FB TW LI
Dental Continuing Education Courses Home About INeedCE Dental CE Courses Dental Continuing Education Author Guidelines Live Interactive Dental Continuing Education Courses Online Dental Continuing Education Courses Dental CE Requirements View Cart My Dental CE Archives Subscribe Help- Dental CE FAQ
Online Continuing Education
Take Online Exams:  To complete an online exam you must select the course by clicking the "Add To Cart" button. Once added to your shopping cart, complete the online purchase routine. Once purchased the course will be added to your "MyCE Archives" page and a "Take Exam" link will be provided directly across from the course title. Upon successful completion of the online exam your program validation form will be issued. Your validation form may be viewed and/or printed immediately or anytime in the future by returning to your ineedce.com MyCE Archives page and selecting the Validation form link.
Sort The List by Topic:  To view the course listing by "Specific Topic" select the topic from the "Drop Down List" located at the top right side of this page.

List Currently Showing Topic: Pathology

Alterations to the Oral Cavity after Curative Radiation: Understanding the Pathophysiology and Challenges for the Dental Hygienist
AGD Subject Code(s): 735, 736 CE credits: 2 Cost: $49.00
Faculty: Mary Ellen Witt, MS, RN, AOCN, Lori Davidson, RDH, BS
14904

Preservation of dentition and its supporting structures is imperative to optimize masticatory function and quality of life in head and neck cancer survivors. Curative radiation to the oral cavity creates lifelong challenges. Dental integrity is impacted by xerostomia, trismus, and risk for chronic infections. Poor adherence to preventive care can lead to rampant caries and debilitating problems with chronic pain, nutrition, and a return to a healthy lifestyle. Head and neck cancer survivors are challenging patients. Knowledge about the patient’s disease, treatment, and consequences of treatment will prepare the dental hygienist to create a long-term plan of care for the patient and family.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
CAMBRA: Best Practices in Dental Caries Management
AGD Subject Code(s): 258, 430 CE credits: 3 Cost: $59.00
Faculty: Michelle Hurlbutt, RDH, BS
14644

The current approach to dental caries focuses on modifying and correcting factors to favor oral health. Caries management by risk assessment (CAMBRA) is an evidence-based approach to preventing or treating dental caries at the earliest stages. Caries protective factors are biologic or therapeutic measures that can be used to prevent or arrest the pathologic challenges posed by the caries risk factors. Best practices dictate that once the clinician has identified the patient’s caries risk (low, moderate, high or extreme), a therapeutic and/or preventive plan should be implemented. Motivating patients to adhere to recommendations from their dental professionals is also an important aspect in achieving successful outcomes in caries management. Along with fluoride, new products are available to assist clinicians with noninvasive management strategies.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
Dental Erosion: Etiology, Diagnosis and Prevention
AGD Subject Code(s): 258 CE credits: 3 Cost: $59.00
Faculty: Yan-Fang Ren, DDS, PhD, MPH
14483

Dental erosion is a prevalent condition that occurs worldwide. It is the result of exposure of the enamel and dentin to nonbacterial acids of extrinsic and intrinsic origin, whereby mineral loss occurs from the surface of the tooth. The most frequently affected areas are the palatal surface of maxillary incisors and the occlusal surface of the mandibular first molars in adolescents. Characteristic early signs of dental erosion include smooth and flat facets on facial or palatal surfaces, and shallow and localized dimpling on occlusal surfaces. Early intervention is key to effectively preventing erosive tooth wear. Effective prevention of dental erosion includes measures that can avoid or reduce direct contact with acids, increase acid resistance of dental hard tissues and minimize toothbrushing abrasion.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
Diet and Oral Cancer
Not Rated
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart
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.

Activity Details
Program Format(s) Available:
To view click appropriate button below
PDF  
Add to Cart