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Cardiovascular Disease and the Dental Office
Rating: CE credits: 4 Cost: $59.00
Faculty: Fiona M. Collins, BDS, MBA, MA
Upon completion of this course, the clinician will be able to do the following: Define cardiovascular disease and understand its occurrence in various demographic groups, understand the need for an updated medical history and risk factors to consider when screening and counseling each patient, understand procedural precautions that need to be taken in the dental office due to a patient’s medical history, and understand the current drug therapies for cardiovascular treatment and the implications of these medications for dental office treatment - including potential side effects, drug interactions, and adverse oral drug reactions
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Demystifying Recurrent Oral Ulcerations
Rating: CE credits: 4 Cost: $59.00
Faculty: Michael Hurlbutt, RDH, BS, Lane Thomsen, DDS, MS
Oral irritations and ulcerations occur frequently in the general population. Recurrent aphthous ulcers (RAU) are the most common. There are three types of RAU -- minor, major and herpetiform, the most common being minor aphthae. The exact etiology of RAU is not known. Systemic and local factors, as well as infectious agents, have been proposed. Certain medications and foods are associated with oral ulcerations, and chemicals such as sodium lauryl sulfate (SLS) contained in dentifrices have also been implicated. RAU also occur in more serious systemic diseases and where appropriate patients should be referred for screening and medical care. Treatment of recurrent aphthous ulcers is palliative, based on the severity of the lesions. Both topical and systemic medications are available. Nutritional and oral hygiene advice should also be given, and if patients are sensitive to SLS, a low-dose SLS or SLS-free dentifrice should be recommended.
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Obstructive Sleep Apnea: Patient Identification and Oral Therapy
Rating: CE credits: 4 Cost: $59.00
Faculty: Richard Champagne, DMD, MAGD
Apnea is defined as a temporary suspension or absence of breathing. OSA causes a person to repeatedly stop breathing during sleep. These episodes can happen hundreds of times a night, often for a minute or longer. OSA worsens with time, has far-reaching effects on the body, and can be life threatening. OSA treatment requires a team approach and identifies dentists as medical specialists of the mouth. Dentists can provide oral appliance therapy once the diagnosis has been made by a qualified physician and are responsible for appliance follow-up as well as monitoring for any untoward side effects.
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Periodontal Inflammation: The Oral-Body Health Connection
Rating: CE credits: 4 Cost: $59.00
Faculty: Richard Nejat, DDS, Daniel Nejat, DDS, Morris Nejat, MD
Inflammation represents the body’s protective response to injury and tissue destruction. Its purpose is to destroy, dilute, or sequester the injurious agent and the injured tissues in order to permit healing. Inflammation can also be potentially harmful. Clinical signs of inflammation are redness due to open blood vessels, heat due to warmth of blood, swelling due to edema, pain due to stimulation of pain receptors, and loss of function due to edema. Periodontitis is the result of inflammation to the periodontium, and cytokines, or chemical mediators, are the result of inflammatory cells fighting against bacterial plaque. High amounts of these mediators can affect the body’s systems, especially the arteries and can potentially cause more harm in a patient with compromised cardiovascular health. Dental professionals should assess risk for patients with diagnosed (or undiagnosed) diseases such as diabetes, respiratory diseases, and osteoporosis and refer patients to a physician or periodontist as necessary. It is very important to evaluate and monitor oral hygiene in at risk patients. The inclusion of antimicrobials as a part of patient home care to enhance plaque control should be considered.
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Pre-procedural Rinsing: A Pre-emptive Protocol
Rating: CE credits: 4 Cost: $59.00
Faculty: Gary J. Kaplowitz, DDS, MA, MEd, Fiona M. Collins, BDS, MBA, MA
Dental procedures are conducted in an intraoral environment that harbors a substantial bacterial load. During procedures, in particular ultrasonic scaling and those using a high-speed handpiece, a bacterial aerosol is created that is hazardous to dental healthcare professionals and patients. Intraoral bacteria are also associated with both systemic and local infections. The use of pre-procedural mouthrinses to reduce bacterial aersols, as well as to reduce post-operative and nosocomial infections, has been widely investigated.
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Sleep-Disordered Breathing
Rating: CE credits: 3 Cost: $49.00
Faculty: Steven R. Olmos, DDS
Sleep disordered-breathing is a common problem, and obstructive sleep apnea is a serious health issue that can be treated using surgery, CPAP and oral appliances therapy. Oral appliance therapy is a viable, non-invasive treatment for patients with mild to moderate OSA, and has a high success rate and good patient compliance. There are several keys to success in the treatment of these disorders. A definitive diagnosis and triaging is essential to ensure that appropriate patients receive oral appliance therapy. Appliance selection and diligent case management are required for successful treatment. Dental professionals are in a unique position to assess and treat patients with OSA using oral appliances.
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Stem Cells: Sources, Therapies and the Dental Professional
Rating: CE credits: 4 Cost: $59.00
Faculty: Fiona M. Collins, BDS, MBA, MA, Jeremy J. Mao, DDS, PhD
Upon completion of this course, the clinician will be able to do the following: Understand the range of diseases for which stem cell therapies are being investigated, be knowledgeable about the various sources of stem cells and the advantages and disadvantages of each source, understand the fundamental reasons for the effectiveness of stem cells and the meaning of tissue differentiation, and understand the basics of cryopreservation and the banking of stem cells.
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The Roles of Inflammation and Oral Care in the Overall Wellness of Patients Living with Chronic Kidney Disease
Rating: CE credits: 4 Cost: $59.00
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.
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Understanding Acid Reflux and It's Dental Manifestations
Rating: CE credits: 4 Cost: $59.00
Faculty: Vincent W. Yang, MD, PhD, Mohammad Wehbi, MD
Dental professionals commonly review health histories listing medications that identify patients with a diagnosis of acid reflux. Most often, a specialized physician known as a gastroenterologist treats this condition. However, there are dental manifestations, so it is important that dental professionals identify these patients and recommend appropriate dental therapies to protect the long-term health of the dentition. Furthermore, dental professionals have the opportunity to recognize this condition in untreated patients and may need to refer those patients to a physician for further evaluation.
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