Clinical Dentistry

This course focuses on specific and easy-to-understand steps for understanding the scientific evidence and how it can be used in practice.

ACE Panel Reports study 1: Posterior Composite Restoration

1. Description: This course provides clinical recommendation by experts in the field on when, why, and how a resin composite restoration should be repaired as opposed to being replaced. The ACE Panel report delivers the results of a study taken by 311 dentists surveyed on posterior composite restorations; bulk fill products vs. incremental products; top reasons to repair or replace a restoration.

ACE Panel Reports study 2: Bioactive Materials

1. Description: This course provides a complete in-depth definition of bioactive materials as suggested by experts in the field and available literature on the topic.The ACE Panel report delivers the results of a study taken by 318 dentists surveyed on bioactive materials used as cements, as a liner or in restoration; most used products, and major concerns in adopting these bioactive materials.

This course teaches the basics of obstructive sleep apnea and how dentists can help.  The speakers share ways to discuss OSA with patients. Also discussed is the importance of building relationships with physicians to work together to improve sleep quality for patients.

Learning Objectives:

1. Interpret the data found in sleep reports
2. Identify the right mandibular advancement device for the right patient
3. Confidently record a start position, use temporary appliances, and return bites to normal

Dr. Alonge will guide you through exercises that teach you to become more proficient with surgical instrumentation, routine and surgical exodontia, third molar extractions, and socket preservation grafting. You will return to your office with new skills that will allow you to perform your surgical procedures with greater efficiency and predictability.

Learning Objectives:

1. Utilize specialty anatomic forceps, surgical burs, handpieces and elevators for efficient surgery
2. Achieve proper positioning to accomplish proficient routine and surgical dentoalveolar procedures
3. Perform alternative incision and flap designs to remove mandibular third molars

The use of CBCT in orthodontics has been a topic of much discussion and controversy, specifically, with regard to radiation dose and public health concerns. Ultra Low Dose CBCT technology is now more than ever a viable and recommended option for clinicians due to the decrease in radiation exposure to patients.  Because of this, clinicians must begin learning to use this technology and become comfortable with the manipulation of and workflow with 3D volumes. 

Learning Objectives:

1. Understand the concerns surrounding the use of CBCT on all patients and how Ultra Low Dose (ULD) has changed that discussion.
2. Recognize the importance/indications for ULD CBCT imaging to orthodontic diagnosis and treatment planning.
3. Comprehend the workflow and learning curve associated with the diagnosis and treatment planning of orthodontic patients in 3D.
   
   

This course is sponsored by Planmeca.

Cardiac arrest occurs when the heart ceases to pump blood. The victim – unconscious, not breathing, and with no blood pressure – will die unless effective resuscitative efforts are commenced immediately. This program discusses the recognition and management of cardiac arrest emphasizing the importance of basic life support (CPR) and defibrillation (AED) in improving the chances for a successful outcome.

Learning Objective:

1. Discuss survival rates for out-of-hospital sudden cardiac arrest in adults and in children
2. List and describe the steps of the BLS-HCP algorithm (the ‘Chain of Survival’)
3. Explain the rationale behind the change in technique of BLS from A-B-C to C-A-B
4. Name the ‘shockable’ rhythms of cardiac arrest
5. Name the 4 rhythms of cardiac arrest
6. Discuss the automated external defibrillator (AED)

Abstracts:

More than 360,000 deaths from sudden cardiac arrest occur in the United States annually – approximately 1,000 every day. The causes of cardiac arrest, in both adult and pediatric patients, are reviewed along with the presenting premonitory signs & symptoms that lead to sudden cardiac arrest.  Management of cardiac arrest – the successful resuscitation of the victim without brain damage – is predicated on circulating blood containing oxygen to the heart and brain and delivering an electric shock (defibrillation) as soon as possible after collapse. The use of an AED and its mechanism of action is discussed.

Outline:

1. Introduction
   1. The Heart
      1. Function of the heart is to pump
      2. Coronary arteries
         1. Coronary artery disease
   2. What is a ‘heart attack’?
      1. Myocardial infarction versus cardiac arrest
2. Acute myocardial infarction
3. Management
   1. Classical signs & symptoms
   2. Pre-hospital management
      1. PCAB
      2. MONA
   3. Acute MI dysrhythmias
      1. PVCs signs & symptoms
4. Sudden cardiac arrest
   1. When does AMI degenerate into SCA?
   2. Definition of cardiac arrest
   3. Cardiac arrest rhythms
      1. Shockable rhythms
         1. Ventricular tachycardia
         2. Ventricular fibrillation
      2. Non-shockable rhythms
         1. Asystole
         2. Pulseless electrical activity (PEA)
   4. Signs & symptoms of cardiac arrest
      1. Clinical death
      2. Biological (cellular) death
   5. Management of cardiac arrest
      1. PCABD
      2. Survival from cardiac arrest
         1. The importance of time
         2. The importance of bystander initiated BLS
         3. The importance of defibrillation
      3. 2010 American Heart Association algorithms for BLS
         1. Lay-person CPR
         2. Heathcare Provider CPR
         3. Review of BLS for Healthcare provider guidelines and changes from previous guidelines
      4. Defibrillation
         1. The importance of time from collapse to defibrillation
         2. AEDs
            1. How to use an AED
            2. How an AED works
   6. Pediatric cardiac arrest
      1. Etiologies
         1. Airway obstruction most common cause in younger children
      2. Prevention of pediatric cardiac arrest

This course discusses the use of radiation within the dental office.  It has been projected that the use of CBCT imaging in dental offices has doubled in the last 20 years.  With this increase in usage, radiation exposure to the patient has also increased.  The increase in radiation requires the dental practitioner to adhere to ALADA, or As Low As Diagnostically Acceptable.  This concept states that the dental practitioner only take images that are required to diagnose a potential problem.  The Low Dose Radiation Protocol can effectively reduce the radiation exposure to the patient, while allowing the diagnostic image to remain the same quality as a regular radiation dosed image. 

Learning Objectives:

1. Identify what is commonly seen with 4 Bite Wing x-rays taken with a digital sensor, as compared to what is seen diagnostically with a CBCT scan
2. Discover pathologies that are seen with a CBCT image
3. Examine how a smaller CBCT FOV (Field of View) can drastically reduce radiation to the patient
   

This course is sponsored by Planmeca.

Updated for 2018
Systemic adverse drug reactions (ADRs) may occur any time a drug is administered to a patient. This program describes allergy, overdose and idiosyncrasy, and goes on to discuss the problem of local anesthetic overdose and overdose of sedative drugs, their prevention, recognition and management.