This eLearning course is a recording from 2018 Children's Airway Health - A Practical Conference

Learning Objectives:

1. Describe typical mouth and airway development/function and explain disruptions in mouth and airway development/function
2. Describe and explain assessment of disruptions in mouth and airway development/function
3. Discuss airway screenings for myofunctional intervention in the dental office

This eLearning course is a recording from 2018 Children's Airway Health - A Practical Conference

Learning Objectives:

• Understand the prevalence of OSA in adult and pediatric populations and the nature of current diagnostic methods for screenings
• Discuss the opportunities for risk stratification and prioritization for therapy
• Discuss the necessity of more personalized threapeutic algorithms adjusted for resource availabilty settings

This eLearning course is a recording from 2018 Children's Airway Health - A Practical Conference

Learning Objectives:

• Discuss models of integrated healthcare.
• Discuss the challenges for parents in implementing behavioral sleep interventions.
• Assess ambivalence in parents and older children/teens.
• Apply strategies to improve adherence to interventions.

This eLearning course is a recording from 2018 Children's Airway Conference

Learning Objectives:

• Understand the relationship between orofacial development and breathing
• Identify the effects of chronic mouth breathing
• Understand causes of upper airway collapse during sleep

Description

Navigating through any kind of practice transition, including a remodel, expansion, or relocation project, may take significant leadership to ensure your business and income remain intact throughout the process.  Before embarking on your project, bring your goals into focus with a detailed plan that defines the best strategies, tactics, and resources to achieve your objective.

• Be able to determine when the time is right, analyze your opportunities and create a timeline

• Understand how to begin to assemble a team of advisors to keep the project running smoothly

• Create a budget and understand financing criteria

This course is sponsored by Wells Fargo.

JADA November 2018

Background: In this study, the authors assessed the readability of online endodontic information in English and Spanish.

Key Words:  Readability; patient education; internet; treatment; endodontics.

JADA February 2018
The dental setting is a potential venue for identifying patients experiencing intimate partner violence (IPV). The study objective was to assess dentists’ current practices and attitudes about IPV screening. A nationally representative survey of US general dentists assessed dentists’ use of health history forms that queried about IPV and their acceptance of IPV screening as part of their professional roles. Parsimonious Poisson regression models were used in multivariable analysis to estimate risk ratios for the 2 dependent variables.

Key Words: Intimate partner violence; oral health; screening.

JADA February 2018
The primary objective of this systematic review was to investigate the survival of full-coverage restorations fabricated by using digital impressions (DIs) versus that of those fabricated by using conventional impressions. The authors also compared secondary outcomes of marginal and internal fit and occlusal and interproximal contacts. The authors conducted a systematic literature search in multiple databases to identify clinical trials with no restrictions by publication type, date, or language. The authors assessed study-level risk of bias and outcome-level strength of evidence. The authors performed a meta-analysis by using a random-effects model.

Key Words: Crowns survival; CAD-CAM; marginal adaptation; internal fit; systematic review; meta-analysis.

JADA February 2018
Perioperative bleeding complications of ticagrelor, a newer oral antiplatelet, has not been studied in dentistry. Studies about bleeding status after oral surgical procedures in patients receiving continued antiplatelet therapy are also limited. We investigated the effects of continuing aspirin, clopidogrel, ticagrelor, or dual antiplatelet therapy on the frequency of bleeding events in patients undergoing tooth extractions or minor oral surgery. In this retrospective study, patient demographic characteristics, medical history, type of antiplatelet therapy, dental procedures, and perioperative bleeding associated with tooth extraction or other minor oral surgical procedures were obtained from the dental records of 222 patients. Bleeding was classified as normal, mild, moderate, or severe.

Key Words: Bleeding; dual antiplatelet therapy; surgery; tooth extraction; aspirin; clopidogrel; ticagrelor.

JADA March 2018
Methamphetamine (MA) use is associated with extensive dental caries. The purpose of this study was to determine the prevalence and severity of periodontal disease in a convenience sample of MA users. In this cross-sectional survey, MA users were recruited with a combination of snowball sampling and street outreach techniques. Three dentists, trained and calibrated to the oral assessments used in the National Health and Nutrition Survey, measured and recorded the participants’ attachment loss, probing depth, and gingival recession. Concomitant interviews elicited psychological, substance use, medication, and dietary habits associated with MA use.

Key Words: Epidemiology; dental public health; methamphetamine; periodontitis.

JADA May 2018
Minimal information exists regarding the consistency and correlates of dentists’ implementation of risk mitigation strategies when prescribing opioids, including risk screening, prescription drug monitoring program (PDMP) use, and patient education. The authors conducted a Web-based, cross-sectional survey among practicing dentist members of The National Dental Practice-Based Research Network. The authors used the survey to assess pain management prescribing practices and risk mitigation implementation. The authors linked survey data with network enrollment questionnaire data to include practitioner demographic and practice characteristics.

Key Words: Pain; patient education; prescriptions; drug.

JADA March 2018
In October and November 2014, the New Jersey Department of Health received reports of 3 patients who developed Enterococcus faecalis endocarditis after undergoing surgical procedures at the same oral surgery practice in New Jersey. Bacterial endocarditis is an uncommon but lifethreatening condition; 3 patients with enterococcal endocarditis associated with a single oral surgery practice is unusual. An investigation was initiated because of the potential ongoing public health risk. Public health officials conducted retrospective surveillance to identify additional patients with endocarditis associated with the practice. They interviewed patients using a standardized questionnaire. An investigative public health team inspected the office environment, interviewed staff, and reviewed medical records.

Key Words: Endocarditis; Enterococcus faecalis; health careeassociated outbreak; infection control; injection safety.

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ce_online@ada.org or 800.621.8099