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* Cone Socket Hand Instruments: Discover Why Their Popularity is Skyrocketing
CE credits: 1 Cost: $0.00
Faculty: Karen Siebert, RDH, MA
15642

RDH CE Evening Express Archived Presentation:

Are you looking for a way to go green in your practice, but not sure where to start? One way to reduce environmental waste is to integrate cone socket hand instruments into your practice. Discover what these budget-friendly alternatives to one-piece instrument design can do for your practice’s bottom line and patient care. Understand why cone socket technology is a better alternative to re-tipping worn instruments, and create your own personalized instrument cassette with this flexible system. We will also address best practices for cone socket instrument processing and storage.

Educational Support Provided by: American Eagle Instruments Inc

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* Quick Tips Across the 8 Points of Dental Patient Care
CE credits: 1 Cost: $0.00
Faculty: Noel Kelsch, RDH, RDHAP
15643

With the quick turn around of rooms in dental offices having an understanding and plan for infection control and workflow is paramount! This course will review workflow and match infection control protocols with the dental professional in mind. From Room Prep/Turnover, Preventive and Operatory Cleanup this course will give you innovative quick tips and practical information for compliance.

Learning Objectives:
• Identify the 8 points of Dental Patient Care
• Recognize the infection control protocols in the Dental Setting
• Delineate strategies for efficient and effective compliance in infection control

Educational Support Provided by: Kerr Total Care

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* The Hygienist’s Role in Implant Therapy: An Introduction
CE credits: 1 Cost: $20.00
Faculty: Scott Froum, DDS, Chris Salierno, DDS
15306

Dental implants have become a quickly growing facet of dentistry with purported good success rates. In order to obtain a successful esthetic result in implant dentistry, communication among the members of the implant team is crucial. The traditional members of the implant team include the surgeon, restorative dentist, and the laboratory technician. However, just as important as members of the implant team are the hygienist and the patient. The long term success of implant dentistry is dependent on the maintenance role taken by the hygienist and the ability of the hygienist to act as “first responders” when implant complications arise. Proper diagnosis, prevention, and treatment strategies are essential for hygienists to know in order for a dentist to have a healthy and successful implant practice.

  • Implement hygienist participation as integral members of the implant team.
  • Recognize the clinical signs of implant complications.
  • Implement proper diagnosis, prevention and treatment strategies for implant patients.

Special Spring Bundle Offer:
Buy "The Hygienist’s Role in Implant Therapy: An Introduction" and receive a 50% 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: 2BUNDLE2014  Offer Expires 07/31/2014

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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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A Review of Contemporary Dentifrices
AGD Subject Code(s): 257 CE credits: 3 Cost: $59.00
Faculty: James DiMarino, DMD, MSEd, Ted Croll, DDS
15499

Toothpaste, also called dentifrice, is essential to proper daily oral hygiene. Dentifrices are pastes, gels or powders that help remove plaque, a film of bacteria that forms on teeth and gums every day. Toothpaste improves the mechanical brushing and cleaning power of a toothbrush. It may seem like toothpaste is a recent advancement in oral hygiene, but substances to assist in cleaning teeth have been used in various forms for centuries. Modern dentifrices have evolved to become smooth, good tasting toothpastes which can contain anticaries, antigingivitis, antisensitivity ingredients, or breath fresheners while providing greater cosmetic and therapeutic benefits than those of prior generations, if utilized correctly.

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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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Advances in Orthodontic Treatment
AGD Subject Code(s): 370 CE credits: 2 Cost: $49.00
Faculty: Jeremy J. Mao, DDS, PhD, Chung H. Kau, DDS, MScD, MBA, PhD, M Orth,, Dawei Liu, DDS, MS, PhD
15188

Functionality and aesthetics are key considerations in patients requesting, and orthodontists recommending, orthodontic treatment. However, patients may elect to forego orthodontic treatment due to the cost and the duration of treatment. Orthodontic treatment can be provided using removable or fixed orthodontic appliances (FOAs), and current options offer improved aesthetics compared to earlier generation appliances. Many methods have been explored and developed to reduce the duration of treatment. Most recently, a device has been developed that utilizes the concept of cyclic force application to reduce the duration of orthodontic treatment.

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Air Polishing: A Mainstay for Dental Hygiene
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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Anatomy of a Handpiece: Understanding Handpiece Maintenance and Repairs
AGD Subject Code(s): 148, 550 CE credits: 3 Cost: $59.00
Faculty: Glenn Williams, BS
15247

Today’s clinician is extremely dependent on the handpiece to sustain a smooth-running practice. The handpiece is an incredibly sophisticated device that requires a diligent maintenance protocol to keep it running properly and safely. Routine, repeated heat sterilization has the most adverse effect on the dental handpiece. Perhaps due to this dependency on handpieces, combined with the damage resulting from repeated routine sterilization and the need for consistent maintenance, the handpiece has earned an undeserved reputation for excessive breakdowns. The dental team can keep handpieces functioning smoothly longer, and maximize the return on the significant investment the dentist has made in handpiece technology, through appropriate maintenance procedures. Careful selection from repair options is also required.

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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
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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Antibiotic Interference with Oral Contraceptives: Can a Dental Visit Make you Pregnant?
AGD Subject Code(s): 016, 134 CE credits: 2 Cost: $49.00
Faculty: Michael Wahl, DDS
15307

Oral contraceptives are a safe and effective form of birth control used by millions of women in the United States and around the world. There have been anecdotal reports of unintended pregnancies after antibiotics were prescribed to women on oral contraceptives. Dentists and physicians have therefore been advised to warn female patients on oral contraceptives of a potential interaction and to advise additional forms of contraception when prescribing antibiotics. This issue has caused consternation among dentists, physicians, and patients, coming to a climax in the lay media with the headline “A Dentist Visit Can Make You Pregnant” in a supermarket tabloid. Fortunately, scientific studies have failed to show any decrease in oral contraceptive efficacy with any antibiotics except for one: rifampin, which is not typically used in dentistry. It is therefore not necessary to warn patients of a potential interaction between antibiotics used in dentistry and oral contraceptives when scientific evidence has consistently and repeatedly failed to support such an interaction.

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Anticoagulants and Antiplatelet Drugs in Dentistry: Stop the Interruption
AGD Subject Code(s): 016, 735 CE credits: 2 Cost: $49.00
Faculty: Michael Wahl, DDS
15077

Antithrombotic medications including anticoagulants like warfarin (Coumadin®) and antiplatelet agents like aspirin are used by millions of dental patients to prevent various thrombotic complications including stroke or heart attack. Dentists must weigh the risks of postoperative bleeding in patients whose antithrombotic medications are continued versus the risk of thromboembolic complications if antithrombotic medications are interrupted for dental procedures. The dental and medical literature shows only minimal risk for bleeding complications in patients whose anticoagulation or antiplatelet medication is continued for dental surgery, and if bleeding complications occur, they can usually be easily controlled with local measures for hemostasis. The literature also shows a small but significant risk of catastrophic or fatal embolic complications in patients whose anticoagulation or antiplatelet medications are interrupted for dental procedures. There is usually no valid reason to interrupt therapeutic levels of continuous anticoagulation or antiplatelet medications for dental surgery with local measures available for hemostasis.

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Basic Financial Statement Analysis (It's not as scary as you think!)
AGD Subject Code(s): 552 CE credits: 2 Cost: $49.00
Faculty: Kathryn Franzone, MAFM
15403

Nothing can strike fear into the hearts of non-financial managers like the term “Financial Statements.” However, in order to run a successful business, it is essential to know how to read and interpret your practice’s financial statements. These documents contain valuable information about the financial position and financial health of your business. With a little background knowledge and some simple calculations, you can be on your way to a better understanding of this valuable information. This course will show you what a balance sheet and income statement look like. It will help you to recognize the various accounts listed on the statements and explain how to use that information to gain an understanding of the practice’s financial performance and position.

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Best Practices in Intraoral Digital Radiography
AGD Subject Code(s): 731 CE credits: 2 Cost: $49.00
Faculty: Gail F. Williamson, RDH, BS
15200

Detailed, accurate radiographs are a primary diagnostic tool as well as necessary for and during some treatments. Increasingly, digital radiographic imaging is being used with two types of available receptors. Anatomical variations and patient comfort must be considered when taking intraoral radiographs. In addition, recognizing common sources of errors is important to ensure that the clinician avoids them and knows how to correct them when they occur. Techniques, as well as devices and accessories, can be used that will enable accurate image acquisition and improve patient comfort.

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Biofilm Removal With Air Polishing & Subgingival Air Polishing
AGD Subject Code(s): 509 CE credits: 2 Cost: $49.00
Faculty: Karen Davis, RDH, BSDH, RDHMP
15162

Supragingival air polishing is not new in the armamentarium of technology designed to remove soft deposits, stain and polish enamel; however, subgingival air polishing to remove biofilm in periodontal pockets is an emerging technology with clinical data proving its safety and efficacy to support use in treatment of periodontal diseases and peri-implant diseases. Unique nozzle designs and powders support the use of polishing under a variety of clinical conditions.

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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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Building a Better Hygiene Department For Patient Care and Profitability
AGD Subject Code(s): 552, 560 CE credits: 2 Cost: $49.00
Faculty: Janet R. Hagerman, RDH BS
15085

The practice of dental hygiene has existed since 1913 when the term dental hygienist was first coined, and 1914 when Dr Alfred Fones graduated his first class of 27 hygienists in Bridgeport Connecticut.1 Today 75.9% of all dental general practitioners employ a hygienist.2 The hygienist of today has come a long way since Dr Fones’ school. Today’s hygienists must excel, not only clinically, but also in the areas of business skills and communication. A productive and profitable hygiene department is priceless to a dental practice. It is the engine that drives the practice, and can maintain and propel it to success. This course will outline how to create and maintain a highly functioning dental hygiene department that supports the practice protocols, is profitable, and delivers outstanding patient care.

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Cash and Accrual Basis Accounting (Keeping Two Sets of Books Could be a Good Thing)
AGD Subject Code(s): 552 CE credits: 2 Cost: $49.00
Faculty: Richard C. Capasso, CPA, PFS, CFP
15561

Understanding the method of accounting when looking at financial statements is important to determine the profitability of a company. There are many different methods of accounting, but the two most common are the Cash Basis Method and the Accrual Basis Method. This course will give you a general understanding of both the Cash Basis Method and Accrual Basis Method of accounting, and when to use one method over another and why.

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AGD PACE Credit Only
CDC Infection Control in Dental Health-Care Settings: Looking Ahead to 2015
AGD Subject Code(s): 148 CE credits: 3 Cost: $59.00
Faculty: Marie T. Fluent, DDS, Catherine L. Pawloski, RDH, BSDH
15327

The Centers for Disease Control and Prevention (CDC) remains the prominent government agency for infection control guidelines within the United States. The existing document, Guidelines for Infection Control in Dental Health-Care Settings, was published in 2003 and is currently recognized by dental personnel in all dental healthcare settings. The CDC is currently updating and undertaking a limited revision to be released in 2015. Until recently, these proposed changes remained unknown to the dental community at large. At the 2013 Organization for Safety and Prevention (OSAP)Symposium, proposed modifications of CDC guidelines were introduced and discussed. These potential revisions are the basis of this course. Newly identified infection control risks, potential interventions, and infection control equipment updates will be addressed. Course participants are encouraged to review the CDC updated guidelines in its entirety upon release in 2015.

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Clinical Considerations for Treating the Dental Patient with ALS
AGD Subject Code(s): 754 CE credits: 1 Cost: $20.00
Faculty: Kimberly M. Parsons, MEd, CDA, EFDA, RDH, Amy J. Schneider, LDH, CDA, BS
15362

Amyotrophic lateral sclerosis (ALS) is a progressive degenerative disorder that affects the nervous system, particularly the motor neurons. It may affect either spinal or bulbar neurons, which classifies how an individual’s symptoms present. The prognosis for individuals with ALS is not promising, usually resulting in death within three to five years of diagnosis. Most management of amyotrophic lateral sclerosis focuses on palliative care, determined by the affected individual’s ongoing symptoms. An essential component of palliative care is management of the individual’s oral conditions. Manifestations of ALS may affect the dental practitioner’s care of patients with this disease. These modifications will be dependent upon the individual’s current symptoms and needs.

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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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Contributing Factors to the Oral Effects of Schizophrenia
AGD Subject Code(s): 750 CE credits: 2 Cost: $49.00
Faculty: Vaishali Singhal, DMD, MS
15393

Oral health is linked to overall health and is a window to a person's general state of well-being. Recent research has demonstrated that many systemic disorders present with oral manifestations and that poor oral health may be a sign of underlying systemic diseases. Oral health also has a social impact as it affects social life and interactions, ability to pronounce words, ability to eat and feelings of self-confidence. Poor oral health may also affect one’s career.1 This course will focus on the oral health concerns of those who suffer from psychiatric disorders, specifically schizophrenia.

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Creating Space with Interproximal Reduction
AGD Subject Code(s): 373 CE credits: 2 Cost: $49.00
Faculty: Mahtab Partovi, DDS, Michael Florman, DDS, Pablo Echarri Lobiondo, DDS
15198

One of the basic principles of orthodontics is the creation of space to facilitate tooth movement. With appropriate case selection, slenderization offers the ability to safely obtain sufficient space for tooth movement without the need for extractions and without compromising slenderized teeth.

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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 - Medical Cross Coding 101
AGD Subject Code(s): 554 CE credits: 1 Cost: $20.00
Faculty: Marianne Harper
15088

The need for dental-medical cross coding is growing in today’s dental practices. Cross coding may be perceived as being too difficult to implement but this course will provide a detailed look at all aspects of medical coding and lay the foundation for a seamless implementation of cross coding. Dental practices that implement cross coding have an enhanced ability to increase reimbursement for their patients.

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

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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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Dental Handpiece Maintenance and Repair
AGD Subject Code(s): 148 CE credits: 2 Cost: $49.00
Faculty: Tija Hunter, CDA, EFDA
15145

Dental handpieces have evolved significantly over the years and they remain a vital part of dentistry today. The care and maintenance of these instruments is essential to preserving not only the life of the instrument but its proper function as well. While traditional air driven handpieces are still a mainstay in dentistry, electric handpieces are now being more widely used. The newest technology takes components from both electric and air driven handpieces. Understanding how to clean and maintain these handpieces and their components properly will help the clinician achieve optimal results. Knowing when to replace or rebuild handpiece turbines and its pros and cons, and knowing who to send the handpiece to for repairs is essential for quality and turnaround times.

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Diet and Oral Cancer
AGD Subject Code(s): 150, 739 CE credits: 1 Cost: $20.00
Faculty: Jeff Burgess, DDS, MSD
15390

The relationship between diet and oral cancer is complex and not fully understood at present. A number of foods and food products have been associated with the development of oral cancer and some foods, nutrients, and supplements have been linked to cancer prevention. This course briefly reviews some of the current nutrition science assessing relative risk and the prevention of oral cancer.

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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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Effective and Productive Instrument Processing
AGD Subject Code(s): 148 CE credits: 2 Cost: $49.00
Faculty: Noel Kelsch, RDH, RDHAP
15562

In order to meet the challenges of safety, time management and asepsis, the dental health care provider must have a plan for infection control, including the use and care of dental instruments and disposables. Following the basic CDC guidelines can help to significantly reduce the risk of microbial transmission. After the patient is dismissed, the operatory must be prepared for the next patient, including the treatment of surfaces and instrument processing. There are a variety of methods available to properly reprocess instruments. Choosing a system that minimizes risk, maximizes productivity and preserves instruments is essential.

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Employee Embezzlement and Fraud: Detecting and Deterring Theft in the Digital Dental Practice
AGD Subject Code(s): 552 CE credits: 1 Cost: $20.00
Faculty: Donald P. Lewis, Jr., DDS, CFE
15076

Employee embezzlement is dramatically increasing and causing serious financial distress in the dental profession. Recognizing the signs of this criminal behavior is the first place to begin. Being proactive in hiring methods is of utmost importance. Understanding the behavioral patterns, recognizing the warning signs and awareness of the potential for embezzlement is critically important for all practitioners. Realize that financial security of the practice is of primary importance to long term viability and success.

 

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

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Grief and Loss: How these Entities Affect Dental Treatment, Especially After the Age of 65
AGD Subject Code(s): 752 CE credits: 2 Cost: $49.00
Faculty: Eric Shapira, DDS, MA, MHA
15135

Loss and grief are emotional states found quite commonly in the older patient; influencing how we may render dental care. 80 million baby boomers are approaching the age of 65. This is the largest cohort of people in this age bracket the world has ever known. People will be living longer, necessitating ongoing dental care to restore and retain their teeth. Many of these patients carry with them specific psychological challenges that can complicate dental treatment. It is incumbent upon all practitioners to be familiar with these emotional states, such as: grief, loss, anxiety and Post Traumatic Stress Disorder (PTSD), to name a few, so that we will be able to recognize when we will need to use good communication, empathy and dental skills to treat these types of patients.

 

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

 

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Hand Hygiene and Hand Care
AGD Subject Code(s): 148 CE credits: 2 Cost: $49.00
Faculty: Eve Cuny, RDA, MS
15391

Hand hygiene is important for the protection of patients and healthcare workers, and the Centers for Disease Control and Prevention issued recommendations in 2003 that specifically includes guidelines for hand hygiene in dental settings. Several options exist for hand hygiene prior to nonsurgical dental procedures, and the selected method may vary according to the level of contamination, the desired antimicrobial activity and the type of procedure. The most significant difference between hand hygiene for routine procedures and for surgical procedures is the need for persistent antimicrobial activity in products used for surgical hand antisepsis. Appropriate selection of products as well as appropriate hand care helps prevent adverse effects related to hand hygiene in the dental setting. Selecting the products that suit the types of procedures performed in a given practice, and the needs of the healthcare personnel in that practice are important considerations. It is likely that a combination of soap, alcohol-based hand sanitizer and lotions will be required to meet the needs of all individuals.

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HIPPA Complexities and Compliance Issues
AGD Subject Code(s): 550 CE credits: 2 Cost: $49.00
Faculty: Richard H. Nagelberg, DDS
15277

The Health Insurance Portability and Accountability Act (HIPAA) is well known to all healthcare providers and everyone who has visited any healthcare facility. The need to protect the personal and medical information of patients is the primary reason for the enactment of HIPAA in 1996. Many provisions have been added since the original law was enacted. HIPAA is very complex, making compliance difficult. Additionally, patient co-management and communication among a variety of facilities including; labs, specialists, diagnostic and imaging centers, among many others, has further complicated compliance across the spectrum of patient care. Companies that facilitate secure communication and assistance with HIPAA compliance provide protection for covered entities and the patient as well.

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How to Get to "YES" with Geriatric Dental Implant Patients
AGD Subject Code(s): 690, 752 CE credits: 1 Cost: $20.00
Faculty: Eric Shapira, DDS, MA, MHA
15304

People are living longer and keeping their dentitions longer. Our healthcare capabilities are much better than the early 1900’s when the average lifespan was approximately 47 years of age. Although almost 25 % of the US population is edentulous, an even greater number of people over the age of 65 years will be prone to being partially edentulous in the future. This cohort of people will have the opportunity to receive one or more dental implants as tooth replacements. Dental implants were first recognized in the 1950’s as a source of alternative tooth replacement. Now they have evolved to being the first choice in restorative procedures to replace a missing tooth or teeth. In these strained economic times; however, it may be a difficult decision for our senior population to spend large amounts of money to replace missing teeth with dental implants. How to get to “YES” with potential geriatric dental implant patients is a discussion about the techniques of communication and empathic responses to important questions. Also discussed are strategies to enable patients to consider dental implants rather than a fixed bridge or removable appliance, where indicated. Among the most difficult parts of a dentist’s job is getting our patients to accept what our clinical judgment indicates they need. The ultimate decision about having dental treatment is the patient’s.

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How to Select the Best Laser For YOUR Practice
AGD Subject Code(s): 135, 260 CE credits: 2 Cost: $49.00
Faculty: Robert Convissar, DDS
15189

The purchase of capital equipment must be guided by sound financial decisions. The purchase of a hi-tech device, such as a dental laser, must also be guided by intelligent decision-making. Very often dentists buy lasers without understanding the costs to the practice of such a purchase. While dentists may be able to determine which wavelength will work well in their practice, such criteria as operating costs vs. purchase price, type of delivery system, the importance of training and much more must be evaluated before the wrong purchase is made for the practice. Lasers can be game-changing devices for a practice – but only if the right laser for that practice is selected.

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How to work effectively with patients who have ADHD
AGD Subject Code(s): 753 CE credits: 2 Cost: $49.00
Faculty: Lisa Dowst-Mayo, RDH, BSDH
15498

Effectively treating patients with special needs can be a challenge for many dental professionals. This course will provide clinicians with the tools they need to effectively treat patients with ADHD and assist in making the appointment experience enjoyable for both the provider and the patient. By increasing your knowledge of ADHD diagnosis, classification, statistics and treatment options including pharmacological agents, your confidence level will improve and patient care excel.

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HPV Related Oral Cancer Screening: Different Presentation, Different Protocol
AGD Subject Code(s): 736 CE credits: 2 Cost: $49.00
Faculty: Cris Duval, RDH
15087

Dental professionals, making assumptions about the two distinct pathways of oral cancer, often forgo comprehensive oral cancer screenings, which affects patients’ prognosis and creates malpractice liability. Absent comprehensive screenings, HPV-related oral cancer is diagnosed latestage, when morbidity is highest. To curb late diagnosis we must heed current research. HPV-related oral cancer, which is rapidly on the rise, is different in its clinical presentation from tobacco/alcohol- related oral cancer. Thus, we cannot rely on what we learned in dental school, risk profiling, or traditional tools to screen for HPV-related oral cancer. We must change our approach, by implementing comprehensive screenings that incorporate extra/intraoral tactile screenings, visual screenings of all tissues, and asking appropriate, revealing questions.

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Hygiene Shouldn’t be a Pain in the Neck…or Shoulder: Strategies to Prevent Pain & Extend Your Career
CE credits: 1 Cost: $20.00
Faculty: Bethany Valachi, MS, PT, CEAS
15225

A staggering 80% of hygienists who retire early are forced to, due to work-related pain. This ground-breaking seminar for dental hygienists fills a void in the dental education—bridging the gap between dental ergonomics and work-related pain. Discover how the delivery of dental hygiene and equipment selection are affecting your neck and shoulder health. Implement effective self-treatment and prevention strategies based on research.

Hygienists will discover techniques they can apply immediately in the operatory to reduce work-related pain, prevent injury and increase career longevity. A must for those purchasing loupes!

End of Year Special Offer:
Buy "Hygiene Shouldn’t be a Pain in the Neck…or Shoulder: Strategies to Prevent Pain & Extend Your Career" 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: 6BUNDLE2013  Offer Expires 07/01/2014

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Hypersensitive Dentin Updates
AGD Subject Code(s): 010 CE credits: 3 Cost: $59.00
Faculty: Catherine D. Saylor, BSDH, MS
15278

Dentinal hypersensitivity is characterized by a short, sharp pain in response to stimuli. Dentinal hypersensitivity, which is more commonly seen in adults in the 20-40 year old age group, has several etiological factors. Gingival recession and enamel loss both contribute to the prevalence of this condition, resulting in the exposure of dentin. Dentinal hypersensitivity is believed to occur due to the movement of fluid within the dentinal tubules occurring in response to thermal, chemical, tactile and evaporative stimuli, in accordance with Brännström’s Hydrodynamic Theory. Treatment options include in-office procedures and home use products that are aimed at occluding the dentinal tubules or preventing neural transmission, thereby blocking the pain response.

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It's Time to Discuss Sex, HPV and Its Impact to Dentistry
AGD Subject Code(s): 730 CE credits: 3 Cost: $59.00
Faculty: Lisa Dowst-Mayo, RDH, BSDH
15572

The new millennium has brought about great advances in technology and innovation; including the discovery of the link between human papillomavirus (HPV) and head and neck cancer. Thirty-five years ago, it was postulated that human papillomavirus could cause cervical cancer. Today, it is well established this heterogeneous virus causes cervical, anogenital, penile and oral cancer. HPV is now considered a human carcinogen. Unlike other cancers of the mouth, HPV-positive oropharyngeal cancers are more likely to occur among younger patients, white men, those without the traditional risk factors of tobacco and alcohol and those with certain sexual histories.1 HPV public awareness has started to grow and has been featured more frequently in the press. As public knowledge continues to grow, so will the knowledge base of dental health care providers who treat them.

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Linking Dermatology And Dentistry Part I: Looking Beyond the Oral Cavity
AGD Subject Code(s): 734 CE credits: 2 Cost: $49.00
Faculty: Lisa Dowst-Mayo, RDH, BSDH
15272

Dental professionals are well educated in head and neck anatomy as well as full body pathology. We are in a unique position within the healthcare community to identify incon¬sistencies of the head and neck since we are commonly spend¬ing a significant period of time with our patients. Observing and examining exposed areas of the head and neck enables dental professionals to provide early identification, interven¬tion and referral as needed. Part one of this course is designed to enhance the dental practitioner’s knowledge of common skin conditions. Part two will present treatment options for those conditions. By integrating evidence-based dentistry with evidence-based dermatology, comprehensive patient care will improve.

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LInking Dermatology and Dentistry Part II: Treatment Options
AGD Subject Code(s): 734 CE credits: 2 Cost: $49.00
Faculty: Lisa Dowst-Mayo, RDH, BSDH
15276

Part one of this two part course discussed commonly encountered skin lesions and conditions. Part two discusses treatment options for a variety of skin conditions including but not limited to; an¬tioxidants, surgery, chelating agents, and systemic medications. Dental clinicians are in an advantageous position to identify a va¬riety of lesions and conditions since a significant amount of time is spent working in and around the head and neck region of the body. Expanding our observations beyond the oral cavity will enhance patient care.

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Management of Acute Oral Infection - Part 1
AGD Subject Code(s): 734, 735 CE credits: 3 Cost: $59.00
Faculty: Jeff Burgess, DDS, MSD
15580

This is a two part course on the management of acute oral infections. The first part focuses on microbiology basics, triaging patients with dental infection, anatomic and laboratory basics that need to be considered when treating dental infection and the treatment of acute dental abscess including surgical, antibiotic and palliative measures. Section two focuses on the treatment of other oral infections caused by fungal, viral and bacterial organisms.

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Management of Acute Oral Infection - Part 2
AGD Subject Code(s): 734, 735 CE credits: 3 Cost: $59.00
Faculty: Jeff Burgess, DDS, MSD
15581

In part two of this course, the clinical and diagnostic features of conditions associated with fungal, viral and bacterial infections that clinicians are most likely to encounter in practice are reviewed. Management strategies based on published clinical recommendations and the current scientific literature are detailed. Where applicable, information on alternative therapies that have scientific support is also provided.

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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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Oral Health Maintenance in Head and Neck Cancer Patients
AGD Subject Code(s): 735, 741 CE credits: 3 Cost: $59.00
Faculty: Kathryn Gilliam, RDH, BA
15305

Many head and neck cancer patients are not treated in large cancer centers that have dental oncologists as a part of the cancer care team. They are being treated in smaller cancer centers or private oncology practices where there may not be a focus on oral health. These people are coming to their regular dental offices for care, often with side effects of their cancer treatment. Standards and protocols are detailed for use in a general dental practice. This course consolidates current recommendations into specific protocols that are easily implemented in the general dental practice. The goal is to give dentists and dental hygienists the confidence to treat head and neck cancer patients effectively and with concern for the whole person who is in need of special care at this vulnerable time.

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Oral Manifestations of Systemic Disease
AGD Subject Code(s): 739 CE credits: 2 Cost: $49.00
Faculty: Jeff Burgess, DDS, MSD
15136

Mucosal ulceration, dental disease and other tooth abnormalities, oral soft tissue tumors, periodontal disease, bone pathology, and orofacial pain may be directly related to or confounded by underlying systemic disease. An understanding of the relationship between systemic disease and oral pathology is important with respect to establishing the diagnosis and determining the complexity of subsequent management. For example, dental caries that is confounded by nutritional deficiency or psychological problems such as bulimia or anorexia, or a medical problem that directly or indirectly (via medication use) causes xerostomia, or a medical condition that alters the patient’s ability to maintain appropriate oral hygiene may need to be managed using a comprehensive strategy that takes into account the underlying medical issue as well as the dental issues. This course reviews such problems and their impact on oral conditions.

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Ouch, This Ulcer Hurts! Demystifying the Phenomenon of Aphthous Ulcers
CE credits: 2 Cost: $49.00
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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Pathways to Health Through Reduction of Risk Factors
CE credits: 1 Cost: $20.00
Faculty: Karen Davis, RDH, BSDH, RDHMP
15271

What do most patients know about the implications of citric acid, sugar, Omega 6 and Omega 3 in the diet? And, what do they really know about how those factors impact oral and systemic health? This program provides a pathway to assist clinicians in guiding patients toward healthier decisions that can reduce the risk of dental caries, periodontal diseases and chronic inflammatory conditions. Learn how dental professionals can build lifetime patient relationships through a pathway of health and wellness education.

  • What we really need to know and do about the pathogens that initiate periodontal disease and dental caries
  • Interactions and implications between chronic inflammation, oral health, prostaglandins, C-reactive proteins and Omega 6 & 3
  • Reducing risk factors that impact oral and systemic health
  • Tools to halt the dental caries and periodontal disease process
  • Pathway to building lifetime patient relationships

Special Winter Bundle Offer:
Buy "Pathways to Health Through Reduction of Risk Factor" 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: 1BUNDLE2014  Offer Expires 12/31/2014

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Pit and Fissure Sealants: An Overview
AGD Subject Code(s): 257 CE credits: 1 Cost: $20.00
Faculty: Heidi Emmerling Munoz, RDH, PhD, FAADH
15180

The dental profession has long regarded dental sealants as a primary element in the prevention of dental caries. Sealants provide a physical barrier between the spaces created by anatomical pits and fissures of posterior teeth and the cariogenic bacteria, thereby halting incipient lesions and preventing cavitation. Proper techniques must be implemented when placing sealants for optimal retention and patient safety. Patients must understand that sealants are one element for overall preventive dentistry. This article will review the epidemiology and efficacy of sealants; indications for use; the various types and categorization of sealants; characteristics for successful sealants; proper placement procedures for pit and fissure sealants; sealant maintenance; and factors to teach patients.

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Pradaxa and Xarelto: Coming Soon to Your Practice!!
AGD Subject Code(s): 016 CE credits: 1 Cost: $20.00
Faculty: Leslie F.T. Fang, MD, PhD
15181

Pradaxa® (dabigatran) and Xarelto® (rivaroxaban) are two new oral anticoagulants that are striving to replace Coumadin ® in the management of patients with non-valvular atrial fibrillation. The drugs have rapid onset of action, are taken in a fixed dose, do not require PT/INR monitoring and there are no dietary restrictions for the patients on these agents. This has led to a rapid adoption by physicians. It is therefore important for the dental professional to understand the mechanism of action of these drugs in order to intelligently manage these patients when they need dental intervention. The pros and cons of interruption of therapy are discussed as they apply to patients needing simple and complex dentistry. Medical consultation is mandatory prior to interruption of anticoagulant therapy.

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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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Restoration of an Immediate Extraction Site Using a High Silica Quartz Glass Fiber Reinforced Provisional Bridge
AGD Subject Code(s): 695 CE credits: 2 Cost: $49.00
Faculty: Ian Shuman, DDS
15511

Following the extraction of a tooth it is frequently ideal to replace it at the same appointment. In instances where a multi-unit fixed prosthesis is the best treatment, an immediate provisional should be fabricated. Due to the length of time needed for the socket to heal completely and achieve its mature contour, a long term provisional must be created. This course will demonstrate the steps needed to fabricate a long term provisional bridge using a quartz fiber reinforcement material.

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Salivary Abnormalities in Dentistry Part 1: Gland Structure, Function, and Evaluation
AGD Subject Code(s): 734, 739 CE credits: 2 Cost: $49.00
Faculty: Jeff Burgess, DDS, MSD
15210

Dental professionals are more involved with saliva than any other health care provider. There is a complex interaction between salivary gland function and oral health that can profoundly impact a patient with respect to the development of dental and mucosal pathology as well as the management of oral/dental disease. For example, medication that causes xerostomia or dry mouth may alter a patient’s ability to maintain good oral hygiene or change the intraoral bacterial environment that when coupled with other factors may lead to dental caries and periodontal disease. Treating periodontal disease and restoring carious teeth without recognition of an underlying salivary problem and the role it plays in the etiology of these dental diseases could lead to continued pathology and failure of any dental reconstruction. This course is composed of two parts. The first presents information on the anatomy and function of the salivary glands and subjective and objective examination techniques including imaging strategies for assessing gland function. The second course discusses specific diseases involving the salivary glands, salivary constituents that can be used to measure health, and management of xerostomia and excessive salivation.

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Salivary Abnormalities in Dentistry Part 2: Salivary Disease
AGD Subject Code(s): 734, 739 CE credits: 2 Cost: $49.00
Faculty: Jeff Burgess, DDS, MSD
15211

The salivary glands are susceptible to a number of diseases that can cause xerostomia. These include conditions such as Sjögren’s syndrome, connective tissue disease, avitaminoses, diabetes, anemia, lymphoma, sarcoidosis, and tuberculosis. Viral pathogens such as immunodeficiency viral (HIV) infection, mono or multi-drug therapy, salivary gland tumors, and congenital salivary abnormality (e.g. congenital gland or duct aplasia) as well as several minor conditions can also cause oral dryness. This course focuses on some of the major problems involving the salivary glands and on the current science assessing the effect of age on salivary dysfunction. Also reviewed are current dental strategies for treating dry mouth and excessive salivation. Innovations involving salivary constituents that may be potentially useful in identifying and assessing several systemic diseases are also discussed.

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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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Selling Dentistry so it doesn't feel like Selling Dentistry
AGD Subject Code(s): 557 CE credits: 1 Cost: $20.00
Faculty: Janet R. Hagerman, RDH BS
15253

Nothing in dentistry creates more controversy than the concept of “selling” dentistry, yet being adept at selling and persuading is a critical skill in dentistry. How can you sell without feeling like you’re selling? Regardless of your profession, hobby or personal connections you are always selling something through relationships and service. How good are you at it? What’s wrong with selling dentistry? If a practice is not profitable it cannot exist, let alone succeed. Dental practices are a combination of clinical protocols for best patient care with best business principles to be as profitable as possible. The two are not mutually exclusive; indeed they are interdependent. So why not examine solid, ethical sales strategies and apply them to dentistry? The fact is we all like to buy; we just hate to be sold. The good news is that selling is a learned skill, so anyone can become better. This course will provide strategies to increase case acceptance (sales) boost production (and profits), while enhancing patient care. Learn the true meaning of selling, and how to manage this concept in an elegant, non-intimidating manner that creates value for your patients, and makes you feel great about what you have to offer.

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AGD PACE Credit Only
Sleep Apnea for Dentists: An Overview of Signs, Symptoms, Consequences, and Treatment
AGD Subject Code(s): 160 CE credits: 2 Cost: $49.00
Faculty: Robb Heinrich, DDS
15201

Obstructive Sleep Apnea (OSA), a stoppage or partial stoppage of air flow during sleep has been gaining more attention as a Sleep Related Breathing Disorder. This treatable syndrome has many associated co-morbidities that can have severely detrimental effects on a person’s well being and general health. It has been estimated that 20% or more of the population suffers from some level of OSA, many of those are undiagnosed or unaware of their issue. Though a diagnosis must be made by a medical doctor, the dental community can be a first line of defense to screen and even treat many of these people with Oral Appliance Therapy (OAT). OAT has become a popular alternative for treating OSA for those intolerant to the traditional Continuous Positive Airway Pressure (CPAP) machine. This course will give dental professionals a high level overview of obstructive sleep apnea, consequences and treatment options including oral appliance therapy and how the clinicians can become involved in the treatment of OSA.

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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 "S" in Esthetics
AGD Subject Code(s): 780 CE credits: 2 Cost: $49.00
Faculty: Bill Connell, CDT, CDL
15199

This course will discuss the “Line of Beauty” and its application to clinical dentistry. The Line of Beauty is an “S” shaped curve which typically goes unnoticed until it is pointed out. It is not just an illusion, but a major detail that is extremely obvious after it is recognized. The “Line of Beauty” is not only distinctly found in nature but is also very apparent with teeth and their surrounding environment. It is significant from an esthetic viewpoint and a functional and oral health perspective. It is important that these concepts are understood and applied, so that we may capture the natural nuances of true beauty in our restorations.

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The Beneficial Effects of a Supersaturated Calcium Phosphate Rinse on the Oral Cavity in Xerostomia Patients
AGD Subject Code(s): 730 CE credits: 2 Cost: $49.00
Faculty: Eugene Z. Levin, DDS
15377

There are many beneficial effects of supersaturated calcium phosphate rinse for the xerostomia patient. Both calcium phosphate and sodium bicarbonate ions found in supersaturated calcium phosphate rinse play significant roles in healing and protecting tissues of the oral cavity. Supersaturated calcium phosphate rinse is not a cure for xerostomia, but it is one of the most powerful adjuncts in the care and treatment of the wide variety of symptoms and severities associated with xerostomia patients.

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The Chairside Fabrication of a Provisional Crown for a Single Tooth Implant
AGD Subject Code(s): 695 CE credits: 2 Cost: $49.00
Faculty: Ian Shuman, DDS
15560

Whether the intent is a delayed or immediate implant restoration, a dental implant may require a provisional crown. This can be accomplished in the laboratory or chairside. When creating a chairside provisional crown, the practitioner has control over the planned soft tissue growth and therefore the health of the implant and periodontium. This course describes and illustrates the steps needed to fabricate a chairside provisional crown for an anterior single tooth implant.

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The Hard and Soft Chairside Denture Reline
AGD Subject Code(s): 671 CE credits: 1 Cost: $20.00
Faculty: Ian Shuman, DDS
15359

Complete and partial removable dentures can become ill-fitting. This can be due to alveolar ridge resorption, wear and damage to the denture base, among others. Chairside denture relining or repairing broken areas can correct many of these problems. Chairside procedures provide immediate resolution, avoiding the edentulous period of time accompanying laboratory relines. This course will demonstrate the evaluation, treatment planning and implementation of chairside denture relining in a variety of scenarios.

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The Importance of Interprofessional Education with regard to Drug-Induced Gingival Overgrowth
AGD Subject Code(s): 741 CE credits: 1 Cost: $20.00
Faculty: Crystal L. Mcintosh, DDS, MS
15268

Drug-induced gingival overgrowth (DIGO) is a relatively common side effect of anticonvulsants, calcium channel blocking agents (CCBA), and calcineurin inhibitor immuno¬suppressive drugs. This disfiguring and unattractive drug side effect is problematic with regard to patient drug compliance. Therapeutic approaches include oral hygiene education and assistance, and adjunctive therapies such as chlorhexidine and emerging therapeutic approaches such as folic acid (sys¬temic and topical) and azithromycin (systemic and topical). Particularly with regard to interprofessional education, it is important for physicians and nurses to be aware and involved in these therapeutic approaches.

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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 Management of Bruxism
AGD Subject Code(s): 181, 185, 186 CE credits: 3 Cost: $59.00
Faculty: Jeff Burgess, DDS, MSD
15416

Bruxism is considered a sleep related movement disorder. The Glossary of Prosthodontic Terms (GPT-8)1 defines bruxism as a parafunctional tooth grinding habit consisting of involuntary rhythmic or spasmodic non-functional gnashing, grinding or clenching of the teeth. When the behavior occurs during the day and involves semi-voluntary behavior it is termed diurnal or ‘awake’ bruxism; night time behavior is called ‘sleep bruxism’.2 This course reviews the etiology of bruxism and its impact on the muscles, temporomandibular joint, teeth and periodontal structures. Also covered are diagnostic considerations, the consequences of non-treatment and management strategies for sleep and awake bruxism including appliance, pharmaceutical and behavioral therapy.

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The Roots of Dental Fears
AGD Subject Code(s): 153 CE credits: 2 Cost: $49.00
Faculty: Kandice Swarthout-Roan, RDH, BS, Priya Singhvi, MS, LPC-I, LMFT-A
15248

The relationship between a dental professional and the patient is the heart of what keeps the practice thriving and patients re¬turning. Most patients trust the staff members and establish a “dental home” in which they feel cared for and safe. For some people, a history of personal trauma, anxiety, or substance use can paralyze them during a dental appointment. The fear of a dental appointment or professional may be so overwhelming, a patient may behave in an exaggerated manner in the chair or avoid going to the dentist altogether. Awareness of potential stressors that provoke these behaviors, including the neuro¬biological responses to trauma, can help dental professionals provide optimum service with empathy and compassion.

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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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Two Great Tastes that Taste Great Together: Chair Side CAD/CAM and Cone Beam Integration in Implantology
AGD Subject Code(s): 615, 616 CE credits: 2 Cost: $49.00
Faculty: August de Oliveira, DDS
15144

Chairside CAD/CAM and cone beam scanners work together to help make dental implants a safe, predictable, efficient procedure for patients and dentists. A CAD/CAM optical scan and crown proposal can aid dentists in many ways. The crown proposal and soft tissue represented in an optically scanned virtual model can aid the doctor in the presurgical planning of implants. The virtual hard and soft tissue model can be combined with a cone beam scan to reduce artifacts created by radiopaque materials. Optical scans of duplicate dentures can aid in the planning of edentulous cases. In some cases an intraoral scan can replace a stone model in the fabrication of a surgical guide. CEREC® guide is a milled surgical guide that allows dentists to place implants via guided surgery chairside. With new advances in both lab and chairside CAD/ CAM systems, dentists now have the ability to fabricate custom abutments, crowns and frameworks.

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Understanding TMD Treatment Failures - Part 1
AGD Subject Code(s): 180, 182 CE credits: 2 Cost: $49.00
Faculty: Jeff Burgess, DDS, MSD
15322

Many factors can contribute to treatment failure in patients with temporomandibular disorder (TMD). In part one of this two part course the focus is on important diagnostic considerations. This course includes a description of what constitutes treatment failure; a brief description of the primary TMD classification systems; and review of some of the problems that can lead to treatment failure including: diagnostic errors, failure to understand the complexity of comorbid diagnoses prior to treatment, and the type of diagnostic errors that can lead to inappropriate treatment and ultimate treatment failure.

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Understanding TMD Treatment Failures - Part 2
AGD Subject Code(s): 180, 182 CE credits: 2 Cost: $49.00
Faculty: Jeff Burgess, DDS, MSD
15323

In addition to diagnostic factors that can contribute to temporomandibular disorder (TMD) treatment failure, there are many other confounding variables that can impact the success or failure of treatment. Part 2 of this course reviews some of these other contributors including biology, pain chronicity, comorbid pain or medical problems, iatrogenic issues, the selection of therapy (e.g. evidence based versus non-evidence based therapy), the recognition of psychological and behavioral issues, and other nonspecific considerations.

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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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Women's Health
AGD Subject Code(s): 742 CE credits: 3 Cost: $59.00
Faculty: Cathy Seckman, RHD
15573

Dental hygienists must be knowledgeable about women’s oral and overall health. This course begins with a history of theories and research on the oral-systemic link going back to antiquity. It lists those issues most closely associated with the oral environment including; preeclampsia, osteoporosis, obesity, cardiovascular diseases, diabetes, chronic kidney disease and lung disease. The majority of hygienists are women and they spend more time with patients than other dental professionals. They are uniquely qualified to keep both female and male patients informed on oral-systemic links and contribute to individualized treatment planning.

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