Epidemiologic Signatures in Cancer

 

Rising cancer incidence may not reflect changes in the true occurrence of cancer but instead changes in diagnostic practice. And changes in diagnostic practice can exert a powerful influence on cancer survival statistics. Drawing on trends in a variety of cancers, Welch will explore the differences between an epidemic of a disease versus an epidemic of a diagnosis — and why those differences can make for misleading stories reported to the public.

 

About the presenter: Dr. Welch is a general internist and professor of Medicine at the Dartmouth Institute for Health Policy and Clinical Practice in the Geisel School of Medicine. He is also a professor of Public Policy at Dartmouth College and a professor of Business Administration at the Amos Tuck School.

For the 25 years, he has been practicing medicine, Dr. Welch has been asking hard questions about his profession. His arguments are frequently counter-intuitive, even heretical, yet have regularly appeared in the country's most prestigious medical journals — Annals of Internal Medicine, Journal of the American Medical Association, the New England Journal of Medicine and the Journal of the National Cancer Institute — as well as in op-eds in the Los Angeles Times and the New York Times.

He is the author of 3 books – each expanding on the argument of the one before it. Should I be tested for cancer? Maybe not and here's why (2004) deals with the narrow question of early cancer diagnosis. Overdiagnosed: Making people sick in the pursuit of health (2011) expands the discussion to include the early diagnosis of any disorder. His newest book “Less Medicine, More Health – 7 Assumptions that Drive Too Much Medical Care" (2015) expands the discussion to explore other ways that too much medical care can cause harm – and is intended to be more approachable for general readers.

Dr. Welch is very much part of the “Dartmouth School” that questions the assumption that more medical care is always better. His research has focused on the assumption as it relates to diagnosis: that the best strategy to keep people healthy is early diagnosis – and the earlier the better. He has delineated the side-effects of this strategy: physicians test too often, treat too aggressively and tell too many people that they are sick. Much of his work has focused on overdiagnosis in cancer screening: in particular, screening for melanoma, thyroid, lung, breast and prostate cancer.

 

 

 

This presentation will include the current status of these three street drugs, their abuse, and their impact on the dental practice.

 

 

This presentation will explore the current recommendations for controlling postoperative dental pain, responsible use of antibiotics for orofacial infections, and some of the most serious drug interactions involving dental medications.

 

About the presenter: Harold L. Crossley, D.D.S., M.S., Ph.D. is Professor Emeritus at the University of Maryland Dental School. A native of Rhode Island, Dr. Crossley received a Bachelor of Science degree in Pharmacy from the University of Rhode Island in 1964. He later was awarded the Master of Science (1970) and Doctorate degrees (1972) in Pharmacology. The University of Maryland Dental School in Baltimore awarded Dr. Crossley the D.D.S. degree in 1980.

 

 

 

About the presenter:  Jim Janakievski received his D.D.S. from the University of Toronto, which was followed by a general practice residency.  After several years in general practice, he completed his post-graduate training at the University of Washington, where he received a certificate in Periodontology with an M.S.D. degree and a fellowship in Prosthodontics. He is a Diplomate of the American Board of Periodontology, a member of the American Academy of Periodontology and a Fellow of the American Academy of Esthetic Dentistry. He is a reviewer for several dental journals and has published in the area of interdisciplinary dentistry, dental implants, and tooth autotransplantation. Dr. Janakievski is an affiliate assistant professor at the University of Washington and also teaches at Spear Education in Scottsdale Arizona.  In addition, he participates in practice-based clinical research through the McGuire Institute.  He maintains a private practice in Tacoma, Washington.

 

Innovative dental procedures – combining regenerative periodontal therapy with orthodontic treatment – enable the dentist to minimize potential iatrogenic risk factors associated with orthodontic therapy. Focusing on favorably positioned teeth and an enhanced muco-gingival complex, facilitate ideal and predictable esthetics and function and minimizes the risk of iatrogenic gingival recession associated with orthodontic treatment. The goal is orthodontic stability and ideal tooth alignment with less need for orthognathic treatment or extractions and less apical root resorption, along with accelerated orthodontic treatment. We will discuss the background and concepts of POPA, its limitations as well as the complications of orthodontic treatment and the logistics of executing a multi-disciplinary treatment. Representative clinical cases and evidence will be presented.

 

About the presenter:  EDUCATION: Born and educated, Johannesburg, South Africa. Dental Degree, Johannesburg, South Africa. Post-Graduate Dental Degree, London England; and Johannesburg, South Africa. Graduate Periodontics, University of Connecticut.  PROFESSIONAL CAREER:  Faculty Emory Dental School before closing, Currently, Assistant Clinical Professor, Medical College of Georgia. Currently, Private Practice of Periodontics and Dental Implants, Roswell, Georgia,  Director: Seattle Study Club of Atlanta.  AWARDS: Diplomate, American Board of Periodontology.  Honorable fellow; Georgia Dental Association.  Fellow, Pierre Fouchard Academy. Fellow, American College of Dentists (FACD).  Fellow of the ITI.  LECTURES AND PRESENTATIONS:  Presented over 300 courses, in the US and abroad.

 

 

 

 

This talk will discuss hard tissue conditions relevant to the practice of Endodontics with an emphasis on applications of CBCT imaging including pathology diagnosis

 

About the presenter: Dr. Parish P. Sedghizadeh is an Associate Professor of Clinical Dentistry at the University of Southern California (USC), Herman Ostrow School of Dentistry, and Director of the USC Center for Biofilms research laboratory. Dr. Sedghizadeh serves as the Section Chair of Diagnostic Sciences at the Herman Ostrow School of Dentistry and is the Director of the hybrid Oral Pathology and Radiology Program. He completed his undergraduate training and Bachelor of Science degree at UCLA, his Doctor of Dental Surgery degree at USC, and specialty training in oral and maxillofacial pathology and a Master of Science degree in oral biology at The Ohio State University. As a clinician-scientist, Dr. Sedghizadeh conducts research, publishes, consults, and teaches oral pathology, radiology, surgery, pain, and medicine with an active intramural clinical practice. He has over 80 peer-reviewed publications, and his research laboratory and clinical research projects at USC focus on the characterization and treatment of microbial biofilm infections, particularly osteomyelitis and osteonecrosis of the jaw where he has developed and tested novel bisphosphonate-antibiotic conjugates to target bone biofilm infections.

 

The Changing Landscape in Health Care

 

 

 

 

 

About the presenter:  Dr. Carr is a practicing endodontist in San Diego. I am also the director and founder of the Pacific Endodontic Research Foundation, a non-profit research Foundation.

 

 

Ridge Preservation - A Clinicians Perspective

 

About the presenter:  Dr. Charles T. Maupin graduated with a B.S. in Biology from Lubbock Christian University. Dr. Maupin received his DDS degree from Baylor College of Dentistry. Following graduation from Baylor College of Dentistry, Dr. Maupin attended the University of California, Los Angeles, where he served as Chief Resident and received his endodontic specialty. Dr. Maupin continues to be involved in UCLA where he is a part-time faculty member. Dr. Maupin is a Diplomate of the American Board of Endodontics. He is a founding member of the International Academy of Endodontics. He maintains a private practice in endodontics and implants in Lubbock, Texas.  Dr. Maupin is the developer of Dynamically Guided Endodontics.  He gives lectures and teaches hands-on courses on this topic and its use in the field of endodontics.

 

 

 

Endodontic Microsurgery is a treatment option for teeth with persistent periapical pathology. Modern microsurgical techniques developed after the introduction of the Dental Operating Microscope have shown to provide better results when compared to traditional ones.  In the dynamic techniques, the patient’s jaw is registered on the CBCT image, providing real-time guidance to the surgeon. Thanks to this live feedback on the screen, the surgeon can verify the position and angulation of the drill. It also allows him to change the treatment plan if necessary while always the following guidance from the computer.  During this presentation, I will describe the use of dynamic surgical navigation in different situations during endodontic microsurgery.

 

About the presenter: Dr. Carlos Aznar Portoles obtained his dental degree in 2004 from Universitat Internacional de Catalunya, Barcelona, Spain. In 2009 he completed a Master Program in Endodontics at the same university. After moving to The Netherlands, he obtained a Postgraduate Certificate in Endodontics in 2014 (ACTA, Amsterdam). He is the author of several endodontic-related articles and lectures regularly at national and international meetings. Amongst his articles are “Dehydration Induces Cracking in Root Dentin Irrespective of Instrumentation: A Two-Dimensional Study”; “Bioactivity potential of endo sequence BC RRM putty”; and “A Central Incisor with 4 Independent Root Canals: A Case Report” in the JOE 2015. Dr. Portoles maintains a private office in Haarlem, The Netherlands, which is limited to endodontics and endodontic microsurgery.

 

 

 

Endodontists have used ultrasonics both orthograde and surgically for decades but there has been reluctance amongst endodontists to incorporate the next iteration, the Piezotome, into our routine surgical armamentarium.  The piezotome has several advantages over “traditional” ablation osteotomy including less bone damage, better vision, better haemostasis and even recycling the bone as an autologous graft, which in turn offers faster bone healing and improved healed contours.  This presentation will demonstrate the use of a piezotome in endodontic surgery and show patient outcomes over several years of clinical experience.

 

About the presenter: Dr. David Cable is a full-time specialist endodontist in private practice in Sydney, Australia.  He has held teaching positions at the University of Sydney since graduation in 1989, was head of undergraduate endodontics 1993-96, and is currently a senior lecturer in endodontics at Sydney University as well as an Honorary Clinical Specialist in Endodontics at the clinical teaching school in Sydney.  He is a past President of the Australian Society of Endodontology and the Australian & New Zealand Academy of Endodontists as well as passionate scuba diver, photographer, cabinet maker, and HiFi geek …

 

 

The apicocoronal position of the papilla is critical to positive gingival aesthetics. Endodontists perform procedures every day that may affect this important tissue. In this lecture, the factors relating to the size, shape, and presence of the papilla as they relate to both teeth and implants will be discussed.

 

About the presenter:  Patrick Caldwell is a registered specialist in Endodontics. He graduated in Dentistry with Honours from the University of Queensland in 1998 and then went on to work for the Royal Australian Navy, both ashore and at sea. During this time, he undertook advanced training in restorative dentistry and in 2002 sat examinations and was elected a Fellow of the Royal Australasian College of Dental Surgeons.  In 2003 Patrick began a three year, full-time training program in endodontic therapy and microsurgery, graduating with a Masters of Dental Science in Endodontics. He has since gone on to complete additional advanced training, graduating with a Masters of Clinical Dentistry in Implant Dentistry. In 2006, he returned to work with the Royal Australian Navy and was also engaged as a Visiting Specialist at the Sydney Dental Hospital. In 2009 Patrick moved to Shanghai, China where he was the only Endodontist in a city of 21 million people. In late 2010, Patrick returned home to Australia and currently lives on the Sunshine Coast. He is a lecturer at the University of Queensland.

 

 

What is Normal? CBCT and Apical Periodontitis.

 

The use of CBCT as a diagnostic tool has become mainstream in specialist and general practice endodontics. Although efforts have been made, our literature fails to address a number of fundamental issues, particularly regarding the diagnosis of apical periodontitis on CBCT.

 

About the presenter:  Oliver completed his BDSc at the University of Queensland with First Class Honours. Following several years as a Dental Officer in the Royal Australian Navy he completed his Doctorate of Clinical Dentistry in Endodontics at the University of Melbourne. Oliver was awarded the inaugural Ephraim Ehrmann Prize in Endodontics for best overall performance in the degree. Oliver is in full-time private practice in Melbourne, Australia and is President of The Australian Society of Endodontology. Oliver maintains an active role in the provision of continued professional development to dentists around Australia.

 

 

 

Oral ulceration with bone sequestrum/Spontaneous Focal Osteonecrosis

 

 

 

Although survival of teeth is the goal of endodontics, often the primary focus of treatment is conformity with the endodontic triad: clean, shape, obturate. My experience over the last 9 years in private practice has led me to rethink these clinical objectives. Seeing recalls of patients treated in my family’s endodontic practice over the past 40 years has been a confusing, yet enlightening experience. Survival of teeth labeled with a guarded prognosis, failure in perfectly treated teeth, and long term retention of teeth with severe treatment deficiencies and radiolucent periapical findings have caused me to challenge existing paradigms. This presentation will review selected cases from a 40-year-old endodontic practice, explore them in-depth, and arrive at conclusions by which parameters for accurate outcome prognostication can be based.

 

About the presenter:  Dr. Brandon Seto is in full-time private practice in Santa Monica, CA and teaches weekly at the UCLA School of Dentistry student clinics. He received his Doctor of Dental Surgery from the University of California, Los Angeles in 2008 and his certificate in endodontics and Master of Science in Dentistry degree from the University of Washington in 2011. He joined his father, Dr. Bradley Seto, in a group endodontic practice that has been serving patients for over 40 years.

 

 

 

Dr. Janakievski is an affiliate assistant professor in the department of periodontology at the University of Washington and has been invited to present at national and international conferences. He is a diplomate of the American Board of Periodontology, and a member of the American Academy of Esthetic Dentistry. He is a reviewer for several dental journals and has published in the area of dental implants and tooth autotransplantation.

About the presenter:  Dr. Janakievski received his D.D.S. from the University of Toronto, which was followed by a general practice residency. After several years in general practice, he completed his post-graduate training at the University of Washington, where he earned a certificate in periodontology with an M.S.D. degree and a fellowship in prosthodontics. He maintains a private practice in Tacoma, Wash.