
The 60th IADS & YDW
World Annual Dental Congress 2013


Special congress session in wich the speakers will speak about topics of common interest for Medical and dental Students
Prof. Loreto Gesualdo - Università degli Studi di Bari
Title: Role of microbioma in renal damage
Abstract:
Recent insight suggests that the intestinal microbial flora could play an important role in obesity and its related diseases. The human intestine harbors an enormously complex, diverse, and vast microbial community, referred to as gut microflora or microbiota.
Mucosal IgA production occurs in the Peyer’s patches (PPs), mesenteric lymph nodes (MLNs), and isolated lymphoid follicles (ILF). These are the major inductive sites for IgA production and the balance of various factors in the mucosal microenvironment plays an important role in regulating the synthesis of IgA. In IgAN patients polymeric IgA-containing immune complexes are deposited in the kidney glomeruli, triggering renal injury.
Along structural IgA abnormalities, hyperproduction of IgA is thought to play a role in the pathogenesis of primary IgA nephropathy. Mucosal IgA production occurs in PPs, MLNs, and ILF and these are the major inductive sites for IgA production and the balance of various factors in the mucosal microenvironment plays an important role in regulating the synthesis of IgA.
Quantitative and/or qualitative changes in salivary and fecal microbiota and metaboloma may be involved in the pathogenesis of IgAN. Evidences will be reported.




Prof. Giorgio Mori - Università di Foggia
Title: Osteogenic differentiation of dental stem cells: a source for dentin and bone regeneration
Abstract:
Scientists have recently focused their attention on adult stem cells as new and more effectivetreatments for different diseases and disabilities. In fact, it is known that stem cells are capable ofrenewing themselves and that they can generate multiple cell types. Today, there is new evidencethat stem cells are present in far more tissues and organs than once thought, and that these cells arecapable of developing into more kinds of differentiated cells than previously imagined. The tooth is a suitable source of adult stem cells. In 2000 The National Institute of Health (NIH) declared the discovery of stem cells in impacted third molars and in deciduous teeth.Dental stem cells can be obtained from dental pulp of permanent and deciduous teeth, periodontalligament, apical papilla and dental bud, they are easily accessible after extraction and do not require an invasive surgical approach;thesecells physiologically provide dentinregeneration, and opportunely cultured on viable scaffolds could be used for thereplacement of bone, cartilage and likely other tissues. Dental stem cell bankingisnow a reality based on the firm belief thatusing autologous cells and tissues is the most promising therapeutic strategy for treating challenging diseases and injuriesthat would occur throughout life.
Prof. Giuseppe Colella - Seconda Università di Napoli
Title: Oral cancer and dentists: Knowledge, attitudes, and practices
Abstract: Improving the level of knowledge and the application of preventive measures by the population of dentists becomes a very important public health and preventive strategy for the reduction of the burden of the disease. Because such improvement can be gradually achieved, increased awareness on the importance of the role of health care professionals as communicators of public health messages should be emphasized so that appropriate and systematic educational strategies can be implemented quickly.
Prof. Gaetano Serviddio - Università di Foggia
Title: Dental management of liver disease patients
Abstract: Liver disorders have many implications for a patient receiving dental care.Dental treatment for a patient with liver disease requires thoroughmedical and dental histories with a focus on assessing the patient’scurrent degree of hepatic functional impairment. The dentist also should recognize both the main complications of cirrhosis and their treatment. Furthermore, an accurate dental care during pre-transplant evaluation is critical, identifying potential sources of infection in the drug-induced immunosuppression phase of liver transplantation. Consequently, consultation with the patient’s physician is crucial to the good management of the dental patient with liver disease
IADS World Annual Dental Congress
Medical & Dental Session
2th of September 2013
Prof. Cristoforo Pomara
Department of Anatomy, University of Malta
*Department of Forensic Medicine, University of Foggia
Pomara C.° *§, MagliettaF.* and Schembri-Wismayer P.°
Title: The Value of Autopsy in the teaching of anatomy for dental and medical student: from the forensic autopsy to the anatomical dissection.
Abstract:
Autopsy has always been considered extremely helpful in determining the exact cause of death as well as the gold standard for evaluating the accuracy of clinical diagnosis. With recent advances in diagnostic imaging, the value of the autopsy has been called into question.
The term ‘autopsy’ literally means to ‘see for oneself’. An autopsy includes a detailed external examination with the dissection of organs from the different body cavities – cranial, thoracic, abdominal and pelvic. Ayoub and Chow wrote on Journal of the Royal Society of Medicine in 2008 that “The goal of autopsy is not to point out to clinicians their mistakes or judge them but rather to inform clinicians so they learn from their own mistakes.”
We strongly believe that the study of the whole cadaver as well as anatomicalprosection impacts dental and medical education, research, medical quality control, and public health.
We agree with Dwards who wrote in the Lancet in 1970 that “As physicians, we should accept the principle that new procedures should not be exclusive of older methods. Rather, the new and the old represent a proper union for continued progress in medicine. If we accept these principles, we shall be true to the rich heritage which has been given to us by the pioneers of modem medicine.”
This principle should be accepted as an axiom even for the modern way of teaching anatomy in our schools of dentistry and medicine. Modern techniques like Thiel embalming can help make cadaveric dissection more like live autopsy whilst plastination can help preserve the natural variation seen in cadaveric anatomy and pathology for posterity.

Prof. Maria Pia Foschino Barbaro - Dr. Donato Lacedonia
Università di Foggia
Title: Obstructive Sleep Apnea – The interest in Dentistry
Abstract:
Obstructive sleep apnea (OSA) is a disorder in which recurrent closure of the upper airways occurs during sleep. Patients habits correction and the treatment of hypothyroidism, if present, may help to resolve this condition,
otherwise other treatements may be tried: nasal continuous positive pressure (nCPAP), surgical treatment, or the application of oral appliances.

Prof. Michele Mignogna - Università di Napoli Federico II
Title: 5 minutes to save a life
Abstract: Oral cancer is a considerable public health problem but still not adequately recognized. Worldwide, oral cancer is estimated to be the ninth most common cancer with approximately 270000 new cases in men and 120000 cases in women annually (IARC-WHO, 2000). The most effective way of preventing oral cancer is to manage life style risk but for those affected by the disease earlier detection by screening will improve chances of survival, save people from premature death and suffering. So, it is important to screen patients in order to detect malignant changes early. Previously, the screening of patients for oral cancer and precancerous lesions has relied mainly on conventional oral examination. Nowadays, many newer techniques are available to potentially assist in the screening of healthy patients for evidence of oral cancer. However, the natural history of the disease remains largely unknown and effective interventions to prevent malignant transformation have not been adequately researched. For these reasons national oral cancer screening policies have not been drawn and some experts recommended that opportunistic screening by all health professionals should be encouraged.

Prof. Vito Crincoli - Università degli Studi di Bari
Title: Temporomandibular disorders associated with malocclusion in young and adult population
Abstract: The pathogenesis of temporomandibular joint (TMJ) diseases is multifactorial and the occlusion plays an important role. Open and deep bite can influence the condyle/disk position in the glenoid fossa and the electromyographic activity during mastication . Moreovever the cross bite can cause reverse chewing cycles.
In children functional appliances are able to correct the dental malocclusion and the masticatory function.
In adulthood the orthodontic treatment consider the repositioning of teeth within the dental arches but its effects on function are sometimes limited, especially when the malocclusion involves the muscular and skeletal structures. Hence the need to adopt a gnathological therapy,often symptomatic and not conclusive.
