Lecture Programme
8.00pm Arrival, Welcome Drinks - Join the organisers and Faculty for a welcome drink . An opportunity for you to meet the Faculty , Free paper presenters, and fellow delegates in the Tuxedo Bar . ( A limited free bar will operate !! )
8.00 – 8.45 Coffee - Registration
8.45 Welcome
9.00 - 10.30 Julie Jordan Brown ( USA) - Intrinsic/extrinsic colouring techniques, creating ideal margins,osseointegratedrated implants, Adhesive use, Factors influencing silicone choice,Mold construction,Attachment to spectacles and magnet use.Partial prostheses and elderly patients,Challenging cases.
10.30 - 11.00 Coffee / Trade Displays / Poster Presentations
11.00 – 12.00 Steve Gray (Australia) - Current experiences of Branemark Lower limb and finger implants, future developments, Branemark craniofacial implants - techniques/observations
12.00 - 12.45 Siobhan Thomas (U.K) - Surgical tattooing and Cosmetic Camouflage, includes kit and material comparisons, guidance on needle selection,colour matching to achieve realistic appearance, factors affecting colour 'take' compromises arising from reconstruction, tattoo care instructiions.
12.45 - 2.00 Lunch / Trade Displays / Poster Presentations
2.00 - 2.30 Anna Hulterstrom (Sweden)- Do I have to buy expensive medical grade silicone?
2.30 - 3.00 Chandrashekar Chawan (India) - Custom made Ocular Prosthesis. Ocular Prosthesis plays an important role in cosmetic, social and psychological rehabilitation of the patients with disfigured eye.This paper will illustrate the step by step technique of fabricating and dispensing of Custom Ocular Prosthesis.
3.00 - 3.30 Trevor Coward ( U.K ) - Computerised Colour Formulation. When mixing colour for a predictable result, it is necessary to control the hue, saturation (chroma), and translucency of the silicone elastomer. Metamerism is a frequently observed problem with colour matching for facial prostheses. Computerised colour formulation systems offer the ability to control the degree of metamerism observed. Further, to predict the colourants required for a particular skin hue, spectrophotometery, colourimetry and colour formulation begin to provide a solution. Discussion will include the current equipment available for recording spectral data with results presented from studies and spectrophotometry and its clinical application with case studies.
3.30 - 4.00 Tea
4.00 - 4.30 Doris Maria Kim (Germany) -Therapeutic management of craniofacial periimplantitis - a clinical report
4.30 - 5.00 Graham Blackbeard / Heather Coombes (South Africa)- Progression from Teeth to Toes: A Bio-engineering presentation. Discussion of new concepts and understanding of Osseointegration and the resulting impact on load bearing implant design. Challenges involved in extending concepts from intra-oral implantology through to extra-oral / finger implants. The latest toe concepts and designs will be discussed.
5.00 Any Questions?
9.00 - 10.30 Stephan Kritzinger (South Africa) - Techniques relating to hand prostheses, including colouring and materials, Developments in lower and upper limbs both cosmetic and functional, experiences of finger implants including all the results, pitfalls, and future developments. Experience of facial prostheses and implants using the Southern implant system.
10.30 - 11.00 Coffee / Trade Displays / Poster Presentations
11.00 - 12.30 Wendy Smith (Canada) - Introducing the'Breast Dressed Programme' including techniques of custom breast prosthesis construction, Incorporating tattoos into Somato prostheses. Infrastructures in Digital and Partial Hand prostheses. Techniques of fingernail construction. Buttock Prostheses.
12.30 - 2.00 Lunch / Trade Displays / Poster Exhibits
2.00 - 2.45 Keith Thomas (U.K) - Experience of two osseointegrated finger implant systems; Branemark / Southern Implants.
2.45 - 3.05 Tomaz Maver ( Slovenia) - Slovenian experiance of using rapid prototyping technologies to produce epitheses,development project for appropriate high resolution CAD-CAM system, scanning system,prototype model construction technology, tool-mould construction technology, creating digital virtual model, use of 3D printing technology.
3.05 - 3.25 Christian Camerer (Germany) - Miniaturized actuation systems for active prostheses. Since conventional prostheses are rigid, they are particularly noticeable in flexible parts of the face, like eyelids. A future solution is flexible (active) prostheses. In 1999, we (Department of Oral and Maxillofacial Surgery / Clinical Navigation and Robotics at Charité – Campus Virchow Klinikum in Berlin) introduced the first prototype of active functional eye prosthesis worldwide, succeeding in generating artificial eyeblinking synchronous to that of the healthy eye and synchronization achieved by stimulus conductance at the lid muscle of the healthy eye. This signal serves as a trigger for actuating the artificial eyeblink of the prosthesis. The total size of the mechatronic components restricted their applications to very large defects. Moreover, conducting the stimulus through the skin via needle electrodes prevented its permanent application in patients so that the first generation of active prostheses never went beyond the prototype stage. In cooperation with the Fraunhofer Institute for Production Systems and Design Technology we developed the newest generation of active prostheses with a miniaturized actuation system. Solutions using implantable electrodes are also being examined to sidestep the pathway of skin conductance during stimulus reduction.The current state of the art allows a volume reduction of the prosthesis capsule from 30cm3 to 18cm3. Today, about 50% of the orbital defects can already be treated with the newest generation of active prostheses. Further developments in microsystem technology will make the target volume of 5cm3 for the mechatronic unit of the prosthesis a realistic goal in the coming years. Particularly important in this context is the further development of implantable electrodes with telemetric stimulus conductance. The application of new technologies, as for example films as carrier substrate for implantable electrodes, is of great interest here.
3.30 - 4.00 Tea
4.00 - 4.30 Kuldeep Raizada (India) - Post -exenteration orbital prosthesis for cosmetic rehabilitation.
4.30 - 5.00 Anne-Marie Reidinger-Keller (France) - Sheet folding method for sculpting an ear in clay, following the embryological development of the external ear. Applications for direct sculpting of an ear in silicone sheets, Intrinsic and extrinsic colouration. Applications in other cranio-facial prostheses.
5.00 Any Questions ?
9.00 - 10.30 Antti Hulterstrom ( Sweden)- 35 years experience with silicones. Silicone chemistry and types.Do you really need additives such as softening agents, anti-slump agents and UV- filters? Achieving durometer control by choosing the right polymer. Mixing silicones from different brands and manufacturers - what happens when you mix chemistries?Silicone ageing -can you control it? Materials certified for medical use and traceable.Pigment selection? Are they certified? Are they colour fast? Are they compatible with the base silicones? Intrinsic or extrinsic technique which method is the best?. Is there any need for a photo spectrometer- for colour measurements? Is there a universal primer for all silicones? Problems with the bond to dental acrylics? Why is the silicone hard even though the manufacturer specifies it should be soft? What causes it? Problems of implant placement -several nightmare cases will be shown and how to solve them. Retention elements. Many show nice photos of successful finished prostheses when the patient leave the clinic, but have you documented what happened after 2 to 4 or even 6 years? What is the expected life for a prosthesis? Management of Abutment/Tissue interface problems . Milling silicones - selection and equipment. An alternative method of finger nail construction -tricks of the trade.Custom made implants- important considerations. During the presentation there will be plenty of clinical and laboratory pictures on recent cases with step by step instructions on how I do it.
10.30 - 11.00 Coffee / Trade Displays / Poster Presentations
11.00 -12.30 Jan De Cubber (Belgium) -Completely new technique for the production of facial prostheses (direct modelling in high consistency HV, ETR silicones) Implant retained modular frame for finger epitheses, “the state of the art” Experience during the last two years of using: Freeform (virtual modeler). Simplant (implant planning). Mimics (Dicom to STL files). Navigation surgery for implants. Use of rapid proto-typing models in my workshop.
12.30 - 1.45 Lunch / Trade Displays / Poster Exhibits
1.45 - 3.15 Greg Gion (USA) - Colouring techniques - including ethnic skins i.e Afro-American/Caribbean, sculpting tips and techniques, margin management, polyurethane liners, retention options, orbital prostheses,adhesive use, osseointegrated implants,silicone materials including influences of choice.
3.15 –3.45 Susan Habakuk (USA) - The Rehabilitation of the Facially Disfigured Patient Through the Use of Osseointegrated Implants: Clinical and Laboratory Applications
3.45 - 4.05 Questions / Close of meeting
4.05 Tea
Timings running order and content are provisional and subject to change as neccessary, check website regularly for continual update regarding 'free paper' allocation and content, in addition to Poster Presentations
Tuesday 26th September
Wednesday 27th September
Thursday 28th September
Friday 29th September
