BSP Programme - Friday

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0830
Registration, Tea/Coffee, Trade Exhibition
0930
Is non-surgical therapy still the fundamental treatment for periodontitis?

Aim
The aim of the presentation is to discuss the huge potential of non-surgical periodontal therapy in the management of patients with periodontitis.

Objectives
To highlight what we know about the substantial effectiveness of non-surgical periodontal therapy in achieving periodontal health and keeping teeth
To outline how to achieve the best outcomes from non-surgical periodontal therapy
To discuss the place of non-surgical periodontal therapy in today’s clinical practice

Learning outcomes
An understanding of the important place of non-surgical periodontal therapy and how to maximize its potential to achieve health and save teeth

Dr Lars Laurell - Sweden
Dr Lars Laurell

Dr Lars Laurell DDS, Dr.Odont, Specialist in Periodontology, was born in 1937 and got his dentist degree from The Karolinska Institutet in Stockholm, Sweden in 1962. After 12years as a general dentist in private practice he completed his Master’s Degree in Periodontology in 1978 at the Institute for Postgraduate Dental Education in Jönköping, Sweden, where he was appointed senior lecturer, consultant. Ever since, he has shared his professional time between, specialist training, research and clinical specialist practice. 1995-1997 he was visiting lecturer at University of Washington, Seattle. 1999 - 2001 he held a position as senior lecturer/consultant at the Göteborg University, Faculty of Odontology, Department of Periodontology. In 2001 he was recruited as senior lecturer/honorary consultant at The Eastman Dental Institute, University College London with the special mission of organizing the Master Programme in Periodontology, a position he held until his retirement 2004.

In 1985 Dr Laurell presented his Dr. Odont (PhD) thesis “Occlusal forces and chewing ability in dentitions with cross-arch bridges”   He has published over 60 peer reviewed papers in international journals in the fields of perio-prosthodontics, epidemiology and periodontal regeneration. He is presently Honorary Senior Lecturer at the Eastman Dental Institute, London

1030
Tea/Coffee Trade Exhibition
1100
Two Minute silence
1102
Tea/Coffee Trade Exhibition
1110
Laser therapy - Is it just a gimmick?

Aim  

The aim of the lecture is to assess the relevance of laser applications to improve the therapeutic outcome of periodontal treatment procedures.

Objectives 

1. To understand the working principle of laser devices

2. To realize the interaction of laser energy with biological tissue

3. To assess the relevance of lasers and antimicrobial photodynamic treatment procedures 

4. To discuss the role of laser-induced adjunctive antimicrobial treatment approaches.

5. To consider the current literature relating to laser therapy


Learning Outcomes 

1. Identify possible indications for laser therapy.

2. Be aware of different laser systems/wavelengths and their specific characteristics 

3. Distinguish between different laser-tissue interactions.

Prof Andreas Braun - Germany
Prof Andreas Braun

1988-1994 Studies of Dentistry, University Dental Clinic Bonn, 1992 Clinical elective, Dental School, University of Melbourne, Australia, 1994 Employment as dentist in private practice, 1995 Doctor’s degree in Dentistry. Thesis: „Olfactory evoked potentials depending on the concentration of the stimulus agent”, 1994-2011 Department of Periodontology, Operative Dentistry and Preventive Dentistry, University Dental Clinic Bonn, 2005 Habilitation. Thesis: “Ultrasonic periodontal treatment – Clinical and experimental studies with a novel ultrasonic device” , 2007 Certification of ‘Periodontology’ as designated area of expertise by the North Rhine Dental Association, 2008-present Visiting Professor of the Master Study Program in Periodontology at the University of Freiburg, Germany, 2010-present Member of the Editorial Board of the Journal of Clinical Periodontology, 2011-present Chief Consultant and Deputy Director of the Department of Operative Dentistry and Endodontology, University Dental Clinic Marburg, Germany, 2012 General Secretary of the German Society of Operative Dentistry (DGZ), 2012 Appointment as Extraordinary Professor of the University of Marburg, 2013 Head of the division of Laser Dentistry, Department of Operative Dentistry and Endodontology, University Dental Clinic Marburg, 2014-present Associate Editor of BMC Oral Health, 2015-present Director of the TransMIT project division for “Energy-Transmitting Applications in Dentistry”

1210
Surgical management of periodontitis - making a comeback?

It is well documented that non-surgical periodontal therapy is, in the great majority of the cases, very successful to treat both chronic and aggressive forms of periodontitis resulting in reduction of inflammation and probing pocket depths (PPD) and finally in arresting or slowing down the disease progression. However, in a substantial number of cases, residual pocktes still persist following non-surgical therapy and, despite repeated reinstrumentation, do not show additional improvements (i.e. PPD reduction). Data from long-term clinical studies have shown that residual pockets with a PPD ≥ 6 mm, class II and class III furcations that persist following active periodontal therapy are associated with a high risk for tooth loos. Consequently, such sites represent an incomplete treatment outcome and require further therapy. Furthermore, in the last decades, a strong tendency was observed among the clinicians to extract periodontally compromised teeth and replace them with dental implants. Recent epidemiological data have provided evidence for a significant increase of biologic complications (i.e. peri-implant mucositis and peri-implantitis) at osseointergrated dental implants with mean prevalences of peri-implant mucositis and peri-implantitis of 43% and 22%, respectively. Most importantly, these numbers appear to be higher in patients with a history of periodontitis. On the other hand, substantial evidence from the literature indicates that various types of periodontal surgical procedures including resective or reconstructive techniques, when performed in the frame of a carefully designed overall treatment planning, can improve long-term prognosis of periodontally compromised teeth and, most importantly, can also represent a valuable alternative to dental implants. The aim of the presentation is to provide the rationale for integrating various periodontal surgical procedures in the overally treatment concept and to present the scientific evidence supporting these. Based on the biological and clinical rationale a decision tree will be presented to help the clinician make a decision on how to integrate various types of periodontal surgical procedures in the overall treatment concept. 

Learning Objectives:

  1. Provide the biologic and clinical rationale to use periodontal surgical procedures for the treatment of periodontitis.
  2. Provide a decision tree that may help the clinician to integrate various periodontal surgical procedures to improve tooth prognosis.
Prof Anton Sculean - Switzerland
Prof Anton Sculean

Anton Sculean is professor and chairman of the Department of Periodontology and currently the Executive Director of the School of Dental Medicine, University of Berne, Switzerland. He qualified in 1990 at the Semmelweis University in Budapest, Hungary and has received his postgraduate training at the Universities Münster, Germany and Royal Dental College Aarhus, Denmark. He received his Habilitation (Ph.D.) at the University of Saarland, Homburg, Germany. From 2004 to 2008 he was appointed as Head of the Department of Periodontology and Program Director of the EFP accredited postgraduate program at the Radboud University in Nijmegen, the Netherlands. In December 2008, he was appointed Professor and Chairman of the Department of Periodontology of the University of Bern, Switzerland. Currently, he serves as Executive Chairman of the School of Dental Medicine, University of Bern. Professor Sculean has been a recipient of many research awards, among others the Anthony Rizzo Award of the Periodontal Research Group of the International Association for Dental Research (IADR), and the IADR/Straumann Award in Regenerative Periodontal Medicine and received honorary doctorates (Dr. h.c.) from the Semmelweis University in Budapest, Hungary and from the Victor Babes University in Timisoara, Romania. He has authored more than 250 publications in peer reviewed journals, 14 chapters in periodontal textbooks and has delivered more than 300 lectures at national and international meetings. He is the editor of the book Periodontal Regenerative Therapy published by Quintessence and guest editor of the Periodontology 2000 Issue published in 2015 entitled “Wound Healing in Periodontology and Implantology”. He serves on the editorial board of more than 10 dental journals, among others Journal of Dental Research, Journal of Clinical Periodontology, Clinical Oral Implants Research, Journal of Periodontal Research and Clinical Advances in Periodontics and is Associate Editor of Quintessence International, Clinical Oral Investigations, Section Editor of BMC Oral Health and Editor in Chief of Oral Health and Preventive Dentistry. Professor Sculean served from 2009-2010 as president of the Periodontal Research Group of the IADR and is currently president of the Swiss Society of Periodontology and member of the executive committee of the European Federation of Periodontology (EFP). His research interests focus on periodontal wound healing, regenerative and plastic-esthetic periodontal therapy, use of antibiotics, antiseptics and novel approaches such as lasers and photodynamic therapy in the treatment of periodontal and peri-implant infections. 

1310
Lunch Trade Exhibition
1430
Mucogingival surgery for recession - Just for cosmetics?

1) Consideration of the indications for the treatment of gingival recession

2) Outline of the factors that influence the outcome of gingival recession coverage

3) Treatment options and the affect on results

4) To try to rationalise the non-cosmetic justification for intervention

Dr Paul Baker - UK
Dr Paul Baker

Paul Baker qualified in 1992 from Kings College School of Medicine and Dentistry. He spent two years working in hospital oral and maxillofacial surgery followed by a short stint working in general dental practice. In 1996 he started an MSc in periodontology at Guys Hospital. In 1998 he continued with a Master of Clinical Dentistry degree at Kings College London, which he passed with distinction. He was one of the first dentists to finish a specialist training pathway recognised by the General Dental Council in 2000.

Since 2000 he has worked in specialist practice, limited to the treatment of periodontal disease and implant surgery. He has taught at all levels within dentistry, from teaching undergraduates at Guys hospital to specialist level courses on mucogingival and periodontal plastic surgical techniques for the British Society of Periodontology. He started his training in implant dentistry in 1994, and has been involved in teaching implant dentistry since 2003.

1530
Tea/Coffee Trade Exhibition
1600
How effective are treatments for peri-implantitis?

Peri-implantitis is characterized as an inflammatory reaction that affects the hard and soft tissues, which results in loss of supporting bone and pocket formation surrounding the functioning osseointegrated implant. Recent epidemiological data have provided evidence for a significant increase of in the prevalence of peri-implantitis amounting to a mean of 22%. As the number of implants placed per year continues to increase the development of appropriate treatment protocols for the treatment of peri-implantitis is becoming increasingly important for the clinician. Based on the available literature, the present lecture will attempt to summarize, the effectiveness of various treatment protocols proposed for the treatment of peri-implantitis. Data from the literature indicate that careful consideration of several risk factors such as history of periodontitis, smoking, sufficient amount of bone volume, presence of attached mucosa, cementum rests and design of prosthetic reconstructions may reduce the possibility for the development of peri-implantitis. Furthermore, early diagnosis is of critical importance for performing adequate and successful treatment.    

    The primary treatment objective is elimination of the biofilm from the implant surface. Several treatment protocols including mechanical surface debridement using carbon or titanium currettes, saline soaked cotton pellets, air-polishing, laser light, and various combinations thereof have been evaluated for the decontamination of implant surfaces, but not consensus exists on the most efficient decontamination method. Non-surgical therapy including mechanical debridement, lasers or photodynamic therapy with or without the use local antibiotics have demonstrated success in cases with shallow or moderately deep osseous lesions. However, at deep sites involving osseous defects, the effectiveness of non-surgical therapy is limited and surgical access in combination with osseous resective or regenerative approach is the treatment of choice to reduce probing pocket depths. However, irrespective of the used therapy, successful outcomes can only be obtained if an optimal level of oral hygiene is maintained. Based on the available literature and clinical experience, a treatment concept is proposed that may help the clinician to treat peri-implantitis. 

    Learning Objectives:

  1. Provide an overview on the effectiveness of various treatment protocols suggested for the treatment of peri-implantitis. 
  2. Propose a treatment concept to help the clinician in treating peri-implantitis. 
Prof Anton Sculean - Switzerland
Prof Anton Sculean

Anton Sculean is professor and chairman of the Department of Periodontology and currently the Executive Director of the School of Dental Medicine, University of Berne, Switzerland. He qualified in 1990 at the Semmelweis University in Budapest, Hungary and has received his postgraduate training at the Universities Münster, Germany and Royal Dental College Aarhus, Denmark. He received his Habilitation (Ph.D.) at the University of Saarland, Homburg, Germany. From 2004 to 2008 he was appointed as Head of the Department of Periodontology and Program Director of the EFP accredited postgraduate program at the Radboud University in Nijmegen, the Netherlands. In December 2008, he was appointed Professor and Chairman of the Department of Periodontology of the University of Bern, Switzerland. Currently, he serves as Executive Chairman of the School of Dental Medicine, University of Bern. Professor Sculean has been a recipient of many research awards, among others the Anthony Rizzo Award of the Periodontal Research Group of the International Association for Dental Research (IADR), and the IADR/Straumann Award in Regenerative Periodontal Medicine and received honorary doctorates (Dr. h.c.) from the Semmelweis University in Budapest, Hungary and from the Victor Babes University in Timisoara, Romania. He has authored more than 250 publications in peer reviewed journals, 14 chapters in periodontal textbooks and has delivered more than 300 lectures at national and international meetings. He is the editor of the book Periodontal Regenerative Therapy published by Quintessence and guest editor of the Periodontology 2000 Issue published in 2015 entitled “Wound Healing in Periodontology and Implantology”. He serves on the editorial board of more than 10 dental journals, among others Journal of Dental Research, Journal of Clinical Periodontology, Clinical Oral Implants Research, Journal of Periodontal Research and Clinical Advances in Periodontics and is Associate Editor of Quintessence International, Clinical Oral Investigations, Section Editor of BMC Oral Health and Editor in Chief of Oral Health and Preventive Dentistry. Professor Sculean served from 2009-2010 as president of the Periodontal Research Group of the IADR and is currently president of the Swiss Society of Periodontology and member of the executive committee of the European Federation of Periodontology (EFP). His research interests focus on periodontal wound healing, regenerative and plastic-esthetic periodontal therapy, use of antibiotics, antiseptics and novel approaches such as lasers and photodynamic therapy in the treatment of periodontal and peri-implant infections. 

1700
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