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CPD Clinical Management Update Day

Meet the experts at this one-day CPD* accredited education day, aimed at general and specialist dental practitioners, dental care professionals and hospital dentists. A unique opportunity to hear from leading experts, find out how their research is guiding clinical practice, and receive the latest updates on clinical management.

  • 5 hours of CPD
  • Delegate pack containing summaries of topics covered
  • Keynote update lectures, exhibits and informal discussion groups
  • Coffee, teas and danish pastries served on arrival, hot buffet lunch, teas, coffee and biscuits served throughout the day                                                                                                     

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Speakers


'Your teeth - You are in control' Using self-help Cognitive Behavioural Therapy to reduce dental anxiety in children.

Zoe Marshman

Professor Zoe Marshman, BDS, MPH, DDPH, FDS (DPH), PhD

Professor/Honorary Consultant in Dental Public Health

helenrodd

Professor Helen Rodd, BDS (Hons), FDS(Paed), PhD,

Professor/Honorary Consultant in Paediatric Dentistry

Antibiotic prophylaxis and endocarditis – what a NICE mess!

Thornhill

Professor Martin Thornhill, MBBS, BDS, PhD, MSc, FDSRCS(Edin), FDSRCSI, FDSRCS(Eng)

Professor of Translational Research in Dentistry

Management of trigeminal nerve injuries.

SAtkins

Dr Simon Atkins, BDS (Sheff), MFDS RCS (Edin), PhD (Sheff), FDS RCS (Eng)

Senior Clinical Lecturer/Consultant Oral Surgeon

Fiona B

Professor Fiona Boissonade, BDS, PhD

Professor of Oral Neuroscience

Meeting Programme

School of Clinical Dentistry - Clinical Management Update 2018

Inox Conference Suite, Unveristy of Sheffield.

Wednesday 2nd May


Programme


09.30

Arrival and Registration

Welcome

10.00

School of Clinical Dentistry, University of Sheffield


Session I: Management of trigeminal nerve injuries

10.05

Dr Simon Atkins, Senior Clinical Lecturer/Consultant Oral Surgeon

Professor Fiona Boissonade, Professor of Neuroscience

11.15

Informal Discussion Sessions - Meet the Experts

Tea & coffee

Session II: Antibiotic prophylaxis and endocarditis - what a NICE mess!

11.45

Professor Martin Thornhill, Professor of Translational Research in Dentistry

13.00

Informal Discussion Sessions - Meet the Experts

Lunch

13.30

IV Sedation, X-infection control and endocarditis - Important lessons from the USA

Session III & IV: 'Your teeth - You are in control'. Using self-help Cognitive Behavioural Therapy to reduce dental anxiety in children.

14.00

Professor Zoe Marshman, Professor/Honorary Consultant in Dental Public Health

Professor Helen Rodd, Professor/Honorary Consultant in Paediatric Dentistry

15.00

Informal Discussion Sessions - Meet the Experts

Tea & coffee

15.20

CBT Group Discussion

Session V: Meeting Round Up

15.40

Meeting round up and invited discussion from audience, feedback, CPD certificates

16.00

Close of meeting

Total CPD time: 5 hours

Child Anxiety

'Your teeth - You are in control'. Using self-help Cognitive Behavioural Therapy to reduce dental anxiety in children.

SummaryYour teeth
Fear of the dentist is common and tends to develop in childhood. Around 10% of children have extreme dental anxiety. Using a patient-centred research approach, our multidisiciplinary team has developed the first self-help cognitive behavioural therapy (CBT) resources to reduce dental anxiety in children. Our evaluation, published in 2016, found a significant reduction in dental anxiety and increase in quality of life following use of the CBT resources. This approach had high levels of acceptability to children, parents and dental professionals. A recent follow-up found that one year after their CBT intervention and referral back to their own dental practitioner, the majority of children reported reduced dental anxiety, enhanced coping skills and postive dental encounters.

Aims
To describe self-help CBT resources to reduce dental anxiety in children and how to use these in clinical practice

Learning outcomes

  • To summarise the impact of dental anxiety of children, parents and dental professionals
  • To describe the benefits and limitations of approaches to treating dentally anxious children in general, community and hospital dental services
  • To provide an overview of the key components of the resources and how these work to reduce child dental anxiety
  • To give examples of the use of the resources in different dental settings through the presentation of case studies
  • To provide a step-by-step guide for dental professionals wishing to use these resources with their patients

Copies of the resources will be provided for those attending the event.

Dentistry & Endocarditis

Antibiotic prophylaxis and endocarditis - what a NICE mess!

thornhill researcg

Summary
Infective endocarditis (IE) is a devastating disease with high morbidity and mortality. The link to oral bacteria has been known for decades and has caused ongoing concern for dentists, cardiologists and patients. In the 1950's antibiotic prophylaxis (AP) was first recommended to protect patients at risk of IE who were undergoing invasive dental procedures, although a randomised controlled trial to demonstrate AP efficacy has never been performed. Nonetheless, attempts to reduce AP use have been ongoing and in 2007, the American Heart Association limited AP use to those patients at highest risk of IE. In 2009, the European Society for Cardiology (ESC) - which produces guidelines for the whole of Europe, acted similarly. In 2008, however, the National Institute for Health and Care Excellence (NICE) guideline committee recommended the complete cessation of AP in the UK. Recent evidence that identified an increase in the incidence of endocarditis in England, however, prompted a guideline review by both NICE and ESC. Despite reviewing the same evidence, they reached completely opposite conclusions. The resulting conflict of opinions and guidance is confusing and poses difficulties for dentists, cardiologists and their patients.

Aims
This lecture will examine the evidence and the opposing guidance on antibiotic prophylaxis, and provide a framework for how patients at risk of infective endocarditis might be managed in practice.

Learning outcomes

  • To describe infective endocarditis (IE) and its importance.
  • To outline the evidence linking IE to dentistry and oral health.
  • To understand antibiotic prophylaxis (AP) - the concept, the development of guidelines, the supporting evidence, the changes that have occurred and the ongoing controversy.
  • To review recent research relating to AP and the link between invasive dental procedures and IE.
  • To discuss the contribution of poor oral hygiene and daily activities such as flossing and brushing to IE.
  • To highlight the impact of recent changes in the law on consent on this issue.
  • To explain strategies for managing patients at risk of IE in the current climate.

Trigeminal Nerve Injuries

Management of trigeminal nerve injuries.theatre

Summary
Injuries to the trigeminal nerve (supplying the mouth and face) are common and extremely
distressing for the patient. They have a profound effect on a range of normal everyday activities and have a considerable impact on quality of life. They may occur during wisdom tooth removal, the placement of dental implants or corrective jaw surgery, or as a result of facial fractures. Following nerve injury a proportion of patients are left with complete numbness or altered sensation of the affected region; this may be accompanied by severe nerve injury-induced pain (neuropathic pain).  Regions most commonly affected are the lips and tongue and this causes significant difficulty with a range of functions including speech, taste and mastication. In addition many patients develop chronic pain, which is extremely difficult to treat. Little has been offered to these patients by standard clinical practice, either in terms of a clear prognosis or possible surgical intervention to improve the level of recovery. Based on our laboratory and clinical investigations, the Sheffield team has developed reliable and successful methods for trigeminal nerve repair and has published protocols for the clinical management of trigeminal nerve injuries.
Sheffield is established as a national centre for the treatment of patients with trigeminal nerve injury, providing the main UK tertiary referral service for the surgical management of trigeminal nerve injuries. We receive on average 120 referrals per year (~70% of all patients referred for treatment per annum in the UK).

Aims
This session will discuss the prevalence and aetiology of trigeminal nerve injury. Highlight risk reduction and consent issues. Discuss both primary and secondary care evidence based assessment, and the management of trigeminal nerve injuries.

Learning outcomes

  • To describe the aetiology of trigeminal nerve injuries (TNI’s).
  • To highlight the short and long-term impact of these injuries on patients.
  • To discuss the immediate and longer term management in primary care.
  • To discuss current management of nerve injury in secondary care.
  • To highlight current surgical management of TNI’s in secondary care and review the evidence for this.
  • To discuss risk reduction strategies for TNI’s as a result of dental procedures, including minor oral surgery, and implantology.
  • To summarise current research relating to trigeminal nerve repair.
Registration Information

Date of Event
2nd May 2018

Cost
£30

Last Booking Date for this Event
16th April 2018

Places Available
70

Description
Clinical Management Update Day hosted by the School of Clinical Dentistry

Meet the experts at this one-day CPD accredited education day, aimed at general and specialist dental practitioners, dental care professionals and hospital dentists. A unique opportunity to hear from leading experts, find out how their research is guiding clinical practice and receive the latest updates on clinical management.

Contact
Nicola Strafford

n.stafford@sheffield.ac.uk

0114 2227449

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Venue Information

inoxmap

Inox Conference Suite
Level 5
Students' Union Building
Durham Road
Sheffield
S10 2TG

Q Park
Durham Road
Sheffield
S10 2TG