The 2019 Tokyo Tri Service Dental Symposium is a three day continuing education meeting hosted by the US Army Dental Health Activity – Japan. Fifteen ADA CERP continuing education credits can be earned through attendance. Military members from the Army, Air Force, Navy, JGSDF, as well as civilian dental professionals are all welcome to attend.
Attire: Class B or the equivalent for attendees. Service dress or the equivalent for presenters. Business casual for civilians.
Announcing Dr. Philippe Hujoel as the 2019 Keynote Speaker
Dr. Hujoel (DDS, MSD, MS, PhD) serves in the Council of Scientific Affairs and the Evidence-Based Dentistry Advisory Committee of the American Dental Association (ADA) and is a member of 4 expert panels. He received the Distinguished Scientist Award from International Association of Dental Research and is a founding Senior Associate Editor of the Journal of Evidence-Based Dental Practice.
Title: Do we really live/practice according the principles of evidence-based medicine?
Synopsis: Public health officials tell healthy people to avoid the sun, to avoid salt, to avoid saturated fats. These officials instead advise us to eat starches and vegetable oils, to eat vegetables and fruit, and, to apply sun tan lotion. Such “preventive” health advice has never been validated in rigorous randomized trials, and may cause more harm than good.
Suggested reading: http://www.cmaj.ca/content/167/4/363
Title: Do we give our dental patient evidence-based advice on dental disease prevention?
Synopsis: Oral hygiene efforts (without fluoride) is one of the least effective methods for dental caries prevention. We will explore why many of us may have this deeply engrained believe that clean teeth do not decay.
Suggested reading: https://onlinelibrary.wiley.com/doi/abs/10.1111/ger.12331
Title: Epidemiology – When do we trust the findings of non-randomized studies?
Synopsis: The International Journal of Epidemiology published an editorial in 2001 with the title:” Epidemiology-is it time to call it a day?”. The inability of epidemiological studies to reliably identify causal associations have become all too well documented. Some simple rules are presented to guide us when to take note of epidemiological findings.
Suggested reading: https://www.nytimes.com/2007/09/16/magazine/16epidemiology-t.html
Title: Screening – All about informed consent and do not harm.
Synopsis: Many diseases such as cancer, chronic periodontitis, and diabetes may never progress to morbidity and mortality. Screening populations to identify the early stages of such diseases may thus lead to harm – some people will become labeled as diseased, and may become exposed to treatments with side-effects.
Suggested reading: https://academic.oup.com/jnci/article/102/9/605/894608
Title: Diagnosis – When more information is less
Synopsis: More diagnostic information does not necessarily lead to better clinical decisions. Research findings in the area of dental cariology, dental implant therapy, and orthodontics suggest that the “more-information-is-better” principle is also in need of questioning in the dental arena.