encouraging and strongly support the belief that tooth engineering can offer hope to special children suffering from dental problems or tooth loss.