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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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Does My Mouth Show My Age? Aging of Oral Mucosa: Correlating Underlying Changes with Clinical Patient Needs
AGD Subject Code(s): 734, 739 CE credits: 3 Cost: $59.00
Faculty: Margaret J. Fehrenbach, RDH, MS
15704

Geriatric individuals comprise the most rapidly growing population segment in the U.S. The unique needs of this subgroup will impact the oral health of our patient base. The goal of this course is to understand how the patients’ aging oral mucosa affects their clinical needs. Clinicians need to distinguish aging processes from disease processes, and to examine the signs of aging within the oral mucosa as well as the underlying microscopic changes. This includes details concerning how the repair of the oral mucosa is affected. The basic histology of the oral mucosa will be reviewed as well as future prospects for controlling the effects of aging in the oral mucosa.

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Etiology, Diagnosis, and Treatment of Desquamative Gingivitis
AGD Subject Code(s): 739 CE credits: 3 Cost: $59.00
Faculty: Scott Froum, DDS, Naomi Marie Ramer, DDS, Molly Cohen, DDS
15962

The term desquamative gingivitis (DG) describes a clinical condition in which the gingival tissues are erythematous, blistering, and eroding. It is not a diagnosis but is instead a term applied to the manifestation of a multitude of mucocutaneous, systemic, allergic, and immunologic diseases. The majority of cases are caused by oral lichen planus, pemphigus vulgaris, and mucous membrane pemphigoid, but many less common sources need to be considered in the differential diagnosis as well. These include erythema multiforme, lupus erythematosus, drug-induced lesions, graft versus host disease, chronic ulcerative stomatitis, plasma cell gingivitis, linear IgA disease, dermatitis herpetiformis, psoriasis, epidermolysis bullosa acquisita, paraneoplastic and neoplastic disorders, and allergic reactions. The dental clinician can play a crucial role in the diagnosis of these conditions, some of which can cause significantm morbidity and even mortality. This course will comprehensively review the clinical, histologic, and serologic findings commonly associated with DG and include other rare disorders that should be considered in the differential diagnosis of DG.

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HIPAA Compliance Update for Dental Practices
AGD Subject Code(s): 148 CE credits: 3 Cost: $59.00
Faculty: Mary Govoni, CDA, RDH, MBA
15663

Compliance with HIPAA rules is essential for every dental practice from a risk management standpoint for the practice, as well as for the security of the patients’ protected health information. In order to comply with these rules dentists and dental team members must first understand the scope of the rules and how they apply to the delivery of oral health care services. This article describes the HIPAA Privacy and Security Rules and their application to both administrative and clinical protocols in a dental practice setting.

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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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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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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 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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Update on Medication Related Osteonecrosis of the Jaw
AGD Subject Code(s): 739, 741 CE credits: 3 Cost: $59.00
Faculty: Frieda Atherton Pickett, RDH, MS
15855

The American Association of Oral and Maxillofacial Surgeons recently updated management recommendations and related information for osteonecrosis of the jaw. The condition formerly referred to as bisphosphonate-related osteonecrosis of the jaw (BRONJ) was renamed medication-related osteonecrosis of the jaw (MRONJ) due to reports of several non-bisphosphonate drugs resulting in the loss of alveolar bone and clinically appearing similar to BRONJ. This course will cover new information on proposed etiologies, mechanisms of drug actions and physical events which may be related to development of the loss of alveolar bone. All pharmacologic agents proposed to play a role in the development of the alveolar bone destruction will be identified and the degree of risk for each agent discussed. Information to discuss with patients taking medications associated with MRONJ are included to assist in patient information identified in the AAOMS guidelines.

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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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