Committee
Local Organizing Committee
Chair:
- Ulrich Schiffner
Members:
- Katrin Bekes
- Julia Priller
- Sabine Dobersch-Paulus
- Norbert Krämer
- Jan Kühnisch
Local Organizing Committee
Chair:
Members:
Prof Duggal obtained his dental degree and MDS in Paediatric Dentistry from India. He then immigrated to the United Kingdom and obtained his FDSRCS from the Royal College of Surgeons of England and his PhD from University of Leeds. He was appointed Professor and Chair of Child Dental Health at Leeds Dental Institute in 1999 where he oversaw a large postgraduate programme in Paediatric Dentistry which has international acclaim. In January 2017 he was appointed as Professor and Head of Paediatric Dentistry in Faculty of Dentistry, National University of Singapore. Currently he is the Vice Dean and Faculty Research Director of the National University Centre for Oral Health, Singapore (NUCOHS). He has served in various senior positions, and was President of the European Academy of Paediatric Dentistry from 2014-2016 and has been on the board of EAPD for last 10 years. Professor Duggal has published over 160 research papers in international journals and is author of “Restorative Techniques in Paediatric Dentistry, which has been published in 7 languages and has sold over 16,000 copies worldwide. He is also a co-author of a textbook on Dental Traumatology and has Co-Edited “Paediatric Dentistry” by Oxford, now in its 5th edition and is the most widely followed textbook in Paediatric dentistry in the world. More recently he authored “Paediatric Dentistry at a Glance”, published by Blackwell Willey. He has administered research grants totaling over seven million pounds and is an internationally recognised researcher and clinician with main research interest is Cariology and Translation Research in Clinical Paediatric Dentistry, including dental traumatology and regenerative endodontics and auto-transplantation. Apart from Paediatric Dentistry his main interest is playing and watching cricket and any time spare from work and family is devoted to this important activity
Replacing the unsavable – An Interdisciplinary approach to achieve biological long-term outcomes for children and adolescents
Complex and severe trauma to the dento-alveolar structures in children can carry a life-long legacy of dental disability. Such injuries can cause irreversible damage to not only teeth, but also supporting structures such as bone making achieving long term aesthetic outcomes challenging. We have developed a multidisciplinary approach for the management of anterior teeth with poor prognosis or those that are lost as a result of dental trauma. This involves bone management at the affected site followed by autotransplantation (AT). Since the inception of this programme we have placed over 260 transplants using the multidisciplinary team comprising of both paediatric dentistry and orthodontic expertise. In this talk the speaker will aim to provide an overview of interdisciplinary treatment planning involving paediatric dentistry, orthodontics and other specialities with the goal of providing children with a long term sustainable, and biological outcome. Methods to enhance the prognosis, such as the use of surgical templates and 3D printed tooth replicas for use in surgery to reduce the damage to the PDL of the donor tooth will be discussed. The technique and clinical protocol of autotransplantation will be presented, and importantly its clinical application will be demonstrated with discussion of several clinical cases with diverse, and some complex indications to highlight the versatility of this technique. Long term outcomes of up to 15 years and prognostic indicators for successful outcome will also be highlighted.
Prof. Dr. Katrin Bekes, MME
Medical University of Vienna
School of Dentistry
Head of Department of Paediatric Dentistry
Education and Qualifications
1997 – 2002 Academic studies in Dentistry, Martin-Luther-University Halle-Wittenberg, Germany
2002 Final Examination
2003 Doctorate (Dr. med. dent)
2012 Habilitation (Dr. med. dent. habil.)
2012 Venia legend, Private Docent
2013 – 2015: Master of Medical Education (MME)
Academic Appointments
2003 – 2008 Assistant Professor, Department of Operative Dentistry, Martin-Luther-University Halle-Wittenberg, Germany
2008 – 2009 Assistant Professor, Department of Paediatric Dentistry, Martin-Luther-University Halle-Wittenberg, Germany
2009- 2015 Associate Professor, Department of Paediatric Dentistry, Martin-Luther-University Halle-Wittenberg, Germany
Since 04/2015 Professor and Chair, Department of Paediatric Dentistry, School of Dentistry, Medical University of Vienna, Austria
Honors
Since 2008 General Secretary of the German Society for Paediatric Dentistry
Since 2016 Councillor for Austria of the European Academy of Paediatric Dentistry
Scine 2017 Vice President of the Austrian Society for Paediatric Dentistry
Since 2019 President of the German Society for Paediatric Dentistry
Focus of Scientific and Clinical Activities
Molar Incisor Hypomineralization
Oral-health related quality of life
Restorative techniques in children (adhesive dentistry, pediatric crowns)
Indirect posterior restorations in MIH molars
Molars affected by Molar Incisor Hypomineralization can represent a spectrum of severity and extension of the defect. Severe cases of MIH with cavitated structural defects can be restored directly or indirectly. The choice of material is governed by a number of factors including severity of the condition, patient’s dental age, cooperation of the child, and child/parent’s social background and expectation. The lecture will discuss available indirect restorative treatment modalities for severe MIH cases.
Learning objectives:
(1) To identify when indirect restorations are appropriate.
(2) To gain knowledge of different indirect treatment options.
(3) To understand different treatment protocols.
Professor Amre Shahwan
Consultant Paediatric Clinical Neurophysiologist & Epileptologist
Temple Street Children’s University hospital
Dublin Ireland
Professor Amre Shahwan is Consultant Paediatric Clinical Neurophysiologist and Epileptologist at Temple Street Children’s University Hospital, Dublin, Ireland since September 2008. After training initially in paediatric neurology, paediatric epilepsy, adult epilepsy and clinical neurophysiology (EEG) in Ireland, he specialised further in more complex paediatric EEG and complex paediatric epilepsy at the Royal Children’s Hospital in Melbourne, Australia. In his current role, he specialises in paediatric EEG, video EEG telemetry and complex paediatric epilepsy diagnosis and management. He is Honorary Associate Clinical Professor at the Royal College of Surgeons in Ireland with avid passion for teaching and education.
Epilepsy – What should we know as paediatric dentists
This presentation will address several aspects of epilepsy which paediatric dentists should be (or would like to be) aware of. There is a relatively new system for classification of seizures and epilepsy which the epilepsy community itself is only beginning to become familiar with. Old terminology is being replaced with new terminology and new abbreviations which I hope to make easy for you to remember and recognise with ease after this presentation. There are some practical aspects of epilepsy and drug therapy paediatric dentists may encounter during clinic or surgery (including significant side effects which may impact on dental health but also on dental therapies/surgeries). There are different modalities for treatment of epilepsy other than antiepileptic drugs including diets and electronic devices you may come in contact with and may have some effect-impact on certain investigations and therapies you may be carrying out. If a child has an epileptic seizure whilst in your care in clinic, are you comfortable dealing with it? Do you need to have specific measures in place where you work to be ready for such situation?
I aim to address all the above points in this presentation which is planned to demystify, clarify, inform, update and install confidence in paediatric dentistry colleagues when dealing with patients/children with epilepsy. If this summary excites you or indeed provokes certain concerns or questions in your mind, please have these ready! I will happily address these on the day.
Susan Parekh qualified with BDS from the University of Edinburgh, and, worked in practice and community before undertaking specialist training in Paediatric Dentistry at the Eastman Dental Institute and Hospital. In 2004, she was appointed as a Clinical Lecturer in Paediatric Dentistry at the Eastman Dental Institute and undertook a part-time PhD in Dental Age Assessment and senior registrar training at the same time. In 2011, she was promoted to Lecturer/Honorary Consultant, and worked part time at the Great Ormond St Hospital for Children. In 2014, she was appointed Programme Director for the blended learning MSc in Paediatric Dentistry, and in 2017, she was promoted to Senior Lecturer. Susan has a special interest in dental anomalies, as well as research into enamel and dentine defects, and is also chair of the national special interest group into Amelogenesis Imperfecta.Susan is passionate about postgraduate education in Paediatric Dentistry, and is a member of the education committees of EAPD & IAPD. journal, European Archives of Paediatric Dentistry, is part of this portfolio since 2013.
How do the clinicians approach the problem of fake news?
What’s new? – How to trust the research
Learning objectives
Dr. Sverre Klemp is Executive Editor, Medicine Journals, at Springer Nature, one of the world’s leading global research, educational and professional publishers. He is currently overseeing the business strategy for a portfolio of more than 60 journals in clinical medicine (including dentistry, surgery, orthopedics, pediatrics, and other fields) and is heading a team of editors based in New York, London and Heidelberg (Germany). The Academy’s journal, European Archives of Paediatric Dentistry, is part of this portfolio since 2013.
Dr. Klemp joined Springer in 2010 following stints at Thieme and other publishers and has more than 20 years of experience in publishing scientific books and journals.
Dominique Declerck is full professor at KU Leuven (Belgium) where she is responsible for the undergraduate teaching in preventive dentistry, pediatric dentistry and special care dentistry to dental trainees. She coordinates the postgraduate training in Pediatric dentistry and Special dental care. Currently she is head of the Department of Oral Health Sciences at KU Leuven.
Within the University Hospitals Leuven, she provides dental treatment to children, patients with disabilities and medically compromised patients. She has broad experience with the dental follow-up of patients with inherited bleeding disorders and is a member of the Leuven Hemophilia Treatment Center.
Proposed title: Oral health implications of patients with congenitally acquired bleeding disorders and/or anticoagulant medications
Suggested title: Congenital, acquired and/or therapeutically induced hemostatic disorders: implications for oral health and dental treatment delivery
Hemostatic disturbances impact on oral health and dental treatment delivery, both in patients with congenital or acquired disorders and in situations where the defect is medication induced.
The hemostatic disorders can be accompanied by oral symptoms, such as an increased bleeding tendency of the gums. It is important for the pediatric dentist to recognize these signs and symptoms. These patients will need individualized advise for optimal daily oral care and when professional dental care is needed, precautions will be necessary when invasive procedures are undertaken.
This lecture will provide an overview of most relevant hemostatic disturbances occuring in children, including recommendations for the clinical follow-up of these patients.
What is new?
This lecture provides the pediatric dentist a concise overview of most relevant points of attention regarding hemostatic disorders.
What are the learning objectives?
Pediatric dentists will be able to differentiate between different hemostatic disturbances frequently occuring in children with respect to oral symptoms, implications for daily oral health care and precautions needed when undertaking invasive dental treatment.
Sondos is a Professor and Honorary consultant in Paediatric Dentistry at the University of Liverpool. She is the Vice Dean for Research and postgraduate studies and the academic lead for Paediatric Dentistry.
Sondos graduated from Jordan University of Science and Technology in 1997 with a BDS and completed her PhD from Queens University Belfast. After completing specialist training, she joined the University of Liverpool in 2008 where she completed her consultant training in Paediatric Dentistry. She was appointed as a senior lecturer and honorary consultant in Paediatric Dentistry in 2011 and promoted to a Professor in November 2018.
Sondos developed the Doctorate programme in paediatric dentistry, the programme follow the UK Specialist training curriculum combining research and clinical training.
Sondos’s research is focused on child centred care. She has research collaborations in Dental Trauma, Stem cell and regeneration and clinical trials. Sondos has published and co-authored over 40 peer-reviewed publications. She has been a reviewer for a number of Dental Journals and publishers. Sondos is the associate editor of the International Journal of Paediatric Dentistry and has been the chair of the British Society of Paediatric dentistry conference abstracts and prizes committee since 2015.
Sondos has been providing CPD courses in Paediatric Dentistry and Dental Trauma, to general practitioners, specialist trainees and consultants for many years. She jointly developed an international course for Endodontics in children attended by consultants and specialists
Sondos is the academic representative on the Royal College of Surgeons of Edinburgh Speciality Advisory Board in Paediatric Dentistry, and the intercollegiate body, which advise on Paediatric specialist training (Specialty Advisory Committee. She is a member of the examiners’ board for the tri-collegiate membership examination in Paediatric Dentistry. Sondos has held several external examiner positions for undergraduate, postgraduates and PhD programmes
Undergraduate Education in the UK
The majority of children in the UK access routine dental care and treatment at their General Dental Practitioners, therefore the undergraduate curriculum needs to ensure that dentists have the knowledge and abilities to manage children to the level of “safe beginner” as described by the General Dental council.
This presentation will discuss:
Sotiria Gizani obtained her Dental Degree from the University of Thessaloniki and then completed her postgraduate studies at the Catholic University of Leuven (Belgium) where she successfully finished her 6-year training program in Paediatric Dentistry as well as her “Master in Dental Sciences” and her doctorate (PhD). Afterwards she returned to Greece and since then she has been working at the Department of Paediatric Dentistry in the National and Kapodistrian University of Athens, initially as a lecturer and later as an Assistant Professor. She is currently Associate Professor and Chair of the Department at the same University and also the owner of a private practice limited to Paediatric Dentistry.
She has given many lectures in Greece and abroad and she has published 50 papers in peer-reviewed scientific journals, 2 book chapters, one research monograph and numerous abstracts in International and local Congresses. Her scientific work has been cited more than 800 times in Google Scholar and Scopus and has received important international and local awards. In addition, 2 of her projects on the prevention of initial carious lesions in orthodontic patients and oral health in diabetics, received funding through a scholarship in a national competition among all fields of Dentistry. In 2018, she has been elected at the post of Secretary of the European Academy of Paediatric Dentistry (EAPD) while she has been a member of the Clinical Affairs Committee of EAPD for the last six years, being actively involved in the scientific program and the organization of the 9th, 10th and 11th EAPD Interim Seminars as well as the 2nd Athena EAPD Master Class. Finally, she is a member of the Organizing Committee of the 15th EAPD Congress in Hamburg, on behalf of EAPD. Her research interests focus mainly on clinical trials regarding prevention and management of caries in young children, oral health care of patients with special needs and vulnerable children as well as communication and behavior management in the dental setting.
Marlies Elfrink studied dentistry at the Radboud University Nijmegen, The Netherlands. In 2007, she finished the 3-years-master program in paediatric dentistry at ACTA (Academic Centre for Dentistry Amsterdam), the Netherlands. She received her PhD for her research on Hypomineralised Second Primary Molars (HSPM). Nowadays she works in her general dental practice Mondzorgcentrum Nijverdal (The Netherlands) and participates in the Paediatric REsearch Project (PREP). She regularly writes articles on her research projects and she presents it at national and international conferences.
Management of HSPM
What is new?
New research on the enamel of HSPM gives starting points for the management of HSPM-molars. Cases and different treatment solutions will be shown.
Learning objects:
– to know the research-background for treatment decisions in HSPM
– to learn how to manage HSPM
Dr Kara Gray-Burrows is a psychologist working as a Lecturer and Research Fellow in the design and evaluation of complex interventions in the School of Dentistry, University of Leeds. Kara graduated from her BSc in Psychology in 2010, her MSc in Psychological Approaches to Health in 2011, and PhD in Psychology in 2015. Kara’s expertise is in behaviour change, and the development and evaluation of complex interventions, with further interests in implementation science and patient and public involvement in research. Currently, Kara is working on several research projects with health professionals, early-years workers, charities and commercial companies to develop and evaluate preventive interventions for parents and children to reduce the level of dental caries in young children.
Strong Teeth – Strong Kids: Effective Preventive Behavior Change Conversations with Parents of Young Children
As dental care professionals, we have preventive conversations with parents of young children every day. From our own experiences and clinical research these conversations can be complex and challenging. This is especially true when parents are resistant to the advice we offer.
The “Strong Teeth” project was developed to support dental teams with the frequent oral health conversations they have with parents of young children. The project worked closely with dental teams, parents and children from different backgrounds and communities to identify the challenges faced in establishing good oral health habits from early childhood to develop the “Strong Teeth” resources. Kara and Peter will give a number of short presentations about why the Strong Teeth project was developed, the underpinning research, how the resources were developed and what they look like. Findings from an early-phase study will be reported on the impact of the “Strong Teeth” intervention on parents and dental teams, and what effect the “Strong Teeth” resources had on the adoption of good oral health habits by parents of young children. Finally the learning from the “Strong Teeth” project and other related research projects will be reviewed and practical solutions identified and shared.
Prof. David John Manton BDSc MDSc PhD FRACDS FICD FADI FPFA
Elsdon Storey Chair of Child Dental Health
Chair, Postgraduate Research and Education Committee
Head, Growth and Development Section
David has spent more than 30 years in private practice and academia and is currently the Elsdon Storey Chair of Child Dental Health and a visiting consultant at RCH. He is involved in several collaborative and postgraduate research projects in both paediatric dentistry and orthodontics. Graduated BDSc (Melb) in 1984 and worked in general practice until 1991 when he undertook an MDSc in Paediatric Dentistry. He was dental advisor to the Australian Federal Government from 1994 – 1996 and won the KG Sutherland Prize of the RACDS in 2007. He is on the editorial boards of the European Archives on Paediatric Dentistry and the International Journal of Paediatric Dentistry, and the advisory panel (board) of the European Caries Research Association (ORCA).
Over the past 15 years David has spoken throughout Australia, Asia and Europe and has wide ranging experience in laboratory and clinical trials of CPP-ACP, Minimum Intervention Dentistry, the definition, detection, and treatment of carious lesions, developmental defects of enamel and the use of calcium silicates in endodontics. He has published more than 100 manuscripts in peer-reviewed journals and has been cited more than 3000 times since 2014.
Summary
Developmental defects of enamel (DDE) are a prevalent condition affecting both the primary and permanent dentitions – and one of the most prevalent is MIH. A mean prevalence of around 15% has been reported for MIH, with around one third of affected teeth being affected severely. MIH affected teeth can be sensitive, suffer from post-eruptive breakdown (PEB) and have poor restorative outcomes. Therefore, repair or remineralisation of the hypomineralised lesion has the potential to ameliorate these problems. However, when trying to preserve enamel integrity, several issues can influence mineral gain of affected enamel, such as individual caries risk and compliance, lesion surface layer thickness, increased protein content and rapid PEB. Due to the high prevalence of MIH worldwide and its influence on caries risk and treatment burden, MIH presents a challenge to oral health care systems; so minimisation of treatment burden is imperative.
Learning objectives
To understand the possibility of remineralising hypomineralised enamel
To understand the limiting factors for remineralising hypomineralised enamel
To understand the methods that may improve remineralisation potential
Dr. Gabriel Krastl received his degree in dentistry from the University of Tübingen, Germany in 1998 and has been a staff member and research associate until 2005. From 2005 to 2014 he was a senior research associate at the Clinic of Periodontology, Endodontology and Cariology in Basel, Switzerland. 2006 he co-founded the interdisciplinary Center of Dental Traumatology at the Basel University. Since 2014 Gabriel Krastl is Professor and chair of the Department of Conservative Dentistry and Periodontology at the University Hospital of Würzburg, Germany and directs the Center of Dental Traumatology which he founded in 2015.
He published more than 100 papers mostly in the field of endodontology and dental traumatology and serves as a reviewer in several scientific journals.
Saving the Unsavable: Interdisciplinary treatment options for fractured, necrotic immature teeth
Prof. Dr. Gabriel Krastl
Teeth with deep subgingival tooth fractures are usually deemed non-restorable. When tooth preservation is nonetheless essential, all treatment modalities have to be considered. Surgical crown lengthening can be performed to expose the root and allow restorative treatment. However, the reduction of alveolar bone may be associated with unfavorable gingival architecture and poor aesthetic results in the anterior region.
Orthodontic extrusion (forced eruption) may be a suitable alternative to transpose the lesion to a more coronal position. Surgical extrusion, also referred to as intra-alveolar transplantation, was introduced as a faster alternative to orthodontic extrusion. Since the tooth is first extracted, deep root injuries can be diagnosed more easily compared with orthodontic extrusion. Prognosis after surgical extrusion was shown to be favourable, however the level of evidence is rather low. To minimize the risk of resorption associated with surgical extrusion, minimally invasive extraction procedures are advantageous.
Although the treatment of crown-root fractures is one of the most technically demanding procedures in dental traumatology and is frequently considered as a long-term temporary restoration, tooth conservation up to the age at which implants can be placed may be regarded as a success. However, in many cases even long-term tooth preservation of teeth with deep subgingival fractures seems feasible.
Learning Objectives
Qualifications and focus of scientific and clinical activities
2019 Professor
2019 Specialist in restorative and preventive dentistry (DGZ), Associate Editor Journal Dental research
2016 Deputy Head of Department
2015 Associate Professor, PhD, MDPH (Manchester)
2013 Assistant Professor Department of Operative and Preventive Dentistry, Charité Berlin,
Before that at University in Kiel, and private practices in UK and Germany.
Research Focus on Cariology, Preventive and Operative Dentistry, Public Health and Health Services Research
Clinical focus in Restorative and Preventive Dentistry
Caries – a disease of underprivileged people
The lecture will describe how, despite a generally improving dental health in children, a high-risk group remains to carry an overall high burden of caries lesions and caries experience. The lecture will discuss the causes underlying the unequal distribution of caries lesions and caries experience between populations, but also globally, and will provide possible ways to address this inequality.
Learning objectives:
(1) To understand causes of health inequality.
(2) To identify gradients in dental health and associated factors.
(3) To demonstrate strategies in tackling health and, specifically, dental health inequalities.
Education and Qualifications
2001 Post Doctoral Wits University – Johannesburgh/South Africa
1999 PhD in Paediatric Dentistry – University of Sao Paulo/Brazil and Univerity College London/ England
1996 MSc in Paediatric Dentistry – University of Sao Paulo/Brazil
Academic Appointments
Since 2010 Professor of Paediatric Dentistry – University of Sao Paulo/Brazil
2005 Associated Professor in Paediatric Dentistry – University of Sao Paulo/Brazil
Focus of Scientific and Clinical Activities
Dr. Bönecker has been conducting research in the field of Paediatric Dentistry for the past 20 years. He has published more than 90 scholarly articles in professional peer-reviewed journals with international circulation, wrote 68 chapters in books and edited 19 books in Paediatric Dentistry. Dr. Bönecker was Editor of the Brazilian Dental Journal (2010-2015) Associate Editor of the Brazilian Oral Research (2014-2018) and a member of the Editorial Board of the International Journal Paediatric Dentistry (2016-2019). He lectures extensively in Latin America and is a board member of the IAPD since 2011.
Global view on undergraduate education
In order to give a global view on undergraduate education in Paediatric dentistry I will use an electronic questionnaire to collect relevant information about education in paediatric dentistry for dental undergraduate students in many different countries all over the world. Based on the collected data, descriptive results will be shown and a view about what should the dentist know about Paediatric Dentistry will be discussed.
Priv.-Doz. Dr. Dr. Christian Kirschneck
Chief Senior Physician, Department of Orthodontics, University Hospital Regensburg
Education and Qualifications
Graduation from the University of Regensburg in both Dentistry and Molecular Medicine with distinction, Ph.D. in both subjects with the rating “summa cum laude”
2017 Specialist in Orthodontics
2017 Habilitation and Venia legendi for Dentistry at the University of Regensburg
Academic Appointments
2018 Senior Physician, Department of Orthodontics, University Hospital Regensburg (Head: Prof. Dr. Dr. Peter Proff)
since 2018 Member of the Editorial Board of the scientific journal “Annals of Anatomy”
since 2019 Vice President of the Association for Basic Research (AfG) of the German Dental Society (DGZMK)
since 2019 Chief Senior Physician, Department of Orthodontics, University Hospital Regensburg (Head: Prof. Dr. Dr. Peter Proff)
Focus of Scientific and Clinical Activities
Biological-molecular basic research on orthodontic tooth movement
Clinical and epidemiological research on various topics
Author of numerous scientific publications and book contributions (inter alia on molar incisor hypomineralisation, relapse/retention and craniomandibular dysfunctions in orthodontic context)
Management of orthodontic relapse and retention
Adult orthodontics
Extraction and space management – the orthodontic solution
Extraction therapy and orthodontic space closure represent a valid treatment approach for molars affected by molar incisor hypomineralisation (MIH), which also offers certain advantages over prosthetic-restorative therapy, given favourable factors for orthodontic treatment success and a certain severity of hypomineralization with poor long-term prognosis. The decision to extract MIH-affected first molars, however, should not be made by the paediatric dentist or orthodontist alone, but always in conjunction after comprehensive interdisciplinary diagnosis and joint treatment planning, taking into account general, local and secondary factors. Extraction therapy needs to consider not only the MIH pathology itself, but the entire dental and orthodontic status of the patient in question to achieve maximum patient benefit and the individually optimal treatment with minimal adverse effects. For the success of orthodontic extraction therapy in MIH, choosing the optimal time for molar extraction (between 8 and 11.5 years of age), depending on the jaw (upper or lower) as well as the presence or absence of additional dental crowding, is essential. An early referral of children affected by MIH to the orthodontist and an orthodontic examination in the early mixed dentition is recommended to allow for correct timing of orthodontic extraction therapy and space closure in patients, which would benefit from this treatment approach. In this talk the extraction of MIH-affected molars and subsequent orthodontic space closure is discussed as possible treatment option in patients with severe MIH as well as corresponding prerequisites, timing and treatment strategy.
DMD PhD FADM FPFA FICD HonProf
1967 born in Eichstatt, Bavaria, Germany
1992 DMD, University of Erlangen, Germany
2000 PhD, University of Erlangen, Germany
2000-04 Secretary General, German Association of Pediatric Dentistry
2006 Associate Professor, University of Erlangen, Germany
2009 Chairman, Department of Operative Dentistry and Endodontics, University of Marburg
2012-14 President of the German Association of Conservative Dentistry
2012-15 Dean of Marburg Dental School
2015 Editor-in-Chief, Journal of Adhesive Dentistry
2016-18 Dean for Student Affairs in Medicine, Biomedical Science, and Dentistry
2016-19 President elect of the German Association for Maxillofacial Sciences
2019 President of the German Association for Dentistry and Oral Medicine
> 400 publications, > 6000 citations, > 900 lectures in 25 countries
Restorative dentistry and biocompatibility – conflict without solution?
There are several appropriate biomaterials for the restoration of carious and non-carious lesions. However, since amalgam was always alleged to be toxic, also alternative materials get more and more in the focus of so-called biological dentistry. Reports of e.g. Bisphenol-A release from resin-based composites, but also release of aluminum and fluoride from glass ionomer cements are alienating many parents today. Aim of this lecture is to estimate a reasonable rationale for choosing dental biomaterials being a balancing act between toxicology and clinical effectiveness.
Peter qualified from Bristol in 1997. He spent his early years in Newcastle, Middlesbrough and Bolton in general practice, hospital dentistry and oral and maxillofacial surgery. In 2000, he started his specialist and academic training in Paediatric Dentistry in Leeds. His PhD was in the field of dental trauma. Following this he spent a six-month sabbatical working at the Royal Children’s Hospital, Melbourne before returning to England to take up a joint academic appointment with University of Leeds and Bradford Community Dental Service.
He leads a multi-disciplinary research team which designs and evaluates complex interventions to improve children’s oral health.
Strong Teeth – Strong Kids: Effective Preventive Behavior Change Conversations with Parents of Young Children
As dental care professionals, we have preventive conversations with parents of young children every day. From our own experiences and clinical research these conversations can be complex and challenging. This is especially true when parents are resistant to the advice we offer.
The “Strong Teeth” project was developed to support dental teams with the frequent oral health conversations they have with parents of young children. The project worked closely with dental teams, parents and children from different backgrounds and communities to identify the challenges faced in establishing good oral health habits from early childhood to develop the “Strong Teeth” resources. Kara and Peter will give a number of short presentations about why the Strong Teeth project was developed, the underpinning research, how the resources were developed and what they look like. Findings from an early-phase study will be reported on the impact of the “Strong Teeth” intervention on parents and dental teams, and what effect the “Strong Teeth” resources had on the adoption of good oral health habits by parents of young children. Finally the learning from the “Strong Teeth” project and other related research projects will be reviewed and practical solutions identified and shared.
Dr Georgios Tsilingaridis graduated at the Karolinska Institute in 1997. In 2004, he completed his specialist degree in pediatric dentistry at the Eastman Institute in Stockholm, and in 2013 he defended his doctoral dissertation at the Karolinska Institute.
He is currently the head of the Division and assistant professor at Karolinska Institute, Department of dental medicine, Division of pediatric dentistry. He is also the program director for the post-graduate education in Stockholm County Council. He is the past-president of the Swedish Society of Pediatric Dentistry.
He is the author and co-author of many original scientific publications, and a co-author of several chapters in the new edition of Textbook and Color Atlas of Traumatic Injuries to the Teeth.
Dr Richard Balmer completed the first part of his specialist training in paediatric dentistry at Leeds in 1996. Following this he worked as a senior registrar at Westmead Dental hospital in Sydney before returning to Leeds to complete his specialist training which he did in 2004. He recently completed his PhD and is currently Consultant in York and North Yorkshire and Honorary Consultant/Lecturer at Leeds Dental Institute. He is currently Associate Postgraduate Dental Dean for Yorkshire and the Humber. He has recently taken over as lead for the Postgraduate Programme at Leeds Dental Institute. His very first publication in 2002 was on the oral health of children with congenital heart disease and this interest has continued through his career. More recently he sat on the 2015 NICE committee to consider the use of antibiotic prophylaxis for infective endocarditis and has been involved in substantial regional revisions to care pathways for children with congenital heart disease.
Abstract
Congenital Heart Disease has an estimated worldwide incidence of approximately 12 per 1000 live births and is a significant complicating condition for those delivering paediatric dental care. Despite this and the extensive number of publications there is lack of consensus about many aspects of best dental management for these children. Recent changes in guidelines in the UK have highlighted the controversies that continue to exist in trying to define best practice in this area. This presentation will take an evidence based approach to cover three key aspects;
Prof. Dr. Norbert Krämer obtained his PhD from the University of Erlangen in 1997. Between 2006 and 2009 he was the head of the Department of Paediatric Dentistry in Dresden. In 2009 he was appointed to the director of the Policlinic of Paediatric Dentistry at the University of Gießen. He was elected in different positions (2000-2004 President of the German Society of Paediatric Dentistry [GSPD], Board member of the European Academy of Paediatric Dentistry [EAPD; 2008 President-elect, 2010 President, 2012 Past-President], 2015-2019 again President of the GSPD, 2017-2019 member of the Board of Directors and since July 2019 President elect of the International Association of Paediatric Dentistry [Representative of the Nations]. Prof. Krämer is Editor and Editorial Board of several international journals. He has published ca. 170 research papers/books/articles (cum IF: 152; Research Gate Score: 35.6; H-index 36). His expertise is in dental materials, dental public health and controlled clinical studies.
Direct posterior restorations in MIH molars
Restoration of teeth suffering from molar incisor hypomineralization (MIH) is problematic due to both micromorphological changes of tooth hard tissues and pain history of respective children. A new MIH Treatment Need Index (TNI MIH) supports the adequate treatment of the defective structured molars.
What are the learning objectives?
Anne O’Connell is a Board Certified Paediatric Dentist and a Fellow of the AAPD and IADT.
She is currently the President of the International Association of Dental Traumatology. She has been awarded the Art Nowak Visiting Professorship, 2020 in Iowa, USA. Anne is Head of Paediatric Dentistry at Trinity College, Dublin, Ireland. She trained at the Eastman Dental Center with a further degree in Cariology from the University of Rochester, New York, USA.
Previously, Anne has held academic positions at the Eastman Dental Center, the University of Maryland and the National Institute of Dental and Craniofacial Research, Bethesda, Maryland, USA.
Anne has numerous peer-reviewed publications in both basic science and clinical dentistry. Her areas of interest include restorative treatment for children, traumatic oral injuries, infant oral health and developmental defects of the dentition. Anne is renowned as speaker both nationally and internationally on these topics. She has extensive knowledge and experience in advanced aesthetic restorative care for children.
She is also active on numerous national and international dental and scientific committees/ organisations and is on the Scientific Committee of AAPD and the editorial board of the journal.
She has just completed two terms on the Board of the International Association of Paediatric Dentistry, where she held office of Honorary Editor. Anne also maintains a part-time private practice limited to Paediatric Dentistry in Dublin.
Conclusions and comments on IADT 2020 guidelines.
Guidance on emergency management of traumatic dental injuries is freely available via International Association of Dental Traumatology (IADT). These guidelines have been updated in 2020. The changes introduced will be highlighted and discussed with emphasis on the child patient
Prof Dr Luc Martens
Prof Dr Luc MARTENS (UGent 1980) is the former chairman of the dept. of Paediatric Dentistry and Special Care at the university of Ghent-Belgium.
He is still the director of the EAPD accredited Masters programme in Paediatric Dentistry and Special care. He was the promotor 10 phD theses and authored/co-authored ca 25O manuscripts of which ca 130 international papers. Prof Martens is scientific advisor of the European Archives of Paediatric Dentistry and he is editorial board member or reviewer for several international journals.
Prof Martens is founder and past-president of the Belgian Academy of Paediatric Dentistry (BAPD). Internationally, he was also one of the founders (1990) and the president (1996-1998) of the European Academy of Paediatric Dentistry and he is also the past-president (2006-2008) of the IADH (International Association of Disability and oral health). He organised 4 international congresses in Flanders. He was the external examiner for the masters’ programme in Leeds, Amsterdam and Kuala Lumpur.
Dr Nick A. Lygidakis
Consultant/Hon.Reader in Paediatric Dentistry
Nick A. Lygidakis is running a private clinic in Athens and until 2016 he has served as Senior Consultant and Director in the NHS Regional Dental Centre for Children in Athens. He is also teaching in the postgraduate paediatric dental programs of the Universities of Athens, Giessen, and Leeds, in the latter being Honorary Reader since 2002. He holds MSc degrees in Child Dental Health and Genetics and a PhD from London, Oxford and Athens.
He has served as EAPD President and Secretary and HSPD President, being involved in the organization of a great number of European and Greek scientific, professional and CPD activities, including the ‘EAPD Hermes and Athena’ programs that he first introduced in Europe. At present he is Editor in Chief of the European Archives of Paediatric Dentistry, the official journal of EAPD.
He has 57 publications, with more than 1500 citations, 370 abstracts and more than 400 invited lectures in Congresses and Seminars. His research and clinical interests are in the fields of dental anomalies, special needs patients, trauma, fissure sealants and interceptive orthodontics and he is frequently an invited speaker internationally on these subjects.
He has been awarded with honorary Fellowship of the Royal Society of Medicine in UK, Fellowship of the International College of Dentists and Membership of the American Association for the Advancement of Science and the New York Academy of Science
Dr. Richard Steffen WBA KZM SSO finished dental school at Basel University in 1985, made his doctor degree in 1987 and specialist training in paediatric dentistry fulfilled 1991. Since 1991 he is working in his private paediatric dentistry office and since 1998 as a senior lecturer and scientific member of paediatric dentistry department University of Zürich. Sommer 2018 he started as an Assist. Prof./Oberarzt at the Center Dental Medicin in Basel.
2008 he founded and is co-owner of Medcem GmbH. Since 2003 he is member of the scientific board of Swiss Paediatric Dental Society (SVK / ASP). From 2008 to 2014 he was delegate of Switzerland in EAPD (European Academy of Paediatric Dentistry). Currently he is member oft the Board EAPD and head of the organizing committee EAPD Lugano 2018.
His research and clinical interests are in the fields of MTA / Hydraulic Silicate Cements, Endodontics, Regenerative Endodontics, Sedation esp. with Nitrous Oxide, Stomatology Oral Pathology, Paediatric Dentistry, Traumatology. He also is responsible for the Swiss SVK / ASP education program in sedation. He has written more than 40 publications (most in German) and several chapters in books.
The education platform for stomatology and oral pathology in children and adolescents, www.stomatopedia.com has been initiated by RS.
Summary
The term molar incisal hypomineralization (MIH) describes the clinical picture of more or less strongly hypomineralized first permanent molars and permanent anterior teeth. These sometimes hypersensitive teeth can only be treated with complete pain control. With the knowledge of the connections of this hypersensitivity, the correct behaviour management (BM), an adequate anaesthesia technique, exactly matched to the MIH premedication and compassion for our patients, it should be possible to treat most of the teeth affected by MIH under practice conditions. If the correct analgesic is used, pain control can also be performed on chronically inflammatory MIH molars (pain protocol, pain algorithms). Sedation with a mixture of nitrous oxide and oxygen allows the in-depth application of BM techniques. As a last solution, the dentist has the option of a rehabilitation under general anaesthesia.
Dr. Hani Nazzal
Senior Consultant, Paediatric Dentistry, Hamad Medical Corporation and visiting lecturer, paediatric department, school of dentistry, University of Leeds
BDS, MFD RCS (Ireland), PhD Paediatric Dentistry, FRCD (Canada) Paediatric Dentistry, MPaed Dent RCS (Glasgow), FDS Paed Dent (Glasgow).
Dr. Hani completed three years clinical training in Paediatric Dentistry at the University of Leeds in 2008 after which he obtained a Fellowship in Paediatric Dentistry from the Royal College of Dentists in Canada in the same year. He then worked as a Senior Dental Officer in Paediatric Dentistry at Bradford and Airedale Salaried Dental Services between 2008 and 2012. He became a member and then a fellow of the Royal College of Physicians and Surgeons of Glasgow (Paediatric Dentistry) in 2015 and 2016. He worked as an academic Paediatric Dentist consultant at University of Leeds in 2017. In 2018, Dr Hani was appointed as a senior consultant in Paediatric Dentistry at Hamad Medical Corporation.
Academically, he obtained a PhD in paediatric Dentistry from the University of Leeds, School of Dentistry in 2008. In 2012, he was appointed as a NIHR Clinical Lecturer in the paediatric dentistry Department where he was involved in undergraduate and postgraduate education. Dr Hani is also the founding president of the Arabian Academy of Paediatric Dentistry.
His research interests are in the field of fluoride anticariogenic effect; slow releasing fluoride device, dental plaque, regenerative endodontics and the use of laser Doppler flowmetry. Hani has multiple publications and co-authored several book chapters in addition to presenting in several UK national and international conferences. In addition, Dr Hani is currently an associate editor of the Paediatric Dentistry and Orthodontic sections of Dental Traumatology Journal.
Title:The preservation and regeneration of the traumatised dental pulp: A clinical guidance.
Abstract: Preservation of the vitality of the dental pulp is an essential component in the successful management of traumatised teeth. This is extremely important in the case of immature teeth with incomplete root formation, thin dentinal walls and compromised crown root ratios. Preservation of the pulp insures continuation of root development and hence improving the tooth’s long-term prognosis. Despite our best efforts, pulpal necrosis is one of the possible sequalae of managing traumatised teeth. In immature teeth, root canal treatment using traditional endodontic techniques lacks the potential in promoting continuation of root development. Therefore, pulpal regeneration has been hailed as the best approach in managing these cases. This lecture focus on presenting available techniques and material used in preserving and regenerating the dental pulp within the available evidence.
Objectives:
1) To discuss the available techniques and materials used in preserving the traumatised dental pulp within available evidence.
2) To discuss the evidence and available guidelines of regenerative/revitalisation endodontic technique.
DDS, PhD DrOdont, Senior Professor Oral & Maxillofacial Surgery
Dr Andersson completed undergraduate and research training at the Karolinska Institute in Stockholm, Sweden and subsequently became Specialist in Oral and Maxillofacial Surgery in 1981. He defended his doctoral thesis in 1988 on experimental and clinical studies on root resorption after replantation of teeth. He was appointed Docent at Karolinska Institute, Stockholm, Sweden in 1990. As consultant Oral Maxillofacial Surgeon in the 1980s and 90s, he gained extensive clinical experience. His main expertise is in trauma, orthognatic and implant surgery. He belongs to the first-generation implant surgeons and directed an implant training program in the 1990s in which implant surgeons from all continents of the world were trained. He chaired a national specialist training program in Oral and Maxillofacial Surgery in Sweden. During the period 2002-2017 he was Professor in Oral and Maxillofacial Surgery at Kuwait University in Kuwait and from 2017 Senior Professor in Oral Maxillofacial Surgery at Malmö University, Sweden. He has published numerous articles and letters and more than hundred research articles in international Medline indexed scientific journals. Dr Andersson has been textbook editor of five textbooks and chapter author in several textbooks. He was Editor-in-Chief of the internationally renowned scientific journal, Dental Traumatology from 2007-2015 and was President of the International Association of Dental Traumatology 2011-2014.
Satellite Symposium in Dental Trauma – Currently accepted treatment protocols
Periodontal injuries after dental trauma – risk and consequences of ankylosis and how manage this complication
The periodontal ligament is often damaged by dental trauma. Compression, tearing, drying or storage in non-physiologic conditions are examples of this. Root resorption is often seen after serious traumatic dental injuries such as tooth avulsions and intrusions. While infection related root resorption today can be prevented or treated, ankylosis is the most serious complication resulting in progressive replacement resorption of the root by bone and eventually causing loss of the tooth. Moreover, inhibition of growth and development of the alveolar process is seen in young growing patients following ankylosis. However, also this complication can be managed today. The lecture will present how ankylosis will develop, explain its progression and consequences and how we can understand and manage such situations today. The recent shift in paradigm from “save the tooth” to “preserve the bone” will be presented.
I have worked as a university lecturer in Pediatric Dentistry at the University of Helsinki and as a pediatric dentist at the Hospital for Children and Adolescents in Helsinki, Finland since 2012. I got specialist degree in Pediatric Dentistry in February 2019.
I finished the doctoral degree under supervision of Professor Satu Alaluusua at the University of Helsinki in 2011. During my postgraduate studies, I did in vitro research on the effects of organic environmental toxicants on hard tissue formation in developing tooth. In recent years I have participated in Professor Alaluusua’s research projects studying etiological factors of molar incisor hypomineralisation. Currently I have been working in a project concentrating in inherited diseases of dental hard tissues.
MIH and possible associations with childhood illnesses and antibiotics
Molar incisor hypomineralization (MIH) is a common condition with a worldwide prevalence reported to vary between 2.4% and 40.2%. In MIH, demarcated dental enamel hypomineralization defects are found in first permanent molars (FPMs) and frequently also in permanent incisors. The clinical severity of enamel defects ranges from small, demarcated areas with a mild change in color to large, severe lesions with post-eruptive enamel breakdown. Hypomineralized enamel lesions may cause increased treatment-need and discomfort to the patient.
The origin of MIH is systemic, but studies have shown that there might be a genetic influence as well. However, the etiology is still unclear, even though several etiological factors have been suspected. These include e.g. birth complications, common childhood illnesses, antibiotics and environmental contaminants.
Enamel of FPMs starts to mineralize around birth and the enamel formation is completed at about three years. Therefore, medical problems during the early childhood have been proposed as possible etiological factors. Several studies have reported associations between early childhood fever, respiratory disease, pneumonia, acute otitis media and MIH. There are also studies that have not found significant associations.
The use of antibiotics as an etiological factor has also been studied and significant associations have been reported in part of them. The literature is however sparse, and the level of evidence is very low. In addition, because antimicrobial drugs are used against for certain illnesses, it is difficult to determine which one, the illness itself or the antibiotic used for the illness, may have a greater impact for the risk of MIH, or is there a combined effect. In some experimental in vivo and in vitro studies, amoxicillin has disturbed enamel matrix formation and mineralization, leading to quantitative and qualitative defects in enamel. Findings from experimental studies may support the hypothesis of antibiotics as an etiologic factor for MIH, but any straightforward conclusions to humans cannot be made.
Learning Objectives:
-Even though early childhood diseases might be associated with MIH, the level of evidence is still low.
-The role of antibiotics is uncertain but possible. The literature is sparse, and the level of evidence is very low.
-It seems that the etiology of MIH is multifactorial.
-More well-designed prospective studies are needed to clarify the etiology.
Dr. Berdouses received his Dental Degree from the National and Kapodistrian University of Athens, Dental School, his Certificate in Paediatric Dentistry and Master’s in Oral Biology from Rutgers University, New Jersey, USA and his PhD from the National and Kapodistrian University of Athens, Dental School. He has worked as research fellow at the Brookhaven Laboratories in New York. He works in Athens at his private practice limited to Paediatric Dentistry and Orthodontics and in a private practice in Dubai, UAE. He has worked as clinical instructor at the University of Athens, Dental School and has taken part in two European research projects funded by EU and in one National pathfinder study for oral health status and treatment needs in Greek population. He has published in National and International journals and has lectured in National and International congresses and seminars. His primary interest is dental informatics, caries diagnosis and prevention. He is also co-author in the text book “Dental Informatics, Principles, Means and Applications”. Dr. Berdouses has served as Secretary and Vice-President of the Hellenic Society of Paediatric Dentistry and as Secretary of the European Academy of Paediatric Dentistry. Currently is President Elect of the European Academy of Paediatric Dentistry.
Prof. Dr. Rita Cauwels graduated in 1980 as a general dentist at the Ghent University, Belgium and obtained in 1997 her MSc in Paediatric Dentistry and Special Care, including narcodontics, traumatology and treatment of medical compromised children. She is author and co-author of several international manuscripts and chapters of books dealing with paediatric dentistry, traumatology and laser therapy. She is an invited speaker at national and international congresses. She obtained her PhD acting on “Treatment improvement of traumatized immature teeth” for which she participated in scientific research at the university of Turku, Finland. She was chair of the department of paediatric dentistry and is currently dean of the dental school at the Ghent University-Belgium, dept Oral Health Sciences and deeply involved in the master program of the Ghent dental school, Belgium. She is currently past-president of EAPD.
Abstract
Different guidelines regarding the postgraduate education in paediatric dentistry are available. Also, EAPD will soon release an update of the curriculum. Despite this, the current guidelines for the undergraduate students are sparse, and if present, revision is needed. Globally, and adapted to the particular dental school, a minimum of expectations must be fulfilled.
The aim of this symposium and the present lecture is to give a summary of the education in central Europe related to the entire Europe. Through a questionnaire, information will be gathered from the directors from the four points of compass in Europe. From the results, an overview is given with a focus on the needs nowadays
Bart van Meerbeek
Professor in Dental Biomaterials Science
KU Leuven – BIOMAT, Department of Oral Health Sciences I Restorative Dentistry – UZ Leuven
bart.vanmeerbeek@kuleuven.be
Bart Van Meerbeek obtained his DDS in 1988 and his PhD in 1993 at KU Leuven (University of Leuven) in Belgium. He continued his research activity abroad for one year at the University of Texas Health Science Center at San Antonio, Texas, and later also at the University of Missouri-Kansas City. In 1995, he became Assistant Professor (‘Docent’) at KU Leuven and since then teaches Dental Biomaterials Science. In 1998 and 2002, he was promoted respectively to Associate Professor (‘Hoofddocent’) and Professor (‘Hoogleraar’), and in 2005 to Full Professor (‘Gewoon Hoogleraar’). His primary research interest involves studies related to the broad field of Adhesive Dentistry, including fundamental as well as clinical research regarding dental adhesive technology in particular. Newer research lines deal with Dental Ceramics, Cariogenicity & Biocompatibility of Dental Materials, Bioactive Materials and Pulp-preservation Material Technology. His research work has been published in more than 400 peer-reviewed journals and has been honoured with awards such as the 1996 triennial Robert Stock Award for best PhD dissertation in Biomedical Sciences, Albert Joachim Award in 1997, Award in Biomedical Sciences of the Research Council of KU Leuven in 1998, IADR Young Research Award in 2000, SmithKline Beecham Award in 2001, Academy of Operative Dentistry Buonocore Memorial Lecturer in 2003, CED-IADR (Continental European Division of IADR) Robert Frank Lecturer in 2008, 2014 IADR/AADR William J. Gies Award for the best 2014 JDR paper in the Biomaterials & Bioengineering Research category, and the 2015 IADR Wilmer Souder Award (IADR Distinguished Scientist award for Dental Materials). In 2003, he became holder of the Toshio Nakao Chair for Adhesive Dentistry. He was President of the Pan-European Federation of IADR in 2006-2007 and is currently serving as Secretary of the Continental European Division of IADR or CED-IADR. Recently in September 2019 (Madrid), he was elected as President Elect of CED-IADR to become CED-IADR president in September 2020 with the task to organize the 2021 CED-IADR/NOF Oral Health congress in Brussels (September 16-18, 2021). Since 2004, he is Editor-in-Chief of the Journal of Adhesive Dentistry.
What’s new in adhesive (paediatric) dentistry?
This lecture aims to provide an update on modern adhesive technology to directly restore teeth. An overview of the current state of the art regarding dental adhesive technology and their adhesion performance to enamel and dentin will be presented. The most recent generation of ‘universal’ adhesives enable the dentist to choose for either an ‘etch-and-rinse’ or ‘self-etch’ bonding approach. A next research challenge is to develop adhesive technology that additionally provides bioactivity. This can be diverse in terms of anti-microbial, anti-enzymatic and/or re-mineralization potential. Special attention will be given to potential differences in bonding to deciduous versus permanent tooth tissue, as well as some new self-adhesive restorative material developments will be addressed.
Prof Tim Watson BSc BDS PhD FDSRCS
King’s College
Faculty of Dentistry, Oral & Craniofacial Sciences
Guy’s Hospital, London
Tim Watson is Professor of Biomaterials and Restorative Dentistry and Honorary Consultant in Restorative Dentistry at King’s College, in the Faculty of Dental, Oral & Craniofacial Sciences at Guy’s Hospital, London. Much of his research has been based on the microscopic imaging of new operative techniques and adhesive restorative materials, with extensive publications in the fields of microscopy, dental materials and operative dentistry. Twenty-five PhD students have graduated under his supervision over the last 25 years. He lectures worldwide and has attracted over £6M in research grants from Government, Charity and Industrial sources. He worked in the same private practice at weekends for over 30 years.
Interactions of Materials & Carious Dental Tissues
This talk will look at the intraoperative assessment and management of dental caries. The restorative dilemmas facing clinicians are more complex now than ever, as we have materials that can have a range of effects: from being simple sealers – to prevent bacterial ingress and proliferation, to bioactive materials with anti-bacterial properties and remineralising properties. Furthermore, one mustn’t forget that the pulp – dentine complex is a vital living organ and can respond by healing, with the laying down of reparative dentine, especially in the presence of therapeutic agents.
This talk will look at ways of determining the extent of dentine caries, using sound observational techniques backed up by microscopical imaging and bacteriological studies. The dynamics of the caries affected tooth complex and its interactions with materials in laboratory and clinical caries management experiments has shown that there are changes in the depths of a cavity with time. This may stall the carious process and also preserve pulp vitality.
What is new?
Discussions on the interaction of bioactive materials with caries-affected tissues.
Learning objectives
Tim Kersjes is a research integrity adviser at Springer Nature. As part of the Springer Nature Research Integrity Group, he provides advice to Editors-in-Chief on best practices as defined by the Committee on Publication Ethics (COPE) and Springer Nature and journal editorial polices. This also involves investigating complex cases related to research integrity and publication ethics and misconduct. He has investigated numerous cases, ranging from plagiarism to image manipulation and peer review manipulation.
Tim has a background in philosophy (University of Groningen, Netherlands). After his studies he worked at a number of Dutch NGOs to promote innovation in democratic processes and civil society, and as a conference producer and training developer at Institute for International Research.
A publisher’s perspective on research integrity and publication ethics – trends and concerns
Advancing research integrity involves many stakeholders, from researchers and ethics committees to institutions and funders. Of course, as research gets published, editors and publishers also get involved. But it doesn’t stop with a publication. The Springer Nature Research Integrity Group (SNRIG) provides advice to editors on hundreds of cases each year on how to manage research misconduct and publication errors. This can lead to corrections, expressions of concerns or even retractions.
Dealing with so many cases across a wide variety of journals enables to us to spot trends in research integrity and publication ethics: what type of problems do we see? Dealing with 3000 journals and 3000 new books each year also allows us to spot issues that may otherwise have gone unnoticed, such as large scale cases of publication manipulation that affect multiple journals.
In this presentation we’ll share some insights into the issues we come across and what we do as a publisher to help editors and researchers to prevent research integrity issues. We will also explain what we do to ensure the integrity of the scholarly record is upheld, and what happens when you report a potential case of misconduct to a journal.
Prof. Dr. Jan Kühnisch
Department of Conservative Dentistry and Periodontology
University Hospital, Ludwig-Maximilians University of Munich, Germany
Molar-Incisor Hypomineralization (MIH) – a worldwide burden?
What do we know and what do we need to know?
Molar-incisor hypomineralization (MIH) is a prevalent dental developmental disorder, and approximately 10 to 20% of children and adolescents are affected globally, with a varying degree of severity, ranging from mainly mild opacities to severe enamel breakdowns, mostly in occlusion-bearing areas, shortly after tooth eruption. From the patients’ viewpoint, first permanent molars with extensive enamel breakdowns, are especially hypersensitive and limited in functionality as well as difficult to clean, which is finally associated with an increased caries risk. Therefore, dental anxiety and lack of cooperation are frequent co-variables in children affected by MIH. According to the European Academy of Paediatric Dentistry MIH will be diagnosed if at least one first permanent molar is affected from a demarcated opacity, enamel disintegration or atypical restoration on occlusal and buccal surfaces. Contrary to this definition MIH-related demarcated enamel hypomineralizations can be clinically detected at each type of tooth in both dentitions. Bearing in mind the discrepancy between this clinical situation and actual definitions this aspect should be considered in the presentation. Furthermore, the tooth- and surface-related scoring of MIH and its potential use in prevalence and etiology studies should be presented. Another aim of the presentation is to identify knowledge gaps which need to be considered by dental or interdisciplinary research.
Professor JACK TOUMBA BSc (Hons), MSc, BChD, PhD, FDS (Paeds) RCS (England)
Professor Jack Toumba obtained his BSc (Hons) in biochemistry and physiology from Leeds University in 1976 and his MSc in steroid endocrinology in 1977. He then graduated with BChD from Leeds University in 1984. For eleven years was a Senior Dental Officer in Paediatric Dentistry. He obtained his FDSRCS from the Royal College of Surgeons of England and his PhD from Leeds University on the topic of fluoride slow-releasing devices. He was awarded a personal Chair in Paediatric and Preventive Dentistry in October 2004. Prof Toumba has published over 100 research papers/books/articles in international journals and obtained research grants valuing over £2.5 million. Jack is co-author of ‘Restorative Techniques in Paediatric Dentistry’, ‘Handbook of Dental Traumatology’ and ‘Paediatric Dentistry At A Glance’. He was Editor in Chief of the European Archives of Paediatric Dentistry journal from 2010-2018. He is currently the EAPD President (from 2018-2020). He was the programme Director of the MSc and DPaedDent postgraduate programmes in Paediatric Dentistry at Leeds University from 2000-2015. From October 2018 he was appointed Professor of Paediatric and Preventive Dentistry at the University of Kuwait. He is an internationally respected scientist and clinician and is invited all over the world to give talks and courses on Paediatric Dentistry. His particular expertise is in prevention of dental caries, dental trauma, slow-release fluoride devices and the clinical use of fluorides.
Diploma and field competence
Master of Molecular and Cellular Pharmacology, University of Paris 6, France (1990)
PhD on IGF system (Inserm U142 Paris), University of Paris 6, France (1993)
Permanent position at INSERM (CR2) (Inserm U142 Paris) (1995)
Authorization for research direction (HDR), University of Paris 6, France (1998)
Research work on IGF system in cell proliferation and tumorigenesis (1990-2003)
Research work on mRNA decay (cnrs UPR 2167 Gif/Yvette) (2003-2004)
Research on development of mineralized tissues (since 2004)
Group leader on gene – environment relationships and hypomineralyzing pathologies (since 2010)
Director of Research at Inserm (Inserm U1138 Paris) (2016)
Head of the Molecular Oral Pathophysiology Laboratory (since 2018)
Expertises
Local: Conseil du Centre de Recherche des Cordeliers, Conseil UFR Science du Vivant Université Paris-
Diderot, Conseil scientifique de l’UFR Odontologie Université Paris-Diderot
National: Membre du groupe de travail sur les perturbateurs endocriniens à l’ANSES (2017-2020),
Membre du groupe de travail sur les agénésies transverses à Santé Publique France (2019), Comité d’interface Inserm-Odontologie (depuis 2008), Conseil d’administration de la Société Française
d’Endocrinologie (2019-2021), Commission scientifique spécialisée n°6 de l’Inserm (2008-2012),
Comité d’évaluation à l’ANR SV1 (2013-2015)
International: Member of the International Association
Are endocrine disruptors responsible for hypomineralisations in human teeth?
Sylvie Babajko, director of research at the French National Institute of Health and Medical Research (INSERM)
Centre de recherche des Cordeliers – INSERM – Université de Paris – France
Our environment is considerably changing during last decades and, many recent data show the relationships between our lifestyle, exposure to multiple pollutants and development of chronic diseases. Among environmental pollutants, hundreds of them present endocrine disrupting activities, they are called endocrine disruptors (EDs). They are able to interact directly with the steroid and thyroid hormone receptors, to modulate steroid hormone synthesis and / or their circulating levels. They are thus able to disrupt the homeostasis and development of target organs, especially during fetal and perinatal life when they are particularly active. This window of time corresponds to dental development; any disturbance of amelogenesis may cause irreversible enamel defects. Molar Incisor Hypomineralisation (MIH) retained our attention because the prevalence of this enamel pathology is higher nowadays than thirty years ago suggesting an environmental causal factor, and because selective teeth are affected, permanent first molar and incisors, the first mineralizing teeth, suggesting a time-window causality. Despite its etiology is still unclear, probably multifactorial, EDs appeared as interesting enamel disruptor candidates to investigate. Our experimental results show the impact of several EDs, including bisphenol A, alone or in combination with other EDs, on the quality of enamel. The defects of rodent enamel exposed to these molecules share many structural and biochemical similarities with those of children with MIH.
We are currently progressing in characterization of the different types of hypomineralizations caused by environmental toxicants, and in ED mechanisms of actions in dental cells to demonstrate their effects. In the future, dental defects reflecting the history of exposure to toxicants could be taken into account in the follow-up of children, future adults likely to develop pathologies related to lifestyles and exposure to multiple environmental pollutants.