Professional Dental Education
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FEATURED Courses

Management of Oral Infections: Part 2

This is part two of a two-part course on managing oral infections. It includes clinical and diagnostic features of bacterial, viral, and fungal infections. Clinical recommendations and current scientific literature and management strategies are reviewed. Scientifically supported alternative therapies are discussed where applicable. The reader should refer to current pharmacology and dosing information prior to prescribing any antifungal therapy.

Educational Objectives
At the conclusion of this educational activity, participants will be able to:

1. Identify clinical features associated with different bacterial, viral, and fungal infections.
2. Describe the various treatment strategies for acute viral and fungal infections.
3. Implement appropriate medication management of bacterial, viral, and fungal infections.

Gregori M. Kurtzman, DDS, MAGD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Management of Oral Infections: Part 1

This two-part course will review acute oral infection management with regard to bacteria, viruses, and other microflora that may be encountered in the dental practice. Part one focuses on the essentials that should be considered when treating dental infections, including microbiology, triage, anatomy, and laboratory testing. Part one also includes information about antibiotic, surgical, and palliative treatment needed in the management of acute dental infections. Part two will focus on the treatment of oral infections due to fungal, viral, and bacterial organisms.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

1. Describe how bacteria may lead to infection and how to manage this with antibiotics
2. Discuss anatomical features that can lead to infection spread in the head and neck
3. Be prepared to treat swelling and manage incision and drainage

Gregori M. Kurtzman, DDS, MAGD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Stick to Your Gums! Platelet Concentrates and Soft-Tissue Grafting

Gingival recession is a prevalent oral condition and can result in esthetic compromise, dentinal hypersensitivity (DH), and an increase in radicular caries rates. Thin periodontal phenotype is a common predisposing factor for gingival recession and many surgical interventions aim to both achieve root coverage and alter the periodontal phenotype through soft-tissue grafting. While many of these grafting procedures are predictable in improving soft-tissue quality and quantity around teeth and dental implants, patients often complain of discomfort at both the donor and recipient sites. Free gingival grafts (FGGs) and coronally advanced flaps (CAF) alone or in combination with subepithelial connective tissue graft (sCTG) and/or acellular dermal matrix (ADM) are among the most common surgical procedures employed to achieve root coverage and enhance periodontal phenotype. Platelet concentrates (PCs) have been used to improve the outcomes of soft-tissue grafting and postoperative morbidity. PCs contain platelets, growth factors, leukocytes, and stem cells that contribute to cell mitosis, collagen production, and angiogenesis, leading to healing and regeneration of hard and soft tissue. While data continue to emerge on the effects of PCs on the outcomes of soft-tissue grafting, there is a keen interest in the utilization of autologous products to enhance clinical outcomes. This course seeks to explore the biological and physiological properties, as well as the clinical characteristics of PCs that contribute to their role in wound healing and application to periodontal soft-tissue grafting.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

1. Understand the prevalence, etiology, and treatment options for gingival recession.
2. Discuss the applications of platelet concentrates for enhancing the outcomes of soft-tissue grafting procedures.
3. Select the appropriate preparation protocol to achieve good and predictable results utilizing soft-tissue grafting and platelet concentrates.
4. Evaluate the gaps in our current scientific knowledge regarding platelet concentrates and soft-tissue grafting procedures.

Jennifer Hirsh Doobrow, DMD, FACD, FICD, Maria L. Geisinger, DDS, MS ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Dental Impression Problems: Identifying and Managing

Restorative dentistry, be it for fixed or removable prosthetics, requires an impression of the teeth and area to be restored for the laboratory to fabricate the desired restorations. Traditional physical impressions are still utilized the majority of the time to capture the needed information for the lab. Impression material viscosity selection will vary depending on what type of prosthesis is to be fabricated, which tray is being used, and whether the preparations are on natural teeth, implants, or an edentulous arch. Problems may arise during impression-taking that can compromise the lab’s ability to fabricate the restoration or may 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 and removable prosthetics.
 
Educational Objectives
At the conclusion of this course, the dental practitioner will be able to:

1. Identify common impression problems.
2. Correct common impression problems.
3. Improve impression quality and avoid impression problems.
4. Select impression materials that are best suited for specific restorative objectives.
Gregori M. Kurtzman, DDS, MAGD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

The Untold Secrets of Managing Dentinal Hypersensitivity

Dentinal hypersensitivity (DH) is a common dental condition that affects a majority of the population, and despite extensive investigation, this disorder remains underdiagnosed, underreported, and undertreated. Dentinal hypersensitivity impacts quality of life and emotional well-being. Patients experiencing DH can also suffer from physical and psychological problems. Clinical management of dentinal hypersensitivity is possible. This article will review the etiology and prevalence of dentinal hypersensitivity while examining causative factors of the condition. Clinical management strategies will be discussed along with current treatment modalities, highlighting effective 
at-home and in-office therapies.

Educational Objectives
At the conclusion of this course, the dental practitioner will be able to:

1. Examine the etiology and prevalence of dentinal hypersensitivity
2. Recognize contributing factors of dentinal hypersensitivity
3. Discuss clinical management of dentinal hypersensitivity
4. Describe the latest technological advancements in dentinal hypersensitivity treatment modalities along with their mechanism of action
5. Help patients manage dentinal hypersensitivity with home-use products and in-office therapies while providing them with instant and long-term relief from pain

Joy Void-Holmes, BSDH, RDH, DHSc, ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Everything You Need to Know About Dental Zirconia

Zirconia has become the most prescribed material for posterior crowns in the US. This material has undergone an evolution in the fabrication process since its introduction as primarily a framework material. Newer forms of zirconia have become more translucent, such that they may be used as anterior crowns. The increased translucency, however, comes with a trade-off in strength. This article will review the generations of zirconia, some of their clinically relevant properties (strength, translucency, degradation), and the process of fabricating these crowns in the dental laboratory.

Educational Objectives
At the conclusion of this course, the dental practitioner will be able to:

1. Describe the compositional differences among the various generations of zirconia and how they affect the relevant clinical properties of the material.
2. Describe how the relevant properties of zirconia can be altered by the methods in which zirconia is fabricated by manufacturers and sintered in the dental laboratory.
3. Choose a generation of zirconia based on specific clinical needs.
4. Use high-quality zirconia materials and follow manufacturer’s recommendations for milling and sintering.

Nathaniel Lawson, DMD, PhD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Incorporating Silver Diamine Fluoride Into Your Clinical Practice: How SDF Can Help Your Patients During and Beyond the COVID-19 Pandemic

Silver diamine fluoride (SDF) is a revolutionary approach to managing caries in a noninvasive manner. This course will explore the scientific evidence as well as the unique benefits SDF offers to today’s dental practitioners and patients. Whether stabilizing caries in a phobic or medically frail patient or managing sensitivity in a patient with stress-induced wear, SDF can help improve oral health and increase access to care.

Educational Objectives
At the conclusion of this course, the dental practitioner will be able to:

1. Review the scientific evidence for silver diamine fluoride (SDF)
2. Review the benefits of SDF to patients and the dental practice
3. Discuss case selection for the application of SDF
4. Describe the clinical protocol for SDF application placeholder for QR code

Jeanette MacLean, DDS, DABPD, FAAPD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Stick with It! Platelet Concentrates for Bone Grafting and Periodontal Regeneration

The aim of this course is to review the available evidence regarding the efficacy of platelet concentrates in enhancing soft- and hard-tissue healing in periodontal therapy and establish best protocols for their implementation in dental practices.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

1. Identify the different platelet-concentrate products available, preparation technique and protocols, and different types of resultant concentrates obtained.
2. Discuss the effect of platelet concentrates on the different cells involved in periodontal regeneration.
3. Select the appropriate preparation protocol to achieve good and predictable results with platelet concentrates in periodontal regeneration.
4. Determine which specific cases are appropriate to achieve good and predictable results with platelet concentrates in periodontal regeneration.
5. Discern differences in outcomes between using platelet concentrates alone or as an adjunct with available biomaterials.

Jennifer Hirsh Doobrow, DMD, FACD, FICD, Maria L. Geisinger, DDS, MS ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Getting to the Root of the Problem with Dental Implants

There have been many changes concerning dental implants through the years, including the amount of information available. There are many studies, textbooks, magazine articles, case presentations, and opinion pieces readily accessible to dental clinicians. It is easy to become confused about best practices and concerned that the implant may be harmed during preventive maintenance visits. It seems that these concerns and hesitations lead to inaction in assessment, diagnosis, and treatment. In addition, it is not often clear what has caused peri-implant disease. This course aims to identify the differences in diagnostic criteria when examining natural dentition versus dental implants, outline a comprehensive flow of diagnostics for dental implants, explain potential etiologies, and explore emerging research.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

1. Describe how dental implants compare to natural dentition when evaluating health and identifying disease
2. Create a workflow that clinicians are confident in following to be certain their dental implant exams are complete
3. Identify potential etiologies beyond the common etiology of residual cement on the dental implant
4. Explore new research and future findings

Nicole Fortune, MBA, RDH ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Trigeminal Neuralgia: Caring for Patients with Trigeminal Neuralgia

To provide the patient with the best possible outcomes, it is crucial that the dental hygienist be able to detect possible signs and symptoms associated with trigeminal neuralgia. Understanding the pathophysiology behind trigeminal neuralgia, as well as identifying associated risk factors and incidence, assists the dental hygienist with this detection. To optimize care of the patient, the dental hygienist must also be able to instruct the patient on best practices to promote oral health as well as attending follow-up care with their primary health-care provider. For individuals who do not have a relationship with a primary health-care provider, the dental hygienist should be able to provide necessary referral information.

Educational Objectives
Upon completion of this course, the dental hygienist should be able to:

1. Identify pathology associated with trigeminal neuralgia
2. Define the differences between the three categories of trigeminal neuralgia
3. Discuss assessment tools used to diagnose the condition
4. Provide treatment options, referrals, and other resources
5. Assess mental health stressors associated with trigeminal neuralgia

Sandra Collins, MBA, PhD, Stacey McKinney, MSEd, RDH, Kelli D. Whittington, PhD, RN, CNE ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Drugs, Diseases, and Decisions: The Interaction Between Injectable Local Anesthetics and Systemic Diseases

Local anesthetics designed for use in the dental setting are safe and effective medicaments, yet their utilization requires careful considerations in an effort to reduce the risk of adverse reactions for the dental patient. The medical history is an integral key to this consideration, as there is a potential for drug interactions or complications in compromised patients. The relative and absolute contraindications affiliated with the safe delivery of local anesthesia for the dental patient vary widely in relation to the systemic disease or condition. Understanding these contraindications and applying these clinical decision-making modalities when considering local anesthesia selection, dosage, and delivery are critical in the safe and efficient delivery of injectable and noninjectable drugs in the dental setting. This course seeks to improve the dental care provider’s understanding of the interaction between injectable local anesthesia and various systemic conditions as well as aid in the clinical decision-making needed for the provision of safe local anesthesia delivery for compromised patients in a dental setting.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

1. Understand the current scientific literature about the potential complications between injectable local anesthesia and systemic disease.
2. Review injectable local anesthesia considerations in the management of oral pain.
3. Discuss chronic diseases requiring modifications in the delivery of injectable local anesthesia, including cardiovascular disease, diabetes, thyroid disease, respiratory disease, hepatic and renal dysfunction, central nervous system disorders, endocrine disease, and hematologic disorders.
4. Discuss conditions that may require modifications to the delivery of injectable local anesthesia, including allergies, pregnancy, and recreational drug use.
5. Identify specific clinical decision-making strategies in the provision of safe injectable local anesthesia delivery.

Katrina M. Sanders, RDH, BSDH, MEd, RF, Thomas Viola, R.Ph, C.C.P. ADA CERP/AGD PACE Credits: 3 Fee: $39.00

HIV in the Migrant and Seasonal Farm Worker Population: Oral Conditions as Early Indicators of Infection

Migrant and seasonal farmworkers are an underserved population with a myriad of health challenges. Mobility, isolation from family, lack of education, and cultural barriers are just some of the issues placing them at increased risk for HIV infection. Because they are often unaware of their HIV status and have limited access to care, diagnosis is often later in the disease process than that of the average infected individual. Some of the earliest signs of HIV infection manifest in the oral cavity, which makes dental professionals frontline practitioners for possible diagnosis, referral for treatment, and educational strategies. Dental hygienists must be knowledgeable of and able to recognize these oral manifestations as well as equipped with appropriate educational materials as they work collaboratively with other health-care providers. Implications for policy development are warranted to aid in serving this difficult-to-reach population.

Educational Objectives
At the conclusion of this course, participants will be able to:

1. Describe the migrant and seasonal farmworker (MSFW) population serving the US
2. Explain the population’s vulnerability to HIV infection
3. Describe HIV-related oral lesions that may suggest HIV infection 
4. Discuss appropriate HIV education and intervention strategies to utilize with the MSFW population

Sherri Lukes, RDH, MS, FAADH ADA CERP/AGD PACE Credits: 3 Fee: $39.00

The Dental Practitioner’s Ultimate Guide to Adult Patient Fear, Anxiety, and Phobia

The American Dental Association reports 22% of adult Americans avoid the dentist due to fear and anxiety, which equates to one in five.Fifty-nine percent of Americans cite cost as the top reason they do not visit the dentist more frequently. Patient anxiety etiologically can be psychological, financial, physical, or a combination of these. The anxious patient presents with significant challenges to rendering care in the dental environment. This course takes a practical approach in the dental management of fearful, anxious, and/or phobic patients that can be incorporated into even the busiest offices. Multimodal, evidence-based, nonpharmacological, and pharmacological approaches to anxiety management are summarized to assist dental practitioners in successfully treating these patients and improving their oral health and overall quality of life.

Educational Objectives
At the conclusion of this course, dental practitioners will be able to:

1. Incorporate an anxiety management plan that best fits their patient population.
2. Identify dentally fearful, anxious, or phobic patients and apply correct management techniques.
3. Provide more pleasant and relaxed appointments to improve both the patient and provider experience.

Lisa Dowst-Mayo, RDH, BSDH ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Is Beauty Truly in the Eye of the Beholder? Evidence-Based Ideal Smile Esthetics

Is Beauty Truly in the Eye of the Beholder? Evidence-Based Ideal Smile EstheticsA smile is a universal greeting and translates into all languages. Smiling individuals are judged as more pleasant and trustworthy, and the act of smiling actually releases endorphins that improve the mood of the person who smiles. As dentists, we are trained to create, maintain, and protect the ideal smile, but what should our goals be in achieving that “gold standard” of beauty? The essential components of an ideal smile involve the relationship between three primary components: the teeth, the lip framework, and the gingival scaffold. While beauty may be in the eye of the beholder, factors that allow assessment of overall smile esthetics include tooth width/height ratio, shape, position, quality of restoration, and general arrangement of the dentition, especially of the anteriior teeth, upper lip position, buccal corridor, visibility of teeth, and amount of gingival display, These factors are considered in concert and usually judged esthetically as a group. It is considered that in the composition of a beautfiul smile, the form balance, symmetry, and relationship of these elements make it attractive or unattractive. This course seeks to present the current data regarding ideal smile components and the differences regarding ideal smile components based upon age, gender, and race/ethnicity to allow dentists to create personalized road maps and help their patients achieve vibrant smiles.

Educational Objectives
At the conclusion of this course, the reader should be able to:

  1. List the components of a smile and discuss their roles in optimal smile esthetics
  2. Describe the step-by-step approach to evaluating a patient’s smile, including assessing tooth shape/shade, gingival display, and lip length/mobility
  3. Understand the role of patient-based characteristics on acceptable esthetics and ideal smile components
  4. Discuss personalized treatment options to achieve ideal smile esthetics based upon underlying diagnoses in each patient
Hussein Basma, DDS, DESS, MS, Maria L. Geisinger, DDS, MS ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Oral Lichen Planus: Identification and Management (2nd Edition)

Oral Lichen Planus: Identification and Management (2nd Edition)Oral lichen planus—a chronic, inflammatory, immune-mediated condition—may result in erosion of the oral mucosa. The disease presents in four forms—reticular, erosive, atrophic, or bullous—and typically develops in women in their fifth and sixth decades. Reticular oral lichen planus, when absent of erythema, is asymptomatic and does not typically require intervention. However, there is clinical potential of conversion to carcinoma with reticular oral lichen planus associated with erythema or erosion. This potential requires treatment and periodic reevaluation for tissue changes that may indicate conversion to carcinoma. The erosive and ulcerated forms of oral lichen planus are best managed with topical corticosteroids. Refractory cases are recommended to be treated with systemic steroids or other immunosuppressive medications. Nonmedication-based interventions are also available, but with greater potential for adverse reactions, greater degree of side effects, and at greater cost. This review article will discuss identification of oral lichen planus and its management.

Educational Objectives
At the conclusion of this educational activity, participants will be able to:

  1. Identify the clinical presentation of oral lichen planus
  2. Identify the different forms of lichen planus and differentiate them from lichenoid reaction
  3. Understand how to treat lichen planus and manage patient comfort
  4. Identify interventions discussed in the literature that are supported by limited evidence
Gregori M. Kurtzman, DDS, MAGD ADA CERP/AGD PACE Credits: 3 Fee: $39.00

Anatomy of a Handpiece: Understanding Handpiece Maintenance and Repairs

Anatomy of a Handpiece: Understanding Handpiece Maintenance and RepairsToday’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.

Educational Objectives
At the conclusion of this educational activity, participants will be able to:

  1. List and describe the major components of air-driven high-speed handpieces and electric handpieces.
  2. List and describe the main differences between air-driven high-speed handpieces and electric handpieces.
  3. List and describe the signs of failure for air-driven and electric handpieces.
  4. List and describe the maintenance steps for air-driven handpieces.
  5. List and describe the options for repair/rebuild of air-driven handpieces and considerations in selecting one.
Glenn Williams, BS ADA CERP/AGD PACE Credits: 3 Fee: $39.00

The Human Trafficking Crisis: Identifying and Reporting in the Dental Setting

The Human Trafficking Crisis: Identifying and Reporting in the Dental SettingHuman trafficking is a growing public health and safety issue in the United States. It is the fastest growing commerce in the world with more than 200,000 minors at risk in the US. People of all ages are forced into labor or sexual exploitation through fraud and coercion. It is believed that up to 80% of victims are seen by health-care providers while under the influence of traffickers. These victims will not identify themselves as such due to the fear of being further abused by their traffickers. Currently, only 13 states require health-care professionals to take courses on recognizing the signs of a trafficked individual. As dental care providers, it is imperative to identify the signs and know how to report suspected human trafficking. Through education of professionals in all health-care settings, victims of trafficking may be more likely to be rescued and receive the proper resources for healing and recovery.

Educational Objectives
Upon completion of this course, the dental professional should be able to:

  1. Understand the definition of human trafficking
  2. Learn who is at risk to be trafficked
  3. Understand the difference between sex trafficking and sex work
  4. Learn how to identify a person who is being trafficked
  5. Evaluate the need to report a potentially trafficked person
  6. Understand the procedures for reporting a potentially trafficked person
  7. Use trauma-informed care and apply effective communication skills with a potentially trafficked patient
Kandice Swarthout, RDH, LPC ADA CERP/AGD PACE Credits: 3 Fee: $39.00
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