DTUK1610

15Event ReviewJune 14-20, 2010United Kingdom Edition UKP00246 Increments up to 4mm without layering Flowable for excellent cavity adaptation Compatible with your current adhesive* For a free sample** please call or email us on: The revolutionary way to save time *Chemicallycompatiblewithmethacrylatebasedadhesivesandcomposites.**Limitedsamplesavailable +44 (0)1932 837303 (quoting free SDR sample) family issues etc), asthma suffer- ers and special needs patients. It has been noted that the condi- tion is more prevalent in boys. Using case studies, Dr Keels highlighted some of the treatment options available for sufferers and explained the indices used to monitor the progress of tooth sur- face loss. While her preference is dietary change over medication or surgery, the list of treatments available is fairly broad. The 5, 4, 3, 2, 1, almost none lifestyle mantra is used at Duke Hospital: 5 – Portions of fruit/veg 4 – Glasses of water 3 – Structured meals 2 – Hours or less of screen time 1 – Hour of activity Almost none – Sugar In addition, trying to treat child stress using easy breath- ing techniques or relaxing before bedtime is used to help alleviate any condition. Dr Keels looked at various medications which have been prescribed to help reduce the acid production in the patient’s stom- ach, including acid reducers and acid blockers. In some patient cases, surgery is necessary in the form of a Nissen Fundoplication. When managing the dental ef- fects of GORD, Dr Keels described her simplified index which can be utilised by team members to chart the progression of surface loss, be verified by the clinician and then used as a patient and parent visual aid to describe what’s going on. After a short break for coffee, thedelegatesweretreatedtoapres- entation from Prof David Bartlett, Head of Prosthodontics at Kings College London Dental Institute as well as a consultant in Restorative Dentistry and specialist in Prostho- dontics. His presentation focused on A Risky Situation: Aetiology and Prevention of Dental Erosion. He discussed the different causes of erosion and what actually happens to a tooth as the enamel is eroded, using a series of images from a scanning electron microscope. Prof Bartlett looked at the need for the dietary advice given to patients, emphasising the need for the advice to not conflict with medical advice for healthy eating. His opinion was that it’s not what is consumed, it is the frequency and how it is consumed. Using photos of tooth wear, he illustrated his points with anecdotes of pa- tients, including one who would take all day toeat an orange seg- ment by segment! He then discussed the re- search into tooth erosion he had been involved in over the years and discussed the difficulties that clinical studies have in vali- dating their research. The use of superimposition of impression scans taken at regular intervals gave the researchers reference points to examine the surface loss over a distinct period of time – in this case three years. Prof Bartlett’s final message to delegates was clear – clinicians can have an effect on preventing tooth erosion with a combination of treatment and advice. The final speaker of the af- ternoon caused much excite- ment with the handing out of 3D glasses for his presentation, Adhesion to Dentine in Primary and Permanent Teeth. Prof Dr Roland Frankenberger is Profes- sor and Chairman of Operative Dentistry at the University of Marburg in Germany and be- gan his presentation with the acknowledgement that restorative therapy in children is not an easy task. Much of his talk centred on the relative merits of the different etch and bonding systems on both primary and permanent dentition. Prof Frankenberger stated that self etch adhesives are very suc- cessful for primary teeth, but that the three step systems were better for permanent teeth. ‘Use more bottles for permanent teeth’ was his mantra. He also used many images to illustrate the bonding strengths under different condi- tions, some in 3D to fully demon- strate the processes taking place between tooth and adhesive. This pre-congress sympo- sium was a fascinating look into the topic of tooth wear in children, and raised many dis- cussion points amongst the delegates. As a topic that is becoming more relevant in paediatric dentistry, the four presentations gave a very thor- ough grounding in what clini- cians should be looking for as well as a guiding hand in finding the evidence base needed to do the best for patients. DT