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Day 1 full schedule

May 20, 2021 @ -

The Broken Faces and Napoleon’s Great Army

Xavier Riaud

Xavier Riaud

Associate Professor

National Academy Of Dental Surgery

France

ABSTRACT

If we dwell upon Baron General Louis-François Lejeune’s painting entitled The Battle of Moskova and painted in 1822, we can notice a man standing in the corner of the canvas. The man in uniform has brown hair and is putting a bandage around an injured man’s face. If we look at it carefully, we can easily identify that this man who is practicing surgery is none other than Dominique Larrey, the chief surgeon of Napoleon’s Great Army in 1812. On September 7th, 1812, in the morning (around 10 or 11 o’clock), General Morand, who commanded the 1st infantry division of Davout’s corps, had his jaw crushed by shrapnel. Larrey treated him and the General carried on commanding his troop with gestures all through the Russian retreat.

So, what about maxillofacial surgery in the Napoleonic area?

Free-fibula flap- The “gold standard” for mandibular reconstruction

Amarjeet Gambhir

Amarjeet Gambhir

Associate Professor

Lady Hardinge Medical College & Hospital

India

ABSTRACT

Reconstruction of the maxillofacial region has always been a challenge owing to the complexity of function & aesthetics. The reconstruction of segmental mandibulectomy defects with free vascularised bone flaps is the current standard of care. A variety of donor sites, such as the iliac crest, radius, scapula & fibula have been used for this purpose with varying long-term results. Each technique has its own advantages & disadvantages. The radius & iliac crest have limited length while the scapula has limited width.

A free vascularized fibula flap was first used by Hidalgo in 1989 for the reconstruction of mandibular continuity defects and has indeed become the most popular reconstruction method nowadays. The fibula flap presents many distinct advantages, such as consistent shape, ample length & volume of bone, segmental blood supply, long vascular pedicle, distant location, low donor site morbidity, and compatibility with implant placement. The only limitation is that its height may be insufficient to restore the alveolar arch when reconstruction involves a dentate mandible, resulting in subsequent difficulty in optimal prosthetic rehabilitation with conventional dentures or osseointegrated implants. A variety of modifications have been used to overcome the height discrepancy between the native mandible and the grafted fibula. These include vertical distraction of the fibular segment as well as the use of double-barrel, one and a half-barrel, or partial double-barrel vascularized free fibular flap. All these techniques result in enhanced aesthetic & functional results. Recently, preoperative virtual surgical planning (VSP) has been used in combination with prefabricated surgical plate templates and cutting guides to make fibula flap molding & placement easier. This application of com­puter-assisted mandibular reconstruction (CAMR) has increased the accuracy of preoperative planning, resulting in greater surgical precision and reduction of surgical duration & postoperative complications.

To conclude, the free fibula flap because of its versatility & predictable outcome can currently be regarded as the “gold standard” for the primary or secondary reconstruction of composite oral cavity defects.

Orthodontics during the Pandemic

Ashish Gupta

Ashish Gupta

Professor

Gupta Dental Centre - The Multispecialty Centre

India

ABSTRACT

Covid 19 is a pandemic affecting everyone across the globe. It has also changed how orthodontics is being practiced and how Aligners are helping practices across the globe. CAD CAM aligners are an acceptable method of treatment and a potent tool in the hands of a skilled Orthodontist. Although they first made their foray into Indian Markets way back in 2010 but they have really caught up the fancy of Orthodontist in India from 2015 when Invisalign made its entry into India. The presentation highlights the journey so far, the heartbreaks, the challenges, the emergence of intra oral scanners, and small little triumphs of my journey with this appliance so far in 6 years, and what the future beholds in this exciting era of Digital Orthodontics in India, especially in times of Covid 19.

Role of Dentist in reporting child abuse and Neglect

Pooja Chakraborty

Pooja Chakraborty

Forensic Odontologist

Gujarat Forensic Sciences University

India

ABSTRACT

Globally, it is estimated that up to 1 billion children in the age group of 2-17 have experienced some form of abuse in the past years according to WHO. 109 children are sexually abused everyday in India. Children are like the flower buds who needs exactly the right amount of ingredients to bloom. This talk aims at providing the various perspectives of child abuse and neglect, starting from the Identifying features to the impact post abuse and also highlighting the role of a dental professional in intervening at an early stage to save the child from abuse. Child abuse and neglect needs to be identified at the soonest and the life of the victim must be rehabilitated in the best possible way. The increasing figures towards child abuse and neglect is a living proof that there is some loopholes in the serving system and needs to rectified at the soonest. Based on data gathered from 155 countries United Nations Office on drugs and crime (UNODC) reveals that 20% of all trafficking victims are children, second most common form is forced labor which takes upto 18%.Child abuse and neglect is an important issue nurturing the lifestyle of a child. It needs to be made sure that a child gets a safe and protective Environment to grow. POCSO Act makes it compulsory to report any case of abuse or neglect against a child. The child helpline number must be made more effective, user friendly and accessible to common people. A dentist is a key person, in reporting a case of Abuse and helps rehabilitate the child. Child Abuse comes with few striking features, which can be easily noticed by a dental professional, with little awareness and knowledge.

Oral aspects related to SARS-CoV-2

Akram Belmehdi

Akram Belmehdi

Dental Doctor

Regional center of oral care, Rabat

Morocco

ABSTRACT

The pandemic of coronavirus disease (COVID-19) is considered the biggest global health crisis for the world since the Spanish flu, also known as the 1918 flu pandemic. Driven by the SARS-CoV-2 novel coronavirus infection, the rapid spread of this disease and the related pneumonia COVID-19 are a challenge for healthcare systems in over the world, and it is a constantly evolving situation with new symptoms and prognostic factors.

SARS-CoV-2 has lately been detected in infected patient’s oral cavity; the COVID-19 outbreak is an alert that all dental and other health professionals must be vigilant in defending against the infectious disease spread.

This work summarizes an update from current medical literature about the relationship between the oral cavity and coronavirus disease by presenting some oral aspects which were detected in infected patients such as the oral lesions related to this virus and its therapeutic protocol, taste disorders, and also the diagnostic value of saliva for SARS-CoV-2.