Invited Speaker
Dr. Nitesh Tewari
Dr. Nitesh Tewari has been active in Pediatric Dentistry, Dental Traumatology, and Evidence Based Medicine with 190 publications and eight test-book contributions. He has lectured in 175 events in 23 countries and conducted dental traumatology and systematic review workshops. His works have been awarded by International Association of Dental Traumatology, International Association of Pediatric Dentistry, Craniofacial Research Foundation, International Association of Dental Research, Japan Dental Association, International Federation of Endodontic Associations, Royal College of Surgeons of Glasgow, and several other associations. He is a fellow of six societies and presently serves as the Communication Officer of the International Association of Dental Traumatology, General Secretary of the Indian Society of Dental Traumatology, secretary of the Evidence-based dentistry network of IADR, and Professor of Pediatric Dentistry at the All India Institute of Medical Sciences, New Delhi, India. Presently he is doing doctoral research on combination injuries at Karolinska Institutet, Sweden.
Invited Lecture:
Managing the traumatized permanent teeth with “guarded prognosis”: the evidence-based practice of not giving up
Abstract:
Traumatic dental injuries result in a number of long term or delayed complications in permanent teeth. They result from progressive deterioration of the pulp or periodontal tissues after series of failed attempts of recovery from the traumatic insults. These conditions include pulp necrosis, tooth resorptions, discolorations, marginal bone loss, peri-radicular degeneration, or tooth fractures. A deeper influence of dental injuries on the psychological well-being of the affected individuals has also been noted. The common factors leading to delayed complications are the time elapsed from trauma to appropriate emergency care, adequacy of treatment, age of the patient, and severity of injury. Due to late detection and aggressive nature of the condition, teeth with these complications suffer from guarded prognosis and often termed “hopeless”. Over the years, a more conservative approach has emerged from translational research and better understanding of the biological responses. A tailored approach with dynamic prognostic treatment planning is needed when attempting to save or restore the form and function of the traumatized teeth with delayed complications.