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Friday 13th Hall 3

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9:00
9:00 to 12:30 Symposium: Deep carious lesions and vital pulp therapies.
Led by Hal Duncan
9:00
rightSymposium overview: Deep carious lesions and vital pulp therapies.

Abstract

The management of deep caries and the exposed pulp is an area of considerable current interest in operative dentistry and endodontics. Cariology groups have published recent consensus statements describing new terminology, management strategies and responsibilities; however, these documents did not discuss the management of pulp exposure. To that end, the ESE has published a position statement in 2019 on the subject to state the consensus opinion of the organisation.

This deep carious lesion and therapeutic vital pulp treatment symposium aims to discuss the rationale and evidence behind this position statement providing participants with a research-led update on current management and treatment of the deep carious lesion and exposed pulp.

Objectives

To understand the current epidemiology as well as the response of the pulp-dentine response to caries

To discuss aetiology and diagnostics difficulties of managing deep carious lesions

To consider modern views caries management strategies

To understand the most appropriate way of treating the exposed pulp

To highlights future opportunities and challenges in the treatment of deep caries and the exposed pulp

9:00
rightCaries today: challenges, opportunities and the reparative response

Abstract

Caries prevalence remains high throughout the world, with the burden of disease increasingly affecting older and socially disadvantaged groups. If left untreated, caries will advance through dentine stimulating pulpitis and eventually pulp infection and necrosis; however, if conservatively managed pulpal recovery occurs even in deep carious lesions.

If as a profession, we are to develop new minimally-invasive solutions, an applied understanding of pulpal inflammation and repair processes is critical. During this presentation we will discuss the recently published ESE position statement of ‘Deep Caries and the Exposed Pulp’ and consider;

-What is the relative role of the dentine matrix and pulp cells themselves in promoting pulpal repair mechanisms in the damaged pulp? -Furthermore, which repair processes (e.g. tertiary dentinogenesis) require better understanding and which others offer opportunities for therapeutic targeting? -What type of study do we have and what sort or research needs to be carried out to develop our translational understanding? -Are next generation solutions a pipe dream or present realistic opportunities?

Aims

To understand the current epidemiology as well as the pulp-dentine response to caries. Identify attractive targets in the pulp for improving diagnosis and repair processes.

rightDr Hal Duncan
Dr Hal Duncan

Hal Duncan: BDS, FDS RCS, MClin Dent(Endo), MRD RCS, PhD

A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping. He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology. He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives”. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.

9:35
Discussion and questions
rightDr Hal Duncan; Dr Phillip Tomson; Lars Bjørndal; Stéphane Simon
Dr Hal Duncan

Hal Duncan: BDS, FDS RCS, MClin Dent(Endo), MRD RCS, PhD

A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping. He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology. He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives”. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.

Dr Phillip Tomson

Dr Phil Tomson BDS, PhD, MFDS RCS(Ed) RCS(Eng), FDS (Rest Dent) RCS(Ed)

Phil Tomson is a Senior Clinical Lecturer and Head of Conservative Dentistry & Endodontics at the Institute of Clinical Sciences, School of Dentistry, University of Birmingham, UK. He is a Honorary Consultant in Restorative Dentistry with Birmingham Community Healthcare Foundation Trust, joint service lead for Endodontics and the Designated Individual for the Human Tissue Authority at Birmingham Dental Hospital & School.

Phil initially worked in general dental practice, followed by several hospital jobs developing clinical skills across a range of disciplines. He then took up an academic higher clinical specialty training post in restorative dentistry and received his Intercollegiate Specialty Fellowship in 2011; Phil holds specialist registration with the GDC in Endodontics, Restorative Dentistry and Prosthodontics.

He completed his PhD in 2013 with research focused on material directed regeneration of the dentine-pulp complex, for which he won the Wladimir Adlivankine ESE research prize. Phil was one of the first recipients of the prestigious FDS research fellowships from the RCS of England. His current research interests lie in tissue regeneration and engineering of the dental pulp, clinical outcomes in pulp therapy, therapeutic methods in irrigating the root canal system and novel methods of assessing root canal disinfection. He currently supervises several PhD and Master’s research students, has had numerous articles published in international peer-reviewed journals, is a member of the Editorial Board of the International Endodontic Journal and is a Council member for the British Endodontic Society.

Phil leads postgraduate and undergraduate teaching/training programmes in Endodontics at Birmingham Dental Hospital & School and lectures nationally and internationally on subjects related both to his research and to the clinical management of pulpal and periradicular disease.

 Lars Bjørndal

Lars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey , Blackwell 3. edition.

 Stéphane Simon

Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. To date he is full time academic teacher/researcher and his clinical practice is limited to Endodontics. He has been graduated as a Professor in restorative dentistry and endodontics. He is the director of the European Postgraduate Endodontic Program at Paris Diderot University (3 years full time program). His time is 50% devoted to the clinical practice and 50% to Basic Science/clinical research about Tissue engineering and dental Pulp healing. He works as a Researcher in Paris and as Associate Researcher in Birmingham. Today, his main interest is about Tissue engineering, cell and molecular Biology of pulp tissue (Basic science and clinical practice), and is highly involved into development of new techniques and concepts for graduate and postgraduate teaching (E learning, flipped classroom, MOOCs, etc.)

9:45
rightThe diagnostic conundrum of treating the deep carious lesion

Abstract

Caries is a microbial biofilm‐induced disease of the hard tissue of the tooth, which is promoted and maintained by a dietary supply of fermentable carbohydrates. Once it breaches enamel it encounters is a unique mineralised connective tissue that is composed of two integrated constituents - the pulp (well innervated gelatinous soft connective tissue with a rich vasculature) and the dentine (outer casing of mineralised tissue). Physiologically they should be considered as one, but in order to develop an accurate diagnosis to provide a platform to develop a treatment strategy, they should be considered separately. Caries is a common disease but making an accurate diagnosis of the precise disease state for both tissues can be challenging even for the most skilled clinician. Our diagnostic tools are primitive by modern day healthcare standards and our terminology is perhaps inaccurate preventing us from adopting minimally invasive strategies which we strive for today in the emerging biological era of dentistry. With a deepening biological understanding of the disease states of the dentine-pulp complex we are now questioning established dogma which may result in a significant change in how we manage even advanced disease of the dentine-pulp complex.

Aims

The aim of this lecture is to discuss the disease states of the dentine-pulp complex, question established dogma and look to future diagnostic and treatment strategies of this unique connective tissue.

Objectives

• Review the physiological processes of the dentine-pulp complex in health and disease.

• Outline diagnostic terms used to describe disease states of the dentine-pulp complex.

• Discuss potential visions for the future for the treatment of more advanced disease.

rightDr Phillip Tomson
Dr Phillip Tomson

Dr Phil Tomson BDS, PhD, MFDS RCS(Ed) RCS(Eng), FDS (Rest Dent) RCS(Ed)

Phil Tomson is a Senior Clinical Lecturer and Head of Conservative Dentistry & Endodontics at the Institute of Clinical Sciences, School of Dentistry, University of Birmingham, UK. He is a Honorary Consultant in Restorative Dentistry with Birmingham Community Healthcare Foundation Trust, joint service lead for Endodontics and the Designated Individual for the Human Tissue Authority at Birmingham Dental Hospital & School.

Phil initially worked in general dental practice, followed by several hospital jobs developing clinical skills across a range of disciplines. He then took up an academic higher clinical specialty training post in restorative dentistry and received his Intercollegiate Specialty Fellowship in 2011; Phil holds specialist registration with the GDC in Endodontics, Restorative Dentistry and Prosthodontics.

He completed his PhD in 2013 with research focused on material directed regeneration of the dentine-pulp complex, for which he won the Wladimir Adlivankine ESE research prize. Phil was one of the first recipients of the prestigious FDS research fellowships from the RCS of England. His current research interests lie in tissue regeneration and engineering of the dental pulp, clinical outcomes in pulp therapy, therapeutic methods in irrigating the root canal system and novel methods of assessing root canal disinfection. He currently supervises several PhD and Master’s research students, has had numerous articles published in international peer-reviewed journals, is a member of the Editorial Board of the International Endodontic Journal and is a Council member for the British Endodontic Society.

Phil leads postgraduate and undergraduate teaching/training programmes in Endodontics at Birmingham Dental Hospital & School and lectures nationally and internationally on subjects related both to his research and to the clinical management of pulpal and periradicular disease.

10:20
Discussion and questions
rightDr Hal Duncan; Dr Phillip Tomson; Lars Bjørndal; Stéphane Simon
Dr Hal Duncan

Hal Duncan: BDS, FDS RCS, MClin Dent(Endo), MRD RCS, PhD

A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping. He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology. He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives”. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.

Dr Phillip Tomson

Dr Phil Tomson BDS, PhD, MFDS RCS(Ed) RCS(Eng), FDS (Rest Dent) RCS(Ed)

Phil Tomson is a Senior Clinical Lecturer and Head of Conservative Dentistry & Endodontics at the Institute of Clinical Sciences, School of Dentistry, University of Birmingham, UK. He is a Honorary Consultant in Restorative Dentistry with Birmingham Community Healthcare Foundation Trust, joint service lead for Endodontics and the Designated Individual for the Human Tissue Authority at Birmingham Dental Hospital & School.

Phil initially worked in general dental practice, followed by several hospital jobs developing clinical skills across a range of disciplines. He then took up an academic higher clinical specialty training post in restorative dentistry and received his Intercollegiate Specialty Fellowship in 2011; Phil holds specialist registration with the GDC in Endodontics, Restorative Dentistry and Prosthodontics.

He completed his PhD in 2013 with research focused on material directed regeneration of the dentine-pulp complex, for which he won the Wladimir Adlivankine ESE research prize. Phil was one of the first recipients of the prestigious FDS research fellowships from the RCS of England. His current research interests lie in tissue regeneration and engineering of the dental pulp, clinical outcomes in pulp therapy, therapeutic methods in irrigating the root canal system and novel methods of assessing root canal disinfection. He currently supervises several PhD and Master’s research students, has had numerous articles published in international peer-reviewed journals, is a member of the Editorial Board of the International Endodontic Journal and is a Council member for the British Endodontic Society.

Phil leads postgraduate and undergraduate teaching/training programmes in Endodontics at Birmingham Dental Hospital & School and lectures nationally and internationally on subjects related both to his research and to the clinical management of pulpal and periradicular disease.

 Lars Bjørndal

Lars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey , Blackwell 3. edition.

 Stéphane Simon

Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. To date he is full time academic teacher/researcher and his clinical practice is limited to Endodontics. He has been graduated as a Professor in restorative dentistry and endodontics. He is the director of the European Postgraduate Endodontic Program at Paris Diderot University (3 years full time program). His time is 50% devoted to the clinical practice and 50% to Basic Science/clinical research about Tissue engineering and dental Pulp healing. He works as a Researcher in Paris and as Associate Researcher in Birmingham. Today, his main interest is about Tissue engineering, cell and molecular Biology of pulp tissue (Basic science and clinical practice), and is highly involved into development of new techniques and concepts for graduate and postgraduate teaching (E learning, flipped classroom, MOOCs, etc.)

10:30
COFFEE BREAK
11:00
rightHow much is enough when treating the deep carious lesion?

Abstract

Understanding of caries pathology and pulp inflammation is crucial for determine best treatment option.

Inflammation is a two-edged sword comprising the platform for beneficial mineralization as well as unwanted pulp necrosis followed by bacterial infection and progression of apical inflammation.

Research has shown that a suggested treatment may vary when the deep carious lesion is examined, reflecting that transportation of research findings is a slow process but may also indicate that optimal evidence is still lacking. However, clinical randomized trials have emerge perhaps making treatment decision more easier.

In the first part of the lecture, a brief journey comprising an updated understanding of carious pathology will be detailed.

In the second part suggested guidelines for deep carious handling based on published clinical data, will be presented including the exposed pulp. E.g. quite often it is unclear from clinical pulp capping studies, whether the procedures were carried out due to an unexpected event, or whether the procedure was planned, moreover the depth of the caries lesion is seldom specified, which reflects degree of pulp inflammation.

It is no wonder that there appears to a treatment variation within the general practitioners environment for patients having a deep caries lesion, - some perform pulp-capping or root canal treatment, and other prefer a less invasive excavation approach, aiming to avoid pulp exposure. What does the best available evidence tell us for the performance of the treatment of deep caries lesions?

Aims

A research based update on the treatment of deep caries lesion.

Objectives

- Understanding caries pathology - Understanding relatiev importance of evidence - Clinical treatment outcome of deep caries

rightLars Bjørndal
 Lars Bjørndal

Lars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey , Blackwell 3. edition.

11:35
Discussion and questions
rightDr Hal Duncan; Dr Phillip Tomson; Lars Bjørndal; Stéphane Simon
Dr Hal Duncan

Hal Duncan: BDS, FDS RCS, MClin Dent(Endo), MRD RCS, PhD

A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping. He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology. He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives”. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.

Dr Phillip Tomson

Dr Phil Tomson BDS, PhD, MFDS RCS(Ed) RCS(Eng), FDS (Rest Dent) RCS(Ed)

Phil Tomson is a Senior Clinical Lecturer and Head of Conservative Dentistry & Endodontics at the Institute of Clinical Sciences, School of Dentistry, University of Birmingham, UK. He is a Honorary Consultant in Restorative Dentistry with Birmingham Community Healthcare Foundation Trust, joint service lead for Endodontics and the Designated Individual for the Human Tissue Authority at Birmingham Dental Hospital & School.

Phil initially worked in general dental practice, followed by several hospital jobs developing clinical skills across a range of disciplines. He then took up an academic higher clinical specialty training post in restorative dentistry and received his Intercollegiate Specialty Fellowship in 2011; Phil holds specialist registration with the GDC in Endodontics, Restorative Dentistry and Prosthodontics.

He completed his PhD in 2013 with research focused on material directed regeneration of the dentine-pulp complex, for which he won the Wladimir Adlivankine ESE research prize. Phil was one of the first recipients of the prestigious FDS research fellowships from the RCS of England. His current research interests lie in tissue regeneration and engineering of the dental pulp, clinical outcomes in pulp therapy, therapeutic methods in irrigating the root canal system and novel methods of assessing root canal disinfection. He currently supervises several PhD and Master’s research students, has had numerous articles published in international peer-reviewed journals, is a member of the Editorial Board of the International Endodontic Journal and is a Council member for the British Endodontic Society.

Phil leads postgraduate and undergraduate teaching/training programmes in Endodontics at Birmingham Dental Hospital & School and lectures nationally and internationally on subjects related both to his research and to the clinical management of pulpal and periradicular disease.

 Lars Bjørndal

Lars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey , Blackwell 3. edition.

 Stéphane Simon

Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. To date he is full time academic teacher/researcher and his clinical practice is limited to Endodontics. He has been graduated as a Professor in restorative dentistry and endodontics. He is the director of the European Postgraduate Endodontic Program at Paris Diderot University (3 years full time program). His time is 50% devoted to the clinical practice and 50% to Basic Science/clinical research about Tissue engineering and dental Pulp healing. He works as a Researcher in Paris and as Associate Researcher in Birmingham. Today, his main interest is about Tissue engineering, cell and molecular Biology of pulp tissue (Basic science and clinical practice), and is highly involved into development of new techniques and concepts for graduate and postgraduate teaching (E learning, flipped classroom, MOOCs, etc.)

11:45
rightManaging the vital pulp when treating the deep carious lesion

Abstract

Prognosis of pulp capping treatment is highly dependent of two factors. (1) inflammation status of the pulp to be capped, and (2) the quality of mineralized bridge synthetized by the pulp in contact with the biomaterial. Pulpitis is a progressive disease and it is clinically very difficult to decipher the limit between healthy tissue from inflamed one. For years, Pulp healing process research and clinical outcome have been focussed on biomaterials’ bioactivity. Nevertheless, in tissue engineering, inflammation process remains the first step of healing. It should then make sense to better consider this physio-pathological disorder to better understand why treatment can fail and how clinicians could improve the success. Biomaterials development of the last decade have raised to the new family of bioceramics which were developed as stimulators of mineralized bridge secretion. The research for the next generation of products should consider a new bioactivity of these filling and capping materials for a better control of residual pulp inflammation after partial or full pulpotomy.

Aims

The aim of his lecture to describe the two types of pulp inflammation and to demonstrate why and how they both act in the healing process of pulp under deep carious disease.

Objectives

The objective is to use both of clinic and bench research to show why the clinician must be aware of inflammation disease to better consider the factors to improve the clinical outcome. At the end of this lecture, attendees will able to differentiate the good and the bad inflammation and to adapt their clinical approach to consider the inflammation not only as a disease, but also as an opportunity.

rightStéphane Simon
 Stéphane Simon

Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. To date he is full time academic teacher/researcher and his clinical practice is limited to Endodontics. He has been graduated as a Professor in restorative dentistry and endodontics. He is the director of the European Postgraduate Endodontic Program at Paris Diderot University (3 years full time program). His time is 50% devoted to the clinical practice and 50% to Basic Science/clinical research about Tissue engineering and dental Pulp healing. He works as a Researcher in Paris and as Associate Researcher in Birmingham. Today, his main interest is about Tissue engineering, cell and molecular Biology of pulp tissue (Basic science and clinical practice), and is highly involved into development of new techniques and concepts for graduate and postgraduate teaching (E learning, flipped classroom, MOOCs, etc.)

12:20
Discussion and questions
rightDr Hal Duncan; Dr Phillip Tomson; Lars Bjørndal; Stéphane Simon
Dr Hal Duncan

Hal Duncan: BDS, FDS RCS, MClin Dent(Endo), MRD RCS, PhD

A University of Glasgow graduate, he initially worked in general dental practice, various dental schools as well as several specialist endodontic practices in Northern Ireland and England. He received postgraduate endodontic speciality training in Guy’s Hospital from 2002-2006, which included a collaborative research study with Dr Ram Nair (in the University of Zurich) on MTA pulp capping. He has worked since 2008 at Trinity College Dublin as an Academic Consultant in Endodontics, while completing an external PhD in the University of Birmingham with Professor’s Cooper and Smith and Dr Garry Fleming in the area of epigenetics, pulpal regeneration and biomaterials in 2016. In 2013 and 2016 he received two (IADR and EMBO-sponsored) fellowships in New York University with Profs Nicola Partridge and Emi Shimizu on the role of epigenetic-modifying agents on pulpal mineralisation. He is currently the principal supervisor for several clinical and scientifically trained PhD students in basic translational pulp biology. He has received several research grants as a principal investigator, has written ten book chapters and edited 2 textbooks including “Clinical approaches in endodontic regeneration - Current and emerging therapeutic perspectives”. In addition he has published multiple articles in peer-reviewed international journals and is an Associate Editor for the International Endodontic Journal. He is a committee member of the Irish Division of the IADR, the Chair of the European Society of Endodontology (ESE) Membership Committee and a member of the ESE Executive Board. He is a past president of the Irish Endodontic Society and holds an honorary senior lecturer position in the University of Birmingham.

Dr Phillip Tomson

Dr Phil Tomson BDS, PhD, MFDS RCS(Ed) RCS(Eng), FDS (Rest Dent) RCS(Ed)

Phil Tomson is a Senior Clinical Lecturer and Head of Conservative Dentistry & Endodontics at the Institute of Clinical Sciences, School of Dentistry, University of Birmingham, UK. He is a Honorary Consultant in Restorative Dentistry with Birmingham Community Healthcare Foundation Trust, joint service lead for Endodontics and the Designated Individual for the Human Tissue Authority at Birmingham Dental Hospital & School.

Phil initially worked in general dental practice, followed by several hospital jobs developing clinical skills across a range of disciplines. He then took up an academic higher clinical specialty training post in restorative dentistry and received his Intercollegiate Specialty Fellowship in 2011; Phil holds specialist registration with the GDC in Endodontics, Restorative Dentistry and Prosthodontics.

He completed his PhD in 2013 with research focused on material directed regeneration of the dentine-pulp complex, for which he won the Wladimir Adlivankine ESE research prize. Phil was one of the first recipients of the prestigious FDS research fellowships from the RCS of England. His current research interests lie in tissue regeneration and engineering of the dental pulp, clinical outcomes in pulp therapy, therapeutic methods in irrigating the root canal system and novel methods of assessing root canal disinfection. He currently supervises several PhD and Master’s research students, has had numerous articles published in international peer-reviewed journals, is a member of the Editorial Board of the International Endodontic Journal and is a Council member for the British Endodontic Society.

Phil leads postgraduate and undergraduate teaching/training programmes in Endodontics at Birmingham Dental Hospital & School and lectures nationally and internationally on subjects related both to his research and to the clinical management of pulpal and periradicular disease.

 Lars Bjørndal

Lars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey , Blackwell 3. edition.

 Stéphane Simon

Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. To date he is full time academic teacher/researcher and his clinical practice is limited to Endodontics. He has been graduated as a Professor in restorative dentistry and endodontics. He is the director of the European Postgraduate Endodontic Program at Paris Diderot University (3 years full time program). His time is 50% devoted to the clinical practice and 50% to Basic Science/clinical research about Tissue engineering and dental Pulp healing. He works as a Researcher in Paris and as Associate Researcher in Birmingham. Today, his main interest is about Tissue engineering, cell and molecular Biology of pulp tissue (Basic science and clinical practice), and is highly involved into development of new techniques and concepts for graduate and postgraduate teaching (E learning, flipped classroom, MOOCs, etc.)

12:30
LUNCH
13:30
Poster Presentations / Trade Exhibition
14:30
14:30 to 18:00 Symposium: Education. Led by John Whitworth
Education Symposium, including presentations on educational video production, supporting students in transition to practice, technology in dental education and opportunities to get involved with ESE education
14:30
rightHow to produce high quality videos for online teaching and technology enhanced learning

Abstract

This interactive talk will illustrate how Video and multimedia content is no longer an option for the few, it’s a must for the health science teacher that wants to succeed with technology enhanced learning, flipped classroom pedagogic and the Social Media (SoMe) generation. The time students use on online videotutorials and introductions increase every year and health science educators need skills on how to successful produce and implement video content in an curriculum. Made and used in the right way, videos can be an effective teaching modality providing flexible learning opportunities. However, development of videos might challenge the educators unfamiliar with the media and I will demonstrate a video app and teach some basic techniques on how to make quality videos. App: Videoshop - Video Editor. Jajijujejo Inc.

Aims

To demonstrate usage of videos and mobile technology in health science education .

Objectives

Theoretical knowledge about how to design video content and implement it successful with use of integrated course design model and SoMe in an online curriculum. Further, the participants will get hands-on experience with shooting and editing their own educational video and get inspiration for distribution through different sources.

rightMads Dahl
 Mads Dahl

Mads Ronald Dahl M.Sc., PhD., MI., Special Consultant Innovation and development in health sciences by means of Technology and informatics is a cultural movement. I’m working at Centre for Health Sciences Education with a focus on utilizing the potential of educational-it. I have made an effort to develop Educational it as a central resource to the faculty and its members as well as the networks of which we are part of. I see the diverse usage of the video media as a challenging and miscellaneous tool for communication and faculty development.

15:15
rightThe transition to independent practice
How can dental education ameliorate the transition schock?

Abstract

This talk examines how the dental novice best can make a successful transition and learning trajectory from dental school to independent practice. This requires a transfer of what students have learned in one context (e.g. the university) to another (e.g. independent practice). Learning transfer is notoriously hard to find evidence for in educational science. How can we ever know that what novices in practice become able to do, was truly a result of the teaching we gave them at university/dental school? Arguably a gulf exists between what is taught at dental school as evidence-based versus how dentistry including endontology is practised in the workplace. Although dental students get exposed early to patients, simulation training, and real patient care in general practice, and endodontology, transition nevertheless seems to be a problem for novices in dentistry. This is not unique to dentistry, but common to the allied health sciences (medicine, nursing, and psychology etc.). Questions adressed include: What causes some novice dentists to cope poorly with the transition? Which aspects of student/novice learning are important to consider when describing the problem of learning transfer?

Aims

To give insights into problems in teaching for learning transfer.

Objectives

In giving insights into the problems in teaching for learning transfer, this talk will look at research litterature, dental curricula, litterature and teaching tips. The objective will be to show how we can organize student learning to best overcome problems of transition from dental school/university to independent dental practice.

rightPeter Musaeus
 Peter Musaeus

Peter Musaeus, PhD is Associate Professor in Health Sciences Education at Aarhus University. He is an educational scientist, clinical psychologist, and faculty developer, whose passion stems from the fundamental riddle about how health professionals and students learn. He has worked with physicians, engineers, dentists, psychologists, and all sorts of assistant professors trying to bridge epistemology and empirical research methodologies to create sustainable healthcare education and training. He has been visiting professor/scholar at University of Central Florida, UC-Berkeley, University of Sussex, Virginia Tech and Ludvig Maximillan University, Munich.

16:00
COFFEE BREAK
16:30
rightThe Development of the Endodontics Complexity Assessment Tool (E-CAT) - A case-difficulty assessment app for endodontic education.

Abstract

Determining the level of complexity of endodontic cases is a very subjective matter and currently lacks evidence backed format. Although some paper-based complexity assessment forms exist (e.g. the American Association of Endodontists (AAE) form, the Dutch Endodontic Treatment Index and the England RCS restorative dentistry index of treatment need), little evidence based research has been undertaken to assess the validity and reliability of these tools. Despite their potential benefits, they are found to be time consuming in the digital age.

The Association for Dental Education in Europe (ADEE) and the European Society of Endodontology (ESE) undergraduate competency guidelines refer to the graduating European dentist as being competent in the management of 'uncomplicated' anterior and posterior teeth, yet neither clearly defines what is meant by uncomplicated.

This presentation will cover the development of the Endodontic Complexity Assessment Tool (E-CAT). The aim was to develop an evidence based, reliable and user-friendly digital assessment tool to define the term “uncomplicated’ and help GDPs assess and classify complex non-surgical root canal treatments (NSRCT).

Aims

This lecture will cover the development of the Endodontic Complexity Assessment Tool (E-CAT). It will outline the methodology of the research including the literature review findings, the iterative development process, the evaluation of the tool validity in addition to inter- and intra-user reliability. Future research areas will also be discussed.

Objectives

- Highlight the benefits and limitation of endodontic case assessment forms - Describe the gap in the literature concerning the existing case assessment forms - Discuss the development of the E-CAT - Present the results of the evaluation of the E-CAT - Discuss the benefits and limitations of the E-CAT - Highlight potential future research areas

rightDr Obyda Essam
Dr Obyda Essam

Obyda is a specialist in Endodontics and a lecturer in Endodontology at the University of Liverpool in the UK. He qualified from Newcastle University and completed his foundation training at the Northern Dental Deanery. He worked in a number of general dental practices in the North East. Obyda later gained Membership of the Joint Dental Faculty at the Royal College of Surgeons of England in London (MJDF RCS Eng). He joined Liverpool University in 2014 and was appointed as a Teaching Fellow in Endodontology and an honorary academic speciality registrar where he completed 3 years full-time clinical specialist training in Endodontics. During his clinical training, he was awarded the research young educator grant the European Society of Endodontology for his ongoing research which focuses on accurate assessment of complex endodontic cases and the development of the Endodontic Complexity Assessment Tool (E-CAT). Obyda was awarded a Doctorate degree in Endodontics (DDsc) from Liverpool University. Following to the collegiate speciality examination, he successfully attained Membership in Endodontics (MEndo) from the Royal College of Surgeons, Edinburgh and is now registered as a Specialist in Endodontics with the General Dental Council in the United Kingdom. He is currently appointed as a lecturer at the University of Liverpool and an honorary Speciality Doctor by the RLBUH trust. He works in several private specialist referral practices in the north west of England. Obyda has lectured and delivered workshops at the BDSA and BDA British national dental conferences. In addition to treating complex endodontic treatments in practice, he is actively involved in lecturing, teaching and training postgraduate dental students at the dental school.

17:00
rightDigital workflow in endodontic skills trainig
3D printing in dental education

Abstract

3D printing offers new unsuspected possibilities for the cost-effective manufacturing of custom-specific objects in small series. By using special software applications, it is possible to transfer DICOM-data to a printable file and edit it in order to create a specific model for educational purposes. 3D printing offers dental schools the possibility of producing individual solutions for their endodontic curricula independently from commercial manufacturers. By sharing their expertise and exchanging their respective models dental schools could tremendously profit from each other and provide more sophisticated training possibilities for the pre-clinical setting.

Aims

This lecture should familiarize the attendees with several software solutions for 3D printing and make them aware of the potential merits of this technology for dental education.

Objectives

- To introduce the attendees to several software applications and different 3D printing techniques - To share a suitable workflow for the production of educational models - To present various models for endodontic training

rightMarcel Reymus
 Marcel Reymus

Marcel Reymus received his degree in dentistry from the University of Munich (Germany) in 2013. Since then he has been working as a dentist and research fellow in the Department of Conservative Dentistry and Periodontology of the University of Munich where he gives a patient course and works as a university lecturer. Marcel Reymus is a certified member of the German Endodontic Society (DGET) and the European Society of Endodontology and was granted the title of specialist in Endodontics by the DGET. Clinically he focuses on vital pulp therapy, endodontic treatment and dental traumatology. His research has an emphasis on dental education and 3D printing in which fields he has published several scientific articles. He gives lectures both at national and international scientific meetings.

17:30
rightESE education workstreams – how you could get involved
and ESE education grants – how could we do better?

Abstract

The ESE Education and Scholarship Committee has expanded its work to include: 1. Revision of undergraduate curriculum guidelines. 2. Revision of guidelines for 3 year postgraduate speciality training programmes. 3. Postgraduate speciality programme accreditation. 4. Re-accreditation of postgraduate training programmes. 5. Biennial education symposia. 6. Education Grants and Prize. 7. Collaboration with ADEE to develop a library of teaching cases. There are opportunities for colleagues to collaborate and to consider how best to utilize our education funding. Come along and see how you might get involved.

Aims

To present the education work streams of the ESE and how individuals and institutions may become involved.

Objectives

Presenting current work streams and opportunities for engagement.

rightJohn Whitworth
 John Whitworth

Professor of Endodontology, Newcastle University, UK. Chair, ESE Education & Scholarship Committee.

18:00
SESSION ENDS
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