IPOH CPD A N U P D AT E I N D E N T I S T R Y Prof Loh Hong Sai BDS MDS (NUS) FDSRCPS (Glasgow) FAM Singapore FDS RCS (Edinburgh) Dr Indra Nachiappan BDS, MDSc(Periodontotlogy) FDSRCS(Eng) Dr Chow Kai Foo BDS (NUS) FDS RCS (ENG) CERT. OF ORAL IMPLANTOLOGY (FRANKRURT) Prof Loh Hong Sai was the Former Professor of Oral and Maxillofacial Surgery and Head of Department, NUS. Former Dean of the Faculty of Dentistry, NUS. His Research Areas included, Laser Applications in Oral and Dental Surgery; Treatment modalities for OroFacial Pain and Morphology and Variations in Local Dentitions. Prof Loh received the Prestigious Awards of British Commonwealth Senior Medical Fellowship in 1986; Fellowship of The Association of South East Institutes of Higher Learning in 1990 and Friend of Labour Award, National Trade Union Congress Singapore in 1992. Currently, serves as a Senior Periodontist in the Ministry of Health based in the Specialist Periodontic Clinic in Jelapang Health Center. She has been the head of Periodontic services in Perak for the past 10 years and is responsible for the initiation and establishment of periodontic services in Perak 1. BDS graduate of the University of Singapore 2. Fellow of the Royal College of Surgeons England 3. Certificate of Oral Implantology from Frankfurt University of Germany 4. National Specialist Register 128329 Oral and Maxillofacial Surgery 5. Fellow of the International College of Dentists 6. Member of the Academy of Medicine Malaysia 7. Former Chairman of the MDA PCBC: Public Complaints Bureau Committee (Centre for Mediation and Conflict Resolution of the MDA) and MDA Think Tank 8. Former Deputy Chairman of the MDA Committee for Government Policy and Regulations 9. Member of the National Oral Health Research Initiatives 10. CEO of MOSTDI INNOVATIONS SDN BHD. A BIONEXUS Status Company of BIOTECHCORP MALAYSIA. 11. Past President and currently Adviser of the Malaysian Oral Implant Association 12. Honorary General Secretary of the Malaysian Dental Association 13. Private Practice in Zhou Specialist Dental &Implantology Clinic KINTA RIVERFRONT HOTEL,IPOH MDA Member : RM 50 Non MDA Member : RM 100 On-Site Registration : RM 100 Sunday │ 23 November 2014 2 CPD Points (Pending Approval) 1230-1300 1300-1400 1400-1500 1500-1530 1530-1630 1630-1730 Registration Gingival Enlargement: Aetiology and Management ~by Dr Indra Nachiappan Optimized Dental Implants ~by Dr Chow Kai Foo Tea Breaks Introduction to laser in dentistry ~ by Prof Loh Hong Sai Re-visiting third molar surgery ~ by Prof Loh Hong Sai MALAYSIAN DENTAL ASSOCIATION NORTHERN ZONE IPOH CPD A N U P D AT E I N D E N T I S T R Y Topic 1: Gingival Enlargement: aetiology and management Gingival enlargement has been known as gingival hyperplasia or gingival hypertrophy or most recently, gingival overgrowth. It may present as a localised or generalised, increase in size of the gingival tissue. This gingival pathology can be caused by a number of factors, most commonly inflammatory conditions and as a side effect of medications. However, oral hygiene plays a major role in pathogenesis of this lesion and effective plaque control plays a major role in its management. The irritaional effect of plaque bacteria removed, the lesion can shrink resulting in an almost normal gingival margin with minimal pseudopocketing. Otherwise, surgical modalities have to be employed to establish a favourable gingival morphology. This eventually will enable the patient to maintain adequate plaque control, thus preventing reoccurrence. In the case of drug induced gingival overgrowth, if possible the culprit drug has to be removed and replaced with one without the adverse effect. Topic 2: Optimized Dental Implants When dental implants began to be used widely since the landmark Toronto lecture by Professor Branemark, root-sized implants were used and often placed wherever there was sufficient bone and then left to the prosthodontist to complete the job. Implant treatment was then surgically-driven. It was not long before practitioners realized that dental implants should be placed in positions where they can be restored most easily and appropriately with crowns and bridges. Thus dentists moved towards prosthodontically-driven placement of dental implants. Common sense dictated it. However this resulted in the need to modify the bone very often with bone grafts in order to position the implant where it can be restored most appropriately. Increasing the volume of bone to fit the root-sized implants in the appropriate position means higher costs, longer treatment time and increased morbidity for the patient. Implant dentists quickly realized that the connection between natural teeth and bone is vastly different from that between titanium dental implants and bone. Smaller implants were found to be quite adequate because square mm for square mm, an ankylosis/osseointegration is much stronger than that of a periodontal ligament. However a natural tooth has a very sophisticated suspension mechanism in the form of the periodontal ligament apparatus, the ankylosed implant has none, which makes it about like the difference between sitting in a limousine and sitting in a lorry. Still an implanted tooth is the best replacement for a lost tooth and is almost as good as new, but never as good as the natural tooth. The realization that smaller dental implants can be used has allowed for implant dentists to fit the dental implants to the bone available. Optimization of the size of the dental implants is basically the move to fit the implants to the available bone rather than to modify the bone to fit the implants. This will mean less surgery and faster treatment time which translates into lower costs for the patient. IPOH CPD A N U P D AT E I N D E N T I S T R Y This talk will help the attendee to:1. Understand more broadly the development of implant dentistry. 2. See how both conventional 2 piece dental implants can be used together with one piece dental implants especially in complex cases. 3. Observe how one piece implants can be used to rapidly replace a single upper anterior tooth that cannot be saved and has to be extracted, leaving an unsightly gap which the patient is anxious to do something about. 4. Observe how optimized dental implants can be used to rapidly replace the loss of multiple upper anterior teeth using the patient’s denture to temporarize. 5. Appreciate how a loose lower full denture can be stabilized in a 1-2 hours procedure that can be a powerful practice builder. Topic 3: Introduction to lasers in dentistry There is a growing acceptance of laser applications in dentistry for their effectiveness and improved management with predictable and reproducible results. Biological responses from both dental hard and soft tissues are favorable. The experience to use lasers to cut, vaporize and coagulate is consistent from established laser types, energy parameters and techniques. Er-Yag lasers are commonly engaged to deal with enamel, dentine and alveolar bone, whereas CO2 lasers are particularly effective with oral soft tissues. Perio-endodontic applications are enhanced with histochemical and immunological responses. Pre-prosthodontic laser surgery including implantology provide better outcomes. Wound healing is within normal expectations, with reduced scarring and contractures. Dysfunction is minimal as a result of reduced tissue manipulation and instrumentation. Immuno-modulation is promising for oral lichen planus. Photo-coagulation and photo-thermolysis by selective laser absorption benefit vascular and pigmented conditions. Molecular and cellular changes with the current understanding diode lasers and of low level laser therapy (LLLT) help improve the management of facial pain eg. trigeminal neuralgia, TMJ disorders, post-operative pain. The future is bright with improved instrumentation, lowered costs, new and combination systems. Topic 4 : Re-visiting third molar surgery Impacted wisdom tooth surgery is perhaps the most common dento-alveolar procedure in dental practice. In life, we should be able to perform the simple thing best in our daily routines. In the same way, this lecture hopes to deliver the simple facts to help the practitioner perform this surgery with ease and confidence. A physiological and philosophical discussion of the surgery would be provided, with a literature review of the current trends in case indication, pre-operative preparations, surgical techniques and post-operative care. MALAYSIAN DENTAL ASSOCIATION NORTHERN ZONE PRESENTS “AN UPDATE IN DENTISTRY” VENUE: KINTA RIVERFRONT HOTEL, IPOH DATE: 23RD NOVEMBER 2014 (SUNDAY) TIME: 1.00 P.M. TO 5.30 P.M. FEE: MDA Member RM 50.00 Non-member RM 100.00 On-site Registration RM 100.00 PROGRAMME: 1230-1300 Registration 1300-1400 Gingival Enlargement: Aetiology and Management ~by Dr Indra Nachiappan 1400-1500 Dental Implant ~by Dr Chow Kai Foo 1500-1530 Tea Breaks 1530-1630 Introduction to laser in dentistry ~ by Prof Loh Hong Sai 1630-1730 Re-visiting third molar surgery ~ by Prof Loh Hong Sai CPD POINTS: 2 Points (Pending Approval) REPLY PROFORMA: I,……………………………………………………………. wish to attend the CPD Programme organized by MDA Northern Zone in Ipoh, Perak and I would like to confirm my attendance. Please contact me for further details by phone …...…………….or email…………………..……….. Signature: Date: PAYMENT: Please make bank draft/cheque in Ringgit Malaysia (RM) payable to “MALAYSIAN DENTAL ASSOCIATION NORTHERN ZONE”. Registration will be valid upon receipt of full payment. Bank Draft/Cheque Number: ______________________for the amount RM____________________ Please mail completed registration form to: Please send completed form & payment to: Dr.Alex Iu Kwang Dak, MDA Northern Zone, Klinik Pergigian Teh, 28, Hume Street, 30300 Ipoh, Perak. Or fax the bank in slip to 05-2543827 (for Bank Transfer Only) For any enquiries, please email us at: [email protected]