29th Annual American Dentistry Congress March 22-23, 2018 New York | USA

Konstantinos Bakos has completed his dental training at Aristotle University of Thessaloniki in Greece and his advanced educational training in Orthodontics at

University of Alabama, USA. He is currently a PhD candidate and scientific Assistant at the Department of Orthodontics at Aristotle University of Thessaloniki. He is an eligible member of the American Board of Orthodontics and a WFO, EOS, GRESLO and EOGME fellow.

Orthodontic anchorage is an important factor in obtaining good treatment results. Stable anchorage is a pre-requisite for orthodontic treatment with fixed appliances. Until lately, several conventional orthodontic modalities, such as transpalatal arches, headgears, Nance buttons, or the application of differential forces, were used for this purpose. However, it is difficult to obtain stable anchorage with such appliances even with the full cooperation of the patient. Their clinical effectiveness lies in their ability to maintain close contact with the bone thus remaining stable during orthodontic treatment while resisting

reactive forces thus mini- mizing anchorage loss. Systematic reviews show success rates ranging from 80% to 100% for the Tads. Mini-implants were introduced at the start of the 21st century as a new means of precisely controlling tooth movements during some orthodontic treatments. MIs are fabricated from stainless steel, commercially pure titanium, or titanium alloy

with a diameter of 1 to 2 mm and length of 8 to 20 mm, and they are not osseointegrated. Mini-implants are frequently placed between the roots of teeth, but may also be sited in the roof of the mouth. They are then connected to a fixed brace to help move the teeth. Survival of non-osseointegrated implants seems to be affected by many risks. The use of MIs significantly decreased or negated loss of anchorage. MIs were found more effective in supporting anchorage when they were used in the mandible, between the second premolar and the first molar, when two MIs were inserted into a patient’s jaw, when they were directly connected, when they were used in adult patients, as well as when treatment lasted more than 12 mos. MIs used for anchorage have a success rate of 87.7%, with no significant differences between the various subgroups.

Mishaal Gill has completed her BDS from University of Manchester School of Dentistry, UK in 2013. She has completed Foundation Dental Training in the North West of England then went on to complete core training in Oral and Maxillofacial Surgery in Yorkshire and Merseyside. She has passed all Postgraduate examinations and is a Member of The Royal College of Surgeons Edinburgh. She has published six articles in reputable journals and teaches Restorative Dentistry as a Clinical Restorative Teaching Fellow at Leeds Dental Institute, UK.

Ameloblastic fibroma is a rare, slow-growing benign neoplasm, which comprises tissue of odontogenic origin. It constitutes 2% of odontogenic tumors and can occur at any age but tends to have a predilection to present in the first two decades of life. The posterior mandible is the most commonly affected site. Herein, we describe the case of a 6-year-old Caucasian

male who presented to the Oral and Maxillofacial Department at Alder Hey Children's’ Hospital, Liverpool, United Kingdom with a painless expansive mass in the left mandible which was diagnosed as a benign ameloblastic fibroma. The lesion was surgically enucleated and reconstructed with a parietal calvarial bone graft. A literature search using the PubMed, Embase

and CINAHL databases was performed. The terms included in the search were Ameloblastic, Fibroma, Ameloblastic Fibroma and Odontogenic Tumor. We further meshed all search terms to incorporate a wide range of alternative phrases surrounding the topic. Our results produced 604 papers, from which duplicates were removed and this left 334 papers to review. Of these

papers, the highest level of evidence was an abstract on a systematic review by Chrcanovic et al 2017. The management of AF is challenging, and there is no clear consensus regarding a conservative versus a more aggressive approach. In our opinion, a ‘case specific’ approach is appropriate. The aims of treatment are to remove the tumor and decrease the chances of recurrence while preserving adjacent vital structures when safe to do so.

Mini-implants have influenced orthodontic treatment plans by providing possible management of complicated discrepancies than those treatable by conventional biomechanics. By the help of mini-implants, force can be applied directly to the, bone-borne anchor unit. Therefore, mini-implants not only eliminated concerns about anchorage demanding cases, but they also have enabled clinicians to overcome tooth movement in three dimensions. Furthermore, adjunctive orthodontic treatments in adults, and treatment for impacted teeth are the other indication of mini-implant treatment. Mini -implants were grouped as follow: common appliances for providing orthodontic anchorage, bio-mechanical details of mini-implants and their insertion, clinical application of mini-implants for orthognathic treatments, limitations and possible complications. In conclusion, mini-implant evolved the orthodontic treatment plans and compromised the required orthognathic surgery. Malocclusion treatment and pure orthodontic orthopedic movements in the three-dimensions have become recently possible by using mini-implant to provide skeletal anchorage.

Tamari Matsaberidze is graduated from Tbilisi State Medical University and postgraduate educational program in Tbilisi, Georgia. She has DMD in conservative dentistry in children and adults. She attended lots of dental international conferences and also is twice a winner of Radix Youth International Dental Forum (TIDC 2016, 2017 Tbilisi, Georgia). She also attended Greater New Your Dental Meeting (Poster Session November 2017 New York, USA). She has three publications in local medical journals: “Dentistry Today and Family Doctor”. She became a Member of Radix Research Center since April, 2017.

In recent years a portion of the scientific literature and clinical trials from all over the world have shown an anatomicalfunctional and pathophysiological connection between craniomandibular and craniocervical dysfunction, connecting various zones of the organism in a single tonic-postural system. This research is based on biomechanical concept theory, Molar Lever conception and Domino effect reaction in organism. According to this theory, when dental support is not adequate the skull tends to collapse. Thus the top cervical vertebrae get miss-aligned and the skull tilts and moves away from a symmetrical and balanced position on top of the shoulders. When postural collapse affects, strains, compresses and twists the brain stem, the body reacts with neurological symptoms. They are automatic unconscious reflexes that do not make it past the brain stem to the conscious brain so called dystonia involuntary asymmetric muscle contractions. This study shows new vision in the treatment of cervical dystonia, as a bio-mechanical approach. Research is based on clinical cases using starecta method, modified dental splint –The rectificier to solve a postural problem. Each case is individual and needs several diagnostic methods (postural platform, stabilometric Platforms, x-rays, MRI scan and Face photos) according to the diagnoses. Statistics is based on multi analysis and effectiveness of this conception. You can solve a postural problem only if you know precisely how the bio-mechanism works and therefore the exact relationship between teeth, occlusion and posture.

Radhika Thakkar is graduated from dental school in 2012. After four years of private practice in India, she moved to USA to pursue Masters in Public Health (MPH) from St John's University, NY. She won national award in India "Emerging Dental Speaker of the Year 2017" for her community outreach programs in New York City as well as conducting online webinars for dentists in India. She is a Board of Director at Academy of Dental Career, Mumbai. She has published more than five research articles in reputable journals. She is a Fellow of International Congress of Implantology.

Introduction: In Greek, “ergo” means work and “nomos” means natural systems or laws. The term ergonomics was rustled up by British psycholo¬gist Hywelmurrel, at the 1949 convention at the United Kingdom, which later steered the foundation of the ergonomic society. Ergonomics can be defined as, the scientific disci¬plines concerned with the indulgent of interactions

among human being and supplementary elements of a system, and the occupation that applies principles, data, meth¬ods and theory to scheme in order to augment human well-being and by large system performance. The good news is that these predicaments can be sidestepped by collective awareness of the postures used for the duration of the work, reforming the

workstation to encourage examining the impact of instrument use on upper extremity pain, neutral positions, and tailing hale and hearty work practices to lessen the stress of dental work on the practitioner’s body. This article introduces the signs, symptoms, and risk factors of musculoskeletal disorders. The article also converses the imperative issue of posture and offers

ten recommendations to recuperate your posture to allow you to work with efficiency coupled with comfort.

 

Materials & Methods: The presentation of this systematic review is in accordance with the PRISMA statement. Meta-analysis is done by using Covidence tool. The review included articles published in the last 10 years, from 2007 to 2017 on the MEDLINE, Scopus, and Cochrane Library. The search strategy used a combination of free text terms controlled vocabulary based on the following

 

keywords: ergonomic, dentist, musculoskeletal, posture, and prevention, neck pain, used with these search strings: dentist + prevention + ergonomic, dentistry + musculoskeletal + prevention, dentist + prevention + neck pain, additionally, we practiced a hand search on reference lists of the selected articles and reviews for a wider analysis. Relevant reports were selected

according to inclusion and exclusion criteria. Finally, the compatible full texts were independently assessed for definitive eligibility.

 

Results: Online research indicated 2098 references: PubMed (1719), Scopus (357) and the Cochrane Library (22). Of these, 604

were excluded because they were unrelated to dentistry and the occupational hazards of dental practitioners. Of the remaining

866 items were excluded due to duplication. The full text of 628 studies was assessed, 614 papers that did not meet inclusion

criteria were excluded. Ultimately, 14 studies were included in this review

Conclusion: Ergonomic characterization of dental work methods has revealed various occupational risk factors inherent in dental procedures and their contribution to a high degree of MSD observed among dentists. Well planned ergonomic intervention program can reduce the overall burden of this problem. By making small changes in work practices, instrument usage, posture, workstation setup, and health practices, you can greatly affect your ability to provide quality care over a long, healthy, and successful career in dentistry.

Niroj Raj Neupane has completed his Bachelor’s degree from Pakistan in 2006 and his Master’s degree in Orthodontics from Nanjing University, Nanjing, China in 2016. Currently, he is working as a Consultant Orthodontist in Suzhou Dental Hospital, affiliated to Suzhou University.

The impact of malocclusion on quality of life has been the objective of study in different populations. A total of 210 students (105 foreign students and 105 local students) studying in Nanjing University and Southeast University of Nanjing were selected for the study. Data were collected with the questionnaire, which included the desire for orthodontic treatment,

satisfaction with their dental appearance, importance of well-aligned teeth, awareness of other teeth and self-perception of psychosocial impact of malocclusion and clinical examination was done by a trained and calibrated orthodontist to assess the ICON index. The independent variables which were statistically significant were screened using logistic regression analysis

with the method of forward stepwise and regarded as factors affecting the subjective need for orthodontic treatment. The p value was taken as p<0.05. The results of my research were very interesting which I would like to share with the participants in the conference. Besides this, I would also like to share my experience working as a foreign expert consultant orthodontist in China and I hope my presentation will be knowledgeable as well as interesting to all the participants of the conference.

Asana Vali Sichani has completed her diploma and currently is a senior in the dental school of Isfahan University of Sciences. She is a Member of students research committee, She has managed to be in the top ten of her class in her six years. She has published three articles and has been serving as a Tutor in research workshops.

This research aimed to investigate the association of inferior alveolar nerve block injection (IANB) and procedural pain with contributing psychological factors in patients undergoing endodontic therapy. Of 208 patients who had tooth with symptomatic irreversible pulpitis and required an IANB injection, 164 patients completed the study. Participants fill out questionnaires on procedural pain (needle insertion pain, anesthesia solution deposition pain and access cavity preparation pain) and psychological factors (depression, anxiety and personality traits). For measuring pain Wong Baker Faces Pain Rating

Scale (WBS) and Visual Analog Scale (VAS) were used. Participants mean age was 34.63 years. Significantly depressed patients felt higher levels of pain for needle insertion as well as anesthesia solution deposition in both Scales (WBS: T1; (OR=1.08; 95% CI=1.01, 1.22) ,T2; (OR=1.09; 95% CI=1.02, 1.25), and VAS: T1; (OR=1.12; 95% CI=1.03, 1.29) ,T2;(OR=1.13; 95% CI=1.05,1.32)), but not in access cavity preparation. Among personality traits, the factor mostly associated with feeling higher levels of pain was neuroticism in both scales (WBS: T1;(OR=1.10; 95% CI=1.03, 1.25) ,T2; (OR=1.08; 95% CI=1.02,1.28), and VAS: T1;(OR=1.11; 95% CI=1.02, 1.28) ,T2; (OR=1.09; 95% CI=1.01, 1.20) ). It seems that depression and neuroticism can be considered as risk factors for feeling higher levels of pain during dental treatment. For helping these patients effort by both dentist and psychologist may be needed.

Objectives: Psychosomatic problems such as health anxiety are a newly discussed topic in today’s dentistry. The aim of this

study was to clarify the role of these factors in pain perception during RCT procedures.

 

Method: Data for this clinical study was gathered from 208 patients (mean age of 34.63) were referred to the endodontic department of the Isfahan University of Medical Science and had at least one mandibular molar tooth with symptomatic irreversible pulpitis. Participants were not able to fill out all the questions were excluded. For measuring pain, Wong-Baker

Faces Pain Rating Scale (WBS) and Visual Analog Scale (VAS) were used.

 

Result: Although significant levels of pain was not reported by high stressed patients in access cavity preparation, interestingly

they felt more pain during needle insertion as well as anesthesia solution deposition in both scales (WBS: T1;(OR=2.50;

95% CI=1.22,5.05) ,T2; (OR=2.13; 95% CI=1.05,4.31), and VAS: T1; (OR=2.25; 95% CI=1.11,4.59) ,T2; (OR=2.21; 95%

CI=1.09,4.48)). Among psychosomatic factors, the factor mostly associated with feeling more pain was health anxiety in both

scales (WBS: T1; (OR=2.40; 95% CI=1.19, 5.35), T2; (OR=2.24; 95% CI=1.08, 4.60), and VAS: T1; (OR=2.23; 95% CI=1.07,

4.65), T2; (OR=2.15; 95% CI=1.04, 4.44)).

 

Conclusion: It seems high stress and health anxiety can be considered as risk factors for more pain sensation during dental

treatment while researching in this field is a road less traveled. So, more effort is needed for controlling psychosomatic factors

by dental professionals.

Raminkhoo Roshanak is a dentist graduated from Shahid Beheshti University of Medical Sciences and Health Services, Iran. In partial fulfillment of the requirements for the degree of Doctor of Dental medicine, This thesis entitled: Oral health conditions of children ages 6-12 in Barangay 81.

This study primarily aimed to assess the oral health condition of children ages 6-12-year-old in Barangay 81. It also aimed to find out how living in a poor Barangay affected quality of life, dental hygiene and oral health care of the children living in the area? The researcher used descriptive method. It examined if there was a significant association between the socioeconomic

status, educational attainment of parents, age, gender of children ages 6-12-year-old and oral health condition of the respondents. This study used a random sampling of 40 children ages 6-12-year old of Barangay 81 for interview and data gathering. A total of 40 children aged 6-12-year old were included. The prevalence of Dental caries was 97.5%. 30% had malocclusion; 15% had thumb sucking, 20% had premature loss of tooth, 27.5% had gum disease; 2.5% had lip sucking; 2.5% had mouth ulcer; 5% had Bruxism; 0% had acid erosion and 27.5% had broken teeth. The results indicated that dental caries was highly prevalent in the Barangay 81 accounting to 97.5% of respondents. Number of the dental problems in male was more than female. In the poor location, majority of the parents had a low degree of education. Also in the hypothesis, there was no association between socio-economic status, age, gender, educational attainment and oral health conditions of the respondents as confirmed by Chi square to be of no significance association because x2< tubular value. This may be due to a widespread neglect of oral health due to failure of parents to maintain oral hygiene of their child. Despite new oral product and outreach programs, this high level of untreated caries in this age bracket 6-12 years old raises concern.

Virgílio Roriz has completed his PhD from University of São Paulo, School of Dentistry, Riberirão Preto, SP. He is the Professor in Federal University of Goiás

School of Dentistry, Department of Periodontics. He has published more than 16 papers in national and international journals.

Gingival fibromatosis may occur as an isolated finding or in combination with additional clinical problems associated with some syndromes. It may result in difficulties with proper dental hygiene keeping, chewing and occlusion. This work aims to describe a case of a child that was submitted a periodontal surgery for tissue removal caused by severe idiopathic gingival fibromatosis (IGF). The case study begins with a 10 years old male patient reported that presented a very large gingiva and he related about difficulty of tooth brushing. As treatment for resolution of the case, it was opted for the gingivectomy

surgery. This procedure was performed using the internal bevel technique with blade 15c at 45º with the alveolar bone crest, surrounding all the vestibular teeth’s faces and the palatine faces of the molars, removing about 4mm of gingival tissue. During urgery, teeth 64, 65 and 84 were extracted due they presented great mobility. A small part of this material was sent for histopathological analysis. Histological sections revealed the presence of an epithelial lining showing marked acanthosis and additionally, connective tissue hyperplasia was observed, such findings compatible with fibroepithelial hyperplasia. Based on medical history, clinical examination and histopathological study of gingival tissue biopsies the patient was diagnosed with IGF. After six months of follow-up, the patient was very satisfied with the aesthetic and functional results because the crowns were much more exposed in the oral cavity, facilitating mastication and hygiene.

Erfan Abbasi Atibeh is a Periodontist. He has completed his General Dentistry from Tabriz University of Medical Sciences and postgraduate studies in Periodontics from Hamedan University of Medical Sciences. He has published some papers and participated in more than ten research projects in Periodontics and Implantology. Also, he has been serving as an Editorial Board Member of JODDD.

Background: GTR technique is the gold standard for periodontal intrabony regenerative therapy. The aim of this study was

to evaluate the effect of using L-PRF and EMD growth factors along with GTR technique for regeneration of periodontal

intrabony defects.

 

Methods & Materials: Forty-five intrabony defects resulted from periodontal disease which can be reconstructed were enrolled in the study. Group 1 just got GTR treatment as control group, group 2 got L-PRF along with GTR treatment and in group three EMD used along with GTR. Clinical factors such as periodontal probing depth (PPD), clinical attachment level (CAL), keratinized gingival width (KGW) and bleeding on probing (BOP) were evaluated before and six months after treatment. Also amount of bone fill was evaluated with standard radiography.

 

Result: Treatment in all three groups significantly result in reduction of PPD and gaining of CAL. Sites with BOP significantly decreased, defects significantly filled with bone, however, there was no significant difference in KGW. Intragroup comparison showed no significant difference among groups in evaluated factors. But the most PPD reduction was 5.4±1 in L-PRF+GTR

group, the most CAL gain was 3.37±2 in GTR group, the most reduction in BOP sites were 14 sites in L-PRF+GTR groups and the most bone fill was 73% in GTR group.

 

Conclusion: Using EMD or L-PRF along GTR treatment does not have additional effect on positive results of GTR treatment alone.

Objective: The objective of this study was to evaluate the degree of enamel demineralization of teeth bonded with ceramic and metal brackets.

 

Materials & Methods: In this cross-sectional experimental in-vitro study, 60 extracted human premolar teeth were selected according to certain criteria. They were divided into three groups; 20 premolar teeth in each group. Teeth in group-1 were bonded with APC Plus Adhesive Ceramic brackets, and teeth in group-2 were bonded with APC Plus Adhesive Metal brackets, while teeth in group-3 were not bonded with any brackets “control group”. All groups were then immersed in demineralization media, de-bonded, sectioned into three parts (proximal-1, middle, and proximal-2), and evaluated in the aspect of enamel

demineralization under Scanning Electron Microscope.

 

Results: On tooth level, the results show that the control group has significantly less enamel demineralization compared to the two experimental groups with mean value of 145.3μm and 192.7μm, respectively (P=0.000). The mean value of enamel demineralization in metal group is 55.93μm compared to 72.55μm in ceramic group, which is significantly less (P≤0.05), while there is no difference between the control and metal group with regard to enamel demineralization. On section level, the control group has significantly less enamel demineralization in all three sections compared to the ceramic group, while the significance is found in one of proximal section when compared with the metal group. Moreover, the ceramic group has significantly higher enamel demineralization in the middle section compared to the metal group (73.54μm, 46.5μm respectively) (P=0.000), while there is no statistical significant difference between the two experimental groups in proximal sections.

 

Conclusion: Non-bonded teeth have showed least demineralization compared to bonded teeth. Moreover, teeth bonded with ceramic brackets have showed significantly higher demineralization compared to teeth bonded with metal brackets.