Abstract:

Management of impacted mandibular third molars with surgical removal is a common procedure in day-to-day practice. Incision, reflection of flap, osteotomy, suturing is the normal protocol which involves traumatic tissue handling, patient discomfort, swelling and pain. The demand for conservative approach and stitch-less surgeries is increasing day-by-day. Dr. Nikam developed a technique to remove impacted third molars with a minimally invasive conservative approach, inset to avoid incision and soft tissue handling. This procedure reduces post-operative complications and procedure time. The purpose of this presentation is to present the modification in design and execution that Dr. Nikam has used in thousands of his cases.

Introduction:

 This copyrighted technique is a revolution in the field of Dentistry, and is accepted worldwide. The demand for stitch-less procedures is increasing day-by-day in all specialities like gynecology, general surgery, and cosmetology. So why not in dentistry? The conservative removal of mandibular impacted third molars gives immense patient satisfaction due to reduced pain and post operative complications. The removal of impacted molars is a challenging task for most dentists. This technique provides practitioners with a faster, easier, and more efficient approach. Hence, Dr. Nikam wishes to share it with dentists worldwide. This procedure has been trademarked by the Government of India under Dr. Nikam (MIPMIT Dr. V. H. Nikam’s technique).

Learning Objectives:

1. Minimal invasion and trauma to the patient using the technique
2. Less Postoperative complications using the new technique
3. Perform impacted third molar removal in less time.
4. The armamentarium used in procedure is less.
5. No need of sutures in some cases giving more satisfaction to such patients.

Topic Description :

Success and Challenges of School Oral Health Program, Kuwait

Abstract:
School Oral Health Program, Kuwait (SOHP) is a comprehensive school-based/linked program providing oral health education, prevention, and treatment to more than 300,000 children in Kuwait Public schools. SOHP had its modest beginning during 1982-83. Since its inception, this program has gone through many administrative and structural changes. Success of SOHP can be measured in terms of oral health outcomes among children receiving services under this. With effective prevention, SOHP has stabilized the caries-levels in permanent teeth and has reduced the unmet needs. SOHP has also faced many challenges over the years which has threatened its existence from time to time. Role of decision makers has been key to sustainability of SOHP. This program will continue to play a very significant role in not just delivery of oral health in Kuwait but also in controlling the burden of oral diseases.

Introduction:
Oral health is the integral part of the overall health of an individual. Children are vulnerable to oral diseases, especially tooth decay (Dental Caries) since all the teeth erupt during their childhood and the newly erupted teeth are susceptible to tooth decay. Also, the oral health habits established in children when they are very young, stays with them for life.
Comprehensive oral health programs for school children plays a major role in controlling the effect of tooth decay among children. Also, school-based programs play a significant role in educating children with healthy eating and oral hygiene habits.
MOH Kuwait introduced School Oral Health Program during 1982-83 to control the burden of oral health diseases among school-aged children.

Learning Objectives:

1. School-based oral health programs
2. Program evaluation
3. Oral health prevention
4. Oral health education
5. Sustainability

Topic Description :

Tobacco Cessation in Dental Practice

Abstract:
Tobacco use remains a significant global public health concern, with detrimental effects on both systemic and oral health. This webinar primary delves into the vital role of dental practitioners in tobacco cessation who are uniquely positioned to identify, educate, and support patients in their journey towards tobacco cessation.

Dental practitioners have an opportunity to serve as frontline healthcare providers by routinely assessing and delivering brief interventions and pharmacotherapy. We shall be sharing anecdotal experiences and strategies used to make your dental practice more relevant for tobacco cessation. This integration of tobacco cessation into dental practice holds promise for improving both the oral and overall health outcomes of patients and communities worldwide.

Learning Objectives:

1. To understand the role of dental professionals and strategies to integrate tobacco cessation into dental practice.
2. To understand and develop a personalized plan for quitting tobacco with support from dental professionals.
3. To understand the role of pharmacotherapy in tobacco cessation
4. To appreciate the various barriers and challenges to delivery of tobacco cessation in dental practice
5. To explore the various resources in tobacco cessation.

Topic Description :

Obesity and Diabetes: Prevention and Intervention in the Dental Setting

Abstract:

Dental professionals have an important role in the prevention and detection of many oral and systemic diseases because of their diagnostic and screening abilities, as well as the frequency of patient visits. These invaluable skills and practice paradigms should be considered as part of the equation to solve one of the largest public health concerns of our time: the obesity and diabetes epidemic. There is a well-described connection between periodontal disease and diabetes, with implications that the relationship may be bi-directional. Periodontal disease and obesity are associated with inflammatory stress and increased production of proinflammatory cytokines. Clearly, these associations should be reasons for the dental profession to intervene in the rise of obesity. Insufficient sleep is another factor in the obesity problem and screening for sleep habits could be part of a  comprehensive dental assessment, along with height, weight, blood pressure. The dental profession is in a unique position to identify and aid in the treatment of obstructive sleep apnea, a condition associated with obesity and diabetes. The rise of obesity and type 2 diabetes in children is of great concern and the dental profession can play a role in raising awareness of overweight status as well as obesity risk behavior.

Learning Objectives:

1. Participants will become familiar with the current prevalence of obesity in the US and other countries.
2. Participants will be able to discuss the relationship between obesity and oral health
3. Participants will be more aware of their patients’ health risks with respect to obesity.
4. Participants will be able to implement a screening and possible intervention in their own clinical sites.
5. Participants will be able to identify behaviors that increase obesity and contribute to poor health.

Introduction:

There is interest in the relationship of body weight and obesity to oral diseases. This interest derives from the recognized association of diabetes and obesity, and the importance of the relationship of diabetes and oral health. The mechanism that is believed to account for the relationship of diabetes and periodontitis is enhanced local and systemic inflammation, and the role of adipocyte and macrophage –associated production of inflammatory mediators is an important part of that relationship. In addition, weight gain is often related to food intake, and the intake of fermentable carbohydrates can have an effect on the dentition and other tissues in the oral cavity. In addition, this association is of interest because being overweight and obese is associated with sleep apnea, and dental professionals are expanding their role in treating this disorder.

Being overweight and obese has also been associated with an increased risk of oral/dental disease. These associations require dental professionals to be vigilant, treat disorders when they are detected, and develop a preventive regimen to reduce the chance of future complications. Further, oral health care professionals need to consider a role in obesity management for their patients. They are well versed in delivering a nutrition message related to carbohydrate intake, and this new responsibility could improve both the oral health and general health of patients seen in dental offices

Topic Description :

New Dimensions to Caries Prevention: Beyond Fluorides and Sealants

Abstract:

Caries prevention has evolved with time. Though Fluorides and sealants have remained the gold standard for long-period of time, many new materials, are revolutionizing this field these days. Introduction of SDF (Silver Diamine Fluoride) has added new dimension to caries prevention/management. Effective use of technology is taking the filed of Caries prevention beyond conventional methods. Smart connected devises, Chair-side caries-risk assessment, materials that aid in performing Minimally invasive procedures, etc. are creating new waves in the field of Caries prevention and is truly taking this field beyond fluorides and Sealants.

Learning Objectives:

1. Use of SDF in Caries prevention/management
2. Technology-driven preventive methods
3. Innovative materials for caries prevention

Topic Description :

Drill and fill to Heal and Seal – A Paradigm in Caries Management

Abstract:

Dental caries is the most common cause of tooth destruction in children. So, early detection and management of incipient lesion, which are present in the initial phase most commonly as whitish spots on enamel surface can prevent loss of tooth structure. There are various methods for the management of incipient lesions; the most effective being use of remineralising agents, use of fluorides and antiplaque agents. Management and prevention of these lesion as early as possible justify the role of a Pediatric and Preventive Dentist hence precluding the severe issues that may arise from tooth destruction.

Introduction:

 The early diagnosis and management of carious lesion is the key to the success of the treatments. Different efforts which must be made in order to decrease incidence of caries include identification and monitoring of bacteria, diet analysis and modification, use of topical fluorides and antimicrobial agents with more evidences about various modalities, In 2016, FDI approved a revised version of the Policy Statement on “Minimal Intervention in the Management of Dental Caries” (2002) which recognized that “an operative (‘surgical’) approach should only be used when specifically indicated, e.g., when cavitation is such that the lesion cannot be arrested, or when there are aesthetic or functional requirements”. The aim was to encourage a shift from a restorative approach of dental caries management to the delivery of preventive dental medicine. Yet in spite of this effort, uptake in daily clinical practice so far has been slow. This presentation will help improve our understanding about the use of preventive techniques and newer technologies, and will direct us into different approaches and interventions; overall encouraging fellow ‘Pediatric & Preventive Dentists’ to emphasise more on the latter speciality of our title.

Learning Objectives:

1. Early detection of the disease process
2. Management of incipient caries lesion
3. Decide which types of non-restorative treatments or interventions could be used to arrest or reverse existing non-cavitated lesions in adults and children
4. Emphasising on new preventive techniques over conventional techniques
5. Safety, efficiency, feasibility, and effectiveness of SDF in preventing and arresting caries

Topic Description :

Minimally Invasive Treatment of Enamel Defects

Abstract:

Enamel defects are a big problem for many patients. The most famous of them are MIH, Fluorosis, carious white spot, traumatic lesions. The increased demand for aesthetic treatments today necessarily implies greater attention of the clinician in formulating a correct diagnosis and in the management of these defects. The purpose of the webinar is to illustrate how to perform a right diagnosis of these problems, to identify the nature of the lesions and choose the most suitable treatment plan for resolving aesthetic cases. Participants will learn how to do diagnosis of the main enamel lesions and they’ll receive precise minimally invasive treatment protocols to apply in the aesthetic area, including techniques such as home bleaching, chemical microabrasion, resin infiltration, macroabrasion.

Introduction:

 Minimally Invasive Dentistry is today a goal for clinicians. A lot of white enamel lesions in aesthetic area can be treat by simple and economic protocols, like resin infiltration. But it’s important that clinician know the difference between superficial and deep resin infiltration, and when it’s necessary apply a “multiphase protocol” with other techniques like dental bleaching or superficial abrasion. In this webinar we’ll show what technique is better for each clinical situation, to always have a good aesthetic result for our patients.

Learning Objectives:

1. Diagnosis of enamel defect
2. Minimally invasive treatment protocols
3. Dental bleaching
4. Superficial resin infiltration
5. Deep resin infiltration

Topic Description :

Homecare Plaque Removal in Prevention of Caries and Periodontal Disease

Abstract:

Caries and periodontal diseases are complex diseases caused by an unbalanced relationship between the bacteria in the biofilm and the host defence mechanisms. The influence of the host response is being widely studied but at present times, in the absence of proven means, the control of plaque formation constitutes the basic approach to prevention of both diseases. Plaque must be removed frequently by mechanical self-care methods. Tailored instruction and motivation of a person, regular visits to the dental office with professional feedback and reinforcement seem to be the most successful approach to prevent occurrence, recurrence and disease progression.

Learning Objectives:

• Discuss as effective plaque control influences prevention and control of caries and periodontal diseases
• Analyze the parameters of choice for manual and electric toothbrushes choice
• Evaluate the importance of interproximal devices use and how to choose the most suitable ones
• Utilize tailored instruction and motivation for each patient

Topic Description :

Caries Detection / Diagnosis. A Chimera?

Abstract:

The purpose of this webinar is to discuss the current available methods to detect caries lesions. The current evidence-based caries understanding, based on biological concepts, involves new approaches in caries detection, assessment, and management that should include non-cavitated lesions. Even though the importance of management of non-cavitated (NC) lesions has been recognized since the early 1900s, dental caries has been traditionally detected at the cavitation stage, and their management has focused strongly on operative treatment. Methods of detection of early carious lesions have received significant research attention over the last 20 years. The most common method of caries detection is visual-tactile.

Learning Objectives:

• summarize the scientific evidence on caries detection and diagnosis – recognize the different caries levels
• estimate the caries progression rate – illustrate the different caries detection and recording systems
• predict the feasibility of the new approach

Topic Description :

Dental Sealant Procedures in the Era of the Multifunctional Intra-oral Cameras

Abstract:

To date, dental caries remains one of the most widespread pathologies in the world with serious consequences on the oral and general health of individuals, and in particular in the pediatric range, and with significant social and economic implications. The prevention of pathologies, in detail the carious one, in order to guarantee the population a greater quality of life and well-being, represents the focus of all international organizations, and represents the goal of all health operators including operators in the sector dental.  Objectives and goals must necessarily translate into prevention strategies and concrete actions including the activities carried out in the dental clinic in favor of the population. Dentist and dental hygienist play a crucial role in the primary prevention of carious pathology also through the execution of specific preventive procedures such as the sealing of dental pits and fissures object of this report.

Learning Objectives:

1. Participants will acquire information about the theoretical concepts underlying the role and meaning of the dental sealant and dental sealant procedures as part of dental caries prevention strategy in favor of all patients and for every age group and in details in childish age.
2. The models, methods and materials useful for the translation of theoretical concepts into clinical practice and how to concretely provide dental sealant procedures will be shared.
3. The role, meaning and the application of the multifunctional intra oral cameras in dentistry will be clarified
4. It will be demonstrated how to perform a dental sealant procedure guided and supported by the multifunctional intra oral cameras in order to support the decision making process, to increase the quality of the treatments itself and the long term outcomes.
5. In conclusion, participants will be offered a method of clinical application of theoretical contents aimed at transferring the know-out about the dental sealant procedure guided by intramural devices to clinical actions