CAHD-ACDH The national voice of Canadian hospital-affiliated dentists

Winnipeg 2018


Dr. Paul Daeninck & Ms. Candace Myers

Abstract Cancers of the Head and Neck account for as much as 5% of all cancers diagnosed in Canada on a yearly basis. Survival rates have increased over time, in part due to earlier diagnosis as well as more effective therapies. This is particularly seen in younger patients with HPV-related disease. However, many patients suffer significant side effects of the treatments, requiring a team approach to assessment and treatment. Those who are cured of their cancer may be left with a number of challenges (pain, dysarthria, swallowing dysfunction, nutritional issues, etc.), many of which can have a major impact on the quality of their lives and ability to function. We will review the available data on late effects of treatments for people with Head and Neck cancers, with a focus on early identification and options for interventions to improve their individual situations. We also will review an approach to patients and families affected by advanced Head and Neck cancers as they approach the end of their lives.

Paul Daeninck MD MSc FRCPC

Dr. Paul Daeninck is a medical oncologist and palliative medicine consultant with CancerCare Manitoba and the Winnipeg Region Palliative Care Program. He is an Assistant Professor at the Rady College of Medicine, University of Manitoba. Dr. Daeninck serves with several national organizations, including the Royal College of Physicians and Surgeons of Canada, Canadian Partnership Against Cancer, and is currently the President of the Board of Directors of the Canadian Consortium for the Investigation of Cannabinoids (CCIC). Dr. Daeninck is the author or co-author of several research papers as well as textbook chapters. He serves as a reviewer for medical journals. He has been active in medical student and resident education, and has ongoing research interests in several aspects of palliative medicine.


Candace Myers MSc SLP

Ms. Candace Myers is a Speech-Language Pathologist at CancerCare Manitoba with over 30 years experience with head and neck cancer rehabilitation. She is one of only three Canadian Board Certified specialists in assessment and management of dysphagia. She is actively involved in research on functional outcomes for people with advanced head and neck cancers and has co-authored 15 publications studying this population. She maintains a strong interest in palliative and end of life care and is a past member of Canadian Hospice and Palliative Care Association.

Dr. Nicholas Makhoul

Nicholas Makhoul DMD, MD, FRCD(C), Dip ABOMS, FACS

Abstract Functional maxillofacial reconstruction is the bedrock for being able to adequately rehabilitate patients after devastating ablative surgery of the mouth and jaws. A comprehensive understanding of the oral cavity, teeth, jaws and occlusion is required in order to provide patients with the best possible quality of life. In this session, we will discuss the different surgical options and pre-operative planning that we employ in our maxillofacial oncology and microvascular surgery practice.

Nicholas Makhoul is the Chief of Department of Dentistry and Oral and Maxillofacial Surgery at the MUHC and a dual degreed oral and maxillofacial surgeon with sub-specialization in maxillofacial reconstruction and oral oncology. He is a full time academic surgeon at the McGill University health system and assistant professor at McGill University. Currently, he maintains a clinical practice focusing on complex facial reconstruction post tumor ablative surgery of the face and jaws, as well as several translational research projects focusing on functional reconstruction of the mouth, jaws and face. He has a strong interest in post tumour resection functional reconstruction as well as 3D anatomic modeling for facial reconstruction. Dr. Makhoul has lectured nationally and internationally on quality assurance in maxillofacial surgery, oral cancer, maxillofacial reconstruction and medication related osteonecrosis of the jaw. He is a recent fellow of the ADEA leadership institute and involved in several national and international associations of dentistry and OMFS.

Dr. Leland McFadden

Leland McFadden D.D.S., M.Sc., F.R.C.D.(C)

Abstract This talk will review the incidence of cleft lip and palate, as well as the embryology associated with cleft lip and palate. Clinical and radiographic assessment of the cleft patient as well as a brief discussion of treatment options will be covered.

Dr. Leland McFadden graduated from the University of Alberta (DDS) in 1978. He completed his residency in Oral and Maxillofacial Surgery at Dalhousie University in Halifax Nova Scotia and began his private practice in Winnipeg Manitoba in 1984. He is an Associate Professor at the University of Manitoba involved with graduate training in Oral and Maxillofacial Surgery, as well as with the graduate Orthodontic training program. Dr. McFadden is the past President of the Royal College of Dentists of Canada, the Canadian Association of Oral and Maxillofacial Surgeons, the Manitoba Dental Association and the Victoria Hospital Medical Staff. He has served as an Examiner for the Royal College of Dentists of Canada.

Ms. Cynthia Pantel

Cynthia Pantel RN BN

Abstract Living with a facial difference can be a challenging experience. People with facial differences often deal with stares, unwanted questions, and uncomfortable interactions. They can experience bullying at school, in the workplace, or just out living their daily lives. This constant negative attention can end up affecting their mental health, and can have long term implications. AboutFace is here to offer support to these individuals and to give them confidence and courage. This presentation will discuss the services and programs offered by AboutFace and how the organization can help you promote and enhance positive interactions within your practice.

Cynthia received her Registered Nurse diploma at the Grace General Hospital in Winnipeg and went on to complete her Baccalaureate in Nursing in the Faculty of Nursing at the University of Manitoba. In her over 30 years of practice she has focused primarily on Pediatrics with experiences ranging from the Neonatal Intensive Care Unit to the Operating Room. Over the last 14 years her role as the Nurse Clinician for the Manitoba Craniofacial Team at the Health Sciences Centre in Winnipeg has seen her coordinate care for hundreds of individuals living with facial difference. She is actively involved as a Family Representative and volunteer with Aboutface; acknowledging the role that the organization has on the social supports she makes available to her clients and their families. She supports Operation Smile and hopes one day to participate in an overseas mission trip. She is a proud mother of 2 children, one of whom was born with a cleft palate. In her spare time she enjoys scrapbooking and travel. What is Aboutface? Established in 1985, AboutFace is a national organization dedicated to empowering and supporting individuals and families affected by facial differences. AboutFace’s mission is to promote and enhance positive mental and emotional well-being of individuals with facial differences and their families through social and peer support, information, educational programs, and public awareness.

Dr. Igor Pesun

Igor Pesun D.M.D., M.S., F.A.C.P., F.R.C.D.(C), F.I.C.D.(C)

Abstract Dr. Pesun will review the complex prosthodontic and multidisciplinary rehabilitation of children with cleft lip and palate, as well as adults who have not had reconstructive surgery earlier in life. In his second presentation, Dr. Pesun will discuss availability and funding mechanisms for maxillofacial and craniofacial prosthetics across Canada.

Dr. Igor Pesun is Associate Professor and Head of the Division of Prosthodontics and the Graduate Prosthodontic Program Director at the Department of Restorative Dentistry at the University of Manitoba Faculty of Dentistry. He completed his dental education at the University of Manitoba, and a General Practice Residency at the Royal University Hospital in Saskatoon, Canada. He set up a general practice in Winnipeg and was a part time instructor and clinical researcher at the University of Manitoba. He attended the Medical College of Georgia’s (Currently Augusta University) Graduate Prosthodontic Program and received a Certificate in Prosthodontics and a Masters in Oral Biology. He began his full time teaching career at the University of Minnesota’s School of Dentistry in the Department of Restorative Sciences, Division of Prosthodontics. Dr Pesun is a Board Certified Prosthodontist in both the USA and Canada. He is also a Board Examiner for the Royal College of Dentists of Canada in Prosthodontics. Throughout his academic career he has maintained a private prosthodontic practice providing restorative, implant and esthetic dentistry. He is active in clinical dental research and has published both scientific and clinical articles. He was awarded the Judson C. Hickey Scientific Writing Award and is a member of the Beta Beta Chapter of the Omicron Kappa Upsilon National Honor Society, A fellow of the International College of Dentists and the Pierre Fauchard Academy. Dr. Pesun is the Meeting Director of the American Academy of Fixed Prosthodontics, on the Board of the Council of Sections of the American Dental Education Association and involved with a number of local, state, and national organizations. He serves as a reviewer for a number of national and international dental journals. His research focuses on clinical evaluation of the short and long term outcome of treatments including implants and restorations. He has lectured to various groups internationally on clinical practice and educational methodologies.

Dr. Eszter Somogyi-Ganss

Eszter Somogyi-Ganss DMD, PhD, FRCD(C)

Abstract (Craniofacial Prosthetics – Past, Present and Future) The skill and artistry in the provision of life-like facial prostheses to replace tissues missing as a result of cancer, trauma or congenital defects has evolved considerably. The past, present and future of craniofacial prosthetics will be discussed. In the second presentation, Dr. Somogyi-Ganss will discuss principles of maxillofacial prosthodontics and role of the prosthodontist and dental team

Dr. Eszter Somogyi-Ganss received her DMD degree from the Semmelweis Medical University in Budapest, Hungary. After completing her dental training she spent five years studying calcium-binding molecules at the Karolinska Institute in Stockholm, Sweden to complete her doctoral thesis in basic sciences. Following this period she moved to Canada, where she completed her prosthodontic residency at the University of Toronto. Dr. Ganss continued as a Maxillofacial Prosthetics and Oncologic Dentistry fellow at the University of Texas MD Anderson Cancer Center. She is currently a full time Assistant Professor – Teaching Stream in Prosthodontics at the Faculty of Dentistry, University of Toronto and active staff member if the Department of Dentistry at Sunnybrook Health Sciences Centre. At Sunnybrook, Dr. Somogyi-Ganss provides complex maxillofacial prosthodontics and is the Clinical and Research Director at the Craniofacial Prosthetic Unit. In this latter role, she leads the team of surgeons and anaplastologists in the development of innovative care, including digital scanning of anatomic sites and 3D printing of working models and other infrastructure components of facial prostheses and the provision of image-guided surgery for the placement of extraoral implants.

Dr. Johan Wolfaardt

Johan Wolfaardt BDS, MDent (Prosthodontics), PhD

Abstract The head and neck cancer patient surgical continuum of resection-reconstruction-rehabilitation has been greatly advanced with the introduction of digitally driven occlusion based jaw reconstruction. With the convergence of microvascular reconstruction of the jaws and osseointegrated implant biotechnology, a range of complex challenges arose. The introduction of digital technologies to the care pathway held great promise to improve outcomes of care, providing patients with accuracy and precision in complex occlusion based reconstruction of the jaws. The enhanced functional outcomes are of prime importance to patients in their survival. This presentation will consider the impact on outcomes of care achieved with advanced digital technologies used with an occlusion based approach to jaw reconstruction.

Dr. Wolfaardt is a Full Professor, Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta. Dr. Wolfaardt is a co-founder of the Institute for Reconstructive Sciences in Medicine (iRSM). His clinical and research interests are in the area of Maxillofacial Prosthodontics with particular emphasis in the area of head and neck reconstruction, osseointegration and advanced digital technologies in surgical design and simulation. Dr. Wolfaardt has published widely in refereed journals and contributed to a variety of texts. He has lectured both nationally and internationally on maxillofacial prosthodontic care, head and neck reconstruction, osseointegration, and advanced digital technology. Dr. Wolfaardt has served on Boards of the International College of Prosthodontists, the American Academy of Maxillofacial Prosthetics, the International Society for Maxillofacial Rehabilitation, and the Advanced Digital Technology Foundation (ADT) for Head and Neck Reconstruction. Dr. Wolfaardt is past President of the International Society for Maxillofacial Rehabilitation and the ADT Foundation. Dr. Wolfaardt was awarded Honorary Membership by the Canadian Dental Association in 2011. The Alberta Dental Association and College presented the Award of Excellence to Dr. Wolfaardt in 2013. In 2014, the American Academy of Maxillofacial Prosthetics honored Dr. Wolfaardt with the Andrew J. Ackerman Memorial Award. In 2016, the British Prosthodontic Society awarded Honorary Membership to Dr. Wolfaardt. In 2017, the Edmonton Zone Medical Staff Association bestowed the Life Achievement – Medal of Service Award upon Dr Wolfaardt.

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