A Warm Welcome To All The Delegates.
Join the Conference
The Annual Joint Collegiate Scientific Meeting (JCSM) was the initiative of the then-Presidents of the Dental Colleges of Australia, Hong Kong and Singapore in 2014.
The College of Dental Surgeons, Singapore, of the Academy of Medicine, is honoured to be the hosts of the 2nd JCSM come 9th to the 10th of July 2016.
The theme for the meeting, “Modern Dentistry for our Elderly Patients”, is most apt for several reasons. Firstly, all of the 3 colleges are based in places where the aged population is increasing. In Singapore, for example, the elderly population aged 65 and more will triple to 900,000 by the year 2030. Secondly, the dental care for our elderly will involve a holistic approach to treatment whereby all dental specialties will be called upon.
Dr Benjamin Long, Chair of the local organizing committee, and his team, have worked hard to present to us a very creditable programme involving world-renowned speakers. I would like to personally encourage all fellows from the 3 colleges to come join us in Singapore for a weekend of learning as well as an opportunity to meet new friends and renew old ties.
COLLEGE OF DENTAL SURGEONS SINGAPORE
DR. BRYCE LEE
Dear friends and colleagues,
The stage has been set for the burgeoning relations among the College of Dental Surgeons, Singapore (CDSS), the Royal Australasian College of Dental Surgeons (RACDS) and the College of Dental Surgeons of Hong Kong (CDSHK) when the first Joint Collegiate Scientific Meeting was held in 2014 in Hong Kong.
On behalf of the College of Dental Surgeons of Hong Kong, I welcome you all to join in this second joint meeting, hosted by our counterpart, the College of Dental Surgeons, Singapore, in July 9 – 10, 2016 in Singapore.
With the mission of promoting professional advancement and exchanges, top experts in the field have been invited to share their valuable experiences in the 2-day Meeting theming “Modern Dentistry for our Elderly Patients”. It is also a good platform for exchange of views and learning from our counterparts how various dental clinical and professional issues of elderly patients are handled.
I look forward to seeing you all at the Meeting, for which I can assure that you will find it to be most enriching and fruitful. After the meeting, do not miss the diverse range cuisine, scenic places and shopping experience in this beautiful place.
COLLEGE OF DENTAL SURGEONS HONG KONG
DR. CHAN SAI KWING
It a pleasure and an honour to welcome all delegates to the 2nd Joint Collegiate Scientific Meeting in Singapore. As President of the Royal Australasian College of Dental Surgeons, I am especially pleased to convey the support of our Council to this important initiative for dental postgraduate education in the Asia Pacific region.
All three Colleges involved in the meeting have a principle aim to foster the highest standards in evidence-based skill and knowledge in the dental profession. Each College brings a different perspective on the way this aim can be achieved such that the cooperative whole has the potential to support postgraduate dental education in the Asia Pacific region in a way that meets the varied needs and cultural sensitivities in each of our communities. It is these multi-lateral relationships that are imperative if the profession is to keep pace with the multi-national progression of world society.
The theme of the conference is especially pertinent as our population becomes increasingly elderly and the expectation for good health in our latter years keeps rising. I am sure the faculty of world-class speakers will engage and challenge you over the next two days. Please enjoy the intellectual stimulation and social camaraderie that you will experience at this important meeting.
ROYAL AUSTRALASIAN COLLEGE OF DENTAL SURGEONS
DR. DAVID SKYES
``MODERN DENTISTRY FOR OUR ELDERLY PATIENTS``
A Warm Welcome to All the Delegates of The 2nd Joint Collegiate Scientific Meeting.
Prof Finbarr Allen | Minimally Invasive Dentistry for Older Adults
The population is aging, and the proportion of people over 65 years is dramatically increasing across the globe. Older people are disproportionally affected by oral disease, with a high prevalence of dental caries in particular. There is a major treatment burden for older adults, much of which involves management of failing restorations and secondary caries. Root caries is also a growing problem, and complicated by pharmacologically induced xerostomia. Finally, toothwear management in older adults is complicated by loss of teeth and unstable occlusal contacts. Oral healthcare of older patients is characterised by an intervention or surgically based approach, which is costly and beyond the financial resources of many older patients. There is also growing evidence of changing demand, and greater desire for treatment aimed at conserving teeth into old age. Traditional approaches to caries management, i.e., the “drill and fill” approach, are now being replaced with a “heal and seal” treatment concept. Is this the way forward for conservative caries management in older adults? In this presentation, I will present information on trends in disease profile in older adults. I will also discuss the concept of minimally invasive dentistry, and alternative means of managing caries which are underpinned by our current understanding of the caries process. I will also present cases with toothwear which have been managed with adhesive techniques and how to get successful and acceptable outcomes with conservative management of this problem.
Prof Finbarr Allen | Managing Toothloss in Older Adults
The possibilities for managing toothloss have been greatly enhanced by the addition of dental implants to our treatment options, and computer aided design and manufactured restorations. So, are traditional techniques such as complete replacement dentures and removable partial dentures soon to be a thing of the past? Is there a new paradigm for restorative dentistry, or, a re-engineering and application of traditional principles? In this presentation, I will discuss how treatment planning in prosthodontics needs to be tailored to a patients wishes and their ability to undertake maintenance procedures for the planned prosthesis. I hope to convince you that age is not the most important determinant in treatment choice. I will also discuss the importance of case selection when planning prosthodontic interventions, and the need to apply sound treatment planning principles to have a predictable outcome when manging toothloss. It seems logical to choose cases well, but often this does not happen and results in treatment failure. I will discuss a range of treatment techniques with examples of good and bad outcomes. This will include reasons for failure with removable and fixed partial dentures, and, implant retained restorations in older adults. I will present patients treated using the shortened dental arch concept and how functionally orientated treatment planning may provide a predictable solution for partially dentate patients. Patient perceptions of treatment outcomes are now crucial in a patient centric health system, and I will use some examples of evaluation from clinical trials to illustrate that no “one size fits all” treatment is suitable. I will end the presentation with a section on the critical importance of maintenance regimes.
Dr Simon Wylie | Treatment Planning the Mature Mouth
In this lecture I want to share some principles of treatment planning and communication that have been successful for me in Prosthodontic practice. I will then identify issues that are age related and perhaps of more importance in the mature mouth. I will facilitate this lecture with case based analyses that will work towards the principles discussed earlier. I will conclude this lecture emphasising the strategies for a successful maintenance program in the elderly mouth.
End of Day 1
Dr Frankie So | Modern Dentistry for our Elderly Patients
Dentistry for elderly patients is usually perceived as practices requiring ‘special’ skills in diagnosis (by distinguishing normal age-related changes and pathological changes) and management (treating patients with complicating medical conditions and medications, and patients with cognitive impairments exhibiting care resistance). This presentation will use social and epidemiological data from Hong Kong to illustrate the anticipated changes in demography and dental demands, and to discuss how general dental practitioners may contribute to the oral health of the current and future cohorts of elderly population with the help of modern dentistry.
Tea Break (1)
Dr Simon Wylie | Resurrecting the Rehabilitation
This lecture will highlight the fact that in the aged population we are often rehabilitating a previous rehabilitation that is failing or very tired. This means teeth have often experienced extensive tooth loss and the toll of time with past restorative work. It is often overwhelming for both the practitioner and the patient to sort through the multitude of old restorations to see an outcome for the patient. This lecture will emphasise practical process in order to preserve teeth where possible.
Dr Winston Tan | Antithrombotics and Dentistry – the Clot Thickens
Tea Break (2)
Dr Simon Wylie | Implants in the Elderly
Following on from the treatment planning for the preservation of teeth I will look at the implications of replacement of teeth rather than conventional repair. I will address both partially dentate and fully edentulous mouths and I will look at the use of implants to facilitate a good functional result. The elderly mouth does provide some different challenges for the clinician however we will indicate many of the advantages of using implants in the elderly mouth.
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Overlooking the historic Singapore River, Grand Copthorne Waterfront Hotel Singapore is a premier conference hotel and destination. Close by you'll find the waterfront precincts of Robertson Quay, Clarke Quay, and Boat Quay with their lively dining and entertainment venues.