BSDH Winter Conference 2019 Speakers

09:30

 Presidential Welcome and Introduction

Gill Greenwood

BSDH President

Dr. Gill Greenwood BDS FDS RCS (Eng)

Consultant in Special Care Dentistry, City Health Care Partnership, Hull

Gillian Greenwood qualified at the London Hospital in 1985 before working as a house officer in restorative dentistry. This was followed by resident, HO , SHO, and registrar posts in OMFS. She worked for two years as a full time GDP. In 2004 Gill moved to join the East Yorkshire and Hull Salaried Dental Services as an SDO in Special Care Dentistry. In 2010 she was appointed as Consultant in Special Care Dentistry at City Health Care Partnership Hull, and also Training Programme Director of Special Care Dentistry for the Yorkshire and Humber Postgraduate Deanery. In January 2013, Gillian was elected as Chair of the BDA Community Dental Services Group.

09:35

 

Oral Presentation of Systemic Diseases

 Professor Stephen Porter

 

Professor Stephen Porter BSc MD PhD FDS RCS FDS RCS (Edin) FHEA

 Institute Director and Professor of Oral Medicine of UCL Eastman Dental Institute, London

Biography

Professor Stephen Porter is Institute Director and Professor of Oral Medicine of UCL Eastman Dental Institute, a past President of the European Association of Oral Medicine and a past President of the British Society for Oral Medicine. His clinical interests are the medical management of disorders of the oral mucosa, salivay glands and abnormalities of orofacial sensation. His research interests include the diagnosis and management of potentially malignant disease of the mouth and the treatment of immunologically mediated disease of the mouth and salivary glands. He has published over 500 scholarly works including original research papers, review articles, editorials, textbooks and computer-based works.

Learning Objectives

  • An understanding that the oral tissues can be affected by disease of almost any body system
  • Oral manifestations of systemic disease can adversely impact upon the oral and systemic well-being of affected individuals
  • Practitioners of Special Care Dentistry can greatly contribute to the identification and management of oral consequences of systemic disease

Abstract

The oral tissues can often be affected by a systemic disease, indeed disorders of almost any body system can adversely impact upon the mouth. Oral manifestations may be the first, only or most severe features of systemic disease, the principle focus of therapy or the dominant cause of a lessening of the affected person’s quality of life. As lifespan increases and medical care becomes more complex and successful so the likelihood of patients having oral features of non-oral disease or its therapy increases. Providers of Special Care Dentistry are often the first clinicians to observe the oral features of systemic disease in patients and thus have an essential role in the early detection of such disease and the referral of patients to appropriate specialists. There is thus a need for those who provide Special Care Dentistry to have an up to date appreciation of how systemic disease may impact upon the mouth. This lecture will provide an overview of the impact of systemic disease upon the orofacial soft tissues.

 

10:20

Update on Oncology Guidelines

Navdeep Kumar

Dr. Navdeep Kumar BDS FDS RCS(Eng) PhD

Consultant in Special Care Dentistry / Honorary Senior Lecturer  University College London

Biography

Over the last 20 years, Navdeep has been committed to Special Care Dentistry (SCD) and has acquired an extensive range of clinical, teaching and research experience in the area to ensure the delivery of high-quality oral care for people with an impairment or disability. She has considerable expertise in the clinical management of the medically compromised patient and the management of the oral complications of systemic diseases. Furthermore, she has an integral role in training others with an interest in SCD, including those undertaking the Diploma and Masters in SCD.

Navdeep is actively involved in the promotion of SCD and the development of national guidelines, including the Royal College of Surgeons Guideline relating to the Oral Management of Oncology Patients, which has recently been updated. Furthermore, she has co-authored a textbook on SCD ('Special Care in Dentistry'), which provides practical guidance on the safe dental management of patients with special needs. This has culminated in her becoming an examiner for the ORE, MSc and DSCD (UCL and RCS), Current Co-Chair of DSCD RCS Eng and to her role as the president of the British Society for Disability and Oral Health (BSDH) in 2009.

Learning Objectives

  • Enhance awareness of the updated guidelines on the oral management of oncology patients
  • Outline the areas where there are major updates in the management protocols

Abstract

As the rate of dentists treating children and adults who present before and after cancer treatment increases, appropriate preventive regimens, timely oral care and improved dental services are crucial for improving patients’ quality of life.

The RCS Eng / BSDH clinical guidelines relating to the oral management of oncology patients requiring radiotherapy, chemotherapy and/or bone marrow transplantation were originally published in 1997, with subsequent updates in 2004 and 2012. The recently released 2018 version aims not only to bring the guidance up to date but also to present the evidence base for its recommendations. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) method was used to systematically assess the strengths and limitations of the evidence base. The process has involved specialists in special care dentistry, restorative dentistry, paediatric dentistry and oral surgery as well as a tutor for hygienists/therapists.

The recommendations must be seen as a contribution to total patient care and should always be implemented in conjunction with the care priorities agreed with the oncology team. The aim of the guidance is to improve the quality of life for patients with malignant disease, who are receiving cancer therapy that has implications for oral comfort and function, by promoting consistent, evidence-based high standards of oral care through a coordinated team approach. An overview of the recommendations with regard to oral management is given at the beginning of the guidance. This is followed by a section with explanatory notes that offer further information. A list of references to support the recommendations is provided. There are also tables, appendices and a template for a patient information leaflet at the end of the guidance. 

 

10:35

The Unexpected Happens

 Chris Pollock

Dr Chris G Pollock MBChB FRCA

Consultant in Anaesthesia and Chronic Pain Management

Biography

Exponent of Ketamine Propofol sedation with deep sedation for breast surgery under regional block and BIS monitoring, and conscious sedation for Special Care Dentistry (3000 patients).

Interests include growing eucalypts from seed, and talking to Cannas and Gingers.

Learning Objectives

  • Enhance awareness of what may not go to plan with conscious IV sedation 
  • How to be 'ahead' of potential difficult situations under conscious IV sedation 

Abstract

To follow

 

11:05

Morning Refreshments

11:30

 

Safety and the W.H.O. Checklist

 Fatima Alsayer

Dr Fatimah Alsayer BDS, PGCert Dent sed, MFDS RCS ED, MSc, MSCD RCS Ed, FDS RCS Ed

Consultant, Honorary Clinical Senior Lecturer in Special Care Dentistry. Eastman Dental Hospital, University College London Hospitals

Biography

Fatimah qualified in 2001 from University of Liverpool. She has worked in Hospital and Community Dental Services. Her clinical work focuses on provision of oral health care for adults with complex needs. Her clinical interests include the dental management of patients with complex needs under sedation and general anaesthesia.

She has an integrate role in training and teaching at certificate, diploma, masters and specialist level. She is an examiner for MFDS, Diploma SCD, and the tricollegiate examination in Special Care Dentistry.

Learning Objectives

  • Identify and analyse WHO 5 steps to safer surgery
  • Practical suggestions for safer dental care utilising WHO surgical safety checklist

Abstract

The WHO Surgical safety checklist was introduced in 2008 as part of 'Safe Surgery Saves Lives' campaign. It is an essential tool to avoid irreversible mistakes.

This talk will describe an adapted approach and practical suggestions for safer care involving all team members.

 

12:00

Don't Get Caught
Work from the Patient's Wish List 

 John Besford

 

Biography

John Besford qualified as a dentist in 1964 at Manchester University, having acquired a love for denture prosthetics. After obtaining a PhD in Bacteriology in 1970, he returned to dentistry to teach removable dental prosthetics full-time at The London Hospital Dental School, and in 1987 opened a referral practice in London W1 limited to removable and implant prosthodontics. Dr Besford co-designed the Enigma Denture Teeth and Denture System, which won a Queen’s Award for Enterprise in the Innovation category in 2004, and wrote a book Good Mouthkeeping, A Parent’s Guide to Dental Care (Oxford University Press, 1984). In 2010 The Besford Study Club was set up by some of his postgraduate students keen on removables. It meets twice a year.

John retired from clinical practice in 2012 but continued as a freelance lecturer, here and around the world, until now. This, his last talk ever, is given in honour of the current President of BSDH, Gillian Greenwood, who was his best ever dental student in 30 years of undergraduate teaching. It is dedicated to her as an early Christmas present.

Learning Objectives

  • To enhance awareness of what is important to the patient in the provision of successful removable prosthodontics
  • Practical tops to help ensure success for the patient's point of view

Abstract

Throughout 55 years as a teacher John Besford has been known mainly for his interest in removable prosthodontics. Two inspiring mentors during his undergraduate days in Manchester University Dental School were Professor Ernest Matthews and Tutor Technician Bert Ridehalgh. From them he learnt that it was possible to make dentures look natural enough to deceive even dentists at close quarters. 

John also discovered that the authoritarian role of the clinician, as exhibited by many clinical teachers (“We’re here to tell the patients what they need and the students what to do”) was not the best system for helping people deprived of teeth. A better way was to make the patient the team leader, guiding the plan in a co-production based on the patient’s carefully recorded wish. The dental nurse was second in the pecking order, acting as the patient’s advocate and supporter. Third came the clinician-technician unit, equal partners, acting as technical and executive officers able to give advice and do the practical work. Fourth were the patient’s family/friends to give an opinion on appearance before the prosthesis was completed. 

This approach not only restored patients’ dentitions, it also returned to them some measure of autonomy by rekindling their feelings of attractiveness, self-esteem and self-confidence, which progressive tooth loss had reduced. Recreating their own individual dental appearances (with their agreement) using photographic records also restored their prosthodontic privacy, because a) they looked like themselves again and b) their dentures didn’t look like dentures. 

The creation of a numbered and detailed wish list as a first step, then modifying it with what is achievable before starting, is the best way to make sure that the patient and the rest of the team have the same objectives. It creates a happy atmosphere in the clinic and makes ‘getting caught out’ unlikely.

12:30

Lunch

13:30

From the Cave to the Surgery
How to Combat Everyday Stress

Roger Terry

Roger Terry NLP Master Trainer, Hypnosis Trainer, Chartered Biologist MSB, Director Evolution Training Ltd

Biography

Roger Terry is one of the world’s leading experts on applying NLP (Neuro-Linguistic Programming) to drive excellence both professionally and personally.  Roger leads seminars and consults with companies all over the world, including in the UK, USA, Europe and Middle East. He is the author of several books, including The Hidden Art of InterviewingNLP for Teachers and The NLP Toolkit.

With an enthusiastic and forthright approach, he creates powerful, thought-provoking, fun learning experiences. Roger has an engaging and pragmatic style. His goal is to leave participants with skills and concepts that will help them grow and achieve more with less time and effort.

Learning Objectives

  • Understand the physiology of stress
  • Have ways in the moment of reducing stress reactions
  • Take long term actions to become more resilient

Abstract

Do you ever feel stressed and overwhelmed? Rushing from one thing to another. Going to bed with your TO DO list still buzzing in your head. Never getting any time for yourself. Stress is one of the major factors that cause illness and time off work. By understanding how our stress response operates and the results of that on our brain and nervous system we can begin to gain control of our stress responses.

Understanding how to switch from your sympathetic to your parasympathetic nervous systems can help alleviate stress in the moment. We will explore practical ways to do this easily and in the moment. These ways can create good habits that help over time increase our resilience and lower the day to day stress we experience.

Knowing how to access deeper states of relaxation and regular practice will build greater resilience over time. We will touch on the practice of meditation, mindfulness and hypnosis to illustrate this.

Finally the intent is that walking out of this session you will have a few tools that can be easily practiced that will help you get stress levels under control and build your flexibility and adaptability.

 

 15:00

Afternoon Refreshments

15:20

Transoral Robotic Surgery...the rise of the machines

 Cyrus Kerawala 


Dr. Cyrus Kerawala MBBS (Hons), BDS (Hons), FDSRCS, FRCS Ed, FRCS (Max-Fac)

Consultant Maxillofacial/Head and Neck Surgeon The Royal Marsden, London 

Biography

Cyrus Kerawala graduated with honours degrees in both dentistry (1985) and medicine (1992) from the University of London. During training he was awarded 17 undergraduate prizes. After experience in general surgery and neurosurgery he spent five years of specialist head and neck training in the North East of England. 

After eight years as a Consultant at the Royal Surrey County Hospital and North Hampshire Hospital he moved to join the Head and Neck Unit at the Royal Marsden Hospital. The Unit acts as a secondary and tertiary referral service for complex head and neck oncological problems from both the United Kingdom and abroad.

Cyrus is at the forefront of head and neck cancer surgery and in 2011 carried out the first trans-oral robotic resection of a tumour in the UK. In the same year he was featured in The Times newspaper as one of Britain’s 50 top surgeons. He was the Clinical Lead for the NICE guidelines on upper aerodigestive tract cancer published in February 2016 and is the current President of the British Association of Head and Neck Oncologists.

The author of a book on Maxillofacial Surgery and eleven chapters in other textbooks Cyrus has also authored some 90 peer-reviewed publications. He devotes a significant amount of time to teaching, professional training and continuing medical education, and has presented over 100 papers at national and international meetings, the latter in the USA, Europe, Africa, the Middle East, Asia and Austral

Learning Objectives

  • Awareness of the increasing use of robotics in head and neck surgery
  • Online the areas of development in surgical robotics and its practicalities

Abstract

To follow

 

16:20

Inauguration of BSDH President for 2020

16:25 

Close of Conference

Gill Greenwood

16:30

The BSDH AGM

17:00

Close

BSDH reserve the right to make adjustments to this programme