4th PG Convention of the Society of Post graduate Dental Education in Nepal (SOPDEN)

Society of Post graduate Dental Education in Nepal (SOPDEN) is proud to announce its 4th PG convention being held on following date: Venue: Institute of Medicine (IOM) Maharajgung B.P. Koirala Institute of Ophthalmic Studies. Kathmandu ( Near Emergency Building of TUTH) Date: 10th November 2012 ( 25th Kartik 2069)

Program Schedule
08:30 - 09:00 AM Registration 09:00- 09:30 AM Inauguration 09:30 10:00 AM Breakfast 10:00- 11:45AM - Paper presentation Session I 11:45 12:30PM - Poster presentation with tea 12:30 - 02:15PM - Paper presentation Session II 02:15 PM Onward- Lunch

Registration Information:
Registration fee: Rs 1000/- only (last date for registration : 8th Nov 2012) Contact Person: Dr. Nitin Agrawal, IOM : 9851147617
Dr. Alok Sagtani, BPKIHS : 9852049090 Dr. Hemanta Halwai UCMS :9804495695 Dr. Shreeya Aryal, PDCH : 9849772460 Dr.Surakshya Shrestha ,NAMS : 9841297412

(Registration fee include certificate, breakfast, lunch and tea.)

Topic of Paper Presentaion

S No:
1

Time
10:00 -10:15 am

Presentation Topic
Fractured metal ceramic restorations-to repair or replace Functional growth modulation

Presenter
Dr.Brijesh maskey Dept. of Prostho PDCH Dr. Jamal Giri Dept.of Ortho IOM Dr. Mohana Giri Dept. of Perio NAMS Dr. Sanjay P. Gupta Dept.of Ortho IOM Dr. Amar Bhochhibhoya Dept. of Prostho PDCH Dr. Kaushal Kumar Singh Dept. of Ortho PDCH Dr. Sanad Dulal Dept. of Oral Surgery BPKIHS Dr. Bashu Raj Pandey Dept. of Ortho UCMS Dr.Chandra Prabha Dept. of Perio PDCH Dr.Sangya Malla Dept. of Ortho PDCH Dr .Smriti Narayan Thakur Dept. of Prostho PDCH Dr. Navaraj Lamdari Dept. of Perio NAMS Dr. Amresh Thakur Dept. of Ortho UCMS Dr. Suraksha Shrestha Dept. of Prostho NAMS

10:15-10:30 am

10:15-10:30 am

10:45-11:00am

11:00-11:15am

Non Surgical Periodontal Therapy: Clinical Significance of Scaling and Root Planing Prevalence of Malocclusion among High School Students in Kathmandu Valley All Ceramic Restorations: A novel solution for maximizing esthetics Management of diastema: Orthodontic prospective Chronic persistent Temporomandibular joint dislocation: Surgical and non-surgical management The better way of maxillary expansion ? AESTHETIC CROWN LENGTHENING-an approach to perfect smile.. Pendulum appliance

11:15-11:30am

11:30-11:45am

12:30-12:45pm

12:45-01:00pm

10

01:00-01:15pm

11

01:15-01:30pm

Revitalizing Lives by Maxillary Obturator Supportive Periodontal Treatment: Foundation of Dental therapy Corticotomy-Assisted Orthodontic Treatment: Review Management of Obstructive Sleep Apnea- A Prosthodontic Aspect

12

01:30-01:45pm

13

01:45-02:00pm

14

02:00-02:15pm

Topics for Poster presentation

S no:
1

Presentation topic
Evolution Of Maxillofacial Prosthetic Materials

Presenter

Dr.Ankita Rathi Dept. of Prostho PDCH Diabetes and periodontitis-two way relationship Dr.Anubha Rani Dept. of Perio PDCH Simplified method of fabrication of orbital prosthesis Dr.Binita Pathak Dept. of Prostho PDCH Quad helix Dr . Drabesh k Jha Dept. of Ortho PDCH Enamel matrix derivative: a novel approach to Dr. Sonika Shakya periodontal regeneration Dept. of Perio NAMS Light cruring system: at a glance Dr. Nisha Acharya Dept. of Cons UCMS Retentive aids in maxillofacial prosthesis Dr.Rinu Sharma Dept. of Prostho PDCH Lasers: multi- purpose tool in periodontal therapy Dr. Shreeya Aryal Dept. of Perio PDCH Conventional approach for fabrication of nasal Dr. Tanuja Singh prosthesis Dept. of Prostho PDCH

Abstracts of Paper Presentaion

S No:
1

Time
10:00 -10:15 am

Presentation Topic
Fractured metal ceramic restorations-to repair or replace

Presenter
Dr.Brijesh maskey Dept. of Prostho PDCH

Abstract: Fracture of ceramic is one of the most common complications encountered in metalceramic restorations, posing a serious esthetic concern. Removing the fixed restoration not only risks the possibility of destroying the entire restoration but also damages the abutment teeth. Repairing the prosthesis provides us with a better alternative, avoiding such mishap and re-building the patients esthetic outlook with minimum intervention, time and cost. Depending on the extent of fracture ranging from ceramic to metal, various repair methods can be performed using bonded resins. This presentation provides an overview of an indirect method that may be used to repair metal-ceramic restorations that are otherwise clinically and radiographically acceptable. 2 10:15-10:30 am Functional growth modulation Dr. Jamal Giri Dept.of Ortho IOM

Abstract: Whenever a jaw discrepancy exists, the ideal solution is to correct it by modifying the child's facial growth, so that the skeletal problem is corrected by growth modulation. The goal of growth modulation is to alter the unacceptable skeletal relationships by modifying the patient's remaining facial growth to favorably change the size or position of the jaws. Functional and orthopedic appliances are commonly used for growth modulation. This presentation includes 2- case reports of functional growth modulation: one with twin block appliance and the other with face mask therapy. 3 10:15-10:30 am Non Surgical Periodontal Therapy: Clinical Significance of Scaling and Root Planing Dr. Mohana Giri Dept. of Perio NAMS

Abstract: Periodontal treatment traditionally comprises initial nonsurgical therapy followed by a reevaluation, and surgical therapy if needed. Nonsurgical mechanical periodontal treatment is the cornerstone of periodontal therapy and the first recommended approach to control periodontal infections. It consists of mechanical supra and subgingival debridement and oral hygiene instructions, directed towards reducing the bacterial load and altering the microbial composition towards a flora more associated with health. These changes result in lower levels of inflammation and relative stability in periodontal attachment levels. Although nonsurgical periodontal therapy has evolved over years, it is still considered the gold standard to which other treatment methods are compared. Case reports demonstrating treatment outcome after non surgical therapy are included

10:45-11:00am

Prevalence of Malocclusion among High School Students in Kathmandu Valley

Dr. Sanjay P. Gupta Dept.of Ortho IOM

Abstract: Introduction: The malocclusion is a malrelationship between the arches in any of the planes or in which there are anomalies in tooth position beyond the normal limits. The epidemiological data has a key role in planning which varies between different countries, ethnic and age groups. Aims and objectives: To find out the prevalence of malocclusion among high school students in three districts of Kathmandu valley. Materials and methods: Total of 937 high school students (537 males and 400 females) were selected using stratified random sampling method. A standard format was prepared to record the data according to the WHO guidelines. Results: Normal occlusion was found to be in 26.7% . The prevalence of Class I, Class II and Class III malocclusion were 59%, 25% and 16% respectively. Conclusion: The prevalence of normal occlusion was 26.7% and malocclusion was 73.3%. Class I malocclusion is most prevalent followed by Class II malocclusion and the Class III malocclusion showed least prevalence.

11:00-11:15am

All Ceramic Restorations: A novel solution for maximizing esthetics

Dr. Amar Bhochhibhoya Dept. of Prostho PDCH

Abstract: Dental Ceramics is known to be the most esthetic material for dental restorations. Ceramics had to be reinforced with metal substructure due to their unpredictable strength. However, clinicians have often faced an esthetic challenge when restoring anterior teeth with ceramic fused to metal restorations. A demand for more esthetic alternative has led to evolution of metal free restorations. Improvements in strength and longevity, clinical performance, availability and affordability have made all ceramic restorations as a material for consideration in routine dental practice. This article highlights various all ceramic systems available, their applications and our experience with IPS e.max Press system for optimizing esthetic outcomes in different dental rehabilitations.

11:15-11:30am

Management of diastema: Orthodontic prospective

Dr. Kaushal Kumar Singh Dept. of Ortho PDCH

Abstract: Diastema is a common form of malocclusion with space between two succeeding teeth or an interval between teeth, not occurring naturally in man. It can occur in deciduous, mixed or permanent dentition. The space should be greater than 0.5 mm between the proximal surfaces of adjacent teeth. There are various reasons for diastema including abnormal frenal attachment, presence of mesiodens, genetic predisposition, teeth migration due to periodontal diseases or posterior bite collapse, tooth size etc. Transient diastema is seen during ugly duckling stage and is self corrective. Diastema mainly affects the individual appearance and smile which is the main reason for them seeking dental consultation. The diastema can be managed either by restoration, prosthesis, orthodontic treatment or combination of them. In the combined treatment procedure, orthodontist helps to re-distribute the space for better esthetic appearance, after restorative procedure or laminate. Diastema can be closed by fixed appliances, removable appliances and clear aligner therapy. Diastema closure is difficult to retain, so retainer is placed immediately after appliance removal. 7 11:30-11:45am Chronic persistent Temporomandibular joint dislocation: Surgical and non-surgical management Dr. Sanad Dulal Dept. of Oral Surgery BPKIHS

Abstract: Case reports: We present cases of chronic persistent Temporo-mandibular joint (TMJ) dislocation which were managed surgically in one patient and non-surgically in two. The surgical approach was intra-oral on one side (condylotomy) and classic extra-oral (condylectomy) on the other. For the non-surgical approach, bite block was fabricated and splinted with inter-maxillary fixation and elastic traction was applied. Successful reduction was achieved in all the cases. Conclusion: Knowledge of both surgical and non-surgical management for TMJ dislocation is important for a surgeon, and beneficial to the patient, as surgery may not always be an option for an elderly patient. 8 12:30-12:45pm The better way of maxillary expansion ? Dr. Bashu Raj Pandey Dept. of Ortho UCMS

Abstract: Arch expansion becomes an effective method of space gaining and correcting malocclusion like cross bite. Most of the orthodontists in mid 20th century used extraction as a major method of space gaining but the recent trend is toward arch expansion .There are three methods of arch expansion on the basis of activation rate. These are rapid maxillary expansion, slow maxillary expansion and semi rapid maxillary expansion. Among them which is more practical method? will be the aim of this presentation.

12:45-01:00pm

AESTHETIC CROWN LENGTHENING-an approach to perfect smile..

Dr.Chandra Prabha Dept. of Perio PDCH

Abstract: A dramatic appeal of a face lies in a smile or laugh caught in the interplay between lips teeth & gums. Any deviation from the ideal form alters attractiveness particularly if the change involves an excessive gingival display.Excessive gingival display leads to unpleasent esthetics as well as affects psycological aspect of an individual . Excessive gingival display can be corrected effectively through periodontal surgeries.With this correction we not only enhance the aesthetics but also elevate the level of confidence in an individual Aesthetic crown lengthening is a procedure designed to increase the extent of supragingival tooth structure without violating the biological width & uneven gingival margin.This procedure may employ the exposure of crown by combination of tissue removal,osseous surgery and/or orthodontic procedures This paper is on crown lengthening procedure done for aesthetic purposes

10

01:00-01:15pm

Pendulum appliance

Dr.Sangya Malla Dept. of Ortho PDCH

Abstract: One of methods of class II correction is by maxillary molar distalization which is non extraction treatment plan though it has specific indications. Among various distalization methods like Head gear, Repelling magnets, Saif spring, Nickel titanium open coil spring, Distal jet, Jones jig, Wilson arch , Pendulum appliance is most widely used . Pendulum appliance was introduced by Hilgers in 1992. The Pendulum appliance consists of a palatal Nance component with rests that are bonded to the occlusal surface of the first and or second premolar teeth. The distalizing mechanism consists of bilateral helical springs composed of titanium molybdenum alloy. The Pendulum appliance is unique in that it does not rely on coil springs for its action. 0.032" instead TMA springs deliver a continuous force against the maxillary first molars. There are various modifications of pendulum appliances like Pendex which incorporates expansion screw, Hilgers Phd appliance,Pendulum appliance with maxillary molar root uprighting bends,M pendulum, Franzulum appliance,Pendulum K and Bone anchored pendulum appliance.

11

01:15-01:30pm

Revitalizing Lives by Maxillary Obturator

Dr .Smriti Narayan Thakur Dept. of Prostho PDCH

Abstract: Prosthodontics rehabilitation for an acquired maxillary defects begins immediately at the time of surgical reaction. Abrupt alteration of physiological function with extensive surgical defects requires timely prosthetic intervention for patients functional, psychological and social support. Rehabilitation of these types of patients begins with surgical obturator , followed by interim obturator and finally definitive obturator , where multidisciplinary approach plays vital role for supporting the prognosis of each field. This paper discusses management of patients with maxillary defects rehabilitated with immediate, interim & definitive obturator .

12

01:30-01:45pm

Supportive Periodontal Treatment: Foundation of Dental therapy

Dr. Navaraj Lamdari Dept. of Perio NAMS

Abstract: Supportive periodontal treatment, an integral part of periodontal therapy can be performed alternatively by the general dentist and the periodontist. It is also known by other names, such as recall, maintainence phase,supportive periodontal therapy or supervised recall program. Preservation of the periodontal health of the treated patient requires as positive a program as that required for elimination of periodontal disease. Periodontal maintenance represents an extension of active therapy designed to permit plaque removal in a timely and thorough fashion. The long term success of any kind of dental therapy depend upon the maintenance of periodontal health by the patient. Patients who are not maintained in a supervised recall program subsequent to active treatment show obvious signs of recurrent infection (e.g., increased pocket depth, bone loss, tooth loss). Patients must understand the purpose of the maintenance program, and the dentist must emphasize that preservation of the teeth depends on maintenance therapy. 13 01:45-02:00pm Corticotomy-Assisted Treatment: Review Orthodontic Dr. Amresh Thakur Dept. of Ortho UCMS

Abstract: Corticotomy-assisted orthodontic treatment involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is an established and efficient orthodontic technique that induces regional acceleratory phenomena which is followed by a faster rate of orthodontic tooth movement. This technique has several advantages, including faster tooth movement, shorter treatment time, enhanced post-orthodontic treatment stability and extended envelope of tooth movement. The aim of this presentation is to present a comprehensive review of the literature, including historical background, contemporary clinical techniques, indications, contraindications, complications and side effects.

14

02:00-02:15pm

Management of Obstructive Sleep Apnea- A Prosthodontic Aspect

Dr. Suraksha Shrestha Dept. of Prostho NAMS

Abstract: Obstructive sleep apnea (OSA) is a sleep disorder characterized by recurrent obstruction of airways, leading to partial or complete cessation of airflow. Simple snoring is a potential factor that can lead the sequel to obstructive sleep apnea. It affects 45% of adults occasionally, and 25% of adults habitually in all age groups.OSA has also been identified as a possible risk factor for hypertension, ischemic heart disease, and stroke. Surgical and non surgical approaches are two treatment modalities. Behaviour modification and less invasive procedures are to be preferred to the more invasive options. The role of dentistry in sleep disorders is becoming more significant, especially in comanaging patients with simple snoring and mild to moderate OSA. This presentation considers various treatment options and intends to establish how the condition can be managed prosthodontically by different oral appliances in a scientifically defensible approach.

Abstracts for Poster presentation

S no:
1

Presentation topic
Evolution Of Maxillofacial Prosthetic Materials

Presenter
Dr.Ankita Rathi Dept. of Prostho PDCH

Abstract: Patients with maxillofacial defects undergo immense psychological and social embarrassment. For many years, such people were neglected and had to live with these obvious deformities. Maxillofacial prosthesis serves as a life-changing milestone for patients with orofacial defects. A facial prosthesis restores normal anatomy and appearance, protects the tissue of the defect and provides great psychological benefit to the patients and increase social value of life. Historically, these prostheses were made of cloth, leather, wrought or cast metal, vulcanite, porcelain and acrylic. Today, material of choice is medical grade silicone. Because of advances in science and technology and availability of these materials a near-normal appearance can be restored with a new prosthesis. This poster depicts different maxillofacial prosthetic materials that have been used from history to present day

Diabetes and periodontitis-two way relationship

Dr.Anubha Rani Dept. of Perio PDCH

Abstract: The association between diabetes and inflammatory periodontal diseases has been studied extensively for more than 50 years. Diabetic patients have a greater prevalence of periodontal destruction, while chronic diseases such as periodontitis can aggravate the diabetic condition. Furthermore studies have shown that treatment of chronic infections such as periodontitis in diabetic patients have led to glycemic control thus suggesting a bi-directional relationship between diabetes and periodontal diseases. This poster will highlight on the mechanism of periodontal destruction in diabetes patients and the two way relationship between diabetes and periodontal disease. 3 Simplified method of fabrication of orbital prosthesis Dr.Binita Pathak Dept. of Prostho PDCH

Abstract: Eyes are vital organ, not only for the vision but also an important component of facial expression. Unfortunately, certain conditions like congenital defects, trauma etc could lead to loss of eye, eyelids and surrounding structures leading to disfigurement. The loss of these facial structures can have a physical, social and psychological impact. orbital prosthesis which restore and replace eye and associated facial structures with artificial substitutes, aim to improve the patient aesthetics, restore and maintain health of the remaining structures and consequently provide physical and mental well being , though restoration of vision is not possible. Various treatment modalities and materials are available for prosthetic rehabilitation. This poster describes a simplified technique for fabrication of silicone orbital prosthesis. 4 Quad helix Dr . Drabesh k Jha Dept. of Ortho PDCH

Abstract: Introduction: quad helix is a maxillary expansion appliance developed by dr.robert m. Ricketts. Description: the quad helix has become an integral part of the bioprogressive technique. It is mainly used for differential expansion of maxillary arch. It is also a useful adjust in the treatment of class ii malocclusion and mostly in those cases in which molar derotation is required as the part of the treatment.due to its various form, as well as, its activation, it has become a useful accessory not only over correcting the transverse discrepancy but also sagittal discrepancy.

It can be used in cleft palate condition. There are many modifications done in quad helix to use for different purpose. It can be used as habit breaking appliance for thumb sucking and tongue thrusting. It can be also used for face bow attachment after it has been de-activated. The main disadvantage is that the movements are often not excessive enough and are not retained long enough. It also produces excessive tipping of the teeth. It also can restrict the space for tongue so care should be taken while adapting the quad helix. 5 Enamel matrix derivative: a novel approach to Dr. Sonika Shakya periodontal regeneration Dept. of Perio NAMS Abstract: Regeneration of periodontal tissues is an ultimate goal in periodontal treatment. Enamel matrix derivative (emd), one of the most widely studied commercially available bioactive agents is used for periodontal regeneration. It is an extract of enamel matrix containing amelogenins, based on the concept of biomimmicry which recapitulates the development of supporting apparatus of the tooth during its formation. Emd offers advantages over other methods of regeneration for its simplicity in use and less postoperative complications. No serious adverse reactions have been reported in clinical trials. Emd have shown to significantly improve the clinical parameters in the treatment of intrabony defects, furcation lesions and gingival recession. The results obtained following treatment with emd are comparable to those following treatment with gtr and can be maintained over a longer period. 6 Light cruring system: at a glance Dr. Neesha Acharya Dept. of Cons UCMS

Abstract: Modern composites have become an indispensable part of dentistry today, and the curing lights used for curing these materials are equally essential. By all accounts, the use of light curing technology continues to rise sharply. During the late 1970s, the concept of photo polymerizing dental restorative materials with uv light activation was introduced to the dental community. Since then, curing light technologies have expanded a great deal in the past few years, offering more options and more confusion for the dentist. The different types of polymerization sources available today are quartz-tungsten-halogen (qth), plasma arc (pac), argon laser and light emitting diode (led) curing lights. The main premise behind many of these systems is to accelerate the polymerization process, or to at least make it less tedious for practitioners, while at the same time ensuring adequate depth of cure. The aim of this poster presentation is to discuss about various types of light curing system, starting from the history of curing technology till the date

Retentive aids in maxillofacial prosthesis

Dr.Rinu Sharma Dept. of Prostho PDCH

Abstract: Maxillofacial prostheses aim to restore lost or compromised facial anatomy with the use of artificial substitutes. Achieving retention is one of the major challenges for the success of any of these prostheses. There are variety of methods for gaining retention, support, stabilization and immobilization as required. A properly fabricated esthetic and retentive prosthesis requires added prosthodontic skill and approach. This poster presentation describes various modes of retention for both intraoral and extra oral maxillofacial prostheses. These retentive aids considerably improve not only clinicians credibility but also patients comfort and thus his social functioning. 8 Lasers: multi- purpose tool in periodontal therapy Dr. Shreeya Aryal Dept. of Perio PDCH

Abstract: Lasers were introduced into the field of clinical dentistry in 1960s with the hope of overcoming some of the drawbacks posed by the conventional methods of dental procedures. The lasers gave benefits like bloodless surgical field, pain reduction, decreased postoperative edema and scarring over the conventional therapy. Use of laser has increased rapidly in the last couple of decades. At present, wide varieties of procedures are carried out using lasers as use of lasers being the recent advances in field of dentistry. The aim of this poster presentation is to focus on the multi- purpose use of lasers in all the phases of periodontal therapy 9 Conventional approach for fabrication of nasal prosthesis Dr. Tanuja Singh Dept. of Prostho PDCH

Abstract: Restoration of nasal defects resulting from trauma, neoplasm or any other reasons is a challenging task for the surgeons and prosthodontics. Reconstruction of large defects or repeated failure of surgery indicates prosthetic rehabilitation. Introduction of new material and method e.g. Silicone and use of implants gives life-like appearance to such prosthesis and comfort to the patient. this poster presents an outline of the steps involved in fabrication of nasal prosthesis using silicone with acrylic base to rehabilitate a patient with a nasal defect.