Advanced Speciality Courses

Abstract:

Minor oral surgical procedures to be safely performed in the confines of oral cavity require safe and excellent exposure with access to the surgical site thereby influencing the intra-operative ease and outcome associated with the procedures. Similarly, post operative healing depends on the intra-operative steps and closure of the surgical site. For maximizing outcomes in minor oral surgery, this hands-on workshop aims to address the step by step simplified safe approach to each aspect of the procedure from incision to closure. The workshop also provides hands-on experience on modified surgical techniques helpful for emergent situations and imparts new learning skills

Introduction:
Minor oral surgery basic skill sets include incision placements, raising flaps and closure which have many modifications and adaptations based on the best suited clinical scenario. The workshop aims to firstly discuss the theoretical concepts behind conventional long-standing techniques followed by demonstration and hands-on exercise by participants where-in table instructors shall improvise and provide tips and tricks to improve their existing surgical techniques. The second session will be firstly impartment of theoretical lectures on modified surgical techniques exclusively helpful in intra-operative complications and emergent situations where-in the final hands-on shall be performed mimicking the case scenario on models such as oro-antral communication

Learning Objectives:

• Identifying common pitfalls in pre-surgical plan such as flap design
• Perform procedure such as modified incision and closure techniques on models
• Manage common complications that occur in routine procedures
• Recognize and manage emergent events like oro-antral communication that require modified closures
• Learn additional skills helpful in intra-operative complications like simple ligation, managing bleeders

Who should attend:

• GP Dentists with special interest in the topic
• Specialists Dentists with special interest in the topic
• Dental Students

Course Outline:

09:00 – 10:00 Lecture: Case based discussions with incisions and closure on models
10:00 – 11:00 Hands on: Step by step practice on procedure of incision and closure on models for simulation

Demonstration and Workshop:

1. Provided Materials and Equipment (for each participant):
1. Silicone mock of soft tissue
2. Instruments for incision
3. Instruments for closure
4. Suture materials
5. Hard tissue models for procedure simulation
2. Procedure and Demonstration Steps:
1. Demonstration of flap design and incision on models
2. Hands on incision techniques on models
3. Demonstration of closure techniques
4. Hands-on closure techniques
5. Hands-on modified closures and ligation
3.  Materials to be brought by participant (if required):
1. Personal loupes (optional)

About the Speaker:

Dr Arjun Shenoy is an international board certified oral and maxillofacial surgeon with special interest and fellowship in facial trauma surgery. He has been also an AOCMF travel fellow at Queen Elizabeth hospital UK. Dr Arjun is also a fellow of the Indian Board of Oral and Maxillofacial Surgery. He also has been at the forefront of organizing surgical skill competitions for post graduate trainees in oral and maxillofacial surgery at national and state levels. His research includes traction-based plates in closed reduction of Markowitz type 1 NOE fractures and various other publications in facial trauma surgery

Dr. Anass Koleilat, after obtaining his dental degree from Saint Joseph University in Beirut-Lebanon, Dr.Koleilat pursued his Periodontics residency training at University at Buffalo-SUNY. He is a diplomate of American Board of Periodontology and Implant surgery practicing in Cleveland Ohio area

Abstract:

During instrumentation, errors can occur due to clinician-related difficulties, physiological factors such as dentine hypersensitivity or pain after hard and soft deposit removal, or physical limitations like thermal and cavitation stimulation of the instrument's working end. Unexpected damage to teeth or restorations can occur during treatment because of technical or procedural sequence errors.

The purpose of this course is to illustrate the different choices clinicians face regarding instruments and techniques in NSPT and to provide tips for achieving the best clinical results with patient compliance, acceptance, and comfort. An updated state of the art of evidence-based non-surgical approaches will be discussed, following the well-known traditional treatment methods. Additionally, there will be a comprehensive explanation of advanced and innovative manual and powered instruments that can achieve the most minimally invasive penetration with maximal clinical healing results. Special attention will be given to safety, aerosol management, patient comfort, and the clinician’s best ergonomic choices.

Introduction:

Periodontitis is strongly associated with the presence of dental calculus on root surfaces. Although the rough calculus surface itself may not induce inflammation in the adjacent periodontal tissues, subgingival calculus serves as an ideal substrate for microbial colonization. Therefore, cause-related non-surgical periodontal therapy (NSPT) aims to eliminate microbial biofilm and calcified deposits from the diseased surfaces through root surface debridement. Surface debridement can be accomplished using manual and/or powered instrumentation. A long-standing debate has taken place over the years to identify the best technique and instruments for performing NSPT.

Learning Objectives:

• Discuss the minimally invasive approach in treating periodontitis
• Review the different techniques for subgingival debridement of hand versus power instrumentation
• Choose which ergonomic tools and positions can help clinicians in the dental operatory
• Select the adequate armamentarium according to the clinical case presented
• Practice instrumentation dexterity around difficult to reach oral areas 

Who should attend:

• Dental Hygienists
• Dental Interns

Course Outline:

14:00 – 14:45
Hands-on: Quick and reliable diagnostic tools for NSPT treatment planning (Dr. Consolata Pejrone)
14:45 – 16:00
Hands-on: Clinical tricks in subgingival periodontal  Instrumentation (Prof. Chiara Camorali)
16:00 – 16:45
Hands-on: Maintaining a sharp cutting edge (Ms. Mary Rose Pincelli)
16:45 – 17:30
Hands-on: Power scaling and AirPolishing:  from theory to use in the clinical routine (Mr. Stefano Checchi)
17:30 – 18:00
Discussion followed by Q&A Session

Demonstration and Workshop:

1. Provided Materials and Equipment (for each participant):
1. Typodonts with soft plastic gingiva
2. Manual instruments sets (periodontal probes, periodontal explorers, curettes, scalers, files, hoes)
3. Ultrasonic units in instruments
4. Extracted teeth
5. Instruments to be sharpened, sharpening stones, acrylic sticks and semi-automatic sharpening devices.
2. Procedure and Demonstration Steps:
   
   4 Groups of participants will rotate in 4 different workshop-bays (45’ each workshop) – max 20 participants per workshop
   1. Bay 1: Manual instrumentation – review the basic principles of instrumentation:
   1. Instrument grasp and rest
   2. Exploring the surfaces to treat
   3. Adaptation and activation of the blades
   4. Technique essentials
   5. Scaling and root planning on extracted teeth
   2. Bay 2: Powered instrumentation – review the basic principles of instrumentation:
   1. Instrument grasp and tuning
   2. Adaptation of the inserts
   3. Movements
   4. Debridement and implementation on typodont models      
   3. Bay 3: Guided Biofilm Therapy:
   1. Protocols and indications
   2. Use of different powders – MINST
   3. TPnC treatment plan based on classification of the periodontal disease
   4. GBT on typodont models and other surfaces
   4. Bay 4: Curettes and scalers sharpening session:
   1. Manual vs. semiautomatic techniques
   2. Common errors to avoid
   3. Sharpening of dull instruments
3. Materials to be brought by participant (if requested):
1. Masks
2. Nitrile gloves
3. Loops
4. Personal instruments that need to be sharpened

About the Speaker:

Prof. Chiara Camorali, since the foundation of the School in Dental Hygiene at the University of Bologna in 1990 up to 2010 she has held positions as a pre-clinical and clinical instructor , and later on professor of Dental Hygiene Science and Technology course .From academic year 2007/2008 Adjunct Professor for integrative activities of "Non-Surgical Periodontal Instrumentation Techniques " in Periodontology Course and currently pre-clinical and clinical instructor in "Non-Surgical Periodontal Instrumentation Techniques", Periodontics Course within the Dental School, University of Parma, Italy Speaker in courses and conferences in Italy and Europe , for international meetings of IFDH -International Federation of Dental Hygienists, AIDI- Italian Dental Hygienists Association, EFP -European Federation of Periodontology, SIdP-Italian Society of Periodontology ;President of Scientific Committee of International Symposium in Dental Hygiene in Florence. Author of publications in Italian and foreign magazines, co-author of several chapters in the series of texts "Dental Prevention and Hygiene" ed. Masson and in the text "Dental Hygienist: theory and professional practice" Edra ed. She holds Certificate in Dental Hygiene from Forsyth School for Dental Hygienists, Boston U.S.A and associate in science degree Northeastern University, Boston U.S.A.; Degree in Dental Hygiene from the University of Genoa, Italy; Specialistic Degree of the Sanitary Professions Technical-Assistance area, University of Pisa, Italy. Master in Odontostomatological Prevention, University of Rome "La Sapienza". Member of AIDI, Italian Dental Hygienists Association, she covered the position of President of the Emilia Romagna section of AIDI. President of the Ordine TSRM-PSTRP Commission of Dental Hygienists for State regulation of the dental hygiene profession in Parma. Clinical practice since 1983.

Dr. Consolata Pejrone has a Certificate Degree in Dental Hygiene from Forsyth School for Dental Hygienists and an Associate of Science in Dental Hygiene by the College of Pharmacy and Allied Health Professions of Northeastern University in Boston, Massachusetts (USA). The diploma has been integrated and certified by the University of California, Los Angeles (USA) with the course of Anesthesia and Expanded functions for Dental Hygienists. She obtained the attainment of the National Board for Dental Hygienists, the Northeast Regional Board in Boston and the California Board at the University of Southern California in Los Angeles. In the academic years 1996/1997 she attended a postgraduate course in Community Health and WHO procedures by the Chair of Pedodontics at the University of Milan, Italy. In 2004 she graduated by the University of Genoa, Italy with the degree of Dottore in Igiene Dentale. During the academic years of 2003/2004, she attended successfully the master’s degree in Preventive Dentistry by the University La Sapienza of Rome, Italy. Consolata Pejrone’s clinical dental hygiene experience starts in Boston in 1991 by the Veterans Administration Hospital and at the Children Hospital for Physically and Mentally Disabled Children. She held a series of practical lectures on essential dental hygiene by the Cardinal Menderos Center (for homeless people) in Boston. She has been a lab assistant at the Children’s Hospital Research Center of Boston chief by Dr David De Franco. From 1992 to 1997 she was a professor at the Dental Hygiene School by the University of Genoa, Italy, and from 2005 to 2010 she taught at the Dental School of Genoa Clinical Practice of Preventive Dentistry. In the years 1999- 2002 she held biennial seminars in French at the Masters in Periodontology by Prof. Hitzig Department in Nice, France. In 2006-2016 she was a faculty member in the Dental Hygiene School at the University of Turin, Italy. At the day she practices the profession as a dental hygienist in different private practices in Northern Italy. She has been vice-president of the National Committee of University Diploma for Dental Hygiene and Regional Cultural Secretary for the Italian Dental Hygienists Association (AIDI). Speaker of several national and international continuing educational programs, she holds lectures to dental hygienists, dental assistants, general dentists, periodontists, medical doctors and main offices of Ministry of Health (Saudi Arabia) as well as for local dental dealers and sales forces in the EMEA area. She volunteers in several local communities with special needing children, mothers, teenagers and immigrants with the COI (Cooperazione Odontoiatrica Internazionale) in Northern Italy.

Ms. Mary Rose Pincelli, graduated as a dental hygienist in 1970 from Forsyth School for Dental Hygienist and Northeastern University, Boston, Mass. She was one of the first hygienists in Italy when the Italian hygiene association was organized. She worked as clinical professor at the University of Bologna, this position Was held from 1994-2004. During this time, she was given the opportunity to organize courses with the Forsyth School in Boston for six years: an exchange program was established. She was able to do an Erasmus teacher exchange with Karlstad University in Sweden. She had an opportunity in training in dental hygiene techniques for the sale staff of a leading company in Italy. She had published many scientific papers in Italian and international journals. Have been a delegate of the IFDH since 1989 for Italy and in 2013 was elected treasurer of The International Federation of Dental Hygienists still holding this position. In 2010 she was presented with the prestigious “Esther Wilkins Award for Distinguished Alumna “ 

Mr. Stefano Checchi was born in Bologna Italy on the 27th of November 1975. He achieved his first Diploma Degree as a dental technician in Bologna and then he dedicated his study to Medicine, for two years, and then to Dental Hygiene disciplines. In March 2000 he achieved his Laurea degree in Dental Hygiene at the University of the Study of Bologna in Italy. He spent his professional life as free-lance clinicians in several private clinics and private dental office in Italy and as communication and training & education consultant in favor of many international dental companies. Passioned in teaching and lecturing he had the chance to work as tutor for the Dental Hygienist students at the University in Bologna for several years and he is a teacher at the University of the Study in Torino Italy, Dental Hygiene course. He is also lecturing both at national level and abroad covering topics of Dental Hygiene interest. During the last 2 years of Covid pandemia, with the consequent travel limitations, in person conferences and congress interruption he developed a strong experience in online-training and conference report via web also thanks to the partnership with global companies and training/education providers. During the last 10 years he had the privilege to represent his country as a Delegate in the European Dental Hygiene Federation and covered the EDHF Secretary role for two terms. Stefano is the Italian representative for EDHF, and he is part of the Public Relation EDHF’s committee. In the year 2021 he assumed the assignment as regional representative for AIDIPro the Italian Dental Hygienist’s Trade Union. He practices my profession at the “IL PUNTO” dedicated oral hygiene office that I own and manage together with my partner.