**Stop the Violence...Exploring Domestic Violence (2nd edition)
Oral health-care professionals can have an enormous impact on the identification of patients suffering from domestic violence (DV). Physical violence injuries frequently occur on the head and neck, which can be identified through routine extra/intraoral screenings in the dental office. This course will discuss the prevalence, signs, symptoms, and effects of intimate partner violence (IPV) in the United States. IPV is a public health concern for lawmakers with total national costs of 8.3 billion dollars.1 One in three women and men will experience IPV in their lifetimes.2 Dental providers have legal and moral obligations to the public, and as such are an integral component to IPV and providing resources for families. Barriers to clinician intervention and tools to break down those barriers will be presented, thus increasing the clinician’s confidence in implementing intervention protocols for their patients.
Identifying and Managing Dental Impression Problems
Fixed restorative dentistry requires an impression of the teeth and area to be restored for the laboratory to fabricate the desired restorations. Traditional impressions are still utilized the majority of the time to capture the needed information. Selection of the correct viscosity will vary depending on what prosthesis is to be fabricated, which tray is being used and whether the preparations are on natural teeth or implants. Problems can arise during impression taking that can compromise the ability of the lab to fabricate the restoration or affect the accuracy and fit of the finished prosthesis. Identifying impression problems is part of the process, but how to manage these to improve the quality and accuracy of our impressions is critical to fixed prosthetics.
Puff, Not the Magic Dragon…The Cost of America’s Tobacco and Marijuana Abuse (2nd edition)
Tobacco use in America remains the single largest preventable cause of death in the United States, accounting for more than 480,000 (1:5) deaths annually.1,2,3 Even with the increased cost for tobacco products, increased anti-tobacco media campaigns, and smoke-free laws for workplaces and public places, 15% of Americans still continue to smoke cigarettes.3 The newer nicotine products on the US market, such as electronic cigarettes and snus, along with the legalization of marijuana, are systematically changing the dynamics of American culture. Dental professionals are in an ideal position to directly influence nicotine and marijuana use among their patients. This course will present current statistics of nicotine and marijuana use, and also the pharmacokinetics as it relates to addiction, dependence, and cessation.
The Hard and Soft Chairside Denture Reline (2nd edition)
Complete and partial removable dentures can become ill-fitting. This can be due to alveolar ridge resorption, wear and damage to the denture base, among other reasons. Chairside denture relining or repairing broken areas can correct many of these problems. Chairside procedures provide immediate resolution, avoiding the edentulous period of time accompanying laboratory relines. This course will demonstrate the evaluation, treatment planning, and implementation of chairside denture relining in a variety of scenarios.
A Cursory Review of Forensic Dentistry
Forensic Dentistry/Odontology is not an official specialty as defined by the American Dental Association. It is an enhancement of the Dental Profession that uses knowledge, experience and judgement to collaborate with legal systems. Within this field, dental professionals, including, dentists, dental hygienists and dental assistants play vital roles in several areas of the field. They will often be affiliated with coroners, medical examiners and law enforcement agencies in the United States and worldwide. The roles Forensic Dental professionals play involve work in human identification, human abuse, expert witness testimony, bite mark analysis, age estimation and recently contributing to the creation of forensic dental standards.
The Missing Link in Today's Periodontal Therapy Program
The association between periodontal disease and systemic health is becoming increasingly clear and is the benchmark of innovative healthcare delivery. Periodontal disease is the most common chronic inflammatory disease known to mankind. Long running, ongoing chronic disease such as periodontal disease tips the body’s balance towards chronic inflammation.
Are we still treating periodontal disease as an infection when leading authorities have redefined periodontitis as an inflammatory disease? The most current evidence-based clinical practice guideline on the non-surgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts was published in July 2015 in the Journal of the American Dental Association (JADA). Upon evaluation of all evidence, the strongest recommendation involved addressing the inflammatory component of periodontal disease; specifically host response.
Effective risk assessment and risk management are the cornerstone of patient centered treatment planning. Therapeutic interventions focused on bacterial reduction both chairside and self-care comprise the mechanical aspect of periodontal therapy. The host response, often recognized as an essential determinant, is not routinely addressed. Host modulation through a pharmaceutical approach is the missing link in today’s periodontal therapy programs and one of the most predictive components of therapeutic outcome.
Super Pulsed Dental Lasers
There are many methods available to perform minor oral soft tissue surgery and procedures. Those that provide a minimally invasive methodology with rapid healing are ideal and are today’s gold standard in all aspects of dental care. The dental laser is a device that meets these goals and should be considered in the treatment of cases when weighed against other options. This course will provide information on dental lasers, specifically the newer class of super pulsed diode lasers.
The Role of the Dental Professional in Tooth Whitening
The desire to obtain that “perfect white smile” has given rise to a billion-dollar industry that bombards the general public on a daily basis. There is an abundance of information available on how to obtain ideal results, with catchphrases that reel consumers in without the advice and expertise of a dental professional. It can be surmised then that the general public’s perception of the importance of professional guidance to whitening is devalued because answers and products are readily obtained via other venues (internet, dental kiosks, etc.). The intent of this article is to address the most common questions of teeth whitening while placing emphasis on the need and significance of the dental professional in the overall process.
Antithrombotic Drugs in Dentistry: Stop the Interruption
Antithrombotic medications including anticoagulants such as warfarin (Coumadin) and antiplatelet agents such as aspirin are used by millions of dental patients to prevent various thrombotic complications including stroke or heart attack. Dentists must weigh the risks of postoperative bleeding in patients whose antithrombotic medications are continued versus the risk of thromboembolic complications if antithrombotic medications are interrupted for dental procedures. The dental and medical literature shows only minimal risk of bleeding complications in patients whose anticoagulation or antiplatelet medication is continued for dental surgery, and if bleeding complications occur, they can usually be easily controlled with local measures for hemostasis. The literature also shows a small but significant risk of catastrophic or fatal embolic complications in patients whose anticoagulation or antiplatelet medications are interrupted for dental procedures. There is usually no good reason to interrupt therapeutic levels of continuous anticoagulation or antiplatelet medications for dental surgery with local measures for hemostasis.
Oral Cancer Today: The Impact on Our Profession (2nd Edition)
SEER (Surveillance Epidemiology and End Results) data demonstrates a decline in oral cancer for tobacco related sites; however, there is a strong trend toward an increase in human papillomavirus (HPV) implicated sites. Due to the affinity of the virus for lymphoid tissues and posterior placement, today’s dental professional needs to be keenly aware of the subtle symptoms that accompany this newer profile. How does this affect our methods of screening for oral and oropharyngeal cancer, and is the clinical oral examination predictive of histologic diagnosis at an early stage? Two-thirds of oral squamous cell carcinomas are discovered at an advanced stage with five-year survival rates impeded significantly; 83.3% when the disease is discovered in stage I or II, and only 38% when the cancer has metastasized. This presents a call to action to elevate our knowledge regarding examination of high-risk areas and explore adjunctive screening methods to complement the traditional white light examination.