Speakers from Japan give UK meeting a true international flavor
The AO UK Charter Chapter held its third meeting at the Royal Society of Medicine, London, on July 4, 2014. Fourteen AO members from Japan joined 33 UK delegates for a unique scientific meeting of outstanding quality. Including industry sponsors, the total number attending was 53.
The one-day meeting was moderated by the Global Program Development (GPD) committee chair and AO Board member, Dr. Michael R. Norton and organized by the GPD Committee Vice-Chair and AO UK Ambassador, Dr. Stephen L. Jacobs. And what a delight it was to take part in the meeting with a combination of six speakers, three from UK and three from Japan, with a quality of material that would be a credit to the finest of scientific meetings. There was an emphasis on core-based evidence backed up by clinical examples, which were excellently documented and presented in immaculate English!
Following Dr. Norton’s introduction of the benefits of AO membership to the non-members attending, Dr. Ashok Sethi opened the meeting with a lecture on predictable asthetic implant restorationa nd rehabilitation of the jaws using digital technology. The importance of CAD-CAM and guided surgery, coupled with clinical and diagnostic tools together with good communication with the dental technician, was stressed. The use of lab-made transfer restorations in the development of soft tissue was a key message.
Dr. Yoshiro Lida, Nagoya, Aichi, Japan, spoke next, opening by reminding the UK delegates in a humorous way, of well-known European soccer personalities who graced the game in his hometown in Nagoya, some with success and some sadly without! This lecture demonstrated excellent evidence-based principles, guidelines and diagnostic keys, set-out by Dr. J. Kois in 2001, who was himself concerned with soft tissue principles. Dr. Lida showed a comprehensive multidisciplinary approach, some of which utilized orthodontic techniques, a novel tooth auto trans-plantation technique, and the root preservation technique – all backed up with outstanding clinical images.
Dr. Stephen Jacobs concluded the morning session with a lecture on immediate implant placement and provisionalization, demonstrating a re-emergence of this treatment modality with the paradigm-shift in favor of immediate placement that we are seeing both in the scientific literature and in our clinical practices. He spoke about how we can achieve predictable outcomes and identify suitable parameters for immediate placement. Looking for best evidence, Dr. Jacobs explored the literature, presenting the arguments both for and against this protocol, addressing some of the controversies that are being argued out in the literature at the moment. He concluded that in the challenging aesthetic arena, immediate placement and restoration should be carried out by experienced clinicians.
After lunch, Dr. Yasuhiro Nosaka, Ashiya, Hyogo, Japan, delivered a comprehensive and exceptional surgical revue, and masterful appreciation of the sinus bone graft. He gave a clear demonstration on the diagnosis and treatment of the sinus floor with relevant maxillary sinus pathology, enlightening us all, using superb sequential CBCT images, with the immediate changes that occur in the sinus space in the days and weeks following the surgical procedures.
Dr. Stephen Barter was the next speaker and gave a most succinct lecture on current trends in the rehabilitation of maxillary arches, and from his comprehensive literature review, stressed what would be the most relevant treatment in individual cases. Quite soberingly, Dr. Barter revealed some clear points: that there is not enough ‘good’ evidence available from the sparing amounts that currently exist, and that we must all be very aware that ‘evidence’ may not necessarily be ‘good evidence’. With an increasingly aging population, are we at risk of debilitating patients in the long term? Does ‘all on four’ mean ‘nothing on three’? Does polarizing patients to suit a particular treatment modality lead to failures, and not necessarily clinical failures? Attendees were left with these questions to ponder.
To conclude, the meeting, Dr. Kunihiko Teranishi, Tokyo, Japan, opened eyes to the application of photofunctionalisation. The use of video projections and skilled compilation of anecdotal clinical evidence made for an interesting presentation using this little known and understood concept. The question that the delegates were asking before the lecture, ‘what is photofunctionalisation and how can it be used?’ was answered with detail and clarity.
This was an outstanding scientific meeting that upheld all the principles that AO meetings are known for. The feedback was excellent, and the Academy now has 12 new members, and counting, as a result.