With the rapid progress of science and technology, intelligent technology is profoundly changing the face of stomatology, from basic research to clinical application, from disease prevention to treatment and rehabilitation, from accurate diagnosis to personalized treatment, from telemedicine to intelligent decision-making, intelligent technology has shown great potential and broad prospects.
To this end, the Chinese Stomatological Association has determined the theme of the 2024-2026 National Stomatology Academic Conference as "Healthy Mouth, Intelligent Pilot", which not only conforms to the current development trend in the field of stomatology, but also points out the future direction.
Focusing on the new theme, from September 3 to 6, 2024, the 26th National Stomatology Academic Conference of the Chinese Stomatological Association invited well-known experts and scholars in the field of stomatology at home and abroad to organically integrate the latest progress of intelligent technology in the field of stomatology into the academic content of the annual meeting.
Let's review the highlights of the academic venue of this annual meeting.
On the morning of September 4th, the "FDI-CSA Symposium on Stomatology - Digital Implantology" was held by Dr. Murphy, Head of Continuing Education, Asia Pacific, FDI. Simon Kam Yuen HO and Professor Li Dehua from the Stomatological Hospital of the Air Force Military Medical University co-chaired the meeting, which brought together Chinese and foreign dental industry pioneers to discuss the development of digitalization in the dental industry yesterday, today and tomorrow.
Dr. Tan Sock Hooi introduced the cutting-edge technology and latest trends of digital implantology. Digitally guided implant surgery has many advantages, on the one hand, it can achieve the purpose of minimally invasive, and on the other hand, it is very beneficial for patients with systemic diseases, the elderly, and people who are afraid of invasive surgery. At the same time, the accuracy of digitally guided implant surgery is also limited by some factors, which is also a difficulty that we need to overcome in the future.Prof. LEE Sung Bok shared her research on how full-mouth All-on-X fixed implant dentures can achieve immediate functional restoration. The main advantage of immediate implant restoration is that it reduces the need for transitional dentures, which are not so convenient for patients; In addition, immediate implants can also provide space and time for soft tissue healing, which can help restore the preoperative soft tissue structure.Dr. Tan Fook Seng Dental Clinic from Hong Kong, China Brian Fuk-Shing Chan gave a detailed introduction to the complete digital workflow of All-on-X, showing the latest digital design process for full arch implant treatment by showing the treatment process of several cases, such as recording the exact implant position, scanning the implant site marker in the mouth, and temporarily customizing the bite pad, etc., which made us feel confident in the development of the digital workflow. (CMT Orange Orange)Accidents and Reflections in Root Development
On the afternoon of September 4th, the special discussion on endodontics was planned and presided over by Professor Yue Lin, vice president and secretary general of the Chinese Stomatological Association, with the theme of "tracing the roots, understanding the micro and the micro", focusing on "the accidents in the development of the root bring clinical cognition and new challenges", and invited more than 20 multidisciplinary authoritative experts in oral histopathology, pediatric stomatology, periodontology, orthodontics, endodontics and other closely related multidisciplinary authoritative experts, focusing on three key issues: 1. Confusion of apical localization in root development, 2. Excessive proliferation of the epithelial root sheath in root development (root inversion problem), 3. Insufficient proliferation of epithelial root sheath in root development (C-shaped root canal and bovine dental problems), a review report and review summary were carried out.
After listening to the evidence-based sharing and analysis discussions of experts, most of the doctors in the audience agreed with the following three views:1. The position of the root apex is not fixed during root development; 2. The deformed root groove belongs to the root inversion; 3. The pathogenesis between C-shaped root canals and bovine tooth disease may be involved. (CMT Jiajing)
On the afternoon of September 4, Professor Guo Chuanyao, President of the Chinese Stomatological Association, delivered a speech, and was co-chaired by Huang Yulei, Deputy Chief Physician of the Affiliated Hospital of Stomatology of Sun Yat-sen University, and Tao Jiang, Chief Physician of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.
At the meeting, Professor Yu Dongsheng from the Affiliated Stomatological Hospital of Sun Yat-sen University shared a new understanding of oral pain, saying that more than 50% of oral emergency patients are because of pain, and in severe cases, it even affects daily life, among which iatrogenic pain has attracted much attention. Oral treatment of advanced analgesia can prevent the transmission and conduction of peripheral injury impulses to the center and avoid pain sensitization, and peripheral opioids (such as ibuprofen, nimesulide, etotrixib, etc.) can be used for advanced analgesia. Dentists' understanding of pain needs to be further updated, and pain control in the whole diagnosis and treatment cycle deserves our attention.
Associate Professor Fang Ming of the Stomatological Hospital of the Air Force Military Medical University gave a wonderful speech on the new theory and method of dental bonding. The development of oral bonding technology is comprehensively analyzed from five directions: theoretical update, material iteration, technological progress, consensus establishment and future direction. Acid etching-rinsing mode is the best bonding strategy for tooth enamel bonding, which requires independent acid etching and rinsing steps to completely remove the stain layer and has more than 20 years of long-term clinical follow-up. The disadvantage is that phosphoric acid is used for dentin acid etching too strongly, resulting in excessive collagen exposure, requiring resin to penetrate deep into the demineralization area, and the area with insufficient penetration is prone to leakage and enzymatic hydrolysis, and only secondary chemical bonds can be formed during the bonding process. For self-etching bonding, it is more suitable for dentin bonding, does not require independent acid etching steps, and belongs to partial demineralization, less collagen exposure, reduced enzymatic hydrolysis risk, because acid etching and resin penetration are synchronized, so there is less infiltration, and self-etching is to dissolve the modified stain layer, rather than remove the stain layer, so dentin is less sensitive; The disadvantage is that the functional monomer is sensitive to hydrolysis, and it is recommended to use it with selective acid etching of tooth enamel, and the long-term clinical research of the self-etching system in a single bottle is limited. (CMT Kaede)
In this seminar, the chairman of the Orthodontic Committee of the Chinese Stomatological Association and Professor Fang Bing of the Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine looked at periodontal problems from the perspective of orthodontists, if orthodontic treatment has a positive impact on periodontal health, then it is worth carrying out, periodontal orthodontics and maintenance should follow the choice of lifelong maintenance, and to do a good job in doctor-patient communication, physicians should consider the cost performance of tooth extraction restoration and orthodontic treatment for patients.
Professor Pan Yaping from the Stomatological Hospital of China Medical University raised a question: Is there an optimal orthodontic time for periodontal-orthodontic combined treatment? Patients with reduced periodontal tissue but stable periodontal status receive orthodontic tooth movement with no additional or minimal loss of attachment. However, the optimal time interval between orthodontic and periodontal treatment is unknown. After reviewing a lot of literature, it has been found that early orthodontic tooth movement has a "stimulating" effect on regenerative results, and orthodontic treatment can be started much earlier (immediately up to 3 months after regenerative surgery). Orthodontic tooth movement at 3 months after regenerative surgery treatment does not appear to have a negative impact on treatment outcomes, greatly reducing the overall treatment time for patients.
Associate Professor Ding Peihui from the Hospital of Stomatology Affiliated to Zhejiang University School of Medicine shared the "Clinical Minutes of the 2024 EFP Periodontal Orthodontic Combined Therapy Master Conference" at the meeting, with a total of 8 topics, and experts and scholars from Switzerland, Japan and several countries at home and abroad expressed their views and research on orthodontic and periodontal combined treatment.
Dr. Xiaoxiao Dong, Chief Physician of Beijing United Family Hospital and Clinic, and Attending Physician Cheng Zhang shared their new ideas on periodontal orthodontic treatment for periodontitis patients, starting from the questions of "why periodontitis patients are also an important group of adult orthodontics", "can patients with severe periodontitis undergo orthodontics", "how to perform orthodontic treatment for periodontal patients", "characteristics of orthodontic appliances for periodontal patients", and "long-term prognosis". Won unanimous praise from everyone. (CMT Orange Orange)
Orthodontics & Facial Aesthetics
On September 4th, a full-day "Lecture on Facial Aesthetics and Orthodontics for Young and Middle-aged Citizens" was held, which was jointly sponsored by the Orthodontic Committee and the Oral Aesthetics Committee of the Chinese Stomatological Association, and Professor Fang Bing, Chairman of the Orthodontic Committee, and Professor Chen Jiang, Chairman of the Oral Aesthetics Committee, gave special speeches. Eight young and middle-aged experts presented 8 difficult and effective cases, including orthodontic-implant combined aesthetic treatment for congenital loss of anterior teeth, changes in the aesthetic characteristics of soft and hard groups in early orthodontic treatment of type II orthodontic in the growth period, aesthetic considerations of invisible orthodontic treatment in orthodontic-orthognathic combined treatment, long-term aesthetic effect of orthodontic-periodontal-prosthetic combined treatment, invisible orthodontic treatment of class II mandibular recession, aesthetic treatment of bony class II patients, and the aesthetic impact of upper lip morphology and age-increasing changes on orthodontic tooth extraction in adult women. It was commented by more than 10 experts, which stimulated the development potential of young and middle-aged talents and provided solutions to many complex problems in facial aesthetics management. (CMT Jiajing)Cleft lip and palate and maxillofacial deformities
In the "Symposium on New Advances in the Diagnosis and Treatment of Cleft Lip and Palate, Cleft Lip and Palate, Cleft Dental Cleft and Dentofacial Deformity" held all day on September 5, 16 young and middle-aged experts from the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences and many stomatological hospitals across the country gave lectures on four topics, sharing the latest research results and clinical experience on the timing of alveolar fissure repair, alveolar fissure repair methods, orthodontic-orthognathic-surgical collaboration, and evaluation methods for alveolar fissure repair, including bone grafting surgery, autologous bone grafting, mental cortical bone grafting, The new concepts and technologies in nasolabial morphological repair and many other aspects provide new perspectives and strategies for the diagnosis and treatment of such diseases, and also bring more hope and choices for patients. (CMT Jiajing)Oral clinical standard medication
In the seminar on clinical standardized medication in dental clinics, Du Hongming, deputy chief physician of the Affiliated Hospital of Stomatology of Nanjing Medical University, explained the selection and use of oral local anesthetic drugs, commonly used anti-infective drugs and analgesic drugs. For local anesthetic drugs, the following points need to be noted: 1. Local anesthetic operation and application of local anesthetic drugs should be carried out under the condition of sufficient first-aid facilities; 2. The patient's allergy history, disease history and previous medication history should be inquired in detail before taking the drug, and the appropriate local anesthetic should be selected to reduce the patient's anxiety and fear, and the patient should accept and cooperate with anesthesia with the informed consent of the patient; 3. Clinicians should be familiar with the pharmacological effects, clinical dosage, adverse reactions and prevention and treatment measures of the local anesthetic used; 4. The treatment of toxic reactions should be based on prevention, grasp the drug concentration and the maximum allowable dose at one time, and adopt the method of divided small dose injection (it is necessary to pay attention to the speed of anesthetic bolus, and there is no blood in the withdrawal); 5. Individual differences should be paid attention to during the medication, such as elderly patients with organ degeneration, children, pregnant women, liver and kidney insufficiency and other patients should be appropriately reduced, and the minimum dose and minimum effective concentration should be used under the premise of ensuring the effect of local anesthesia; 6. During and after the operation, the patient's vital signs should be paid close attention to, and effective prevention and control measures should be taken in case of adverse occurrences, and rescue should be organized immediately for the critically ill; 7. Accurately grasp the dosage and maximum amount of local anesthetic, and grasp the timing of administration in time, in order to achieve maximum comfortable medical treatment. (CMT Kaede)
High-quality development of private dentistry
In the seminar on the high-quality development and management of private dentistry, He Zhou, former chairman of the Stomatological Private Medical Branch of the Chinese Stomatological Association and president of Beijing Huajing Dental Department, shared that the growth in the era of low profits, opportunities that are not easy to find and mistakes that are easy to ignore are the two key elements related to the survival of the clinic. The decomposition of details, the fine management of routine medical care, and the continuous pursuit of quality and efficiency are the development opportunities of dental private clinics, and supplementation, collaboration and differentiation should be the positioning of current dental private clinics. The triadistic concept of medical technology in private clinics includes three attributes: treatment, service and operation. Everything is visualized, the patient side is conducive to experience and communication, and the doctor side can realize diagnosis and communication.
Chen Xuefeng, chairman-elect of the Private Dental Branch of the Chinese Stomatological Association and president of Huai'an Yuehong Dental Clinic, shared his thoughts and prospects on the high-quality development of private dentistry. Among them, it emphasizes the importance of improving the experience of medical treatment and enhancing the patient experience for private oral healthcare. (CMT Kaede)
Weibo hot case report
On the morning of September 5th, Professor Yue Lin from Peking University Hospital of Stomatology, Professor Chen Qianming from the Hospital of Stomatology of Zhejiang University School of Medicine, Professor Xu Tianmin from Peking University Hospital of Stomatology, Professor Chen Yaming from the Hospital of Stomatology to Nanjing Medical University, Professor Hou Benxiang from Beijing Hospital of Stomatology affiliated to Capital Medical University, Chief Physician Si Yan from Peking University Hospital of Stomatology and many young physicians participated in the display report and comments of Weibo hot cases. The innovations and challenges of oral medical devices in clinical applications are discussed. By combining the "microblog hotspots" with academic seminars, it can not only promote active exchanges within the academic community, but also disseminate and promote meaningful academic achievements more widely, enhance academic transparency, train young physicians, and promote interdisciplinary integration, which reflects an excellent innovative and exemplary role. (CMT Jiajing)
Practical training and skills drills
This year's exhibition site also set up a special technical practical training and skill drill on direct and indirect bonding restoration of posterior teeth, immediate implantation in the esthetic area of anterior teeth and aesthetic restoration of soft tissue of anterior tooth implants. (CMT Jiajing)
The annual National Stomatology Academic Conference and CDS Exhibition are major events in the industry, which is not only a platform for academic exchanges, but also a garden for common development between stomatology-related enterprises and dental clinicians. Healthy Oral Health, Intelligent Pilot, I hope to continue to see the deep integration and innovative development of stomatology and intelligent technology, and work together to create a better future for oral health!
