Day 1 :
Keynote Forum
Mahnaz Fatahzadeh
B.Sc., DMD, General Practice Residency certificate, University of British Columbia, Canada.
Keynote: Service-Learning Pathway: Two Decades of Experience with Oral Cancer Screening
Biography:
Dr. Mahnaz Fatahzadeh obtained her B.Sc. and DMD degrees as well as her General Practice Residency certificate from the University of British Columbia in Canada where she practiced general dentistry for a number of years. She completed her Oral Medicine fellowship and MSD degree at the Rutgers School of Dental Medicine where she holds a faculty appointment as a professor of Oral Medicine and as an attending at the University hospital. Dr. Fatahzadeh is a diplomat of American Board of Oral Medicine and has a special interest in the evaluation and management of oral mucosal disorders including oral cancer. She has served as the chair of NY/NJ Oral Cancer Consortium, a member of New Jersey Oral/Oropharyngeal Cancer Work Group and director of RSDM annual Oral Cancer Screening program.
Abstract:
American Cancer Society estimates nearly 50,000 Americans are diagnosed with oral cancer this year and many with advanced disease succumb to death within 5 years or experience significant morbidity. Delayed diagnosis is the primary reason for poor medical outcome and both education and early detection considered key to improving survival rate. Service-Learning is a viable and effective strategy for engaging students in activities which benefit society and reinforce their classroom instruction. Last year marked 20th anniversary of our annual oral cancer screening event at the Rutgers School of Dental Medicine.
The goals of this service-learning program were to provide oral cancer education and screening for a high risk, underserved population, to strengthen diagnostic skills for detecting premalignant mucosal lesions, to promote community engagement and to foster a model for delivery of inter-professional collaborative health care. Calibrated pre and post-doctoral student volunteers supervised by faculty staffed the operation. In recent years, the event included a health fair offering comprehensive education and/or screenings for diabetes, hypertension as well as breast, cervical, prostate and colorectal cancer by volunteer medical personnel.
In this study, we evaluated the perception of 20th anniversary participants using an IRB-approved survey. The majority of respondants felt more confident in performing oral cancer screening after taking part in this event (81%) and rated the experience as fulfilling, clinically beneficial (95%) and conducive to future community engagement (86%). Integration of service-learning programs in dental curriculum help reinforce didactic concepts through clinical exposure, advance spirit of voluntarism and promote inter-professional collaboration.
- Advaced Dental Education
Location: Vancouver, Canada
Session Introduction
Bashair Ahmed Rangoonwala
Dental student Jinnah Medical and Dental College, Karachi, Pakistan.
Title: Novel Covid-19 & it’s affect on Dental Healthcare.
Time : 11:30-12:00
Biography:
Bashair Ahmed is a 22 year old final year dental student currently enrolled in Jinnah Medical and Dental College, Karachi, Pakistan.
With the ongoing pandemic which took a huge toll on everybody’s lifestyle, she used her research skills and personal hands on experience in treating dental patients to review how COVID-19, which is here to stay, has affected dental setting around the world.
Abstract:
Novel Covid-19 has taken the world by storm with 41,104,946 confirmed cases of Covid-19, including 1,128,325 deaths as of October 22, 2020 after it was firstly reported in Wuhan, China. According to biological and clinical research, the mode of transmission of this zoonotic virus has confirmed to be through respiratory droplets which leaves the dental healthcare professionals under the high risk category of contacting the virus as dentistry involves the use of rotary dental and surgical instruments i.e. hand pieces or ultrasonic scalers which create a visible spray that can contain particle droplets of saliva,water, blood & microorganisms. Once present in the human body, SARS-CoV-2 is present abundantly in nasopharyngeal and salivary secretions of affected patients who can be either symptomatic or asymptomatic. Additionally, with basic surgical masks not being 100 percent effective against the aerosols dental practitioners were left ill-fitted to combat the virus during the initial surge when treating dental emergencies such as dentoalveolar trauma and progressive fascial space infection. This article, based of literature review & experience, describes how Covid-19 has brought changes in dental healthcare for both dental learning students and professionals in terms of continuing education/learning hands-on, in patient screening as the oral symptoms of Covid-19 such as xerostomia and loss of taste distinct to normal flu-like symptoms can help with diagnosis, how practice of strict infection control strategies with correct donning and doffing of PPE is now more important than before and a different approach to patient management protocol.
Zahra Lotfollahi
PhD in Solis state Physics, University of Birjand, Brazil.
Title: dentalhealth-ann-2020
Biography:
Zahra Lotfollahi has completed her PhD in Solis state Physics from University of Birjand. She is working as postdoctoral in University of Sao paulo, Department of Physics (Research subject: Structural characterization of lipoproteins, scholarships supported by FAPES). She has collaboration with some periodontologist in São Paulo State University (UNESP), Department of Diagnosis and Surgery. The result of their collaboration with multidisciplinary approach was recently published at Sciencific Report Nature journal.
Abstract:
The objective of the present study was to establish if individuals with DiabetesMellitus (DM2) and
periodontal diseases (periodontitis and gingivitis) presented an increase in the concentration of modified LDL (moLDL) and what is the influence of periodontal treatment on the decrease of moLDL particles with consequent improvement in the parameters of DM2. Twenty-four diabetic patients with periodontitis (Group 1) and gingivitis (Group 2) were followed up for 12 months. Group 1 was treated with periodontal debridement, and Group 2 received supragingival scaling and prophylaxis. In both groups, periodontal clinical parameters: probing depth (PD), clinical attachment level (CAL), gingival resection (GR), bleeding on probing index (BOP) and plaque index; inflammatory serum markers (glycemia, A1c, TC, HDL-c, LDL-c, TG and hs-CRP) and oxLDL were measured at baseline, t = 6 and t = 12 months after treatment. Solutions of LDL were analyzed using the nonlinear optical Z-Scan and absorption techniques. The periodontal clinical parameters showed significant improvement in both Group after 12 months. For both groups, TC, HDL-c, LDLc, TG and A1c levels did not show significant reductions after periodontal therapy. hs-CRP levels in Group 1 presented a significant reduction after 12 months. The glycemic rate and the oxLDL concentrations did not show significant differences as a function of time. The optical measurements of LDL solutions revealed an improvement of the LDL-c quality in both groups. Periodontal debridement was able to improve periodontal parameters and the quality of LDL-c in diabetic patients but without changes in the oxLDL concentration in both groups.
The objective of the present study was to establish if individuals with DiabetesMellitus (DM2) and
periodontal diseases (periodontitis and gingivitis) presented an increase in the concentration of modified LDL (moLDL) and what is the influence of periodontal treatment on the decrease of moLDL particles with consequent improvement in the parameters of DM2. Twenty-four diabetic patients with periodontitis (Group 1) and gingivitis (Group 2) were followed up for 12 months. Group 1 was treated with periodontal debridement, and Group 2 received supragingival scaling and prophylaxis. In both groups, periodontal clinical parameters: probing depth (PD), clinical attachment level (CAL), gingival resection (GR), bleeding on probing index (BOP) and plaque index; inflammatory serum markers (glycemia, A1c, TC, HDL-c, LDL-c, TG and hs-CRP) and oxLDL were measured at baseline, t = 6 and t = 12 months after treatment. Solutions of LDL were analyzed using the nonlinear optical Z-Scan and absorption techniques. The periodontal clinical parameters showed significant improvement in both Group after 12 months. For both groups, TC, HDL-c, LDLc, TG and A1c levels did not show significant reductions after periodontal therapy. hs-CRP levels in Group 1 presented a significant reduction after 12 months. The glycemic rate and the oxLDL concentrations did not show significant differences as a function of time. The optical measurements of LDL solutions revealed an improvement of the LDL-c quality in both groups. Periodontal debridement was able to improve periodontal parameters and the quality of LDL-c in diabetic patients but without changes in the oxLDL concentration in both groups.
Bonnie Feldman
DDS, MBA, Los Angeles, CA
Title: The Oral Microbiome Gateway to Systemic Health – Easily Accessible Yet Underappreciated
Biography:
Bonnie Feldman, DDS, MBA has combined her expertise as a clinical dentist and Wall Street analyst to spearhead her current career as a digital health consultant & autoimmune patient advocate, serving as founder and CEO of Your Autoimmunity Connection. She has been an invited speaker at numerous conferences such as TEDx, SXSW, and Stanford Medicine X and is the author of five ebooks. She has been featured on podcasts and documentaries, and her multimedia work has appeared on online venues such as Forbes, Medium, Tincture, Doctor Weighs In, and Thrive Global.
Abstract:
The oral microbiome is a galactic microcosm that is both a gateway and a mirror to the rest of the human body. Comprised of over 700 prevalent taxa at the species level with distinct subsets predominating in different habitats, the oral cavity is residence to diverse communities of bacteria, fungi, and viruses. Balance and imbalance between this new ecosystem can influence the body’s state of health and disease.
Using advances in big data analytics, next generation sequencing, and systems immunology, we are beginning to understand that oral health may be an early indicator of other systemic diseases such as Alzheimer’s, cardiovascular disease, diabetes, stroke, rheumatoid arthritis, and other autoimmune diseases.
With incidence of chronic disease on the rise, a better understanding of the oral microbiome and its connection to systemic diseases, is an opportunity for dentists to help their patients take charge of their health.
Anisha Rodrigues
MDS in Prosthodontics, Rajiv Gandhi University of Health Sciences, Bangalore, India.
Title: Patients’ Experiences With Edentulism And The Use Of A Removable Dental Prosthesis: A Qualitative Study
Biography:
Dr Anisha Rodrigues has completed her MDS in Prosthodontics in 2009 from Rajiv Gandhi University of Health Sciences, Bangalore, India. She completed her Fellowship in Interprofessional education and Practice from Manipal University-FAIMER International Institute for Leadership in Interprofessional Education in 2017. She is currently working as a Reader in the dept. Of Prosthodontics, AJ institute of Dental Sciences, Mangalore, India.
Abstract:
Loss of teeth or edentulism can have a negative impact on the quality of life of an individual. Removable dentures play an essential role in restoring the functions of mastication, esthetics, speech and overall comfort of the patient. Every skilled professional constructs a denture with utmost care and complies with accepted criteria of fabrication. However, some patients are still not satisfied with the prosthesis. Several quantitative studies on the patient's satisfaction with removable dentures have concluded that denture satisfaction has multifactorial dimensions. Therefore, we have used Qualitative Research methods with in-depth interviews to explore, interpret, and obtain a deeper understanding of the attitudes and expectations of patients with regard to edentulism and removable dentures through their personal experiences.
The study was conducted in the Department of Prosthodontics, Crown and Bridge, in A.J. Institute of Dental Sciences, Mangalore, India. We interviewed 15 patients who fulfilled the inclusion criteria, were of varied age, social background, and using a removable partial or complete denture prosthesis before achieving data saturation. An interview guide was used to ask relevant open-ended questions along with spontaneous and planned probes to obtain a deeper insight of their responses. Five basic questions were asked to all patients to obtain a wide range of responses; e.g. importance of natural teeth, perceptions of tooth loss, motivation for replacement, advantages and problems with dentures. The interviews were recorded and transcribed before analysis. Qualitative content analysis was done with a thematic framework, wherein a subjective interpretation of the data was done through a systematic classification process of coding and identifying themes. We obtained five themes from the patients’ experiences of their edentulous state and the use of removable partial or complete denture prosthesis:Perception of the tooth loss phenomenon, Varying experiences with dentures, Denture usage and its maintenance, Varying attitudes of dentists towards patients’ complaints, and Awareness, perception and preference of treatment modalities.
The themes that have emerged from this study have helped us highlight the grey areas concerning edentulism and patient care with significant implications for the dental profession.