On Saturday 11 March 2017, we held our annual Spring Scientific Meeting at the Institution of Civil Engineers in London to a packed house of over 230 delegates including general and specialist practitioners, clinical academics and dental students. Together with those from the UK, delegates came from across the globe including Dubai, France, Oman, Jordan, Hong Kong, Greece, Ireland, the Netherlands and USA.
The programme for the day consisted of keynote lectures from leading experts, the presidential ceremony, presentation of prizes and the prestigious lifetime contribution to the specialty award. There was also a trade exhibition and opportunities for networking.
Outgoing President Mike Wapplington handed over the Chains of Office to BS Chong, the Society’s new President. “I am looking forward to an exciting year with the British Endodontic Society” said Chong. “I hope, with the support of enthusiastic and energetic council members, to promote the aims of the Society and ensure that our activities, events and initiatives are accessible to all, not just specialists.”
The first keynote speaker was Dr Hal Duncan from Trinity College, Dublin, whose presentation was entitled ‘New visions for the vital pulp – do we need to keep digging a hole for ourselves?’ In brief, Dr Duncan highlighted concerns over the destructive nature of dental treatment which has led to the examination of novel methodologies and development of regenerative biologically-based treatments for the damaged dental pulp. Dr Duncan spoke of the exciting opportunities that exist for minimally-invasive treatment procedures, which help maintain pulp vitality and the development of a new generation of dental materials, targeted at biological processes, which promote repair.
Dr Duncan was followed by Dr Christos Boutsioukis from ACTA, The Netherlands, on the subject of ‘Root canal irrigation – current focus and challenges’. Dr Boutsioukis described how modern irrigation techniques very frequently promise miracles in terms of irrigant penetration, cleaning and disinfection of the root canal system. However, he stated that there are only a few independent clinical studies evaluating their performance and their results are often unfavourable. Moreover, based on currently available evidence, the increasingly popular idea of minimally-invasive root canal preparation seems incompatible with most of the available irrigation techniques.
After the lunch break, Professor Josette Camilleri from Malta covered ‘Current concepts and future directions in root canal obturation’. She highlighted the importance of root canal obturation in clinical endodontics. She described how the materials used inside the root canal need to be optimised and the technique used has to be specific to the materials employed. Professor Camilleri described how the newer hydraulic sealers are promising but that further research is necessary to ensure that they are utilised well and their properties are enhanced during use.
The final presentation titled ‘Surgical endodontics – the limits of understanding and achievement’ was given by Professor Bill Saunders, Dean of the Royal College of Surgeons in Edinburgh. Before starting his presentation, the Society surprised Professor Saunders by presenting him with a certificate of appreciation in recognition of his outstanding contribution to the specialty of endodontics.
Among the delegates was a group of students from Liverpool University Dental Hospital. Dr Rob Jacobs, a specialist trainee, commented “Today was very interesting and informative. I especially liked listening to Hal Duncan – he was inspiring through his enthusiasm and humour. He makes me really think about my daily work and how I can fine tune my clinical management.”
“We were delighted with the turnout” commented BES Chief Operations Officer, Mrs Annabel Thomas. “The meeting was so popular that we had to generate a waiting list and the feedback afterwards was excellent. We are pleased that our events attract interest across the dental profession.”
Summary/key points of the presentations:
Dr Christos Boutsioukis
DDS, MSc, PhD
Assistant Professor, Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
The aim of this lecture was to discuss root canal irrigation, in particular, the irrigant flow developed inside the root canal system during delivery and agitation. Issues such as irrigant penetration and refreshment, entrapment of air bubbles, turbulence, the effect on the root canal wall and the pressure balance at the apical foramen were addressed.
- Described the mechanisms involved with irrigant flow inside the root canal system
- Explained the factors influencing effective irrigant delivery and irrigant activity enhancement
- Critically appraised the available evidence on current and future irrigation methods, including their advantages and limitations
Dr Hal Duncan
BDS, FDS RCS (Edin), MClinDent (Endo), MRD RCS (Edin), PhD
Assistant Professor/Consultant in Endodontics, Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, University of Dublin, Dublin, Ireland
The aim of this lecture was to highlight current directions and concerns in vital pulp treatment from a scientific and practical viewpoint, while discussing potential solutions and developments in this evolving area of endodontic practice.
- Described current and future developments in the management of the damaged pulp
- Explained the hopes and challenges of delivering predictable vital pulp treatment in clinical practice
- Critiqued whether targeted ‘regenerative restorative biomaterials’ is a pipe dream or viable treatment option
- Assessed whether revitalization and stem cell-based solutions are predictable or likely to become a gold standard in everyday endodontic practice
Professor Josette Camilleri
BChD, MPhil, PhD, FIMMM, FADM
Associate Professor, Department of Restorative Dentistry, Faculty of Dental Surgery, University of Malta, Msida, Malta
The aim of this lecture was to review root canal obturation techniques and materials with a view to highlighting their benefits and shortcomings. This will help provide a perspective on possible avenues of development in this area.
- Reviewed root canal obturation techniques and materials
- Explained the benefits and shortcomings of current root canal obturation techniques and materials
- Described possible avenues of development in root canal obturation techniques and materials
Professor William Philip Saunders
BDS, PhD, DSc(hc), FDSRCSEd, FDSRCPSG, FDSRCSEng, MRD, FHEA FCDSHK
Emeritus Professor of Endodontology, University of Dundee
Dean, Dental Faculty, Royal College of Surgeons of Edinburgh
The aim of this lecture was to provide a review of the surgical endodontic practices that have occurred in the last 15 years and what is anticipated should take place in the next 15.
- Assessed changes that have taken place in surgical endodontics in recent years
- Provided evidence of how these changes have affected outcomes
- Considered how surgical endodontics should evolve in the future
28 March 2017