Keynote Speakers

EOS 2018 - Speaker - Giulio Alessandri-Bonetti

Giulio Alessandri-Bonetti

Italy


Professor Giulio Alessandri-Bonetti graduated in Medical Sciences (MD) followed by a postgraduate degree in Dental Sciences (DDS) at the University of Bologna, Italy. He received his postgraduate training in orthodontics at the University of Ferrara, Italy. He became Assistant Professor at the University of Bologna in 2005. Since 2015 he has been Associate Professor and Chairman of the Department of Orthodontics and Dean of the School of Dental Hygiene.

He has authored or co-authored more than 120 research papers and book-chapters. In 2012 received the David L. Turpin Award for Evidence-Based Research from the American Journal of Orthodontics and Dentofacial Orthopedics. He is currently a member of the Italian Society of Orthodontics, the European Orthodontic Society, the American Association of Orthodontists and the International College of Dentistry.

 

Oral appliances for obstructive sleep apnoea: an evidence-based analysis. 

This lecture will focus on the management of obstructive sleep apnoea (OSA) with mandibular advancement devices (MADs). MADs are removable orthodontic devices which protrude the mandible and increase the upper airway patency during sleep thereby diminishing the upper airway collapsibility and elevating upper airway muscle tone. They are increasingly used to treat mild to moderate OSA and those patients with severe OSA who prefer to avoid, or are not appropriate candidates, for continuous positive airway pressure therapy or surgery. This presentation will explore the current status of research in the field.

The following topics will be discussed: cephalometric predictors of treatment outcome, effectiveness of different mandibular advancement amounts, dentoskeletalchanges after long-term and continuous MAD wear.

EOS 2018 - Speaker - Mauro Farella

Mauro Farella

New Zealand


Mauro Farella is Professor and Chair of Orthodontics at the University of Otago, New Zealand, where he also serves as Associate Dean of Postgraduate Studies, Director of the Postgraduate Programme in Orthodontics, and Director of the Research Programme in Craniofacial Biology and Clinical Oral Physiology. He holds a DDS Degree (University of Naples, 1993), a PhD in Oral Sciences (University of Reggio Calabria, 1999), a Specialist Degree in Orthodontics (University of Naples, 2002), a Specialist Degree in Medical Statistics (University of Milan, 2007), and the "Venia Legendi" in Switzerland (University of Zürich, 2009). He is also a Certified Member of the European Board of Orthodontists .

His current research interests include craniofacial growth, clinical research, and biomechanics in orthodontics. Professor Farella is a widely recognized expert in jaw function, bruxism, and temporomandibular joint research. He has published more than 120 original articles in peer-reviewed international journals. He has served on the Editorial Board of the Journal of Dental Research, and is currently serving in that capacity on the Journal of Oral Rehabilitation. He lectures worldwide and is an active member of many associations. He is the recipient of several national and international research prizes acknowledging excellence achieved in dental research; these include the Alan Docking Award from the International Association for Dental Research and the Sir John Walsh Award.

 

Snapshots of orthodontic gnathology: the facts from the fiction

Orthodontic treatment often follows gnathologic principles to achieve an ‘optimal’ or ‘ideal’ occlusion and jaw relationship. Often these concepts are related to function/dysfunction of the masticatory system and are considered as an indication for orthodontic treatment. However, they are not substantiated by reliable scientific evidence. This is the case also for several claims such as that a good occlusion is important for biting, chewing, speaking, swallowing, and breathing, and that occlusal anomalies in the form of crossbites or a Class II jaw relationship can be risk factors for temporomandibular disorders and/or sleep disordered breathing.

This lecture will review gnathologic aspects of orthodontics in an attempt to distinguish fact from fiction around the relationship between occlusal anomalies and jaw function or dysfunction and will endeavour to answer the following questions. What is a good occlusion? Is a good occlusion important for correct jaw function? Are the classic gnathologic principles still relevant to modern orthodontics? What are the red flags to consider before, during or after orthodontic treatment?

The lecture will also address the emerging evidence indicating that the risk of non-adaption to occlusal changes depends more upon neurocognitive aspects than the type or severity of occlusal anomaly.

 

EOS 2018 - Speaker - Piotr Fudalej

Piotr Fudalej

Switzerland


Professor Piotr Fudalej studied dentistry at Warsaw Medical University and biology at the University of Warsaw. He completed a postgraduate orthodontic programme at the University of Washington, Seattle, USA. He has a PhD degree from Radboud University Medical Center, Nijmegen, Netherlands. Currently, he is affiliated with Palacky University Olomouc, Czech Republic and the University of Bern, Switzerland. His main research areas are: effects of orthodontic treatment on periodontal health and cleft lip and palate. Both research lines have been in collaboration with Radboud University Medical Center, Nijmegen. He received the 2010 Samuel Berkowitz Long-Term Outcomes Study Award for the best long-term outcomes study published in 2009 in the Cleft Palate-Craniofacial Journal. He has published more than 80 scientific papers in peer-reviewed journals.

 

Biotype and the development of gingival recession in orthodontic patients.

A correct diagnosis of the biotype is considered important with respect to decision making in clinical dentistry. For instance, the outcomes of periodontal therapy, conventional prosthodontics, implant therapy and root coverage procedures are regarded as related to gingival biotype. Also in orthodontics, the assessment of gingival biotype might be important – several recent systematic reviews of the development of gingival recession in orthodontic patients implied that the biotype could play a role in its development.
 
In the lecture, the relationship between gingival (or, more generally, periodontal) biotype and periodontal status during orthodontic treatment and after orthodontic therapy will be discussed.
EOS 2018 - Speaker - Mithran Goonewardene

Mithran Goonewardene

Australia


 

Dr Mithan Goonewardene, B.D.Sc. Cert. Orth. (Harv and Forsyth) M. Med.Sc (Harv), FADI, FICD. completed his dental degree at The University of Western Australia in 1981 and his orthodontic training at the Forsyth Dental Centre/Harvard School of Dental Medicine in 1987. He joined the Orthodontic Department of The University of Western Australia in 1987 and is currently Head of Orthodontics. He is also visiting Consultant Orthodontist at the Dental Institute, Colombo, Sri Lanka.
 
He is an active member of the North Atlantic Component of the Edward H. Angle Society of Orthodontists and a member of the Australian Dental Association, the Australian Society of Orthodontists, the American Association of Orthodontists, the Australasian Edgewise Orthodontic Study Group and the Sri Lankan Orthodontic Society. He serves on the editorial boards of the Australian Orthodontic Journal, the Australian Dental Journal and the Saudi Orthodontic Journal and is a reviewer for a number of other peer reviewed journals.

 

Can Orthodontics Be Accelerated?

Contemporary orthodontic practice appears to be influenced by many technique related factors such as the type of appliance, adjunctive surgical procedures and technological processes. Increasing the speed of the treatment process has received significant attention, yet the fundamental decision processes in planning treatment that is customised for that specific patient, rather than a universal application of a technological process, has not been well investigated. The key decision making processes to achieve success from the clinician and patient perspective will be discussed. The selective use of efficient mechanics, surgical interventions and temporary anchors will be explored and demonstrated, with a discussion of the evidence to support/refute the purported mechanisms to enhance the overall speed of orthodontic treatment.

 

 

EOS 2018 - Speaker - Anthony Ireland

Anthony Ireland

UK


Tony Ireland is Professor of Orthodontics at the University of Bristol, UK and Consultant Orthodontist at the Royal United Hospitals, Bath, where he is clinical lead. He also works in private practice. He is currently the training programme director for the DDS/M.Orth programme at the University of Bristol and has previously been Director of the British Orthodontic Society Foundation and Chairman of the Consultant Orthodontists’ Group of the British Orthodontic Society.
 
His main research interests include biomaterials of relevance to orthodontics and also clinical trials. He has over 140 publications in peer reviewed journals, has contributed to four book chapters and has published two textbooks on orthodontics.

 

The Index of Orthognathic Functional Treatment Need

In recent years, within the United Kingdom (UK) National Health Service (NHS) , there has been a drive to reduce costs; not only to reduce overall spending, but also to divert money and resources away from what are deemed 'low priority' treatments. However, within different areas of the UK there has been no universal acceptance of what is deemed 'low priority'. What is considered low priority in one area might automatically receive funding in another, leading to the potential for a postcode lottery of health. This was certainly the case with orthognathic commissioning, with some commissioning areas deciding to withhold funding, whilst others were prepared to continue funding treatment for functional reasons, provided patients were also categorised as Index of Orthodontic Treatment Need (IOTN) 4 or 5. However, IOTN has limitations as a measure of functional and health need in orthognathic treatment provision, such that some severe dentofacial deformities and malocclusions would not be eligible for NHS funding. In order to overcome these limitations the Index of Orthognathic Functional Treatment Need (IOFTN) was developed. This lecture will chart the development of the IOFTN from its inception to its current use.

EOS 2018 - Speaker - Greg Huang

Greg Huang

USA


Dr Greg Huang received his dental degree from the University of Florida (1987), and then earned a Certificate in Orthodontics and an MSD from the University of Washington (1989). After 10 years of private practice, he decided to pursue an academic career and accepted a faculty position at the University of Washington where, concurrently, he also enrolled in the MPH program in epidemiology. On

completion of his MPH in 2001, he began his career as a clinical scientist, and has been involved with many studies, from retrospective investigations to randomized trials. He is a well-known advocate of evidence-based orthodontics, lecturing nationally and internationally on this topic. In 2008, he was named Chair of the Department of Orthodontics at the University of Washington.

Dr Huang is a Diplomate of the American Board of Orthodontics, as well as an Angle Society member. He has published more than 70 articles, and is the co-editor of two orthodontic textbooks: Evidence-based Orthodontics (2011) and

Orthodontics: Current Principles and Techniques, 6th edition (2016). He serves on the Editorial Boards of Orthodontics and Craniofacial Research and Journal of Orthodontics. He has also served as an Associate Editor for the American Journal of Orthodontics and Dentofacial Orthopedics.


Evidence Based Orthodontics

Evidence-based methods have matured greatly over the past two decades, and the practice of orthodontics has benefited from the multitude of systematic reviews and meta-analyses that have been conducted. In this lecture, the 'evidence' in the context of vibration as an adjunct for faster tooth movement will be discussed. Several devices are commercially available, and many orthodontists are recommending vibration to their patients.

The existing evidence will be identified and assessed indicating the relative strength of studies based upon their design and conduct. The evidence will then be summarised and some recommendations provided for clinical practice. This lecture is intended to provide a real example of how evidence can be used by practitioners in their everyday interactions with patients - the ultimate goal of evidence-based orthodontics.

EOS 2018 - Speaker - John Morton

John Morton

USA


John Morton has over 25 years of experience in orthodontic biomechanics. Throughout his career, he has worked to improve orthodontic treatment by advancing the understanding and application of biomechanical principles. He has previously held positions as Director of Research in the Department of Orthodontics at the University of Connecticut and as a consultant for the NIH, universities, and private industry. With funding from the NIH, he founded OrthoMeasurements, Inc., a company dedicated to designing and manufacturing orthodontic force and moment measuring instruments for intraoral use.

 
John Morton is currently Senior Technical Fellow, Product Innovation at Align Technology, and is focused on improving orthodontic treatment using aligner appliances through the application of biomechanical principles.
 
 

The authors of the following abstract have indicated a financial interest.

 

Control of Treatment with the Invisalign System

In today’s world, patients are hesitant to begin treatment if it is lengthy. In this presentation, the innovations of the Invisalign System that have improved control of tooth movement and enabled shorter treatment times are described. SmartForce features, SmartTrack material, and SmartStage technology are explained. Together these improvements allow treatment of both adults and adolescents in the shortest time possible. Clinical examples and the strengths of treating younger patients with the Invisalign System will be presented.
EOS 2018 - Speaker - Manuel Roman

Manuel Roman

Spain


Dr Manuel Roman received his Bachelor´s Degree in Dentistry from the European University in Madrid and his Master of Orthodontics and Dentofacial Orthopedics from the University of Southern Mississippi, Institution of Spain.

He is the Director of the Masterof Orthodontics at UAH in Madrid, as well as European Master of Aligners and Latin American Aligners Institute in more than 30 countries. He has also taught under- and postgraduate courses at a number of universities. Dr Roman is a Key Opinion Leader, clinical speaker for Align Technologies and a member of the Advisory Board of Invisalign. He is a national and international speaker and has presented Invisalign G3, G5 and G6 in Spain together with various other presentations. He is a diamond provider having treated more than a 1500 patients.

Currently, Dr Roman combines his scholarly expertise with his orthodontic private practice in Malaga, Spain.

 

Control of Treatment with the Invisalign System

(see above)

 

EOS 2018 - Speaker - Magali Mujagic

Magali Mujagic

France


Dr Mujagic has had a private practice in Paris, France, since 1996. She specializes in lingual orthodontics and, in 2006, limited her practice to that specific treatment approach.

 
She obtained her dental degree from the University René Descartes Paris V, France, and received her orthodontic training at the same University. Since 2013, she has been a visiting academic at the Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Switzerland and also teaches on the Master of Science Programme in Lingual Orthodontics at the Department of Orthodontics Hannover Medical School, Germany.
 
Dr Mujagic is the author of publications related to lingual orthodontics and has given many lectures internationally. Her interests include completely customized lingual appliances for adolescents and adults and orthodontics combined with aesthetic dentistry. She is a member of the scientific committee of the French Federation of Orthodontists. She is a provisional member of the Angle Society of Europe, as well as a member of the Collège Européen d’Orthodontie, European Society of Lingual Orthodontics and World Society of Lingual Orthodontics.

 

Completely customized lingual orthodontics for adults and adolescents: beyond tooth alignment

 
The 1970s provided orthodontics with the lingual approach to treatment management. From the concept of bonding a labial bracket on the lingual surface of a tooth, CAD/CAM technology now brings state-of-the art individualization of lingual bracket design and archwires: a completely customized lingual appliance fabricated for each patient and a set-up displaying the expected treatment outcome.
 
This presentation will deal with the specificities of lingual biomechanics - why customization is necessary and the benefits of using such appliances. Furthermore, through clinical cases, treatment management will be explained. This lecture will address more specifically Class II malocclusion correction with or without extractions, involving either intermaxillary elastics, bite jumping devices or temporary anchorage devices.
 
The clinical efficiency of customized lingual orthodontics exceeds the simple alignment of permanent teeth in adults and adolescents.

 

EOS 2018 - Speaker - Tim Newton

Tim Newton

UK


 

Tim Newton is Professor of Psychology as Applied to Dentistry and Honorary Consultant Health Psychologist at King’s College London Dental Institute. Tim has worked in the behavioural sciences in relation to dentistry for 25 years, and his particular interests include the management of dental anxiety, interventions to enhance oral health related behaviour and the working life of the dental team.
He has published over 250 peer reviewed articles in scientific journals. He was appointed an Honorary member of the British Orthodontic Society in 2011, and was the Webb Johnson lecturer at the Royal College of Surgeons in 2013. In 2015 he was awarded the International Association for Dental Research Behavioural, Epidemiological & Health Services Research Distinguished Scientist Award.

 

Psychological aspects of orthodontic malocclusions

This talk will explore the both the psychological status of individuals with orthodontic malocclusions and the impact of the treatment of orthodontic malocclusions on psychological status. In passing this will necessitate exploring societal norms of appearance and expectations of oral and dental appearance.
EOS 2018 - Speaker - Raphael Patcas

Raphael Patcas

Switzerland


Dr Raphael Patcas is a senior lecturer and head of an academic unit at the Clinic of Orthodontics and Pediatric Dentistry, University of Zurich, Switzerland. He is a board certified orthodontist, who completed his doctoral thesis in 2006, obtained his PhD (approved with honours) in 2014, and earned his Habilitation and VeniaLegendi in the field of orthodontics in 2016.
In 2009, he published a widely acclaimed compendium on oral pathology and has authored and co-authored numerous contributions in peer-reviewed scientific journals, supervised medical dissertations and Masters theses, and written several book chapters for notable publishing houses. He currently serves as a reviewer for 12 different journals. In 2013 he won the European Orthodontic Society’s Beni Solow Award. Dr. Patcas has been invited to lecture nationally and internationally, and has been elected on numerous occasions as Teacher of the Year at his home university.

 

A closer look at life-long retention

Most orthodontists believe that a truly stable treatment outcome is a myth and that maintaining ideal alignment can only be achieved with some kind of permanent retention. Preserving incisor alignment is especially important from the patient’s perspective and, for this reason, an increasing number of orthodontists advocate life-long retention.

This lecture will focus on important questions related to fixed retention, and will clarify whether life-long retention is achievable and advisable. Different bonding procedures (acid-etching with or without sandblasting) will be evaluated and the materials used for fixed retention will be reviewed, with particular emphasis on their mechanical properties, the intra-oral ageing process and their biological reactivity. Some clinical suggestions for improving the bonding protocol and for the correct choice of materials will be made, and their evidence-base examined.
The effectiveness of bonded retainers will be assessed and their performance validated by a review of published failure rates. The long-term effects of bonded retainers on dental and periodontal tissues will be highlighted, and the significance of oral hygiene discussed. Unwanted tooth movements associated with bonded retainers will be described, and recent evidence substantiating the probable underlying mechanism discussed. These findings will be presented together with their clinical implications and relevance for long-term retention management. The conveyed insights intend to provide a fresh outlook on post-orthodontic patients.

EOS 2018 - Speaker - David Rice

David Rice

Finland


David Rice is Professor and Head of Orthodontics at the University of Helsinki and Helsinki University Hospital, and Director of the Finnish National Doctoral Programme in Oral Sciences. He specialised in orthodontics in the United Kingdom completing his PhD in craniofacial developmental biology in Finland.

His research is aimed at understanding the aetiology of craniofacial anomalies such as craniosynostosis and cleft lip and palate. He has published in some of the top journals including Development, Journal of Clinical Investigation and Human Molecular Genetics. His distinctions include both the Houston Research Award and Scholarship from the European Orthodontic Society, the Sulo Toivanen Award (Best PhD Thesis) from the Finnish Cell and Developmental Biology Society, an Honorary Fellowship from the Royal College of Surgeons of Edinburgh, and Research Fellowships from the Wellcome Trust UK and the Medical Research Council UK. Professor Rice is Editor of the European Journal of Orthodontics

 

Breakthroughs in understanding cleft lip and palate and craniosynostosis: implications for treatment and for orthodontics

I will review some of the dramatic recent advances that have been made in understanding the aetiology of craniofacial anomalies. The normal development of the craniofacial region, including the lips, palate and bones, will be described emphasising the critical stages and the key regulatory mechanisms that can go wrong and result in a craniofacial deformity.

Focusing on cleft lip and palate and craniosynostosis, laboratory examples will be given on how new technologies are being used to unravel the mechanisms of disease. The seemingly insurmountable limitations of correcting the causes of developmental abnormalities that occur before birth will also be described; in addition how understanding the aetiology and characteristics of a developmental condition can be of great benefit to patients.

EOS 2018 - Speaker - Maisa Seppala

Maisa Seppala

UK


Dr Maisa Seppala (DDS, MSc, PhD, MOrthRCSEd, FDSOrthRCSEng, FHEA) is a clinical lecturer in orthodontics at King’s College London (KCL) based at Guy’s and St Thomas’ NHS Foundation Trust. She graduated as a dentist in 2002 at Oulu Dental Institute, Finland and undertook a PhD in the Department of Craniofacial Development at KCL. This project, focussed on the regulation of Sonic hedgehog (Shh)signalling by the transmembrane protein Gas1 during craniofacial development. Her research introduced Gas1 as a potential causative gene for the significant human malformation Holoprosencephaly. She has subsequently further investigated the role of genetic modifiers associated with this condition and her current research focuses on how Gas1 regulates dental formula by interacting with Shh and other possible novel signaling pathways. Following her PhD she undertook orthodontic specialist training at KCL, which was followed by an NIHR funded Academic Clinical Fellowship and accreditation as a Consultant Orthodontist.

Dr Seppala has presented her research at national and international conferences and has published in a number of significant journals, including the Journal of Clinical Investigation and Development. Her current research is funded by the European Orthodontic Society and the United Kingdom Academy of Medical Sciences.

 

Searching for the molecular causes of altered tooth number in mouse and man

Development of the dentition is a well-coordinated process, where multiple novel molecular pathways function together to provide the right number of teeth at the right time and in the right place. Sonic Hedgehog (Shh) is a secreted signalling molecule that plays a crucial role during early tooth development by inducing proliferation, cell polarisation and by establishing an appropriate morphogenic gradient during cuspal patterning. In the mouse, defective Shh signalling can result in incisor and molar fusion, whilst over-activity has been associated with supernumerary tooth formation. In human populations, aberrant Shh signalling can induce a variety of craniofacial anomalies, including maxillary incisor fusion and midline facial defects. Similarities in mammalian and human genomes and disease phenotypes enable investigation into the causes of tooth anomalies with advanced molecular techniques, powerful genome sequencing methods and bioinformatics.

This presentation will discuss how genetic screening studies have enabled clinicians to identify new candidate genes associated with variable dental anomalies and how the underlying molecular mechanisms can be further explored by using the mouse as a developmental model.

EOS 2018 - Speaker - Guy Willems

Guy Willems

Belgium


Professor Guy Willems is the Chair of the Orthodontic Section of the Department of Oral Health Sciences and Programme Director of the combined Master/Clinical Postgraduate Training Programme in Orthodontics at the KU Leuven, Belgium.

Professor Willems completed his L.D.S. in 1988 and received his Ph.D. in 1992, both at KU Leuven, Belgium. He completed his orthodontic specialty training in 1996 and has been an academic and clinical staff member of the Orthodontics Section in Leuven since 1997. He is director of Ortholeuven, a centre for continuing education in the field of orthodontics for promotion of the KU Leuven Orthodontic Training Programme.

He has published extensively as an author and co-author and is an editorial board member of the European Journal of Orthodontics. His research interests and areas of expertise focus, among others, on oral health-related quality of life, canine impaction, resistance to sliding in orthodontics, dental age estimation, traumatized teeth and retention.

 

Does Orthodontic Treatment Improve a Patient's Quality of Life?

The silent revolution within general health has created a paradigm shift from a disease-centred into a patient-centred approach, generating aspects such as oral health-related quality of life (OHRQoL). According to the World Health Organization, health is a state of complete functional, psychological and social wellbeing. Good oral health is more than just absence of disease; the optimal physical, mental and social wellbeing of our patients, is the ultimate focus of our daily practice and research.

In the past, the concept of improving quality of life through orthodontic treatment focused on discomfort, functional problems with eating or speaking and on creating a beautiful smile. Nowadays, the focus does not just concern the oral cavity but the person as a whole, requiring a more subjective, patient-based approach. A person’s OHRQoL is indeed defined by the influence of functional (chewing and speaking, current and past experiences), psychological (appearance and self-esteem), and social aspects (communication, social interaction, intimacy) as well as by a person’s background and cultural upbringing.

This biopsychosocial approach to oral health care requires further investigation to better understand the patient’s expectations and the possible role of malocclusion treatment on function and psychosocial well-being. Numerous investigations are being organized at various phases of orthodontic treatment employing validated scales and questionnaires for this specific purpose. The focus of these long term prospective clinical trials is primarily concentrated on the effect of orthodontic treatment on the OHRQoL both in children and adults, and the possible moderating role of personality traits and self-esteem. Adjunct information may be obtained through gauging the patient’s motivation for treatment and the correlation between their expectations and the final treatment results.