Contemporary approaches to biofilm management in the 21st century’s oral health crisis

This course will discuss the oral microbiome and the contributing factors to symbiosis and dysbiosis. (3 credits)

Annual gross domestic product dollars spent on oral care in the United States has decreased each year since 2013, while the prevalence rates of periodontal disease and the percentage of dentally uninsured adult Americans continues to rise. This public health crisis puts added pressure on oral health-care providers to treat patients in oral dysbiosis. Manufacturers are responding with new and innovative technology that raises the standard of care and provides the tools necessary to treat this millennium’s dental patient. It is now up to practitioners to incorporate this evidence-based technology into their care plans and office protocols. This course will discuss the oral microbiome and the contributing factors to symbiosis and dysbiosis. Research trends in biofilm management that utilize the most current technology available will be presented to assist providers in treating the 21st century dental patient.

Education objectives

At the conclusion of this course, the oral health-care provider will be able to:

  1. Develop a deeper understanding of health statistics in the United States as they pertain to oral health.
  2. Differentiate between symbiosis and dysbiosis and relate those concepts to the etiology of periodontal and peri-implant diseases and conditions.
  3. Identify the potential role genetics plays in the predisposition and management of patients’ periodontal disease status.
  4. Utilize the most current dental technology available for biofilm management to promote oral symbiosis.

About the Author

Lisa Mayo, MHA, BSDH, RDH, is the academic chair for dental hygiene, dental assisting, and surgical technology at Dallas College. She graduated magna cum laude with a bachelor’s degree in dental hygiene from Baylor College of Dentistry and a master’s degree in health-care administration from Ohio University. She authored the textbook Power Instrumentation for the Dental Professional and has
published in Access, Canadian Dental Journal, Dental Economics, Dental Learning, Dimensions of Dental Hygiene, RDH magazine, and StudentRDH. She has taught hundreds of national and international continuing education courses and can be contacted through her website at

Quick Access Code: 22247
Photo credit: 182058589 © Vasyl Rogan |

Not Enrolled

Course Includes

  • 1 Lesson
  • 1 Test
  • Course Certificate
  • CE credit(s): 3

    Course Type: Written

    Published Date: September 2024

    This continuing education (CE) activity was developed by Endeavor Business Media with no commercial support.

    This course was written for dentists, dental hygienists, and dental assistants, from novice to skilled.

    Educational methods: This course is a self-instructional journal and web activity.

    Provider disclosure: Endeavor Business Media neither has a leadership position nor a commercial interest in any products or services discussed or shared in this educational activity. No manufacturer or third party had any input in the development of the course content.

    Requirements for successful completion: To obtain 3 CE credits for this educational activity, you must pay the required fee, review the material, complete the course evaluation, and obtain an exam score of 70% or higher.

    CE planner disclosure: Laura Winfield, Endeavor Business Media dental group CE coordinator, neither has a leadership nor commercial interest with the products or services discussed in this educational activity. Ms. Winfield can be reached at

    Educational disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise.

    Image authenticity statement: The images in this educational activity have not been altered.

    Scientific integrity statement: Information shared in this CE course is developed from clinical research and represents the most current information available from evidence-based dentistry.

    Known benefits and limitations of the data: The information presented in this educational activity is derived from the data and information contained in the reference section.

    Registration: The cost of this CE course is $39.00 for 3 CE credits.

    Cancellation and refund policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting Endeavor Business Media in writing.

    Provider information:

    Dental Board of California: Provider RP5933. Course registration number CA code: 03-5933-22247. Expires August 31, 2027. “This course meets the Dental Board of California’s requirements for 3 units of continuing education.”


    Endeavor Business Media is a nationally approved PACE program provider for FAGD/MAGD credit.
    Approval does not imply acceptance by any regulatory authority or AGD endorsement.
    11/1/2022 to 10/31/2024.
    Provider ID# 320452
    AGD code: 730


    Endeavor Business Media is designated as an approved Provider by the American Academy of Dental Hygiene, Inc. #AADHPNW (January 1, 2022–December 31, 2024). Approval does not imply acceptance by a state or provincial Board of Dentistry. Licensee should maintain this document in the event of an audit. AADH code: AADHEBM-212-9-2024-3


    Endeavor Business Media is an ADA CERP–recognized provider.

    ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of dental continuing education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

    Concerns or complaints about a CE provider may be directed to the provider or to CERP at



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