26th MAOISCTE SPEAKER’S DETAILS
Professor Sandy is Professor in Orthodontics and Dean of the Faculty of Health Sciences, Bristol University. Previously he was the Head of Bristol Dental School for 7 years before taking on the Faculty leadership role. He completed his undergraduate training in London (Kings College Hospital, The London Hospital and the Eastman Dental Institute). He was awarded an MRC Training Fellowship then and after completing his PhD, he was MRC funded as a postdoctoral scientist in the Biochemistry Department, University of Cambridge. He was appointed to Bristol University as a Consultant Senior Lecturer in 1991, promoted to a Reader in 1997 and awarded a Personal Chair in 1999. Professor Sandy’s main research interests are in cleft lip and palate and the delivery of cleft care by orthodontists. He has co-authored three books and over 200 peer reviewed publications. His career total grant funding exceeds £5 million.
Professor Sandy is part of the The Lifecourse Epidemiology and Population Oral Health Research programme which is a multi-disciplinary team led by Professor Andy Ness. Within this group, he supported the National Institute for Health Research (NIHR) funded programme (Cleft care UK) where he evaluated the impact of the centralisation of cleft services following the recommendations made by the Clinical Standards Advisory Group (CSAG) in 1998. The study repeated and extended the original CSAG survey by reviewing the treatment and outcomes of around 250 five-year old children born with complete unilateral cleft lip and palate. It also examined the characteristics of cleft teams, and the economic impact of the centralisation of cleft services. Results of this study showed significant changes and improvements in overall cleft care in the UK since centralisation. Professor Sandy is also leading the Scar Free Foundation birth cohort gene backed study known as the Cleft Collective.
Professor Monty Duggal
Prof Duggal obtained his dental degree and MDS in Paediatric Dentistry from India. He then immigrated to the United Kingdom and obtained his FDSRCS from the Royal College of Surgeons of England and his PhD from University of Leeds. He was appointed Professor and Chair of Child Dental Health at Leeds Dental Institute in 1999 where he oversaw a large postgraduate programme in Paediatric Dentistry which has international acclaim. In January 2017 he was appointed as Professor and Head of Paediatric Dentistry in Faculty of Dentistry, National University of Singapore. Currently he is the Vice Dean and Faculty Research Director of the National University Centre for Oral Health, Singapore (NUCOHS). He has served in various senior positions, and was President of the European Academy of Paediatric Dentistry from 2014-2016 and has been on the board of EAPD for last 10 years. Professor Duggal has published over 160 research papers in international journals and is author of “Restorative Techniques in Paediatric Dentistry, which has been published in 7 languages and has sold over 16,000 copies worldwide. He is also a co-author of a textbook on Dental Traumatology and has Co-Edited “Paediatric Dentistry” by Oxford, now in its 5thedition and is the most widely followed textbook in Paediatric dentistry in the world. More recently he authored “Paediatric Dentistry at a Glance”, published by Blackwell Willey. He has administered research grants totaling over seven million pounds and is an internationally recognised researcher and clinician with main research interest is Cariology and Translation Research in Clinical Paediatric Dentistry, including dental traumatology and regenerative endodontics and auto-transplantation. Apart from Paediatric Dentistry his main interest is playing and watching cricket and any time spare from work and family is devoted to this important activity
Dr John Lin
Dr. Lin’s special interests includes;- (1) Differential Diagnosis and Management of Anterior Crossbite (2) Class II treatment with headgear vs. bite jumping appliances (3) Clinical application of self-ligating brackets (4) Skeletal anchorage by using TADs etc. Dr. Lin will present his lecture at the 26thMAOISCTE on autogenous tooth transplantation together with Dr Nancy Chang.
Dr Jeevanan Jahendran
Prof Ali Darendeliler
Dr Mithran Goonewardene
Dr Siti Mazlipah Ismail
Lecture Title: Update on Alveolar Bone Graft in Cleft Lip & Palate
Alveolar bone graft is an important procedure that establishes arch continuity in a cleft deformity, which facilitates tooth eruption and alignment. Historically it was performed in the first few weeks of life, however this early primary bone grafting was proven worthless and supportive evidence published in the 70s revealed the superiority of secondary bone grafting. From then on, the widely accepted standard timing for alveolar bone graft is in the mixed dentition period, prior to the eruption of canine, around the age of 7-11 years old.
The procedure has evolved a long way from sacrificing the patient’s little finger to packing bone harvested from the iliac crest into the cleft defect. Currently, the gold standard for source of graft is the autogenous cancellous bone from the anterior iliac crest. The rapidly advancing technology in synthetic bone graft has placed it as a potentially good alternative in selected cases.
The influence of earlier cleft lip and palate surgeries on the outcome of alveolar bone graft should be given due consideration. Amongst important factors for success apart from timing and choice of graft is the coordination of planning between the surgeon and orthodontist.
Dr. Nancy Nie-Shiuh Chang D.D.S. M.S
Malaysian Association of Orthodontists
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