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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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Oral Cancer Detection: The Role of Adjuntive Technology
Rating: CE credits: 2 Cost: $24.00
Faculty: Denis P. Lynch, DDS, PhD
In the United States in 2007, over 34,000 new cases of oral cavity and oropharyngeal cancer will be diagnosed. With a fi ve-year relative survival rate estimated at 59.1% overall during 1996–2003. Early detection based on diagnoses of suspicious lesions is increased through regular screening of patients. In recent years, screening technologies have become available that supplement the visual examination. The ultimate goals are to reduce mortality and morbidity, and to improve patients’ quality of life.
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Oral Cancer Risk and Detection: The Importance of Screening Technology
Rating: CE credits: 4 Cost: $59.00
Faculty: Denis P. Lynch, DDS, PhD
Upon completion of this course, the clinician will be able to do the following: Know the incidence of oral cancer in the United States and understand the risk factors, be knowledgeable about the signs and symptoms of oral cancer, understand screening methods available for the detection of oral cancer, and understand the role of chromosomal aberrations in the risk of malignant transformation
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Oral Cancer: Update for the Oral Healthcare Provider
Rating: CE credits: 4 Cost: $59.00
Faculty: Ross A. Kerr, DDS
Over 30,000 new cases are expected to be diagnosed in the United States this year alone. With proper intra-oral and extra-oral examinations conducted by a trained healthcare professional, early diagnosis can make all the difference in the management of the patient’s condition, although prevention remains the healthcare provider's best option. To help avert future incidence, at-risk patients need to be educated by healthcare providers, including on nutritional information and, in the case of tobacco users, the U.S. Public Health Service’s "Five A’s." Armed with a full understanding of the disease, the oral healthcare professional is the most likely frontline clinician to prevent, diagnose and manage a patient's oral cancer.
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Periodontal Maintenance After Therapy
Rating: CE credits: 2 Cost: $24.00
Faculty: William L. Balanoff, DDS, MS, FICD
Periodontal disease occurs in the presence of pathogenic bacteria in a susceptible host. The overall objectives of periodontal therapy are to halt disease progression, reduce pocket depths and, ideally, obtain clinical attachment gains. Following active periodontal therapy, periodontal maintenance comprising both in-office and meticulous home care is key for long-term positive clinical outcomes. Consideration should be given to techniques and protocols that aid patient compliance, as well as to address root caries risk and prevent unwanted sequelae.
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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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