INTERNATIONAL ASSOCIATION FOR DENTALRESEARCH

Transcription

1 INTERNATIONAL ASSOCIATION FOR DENTALRESEARCH IADR (SA) Skills Transfer Workshop Registration Form ) Personal information: Please complete all items marked with * Surname: * Initial(s): * Title: * First name(s): * Telephone no(s): * Fax no: Cell phone no: * Postal address: * Postal code: * HPSCA Reg. No.: 2) Registration (PLEASE CHOOSE ONLY ONE WORKSHOP TO ATTEND) Tick your choice below Workshop 1: ORTHODONTIC SKILLS TRANSFER (4 CPD points) [COST: R800 per participant] Workshop 2: ENDODONTIC SKILLS TRANSFER (4 CPD points) [COST: R800 per participant] Workshop 3: ETHICS (8 CPD points) [COST: R400 per participant] 3) Payment details: Payment of registration fees should be made directly into the congress bank account as follows: Account name: IADR S A Division Bank: ABSA Branch: Parow Branch code: Account number: Reference: please add your Surname & initials Kindly use your initials and surname as reference when making a deposit, and fax proof of payment to or to IADR.wits@gmail.com Date of deposit: Reference on deposit slip:

2 INTERNATIONAL ASSOCIATION FOR DENTAL RESEARCH CONGRESS ORGANISING COMMITTEE: CONGRESS CONVENOR: Chairperson: Prof NH Wood (Convenor) Prof NH Wood Members: Prof V Yengopal Department of Oral Medicine& Periodontology Dr L Naidoo School of Oral Health Sciences Dr Mrudula Patel Charlotte Maxeke Hospital Dental Traders: Ms L Rowell 1 Jubilee Road Mr K Foulston Johannesburg Tel: +27-(0) Neil.Wood@wits.ac.za WORKSHOP 1: IADR SKILLS TRANSFER: ORTHODONTICS DATE: 1 SEPTEMBER 2012 VENUE: EMPEROR S PALACE CONFERENCE CENTRE, JOHANNESBURG TIME: 9:00 12:45 COURSE FEE: R [Hosted by Wits University] INTRODUCTION An intimate knowledge of both the theoretical and practical aspects related to removable orthodontic appliances is central to the appropriate clinical application of this treatment tool. This workshop aims to provide an introduction to the fundamentals of removable orthodontic appliances including their design and adjustment, clinical use, practical tips and a critique of various appliances so as to better inform the general dental practitioner s clinical decision-making. Delegates are reminded to bring a set of Adam s No. 64 and 65 pliers with. Other pliers used during the hands-on workshop will be provided. COURSE OUTLINE 1. An update on removable orthodontic appliances 9:00 10:00 2. Tea Break 10:00 10:30 3. An update on removable orthodontic appliances (cont.) 10:30 11:00 4. Hands-on aspects of removable orthodontic appliances 11:00 12:30 5. Discussion 12:30 12:45 Places limited to 20 delegates. Please register timeously to secure your attendance. Four (4) CPD points applied for.

3 INTERNATIONAL ASSOCIATION FOR DENTAL RESEARCH CONGRESS ORGANISING COMMITTEE: CONGRESS CONVENOR: Chairperson: Prof NH Wood (Convenor) Prof NH Wood Members: Prof V Yengopal Department of Oral Medicine& Periodontology Dr L Naidoo School of Oral Health Sciences Dr Mrudula Patel Charlotte Maxeke Hospital Dental Traders: Ms L Rowell 1 Jubilee Road Mr K Foulston Johannesburg Tel: +27-(0) Neil.Wood@wits.ac.za WORKSHOP 2: IADR SKILLS TRANSFER: ENDODONTICS Date : 1 st September 2012 Venue: Emperor s Palace Conference Centre, Johannesburg Time: 9h00-12h45 Course Fee: R Course Outline Time Presenter/s 1. Design considerations in rotary endodontics 9h00-9h30 Dr I Munshi 2. The WaveOne TM endodontic system 9h30-10h00 Dr N Naidoo 3. Tea break 10h00-10h30 4. Hands-on Training of the Wave-One TM Technique 10h30-12h30 Dr I Munshi/ Dr N Naidoo/ Dr L Naidoo 5. Discussion 12h30-12h45 Preamble An objective of endodontic treatment is the optimum management of the contents of the root system. The effective shaping and cleansing of this system forms part of recommended treatment protocols. Engine-driven instruments have been used as part of endodontic treatment protocols for decades. The aims of this workshop are to provide insight into instrument and canal shaping considerations using engine-driven instruments, and to allow participants to experience a recently introduced endodontic engine-driven cleaning and shaping system. Places limited to 20 delegates. Please register timeously to secure your attendance. Four (4) CPD points applied for.

4 INTERNATIONAL ASSOCIATION FOR DENTAL RESEARCH CONGRESS ORGANISING COMMITTEE: CONGRESS CONVENOR: Chairperson: Prof NH Wood (Convenor) Prof NH Wood Members: Prof V Yengopal Department of Oral Medicine& Periodontology Dr L Naidoo School of Oral Health Sciences Dr Mrudula Patel Charlotte Maxeke Hospital Dental Traders: Ms L Rowell 1 Jubilee Road Mr K Foulston Johannesburg Tel: +27-(0) Neil.Wood@wits.ac.za Workshop 3: Ethics in the dental setting [8 CPD points] A University of the Western Cape and WHO Collaborating Centre for Oral Health presentation in conjunction with the IADR (South African Division) Skills Transfer Workshop Date: Saturday 1 st September 2012 Time: Venue: Johannesburg 09h00-12h00 Emperors Palace Conference Centre, Convenors: Sudeshni Naidoo and Neil Myburgh

5 Aims of this workshop: (1) Review the philosophical and historical background to ethics in health (2) Consider some difficult clinical cases to clarify key ethical concepts (3) Discuss the application of ethical principles and practice in dentistry Programme 1 st September 2012 Facilitator 08:30 TEA AND COFFEE 09:00 WELCOME SUDESHNI NAIDOO 09:05 09:30 HISTORY REVEALS WHY ETHICS IS IMPORTANT MORAL REASONING AND THE PHILOSOPHICAL FOUNDATIONS OF ETHICS IN HEALTH EVIDENCE, ETHICS & PRACTICE AESTHETIC DENTISTRY & SURGICAL PROCEDURES 10:15 TEA & COFFEE 10:30 APPLICATION OF ETHICAL PRINCIPLES TO REAL WORLD CLINICAL CASES SEE BELOW 11:30 DISCUSSION & FEEDBACK FROM CASES 12:00 EVALUATION & CONCLUDING REMARKS NEIL MYBURGH NEIL MYBURGH & SUDESHNI NAIDOO NEIL MYBURGH & SUDESHNI NAIDOO NEIL MYBURGH & SUDESHNI NAIDOO Course Fee: R Please register timeously to secure your attendance. Eight (8) CPD points applied for.

6 CASE STUDIES 1. Watch yourself A young lady, aged 17 years, required the emergency extraction of a lower right molar tooth. An inferior alveolar injection was administered and the patient was left in the care of the dental surgery assistant. When the dentist returned to the surgery he noticed that the patient s lip was swollen, but that the mucous membrane was intact. He suggested that she must have bitten her lip and warned her against doing this again. Following the extraction of the tooth, the nurse repeated the same warning before the patient was dismissed. Two hours later a telephone message from the Casualty Department of the local hospital reported that the patient had presented with a badly damaged lip in which a segment of the tissue was missing. At a later date, the injury was repaired by a plastic surgeon with the result that after six months only a small scar remained. Ethical/legal issues 1. Is it reasonable to leave a patient in the care of a dental assistant? 2. What precautions (if any) should be taken by the practitioner when leaving a patient for a short while is either unattended or with an assistant in the surgery? 3. How firm should a warning be (as described in this case)? Dental-negligence issues 1. Should the dentist have warned of possible damage to the lip before leaving the surgery? 2. To what degree did the patient contribute to the injury? 3. Negligence or not? 2. Failure of Communication A patient, accompanied by his wife, attended a dental surgeon early one evening requiring the extraction of three teeth. His only previous visit to the practice had been some two years earlier when one tooth was extracted without incident. In the interim he had suffered myocardial infarction and was receiving continuous anticoagulant therapy. On arrival at the surgery premises his wife asked the receptionist to inform the dental surgeon that her husband was currently taking anticoagulant drugs but unfortunately the receptionist omitted to convey this message. Moreover the patient did not mention it to the practitioner when he entered the surgery and his wife remained in the waiting room. The practitioner extracted three teeth under local anesthesia and when the sockets appeared to be clotting satisfactory dismissed the patient with the usual instructions. Subsequently hemorrhage recommenced and the patient s doctor was called just after midnight when he found the patient to be shocked and having lost a considerable amount of blood. He immediately arranged for the patient to be admitted to hospital where the sockets were sutured and blood transfused. The

7 patient remained in hospital for two weeks and was unfit to resume work for a further two months. Ethical/legal issues: 1. How often should a medical history be taken? 2. How much can the dentist expect to rely on the receptionist? 3. How important is it for patients to volunteer information? Dental-negligence issues: 1. Who is responsible? Patient, receptionist or dentist? 2. What types of damages could the patient hope to recover if successful in a law suit? 3. Negligence or not? 3. Trapped finger A girl aged 6 who attended for dental treatment required the extraction of a deciduous tooth. While the practitioner was writing up the notes the dental assistant pressed the return to upright button and the chair was raised. The child trapped her finger trapped between the arm-rest and the spittoon. The chair was immediately lowered, but the finger had been severely damaged. The parents were given the fare to take the child by bus to a nearby hospital where X-ray examination showed a comminuted crush fracture of the terminal phalanx of the right little finger. The wound was bleeding, the nail split with a laceration over the palmar aspect of the finger as far as the distal interphalangeal joint. The remnant of nail was removed, the cut sutured and a dressing applied. A consultant orthopaedic surgeon examined the patient and provided an expert report. The child was extremely co-operative as were the parents. It appeared that use was without handicap and no pain was experienced. It finger was 3/16 th of an inch short due to loss of part of the terminal phalanx and thus there was no support for the terminal part of the nail which tended to curl over the shortened fingertip. Ethical/legal issues 1. Should a child have a parent in the surgery to supervise? 2. How much can a child be trained to be careful? 3. What can be learnt in surgery management? Dental-negligence issues 1. How much did the child contribute to the harm? 2. Should the patient s parents sue the dental assistant or the practitioner? 3. Negligence or not? 4. Extraction of wrong teeth A girl aged 10 requiring orthodontic treatment was seen by an orthodontist. He advised the extraction of both upper second premolars and provided treatment

8 achieving excellent alignment of the maxillary teeth. Two years later it became apparent that further treatment was necessary to reduce overcrowding in the mandible and the orthodontist advised the extraction of both lower first premolars. He made a note to this effect in his records and wrote a clear letter of instruction to the patient s general dental practitioner. Unfortunately despite the written instructions and clinical appearance of the jaws the assistant extracted in error both upper premolars. As soon as the patient arrived home the mother observed the upper teeth had been extracted instead of the lower teeth and she contacted both the dental practitioner and the orthodontist. Ethical/legal issues: 1. What are the orthodontist s responsibilities to the practitioner and the practitioner s responsibilities to the orthodontist? 2. What action steps, if any, should be taken when electively removing teeth? Dental-negligence issues: 1. Who should the patient see? 2. Could the orthodontist act as a witness in court? 3. Negligence or not? 5. Disclosure For the past 10 years, Michelle, a 14 year old girl has been a patient of Dr A, a clinical supervisor at a dental teaching hospital. This time she presents with a periapical abscess. While sitting in the waiting room she notices a sign instructing female patients to inform the dentist if they are pregnant. On this occasion, Michelle is seen by a senior dental student, Ms P, and she asks about the sign on the wall. Prior to her radiographic examination, she discloses that she is pregnant. She begs Ms P not to tell her supervisor, Dr A or her mother. Dr A has known her mother for 15 years and Michelle is afraid that he will inform her mother that she is pregnant. Ethical issues 1. What should Ms P do? 2. What are her options? 3. What are her supervisor s options if he is informed?