INICIO DE LAS JORNADAS
Sr. Diego González Carrasco
Presidente de Honor Decano
Dr. Paal Barkvoll (Universidad de Oslo)
16:00-17:00 h. Master Class a cargo del Dr. Damiano Pasqualini (Universidad de Torino)
“Bases de la endodoncia mínimamente invasiva”
17:00-17:30 h. Pausa Café
17:30-18:30 h. Master Class a cargo del Dr. Damiano Pasqualini (Universidad de Torino)
18:30-20:00 h. Master Class a cargo de la Dra. Mª Cristina Manzanares Céspedes (Universidad de Barcelona)
“Investigar en Odontología: ¿quién, cómo, por qué?”
“Teleodontología: definición, retroalimentación y oportunidades”
17:45-18:15 h. Pausa Café
“Transformando la educación y el aprendizaje con tecnologías digitales en odontología”
09:00-10:30 h. Master Class a cargo del Dr. Colwyn Jones (Universidad de Edimburgo)
“Childsmile: Exposición y evaluación del programa escocés de prevención de caries infantiles”
10:30-11:00 h. Pausa Café
11:30-12:30 h. Master class a cargo de la Dra. Teresa Szupiany-Janeczek (Universidad de Cracovia)
13:30-13:40 h. Clausura Dr. Paal Barkvoll (Universidad de Oslo)
The basics of minimally invasive endodontics
Modern Endodontics is oriented to a less invasive approach. Tridimensional disinfection, shaping and filling are nowadays gained through standardised steps and instruments which preserve as much as possibile the original anatomy of the root canal system and sound tooth structure. In the lecture basic principles and techniques for a conservative approach to Endodontics will be illustrated: from cavity access opening with new ultrasonic tips to the preliminary phase of mechanical glide path, from minimally invasive shaping to modern root canal filling.
Decision making in Surgical MicroEndodontics
The introduction of the operative microscope in surgical endodontics has increased the success rate of the procedure up to 95%, drastically reducing the post-operative discomfort of the patients. Lighting and magnification offers to the clinicians new options and strategies of treatment planning. The lecture will overview the actual surgical endodontic principles and procedures, focusing on the benefits of the use of a dental operating microscope, 3D imaging with CBCT and evidence-based decision making.
Eating disorders – a silent XXI century epidemic?
Introduction: Eating disorders symptoms can cause numerous changes in the hard and soft tissues of the oral cavity. There are a number of dependencies of individual symptoms of mental disorders and the effects they cause. Bulimia and anorexia are not the only disorders causing symptoms present in the oral cavity.
Aim: Clinical and oral microbiota evaluation of patients with eating disorders symptoms. Methods: The study group consisted of patients treated at the daily ward Department of Psychotherapy University Hospital in Kraków. Patients with diagnoses of chapters F4.xx, F5x.x, F6x.x ICD-10, were included in the study, based on answers given in Symptom Checklist ”O” Questionnaire.
Results: Studies have shown, that patients with symptoms of eating disorders more often had tooth erosions (it was found in 28.81% of cases). Correlation of erosion with symptoms of eating disorders has been demonstrated for several assessed symptoms of eating disorders present in the Symptom Checklist ”O”. The results of the microbiological examination showed more frequent occurrence of Enterococcus faecalis bacteria in the study group.
Differences in the microbiological profile of the subjects was also found in relation to the control group. In the case of several evaluated symptoms of eating disorders, certain bacteria strains were more frequent. Conclusions: General symptoms of mental background eating disorders cause microbiological changes in the oral cavity and promote the occurrence of a tooth erosion. Interdisciplinary cooperation, especially of dentist with psychiatrist is recommended, as dental treatment is necessarily among this group of patients.
Childsmile is a dental health improvment programme in Scotland which aims to reduce
inequalities in child dental health. It started in 2008 following The Action Plan for Modernising
Dental Services in Scotland (published in 2005). Childsmile has four parts which were generally
implemented in 2011; 1) Childsmile Core programme, 2) Childsmile Dental Practice, 3) Childsmile
Nursery and 4) Childsmile School. http://www.child-smile.org.uk/professionals/about-
childsmile.aspx The aim of the presentation is to cover the genesis of the Scottish Childsmile
programme, review the evidence base, look at evaluation of the health outcomes & what is next
for Childsmile. Method; using the existing literature a review of the evidence base for Childsmile
and of the health outcomes is presented. Results; The percentage of healthy 5-year-old Scottish
children with no obvious dental caries experience was 71% in 2018, the highest ever recorded (up
from 42% in 1988). The mean dmft was 1.14 teeth in 2018 (2.73 in 1988). In 2018 the percentage
of Scottish nursery establishments toothbrushing with fluoride toothpaste was 96.7%
(2597/2687). Absolute dental health inequalities in 5-year-olds (Slope Index of Inequality) declined
since first reported in 2010, but relative dental health inequalities (Relative Index of Inequality)
does not show consistent trend.
Conclusions; Child dental health in Scotland has got steadily better since 1994 but almost a third of
5-year-olds still suffer tooth decay. Childsmile started in 2011 so not all the improvement can be
attributed to Childsmile. Increased use of fluoride toothpaste is likely to be the main reason for
the improvement. Relative dental health inequalities have not shown consistent improvement as
found in overall dental health, but inequalities have not become worse. The evidence base shows
that maintaining and continuing to improve child dental health, and to reduce inequalities, water
fluoridation should be added into the Childsmile Core Programme in Scotland.
Transforming education and learning with digital technologies in dentistry
The education and training in clinical skills and knowledge of dental professionals traditionally involved using analogue technologies e.g. phantom-head manikins and in some cases paper-based technologies. Digital technologies are offering innovative alternatives to transform dental education and provision of care. Some evidence suggests that the changing education and training of dental professionals is influenced by the affordances of digital technologies. The affordances of digital technologies for training of motor and procedural skills and the learning of relevant clinical knowledge are identified and discussed in this session:
• Learning content management systems being used to make simulations of clinical procedures available via the Internet as digital resources;
• Social media exploited by teachers and students for collaborating and co-creating knowledge in the digital space;
• Virtual training systems, ranging from using virtual reality headsets (simulation in a 3D environment) to haptics (touch feedback made available in a computer-based simulator), being exploited to enhance learning of clinical skills and knowledge;
• Augmented phantom-head manikins, which use sensors being deployed to enhance the traditional manikins;
• Robot patients to move from practising a particular skill on task trainer simulators to full-scale simulators giving a more holistic experience of a procedure.
Although, digital technologies show promise to transform dental education, there are some pitfalls associated with their introduction. Moreover, it is important to also understand what benefits these contribute to the overall educational agenda, including the change it will have on the curriculum, assessment and pedagogy, and patient care.
Identification and treatment of the medical compromised patient
In the 1960s and 1970s, the focus within the dental service was primarily on healthy children and youth and their needs. It was in this population that caries was a serious health problem, while the elderly population and patients with complicated medical conditions were too often edentulous. Today, the situation is quite different in most European countries. The purpose of this presentation is to focus on the challenge of an aging population and patients suffering from various medical diseases and in need of complex dental treatment. «A dentist will never get a license to kill». How do we approach this as academic institutions? It is important with a medically based dental curriculum so that the dentist is able to:
• Prevent exacerbation of existing disease in medical compromised patients
• Prevent the patient from becoming acutely ill as a result of the treatment
• Providee a comprehensive adequatetreatment for the patient.
The lecture will focus on local and general contraindications in dental treatment.
Teledentistry :definition, feedback and opportunities
Our world is connected. We are always in contact with several people using Information and Communication Tools in our private life but also now in our practice… One of many use, telemedicine is growing all over the world and in many medical specialities. Dentistry and oral medicine are not very impacted for the moment by this new medical activity. In South of France, University Hospital of Montpellier managed a teledentistry project named e-DENT. Dentists from Montpellier realized diagnostic remotely to elderly people, disabled people, prisoners, … thank of this new type of organization they can optimize and minimize transportation and realized oral treatment on people who don’t have an easy access to a dentist.
Studies and trials are now launched all over the world on teledentistry. Digital technologies are considered as a real tool in dental public health worldwide.
In these times it’s important to find how digital could the more useful for people without forget that the computer should never remove the human in the treatment.
We will tackle the topics teledentistry definition in France and discuss on the legal, technical and organisational impact of this new medical activity. The example of the e-DENT project will be presented with pros and cons. Some other use of digital health will be mentioned for example the WHO mOralHealth Programme.