The dynamic change in philosophy in the formation of the Dental biofilm and the rationale of debridement: An overview

Title : The dynamic change in philosophy in the formation of the Dental biofilm and the rationale of debridement: An overview

Abstract:

The rationale for the treatment and management of the periodontal disease has varied over the last three to four decades and as such, the clinician should be aware of these changes to manage the condition effectively. For example, the recognition that the modification and/or removal of the dental biofilm on the tooth surface is key to reducing the impact of the oral microflora on both the hard and soft tissues of the mouth rather than concentrating on the concept of calculus removal and planned removal of so-called ‘diseased’ cementum of the root to achieve success. The understanding of the role of oral flora has also changed particularly with the emergence of the key pathogen hypothesis and how this concept has impacted how the condition is managed. The improvement in instrumentation and surgical techniques together with the adjunctive use of antimicrobials in both non-surgical and surgical procedures has also impacted our treatment philosophy. The aim of this presentation, therefore, is to provide an overview of the dynamic changes in philosophy in the treatment and management of the periodontal disease.

Audience Takes Away:

• To provide an overview of the dynamic shift in the understanding and management of the periodontal disease.
• To recognize that the role of oral flora has changed, particularly with the emergence of the key pathogen hypothesis.
• To assess how these changes have impacted on our treatment of periodontal disease in daily practice.

Biography:

David Geoffrey Gillam graduated from Edinburgh Dental School in 1977 and has been actively involved in Dentistry for over 45 years. He has worked in both clinical practice and university dental hospitals, as well as in industry (1998-2001), initially with SmithKline Beecham and later with Block Drug Company. From 2003 to 2008, he worked with a Clinical Research Organization as a Research Dentist. He also served as a full-time Clinical Reader (Associate Professor) in Translational Research related to Dentistry at Bart’s and The London School of Medicine and Dentistry, QMUL in London (2009-2022). Currently, David is a part-time Professor at QMUL, although he no longer practices dentistry. His primary research interest lies in Periodontology, particularly the management of dentine hypersensitivity, and he has also developed an interest in the development of dental materials for both professional and consumer use. David has published over 100 papers on various dental topics and has contributed to several books, both as an Editor and as a chapter contributor.