TheAMERICAN

DENTAL SOCIETYof

EUROPE

ATHENS GREECE2015

DIMITRIS EMMANOUILPresident

ILIA ROUSSOUVice President

JAN DOORMANHonorary Treasurer

ALI PARVIZIHonorary Secretary

GEOFFREY PULLENPresident-Elect

THE AMERICAN DENTALSOCIETY OF EUROPE

ONE HUNDRED AND TWENTY-FIRSTMEETING

to be held at

Grand Resort Lagonissi

40th km Athens-Sounion Avenue

190 10 Lagonissi-Attica-Greece

www.grandresort.gr

Tel: +30 22910 76000

25th - 27th June, 2015

PresidentDIMITRIS EMMANOUIL, 268 Kifissia Ave., 14563 Kifissias, Athens, GreeceVice PresidentILIA ROUSSOU, 2 Adrianou Str., 14561 Athens, Attiki, GreecePresident-ElectGEOFFREY C. PULLENHonorary SecretaryALI PARVIZI - 90 Harley Street, London W1G 7HSTel: +44 (0)207 935 2249 Fax: +44(0)207 224 4158e-mail: aliparvizi@90harleystreet.comHonorary TreasurerJAN DOORMAN - Duivenkamp 189, 3607AJ Maarssen, The NetherlandsExecutive Committee MembersJ. DEWE-MATHEWS C. DEBENHAM A. MACDONALDG. GALOVIC, G. ROBERTSON

American Dental Society of Europe - Object (Article Two)The object of this Society shall be to afford dentists who are graduates or holders of an accredited certificate of a recognised dental school in the United States or Canada, the benefits of an organisation for the promotion of more extensive professional intercourse, by meeting together at stated times for the discussion of questions of professional interest.

12 CE hours are available to participants who attend the whole programmeContinuing Education CreditTo obtain your verification of participation document for CE courses attended during the Annual Session:

1. Record on the daily evaluation form the corresponding verification codes given out during each presentation.

2. Complete the evaluation form and return to registration desk at end of each daily session.3. Receive your verification of participation document at the registration desk and send a copy to

your licensing or regulatory agency.The American Dental Society of Europe designates one (1) credit per hour for CE activities, unless otherwise noted. It is the responsibility of each participant to verify the CE requirements of his/her licensing or regulatory agency and to contact them with any questions regarding licensing. Continuing Education DisclaimerThe Scientific Program of the 2015 ADSE Annual Session is planned and presented by the Executive Committee of the ADSE to provide attendees with a relevant and rewarding continuing education experience. However, neither the content of a course nor the use of specific products in lectures, workshops or any research program should be construed as indicating endorsement or approval of the views presented or the products used by the ADSE or by any of the respective subsidiaries. Speakers are required to disclose to participants any financial, commercial or promotional interest in a product or company that may influence their presentations; provided, however, the ADSE shall not be liable for a speaker’s failure to disclose such interest. Please be advised that courses, speakers or scheduling may change without notice.

OFFICERS

OFFICIAL OPENING CEREMONY

Address by DR. MAXINE FEINBURGPresident of the American Dental Association

Address by DR. DIMITRIS EMMANOUILPresident of the American Dental Society of Europe

THURSDAY 25TH JUNE 08.15 - 09.00ALL MEMBERS AND GUESTS WELCOME

Thursday 25th June 07.45 - 08.15 First Business Meeting - members only

09.00 - 12.30 Thursday 25th June 2015 Lecture 3 CE hours LEC1

Airway-adapted Occlusion and Airway-produced Malocclusion - a biologic perspective

Dr. Jeff Rouse, D.D.S.

Jeff S. Rouse, D.D.S. maintains a full-time private practice and is an Adjunct Assistant Professor at the University of Texas Health Science Center at San Antonio. After graduation from dental school in San Antonio, Dr. Rouse completed a 2-year General Practice Residency at the University of Connecticut Health Science Center. He practiced family dentistry for twelve years before returning to school, earning his specialty certificate in Prosthodontics from the University of Texas Health Science Center at San Antonio in 2004. He is a member of the American Academy of Restorative Dentistry, the American College of Prosthodontists, and the Southwest Academy of Restorative Dentistry. Dr. Rouse has written numerous journal articles including the “Annual Review of Selected Dental Literature” published each summer in the Journal of Prosthetic Dentistry. He has contributed chapters on porcelain veneers and anterior ceramic crowns to three editions of a dental textbook. Dr. Rouse lectures nationally and internationally on a wide variety of topics ranging from dental esthetics to sleep prosthodontics.

Lecture Synopsis

Occlusal theories are man-made mechanical constructs designed to increase restorative predictability. After 50 years of debate, there is still no agreed on “ideal” occlusal philosophy. This essay will argue that one reason for the confusion is that occlusal principles are based on mechanical assumptions and not biologic realities. One example is centric relation. It is embraced because of the mechanical ease of transfer from articulator to mouth even though it is seldom found biologically. Dr Rouse will attempt to explain common modes of tooth damage and reconstruction break down through biology rather than engineering. The three central pattern generators controlling breathing, chewing and swallowing will be highlighted along with factors that can prevent those CPGs from functioning in harmony. Malocclusions can minimize the oral volume, alter the chewing pattern and provide an increased opportunity for wear and fracture. This essay will also focus on the bidirectional nature of airway impingement and dental malocclusion.

Learning Objectives

• Understand how management of the airway is key to functional patterns• Identify the central pattern generators and their impact on function• Explain why the rat and cow patterns of wear develop• Discuss how food volume and type impacts a consistent chewing pattern• Recognise an airway-produced malocclusion

10.30 - 11.00 Break

Cats and Canines: Evaluating and Treating Impacted and Transposed Anterior Teeth

Marc Bernard Ackerman, DMD, MBA, FADPD, FACD

Dr. Ackerman specializes in the orthodontic treatment of children with dentofacial deformity, intellectual and physical disabilities and sleep disordered breathing. He received his DMD from the University of Pennsylvania School of Dental medicine in 1998 and his certificate in Orthodontics from the University of Rochester-Eastman Dental Center in 2000. Dr. Ackerman later completed his MBA in Executive Leadership at Jacksonville University Davis College of Business in 2009 and his Fellowship in Medical Ethics at Harvard Medical School in 2014. He is a Fellow of the Philadelphia College of Physicians, the Academy of Dentistry for Persons with Disabilities, and the American College of Dentists. Dr. Ackerman received the University of Pennsylvania School of Dental Medicine Alumni Award of Merit in recognition of his loyalty to Alma Mater, leadership in the dental profession and community involvement. Dr. Ackerman is the Director of Orthodontics at Boston Children’s Hospital and teaches residents in both pediatric dentistry and orthodontics for Harvard School of Dental Medicine.

Dr. Ackerman has published numerous peer-reviewed articles in orthodontics and professional ethics and his monograph, Enhancement Orthodontics: Theory and Practice, was released in 2007 by Blackwell-Wiley. He is a co-recipient of the 2004 B.F. and Helen E. Dewel Award from the American Journal of Orthodontics and Dentofacial Orthopedics which is given annually to the highest-rated clinical research article published in the previous year. Dr. Ackerman has been the Editor-in-Chief of Special Care in Dentistry Journal since 2013.

Lecture Synopsis

Impacted and transposed anterior teeth pose a challenge to the orthodontist, periodontist, and restorative dentist. The key to successful treatment of these orthodontic problems lies in proper diagnosis and treatment planning. Today’s technology offers the clinician greater accuracy in diagnosis and planned tooth movement.

Learning Objectives

• Diagnose impacted and transposed anterior teeth• Understand the technique of Cone-Beam Computed Tomography• Appreciate the orthodontic mechanotherapy required to treat these patients• Review clinical case material to gain a better understanding of the multidisciplinary treatment

of these problems

The speaker has no commercial or financial interest in this lecture.

14.00 - 15.30 Thursday 25th June Lecture 1.5 CE hours LEC2

18.30 CAPE SOUNION and BBQ

Myth of Anterior Guidance

John C. Kois, D.M.D., M.S.D.

Dr. Kois received his D.M.D. from the University of Pennsylvania, School of Dental Medicine and Certificate in Periodontal Prosthodontics with a M.S.D. degree from the University of Washington, School of Dentistry.

He maintains a private practice limited to Prosthodontics in Tacoma and Seattle and is an Affiliate Professor in the Graduate Restorative Program at the University of Washington.

Dr. Kois continues to lecture nationally and internationally, is a reviewer for many journals and is the co-Editor in Chief for The Compendium of Continuing Education in Dentistry. Dr. Kois is the recipient of the 2002 Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning, and received a Lifetime Achievement Award from both the World Congress of Minimally Invasive Dentistry and the American Academy of Cosmetic Dentistry.

He is the past President of both the American Academy of Restorative Dentistry and American Academy of Esthetic Dentistry, and a member of numerous other professional organizations. In addition, he continues to work with restorative dentists at the Kois Center, a didactic and clinical teaching program.

Lecture Synopsis

An articulator has a limited ability to duplicate or mimic patient’s functional movements. This creates a disadvantage for the laboratory technician to provide a significant collaborative role. In addition, the role of anterior guidance is an assumption based on the concept of "Mutual Protection" not biology.

The problem of resolving biological concerns with mechanical solutions is not logical. When our patients undergo mastication the guidance we create may overload the anterior teeth leading to excessive friction, structural failure, tooth mobility, spacing, and temporomandibular dysfunction.

This lecture will explore this paradox and develop better ways to reduce these risks by understanding our individual patient’s masticatory system and provide better communication keys to the laboratory.

Learning Objectives

• Understand the envelope of function specific to the patient being treated.• Create the communication keys necessary for the laboratory technician.• Material selection cannot overcome improper occlusal management.

09.00 - 12.30 Friday 26th June Lecture 3 CE hours LEC3

10.30 - 11.00 Break

TABLE CLINICSDr. Marc Bernard Ackerman, DMD, MBA, FADPD, FACDThe missing lateral incisor: An updateDr. Rishi Patel BDS MFDS RCS (Eng) MS (Loma Linda)Treatment Options for the Atrophic Posterior Maxilla - Short Implants Vs Sinus GraftingDr. Ilia Roussou and Dr. Aris TripodakisOcclusal discrepancies and prosthodontic approachDr. Dimitri Tripodakis DMD ,Dr. Despoina Tripodaki DDS and Eirini Tripodakis CDClinical and laboratory control of the subgingival interproximal margins in indirect adhesive restorations of posterior teethDr. Jeff Rouse D.D.SAutonomic Nervous System Trial: Improved Decision-making for Airway Management and ResolutionAs dentists begin to recognize the impact of dysfunctional breathing, managing the problem will become a common strategy in the office. Titratable mandibular advancing appliances are beginning to become part of a modern dental education. Two unrecognized problems exist with oral appliances: 1. There is no guarantee that the patient will wear it or that it will work and 2. Long-term compliance is extremely low. Because of these issues, Dr. Rouse has developed a protocol for evaluating the relative health of the autonomic nervous system of the patient with fully reversible procedures. It stresses nasal breathing and a provisional oral appliance. The patients reaction to the therapy will help determine the next level of referral to resolve the airway limitation.

Dr. John C. Kois, D.M.D., M.S.D. Modes of Failure - In order to generate an appropriate treatment plan, clinicians must use a systematic approach to risk assessment by evaluating the periodontal, biomechanical, functional and dentofacial characteristics of the patient. These parameters must be assessed to ensure that all of the existing and potential risks are identified, and then reduced and/or eliminated within the most appropriate and cost-effective treatment plan. The risk of failure can be affected by biological complications (e.g., caries, periodontal disease, structural compromises, and tooth fracture) and/or by technical complications (e.g., fracture of restorations, ill-fitting restorations, and cement fatigue failure following loading). Additionally, the association of patient-, dentist- and material-related clinical factors contributes to a complex mechanism in the oral environment, which can be difficult to pinpoint due to inaccurately implemented science or insufficiently assessed patient parameters. One of the frustrations of survival analysis for restorations is the inability of the clinician to predictably determine the mode of failure. Careful consideration should always be made to not increase risk by providing treatment. For example, circumferential tooth preparation may weaken remaining tooth structure and risk irreversible pulpitis therefore reducing tooth prognosis, maybe even more than if the patient had received no treatment at all. The ultimate objective in this presentation is to review recommended strategies and outline important diagnostic and critical risk parameters, which in turn can minimize failures, provide better treatment options, and maximize predictable clinical outcomes.

14.00 - 16.00 Friday 26th June Lecture 2 CE hours TC

17:30 ACROPOLIS MUSEUM AND DINNER

An Evaluation of Contemporary Ceramic Systems

Dr. Terry Donovan D.D.S.

Dr. Terry Donovan received his D.D.S. from the University of Alberta in 1967, and practiced full time in Regina, Saskatchewan for 13 years. He received his Certificate in Advanced Prosthodontics from the University of Southern California in 1981.He was Professor and Director of the Advanced Education in Prosthodontics Program at USC from 1988 - 2006. He has been Associate Dean for General Practice and Executive Associate Dean for Academic Affairs at the University of Southern California, as well as the Chairman of the Department of Restorative Dentistry from 1984-1991, and 1994-2001.He is currently Professor and Section Head of Biomaterials in the Department of Operative Dentistry at the University of North Carolina, School of Dentistry at Chapel Hill. He has published extensively, and has lectured world wide on the topics of restorative dentistry and materials science. He is a member of the ADA, CDA, North Carolina Dental Society, CAIC, American Academy of Restorative Dentistry, American Academy of Esthetic Dentistry, the American College of Prosthodontists, a Fellow of the American College of Dentists, and an Honorary Life Member of the College of Dental Surgeons of Saskatchewan, The Association of Prosthodontists of Canada, and the Western Canada Dental Society. He is past Chairman of the American Dental Association's Council on Dental Materials, Instruments, and Equipment.

Lecture Synopsis

An extensive number of ceramic systems have been developed in recent years and have been marketed heavily to the profession. Most of these systems have limited clinical data to support their use. Laboratory studies indicating improved strength properties have been shown to have little predictive ability concerning clinical performance.This presentation will describe the differences between contemporary ceramic systems and establish sound criteria for selecting new ceramic materials. It will establish the “gold standard” with which other systems are compared and describe viable alternatives to the gold standard. It will also provide a guide for materials selection under optimal conditions and in situations where management of overhead is critical.

Learning Objectives

• What success rates are acceptable for ceramic crowns?• The differences between leucite reinforced and lithium disilicate crowns.• The differences between monolithic and layered crowns.• Advantages and disadvantages of monolithic and layered zirconia.

09.30 - 11.00 Saturday 27th June Lecture 1.5 CE hours LEC4

11.00 - 11.30 Break

11.30 - 12.30 Saturday 27th June 2014 Lecture 1 CE hours LEC5

The New Human Papillomavirus Oral Cancer Epidemic: what to say and what to do

Dr. Edward Odell

Professor of Oral Pathology and MedicineKing's College London and Guy's and St Thomas' NHS Trust

Edward Odell qualified at the London Hospital Dental School in 1979 and has worked in Oral Pathology and Oral Medicine ever since.He is an author or editor of 5 textbooks and over 125 papers, with research interests in head and neck cancer and premalignant lesions and is a contributor to the WHO Tumour Classification for Head and Neck Tumours.He is also the UK's national specialty advisor and an elected member of the Board of Faculty of the Royal College of Surgeons.

Lecture Synopsis

The lecture will cover the recent highly publicised and dramatic increase in oral and oropharyngeal cancers caused by human papillomavirus. These cancers differ from the typical oral carcinomas dental surgeons are used to and raise complex questions about how the disease is spread and might be contained and diagnosed early.

There is considerable misinformation in the media and dental patients and the 'worried well' are seeking answers to questions that cannot yet be answered with confidence. The lecture will cover the new epidemic, clinical presentations and advice for patients.

!ank y"…to the Essayists and Table Clinicians for their

generous contributions of time, talent and energy to the ADSE’s 121st Annual Meeting!

- Executive Committee

19:30 OFFICIAL BANQUET - CAPTAINS HOUSE

13.00 FINAL BUSINESS MEETING - members only

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Wednesday 24th June - ADSE GOLF AT GLYFADA PGA GOLF COURSE

Thursday 25th June - DAY TOUR ATHENS CITY - 09.00 Departure from Grand Resort LagonissiDepart for a wonderful drive along the scenic coastal road which affords a splendid view of the Saronic Gulf, passing through some of Athens most beautiful suburbs (Varkiza, Vouliagmeni, Glyfada) to Athens City. The Athens tour will start with a photo stop at Panathinaiko Stadium where the first Olympic Games took place in 1896. Proceed to Acropolis. At Acropolis we will visit the Propylae, Temple of Athena Nike, Parthenon, Erechtheion with the Karyatids. We will walk through the ancient Agora, the political and commercial center of Ancient Athens and at the end we will have traditional greek lunch at Bairactaris in the historical center of Modern Athens, Plaka, with a brief time for shopping. On our way back we will drive past Zappeion and Temple of Olympian ZeusBack at the Grand Resort Lagonissi Hotel at 16:30.

SUNSET IN CAPE SOUNION & BBQ DIINER - 18.30 Departure from Grand Resort Lagonissi

Cape Sounion is a promontory located 69 kilometres (43 miles) SSE of Athens, at the tip of Attica, the southernmost peninsula of continental Greece. Cape Sounion is noted as the Archeological site of the ancient Greek temple of Poseidon, the god of the sea in Mythology. A guided tour will lead the visitors who will be able  to enjoy  the temple which is perched on the headland, surrounded on three sides by the Aegean Sea. Sounion has one of the most spectacular sunsets in the world. At 20:30 we will go to the Aegeon Beach Hotel, upon completion of the visit to the archeological site, people can either hike down the path to the seashore by Aegeon Beach Hotel, or take the bus down. A Greek feast will follow with BBQ and live folk music and dancing. Return to the Hotel at midnight.

ADSE social programme

Friday 26th June - ACROPOLIS MUSEUM & STROFI ATHENIAN RESTAURANT

17.30 Departure from the Grand Resort Lagonissi Hotel

The Acropolis Museum

More and more of the hundreds of thousands of visitors to the Acropolis Museum are rediscovering the allure of the works of the ancient world and enjoying the grandeur of the sculptures of classical Greece. The Museum’s objective is to transform such enthusiasm into a more substantial relationship between visitors and this ancient cultural heritage which has remained an inspiration for over 25 centuries. In the past year the Museum once again coordinated all its operations with the visitor as a central reference point. Using many different strategies the museum attempts to make visitors real participants in its research program on the interpretation and comprehension of its exhibits. International recognition of the Acropolis Museum was recently reflected in The Times of London’s research, rating the Museum third amongst the 50 best museums in the world.

Strofi Athenian Restaurant

Laying its tables since 1975 in the shadow of the holy rock of the Acropolis and staying loyal to the traditional tastes of the Greek and Mediterranean cuisine. Strofi remains one of the most historic restaurants in Athens.

Saturday 27th June

19.30 for 20.00 - RECEPTION AND OFFICIAL BANQUET

Captains House - Grand Resort Lagonissi Hotel - Black tie (Tuxedo) event

ADSE social programme

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AND HONORARY MEMBER MR. JAN DOORMAN

FOR PRODUCING THE CONFERENCE PROGRAMMES

AND DUX DENTAL FOR PROVIDING THE

CONFERENCE FOLDERS SINCE 1984!

Please support the ADSE sponsors

ON BEHALF OF THE SOCIETY THE

EXECUTIVE COMMITTEE WISHES TO THANK

DUX DENTAL & FILHOL DENTAL

FOR SPONSORING THE 2015 ANNUAL MEETING

OF THE AMERICAN DENTAL SOCIETY OF EUROPE

© ADSE

NEXT MEETINGST. REGIS & WESTIN EXCELSIOR

FLORENCE ITALY30th June to 2nd July 2016