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* The Business of Dentistry
AGD Subject Code(s): 552 CE credits: 2 Cost: $49.00
Faculty: Alan Richardson
15019

Basics of Business Success
You will learn what makes a dental office successful and profitable. The areas discussed in detail include; the importance of delivering high quality dentistry, providing exceptional customer services and understanding what makes the business work and be profitable, safeguarding the patient base as the most valuable asset by understanding continual care, the role of insurance, management of collections and receivables. Also discussed is the role of leadership to ensure the team is committed to common vision and goals, so the practice is a fun place to work, is productive, profitable and a place that patients enjoy visiting.

Important CE Credit Information: This course has only been approved for AGD PACE Credits.

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AGD PACE Credit Only
A Review of Dental Caries Detection Technologies
AGD Subject Code(s): 257 CE credits: 2 Cost: $49.00
Faculty: Jeffery B. Price, DDS, MS
15056

Caries diagnosis is one of the most basic diagnostic skills that oral healthcare professionals must learn; and yet, it remains one of the most difficult skills to reliably and predictably master. In this course we will review the various caries detection technologies available to assist the dental professional with this complex task.

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A Review of Intraoral Radiology
AGD Subject Code(s): 165 CE credits: 2 Cost: $49.00
Faculty: Jeffery B. Price, DDS, MS
14945

 Dentists today receive information from more sources than ever. It is increasingly difficult to determine how to prioritize information when it comes time to make important practice decisions such as purchasing imaging systems for the modern dental office. This series of articles is intended to provide the dentist with some basic information regarding modern imaging systems. Specifically, part one of this series is geared towards a review of intraoral digital radiography. In addition to digital radiography, we will offer a basic overview of the principles of x-ray production; radiation dose and selection criteria; attenuation and image quality. We will also discuss how these aspects of radiology are meaningful to the prac­ticing dentist. After completing this course, the dentist and dental auxiliary should have a better understanding of how intraoral dental radiography systems function and be better equipped to make a decision regarding which intraoral system to purchase.

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Air Polishing: A Mainstay for Dental Hygiene
Not Rated
AGD Subject Code(s): 509 CE credits: 2 Cost: $49.00
Faculty: Caren M. Barnes, RDH
15055

This continuing education course provides a comprehensive review of air polishing. The initial portion of the course reviews the history of air polishing. The course includes a description of how air polishing removes dental stain and plaque and the clinical techniques used for air polishing, and the Mohs hardness number of abrasive particles. The course material includes the identification of medical conditions that exclude patients from being candidates for air polishing and a description of facial emphysemas and how they can be a sequela from use of an air polisher. Surfaces of teeth and the types of dental restorative materials that can be effectively treated with air polishing procedures are also identified.

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America’s Sweet Tooth Obsession and Its Impact on Oral and Systemic Health
CE credits: 1 Cost: $20.00
Faculty: Karen Davis, RDH
14977

Americans consume an average of 400 calories per day of added sugars in their diet from high-fructose corn syrup, table sugar, honey, and all other sweeteners with calories! Today’s sugar consumption has jumped 20% over the past 30 years with a correlating rise in obesity, and the domino effect continues with an increased risk for cardiovascular disease, elevated triglyceride levels, liver disease and Type II diabetes. Soft drinks which are the greatest culprit of this growing “sugar obsession” are implicated in increased risk for dental caries and tooth erosion. This program gives a review of the literature related to sugar’s impact on overall health, but also provides good news for today’s clinician seeking methods to help reduce decay, remineralize tooth structure, and motivate patients to reclaim their health!

Program Format Note: This program is offered in both a Text based format (PDF) and an Audio Video Webinar format (Interactive).

Special Bundle Offer:
Buy "America’s Sweet Tooth Obsession and Its Impact on Oral and Systemic Health" and receive a 20% Discount on your choice of any 2 currently available ineedce 2 credit hour courses.

All 3 Courses must be purchased at the same time.
To recieve discount enter Promotion Code: 1BUNDLE2013
Offer Expires 12/31/2013

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Anesthetic Buffering: New Advances for Use in Dentistry
AGD Subject Code(s): 132 CE credits: 1 Cost: $20.00
Faculty: Demetra Daskalos Logothetis, RDH, MS
14998

Local anesthetics are the safest drugs used in dentistry for pain management, but cause undesirable qualities such as stinging and burning upon injection, relatively slow onset of action, and unreliable or no anesthesia when injected into infected tissues. Buffering of local anesthetics has been demonstrated to counteract these undesirable qualities of local anesthetics. Recent advances in technology have made buffering of local anesthetics practical for use to alkalinize dental local anesthetic cartridges chairside immediately prior to injection, making the anesthetic’s onset quicker, more reliable, and more comfortable for the patient. This article provides an overview of neurophysiology, pharmacology of local anesthetics, and the role and benefits of local anesthetic buffering.

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Antibacterial Agents in Dental Hygiene Care
Not Rated
AGD Subject Code(s): 016 CE credits: 1 Cost: $20.00
Faculty: Howard M. Notgarnie, RDH, EdD
15062

Dental hygiene care incorporates antimicrobial agents as ad¬junct services with nonsurgical periodontal therapy, and as a measure to reduce the risk of hematogenous infection subse¬quent to oral tissue manipulation. Knowledge of antimicrobial properties provides practitioners the ability to make sound de¬cisions when diagnosing conditions treated by dental hygiene intervention and choosing antibiotics dentists prescribe for administration. Antimicrobial agents inhibit structural or metabolic functions of microorganisms, but also render adverse effects to patients. Bacterial mutation and acquisition of genetic material enables development of strains resistant to antibiotics. Understanding the interplay of host, microorganism, and anti¬microbials fosters advances in therapeutic choices and delivery systems when treating periodontal disease, as well as when re¬sponding to the risk of hematogenous infection of endocardium or prosthetic joints.

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Botulinum Toxin for Frontline TMJ Syndrome and Dental Therapeutic Treatment
AGD Subject Code(s): 181, 182 CE credits: 1 Cost: $20.00
Faculty: Louis Malmacher, DDS
15049

This article will demonstrate how the use of botulinum toxin is integrated into daily dental treatment in a number of disciplines. Non-surgical, minimally invasive treatment of the muscles of the head and neck is essential for frontline TMJ and myofascial pain therapy as well as treatment of bruxism, removable prosthodontics, orthodontics, periodontics, and implant therapy.

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Computerized Digital Occlusal Analysis of Occlusal Splints
AGD Subject Code(s): 185 CE credits: 2 Cost: $49.00
Faculty: Roger Solow, DDS
15039

One benefit of occlusal splint therapy is a reduction in masticatory muscle hyperactivity related to the development of an optimal programmed occlusion. This normalization of muscle activity can reduce the effects of cumulative adverse force on the teeth, periodontium, muscles, and temporomandibular joints. Current literature defines a therapeutic occlusion as multiple, bilateral posterior teeth contact with the mandibular condyles physiologically seated and immediate separation of the posterior teeth by the anterior teeth in all excursive movements. These contacts are usually identified by occlusal marking but research has shown that conventional identification of occlusal contacts with inked silk, paper, or plastic ribbon is not accurate. The rationale and application of computerized digital occlusal analysis to verify a therapeutic occlusion with occlusal splint therapy is presented. The advantages for clinical documentation and validation of research are discussed.

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Current Fluoride Modalities for Reduction of Dental Caries
AGD Subject Code(s): 257 CE credits: 1 Cost: $20.00
Faculty: Heidi Emmerling Munoz, RDH, PhD, FAADH, Ellen Standley, RDH, BS, MA
14989

The dental profession has long regarded fluoride as a primary element in the prevention of dental caries. Topical and systemic fluorides are regularly incorporated within the community, dental office, and home avenues. Despite the fact there are other preventive modalities, fluoride remains a well-established, evidencebased therapeutic intervention. This article will review the early history; mechanism of action; delivery methods for fluoride in private practice, home, and community; and the clinician’s role in optimizing best practices and safe use of fluoride.

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Dental Electronic Health Records: Meaningful and Useful
AGD Subject Code(s): 561 CE credits: 1 Cost: $20.00
Faculty: Patti DiGangi, RDH, BS
14946

Interoperable electronic health records (EHRs) are promising tools to improve quality and efficiency in health care. This course will look at the tides of change and how dentistry became part of the interoperable EHR process. It will assess the impact of standards, coding, and systems being developed by the American Dental Association for EHR. The reader is given five simple steps that can be taken to help with navigating the choppy waters of adoption.

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Education: The Key to Patient Compliance
AGD Subject Code(s): 557 CE credits: 2 Cost: $49.00
Faculty: Howard M. Notgarnie, RDH, EdD
14931
Dental hygienists elicit patient compliance with a self-care regimen by educating those patients to adopt effective behaviors that promote health. Research in patient education requires growth to identify and support teaching methods that help patients develop the commitment and skills they need to maintain periodontal health. Application of five major learning theories to patient education methods includes informing patients, evaluating their progress, and facilitating development of knowledge, behaviors, and attitudes conducive to health. Dental hygienists can provide effective educational intervention by applying evidence-based practice principles when diagnosing learning needs and planning individualized, patient-centered instruction.

 

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Natural Esthetics Through Minimally Invasive Dentistry
AGD Subject Code(s): 184, 780 CE credits: 2 Cost: $49.00
Faculty: Dale Sorenson, DDS
15009

Everyday dentistry does not typically include full mouth reconstruction. Rather, minimally invasive dentistry, restoring one or two teeth or somewhat more complex cases comprises what we do on a daily basis. Though involvement and complexity can vary, the foundation principles that ultimately dictate success remain the same. A key component is the role that occlusion plays in achieving excellence in anterior esthetics. This presentation will focus on the principles that need to be addressed in order to achieve predictable long term success through an occlusion-based rationale toward natural esthetics.

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Oral Cancer Today: The Impact on our Profession
AGD Subject Code(s): 736 CE credits: 2 Cost: $49.00
Faculty: Jo-Anne Jones
15022

SEER (Surveillance Epidemiology and End Results) data demonstrates a decline in oral cancer for tobacco related sites; however, there is a strong trend towards an increase in human papillomavirus (HPV) implicated sites. How does this affect our methods of screening for oral cancer and is the clinical oral examination predictive of histologic diagnosis at an early stage? Two-thirds of oral squamous cell carcinomas are discovered at an advanced stage with five year survival rates impeded significantly; 82.3 percent when the disease is discovered in stage I or II and only 33.5 percent when the cancer has metastasized. This presents a call to action to elevate our knowledge regarding examination of high risk areas and explore adjunctive screening methods to complement the traditional white light examination.

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Oral Health Care During Chemotherapy
AGD Subject Code(s): 730 CE credits: 2 Cost: $49.00
Faculty: Elena Bablenis Haveles, Bs Pharmacy, PharmD, Laurel Swartzentruber
15031

Oral side effects are commonplace with cancer chemo and adjunctive therapies. Intravenous bisphosphonate therapy can lead to osteonecrosis, especially after a tooth extraction or oral surgery. Scheduled cleanings should be performed every six months or quarterly, as well as compliance with meticulous home oral hygiene, depending on risk factors and the patient’s health. Chemotherapy can cause a host of oral side effects including hypersensitivity due to discomfort and pain, ulcerated gingival tissues, impaired taste buds, erosion of tooth enamel due to vomiting, and mucositis. The primary method of treating mucositis is palliative therapy. Therapy includes home oral hygiene, pain control, oral mouth rinses, and palliation of dry mouth. It is important for dental hygienists to be aware of these side effects and how to counsel their patients appropriately.

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Ouch, This Ulcer Hurts! Demystifying the Phenomenon of Aphthous Ulcers
CE credits: 1 Cost: $20.00
Faculty: Lisa Dowst-Mayo, RDH, BSDH
15018

Recurrent aphthous stomatitis (RAS) is the most common idiopathic ulcerative condition seen today, affecting over 100 million Americans. Ulcers can be painful, slow to heal, difficult to treat, and at worst, cause impairments in eating, drinking, sleeping, and speaking. This review of the literature found many different treatment options whose effectiveness remains inconclusive, and to date, there is no one definitive treatment modality for RAS. Even though aphthous ulcers have been studied extensively, there are still many unknowns when it comes to their composition, pathophysiology, and manifestations in the oral cavity. Research does conclude that RAS may be the secondary issue of a more serious systemic infection in patients. This course will provide the most current research-based tools for for professionals who are trying to aid their patients suffering from RAS.

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Preparing for Medical Emergencies in the Dental Office
AGD Subject Code(s): 142 CE credits: 1 Cost: $20.00
Faculty: Anthony Feck, DDS
14932
A Medical Emergency is the unexpected guest during our busy appointment schedules. Whether or not the office has prepared for this emergency before it happens generally decides how it will turn out. It is extremely important that every member of the dental team understands and is able to perform their role when the time comes. The team must thoroughly trained and adequately equipped to treat all medical emergencies as they arise. This article will describe the commonly encountered medical emergencies, the procedures associated with the occurrence of medical emergencies, and the timing of the occurrences. The article will stress the right tools (products and equipment), the right training and practice to deal with everyday medical emergencies. Statistics tell us that medical emergencies are 5.8 times more likely to occur in dental offices than in medical offices. This should not come as a surprise, given the number of patients dentists treat who have significant medical conditions that are not under good control, with invasive procedures complicated by a stressful environment where drugs are administered.
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Professional Whitening Services: Prioritizing and Implementing for Success
AGD Subject Code(s): 781 CE credits: 2 Cost: $49.00
Faculty: Richard H. Nagelberg, DDS
15002

The demand for tooth whitening continues to increase in the US. Whitening is available as an in-office treatment, as a take-home treatment utilizing custom fabricated trays or with many over the counter products. There has been considerable advancement in whitening technology since its inception, making the results more predictable and reducing the incidence of post-op sensitivity. The primary types of tooth discoloration are intrinsic and extrinsic. Extrinsic stains can become intrinsic by seeping into the interior of the tooth through pits, fissures and surface irregularities. Extrinsic discoloration is effectively removed during a prophylaxis. Intrinsic discoloration is improved with the use of peroxide containing whitening agents. This course discusses clinician responsibilities, ethical considerations, mechanism of action,side effects and management of patient expectations with tooth whitening procedures. Cosmetic dental procedures have been developed over a relatively short period of time, with virtually continuous refinements to materials and procedures.

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Professional Whitening: The Role of the Dental Hygienist
AGD Subject Code(s): 781 CE credits: 2 Cost: $49.00
Faculty: Kristy Menage Bernie, RDH, BS, RYT
15030

As the demand for tooth whitening increases and consumers are making their own diagnostic decisions regarding tooth whitening, it is important that this smile enhancing process become a part of dental hygiene clinical protocols. A focus on professional tooth whitening — whitening provided chair side or professionally dispensed — will be provided and includes the dental hygiene process of care. Maximizing and improving oral health through tooth whitening provides the rationale for dental hygienists to identify, implement, and maintain this esthetic opportunity.

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Prosthetic Joints and Antibiotic Prophylaxis
AGD Subject Code(s): 016 CE credits: 1 Cost: $20.00
Faculty: Frieda Atherton Pickett, RDH, MS
15061

In 2009 the American Academy of Orthopaedic Surgeons (AAOS) website published a statement calling for universal antibiotic prophylaxis (AP). This statement was in conflict with the former joint guidelines published by the American Dental Association (ADA) and the AAOS. The ADA was not consulted prior to publishing the 2009 statement on the AAOS website. The event led to a call from many organizations to conduct a systematic review of the literature to establish evidence-based guidelines regarding the efficacy of AP to prevent prosthetic joint infection (PJI). Those guidelines were published December 2012 on the AAOS website and suggested practitioners reconsider the decision to call for AP in patients with hip and knee joint replacements. They are also available on the ADA Clinical Recommendations website at http://ebd.ada.org/ClinicalRecommendations.aspx. Maintenance of oral health was recommended as a measure to reduce the magnitude (number of microorganisms) of bacteremia.

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Salivary Diagnostics: How it is changing our approach to diagnosis, risk assessment, and treatment of periodontal disease
AGD Subject Code(s): 013, 735 CE credits: 2 Cost: $49.00
Faculty: Heidi Arndt, RDH, BSDH, Herb Bader, DDS, FACD, FICD
14997

The incidence of periodontal disease is far greater than we have been led to believe, according to the latest CDC NHANES survey, yet dental offices are submitting relatively few claims for periodontal procedures. The disconnect may stem from the fact that so many practices are “treating” disease with prophylaxes instead of definitively diagnosing. Until relatively recently we depended on simply probing for clinical data, but we now have the ability to accurately determine the causative pathogens with a simple salivary test. This allows the clinician and the patient to understand the underlying causes of the clinical changes, and then provide definitive therapy for management. The discussion will cover the implications of the dental clinician forging a closer link to medical colleagues by using pathogen and genetic predisposition testing in a medical model, so as to allow for more targeted, personalized therapy.

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Surgical and Prosthetic Implant Treatment of a Maxillary Premolar
AGD Subject Code(s): 496, 616 CE credits: 2 Cost: $49.00
Faculty: Ian Shuman, DDS
14924
The diagnosis and extraction of a fractured root is a common occurrence in clinical dentistry. The missing tooth can be restored in a variety of ways. This course will demonstrate the evaluation, treatment planning and implementation of surgical extraction, bone grafting with guided tissue regeneration, implant placement and subsequent restoration of an extracted maxillary second premolar.

 

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The Inflammatory Origins of Periodontal Disease and Diabetes: A Framework for Understanding Clinical Outcomes
AGD Subject Code(s): 024 CE credits: 2 Cost: $49.00
Faculty: Jeffrey A. Sibner, DMD
14915

Inflammatory diseases share many common traits, including the ability to produce pro-inflammatory messengers called cytokines that travel throughout the body. Cytokines play an important role in physiologic regulation of many biological activities, but in inflammatory diseases, they are produced at levels that can have pathological consequences. In diabetes, cytokines can cause β-cell death and insulin resistance. In periodontal disease, the same cytokines are responsible for collagen destruction and alveolar bone loss. Because inflammatory diseases share a common biological denominator, they can often influence the progression of other inflammatory diseases.

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The Killer In The Night
AGD Subject Code(s): 160 CE credits: 1 Cost: $20.00
Faculty: Mark Reber, DDS, MS
14978

The dental profession should be in the forefront of diagnosis and clinical treatment of Sleep Apnea. This article completely describes the insidious nature of this malady. Sleep apnea has been shown to be a modifiable risk factor to many of the largest contributors to death in the U.S. population. It goes on to describe often unnoticed clinical symptoms that can be easily recognized by the dental team members when they know what to look for. The dentist does not necessarily have to treat the patient for sleep apnea but if they see telltale symptoms, they should certainly urgently refer the patient to a sleep physician for treatment. This is a potentially life-saving referral for the dental patient. Air way problems are thoroughly presented and co morbiditiesare described. A screening process for the dental office is presented along with a section on treatment modalities.

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The Systemic Effect of Periodontal Therapy on the Management of Diabetes and Heart Disease: A Review of Recent Studies
AGD Subject Code(s): 149 CE credits: 1 Cost: $20.00
Faculty: Thomas W. Nabors, DDS, FACD
15028

Dentists are routinely presented with patients that have Type 2 diabetes and cardiovascular disease (CVD). Among these patients, the potential health benefit of diagnosing and treating chronic inflammatory periodontal disease may be uncertain. This article reviews studies over the last decade to help understand the potential effect of periodontal therapy among these two patient groups. While there are many factors involved outside the realm of oral health and our understanding of cause and effect, these studies reveal that the dental professional’s role in systemic health care management is significant. Based on these studies, the management of chronic periodontal disease in specific chronically diseased patients appears to have a significant health benefit: plus an additional benefit in the reduction of over-all medical expenditures.

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Update on Bisphosphonate Osteonecrosis of the Jaws
AGD Subject Code(s): 739 CE credits: 2 Cost: $49.00
Faculty: David A. Lazarchik, DMD
15029

Bisphosphonate drugs are a commonly utilized therapy in prevention and treatment of osteoporosis and treatment of bone lesions in certain cancers. Bisphosphonates are used in these conditions because of their ability to increase skeletal bone mass. However, these drugs also affect healing of bone, particularly in the dentoalveolar region. The most commonly accepted theories explaining this effect are osteoclast inhibition and anti-angiogenic properties of bisphosphonates. Bisphosphonate osteonecrosis of the jaws may occur in patients exposed to bisphosphonate drugs who have dental disease, experience soft tissue trauma, or require dental surgery. This side effect involves exposure of bone and a lack of normal healing which may result in pain, purulence, formation of sequestra, and in severe cases pathologic fracture. Fortunately these complications can often be avoided by following clinically accepted protocols focused on optimizing oral health prior to drug initiation, weighing risk factors prior to invasive procedures, and using conservative, atraumatic techniques when surgery is needed. All dental professionals should be aware of this condition when reviewing medical histories and making treatment decisions, and must remain updated in the constantly evolving science related to treatment protocols and to other non-bisphosphonate drugs which exhibit similar side effects.

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Using Cone Beam CT in Clinical Practice
AGD Subject Code(s): 165 CE credits: 2 Cost: $49.00
Faculty: Jeffery B. Price, DDS, MS
15048

As the 20th century ended and the 21st century began, research groups were developing an imaging technology that would forever change dentists’ ability to image their patients. This technology is known as cone beam computed tomography (CBCT).1-6 In this course we will explore the technology and principles of CBCT and we will compare the similarities and differences between multi-detector CT (MDCT) used in medical imaging and CBCT. We will also discuss some of the basics of radiation dosimetry, as well as a few tools dentists can use to educate their patients in the relative risks of CBCT. We will also look at how CBCT can assist the practitioner with advanced treatment planning. Finally, we will review some of the ethical and medicolegal issues related to the use of CBCT imaging in dentistry.

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