Monday, 10 December 2018

Winter Conferences: BSG and BSDH 2018

This December, it was time for the consecutive Special Care Conference duo of the British Society of Gerodontology and the British Society for Disability and Oral Health...

Yet another poster!

The 2 days were a great opportunity to catch up with familiar faces and to learn from clinicians across the country. This year both events were at the Royal Society for Gynaecologists and Obstetricians. What did I learn?

BSG


The theme of the Winter's conference was 'The Future's bright for older people and oral care in the UK?' with some really interesting topics from commissioning (my favourite topic at the moment), the oral microbiome, dementia and dermatology. One of the highlights for me was a talk by Dr Rosie Tope who spoke about her first hand experience of being a carer for a relative with dementia: her messages about communicating with these patients from caring for her late husband were really insightful and touching. 

My top take home messages were:
  • Commissioning services for older people will need to be co-designed with clinicians, patients and NHS England 
  • Patients with dementia understand us...it may just be they have lost their ability to communicate
  • Frailty can have a negative impact of a person's oral microbiome so they are more susceptible to infections e.g. aspiration pneumonia. 
  • Patients with dementia may show signs they are in pain e.g. lip biting, pulling at their face, grimacing - it is up to their carers and healthcare professionals to investigate to find the cause e.g. is there a dental cause?

Of course a conference often means the opportunity to present or share our clinical work - I presented a poster on a case I treated recently where unfortunately the patient died very soon after I treated him. To read my poster click here.

And I'm pleased to announce from this meeting, I am now a StR representative on the BSG Committee! 



BSDH



The theme of this year's BSDH Winter Meeting was 'Caring for the Unwell Special Care Dentistry Patient with again lots of information from chronic kidney disease, MRONJ and cardiovascular disease.

My top take home messages were:
  • Sepsis is a life-threatening inflammatory response which can be triggered by infection - there are decision support matrices for primary dental care in the recognition of Sepsis
  • There are 6 management strategies for sepsis: Give Oxygen, take Blood cultures, give IV fluids, start IV resuscitation, check lactate, monitor urine output
  • 10% reduction in body weight leads to 80% decrease in risk for diabetes
  • 40% of type 1 female diabetics are diabulemic - omitting their insulin purposely in order to lose weight
  • Patients with Down syndrome are predisposed to acute lymphoblastic leukaemia
  • 10 year survival rate of patients with multiple myeloma is 70% 
  • Patients with kidney failure can complain of lack of taste or unpleasant taste due to build up of urea
  • There is an increased risk of post operative bleeding in patients with kidney disease, not only because of being heparinised during dialysis but because of platelet dysfunction

Looking forward to the Spring BSDH where I will be speaking and the Summer BSG!


Did you go to BSDH or BSG this year? What did you think? Leave your thoughts in the comments section.



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