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Antibiotic Interference with Oral Contraceptives: Can a Dental Visit Make you Pregnant?
AGD Subject Code(s): 016, 134 CE credits: 2 Cost: $49.00
Faculty: Michael Wahl, DDS
15307

Oral contraceptives are a safe and effective form of birth control used by millions of women in the United States and around the world. There have been anecdotal reports of unintended pregnancies after antibiotics were prescribed to women on oral contraceptives. Dentists and physicians have therefore been advised to warn female patients on oral contraceptives of a potential interaction and to advise additional forms of contraception when prescribing antibiotics. This issue has caused consternation among dentists, physicians, and patients, coming to a climax in the lay media with the headline “A Dentist Visit Can Make You Pregnant” in a supermarket tabloid. Fortunately, scientific studies have failed to show any decrease in oral contraceptive efficacy with any antibiotics except for one: rifampin, which is not typically used in dentistry. It is therefore not necessary to warn patients of a potential interaction between antibiotics used in dentistry and oral contraceptives when scientific evidence has consistently and repeatedly failed to support such an interaction.

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Establishing and Maintaining Oral Homeostasis: The Role of Arginine in Modulating the Oral Environment
AGD Subject Code(s): 016 CE credits: 3 Cost: $59.00
Faculty: Anne Nugent Guignon, RDH, BS, CSP
16090

Regardless of the mechanism, neutralizing oral acid is a primary goal for preventing or treating caries, erosion, and candidiasis infections. Caries and erosion are classified as pH-mediated conditions. Repeated acid attacks eventually damage enamel, dentin, and cementum. Acidic pH also sets the stage for the development of oral fungal infections. A variety of situations allow the oral pH to become acidic: frequent intake of acidic foods and beverages or fermentable carbohydrates, medical conditions involving regurgitation, acidic stomach acid vapors, insufficient salivary flow, poor-quality saliva, xerostomia, and high numbers of acid-producing microbes.

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Opioids: Overview, Uses and Management of Acute and Chronic Pain
AGD Subject Code(s): 132, 134 CE credits: 3 Cost: $59.00
Faculty: Nicholas B. Hill, DDS
15750

Opioids are among the world’s oldest known drugs used in acute, chronic and palliative care. Pain is treatable in patients with the correct understanding of physiology and its triggers. Opioids play a major and important role in management of pain. Understanding opioids as well as alternative medications that are non-narcotic dependent can help any practitioner manage their patients more effectively and safely. Patients undergoing surgical procedures of any type may require pain medicine and more so than not an opioid is the recommended choice. The last thing a physician should ever do is not adequately control a patient’s pain post operatively and in today’s world, many patients are already taking high doses of opioids to control other ailments. Given the extensiveness of areas encompassing pain, opioids and management, this educational course will provide a clear understanding and a multimodal approach for treating pain.

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Pradaxa and Xarelto: Coming Soon to Your Practice!!
AGD Subject Code(s): 016 CE credits: 1 Cost: $20.00
Faculty: Leslie F.T. Fang, MD, PhD
15181

Pradaxa® (dabigatran) and Xarelto® (rivaroxaban) are two new oral anticoagulants that are striving to replace Coumadin ® in the management of patients with non-valvular atrial fibrillation. The drugs have rapid onset of action, are taken in a fixed dose, do not require PT/INR monitoring and there are no dietary restrictions for the patients on these agents. This has led to a rapid adoption by physicians. It is therefore important for the dental professional to understand the mechanism of action of these drugs in order to intelligently manage these patients when they need dental intervention. The pros and cons of interruption of therapy are discussed as they apply to patients needing simple and complex dentistry. Medical consultation is mandatory prior to interruption of anticoagulant therapy.

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