EVDC Study Days at the European Veterinary Dental Forum (EVDF)
As part of the EVDF, EVDC provides pre- and post-congress practical and theory training in the form of ‘Study Days’, in addition to contributing to the main scientific programme of the congress. These technique focussed wetlabs are primarily for residents to undergo specific training under supervision and direction of Diplomates, but are open to all vets to attend. The Study Days comprise in-depth training sessions with either a half day or full day committed to practical training in specific techniques and procedures in veterinary dentistry.
EVDC Study Days, Krakow 2023
27 April 2023
SMALL ANIMAL PROGRAMME:
1. Piezosurgery applications (3 hours, morning)
Participants will get introduction to piezosurgery. Getting familiar with instruments and different working tips. Utilzed piezosurgery devices will include Acteon Piezotome Cube. Presented techniques will include: extraction, oncologic surgery, bone harvesting. Discussed application in osteotomy/osteoplasty, periodontal bone surgery and endodontics.
Key learning objectives:
- Getting Familiar with device and instrumentation
- Hints for successful clinical application of piezosurgery
Tutor: Sigbjorn Storli and Jan Schreyer
2. Motorised im3 endodontic system; complex approach to root canal treatment procedure (3 hours, morning)
There will be an introduction of the motorized endodontic system recently invented by im3 in cooperation with board certified veterinary dentistry specialists. Initially one will see brief presentation of entire endodontic treatment strategy from correct qualification of the treated teeth and canal, followed by selection of the adequate debridement system and decision about final 3 dimensional obturation. Participants will see the optimal use of the system in a step by step manner including access preparation and root canal debridement.
Summary delivers hints how to avoid complications and properly use the system.
Key learning objectives:
- Understanding the motorized endodontic system
- Proper use this system and prepare the canal to 3D obturation
Tutors: Jerzy Gawor and Ingrid Tundo
3. Crown preparation (3 hours, morning)
TBC
Tutors: Paul Theuns and Robert Furman
4. Rabbit MF surgery (3 hours, morning)
This laboratory is designed to acquaint the participant with the common dental conditions seen in rabbits and rodents. It will demonstrate the instruments one must acquire if planning to work with these species. The various common dental procedures, such as occlusal equilibration, intraoral extractions, extraoral extractions, abscess treatments will be demonstrated and practised.
Tutor: Loïc Legendre
5. Temporary crown extension (3 hours, afternoon)
Linguoverted mandibular canine teeth in dogs is the most frequent malocclusion which require intervention. Consequences of not treating affected animals may lead to oral pain, discomfort due to indentation of the palate, attrition, periodontitis, oronasal fistula and more. In this lab the participants will learn how to treat linguoverted mandibular canines with temporary crown extensions in the mean of an orthodontic device, and its limitations. Workshop will present technique in step by step manner which provide basement for successful outcome of procedure.
Key learning objectives:
- Introduction to temporary crown extension concept
- Proper application, hints for success and risk factors to be anticipated
Tutor: Sigbjorn Storli and Ingeling Bull
6. Feline Oncologic surgery (3 hours, afternoon)
In this laboratory we will review protocol, and planning necessary when dealing with oral tumours in cats. Students will get to perform one or two ectomies keeping in mind that the most important is to plan closure before creating a defect.
Tutor: Loic Legendre
7. Periodontal flap surgery (3 hours, afternoon)
Periodontal disease is the most common problem in small animal patients and more clients are interested in salvaging teeth. This lab wil teach how to create flaps for visualization and proper open debridement. In addition, equipment and techniques for guided tissue repair will be taught. This will center on the maxillary canine and class II furcation exposure.
Key learning objectives:
- Understand the difference between an envelope and full flap
- Perform open root debridement
- Be able to perform basic GTR
Tutors: Brook Niemiec and Robert Furman
8. CMF fracture repair; practical lab (3 hours, afternoon)
An introductory wet-lab into use of rigid internal fixation for the management of mandibular and maxillofacial fractures. After a brief introduction to equipment and principles delegates will undertake cadaveric surgery to simulate repair of a mandibular body fracture using the KLS Martin ThreadLock TS system. Subsequently, delegates will also have access to KLS Martin L1 Midface system to simulate repair of a rostral &/or lateral buttress maxillofacial fractures. Prior exposure to rigid internal fixation techniques and knowledge of local anatomy is desirable but not essential.
Key learning objectives:
- Hands on experience of rigid internal fixation implants
- Application of implant to caudal mandibular body
Tutor: Andrew Perry and Peter Southerden
9. Motorised endo and obturation System Denstply (3 hours, afternoon)
Motorised endodontics using Vet Flex & Preserve NiTi files allows access via the fracture site in canine teeth, removing adequate but not excessive dentine during debridement and shaping without compromising tooth integrity and strength. Vet Flex & Preserve - the game changers in veterinary endodontics.
Key learning objectives:
- Shaping and debriding the endodontic system
- To learn how to allow the files to do their work most efficiently
- Learn how to obturate the root canal.
Tutor: Cedric Tutt and Philippe Roux
EQUINE PROGRAMME:
1. Equine dental imaging (2 x 3 hour sessions)
A 1 day course covering all aspects of equine dental and sinus digital imaging including practical radiographic technique and interpretation, and interpretation of more advanced imaging techniques such as Computed Tomography.
The course will start with a review of equine head and dental anatomy, which will be followed by practical training in head radiography (to include dental, sinus and TMJ), collection and film reading. The morning will conclude with a session on interpretation of head radiographs and treatment planning.
The afternoon session will focus on advanced imaging techniques for the equine head, focussing on CT, but including an introduction to nuclear scintigraphy and MRI. Case selection for advanced imaging and approaches to image reading will be presented. Delegates will be given the opportunity to review and interpret CT scans from clinical cases. The afternoon will conclude with presentations of advanced imaging clinical cases. Delegates are encouraged to bring their own cases for discussion.
Key learning objectives:
- How to take diagnostic radiographs for equine dentistry and sinus disease
- Interpretation of radiographic images
- Understanding and interpreting advanced imaging modalities of the equine head (CT and MRI)
Tutors: Astrid Bienert-Zeit and Richard Reardon
2. Endodontic equipment and technique principles in equine dentistry (2 x 3 hour sessions)
This is a 1-day course covering all detailed description of different dental equipment and dental materials available including principles of use and how to best use the equipment and material for different equine dental procedures.
The course will start with a review of dental equipment/ dental units, discussing different available systems with the difference in air turbine compared with motorised units. This will include discussion on slow and fast handpieces, and different burrs available and applicable to equine endodontic/ restorative treatments. The morning will conclude with a practical session on use of the different materials.
The afternoon session will focus on an overview of dental materials available in dentistry and the materials potentially relevant to equine dentistry. The afternoon will conclude with practical sessions on using the different materials and demonstration of practical use.
Key learning objectives:
- Understanding and learning about different dental units for restorative/ endodontic treatment and how to use them effectively
- Learning about all the available dental burs and files, and how they are applicable to equine use
Detailed overview of all the dental materials applicable in equine dentistry and how to use them.
Tutors: Torbjörn Lundström and Nicole du Toit
3. Oral extraction techniques: focus on supplemental and alternative techniques to forceps extractions (2 x 3 hour sessions)
A 1-day theory and practical course covering oral cheek tooth extraction techniques with a specific focus on techniques other than standard oral forceps extraction.
AM: Forceps extraction; pre-extraction restoration, oroscopically guided fragment removal
PM: Coronectomy and segmentation, oral screw extraction
The course is designed for equine veterinarians who want to go beyond standard oral extraction techniques. Fractured cheek teeth in a horse present a special challenge to the dental practitioner. To extract these teeth very often referral for dental surgery is the next step. Partial coronectomy, tooth segmentation and pre-extraction restoration are intermediate, strictly intra-oral and thus non-invasive techniques, which can avoid surgery and associated complications in many cases.
The participants will be become acquainted with the techniques, the instruments and restoration materials in the morning theory lecture session. The afternoon practical session will be hands-on cadaveric heads to manifest the skill for proper use in the clinic or field.
Key learning objectives:
- To become knowledgeable and understand the options available for non-surgical oral extraction techniques of cheek teeth
- Learn and become familiar with equipment available for all oral non-surgical extraction techniques
- To practice the techniques of oral non-surgical extraction in a safe and controlled environment
Tutors: Chris Pearce and Knut Nottrott