Autumn Scientific Meeting 2018
Satisfactory survival of restorations is central to patient contentment and successful practice, given that unmet expectations may lead the patient to seek the advice of a lawyer. Information on how to prolong restoration longevity is therefore of potential value to clinicians and their patients. In addition, there is a relationship between the type of restoration placed and the lifespan of the restored tooth.
This presentation will therefore explore factors which may affect restoration survival, such as choice of material, quality of the material used, plus a wide variety of tooth, patient and clinician factors. The results for survival will be taken from clinical evaluations carried out in general dental practice and the value of Kaplan Meier statistical analysis of the world’s largest dataset for restoration longevity will be explored, as this facilitates examination of the survival of, not only restorations, but also survival of the restored tooth.
Following attendance on this course, delegates should:
- Be aware of value of choosing the correct, high-quality material for a given clinical situation
- Be aware of the latest information on bonding to dentine and survival of resin composite materials, including bulk fill and optimum matrix systems
- Have a modest awareness of what Kaplan Meier statistical analysis is about
- Know the clinical situations when a crown (as opposed to a direct-placement restoration) might adversely affect the survival of the restored tooth
Trevor Burke graduated from Queens University in Belfast, and, following academic appointments in Belfast and Manchester, he worked in general dental practice in Manchester from 1974 to 1996, whilst also working in the Unit of Restorative Dentistry at the University of Manchester. He has been Professor of Primary Dental Care at the University of Birmingham and Honorary Consultant in Restorative Dentistry since 2000.
Trevor is (co)author of 330 papers in peer-reviewed journals and three books. He has been awarded over 80 research grants. His main research interests include properties and applications of tooth-colored restorative materials, and the translation of in vitroresearch on dental materials into the clinical situation. In this regard, he co-ordinates the work of the PREP (Product Research and Evaluation by Practitioners) Panel, established in 1993, a group of dentists who carry out research in their practices. This group, which has now completed over 60 evaluations of materials and techniques, presently has 31 members. He is also the Editorial Director of Dental Update and an examiner for the Royal College of Surgeons of Edinburgh. Trevor’s time at the University is mainly spent being Director of the Masters course in Advanced General Dental Practice, this having been established 15 years ago as a campus-based course, and which is now a Distance course designed to suit the busy lives of dental practitioners anywhere in the world.
Concerns over the cost and destructive nature of dental treatment have led endodontics to examine novel methodologies that promote minimally-invasive, biologically-based dental restorative solutions. Although an exciting opportunity, vital pulp treatment (VPT) has traditionally been associated with unpredictable results. Recently, regenerative endodontic techniques highlight increased predictability, while delivering cost-effective, simple and conservative solutions for our patients. The treatment of deep carious lesions has recently shifted towards minimal intervention, with selective caries removal to avoid exposure as well as partial and coronal pulpotomy recommended after pulpal exposure. Although VPT offers significant opportunities, problems with the current pulpitis classification, lack of education in pulp handling, tooth discolouration, difficulties in monitoring and failure management highlight areas for further research. The aim of this presentation is to highlight current opportunities and indeed concerns in vital pulp treatment from a scientific and practical viewpoint, while discussing potential solutions.
A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping.
He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology.
He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives” with Paul Cooper. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.
At the end of this presentation delegates will:
- Have a broad knowledge of how increasing head and neck cancer incidence and new cancer management and strategies will affect future oral rehabilitation for head and neck cancer patients.
- Be aware of likely changes to Restorative Dentistry in UK Hospital practice in the future.
- Be aware of some of the factors which will influence the nature and extent of these changes.
Lorna McCaul is a Consultant and Honorary Clinical Senior lecturer in Restorative Dentistry at Glasgow Dental Hospital and School. She has delivered Specialist Restorative care in Dental Hospitals, District General Hospitals and Private Referral Practice settings in Scotland, the North of England and London. Her main interest is oral rehabilitation for Head and Neck Cancer patients. She has worked in Head and Neck Cancer MDTs at Bradford Teaching Hospitals NHS Foundation Trust, The Royal Marsden, Guy’s and St Thomas’ and Northwick Park Hospitals in London and in Crosshouse Hospital in Scotland. She instigated and led the development of the first oral rehabilitation Guideline for Head and Neck Cancer “Predicting and Managing Oral and Dental Complications of Surgical and Non-Surgical Treatment for Head and Neck Cancer” which has now been disseminated in the UK.
Lorna is Honorary Secretary Head and Neck Cancer lead for RD-UK; the UK Association of Consultants and Specialists in Restorative Dentistry. In the latter role she has worked with NHS England and Public Health England to improve Restorative Dentistry services for Head and Neck cancer patients. She has published widely and presented research both in the UK and abroad. She wrote the Restorative Dentistry chapters in the 5thand 6theditions of the Oxford Handbook of Clinical Dentistry.She has extensive experience of teaching and training and has been an invited speaker at numerous symposia. She trains Restorative Specialty trainees in her role as an NHS Consultant.
Appreciation of the benefits and challenges of incorporating digital dental technologies into secondary care Restorative Dentistry.
Deeper understanding of potential for capitalising on innovations in clinical practice, teaching and research using CAD/CAM
Case examples highlighting benefits for multidisciplinary specialist care.
Rupert is a Clinical Lecturer and Hon. Consultant in Prosthodontics at King's College London Dental Institute where he is also Service Lead for Digital Dentistry.
He has implemented modern digital dentistry into undergraduate and postgraduate teaching at King's College London as well as working part time in multi-Specialist Private Practice. He actively researches projects into tooth wear and digital dentistry and regularly publishes research in peer-reviewed scientific journals.
Soft tissue health and stability is a prerequisite to achieving success when restoring teeth and implants.
This presentation aims to:
- provide clinicians with guidelines for the assessment and diagnosis of soft tissue deficiencies and aesthetic issues prior to restorative treatment
- explain the role of attached keratinised tissue in successful tooth or implant restorations.
- demonstrate various techniques of soft tissue grafting in a multidisciplinary approach to restorative and implant dentistry.
Participants should gain:
- an in-depth knowledge of anatomical landmarks and dimensions of the healthy periodontium.
- understand the rationale for a minimum zone of soft tissue at the restorative/implant margin
- the ability to assess and diagnose periodontal and soft tissue issues prior to undertaking any restorative treatment.
- a thorough understanding of various techniques available for improving soft tissue health and aesthetics when restoring teeth and implants.
Dr. Allen received his Dental Degree from Dublin University in 2002 and went on to complete a 3 year Master’s programme in Periodontology and Implant Dentistry at theUniversity of North Carolina in 2009. He currently owns a Private Practice limited to Periodontology and Implant Dentistry in Dublin.
Dr Allen is a Diplomate of the American Board of Periodontology, President of the Irish Society of Periodontology and also a member of the Irish Dental Association, American Academy of Periodontology and Academy of Osseointegration.
Dr. Allen is committed to continuing education; he is a part-time clinical supervisor on the postgraduate course in Periodontology & Implantology at the Dublin Dental School. Annually he presents lectures and offers hands-on courses on both Periodontal and Implant therapy.
Sophie is a Consultant in Restorative Dentistry at Guy’s Dental Hospital, where she has worked since 2004.
She qualified from Bristol University in 1990 and completed her Restorative Specialty training at the Eastman in 1999, having gained an MSc in Conservative Dentistry from there 2 years earlier.
She is NHS Service Lead for Restorative Dental Services and Clinical Lead for Hypodontia at GSTT, and HEE Training Programme Director for Prosthodontics in London and Specialty Training Committee chair for the restorative monospecialties. She teaches on the KCL Prosthodontics MClinDent programme at Guys as well as being training lead for restorative StR and DCT training at Guy’s.