Dental Professionals' Guide To Chemical Dependency
Chemical dependency is a worldwide problem and a major public health concern in the United States. To adjust for the magnitude of this crisis, The Diagnostic and Statistical Manual (DSM)-V has expanded the definition of chemical dependency. Chemical dependency causes a multitude of physiological and neurological effects in a patient, which has the potential to alter a dental professional’s treatment plan. With high relapse rates in this population, dental providers will likely encounter those in active and long-term treatment and management. This course will explore chemical dependency in the United States and focus on its etiology, diagnosis, treatment, and dental considerations.
Sleep Apnea for Dentists: An Overview of Signs, Symptoms, Consequences, and Treatment
Obstructive sleep apnea (OSA), a stoppage or partial stoppage of air flow during sleep, has been gaining more attention as a sleep-related breathing disorder. This treatable syndrome has many associated comorbidities that can have severely detrimental effects on a person’s well-being and general health. It has been estimated that 20% or more of the population suffers from some level of OSA; many of those are undiagnosed or unaware of their issue. Though a diagnosis must be made by a medical doctor, the dental community can be a first line of defense to screen and even treat many of these people with oral appliance therapy (OAT). OAT has become a popular alternative for treating OSA for those intolerant to the traditional continuous positive airway pressure (CPAP) machine. This course will give dental professionals a high-level overview of obstructive sleep apnea, consequences and treatment options including oral appliance therapy, and how clinicians can become involved in the treatment of OSA.
Medical Emergency Preparedness in Dental Practice
While life-threatening medical emergencies are uncommon in the dental practice environment, most professionals will be responsible for managing multiple emergency events throughout their careers. By planning for the unexpected, dental teams hone their skills and build the necessary confidence to cope with these high pressure situations. Although some emergencies are unavoidable, participants in this course will be provided with information and tools to prepare for, prevent and definitively manage the most common medical emergencies that occur in general dental practice.
HPV-Related Oral Cancer Screening: Different Presentation, Different Protocol
Dental professionals, making assumptions about the two distinct pathways of oral cancer, often forgo comprehensive oral cancer screenings, which affects patients’ prognoses and creates malpractice liability. Absent comprehensive screenings, HPV-related oral cancer is diagnosed late-stage, when morbidity is highest. To curb late diagnosis, we must heed current research. HPV-related oral cancer, which is rapidly on the rise, is different in its clinical presentation from tobacco/alcohol-related oral cancer. Thus, we cannot rely on what we learned in dental school, risk profiling, or traditional tools to screen for HPV-related oral cancer. We must change our approach, by implementing comprehensive screenings that incorporate extraoral/intraoral tactile screenings, visual screenings of all tissues, and asking appropriate, revealing questions.
Water Line Contamination in the Dental Office
Dental unit water systems (DUWS) harbor bacterial biofilms, which are known reservoirs for pathogens.1
In 1995, the ADA Council on Scientific Affairs responded to scientific evidence that suggested the microbiologic quality of water used in dental treatment required improvement.2 A call to action was taken on the design of dental equipment. By the year 2000, water used during nonsurgical dental procedures consistently contained no more than 200 colony-forming units per milliliter (CFU/mL) of aerobic mesophilic heterotrophic bacteria in the unfiltered output of the dental unit. A heterotroph is “an organism that cannot fix carbon from inorganic sources (such as carbon dioxide) but uses organic carbon for growth.” https://en.wikipedia.org/wiki/Heterotroph These bacteria are not necessarily harmful, but determining the heterotrophic plate count is used as an indication of the amount of residual disinfectant present in a water supply. Since then, technological advances have made this possible. The Centers for Disease Control and Prevention (CDC) now recommends that “coolant water used in nonsurgical dental procedures meet EPA regulatory standards for drinking water,” which is less than or equal to 500 CFU of heterotrophic bacteria per milliliter of water. This recommendation was published in the CDC’s Guidelines for Infection Control in Dental Health-Care Settings—2003. (Guidelines from the CDC differ about water used in oral surgical procedures.)
Foundations of CBCT Imaging for Implant Planning and Surgical Guides
The use of CBCT imaging has drastically enhanced and changed the way dentists can diagnose and assess patient anatomy in preparation for implant placement. Now, with a single CBCT scan the patient’s entire craniofacial complex can be visualized and viewed from every angle in 3D and any structure can be cross-sectioned into 2D slices for detailed assessments and measurements. Furthermore, virtual implant planning within the CBCT scans can be performed and converted into a physical surgical guide that can be used during surgery. These abilities give the clinician tremendous potential but also create new challenges such as: where to start, what anatomy to look at, how to cross-section the anatomy properly, and what are the protocols and steps for ordering a surgical guide? The purpose of this CE course article is to clarify some of these questions, to provide an organizational framework by which clinicians can approach scans, and to review the terminology, capabilities and protocols of surgical guides.
Anatomy of a Handpiece: Understanding Handpiece Maintenance and Repairs
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.
Too busy to attend one of the recent DE Study Club or RDH CE Evening Express webinars?
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