|
Abrasion and Implications for Oral Health
|
|
|
AGD Subject Code(s):
017
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Bridget Conway-McPherson, BA, RDH
|
Abrasion of teeth involves an abnormal mechanical process that results in enamel, dentin and cementum being worn away over time. Susceptibility to abrasion is increased in the presence of erosion of the surface of the tooth, which results in softening of the tooth structure. Professional dental care is aimed at preventing disease and restoring oral health for patients with oral disease. The appropriate use of professional and home use oral care products is required to achieve these objectives. Careful selection of polishing techniques is required by the dental clinician to ensure optimized stain removal, polishing and preservation of surface integrity, and the oral care regimen recommended to patients for home care must also consider the risk of abrasion.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Chronic Periodontitis: Treatment Options
|
|
|
CE credits:
1
• Cost:
$0.00
|
|
Faculty:
Christine Karapetian
|
A risk assessment and diagnosis of periodontal disease is made following thorough history taking and a full clinical examination. Once a diagnosis of chronic periodontitis has been made, treatment planning can occur. The treatment of chronic periodontitis involves initial therapy followed by periodontal maintenance, and a re-evaluation. At the time of the reevaluation, depending on the patients current status further treatment may be required. This can include nonsurgical periodontal therapy, surgical therapy and the use of chemotherapeutic agents.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
|
|
Dental Adhesives for Direct Placement Composite Restorations: An Update
|
|
|
AGD Subject Code(s):
253
•
CE credits:
3
• Cost:
$59.00
|
|
Faculty:
Howard E. Strassler, DMD, FADM, FAGD, FACD, Michael Mann, DDS
|
 Dental adhesives used to bond composite resins to tooth structure have evolved over the last several decades. The earliest bonding systems required an acid-etch technique and were only compatible with enamel, and the challenge has always been to predictably bond to enamel and dentin simultaneously. There can be confusion as to what bonding agents are being described, because there are a number of different labeling categories. With a simplified, logical category description the clinician is better able to understand what each bonding agent is and how it is used. Bonding systems can in fact be differentiated into two distinct classes: etch-and-rinse and self-etch. Both classes of bonding systems work well as long as one understands which to use for different treatment conditions. There is no one universal bonding system that does it all, but recent advances in the chemistries of these adhesives allow many of them to be bonded to all intraoral substrates – to enamel; to dentin; and to all types of dental resins, ceramics and metals. The key to success is to provide your patients with materials and techniques that you can reproduce to achieve the best, longest-lasting clinical results.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Dental Implant Complications: Etiology, Prevention, and Treatment
|
|
|
AGD Subject Code(s):
690
•
CE credits:
22
• Cost:
$100.00
|
|
Faculty:
Stuart J. Froum, DDS
|
This CE course is based on the content of the book "Dental Implant Complications: Etiology, Prevention, and Treatment" edited by Dr. Stuart J. Froum D.D.S., P.C.
To complete this program you must first read the book. If you have read the book and would like to claim CE credits (22 ADA CERP credits) you must complete the examination questions which are provided by ineedce.com.
If you have not already purchase the book itself and wish to do so Click Here
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Dentinal Hypersensitivity: A Review
|
|
|
AGD Subject Code(s):
010
•
CE credits:
3
• Cost:
$59.00
|
|
Faculty:
Catherine D. Saylor, BSDH, MS, Pamela R. Overman, BSDH, MS, EdD
|
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- to 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 occuring in response to thermal, chemical, tactile and evaporative stimuli, in accordance with Brännström’s Hydrodynamic Theory. Treatment options include in-office procedures and homeuse, self-applied products that are aimed at either occluding the dentinal tubules or preventing neural transmission and thereby blocking the pain response.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Dentinal Hypersensitivity: Etiology, Diagnosis and Management
|
|
|
AGD Subject Code(s):
010
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Howard E. Strassler, DMD, FADM, FAGD, FACD, Francis G. Serio, DMD, MS, MBA, FICD, FACD, FADI
|
Dentinal hypersensitivity has been referred to as one of the most painful and chronic dental conditions, with a reported prevalence of between 4% and 57% in the general population and a higher prevalence in periodontal patients. It may also occur as a result of, or during, dental treatment. Clinicians must screen for dentinal hypersensitivity and diagnose by exclusion, determine appropriate treatment, and provide treatment and preventive recommendations. Consideration should also be given to treating dentinal hypersensitivity associated with dental treatment. Traditional treatments have included adhesive resins, fluoride varnishes, HEMA, iontophoresis, gingival grafts and desensitizing dentifrices. Other technologies include the use of bioglass particles, ACP, as well as 8% arginine and calcium carbonate paste.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Emerging Concepts in Periodontitis and Overall Health
|
|
|
AGD Subject Code(s):
024, 490
•
CE credits:
1
• Cost:
$20.00
|
|
Faculty:
Dianne Glasscoe Watterson, RDH, BS, MBA
|
This course examines the evidence surrounding various systemic diseases and their interrelation with periodontitis. The course begins with a historical view of the focal theory of infection. Next, the seven study designs and the strength of evidence with each design are discussed. The reader is given some guidelines to use when evaluating studies. Finally, these systemic diseases and their association to periodontitis are discussed: cardiovascular disease, diabetes mellitus, respiratory disease, pregnancy factors, prostate cancer treatment, osteoporosis, rheumatoid arthritis, and head and neck cancer.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Enhancing the Esthetic Outcome of Implant Restorations with Socket Preservation (webinar)
|
|
|
AGD Subject Code(s):
691, 692
•
CE credits:
1
• Cost:
$0.00
|
|
Faculty:
Scott Froum, DDS, Chris Salierno, DDS
|
Poor extraction site management can lead to future esthetic and functional prosthetic complications. On the other hand, preservation of bone volume and soft tissue height at the time of tooth extraction can help make possible prosthetically-driven implant placement and attainment of functional and esthetic restorative goals. Proper management of extraction sites at the time of tooth extraction may also can reduce or eliminate the future need for advanced ridge augmentation procedures prior to implant placement.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Inculpatory Evidence: Periodontal Disease Assessment and Treatment Is an Essential Element in Cardiovascular Wellness Programs
|
|
|
AGD Subject Code(s):
018
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Thomas W. Nabors, DDS, FACD, Bradley F. Bale, MD, Amy L. Doneen, MSN, ARNP
|
 The premature morbidity and mortality of cardiovascular disease (CVD) is claiming the lives and independence of millions of Americans. The key to CVD prevention is to determine if an atheroma is present in the vascular tree and minimize any opportunity for thrombus development through rupture or erosion. This is accomplished by mitigating the risk of any vascular inflammation, including the systemic impact of periodontal disease (PD). Evidence supports inflammation as a key player in the development and progression of atherosclerosis. In addition, inflammation is involved in destabilizing the plaque and in promoting thrombosis. A meta-analysis from the AHA Journal reviewed the prevalence and incidence of coronary heart disease (CHD) as being significantly increased in subjects with periodontitis and confirmed an independent association between PD and CVD with Level A evidence. Current genetic research indicates that inflammation appears to be causal for CVD, which intensifies the importance on the oral-systemic inflammatory link. Proving direct causality between oral health and vascular events proves challenging due to lack of uniformity in clinical diagnostic criteria and clinical treatment guidelines
for PD. Unequivocal evidence of causality is not necessary to address PD in efforts to minimize cardiovascular (CV) risk. Any modifiable CV risk factor should be addressed in a holistic approach
to lessen the impact of CVD. The plethora of evidence supporting the systemic inflammatory link with PD along with its independent association with CAD makes it imperative that efforts to enhance cardiovascular wellness incorporate PD evaluations and therapies., Guidelines should call for the assessment
and treatment of PD not only for the patient’s oral health, but also as one of many comprehensive measures that may help maintain CV health.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Instrumentation for the Treatment of Periodontal Disease
|
|
|
AGD Subject Code(s):
495
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Timothy Donley, DDS, MSD
|
The initiation and progression of periodontal disease requires the presence of bacterial accumulations. Once periodontal disease exists, its progression depends on the host response. In order to treat periodontal disease, the biofilm must be disrupted and all hard and soft deposits removed from the tooth surfaces. In order to thoroughly remove deposits and debris without removing excessive tooth structure, instruments must be selected that are suitable for the intended site and technique. The selected debridement method should offer predictable results independent of operator skill level; be efficient to perform clinically, well tolerated by patients and cost effective; and have a low potential for adverse side effects.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
|
|
Lasers in Orthodontics
|
|
|
AGD Subject Code(s):
135
•
CE credits:
3
• Cost:
$59.00
|
|
Faculty:
Stephen Tracey, DDS, MS
|
Lasers were first conceived of almost a century ago and were introduced into dentistry in 1989. Several types of dental lasers are now available, with the diode laser being of particular interest for the orthodontic clinician. It is now possible to treat many soft tissue conditions that present as challenges in orthodontics and can impact the overall aesthetic outcome, and to treat these more easily. Before using lasers, it is necessary to understand how they work, the steps involved in setup, precautions that must be taken (such as eye protection), and troubleshooting steps. Periodontal considerations must also be known and understood. Soft tissue procedures that can benefit from use of a diode laser include frenectomy, gingival recontouring, the removal of hypertrophic tissue, and exposure of a partially erupted tooth.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Medical Manifestations of Periodontal Disease: Perio Systemic Updates
|
|
|
CE credits:
1
• Cost:
$20.00
|
|
Faculty:
Richard H. Nagelberg, DDS
|
This course describes the impact dental professionals have beyond the oral cavity through a discussion of novel concepts of periodontal disease. Topics covered include: bacterial invasion of the gingiva, gingivitis details, oral-systemic connections, risk factors, periodontal maintenance, total inflammatory burden, and providing individualized periodontal care through bacterial DNA testing.
Program Format Note: This program is offered in both a Text based format (PDF) and an Audio Video Webinar format (Interactive).
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Methamphetamine Abuse –Oral Implications and Care
|
|
|
AGD Subject Code(s):
157
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Noel Kelsch, RDH, RDHAP
|
Methamphetamines were originally derived from amphetamine. Meth can be illegally and easily synthesized, and is known by many names, including speed, crystal meth and ice. In the United States, more than 10 million people report having tried meth. Its use results in immediate effects that can be pleasurable but medically dangerous. Longer-term use results in serious and devastating medical, psychological and oral conditions, and in extreme cases can result in death. Dental professionals are in a position to help with the early identification of meth abuse and to refer patients to medical professionals for counseling and treatment. Palliative and preventive oral care and treatment, as well as counseling, should be provided, along with monitoring of the patient, and definitive care should be provided when appropriate for the individual patient.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Periodontal Disease and Smokers
|
|
|
CE credits:
1
• Cost:
$0.00
|
|
Faculty:
Richard Nejat, DDS
|
Periodontal disease is more prevalent and more severe in smokers than in nonsmokers. The host response in smokers is altered by a number of factors including increased gingival crevicular fluid, adhesion molecules and genetics. In addition, smokers are poor healers compared to nonsmokers and their response to periodontal therapy can be compromised which can result in continued progression of periodontal disease, or the need for more treatment.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
Saliva and the Clinical Laboratory: A Data Driven Model for Periodontics and Implant Dentistry
|
|
|
AGD Subject Code(s):
013
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Thomas W. Nabors, DDS, FACD
|
 Periodontitis is a disease that is more serious from a health perspective than previously known. Peri-implant diseases are prevalent: They not only present risk for implant failure but may also present systemic risk. The doctor’s ability to determine an accurate diagnosis for both of these diseases is critical. Ideally, the diagnostic capacity should be able to accomplish five important goals:
• To determine if the risk for disease is present in any given patient
• To determine if this risk is high or low in each patient
• To determine if actual disease is present at any level of disease (early, moderate, or late stages)
• To define which treatment is most advisable for the specific patient.
• To determine if co-management is appropriate for each patient.
Historically, oral medicine (dentists) has utilized a model that can only identify disease after it has become clinically apparent by the loss of or damage to anatomical structures. (BOP, pocket depth, radiographic images, etc.) While this legacy model can determine a history of past disease, it does not fill any specific goal of an ideal diagnostic model for the two diseases in question. Today, clinical lab tests that utilize saliva provide information for accomplishing the important goals of diagnosis, risk assessment, treatment planning, and monitoring for periodontal and peri-implant diseases.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
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
|
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.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
The Pathogenesis and Treatment of Periodontal Disease
|
|
|
AGD Subject Code(s):
495
•
CE credits:
3
• Cost:
$59.00
|
|
Faculty:
Francis G. Serio, DMD, MS, MBA, FICD, FACD, FADI, Teresa Duncan
|
Periodontal disease is progressive and episodic in nature, with tissue destruction resulting from the host response to bacterial antigens and irritants. Risk factors encompass systemic influences, external influences, intrinsic factors and local factors. An individual patient’s responsiveness to treatment also depends on the host response and the presence of risk factors. Adjunctive systemic and/or local therapy can positively impact periodontal therapy. Considerations in determining which to select include clinical preference and efficacy.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
The Periodontic/Orthodontic Connection: Maximizing Success with the Orthodontic Patient
|
|
|
CE credits:
1
• Cost:
$20.00
|
|
Faculty:
Kristy Menage Bernie, RDH, BS, RYT
|
Orthodontic therapies are no longer confined to the adolescent population and as such the role of the dental hygienist in patient education has grown significantly in recent years. This course will review the exciting science of bio-adaptive therapy; a process of working with nature and the body to move teeth while maximizing periodontal health and minimizing invasive procedures such as tooth extraction or palatal expansion, as well as the periodontic/orthodontic connection. A review of current tooth movement sciences will be included as well as methods to maximize oral health during therapy, including CAMBRA (Caries Management by Risk Assessment). Bio-adaptive research, results and adult options will be included as well as the role of the dental hygienist in orthodontic treatment planning and case success.
Program Format Note: This program is offered in both a Text based format (PDF) and an Audio Video Webinar format (Interactive).
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
The Role of Technololgy in Periodontal Evaluation and Treatment Acceptance
|
|
|
AGD Subject Code(s):
734, 735, 737
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Cris Duval, RDH, William L. Balanoff, DDS, MS, FICD
|
The prevalence of periodontal disease and estimates of provided treatment are indicative of treatment needs. Current technology offers standardized probing, automated charting, risk assessment, differential diagnosis and suggested treatment plans, as well as enabling clinicians to involve patients in the process. Patient awareness and treatment acceptance can be encouraged with full evaluation, a consistent protocol and message, and through the use of technology.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
The Roles of Inflammation and Oral Care in the Overall Wellness of Patients Living with Chronic Kidney Disease
|
|
|
AGD Subject Code(s):
754
•
CE credits:
2
• Cost:
$49.00
|
|
Faculty:
Cheryl (Cher) Thomas, RDH
|
 Twenty-six million people in the United States are living with chronic kidney disease (CKD). As the baby boomer generation continues to mature, medical procedures extending life improve, and with pharmacology advances, this number will increase. With an increased number of patients living with CKD seeking dental treatment, will the dental healthcare provider be prepared to provide treatment to patients living with renal disease-induced anemia, and with secondary hyperparathyroidism and its effects on bone metabolism and the cardiovascular system? Many providers are familiar with providing palliative treatment for xerostomia, but how do you recommend palliative treatment for someone who is on strict fluid and dietary restrictions, such as patients living with end stage renal disease? Diabetes and hypertension are the two greatest causes of kidney disease. Dental providers should be knowledgeable about the different stages of renal disease and different treatments associated with this condition, and be prepared to address oral complications of renal disease. The dental healthcare provider must become more familiar with the impact of periodontal disease on renal disease, specific medical challenges and become proficient in collaborating with medical healthcare providers to provide dental treatment to these patients.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|
|
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
|
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.
|
|
|
Activity Details
|
Program Format(s) Available:
To view click appropriate button below
|
|
|
|