Dentistry in the 21st century is benefitting from advances in many areas of medical technology. But alongside these advancements a parallel improvement in management of medical conditions continue to emerge. Populations increase in size and average age of death rises. Consequently, the number of patients attending dental practice with a medical diagnoses which may require pharmacological support is increasing. This puts pressure on the dental profession to be able to deal with these potential challenges and plan treatments which take into account any relevance these issues may have on a successful predictable outcome. Thus this talk will explore relevant medical conditions and treatments and approach them with a WHITE approach, namely i) What is the medical condition ii) How is it treated, iii) what Impact does it have on dental treatment iv) what impact does the dental Treatment have on the medical condition and v) can the condition be managed if it becomes an Emergency. Time will also be spent considering the proposed link between dental disease and systemic medical conditions.

Morning session
This session would focus on my area of research expertise – namely how teeth work and how they are used for the reconstruction of diet in fossil species.
The first lecture will review how teeth break food in a broad sense. It will cover fracture mechanics and the physical properties of foods (and teeth). The focus will be on dental adaptations to diet in mammals, to illustrate general principles underlying dental functional morphology and the biomechanics of chewing. Tooth size, shape, and structure will be considered. This will provide insights into how different types of teeth have evolved the potential to break down foods with specific fracture properties.
The second lecture will consider how paleontologists reconstruct diets of individuals (how teeth were used) from fossil remains. This is what I call, foodprints, which, like footprints in the sand, are traces of actual behavior of an animal or human that died up to millions of years ago. There will be two areas of focus: 1) dental microwear, the patterns of microscopic scratches and pits that form on a tooth’s surface as the result of its use, and 2) stable isotope ratios in enamel, such as the proportions of C13:C12, which can tell us about the chemistry of the foods eaten that provided the raw materials to make the teeth.

Afternoon session
The afternoon session will focus on anthropological/evolutionary biological perspectives to putour teeth today – and your patients teeth -- into their proper context.
The first lecture will review the origin and evolution of teeth. There are tens of thousands of species with “teeth”, or hardened structures in the mouth used in food acquisition and processing. We are just one of those species. This lecture will focus on vertebrate teeth, and consider the appearance and evolution of enamel, tooth attachments, numbers, distribution and replacement of teeth, crown differentiation, occlusion and chewing. We will consider especially the evolution of teeth in the mammals and the myriad dental forms that nature has given us.
The second lecture will consider changes over time in oral health among humans. We will metaphorically look into the mouths of traditional peoples of the past and present – those without our modern diets or our modern dental care. This is the domain of bioarchaeology, and researchers document caries disease, periodontal and orthodontic disorders as well as nutrition- related developmental defects. This lecture will highlight my own work with the Hadza peoples of Tanzania, the last remaining hunter-gatherers in Africa.

bijkomende info omtrent spreker en onderwerp klik [hier](<a href="https://www.datocms-assets.com/73840/1696856110-artikel-ungar.pages">https://www.datocms-assets.com/73840/1696856110-artikel-ungar.pages</a>

Meer info in dit artikel: Why we have so many problems with our teeth (<a href="https://www.scientificamerican.com/article/why-we-have-so-many-problems-with-our-teeth/">https://www.scientificamerican.com/article/why-we-have-so-many-problems-with-our-teeth/</a>)

Although tooth loss is still a reality in the old and very old patient, it is increasingly shifting to an age when fragility and morbidity significantly impact on prosthetic care. Hence, the denture design has to correspond to the age-related changes in oral tissue and function. Novel digital technologies provide certain advantages in treating elder edentulous patients, in particular with regards to impression taking, as well as copying features from the old existing denture to the replacement one. However, as clinicians we would like to check the individual steps of denture manufacturing to succeed the treatment. The Geneva protocol for denture manufacturing provides a digital workflow, that takes this aspect into consideration, but benefits at the same time from the advantages of the CAD/CAM technology, namely enhanced material properties, biocompatibility and cost-effectiveness. With ageing, and even more with neuro-degenerative diseases, motor skills deteriorate, rendering complete denture retention difficult. Mandibular implant overdentures are confirmed treatment modality to provide support and retention for the prosthesis. Yet, treatment concepts should be age-adequate and take into consideration a future decline and dependency of the patient. The course equally discusses strategies to accompany the onset of dependency and accompany the patient until late in life, to assure comfort, infection control and quality of life. 

The topic this course covers are 
* Ageing and its impact on prosthodontic treatment concepts and denture design
* The complete denture – conventional versus CAD/CAM
* The implant-supported overdenture
* The onset of dependency – concepts to accompany functional decline

Global demographics indicate that life expectancy is increasing and our patients tend to retain more of their teeth in the latter stages of life. The last decades have seen many important developments in the field of tooth replacement and oral rehabilitation strategies including the introduction of implant dentistry, adhesive dentistry, and various new materials processed through analogue or digital workflows. The adoption of all of the above has been exponential and the current choices for a clinician are numerous. This can lead to confusion and errors in choices compounded by aggressive commercial marketing with limited data on long-term success and complications.
The aim of this educational day will be to try and filter the “noise” and present an evidence-based approach to treatment planning, decisions and clinical practice in Prosthodontics in the age of Digitization.
The topics covered will include:
Topic 1: Treatment planning and management of partially edentulous patients
Topic 2: Implant systems and connections- Marketing vs. evidence
Topic 3: Control and management of implant prosthodontic complications. Recipes for predictability and peace of mind.
Topic 4: Digital workflows and clinical dentistry- Need to adapt or just fear of missing out (FOMO)?

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