copenhagen trauma symposium october 2012
update on treatment of severe healing complications after dental trauma Severe healing complications may happen after traumatic dental injuries, 10 specialists will update you on how to control these events.
1. day
Friday October 26 th, 2012
8.00 – 9.00
registration and coffee
9.00 – 9.15
welcome
9.15 – 9.45
9.45 – 10.45
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update on treatment of dental trauma complications
Jens Ove Andreasen and Eva Lauridsen
the new dental trauma guide Jens Ove Andreasen
can a necrotic pulp be revitalized? Leif Bakland
10.45 – 11.15 11.00 – 12.00
break 3
alveolar growth and orthodontic considerations in regard to acute dental trauma Karin Becktor
12.00 – 13.00 13.00 – 14.00
lunch 4
tooth avulsion and replantation, diagnosis and management of ankylosis Lars Andersson
14.00 – 15.00
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how to regenerate the alveolar process Nils Worsaae
15.00 – 15.30 15.30 – 16.15
break 6
how to preserve the alveolar bone after tooth loss with autotransplantation of premolars Monty Duggal
16.15 – 17.00
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the avulsed permanent tooth, to replant or not Jens Ove Andreasen, Leif Bakland, Karin Becktor, Lars Andersson, Nils Worsaae, Monty Duggal
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An update on the current work done to improve the Dental Trauma Guide. Early 2012 three working committies, appointed by the International Association of Dental Traumatology, have presented new guidelines for acute treatment of dental traumas for both primary and permanent teeth. The lecturer has been part of all the working groups and will present the new treatment guidelines. Pulp necrosis in immature developing teeth poses a difficult treatment problem. A number of treatment options are available, each presenting advantages and disadvantages. Current efforts are directed toward generating vital tissue in canals debrided of necrotic pulp tissue. Information about indications, technical procedures in treatment, and outcomes expectations of both traditional as well as current approaches will be shown.
In connection with treatment planning after traumatic injuries to the maxillary and mandibular incisors, knowledge concerning the morphology and growth of the alveolar process is very important. In the lecture the relationship between vertical craniofacial growth and the morphology of the alveolar process will be described, and furthermore the link between tooth eruption and growth of the alveolar process will be discussed. How to act in the emergency situation to avoid and reduce complications after tooth avulsion and replantation will be presented. The management of ankylosis, which results in osseous replacement, infraposition and inhibition of growth of the alveolar process in growing children will be covered. Dental traumas may result in significant loss of alveolar bone and soft tissue. A poor esthetic outcome of reconstructions are therefore often seen. Especially sufficient and stable vertical dimension of the reconstructions are difficult to obtain. A variety of different surgical techniques, including vertical alveolar distraction and interpositional osteotomies, has to a part of the arsenal used, but depending on the individual case. The results of such different treatment methods will be presented. A number of dental trauma entities represent a great risk of tooth and alveolar bone loss. Autotransplantation of premolars is a good treatment to restore esthetics and preserve or regenerate alveolar bone. This treatment has now for a decade been carried out at the pedodontic department in Leeds, England with a high success rate.
An avulsed permanent tooth represent the greatest challenge in dental traumatology. When a replantation of an avulsed tooth takes place multiple treatment scenarios can occur. A series of avulsion cases will be presented and discussed and finally the ultimate treatment results will be shown.
2. day
8.00 – 9.00 9.00 – 9.45
9.45 – 10.15
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Saturday October 27 th, 2012
registration and coffee discolored teeth after trauma, is bleaching a predictable treatment? Ulla Pallesen
the use of direct composites and indirect ceramic laminates in the treatments of crown fractures Ulla Pallesen
10.15 – 10.45 10.45 – 11.15
10 the use of different crown types for crown fractured teeth
11 have implants eliminated the need for conventional bridges? Klaus Gotfredsen
12.00 – 13.00 13.00 – 13.20
lunch 12 prognosis evaluation of root fractures Jens Ove Andreasen
13.20 – 13.45
13 alveolar fractures Eva Lauridsen
13.45 – 14.15 14.15 – 15.00
break 14 insurance implications of treatment of traumatic dental injuries Søren Hillerup
15.00 – 15.30
In recent years new knowledge has been accumulated about the long-term fate of these three treatment methods. In this presentation the lecturer will describe, discuss and compare these very different treatment procedures for crown fractures.
break
Klaus Gotfredsen
11.15 – 12.00
Discoloration of teeth after luxation injuries are very frequent and may represent grey, red, blue and yellow hues. Some of these color changes are reversible whereas others are progressive. What is their etiology and how can we treat them in a predictable way. This lecture will illustrate 30 years experience with various bleaching methods and show their long term performance.
questions and answers
The anatomy and the extent of the fractures place very different demands on the restorative replacement of crown fractured teeth. Various crown types will be compared based on their biomechanical properties. A large concensus group representing implantologists, oral surgeons and prosthodontics was recently assembled to answer some critical questions about the use of implants: are they long term reliable especially in relation to gingival health, functional stability and actual loss. The same analyses were made for conventional bridges.
New investigations of the long-term fate of root fractured permanent teeth have shown that most fractures have an excellent prognosis. This is in grave contrast to the fact that root fractured teeth are very often replaced by implants. In this presentation 10 years survival will be demonstrated for various types of fracture healing and fracture locations on the root.
Alveolar fractures has for a long time been considered a trauma entity with a high potential for many healing complications. Recently a large study of 201 teeth involved in alveolar fractures has been carried out showing surprising healing results.
Many treatment scenarios have an insurance aspect. Will a given treatment be covered by the insurance company? Guidance on how to write up a report securing the patient an optimal chance of compensation. Based on years of experience, the lecturer will present insurance companies concepts on compensation after traumatic dental injuries.
Ulla Pallesen, Klaus Gotfredsen, Jens Ove Andreasen, Søren Hillerup and Eva Lauridsen 3
presentation of the speakers
jens ove andreasen
eva lauridsen
leif k. bakland
karin becktor
lars andersson
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Jens Ove Andreasen is a dental consultant at Copenhagen University Hospital and has participated in the development of dental traumatology for the last 45 years. He has published 10 international textbooks on dental traumatology and conducted 60 experimental trauma studies on animals as well as 70 clinical studies on humans. In addition he is the initiator of the web based Dental Trauma Guide, which is now in use in 114 countries. Eva Lauridsen (DDS, PhD) graduated from Copenhagen Dental School in 1998. She has been working as a pediatric dentist since 2000, and for four years she was employed as a clinical teacher at the Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, University of Copenhagen. She has recently obtained her PhD degree in the field of dental traumatology and is presently employed as a research associate at the Department of Pediatric Dentistry, School of Dentistry, University of Copenhagen and at the Resource Centre for Rare Oral Diseases, Copenhagen University Hospital. Leif K. Bakland is professor of Endodontics at Loma Linda University in California. He is active in dental traumatology and is currently the executive director of the International Association of Dental Traumatology. He is coeditor of “Ingle’s Endodontics” and “Traumatic Dental Injuries a Manual” and associate editor of Dental Traumatology. After the introduction, in the mid1990s, of MTA by Mahmoud Torabinejad, also a faculty member at Loma Linda, Bakland became interested in its application in traumatic dental injuries and has written and lectured on this topic extensively. He has also been involved in research activities with Dr. Andreasen at the Copenhagen University Hospital during the past 20 years. Karin Becktor works as a dental consultant specializing in ortodontics at the District Dental Care unit in the Capital Region of Denmark. In this capacity Karin Becktor works with patients experiencing sequelae of post trauma-related tooth loss. From her thesis on “Aetiologic aspects of Dental Eruption” Karin Becktor has comprehensive knowledge of growth processes and deviations in jaw-bone growth.
Lars Andersson DDS, PhD DrOdont, received his undergraduate and research training and was appointed docent at Karolinska Institute, Sweden. Specialist in Oral & Maxillofacial Surgery. Since 2002 he is Professor in Oral & Maxillofacial Surgery at Kuwait University. His main research interest is traumatology and he has published more than hundred papers in international peer reviewed journals. Dr Andersson is editor and chapter author of several textbooks in the fields of Traumatology and Oral & Maxillofacial Surgery. He is currently Editor in Chief of the international scientific journal Dental Traumatology and President of the International Association of Dental Traumatology.
presentation of the speakers
nils worsaae
monty duggal
ulla pallesen
klaus gotfredsen
Nils Worsaae is associate professor at the department of oral and maxillofacial surgery at Copenhagen University Hospital and is responsible for the District Dental Care unit in the Capital Region. In this capacity Nils Worsaae is responsible for placement of implants in relation to agenesis and trauma related tooth loss. Together with his staff of employees Nils has conducted a number of clinical research projects on long term behavior of implants Professor Monty Duggal recieved his FDSRCS from the Royal College of Surgeons of England and his PhD from Leeds University, where he is currently Professor and Head of Child Dental Health. Professor Duggal has published over 100 research papers in international journals. He is also the author of “Restorative Techniques in Paediatric Dentistry”, and co-author of a textbook on Dental Traumatology and has Co-Edited “Paediatric Dentistry” by Oxford. His main research interest is Cariology and Translation Research in Clinical Paediatric Dentistry, including dental traumatology and he is charge of the Trauma and Transplantation service at the Leeds Dental Institute. Ulla Pallesen is assistant professor of cariology and endodontics at Copenhagen University School of Dentistry. Ulla Pallesens research focuses on clinical examinations of the durability of restaurations made with composite resin. Ulla Pallesen has published nationally and internationally within the field of odontology. Together with JWV van Dijken she is the co-author of the chapters “Bleaching of the discolored traumatised tooth” and “Restoration of traumatized teeth with resin composite” in the “Textbook and Color Atlas of Traumatic Injuries to the Teeth (2007)”.
Klaus Gotfredsen is Professor and Head of the Department of Oral Rehabilitation, Faculty of Health Sciences, University of Copenhagen, Denmark. He graduated in 1984 from the School of Dentistry, University of Aarhus. He received a Danish Ph.D. degree in 1990. In 2001 he received a Swedish Ph.D. degree from Department of Periodontology, Faculty of Odontology, Göteborg University. Dr. Gotfredsen has published more than 90 scientific papers in the fields of Implant and Prosthetic Dentistry. He is former president of European Association for Osseointration. Søren Hillerup, D.D.S., ph.d., dr.odont. Graduated as a D.D.S. in 1971, ph.d. 1978, board certified Oral and Maxillofacial surgeon 1983, consultant in Oral and Maxillofacial surgery since 1990, dr.odont. 1991. Since 2007 consultant Rigshospitalet and professor in Oral and Maxillofacial Surgery, University of Copenhagen.
søren hillerup
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REGISTRATION The course is held in Auditorium 1 at Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen. You can make your registration for the dental trauma symposium on the following website: www.dentaltraumaguide.org/tilmelding.aspx The registration fee is 2800 dkr. You can pay by credit card or you can order an invoice (faktura / e-faktura).
CONTACT INFORMATION Odontologisk Videncenter Rigshospitalet Blegdamsvej 9, 2100 København Ø Afsnit 5810
Phone: (+45) 3545 5810 E-mail:
[email protected]
THE COURSE IS HELD IN AUDITORIUM 1., BLEGDAMSVEJ 9, 2100 COPENHAGEN
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