Clinical Innovations Conference
On the 9th and 10th May 2014, hundreds of Dentists and exhibitors made their way to King’s Place for the annual Clinical Innovations Conference. They were joined by over a hundred dental foundation trainees from London Deanery.
The quality of the lectures across two days was fantastic, with well respected names from the speakers’ circuit, including Bob McLellan, Professor Ed Lynch, Ian Needleman and many other experts in their fields.
If you couldn’t attend the conference, the following are some key points/developments that we would encourage you all to read about:
1. Bob McLellan emphasised the importance of great communication with our labs. His innovative methods extend as far as routinely sending video instructions to supplement written instructions and relevant photographs. For shade taking, he advised taking photos of teeth correctly exposed, but to also send photos under exposed as they give a better idea of shape and characterisations. Perhaps a little more conventionally, the need for a diagnostic wax up (also discussed on the Saturday by David Bloom) is of paramount importance to satisfy the intricacies of communication between the dentist, the lab and the patient.
2. Prof Ed Lynch explored 50 top tips in clinical dentistry to make our practicing lives easier and our dentistry more predictable. Some of the interesting points touched upon include the growing evidence base of the benefit of using ozone (for cavity disinfection, endodontics, whitening, you name it!). However, there have been controversies about the efficacy of ozone, and we encourage readers to look to PubMed to make up their minds (as Prof recommends himself).
3. Protection of adjacent teeth when either cutting interproximal cavities or preparing crowns. The figure quoted in the Dr Louis Mckenzie’s lecture was that some 64% of adjacent teeth would be accidentally damaged in cavity preparation. Therefore, tooth protection with wedges is advised. A literature search this morning on Pub Med revealed several studies on this topic from 1998 to 2003, with iatrogenic damage in the range of 45% to 100%. My thoughts having discussed this with colleagues at the conference is: Interproximal protection, just like your use of rubber dam for root treatments is mandatory. Use both measures and document their use in your patient notes. I can anticipate if your dental notes are pulled for auditing, with nothing attesting to your use of interproximal protection or indeed rubber dam, then some questions will be asked… …
The 2000 study of Medeiros and Seddon is a good starting point and the abstract is available here:
4. Periodontal Charting including Social Medical and Dental Risk Factors This is an interesting Swiss development, that is now over 10 years old. In essence it moves the somewhat static boxed CPITN and BPE charting we know so well towards an inclusive dynamic and fairly comprehensive recording of the patient’s periodontal disease state together with their medical status to give a visual indication of their risk status. Professor Anthony Robert’s attention-grabbing lecture definitely appealed to an audience keen to learn and incorporate such methods into clinical practice. If you want to include such charting, it’s easily achieved using open access software developed in the University of Bern by Lang and Tonnetti in 2003. You can access the charting from this link:
5. On the Saturday, the Clinical Innovations Conference was also joined by the British Society of Oral Medicine (BSOM) Annual Congress . Dr Hodgson from UCH Eastman gave a most excellent lecture on Oral Lichen Planus (OLP) with some well documented Cases, Causes and Cures. (I intentionally use an alliterative C). The High C from this lecture and perhaps the whole conference being Hepatitis C, not only its involvement in OLP, but as a health condition with 3 to 4 Million new infections yearly and up to 5% prevalence in some countries. In my previous article, I gave the figures for HCV acquisition following sharps injury and the need to attend Occupational Health for assessment and advice following any sharps injury. The study of Ferenci et al published last week, clearly describes a treatment regimen where the viral load in HCV positive patients was reduced by up to 99.5% If you haven’t already done so, then please read the article and the link is here: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1402338
Essentially this multi author article emphasizes the message that you must seek Occupational Health Treatment for any sharps injury, as there is now a protocol to absolutely prevent Hepatitis C acquisition.
Noam Tamir’s philosophy behind this Conference was one of Innovation. We thought this conference also positively endorsed the values of Integration and Inclusion too. Perhaps greater than the knowledge gained from CPD is the beneficial ability of any educational activity to act as a social catalyst opening channels for further collegiate dialogue, inter-speciality discussion and professional development. On this basis, Noam Tamir and his team have succeeded on all counts. We would strongly recommend your attendance at next year’s conference.