UW School of Dentistry

The David Turpin Symposium on Evidence-Based Orthodontics

Course Chair: David Turpin, DDS, MSD Instructors: Jorge Faber, DDS, MS, PhD; Greg Huang, DMD, MSD, MPH; Don Joondeph, DDS, MS; Tung Nguyen, DMD, MS; Nikolaos Pandis, DDS, MS, PhD; Chris Riolo, DDS, MS, PhD

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Course Description

The David Turpin Symposium on Evidence-Based Orthodontics has been designed to appeal to both clinicians and academicians. For clinicians, there will be a heavy emphasis on utilizing the current evidence in everyday practice. This includes updates on topics like self-ligation, sleep apnea, vibration, TAD-borne maxillary expansion, anterior openbite, and more. For everyone, there will be lectures on advances in technology, in particular, 3-D imaging and printing. For academicians, the symposium will offer insights into clinical research and the publication process. Additionally, a session is devoted to the critical appraisal of clinical trials, which will assist the researchers who conduct these studies, and the clinicians who will utilize findings from these trials.

Course Topics

Course Objectives

As a result of attending this 2-day course you should be able to:

  • Understand the value of evidence-based literature and how this can be integrated into everyday practice.
  • Recognize the criteria for well-designed studies and become familiar with new ways for clinicians to participate in clinical research.
  • Understand the expectations of journal editors for contemporary research investigations.

Course Schedule

Day One – Friday, August 24, 2018

8:30 – 9:30 Supporting Clinical Decisions with Evidence – Dr. Greg Huang
9:30 – 10:30 Orthognathic Surgery – Transverse Dimension – Dr. Donald Joondeph
10:30 – 11:00 Coffee break
11:00 – 12:15 3-D Printing and Lingual Appliances – Dr. Chris Riolo
12:30 – 1:30 Lunch
1:30 – 2:30 Surgical Orthodontic Tx for Sleep Apnea – Dr. Jorge Faber
2:30 – 3:30 3-D Imaging and Orthognathic Surgery – Dr. Tung Nguyen
3:30 – 3:45 Coffee break
3:45 – 4:45 Statistics that Make a Difference – Dr. Nik Pandis

Day Two – Saturday, August 25, 2018

9:00 – 9:30 Changing Modes of Decision-Making – Dr. David Turpin
9:30 – 10:30 Common Mistakes made by Authors when Preparing Manuscripts – Dr. Jorge Faber
10:30 – 11:00 Coffee break
11:00 – 12:00 National Anterior Openbite Study – Dr. Greg Huang
12:00 – 1:00 Lunch
1:00 – 2:30  Another Approach to Bone Anchorage – MARPE/SARPE – Dr. Tung Nguyen
2:30 – 3:00 Coffee break
3:00 – 4:30 Mini-workshop: Designed to critically appraise a published trial – Dr. Nik Pandis

Instructors

Jorge FaberJorge Faber is Professor of Evidence Based Dentistry and Orthodontics at the Post-Graduate Program of the University of Brasilia Dental School. He uses his editorial background to stimulate keen analysis of the scientific literature, after serving for 11 years as editor-in-chief of the Journal of the World Federation of Orthodontists and the Dental Press Journal of Orthodontics. He has a PhD degree in Biology-Morphology, a Master’s degree in Orthodontics and is a Diplomate of the Brazilian Board of Orthodontics. Dr. Faber has lectured extensively in many countries, and has published over 100 articles in scientific journals.

Greg HuangGreg Huang received his dental degree from the University of Florida, and then earned a Certificate in Orthodontics and an MSD from the University of Washington. After 10 years of private practice, he decided to pursue a full-time academic career at UW. Dr. Huang has been active in clinical research, and has conducted studies ranging 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 UW. Dr. Huang is a Diplomate of the American Board of Orthodontics, as well as an Angle Society member. He has published more than 50 peer-reviewed articles, and is the co-editor of two orthodontic textbooks: Evidence-based Orthodontics (2011) and Orthodontics: Current Principles and Techniques, 6th edition (2016).

Don JoondephDon Joondeph is currently a Professor Emeritus of Orthodontics at the University of Washington and was Chair of the Department from 1975 to 1984. He has served as President of the Pacific Coast Society of Orthodontists, the American Association of Orthodontists and the American Board of Orthodontics. Dr. Joondeph received the Milo Hellman Research Award from the AAO and presented the Jacob A. Salzmann, John V. Mershon and Edward H. Angle Lectures. He was also the recipient of the ABO’s 2003 Albert H. Ketcham Award.

Tung NguyenTung Nguyen completed his dental education at Tufts University and received his Master’s Degree and Certificate in Orthodontics from the University of North Carolina. He completed the William R Proffit Teaching Fellowship and is now an Associate Professor and Director of the Dentofacial Deformities Clinic. He received the BF and Helen Dewel Award for best clinical research from the American Journal of Orthodontics and Dentofacial Orthopedics in 2012 for his study of Class III bone anchors. Dr. Nguyen has published over 50 papers and book chapters on 3-D Imaging, bone anchor treatment, and lectures nationally and Internationally on these topics. He is a Diplomate of the American Board of Orthodontics.

Nikolaos PandisNikolaos Pandis earned his DDS from the University of Athens, Greece, then his orthodontic specialty training at The Ohio State University. He continued with a fellowship in craniofacial orthodontics at the University of Texas. This was followed by a degree in orthodontic biomechanics, University of Bonn, Germany, and a MSc in clinical trials from the London School of Hygiene & Tropical Medicine, UK. Dr. Pandis earned a PhD in Epidemiology from the University of Ioannina medical school, Greece. He is now a Senior lecturer at the University of Bern, Switzerland, a Diplomate of the American Board of Orthodontics and an Associate Editor for the American Journal of Orthodontics and Dentofacial Orthopedics (AJODO).

Chris RioloChris Riolo received his Doctorate of Dental Surgery from the University of Michigan. He received his Specialty Certificate and Masters Degree in Orthodontics at the University of Detroit Mercy and subsequently completed a PhD in Epidemiology from the School of Public Health at the University of Michigan. Dr Riolo is a diplomate of the American Board of Orthodontics, maintains a private practice in Seattle, WA, specializing in adult esthetic orthodontics and is an affiliate assistant professor at the University of Washington.

David TurpinDavid Turpin is currently the Moore/Riedel Professor of Orthodontics at the University of Washington. He is Editor Emeritus of the American Journal of Orthodontics and Dentofacial Orthopedics (AJO-DO) serving from 2000 to 2011. Prior to this he served as editor of The Angle Orthodontist and the PCSO Bulletin. Dr. Turpin received the Milo Hellman Research Award from the AAO, the Dale B. Wade Award of Excellence in Orthodontics from the ABO and presented the Jacob A. Salzmann and Edward H. Angle Lectures. He is also the recipient of the ABO’s 2015 Albert H. Ketcham Award.

Disclosures

  • Dr. Huang discloses that he has received funds from NIDCR related to the open bite study; the other instructors have no relevant financial relationships to disclose.
  • The staff of the University of Washington Office of Continuing Dental Education have no relevant financial relationships to disclose.

Course Logistics

DATE:
Friday and Saturday, August 24 and 25, 2018

LOCATION:
University of Washington
Husky Union Building (HUB), Lyceum Room
Seattle, WA 98195

TARGET AUDIENCE:
This course is designed for orthodontists and orthodontic educators; furthermore, those currently interested in conducting clinical research or in seeking academic positions which involve clinical dental research. The David Turpin EB Orthodontic Symposium offers a unique opportunity to learn methods which will enhance one’s ability to conduct and publish evidence-based research studies.

REGISTER:
Download Course Application Form
or
Register Online (available until the Wednesday before the course).

TIMES:
Registration and Continental Breakfast: 8:00am – 8:30am
Course: 8:30am – 4:30pm

TUITION – price includes lunch:
Until April 30, 2018 (after, $100 more)
$395/Dentist
$195/2018 University of Washington Orthodontic Alumni Association (UWOAA) members

CREDITS: 14 hours


More information on Course Topics

Supporting Clinical Decisions with Evidence – Dr. Greg Huang
There are currently more than 300 systematic reviews on orthodontic topics, with more being published every month. The quality of these reviews has steadily improved, and orthodontists should actively utilize these reviews to assist with clinical decision making. Dr. Huang will discuss the evidence for topics like self-ligation, accelerated tooth movement, and TADs, as they relate to the treatment of an actual patient.

Surgical Management of the Transverse Dimension – Dr. Donald Joondeph
Orthopedic expansion of the maxilla can be considered if a patient is young and the midpalatal suture is still patent and amenable to skeletal expansion. As growth diminishes however, the midpalatal suture undergoes morphologic changes that make traditional orthopedic expansion less predictable and the clinician must accept more dentoalvealor change. In that case, one must consider an adjunctive surgical procedure such as surgically assisted expansion, LeFort maxillary surgery or mandibular construction to achieve transverse skeletal alteration. The indications, response and stability of each of these procedures will be illustrated and discussed.

3-D Printing and Lingual Appliances – Dr. Chris Riolo
Throughout our specialty, the transition to digital orthodontics is driving the development of custom orthodontic appliances and 3D printing applications. The false choice that is commonly presented to patients, between therapy with buccal fixed appliances or no treatment at all will be described. This lecture will present examples of custom lingual orthodontics and 3D printing applications to illustrate how esthetic orthodontic care can be delivered to benefit our adult patients. There are a number of compelling reasons why all orthodontic specialists should have some basic capability to employ lingual fixed appliances; this presentation will demonstrate the benefits of using lingual appliances for both the patient and the practitioner.

Surgical Orthodontic Tx for Sleep Apnea – Dr. Jorge Faber
Patients with Obstructive Sleep Apnea Syndrome (OSAS) have an associated risk for cardiovascular events, including arterial hypertension, stroke, and arrhythmias. There is evidence that maxillomandibular advancement (MMA) is the most successful surgical treatment for OSAS. However, MMA through conventional surgical-orthodontic treatment comprises a pre-surgical orthodontic stage, which might not be adequate unless the patient uses a CPAP. A surgery-first approach eliminates orthodontic preparation for orthognathic surgery. This lecture will cover the diagnosis and MMA treatment planning for OSAS under the light of the 14-year clinical experience with surgery first approach. This will be illustrated with a case series to exemplify and contrast the several pieces of evidence available on the literature.

3-D Imaging and Orthognathic Surgery – Dr. Tung Nguyen
With increasing concerns related to the effective use virtual surgery when planning treatment, Dr. Nguyen has some new interesting data. One of these findings concerns the identification of condylar remodeling when condyles are torqued with the surgical movements. Some of the software programs now in use make outrageous claims leading to the opportunity for his group at UNC to test most of them. Participants will benefit from hearing what constitutes good 3D superimposition and how small errors in superimpositions or the selecting reference planes can result in large measurement errors.

Statistics that make a Difference – Dr. Nik Pandis
Good quality randomized clinical trials and systematic reviews are highly desirable as sources of evidence. It is apparent that the number of randomized trials and systematic reviews has increased dramatically over the last 20 years, however, a lot remains to be done. This presentation will highlight common and recurring errors at the design, conduct and reporting stages of clinical trials and systematic reviews. The concept of research waste resulting from conducting studies of poor methodology as well as poor reporting will be introduced. Finally, initiatives for improving trial conduct and reporting within the specialty will be highlighted.

Changing Modes of Decision-making – Dr. David Turpin
The treatment planning skills of these selected speakers will focus on combining 3-D solutions to solve a myriad of orthodontic problems. These include how to get the most out of skeletal anchorage, the use of 3-D printing and Invisalign, orthognathic surgery to resolve maxillary width and even sleep apnea problems. For clinicians as well as orthodontic educators, it is believed that more clearly designed clinical research studies will lead to improved acceptance rates for studies submitted to the world’s leading journals.

Common Mistakes made by Authors when Preparing Manuscripts – Dr. Jorge Faber
Framing relevant questions is the key to successful clinical research. Additionally, authors need to enhance the phrasing of the article itself. A poorly presented study tends to cause the reader to question whether the authors themselves are not wary when writing the manuscript. During this presentation I will cover the most common mistakes most authors make when they prepare and submit their manuscripts for publication.

The National Adult Anterior Openbite Study- Dr. Greg Huang
Open bites are some of the most challenging malocclusions to correct, and stability after correction is never certain. Dr. Huang will describe an ongoing study of more than 300 adult open bite patients treated by more than 90 practitioners from across the US. What techniques are commonly recommended by orthodontists, and do patients accept these recommendations? Which techniques result in the highest rates of successful treatment, and do patient characteristics affect success rates? How satisfied are patients with the results of treatment, and what factors influence their satisfaction?

Another Approach to Bone Anchorage – MARPE/SARPE – Dr. Tung Nguyen
At UNC we are now analyzing two samples of consecutively treated cases with three CBCT time points. For the SARPE patients, 64% had some form of dehiscence before treatment. After treatment, 95% had dehiscence while in the retention phase, it went up to 100%. With MARPE I was expecting better numbers, but initially 56% had dehiscence and that increased to 88% and remained about the same during retention. It appears that neither surgical cuts nor mini-screws really helped to decrease the incidence of dehiscence.

Mini-workshop: Designed to critically appraise a published trial – Dr. Nik Pandis
Randomized clinical trials (RCT) are considered the gold standard to assess the efficacy and safety of an intervention and RCTs form the backbone of high quality systematic reviews. This presentation will use an interactive approach and guide the participants in how to critically appraise a published clinical trial. Instead of initially presenting the fundamentals of a clinical trial, the presentation will start and end with the appraisal of the selected publication. During the appraisal, the relevant concepts of clinical trial methodology will be explained and immediately applied to the example at hand. The published trial and the appraisal form will be sent to the participants at least a week in advance to allow time for preparation

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The University of Washington is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

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The University of Washington is a member of the Association for Continuing Dental Education.

University of Washington designates this activity for 14 continuing education credits.