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A complete listing of the currently available text based courses is provided below. The listing may be filtered by "Profession" and/or "Categories of Interest" and "Sorted by" alphabetical "Title" or by "Newest" title.

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* Minimally Invasive Dentistry for the Pediatric Patient
Faculty: Hershel Ellenbogen, DMD
Expiration Date: August 31, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 434

Over the past century, modern dentistry has made great advances in scientific knowledge, specifically in pediatric dental care. New technology and materials have allowed practitioners to continue development in both research and clinical forums. These include, but are not limited to, minimally invasive diagnostics and greater understanding in the treatment of children. Following the philosophy that “no treatment is the best treatment,” dentists use testing regimens such as the CAMBRA method and the Bacterial Model to care for pediatric patients earlier and more consistently. In addition, helping children who are anxious about receiving dental care, will allow a more pleasant experience and allow the treating dentist to work more efficiently.

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* Strategies for Optimal Intraoral Digital Imaging Part I: Intraoral Receptors, Techniques and Instrumentation
Faculty: Gail F. Williamson, RDH, BS
Expiration Date: August 31, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 731

Radiographic examinations should be made only when the dentist has determined they are necessary for diagnostic and treatment purposes. Radiographic selection criteria have been published by the American Dental Association (ADA) to assist dentists in decision-making and justification of the prescription Once such a determination has been made, it is the responsibility of the dentist to ensure that optimal radiographic images are obtained at the lowest possible dose of radiation. Because radiographic procedures are delegated to dental hygienists and dental assistants, it is important that these radiographers have the knowledge, skill, and technical acumen to obtain optimal results. Increasingly, digital radiographic imaging is being used with two types of receptors: photostimulable phosphor plates and solid-state detectors. 

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*The Impact of Salivary Diagnostics
Faculty: Richard H. Nagelberg, DDS, Paul D. Slowey, PhD
Expiration Date: August 31, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 734

Salivary diagnostic technology offers a number of advantages over other testing methods. Some of these advantages include non-invasiveness, a virtually unlimited supply, cost-effectiveness, and patient comfort, among others. Saliva testing can provide early diagnosis of a variety of diseases and conditions, thereby reducing morbidity and mortality. A particularly promising area of research is the identification of salivary biomarkers for a variety of cancers such as lung, breast, and oral cancers. Salivary testing is currently available for the identification of periodontal pathogens. Other research to identify a variety of biomarkers of periodontal disease is ongoing.

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*Tying It All Together: Diagnosis, Implications and Treatment of Tethered Oral Tissues
Faculty: Lorena Cockley, DDS, FAGD
Expiration Date: August 31, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 431

While most dental clinicians are familiar with the term ankyloglossia and perhaps as familiar with the lay term tongue-tie, few are aware of the vast implications that these restrictions may create. This article will attempt to define and provide a clear understanding of this congenital condition as it relates to ideal tongue function, as well as offer ways to best assess and treat in a safe, predictable manner.

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A Review of Contemporary Dentifrices
Faculty: James DiMarino, DMD, MSEd, Ted Croll, DDS
Expiration Date: September 01, 2017
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 257

Toothpaste, also called dentifrice, is essential to proper daily oral hygiene. Dentifrices are pastes, gels or powders that help remove plaque, a film of bacteria that forms on teeth and gums every day. Toothpaste improves the mechanical brushing and cleaning power of a toothbrush. It may seem like toothpaste is a recent advancement in oral hygiene, but substances to assist in cleaning teeth have been used in various forms for centuries. Modern dentifrices have evolved to become smooth, good tasting toothpastes which can contain anticaries, antigingivitis, antisensitivity ingredients, or breath fresheners while providing greater cosmetic and therapeutic benefits than those of prior generations, if utilized correctly.

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A Review of Tooth Whitening Services
Faculty: Richard H. Nagelberg, DDS
Expiration Date: August 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 781

Utilization of tooth whitening products and services in the U.S. and globally is very strong and shows no signs of diminishing. The three primary methods of tooth whitening include in-office, take-home and over the counter whitening agents. The two major types of tooth discoloration are intrinsic and extrinsic. Extrinsic stains are easily removed during a prophylaxis. Extrinsic discoloration can become intrinsic by migrating to the interior of the tooth through pits, fissures and surface irregularities. Peroxide containing whitening agents enhance the appearance of teeth by addressing intrinsic stains. The most common side effect of whitening procedures is transient hypersensitivity. This course provides a review of tooth whitening services and agents.

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Anatomy of a Handpiece: Understanding Handpiece Maintenance and Repairs
Faculty: Glenn Williams, BS
Expiration Date: November 01, 2016
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 148, 550

Today’s clinician is extremely dependent on the handpiece to sustain a smooth-running practice. The handpiece is an incredibly sophisticated device that requires a diligent maintenance protocol to keep it running properly and safely. Routine, repeated heat sterilization has the most adverse effect on the dental handpiece. Perhaps due to this dependency on handpieces, combined with the damage resulting from repeated routine sterilization and the need for consistent maintenance, the handpiece has earned an undeserved reputation for excessive breakdowns. The dental team can keep handpieces functioning smoothly longer, and maximize the return on the significant investment the dentist has made in handpiece technology, through appropriate maintenance procedures. Careful selection from repair options is also required.

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Antibiotic Interference with Oral Contraceptives: Can a Dental Visit Make you Pregnant?
Faculty: Michael Wahl, DDS
Expiration Date: April 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 016, 134

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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Basic Elements of Overhead and Profit and Loss Statements
Faculty: Alan Richardson
Expiration Date: April 01, 2018
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 552

It is essential for doctors to have ongoing knowledge of the financial condition of their practices. This requires an understanding of overhead and profit and loss (P&L) statements. Practice income comes from patient payments and insurance payments. Practice overhead is the amount of money required to meet all practice expenses, excluding doctor compensation. A profit and loss statement is where the elements comprising overhead are noted and quantified. The P&L must be prepared and reviewed monthly. Comparing the current statement with the year to date P&L and the previous year P&L is important to understand trends.

AGD PACE Credit Only

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Basic Financial Statement Analysis (It's not as scary as you think!)
Faculty: Kathryn Franzone, MAFM
Expiration Date: August 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 552

Nothing can strike fear into the hearts of non-financial managers like the term “Financial Statements.” However, in order to run a successful business, it is essential to know how to read and interpret your practice’s financial statements. These documents contain valuable information about the financial position and financial health of your business. With a little background knowledge and some simple calculations, you can be on your way to a better understanding of this valuable information. This course will show you what a balance sheet and income statement look like. It will help you to recognize the various accounts listed on the statements and explain how to use that information to gain an understanding of the practice’s financial performance and position.

AGD PACE Credit Only

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Cash and Accrual Basis Accounting (Keeping Two Sets of Books Could be a Good Thing)
Faculty: Richard C. Capasso, CPA, PFS, CFP
Expiration Date: October 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 552

Understanding the method of accounting when looking at financial statements is important to determine the profitability of a company. There are many different methods of accounting, but the two most common are the Cash Basis Method and the Accrual Basis Method. This course will give you a general understanding of both the Cash Basis Method and Accrual Basis Method of accounting, and when to use one method over another and why.

AGD PACE Credit Only

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CDC Infection Control in Dental Health-Care Settings: Looking Ahead to 2015
Faculty: Marie T. Fluent, DDS, Catherine L. Pawloski, RDH, BSDH
Expiration Date: May 01, 2017
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 148

The Centers for Disease Control and Prevention (CDC) remains the prominent government agency for infection control guidelines within the United States. The existing document, Guidelines for Infection Control in Dental Health-Care Settings, was published in 2003 and is currently recognized by dental personnel in all dental healthcare settings. The CDC is currently updating and undertaking a limited revision to be released in 2015. Until recently, these proposed changes remained unknown to the dental community at large. At the 2013 Organization for Safety and Prevention (OSAP)Symposium, proposed modifications of CDC guidelines were introduced and discussed. These potential revisions are the basis of this course. Newly identified infection control risks, potential interventions, and infection control equipment updates will be addressed. Course participants are encouraged to review the CDC updated guidelines in its entirety upon release in 2015.

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Child Abuse Awareness in the Dental Profession
Faculty: Richard H. Nagelberg, DDS
Expiration Date: November 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 155

Children who have been physically or sexually abused or who experience medical/dental neglect may present to a dental health professional for evaluation. It is an ethical and legal responsibility for the dental clinician examining such a child to report their findings to the appropriate child protective agency. This course provides information to help the dental professional identify child maltreatment. There is discussion of what constitutes child maltreatment, what external and intraoral signs may be seen, the past history which may suggest abuse and neglect, the risk factors that may predict maltreatment, and how to proceed when the appropriate authorities need to be notified.

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Clinical Considerations for Treating the Dental Patient with ALS
Faculty: Kimberly M. Parsons, MEd, CDA, EFDA, RDH, Amy J. Schneider, LDH, CDA, BS
Expiration Date: June 01, 2017
Credits: 1
Format: PDF
Fee: $20.00
AGD Code(s): 754

Amyotrophic lateral sclerosis (ALS) is a progressive degenerative disorder that affects the nervous system, particularly the motor neurons. It may affect either spinal or bulbar neurons, which classifies how an individual’s symptoms present. The prognosis for individuals with ALS is not promising, usually resulting in death within three to five years of diagnosis. Most management of amyotrophic lateral sclerosis focuses on palliative care, determined by the affected individual’s ongoing symptoms. An essential component of palliative care is management of the individual’s oral conditions. Manifestations of ALS may affect the dental practitioner’s care of patients with this disease. These modifications will be dependent upon the individual’s current symptoms and needs.

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Contributing Factors to the Oral Effects of Schizophrenia
Faculty: Vaishali Singhal, DMD, MS
Expiration Date: August 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 750

Oral health is linked to overall health and is a window to a person's general state of well-being. Recent research has demonstrated that many systemic disorders present with oral manifestations and that poor oral health may be a sign of underlying systemic diseases. Oral health also has a social impact as it affects social life and interactions, ability to pronounce words, ability to eat and feelings of self-confidence. Poor oral health may also affect one’s career.1 This course will focus on the oral health concerns of those who suffer from psychiatric disorders, specifically schizophrenia.

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Cultural Competence for the Dental Provider
Faculty: Sherri Lukes, RDH, MS
Expiration Date: May 06, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 010

Cultural competence is a vast topic of great importance to the field of dentistry. In an increasingly diverse society, it is necessary for dental professionals to be culturally competent healthcare providers. A dynamic process, attaining cultural competence includes awareness and understanding of the many factors that influence culture and how that awareness translates into providing dental services within clients’ cultural parameters. Multiple resources are available for dental professionals to become culturally competent healthcare providers, ensuring delivery of the best possible care for all clients.

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Dental Professionals and HIV - Part 1
Faculty: Richard H. Nagelberg, DDS
Expiration Date: June 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 755

With the introduction of highly active antiretroviral therapy (HAART) for HIV, AIDS is now manageable and patients are living lives relatively free of many of the oral conditions that characterized the disease prior to and during previous treatment regimens. Although the incidence of oral diseases has improved, many patients with HIV and emerging AIDS may still develop one or more oral conditions that dental professionals need to be aware of when examining the patient with AIDS. Effective office infection control procedures to prevent spread of the disease are as important today as they were 30 years ago when AIDS was first confronted. This educational course is divided into two parts. The first part reviews current science related to the immune events associated with the oral route of transmission of the virus, new information on the pathogenesis of the disease, concepts related to the oral cavity as a viral reservoir for HIV and oral pathology that is associated with AIDS. The second part deals with the practical clinical considerations that need to be addressed when treating the AIDS patient.

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Dental Professionals and HIV - Part 2
Faculty: Richard H. Nagelberg, DDS
Expiration Date: July 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 755

Part one of this course presented current science related to the immune events associated with the oral route of transmission of the HIV virus and oral pathology that is associated with AIDS. This second part discusses the epidemiology of HIV-infected patients, dental healthcare needs and clinical considerations when treating the AIDS patient.

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Diagnosis and Management of Pre-, Intra- and Post- Operative Complications for Sinus Augmentation Surgery
Faculty: Alessandro Geminiani, DDS, MS
Expiration Date: November 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 313

Posterior maxillary edentulism can be successfully corrected with the use of dental implants. Frequently the area requires sinus augmentation surgery. Sinus augmentation is a highly successful surgical procedure, especially when appropriate pre-operative planning and a methodical surgical technique is followed. The diagnosis and management of pre- intra- and post-operative complications during sinus augmentation surgery is described in this course.

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Does My Mouth Show My Age? Aging of Oral Mucosa: Correlating Underlying Changes with Clinical Patient Needs
Faculty: Margaret J. Fehrenbach, RDH, MS
Expiration Date: March 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 734, 739

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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Early Caries Intervention: A Collaborative Approach
Faculty: Kimberly M. Parsons, MEd, CDA, EFDA, RDH, Jennifer K Bartek, LDH MS CDA EFDA
Expiration Date: March 15, 2019
Credits: 3
Format: PDF
Fee: $49.00
AGD Code(s): 010, 257, 490

The incidence of dental caries is increasing globally. It is essential that the dental team work together with the patient to manage dental caries throughout the various stages of the patient’s life. Using a risk assessment can assist the dental professional in addressing the disease process with the patient and in planning treatment. It is advantageous to use a completed risk assessment, along with various caries identification methods, to help guide the patient and dental team in management of early carious lesions. The use of minimal-intervention dentistry to address early carious lesions is an integral part of the caries management process and should be considered when devising a caries management plan.

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Effective and Productive Instrument Processing
Faculty: Noel Kelsch, RDH, RDHAP
Expiration Date: October 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 148

In order to meet the challenges of safety, time management and asepsis, the dental health care provider must have a plan for infection control, including the use and care of dental instruments and disposables. Following the basic CDC guidelines can help to significantly reduce the risk of microbial transmission. After the patient is dismissed, the operatory must be prepared for the next patient, including the treatment of surfaces and instrument processing. There are a variety of methods available to properly reprocess instruments. Choosing a system that minimizes risk, maximizes productivity and preserves instruments is essential.

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Establishing and Maintaining Oral Homeostasis: The Role of Arginine in Modulating the Oral Environment
Faculty: Anne Nugent Guignon, RDH, BS, CSP
Expiration Date: February 01, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 016

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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Etiology, Diagnosis, and Treatment of Desquamative Gingivitis
Faculty: Scott Froum, DDS, Naomi Marie Ramer, DDS, Molly Cohen, DDS
Expiration Date: October 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 739

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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Getting the Most Out of Ultrasonic Scaling: A Guide to Maximizing Efficacy
Faculty: Robin Cox, BSDH, RDH, EPP
Expiration Date: February 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 010, 495

Powered instruments have been part of dental hygiene treatment since the late 1950’s. Over time new and innovative improvements to the equipment and tip designs have made ultrasonic scaling easier and more effective. Today’s patients are in need of the highest level of therapeutic hygiene services available. With the reciprocal link between periodontal disease and several known systemic diseases, dental health care providers need to be knowledgeable about current treatment modalities and the evidence that supports it. This course is designed to aid the clinician in making instrument decisions to improve the quality of hygiene treatment provided to the patient.

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Hand Hygiene and Hand Care
Faculty: Eve Cuny, RDA, MS
Expiration Date: July 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 148

Hand hygiene is important for the protection of patients and healthcare workers, and the Centers for Disease Control and Prevention issued recommendations in 2003 that specifically includes guidelines for hand hygiene in dental settings. Several options exist for hand hygiene prior to nonsurgical dental procedures, and the selected method may vary according to the level of contamination, the desired antimicrobial activity and the type of procedure. The most significant difference between hand hygiene for routine procedures and for surgical procedures is the need for persistent antimicrobial activity in products used for surgical hand antisepsis. Appropriate selection of products as well as appropriate hand care helps prevent adverse effects related to hand hygiene in the dental setting. Selecting the products that suit the types of procedures performed in a given practice, and the needs of the healthcare personnel in that practice are important considerations. It is likely that a combination of soap, alcohol-based hand sanitizer and lotions will be required to meet the needs of all individuals.

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HIPAA Compliance Update for Dental Practices
Faculty: Mary Govoni, CDA, RDH, MBA
Expiration Date: January 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 148

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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HIPPA Complexities and Compliance Issues
Faculty: Richard H. Nagelberg, DDS
Expiration Date: March 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 550

The Health Insurance Portability and Accountability Act (HIPAA) is well known to all healthcare providers and everyone who has visited any healthcare facility. The need to protect the personal and medical information of patients is the primary reason for the enactment of HIPAA in 1996. Many provisions have been added since the original law was enacted. HIPAA is very complex, making compliance difficult. Additionally, patient co-management and communication among a variety of facilities including; labs, specialists, diagnostic and imaging centers, among many others, has further complicated compliance across the spectrum of patient care. Companies that facilitate secure communication and assistance with HIPAA compliance provide protection for covered entities and the patient as well.

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How to Get to "YES" with Geriatric Dental Implant Patients
Faculty: Eric Shapira, DDS, MA, MHA
Expiration Date: April 01, 2017
Credits: 1
Format: PDF
Fee: $20.00
AGD Code(s): 690, 752

People are living longer and keeping their dentitions longer. Our healthcare capabilities are much better than the early 1900’s when the average lifespan was approximately 47 years of age. Although almost 25 % of the US population is edentulous, an even greater number of people over the age of 65 years will be prone to being partially edentulous in the future. This cohort of people will have the opportunity to receive one or more dental implants as tooth replacements. Dental implants were first recognized in the 1950’s as a source of alternative tooth replacement. Now they have evolved to being the first choice in restorative procedures to replace a missing tooth or teeth. In these strained economic times; however, it may be a difficult decision for our senior population to spend large amounts of money to replace missing teeth with dental implants. How to get to “YES” with potential geriatric dental implant patients is a discussion about the techniques of communication and empathic responses to important questions. Also discussed are strategies to enable patients to consider dental implants rather than a fixed bridge or removable appliance, where indicated. Among the most difficult parts of a dentist’s job is getting our patients to accept what our clinical judgment indicates they need. The ultimate decision about having dental treatment is the patient’s.

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How to Select the Best Laser For YOUR Practice
Faculty: Robert Convissar, DDS
Expiration Date: November 30, 2016
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 135, 260

The purchase of capital equipment must be guided by sound financial decisions. The purchase of a hi-tech device, such as a dental laser, must also be guided by intelligent decision-making. Very often dentists buy lasers without understanding the costs to the practice of such a purchase. While dentists may be able to determine which wavelength will work well in their practice, such criteria as operating costs vs. purchase price, type of delivery system, the importance of training and much more must be evaluated before the wrong purchase is made for the practice. Lasers can be game-changing devices for a practice – but only if the right laser for that practice is selected.

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How to work effectively with patients who have ADHD
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: September 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 753

Effectively treating patients with special needs can be a challenge for many dental professionals. This course will provide clinicians with the tools they need to effectively treat patients with ADHD and assist in making the appointment experience enjoyable for both the provider and the patient. By increasing your knowledge of ADHD diagnosis, classification, statistics and treatment options including pharmacological agents, your confidence level will improve and patient care excel.

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Hypersensitive Dentin Updates
Faculty: Catherine D. Saylor, BSDH, MS
Expiration Date: May 01, 2017
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 010

Dentinal hypersensitivity is characterized by a short, sharp pain in response to stimuli. Dentinal hypersensitivity, which is more commonly seen in adults in the 20-40 year old age group, has several etiological factors. Gingival recession and enamel loss both contribute to the prevalence of this condition, resulting in the exposure of dentin. Dentinal hypersensitivity is believed to occur due to the movement of fluid within the dentinal tubules occurring in response to thermal, chemical, tactile and evaporative stimuli, in accordance with Brännström’s Hydrodynamic Theory. Treatment options include in-office procedures and home use products that are aimed at occluding the dentinal tubules or preventing neural transmission, thereby blocking the pain response.

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Implants: A Primer
Faculty: Ian Shuman, DDS
Expiration Date: January 01, 2018
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 693, 695, 704

The surgical placement and maintenance of a dental implant requires preoperative requirements as well as postoperative maintenance. The surgical aspect is dependent on a variety of factors. These include the preoperative assessment of the im¬plant site, surrounding anatomy, occlusion, implant type and placement position, among others. In addition, proper mainte¬nance is a primary determinant of the longevity of the implant and prosthesis. This course will demonstrate the assessment, preparation, placement and maintenance of a dental implant.

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It's Time to Discuss Sex, HPV and Its Impact to Dentistry
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: January 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 730

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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Light Assisted Caries Detection: 21st Century Technology
Faculty: Ian Shuman, DDS
Expiration Date: July 31, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 257

Due to the current limitations inherent in diagnostic tools for caries detection, the presence of potentially undiagnosed and untreated carious lesions concealed beneath seemingly innocuous pits and fissures is a concern for both clinicians and researchers. In response to this need, recent technological advancements in various scientific disciplines have generated new diagnostic tools.

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Linking Dermatology And Dentistry Part I: Looking Beyond the Oral Cavity
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: February 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 734

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
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: March 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 734

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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Medical Errors in Dentistry
Faculty: Richard H. Nagelberg, DDS
Expiration Date: August 31, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 159

Medical errors leading to adverse events can occur in dentistry. The literature indicates that such errors broadly include: er¬rors related to the prescription of medication, errors based on neglecting current scientific evidence regarding treatment, errors occurring during treatment or associated with improper maintenance of equipment, errors based on failure to properly maintain patient records, errors arising from the failure to ac¬quire informed consent, the failure to establish and maintain appropriate infection control measures, the failure to properly diagnose, the failure to prevent accidents or complications as¬sociated with care or to pursue appropriate follow-up care when they occur, and the failure to follow authoritative dictates re¬flecting current standard of care or practice rules or regulations established by individual state laws. This course reviews the most common medical errors likely to occur in the practice of dentistry.

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Myofunctional Analysis and its Role in Dental Assessments and Oral Health
Faculty: Paula Fabbie, RDH, BS
Expiration Date: September 30, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 188

Dental healthcare professionals are encouraged to assess orofacial myofunctional disorders (OMDs) in their patients. Interest in myofunctional therapy by sleep experts is compelling dental healthcare professionals to revisit the evaluation of myofunctional disorders. Many dental offices pay little attention to orofacial myofunctional disorders (OMDs) and the role they play in airway, dentofacial growth and development and overall health. Professional dental programs that once required clinicians to recognize and treat OMDs have been abandoned. Resurgence in the identification and treatment of these disorders by sleep experts are encouraging the re-education of dental professionals in assessment and treatment of myofunctional disorders.

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Nitrous Oxide: Use and Safety
Faculty: Ian Shuman, DDS
Expiration Date: April 15, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 010, 132

In dentistry, nitrous oxide is the most commonly used inhalation anxiolytic and sedation adjunct. It reduces anxiety, pain, and memory of the treatment experienced. It is a valuable component of the armamentarium available to clinicians. When used correctly, it is predictable, effective, and safe.

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Opioids: Overview, Uses and Management of Acute and Chronic Pain
Faculty: Nicholas B. Hill, DDS
Expiration Date: May 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 132, 134

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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Oral Health Maintenance in Head and Neck Cancer Patients
Faculty: Kathryn Gilliam, RDH, BA
Expiration Date: April 01, 2017
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 735, 741

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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Partnerships: Calibrating Novice to Advanced Instrumentation
Faculty: Sharon L. Mossman, RDH, Ed.D
Expiration Date: May 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 495

Oral health has emerged as a nationwide concern. With our changing healthcare system, we need to explore various avenues to provide effective preventive health services and programs. Collaboration with healthcare professionals can facilitate this initiative by expanding access to dental care. Dental hygienists in community healthcare facilities can work with dental education programs to broaden oral health services. In order to align educational goals and effective patient treatment, constructive assessment tools and formal training are needed to meet our community’s oral care demands. This course provides steps to implementing standardized efficient assessment and offers a guide to initiating a collaborative program with local healthcare facilities in your community.

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Puff, Not the Magic Dragon...The Cost of America's Tobacco Use
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: January 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 158

Tobacco use remains the single largest preventable cause of death in the United States. Even with the increased cost of tobacco products, increase in anti-tobacco media campaigns and smoke-free laws for workplaces and public places, almost 20% of Americans still continue to use tobacco. Dental professionals are in an ideal position to directly influence tobacco use among their patients. This course will present tobacco use statistics, tobacco’s effects on the human body and nicotine pharmacology as it relates to cessation programs. The contents of cigarettes, smokeless tobacco, electronic cigarettes and snus, will be discussed.

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Restoration of an Immediate Extraction Site Using a High Silica Quartz Glass Fiber Reinforced Provisional Bridge
Faculty: Ian Shuman, DDS
Expiration Date: September 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 695

Following the extraction of a tooth it is frequently ideal to replace it at the same appointment. In instances where a multi-unit fixed prosthesis is the best treatment, an immediate provisional should be fabricated. Due to the length of time needed for the socket to heal completely and achieve its mature contour, a long term provisional must be created. This course will demonstrate the steps needed to fabricate a long term provisional bridge using a quartz fiber reinforcement material.

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Selective Polishing: An Approach to Comprehensive Polishing
Faculty: Trish Jones
Expiration Date: June 20, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 010

Polishing has been an integral part of dental hygiene care since the beginning of the profession. As technology and services have evolved in dentistry, so has the approach to the polishing protocol. This course reviews the history of polishing, the current thinking on polishing, components of prophylaxis pastes, how prophylaxis pastes work, supplemental additives to prophylaxis pastes, and methods to educate patients on this topic.

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Selling Dentistry so it doesn't feel like Selling Dentistry
Faculty: Janet R. Hagerman, RDH BS
Expiration Date: December 01, 2016
Credits: 1
Format: PDF
Fee: $20.00
AGD Code(s): 557

Nothing in dentistry creates more controversy than the concept of “selling” dentistry, yet being adept at selling and persuading is a critical skill in dentistry. How can you sell without feeling like you’re selling? Regardless of your profession, hobby or personal connections you are always selling something through relationships and service. How good are you at it? What’s wrong with selling dentistry? If a practice is not profitable it cannot exist, let alone succeed. Dental practices are a combination of clinical protocols for best patient care with best business principles to be as profitable as possible. The two are not mutually exclusive; indeed they are interdependent. So why not examine solid, ethical sales strategies and apply them to dentistry? The fact is we all like to buy; we just hate to be sold. The good news is that selling is a learned skill, so anyone can become better. This course will provide strategies to increase case acceptance (sales) boost production (and profits), while enhancing patient care. Learn the true meaning of selling, and how to manage this concept in an elegant, non-intimidating manner that creates value for your patients, and makes you feel great about what you have to offer.

AGD PACE Credit Only

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Stop The Violence...Exploring Domestic Violence
Faculty: Lisa Dowst-Mayo, RDH, BSDH
Expiration Date: April 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 156

Oral healthcare professionals can have an enormous impact on the identification of patients suffering from domestic violence. Physical violence injuries frequently occur on the head and neck which can be identified through routine extra and intraoral screenings in the dental office. This course will discuss the prevalence of intimate partner violence in the United States, define the different types of domestic violence and describe the signs and symptoms. 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.

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Stress-Free Direct Composite Veneers
Faculty: Ian Shuman, DDS
Expiration Date: April 08, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 254

Direct composite veneers serve as one method for restoring anterior teeth. However, many dentists shy away from this procedure due to a lack of innate artistic talent, lack of experience, past failures, and the length of time needed to complete the procedure. As a result, they opt for laboratory-fabricated alternatives. This course will demonstrate the steps required to fabricate direct composite veneers in a highly simplified manner using veneer templates and microhybrid composite resin.

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The Beneficial Effects of a Supersaturated Calcium Phosphate Rinse on the Oral Cavity in Xerostomia Patients
Faculty: Eugene Z. Levin, DDS
Expiration Date: May 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 730

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 Chairside Fabrication of a Provisional Crown for a Single Tooth Implant
Faculty: Ian Shuman, DDS
Expiration Date: October 01, 2017
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 695

Whether the intent is a delayed or immediate implant restoration, a dental implant may require a provisional crown. This can be accomplished in the laboratory or chairside. When creating a chairside provisional crown, the practitioner has control over the planned soft tissue growth and therefore the health of the implant and periodontium. This course describes and illustrates the steps needed to fabricate a chairside provisional crown for an anterior single tooth implant.

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The Critical Role of the Oral-Systemic Link in Clinical Practice
Faculty: Kathryn Gilliam, RDH, BA
Expiration Date: January 01, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 490

The associations between periodontal disease and systemic diseases are widely accepted. The term “the oral-systemic link” refers to the connections between the two. Periodontal disease is an inflammatory disease process resulting from the interaction between bacterial attack and the host inflammatory response. Periodontal disease has been shown to result in inflammation in parts of the body beyond the oral cavity. It is this inflammation and the causative periodontal pathogens that have been implicated as contributing factors, through a variety of pathways, in a multitude of systemic diseases and conditions such as cardiovascular disease, diabetes, respiratory disease, hypertension, kidney disease, rheumatoid arthritis, pregnancy complications, and a variety of cancers. Research is ongoing to determine the exact mechanisms interconnecting systemic diseases to periodontal disease and the strength of the various interconnections.

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The Evolution of Matrix Systems for Composite Restorations
Faculty: Jeffrey A. Sibner, DMD
Expiration Date: August 31, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 255

The introduction of posterior composite resin materials in the 1980’s created a set of restorative problems unique to these new restorations. Placement of posterior composites is technically more challenging than working with amalgam and can result in open contacts, open margins, and incorrectly contoured restorations. Many of these problems were not due to operator error, but to the materials themselves and the way matrix containment systems worked with them. Over the last 25 years, new matrix systems have been developed specifically for posterior composites that address the problems found with the original amalgam matrix systems. This course reviews the history of matrix systems designed for posterior composite restorations and illustrates how they have changed in order to make the optimal placement of these restorations predictable.

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The Hard and Soft Chairside Denture Reline
Faculty: Ian Shuman, DDS
Expiration Date: June 01, 2017
Credits: 1
Format: PDF
Fee: $20.00
AGD Code(s): 671

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 others. 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.

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The Hygienist’s Role in Implant Therapy: An Introduction
Faculty: Scott Froum, DDS, Chris Salierno, DDS
Expiration Date: April 01, 2017
Credits: 1
Format: Webinar PDF
Fee: $5.00

Dental implants have become a quickly growing facet of dentistry with purported good success rates. In order to obtain a successful esthetic result in implant dentistry, communication among the members of the implant team is crucial. The traditional members of the implant team include the surgeon, restorative dentist, and the laboratory technician. However, just as important as members of the implant team are the hygienist and the patient. The long term success of implant dentistry is dependent on the maintenance role taken by the hygienist and the ability of the hygienist to act as “first responders” when implant complications arise. Proper diagnosis, prevention, and treatment strategies are essential for hygienists to know in order for a dentist to have a healthy and successful implant practice.

  • Implement hygienist participation as integral members of the implant team.
  • Recognize the clinical signs of implant complications.
  • Implement proper diagnosis, prevention and treatment strategies for implant patients.

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The Importance of Interprofessional Education with regard to Drug-Induced Gingival Overgrowth
Faculty: Crystal L. Mcintosh, DDS, MS
Expiration Date: January 01, 2017
Credits: 1
Format: PDF
Fee: $20.00
AGD Code(s): 741

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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The Management of Oral Lichen Planus
Faculty: Kimberly M. Parsons, MEd, CDA, EFDA, RDH
Expiration Date: April 20, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 010, 737

Oral lichen planus is an immune-mediated and chronic inflammatory condition that can cause erosion of the oral mucosa. The disease is described as reticular, erosive, atrophic, or bullous in nature, and it typically develops in women in their fifth and sixth decades. Reticular oral lichen planus, absent erythema, is asymptomatic and does not usually need intervention. However, as there is potential for conversion to carcinoma, reticular oral lichen planus associated with erythema or erosion needs treatment and periodic re-evaluation. The literature suggests that erosive and ulcerated oral lichen planus is best managed with topical corticosteroid preparations and, in refractory cases, systemic steroids. Several other immunosuppressive medications and non-medication based interventions are also available, but at greater cost and with greater potential for adverse reactions and side effects. This educational review article focuses on best practices in the management of oral lichen planus.

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The Roots of Dental Fears
Faculty: Kandice Swarthout-Roan, RDH, BS, Priya Singhvi, MS, LPC-I, LMFT-A
Expiration Date: December 01, 2016
Credits: 2
Format: PDF
Fee: $49.00
AGD Code(s): 153

The relationship between a dental professional and the patient is the heart of what keeps the practice thriving and patients re¬turning. Most patients trust the staff members and establish a “dental home” in which they feel cared for and safe. For some people, a history of personal trauma, anxiety, or substance use can paralyze them during a dental appointment. The fear of a dental appointment or professional may be so overwhelming, a patient may behave in an exaggerated manner in the chair or avoid going to the dentist altogether. Awareness of potential stressors that provoke these behaviors, including the neuro¬biological responses to trauma, can help dental professionals provide optimum service with empathy and compassion.

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Treatment Options for the Edentulous Patient: Case Scenarios, Part II
Faculty: Alessandro Geminiani, DDS, MS
Expiration Date: July 31, 2019
Credits: 3
Format: PDF Text
Fee: $59.00
AGD Code(s): 010

The loss of all of the teeth is a life-changing event that brings functional challenges. The treatment optionsfor edentulous patients range from conventional complete dentures to fixed implant-supported restorations of varying complexities. In a case-scenario format, this course will review indications and contraindications for treatment options of the fully edentulous patient.

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Treatment Planning Guidelines and Prosthetic Options for the Edentulous Patient
Faculty: Alessandro Geminiani, DDS, MS
Expiration Date: March 01, 2019
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 315

The loss of all of the teeth is a life-changing event that brings functional challenges. The consequences of complete edentulism impact areas such as anatomical, esthetic, nutritional, self-esteem, and social interaction. The treatment options for edentulous patients range from conventional complete dentures to fixed implant-retained or supported removable prosthetics (overdenture) to fixed implant.

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Update on Medication Related Osteonecrosis of the Jaw
Faculty: Frieda Atherton Pickett, RDH, MS
Expiration Date: September 01, 2018
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 739, 741

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
Faculty: Cathy Seckman, RHD
Expiration Date: December 01, 2017
Credits: 3
Format: PDF
Fee: $59.00
AGD Code(s): 742

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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