Defense Commission (Closed Forum)
Wednesday 19th May, 2021 @ BMICH, Colombo, Sri Lanka

Time Topics
8.00 am Registration
08.30 - 09.30 Opening Ceremony and Guest speeches
09.30- 09.50 Presentation by Dental Service of SL Army
09.50 - 10.10 Presentation by Dental Service of SL Navy
10.10 - 10.30 Presentation by Dental Services of Air Force
10.30 - 11.00 Tea Break
11.00 - 12.30 Panel Discussion
Defense Commission (Open Forum)
Friday 21st May, 2021 @ BMICH, Colombo, Sri Lanka

Time Topics
08.00 am Registration
08.25 - 8.30 Opening Remarks
Air Vice Marshal (Retired) Dr A M B Amunugama
BDS, MCGDP. FICCDE
Chairman - Commission on Defense Forces Dentistry
08.30 - 09.15 Surgical Art & Facial Beauty
Dr T Sabesan - Consultant Maxillo-Facial Surgeon, Sri Lanka
09.15 - 10.00 Management of Maxillo-Facial Trauma
Dr K M S Kosgoda - Consultant Oral & Maxillofacial Surgeon,
Teaching Hospital, Anuradhapura, Sri Lanka
10.00 - 10.30 Tea Break
10.30 - 11.15 A military uprising during the British raj whose echoes reverberate to this day: Findings on the teeth that contributed to reconstructive identification of soldiers
Prof. Ashith B. Acharya
Professor and Head, Department of Forensic Odontology, SDM College of Dental Sciences & Hospital, Shri Dharmasthala Manjunatheshwara University, India
11.15 - 12.00 Veneers - New Trends of Aesthetics
Lt Col (Dr) C Dissanayake- Consultant in Restorative Dentistry,
Army Hospital, Colombo, Sri Lanka
12.00 - 12.45 Marching Towards a Safer Society - An Introduction to Disaster Medicine
Wg Cdr (Dr) RS Pagoda - Dental Officer, Sri Lanka Air Force
12.45 - 13.30 Clinical audit and its role in the practice of dentistry
Surgeon Commander (Dr) Ashani Rathnakeerthi
Sri Lanka Navy
13.30 - 13.45 Closing Remarks
13.45 Lunch Break
Brief CVs of the Speakers

Surgical Art & Facial Beauty
Dr. T Sabesan MS(Col), FDSRCS(Eng), MOSRCS(Edin), MOMSRCPS(Glasg)
Consultant Maxillo-Facial Surgeon, Sri Lanka

Abstract:
Aesthetic facial surgery modifies and reshapes the structures of the face. Men and women interested in reducing the signs of facial aging and enhancing or correcting facial contours often seek aesthetic facial surgery to achieve their goals. The most popular aesthetic facial surgical procedures include: Brow lift, Blepharoplasty (Eyelid surgery), Rhinoplasty (Nose job), Face lift, Neck lift, Orthognathic Surgery, Genioplasty, Otoplasty (Ear shaping), Facial implants, Lipo sculpture, Hair restoration surgery etc. and the non-surgical procedures include Botox injection, Filler’s injections, PRP therapy, Chemical peel and Laser therapy.
 
While beauty may be in the eye of the beholder, scientific evidence shows that there are ways to define facial beauty. An understanding of facial aesthetics, average proportions, and symmetry help appreciate the clinical ability to improve facial appearance such as with aesthetic facial surgery. It is, however, important to note that ideal facial beauty is prone to subjective fluctuations and that there are other factors to be taken into consideration.

Management of Maxillo-Facial Trauma
Dr S Kosgoda B.D.S., M.S.(OMF), M.A.O., C.M.F
Consultant Oral & Maxillofacial Surgeon,
Teaching Hospital, Anuradhapura, Sri Lanka

Abstract:
Maxillofacial injuries are frequent cause of presentations in an emergency treatment unit. The injuries vary from simple, common nasal fractures to gross comminution of the face. Management of such injuries can be extremely challenging. Special emphasis is given to war injuries. We present an overview of the management of maxilla-facial trauma. The challenges and controversies in the management of such patients are discussed with our own experience.

A military uprising during the British raj whose echoes reverberate to this day: Findings on the teeth that contributed to reconstructive identification of soldiers
Prof. Ashith B. Acharya
Professor and Head, Department of Forensic Odontology, SDM College of Dental Sciences & Hospital, Shri Dharmasthala Manjunatheshwara University, India

Abstract:
This presentation delves into reconstructive identification using teeth of suspected Indian soldiers who partook in that country's first war of independence. This followed retrieval of written accounts of the location of the soldiers' burial site and its unscientific excavation. The dental methods explored sex identification, population attribution, age estimation and certain aspects of pathological analysis, and the guest lecture highlights its salient findings

Veneers - New Trends of Aesthetics
Lt Col (Dr) C Dissanayake
Consultant in Restorative Dentistry, Army Hospital, Colombo, Sri Lanka

Abstract:
The demand for aesthetic dentistry has been on increase over the last two decades. Out of many forms of dental treatments, dental veneers are considered to be the best way of masking the dental discoloration as far as conservation of tooth structure is concerned. Direct composite veneers in the aesthetic zone can be done with the right case selection and knowledge of properties of composite material.

Indirect veneers which involve laminating the tooth surface with ceramic material fabricated in the dental laboratory will provide the patient with more durable, stain resistance surface with optimum aesthetics. Compared to direct composite veneers, life expectancy of ceramic indirect veneers is expected to be high but with minimal drawbacks.

With the advancement of CAD CAM technology in dentistry, fabrication of indirect laminate veneers has become easy and accurate. However, preparation design and material used can significantly influence the survival of the restoration. Feldspathic porcelain is the most common material used to fabricate laminate veneers. This requires minimal tooth preparation and gives maximum aesthetics in thin sections with required translucency to mimic natural tooth. However, camouflaging heavy discoloration of teeth with thin sections is beyond expectation and etching of the veneer prior to bonding can cause microcracks that could lead to fracture. Later, Leucite had been added to the glass matrix of feldspathic porcelain to improve its strength.  Lithium disilicate is widely used in cosmetic dentistry due to its strength, machinability and translucency. Zirconia or alumina based polycrystalline ceramics are aesthetic material and can be ideal for restoration of discoloured teeth which needs an opaque substructure to mask the discoloration.

Marching Towards a Safer Society - An Introduction to Disaster Medicine
Wg Cdr (Dr) RS Pagoda - Dental Officer, Sri Lanka Air Force

Abstract:
International Federation of Red Cross and Red Crescent Societies defines disaster as “A disaster is a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources.” Disasters can be divided according to the origin of the calamitous event as natural, man-made or hybrid. And disasters can be classified according to the speed of onset of an event, such as Slow or Rapid onset. Another way to classify disasters depending on the magnitude of the damage to the infrastructure is Simple, Compound or Complex.

Usually Military will be mustered first, at the time of a disaster, regardless of its level of complexity, regardless of the origin, whether the disaster is slow or rapid onset. The only consideration is the capabilities of the branch or arm which he or she belongs to and the requirement of that specialization on the field. Therefore, it is very much vital for members of all branches of the military to have at least a basic knowledge on what actions to be taken during Pre- impact phase, Trans- impact phase and Post impact phase of the disaster. And there will be no exception for military medical staff to educate themselves in principles of Disaster Medicine in addition to the knowledge on Disaster Management.

The experts of the Disaster Medicine have been involved in most catastrophic events in human history. However, practitioners of present-day disaster medicine have responded to the aftermaths of the tsunami in southeast Asia, the World Trade Center attack, Central Bank bombing in Sri Lanka, the Nepali earthquake, Easter attack in Sri Lanka to name a few.

In fact, a prerequisite for coping with major accidents and disasters is to get the involvement of all staff members including the Dental Surgeons especially those who are in the military, to have knowledge in this field, in addition to the knowledge and skills in trauma and emergency procedures which are used in daily and routinely

Clinical audit and its role in the practice of dentistry
Surgeon Commander (Dr) Ashani Rathnakeerthi
BDS(SL), MSc, MD in Medical Administration
Sri Lanka Navy

Abstract:
Clinical audit is a quality improvement process that aims to improve patient care through a systematic review of care against explicit criteria. It is a cyclic and multidisciplinary process which involves a series of steps from planning the audit through measuring the performance to implementing and sustaining the change. Auditing can be done right from the record maintaining, diagnosis and treatment and postoperative evaluation and follow-up. The immense potential of clinical audit can be utilized only when open-mindedness and innovativeness is encouraged, and evidence-based work culture is cultivated. When considering Dentistry, treatment varies vastly from dentist to dentist, mainly guided by their knowledge and clinical acumen. While accurate diagnosis and evidence-based treatment gives relief to the patient, a misdiagnosis results in unpredictable, inappropriate and at times catastrophic outcomes and engulfs unnecessary resources. Thus, clinical audit is the need of the hour to enable us to arrive at a consensus with regards to the various clinical and treatment aspects of orofacial diseases and disorders.