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Dirk Bister

人物介绍
Dirk qualified in Medicine and Dentistry at the Heinrich - Heine University Düsseldorf, Germany. He trained on the combined MSc / MOrth programme in Orthodontics at Guy’s and St Thomas’, United Medical and Dental Schools obtaining his specialist qualification in 1999. This was followed by two further years as a Senior Registrar. 
 
Dirk is Service Lead in Orthodontics at Guy’s and St Thomas’ Foundation Trust and is Honorary Reader at King’s College Dental Institute, London, the largest Dental School in Europe. 
 
Dirk also holds an MA in higher Education and he is a Fellow of the Higher Education Academy. 
 
Dirk was the President of the European Orthodontic Society and ran the congress in Edinburgh, 2018. He is elected honorary secretary to the society (2019). 
 
Dirk was a member of Dental Council of the Royal College of Surgeons of Edinburgh (2013 to 2018) and he examines for the college nationally and internationally.
摘要
Topic: Multidisciplinary treatment planning of patients affected by hypodontia: Experiences from a large centre in the UK
 
Abstract:
Hypodontia is defined as developmental absence of one or more teeth, excluding the third molars. It is one of the most common dental anomalies in the permanent dentition. Other terms (oligdontia, anodontia, congenitally missing teeth and dental agenesis) can be used to further classify this condition. Severe hypodontia has been defined as more than 6 congenitally missing permanent teeth. Prevalence, pattern, and severity of this condition vary between populations and have previously been described.
Centralized clinical services exist in the UK, driven by government to standardize services. Multidisciplinary teams (MDT) provide the complete service and the team members are centrally appointed to that team. The main services are provided at centers (so called ‘hubs’) but some treatments requiring frequent visits are provided closer to patients, in so called ‘spokes’ (e.g. orthodontics). The team-members should ideally have undertaken additional training in that field, also known as fellowships, after qualifying as specialists.
Many district general hospitals and all university dental clinics provide MDT services for their patients affected by hypodontia. The team usually includes orthodontists and restorative dentists/prosthodontists, but can also involve Oral Surgeons (or Maxillofacial Surgeons) who have an interest in implantology / bone grafting, Paediatric dentists and psychologists where indicated. Training for specialist dentists is Hospital - based in the UK and the Hypodontia MDT clinics are used for training registrars for the above-named specialties. Many specialist orthodontists working in primary care refer their patients into this service.
The author aims to share his experience working for one such service in the UK, namely Guy’s and St. Thomas’ Dental Hospital that is part of Kings Health Partners Dental Institute. The institute hosts the biggest Dental School in Europe, taking in over 130 new dental students each year, training students at five sites.
The principles of treatment planning will be described, and clinical examples will be used to highlight issues that are particular to planning patients affected by hypodontia.

人物介绍
Dirk qualified in Medicine and Dentistry at the Heinrich - Heine University Düsseldorf, Germany. He trained on the combined MSc / MOrth programme in Orthodontics at Guy’s and St Thomas’, United Medical and Dental Schools obtaining his specialist qualification in 1999. This was followed by two further years as a Senior Registrar. 
 
Dirk is Service Lead in Orthodontics at Guy’s and St Thomas’ Foundation Trust and is Honorary Reader at King’s College Dental Institute, London, the largest Dental School in Europe. 
 
Dirk also holds an MA in higher Education and he is a Fellow of the Higher Education Academy. 
 
Dirk was the President of the European Orthodontic Society and ran the congress in Edinburgh, 2018. He is elected honorary secretary to the society (2019). 
 
Dirk was a member of Dental Council of the Royal College of Surgeons of Edinburgh (2013 to 2018) and he examines for the college nationally and internationally.
摘要
Topic: Multidisciplinary treatment planning of patients affected by hypodontia: Experiences from a large centre in the UK
 
Abstract:
Hypodontia is defined as developmental absence of one or more teeth, excluding the third molars. It is one of the most common dental anomalies in the permanent dentition. Other terms (oligdontia, anodontia, congenitally missing teeth and dental agenesis) can be used to further classify this condition. Severe hypodontia has been defined as more than 6 congenitally missing permanent teeth. Prevalence, pattern, and severity of this condition vary between populations and have previously been described.
Centralized clinical services exist in the UK, driven by government to standardize services. Multidisciplinary teams (MDT) provide the complete service and the team members are centrally appointed to that team. The main services are provided at centers (so called ‘hubs’) but some treatments requiring frequent visits are provided closer to patients, in so called ‘spokes’ (e.g. orthodontics). The team-members should ideally have undertaken additional training in that field, also known as fellowships, after qualifying as specialists.
Many district general hospitals and all university dental clinics provide MDT services for their patients affected by hypodontia. The team usually includes orthodontists and restorative dentists/prosthodontists, but can also involve Oral Surgeons (or Maxillofacial Surgeons) who have an interest in implantology / bone grafting, Paediatric dentists and psychologists where indicated. Training for specialist dentists is Hospital - based in the UK and the Hypodontia MDT clinics are used for training registrars for the above-named specialties. Many specialist orthodontists working in primary care refer their patients into this service.
The author aims to share his experience working for one such service in the UK, namely Guy’s and St. Thomas’ Dental Hospital that is part of Kings Health Partners Dental Institute. The institute hosts the biggest Dental School in Europe, taking in over 130 new dental students each year, training students at five sites.
The principles of treatment planning will be described, and clinical examples will be used to highlight issues that are particular to planning patients affected by hypodontia.

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