November 2011 Course Descriptions

Oh Baby! Essential ABC's of Infant and Preschool Dentistry and Teenagers! What Their Mouths Are Telling You but They're Not: Practical Information on Teen Health Issues

Lee Somerville, R.D.H. M.S. Member of Philips Sonicare's North American Professional Education Team

Oh Baby! Establishing a lifetime of good oral health begins before birth. The U.S. Surgeon General has stated that dental caries in our pediatric population is one of the most serious health concerns in this country. Early prevention and intervention are the keys to ending this "silent epidemic." Join fellow dental professionals to discuss the components of establishing a "dental home" by a child's first birthday and break down the barriers of treating young patients. Today, not only parents but extended families are involved in raising children. Be a part of the solution and find out how every practice can play a part against this "silent epidemic."

Teenagers! Current trends in the health behaviors of the younger generation can influence their oral and systemic health. All dental professionals have an opportunity during the dental visit to identify risk behaviors and offer interventional strategies to help the teenager make positive, long-term health choices. Participants will engage in lively discussion on timely topics relating to teens. Dialogue will include oral and overall health issues associated with cola and sports drink consumption, eating disorders, and substance abuse ("meth mouth").

Learning objectives:

Upon completion of this course, participants will be able to:

• Understand the importance of a pediatric dental risk assessment and new strategies to utilize that information to help treat current problems and correct future ones
• Examine the latest information on fluoride treatments for the Preschool child and the most current data on xylitol as a preventative agent
• Understand high-risk behaviors and gender differences in teenagers and how it affects their dentition
• Acquire communication skills to enable the dental professional to offer guidance to patients and caregivers on health decisions facing youth today

Course Number: B500091
Date: Wednesday, November 2, 2011
Time: 9:00 a.m.-4:00 p.m.
Tuition: $150 Doctors; $99 Hygienist/
Assistants/Staff
Credit: 6 Hours--Lecture
AGD Code: 431/434

This course is sponsored in part by an unrestricted educational grant from Phillips Sonicare.

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Oral Medicine In Clinical Practice

Steven J. Scrivani, D.D.S., D. Meded. Sc. Course Director; Professor, The Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine

Martin S. Greenberg, D.D.S., F.D.S.R.C.S. Professor and Associate Dean, Hospital and Extramural Affairs, University of Pennsylvania School of Dental Medicine; President, American Academy of Oral Medicine

This intensive course will review the essential oral medicine issues relevant to the clinical practice of dental medicine. The focus will be on the common issues and problems that face dental medicine clinicians on a daily basis. Emphasis will be on new and updated technologies, guidelines, and important assessment tools to promote improved patient care and safety. The role of important medico-legal aspects of clinical practice will also be addressed.

Learning objectives:

Upon completion of this course, participants will:

• Understand the interaction of commonly prescribed medications in conjunction with dental therapies
• Review current available options for oral cancer screening devices and oral medicine
• Review how to manage oral cancer and cancer patients in a dental office
• Discuss psychosocial risk assessment and pain management for a dental office
• Understand current antibiotic prophylaxis for patients at risk for endocarditis or prosthetic joint infections
• Review of the diagnosis and treatment of common oral mucosal conditions
• Discuss bisphosphonate related osteonecrosis of the jaw

Lectures

Pharmacotherapeutic Considerations in Dental Medicine

Wendy S. Hupp, D.M.D. Assistant Professor of Oral Medicine, Department of General Dentistry and Oral Medicine, University of Louisville School of Dentistry

This program will discuss the most common medications prescribed to our patients that have implications for daily practice. Both interactions with dental therapeutics and oral manifestations due to the medications will be covered.

Oral Cancer Screening

Michael A. Kahn, D.D.S. Professor and Chair, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine

This lecture will provide a comprehensive review of current oral cancer adjunctive screening devices including their mechanisms, pros and cons, and limitations. The difference between oral diagnosis and screening will also be examined and emphasized.

Psychosocial Risk Assessment and Pain Management in Dental Practice

Ronald J. Kulich, Ph.D. Associate Professor, The Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine

This presentation will review recent data with respect to risk factors for substance abuse and diversion within dental practice. Strategies for minimizing risk will be reviewed, while maintaining standards-of-care for the effective management of acute and chronic pain. Specific screening strategies are reviewed for patients presenting with psychiatric comorbidities.

Update on Antibiotic Prophylaxis for Patients Felt to be at Risk for Endocarditis or Prosthetic Joint Infections

Peter B. Lockhart, D.D.S. Professor and Chair of Oral Medicine, Carolinas Medical Center, Charlotte, North Carolina

This presentation will be an overview of the rationale for and against the use of secondary antibiotic prophylaxis for patients felt to be at risk for infective endocarditis and those with prosthetic joint infections. This presentation will cover current and important scientific information concerning this topic along with ongoing efforts on the part of professional organizations who create guidelines for these patient populations and familiarize the participant with the reasons for and against antibiotic prophylaxis for patients at risk for endocarditis or who have prosthetic joint infections.

Update in the Diagnosis and Treatment of Common Oral Mucosal Conditions

Thomas P. Sollecito, D.M.D. Professor and Chairman of Oral Medicine; University of Pennsylvania School of Dental Medicine

This lecture will review the more common oral mucosal diseases encountered in practice. The seminar will be presented in a case-based learning format and will focus on the latest in the diagnosis and treatment of oral mucosal disorders. Since the oral condition often reflects systemic disease, Dr. Sollecito will discuss the systemic concerns in relation to the oral findings. Audience participation during the seminar will be encouraged to ensure an engaging/interactive presentation.

Topics will include:

• Herpes Simplex
• Candidiasis
• Recurrent Aphthous Stomatitis
• Lichen Planus

Management of Cancer Patients

Nathaniel S. Treister, D.M.D., D.M.Sc. Assistant Professor of Oral Medicine, Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine; Associate Surgeon, Division of Oral Medicine and Dentistry, Brigham and Women's Hospital

Every dentist has within his/her practice, patients who have been treated for cancer, and possibly patients recently diagnosed and currently undergoing cancer treatment. This lecture will discuss the various risks and complications that must be considered in this unique patient population, with an emphasis on practical approaches to management and follow-up.

Bisphosphonate-Related Osteonecrosis of the Jaws

Sook-Bin Woo, D.M.D. Associate Professor, Dept. of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine; Director of Clinical Affairs, Division of Oral Medicine and Dentistry, Brigham and Women's Hospital

This lecture will provide updates on the etio-pathogenesis and frequency of occurrence of bisphosphonate-related osteonecrosis, how to diagnose it, how to assess risk and manage this condition and, importantly, implications for intraoral surgery and placement of dental implants.

Course Number: B800070
Date: Friday, November 4, 2011
Time: 8:00 a.m.-5:00 p.m.
Tuition: $295 Doctor; $25 discount if member of the American Academy of Oral Medicine (AAOM membership number required upon registration);
$150 Other related healthcare professionals
Credit: 8 Hours--Lecture
AGD Code: 134

This program is supported by the following:
The American Academy of Oral Medicine
The Craniofacial Pain and Headache Center
Tufts University School of Dental Medicine

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Forensic Dentistry and Disaster Management

Hands-on course. Class size limited.

William M. Morlang, D.D.S. Adjunct Associate Professor, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Forensic Consultant to the Armed Forces Medical Examiner and Air Force Office of Special investigation; Former Forensic Consultant to the USAF Surgeon General; and former faculty member at Wright State University School of Medicine, USAF School of Aerospace Medicine and Armed Forces Institute of Pathology. Diplomate, American Board of Forensic Odontology and Fellow of the American Academy of Forensic Sciences

This dynamic three-day workshop will provide professional training in mass disaster management, identification of human remains, bitemark recognition and analysis, expert witness testimony, malpractice prevention, and human abuse (child, spouse and elder) identification. The course will address the topic of nuclear, biological, and chemical terrorism weapons.

It is appropriate for dentists, physicians, hygienists, law enforcement personnel, medical examiners/coroners, attorneys, and military personnel.

Day 1 of lectures will cover the history of forensic sciences, forensic science specialties, mass disaster management, identification of human remains, identification center organization and operation, total quality leadership, aerospace and forensic pathology, search/recovery, mishap investigation, forensic dentistry and radiology, stress management, registrar functions/forensic records, computer utilization in mass disasters, legal issues, and federal assistance including FAA, NTSB, NDMS, and DMORT.

Day 2 of the program will be a mock aircraft mishap. Participants will work in teams to identify actual human remains associated with an aircraft mishap utilizing medical records, dental records, and radiographs. The WINID computer coding program will be demonstrated and utilized. A post laboratory conference will highlight major problem areas in this mishap and in mass disaster management.

Day 3 The final morning of the program will be lectures on malpractice prevention, bitemark analysis, expert witness testimony, forensic photography, and human abuse. The final afternoon will be a bitemark analysis workshop. Participants will work in teams to analyze 10 bitemark cases. Teams will also review more than 30 additional cases, review forensic reports, evidence documentation, and trial exhibits. A post-workshop conference will review the cases evaluated regarding evidentiary value and conclusions.

Participants will receive an extensive syllabus on mass disaster management/forensic dentistry, a bitemark analysis protocol, and a total quality leadership guide.

This course provides 50% of the course/workshop credit required for entry level membership in the Odontology section of the American Academy of Forensic Sciences.

Course Number: B800091
Date/s: Friday, November 4-Sunday, November 6, 2011 (3 days)
Time: 8:00 a.m.-5:00 p.m. each day
Tuition: $945 Doctor; $345 Auxiliary/Hygienist/Staff
Credit: 23 Hours-Participation
AGD Code: 145

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Nitrous Oxide Certification Course

Hands-on course. Class size limited to 15

Morton B. Rosenberg, D.M.D. Professor and Head, Division of Anesthesia and Pain Control, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Associate Professor of Anesthesia, Tufts University School of Medicine

C.S. Maller, D.M.D. Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Fellow, American Dental Society of Anesthesiology; Diplomate, American Dental Board of Anesthesiology

William A. MacDonnell, D.D.S. Assistant Clinical Professor, University of Connecticut School of Dental Medicine; Private Practice in Dental Anesthesia, West Hartford, CT

This course conforms to the American Dental Association (ADA) Guidelines for Teaching the Comprehensive Control of Anxiety and Pain in Dentistry. It therefore fulfills the educational requirements of the Massachusetts Board of Registration in Dentistry. Upon successful completion of a post-test, participants will receive documentation of course completion. Prerequisite: Participants must be certified in CPR prior to registration.

Topics will include:

• Historical, philosophical, physiological, and psychological aspects of anxiety and pain control
• Patient evaluation, selection, monitoring, and records
• The stages of drug-induced C.N.S. depression through all levels of consciousness and unconsciousness
• Review of pediatric and adult respiratory and circulatory physiology and related anatomy
• Pharmacology of agents used in inhalation sedation
• Indications and contraindications for use of inhalation sedation
• Review of dental procedures possible under inhalation sedation
• Prevention, recognition, and management of complications and life-threatening situations
• Administration of local anesthesia in conjunction with inhalation sedation techniques
• Introduction to potential health hazards of trace anesthetics
• Discussion of abuse potential and hallucinatory effects

Learning objectives:

Upon completion of this course, participants will be able to:

• Describe the basic components of inhalation sedation equipment and their functions
• List and discuss the advantages and disadvantages of inhalation sedation
• List and discuss the indications and contraindications of inhalation sedation
• List the complications associated with inhalation sedation and discuss the prevention, recognition, and management of these complications
• Administer inhalation sedation to patients in a clinical setting in a safe and effective manner
• Discuss the abuse potential, occupational hazards, and other untoward effects of inhalation agents

Course Number: B800068
Dates: Friday, November 4, 2011
Saturday, November 5, 2011
Times: Friday: 8:30 a.m.-5:30 p.m.
Saturday: 8:00 a.m.-4:00 p.m.
Tuition: $1395 Doctor
Credit: 16 Hours-Participation
AGD Code: 132

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Full-Arch Rehabilitations: How to Create Complete Dentures--From Basics to Current Standards

Lino Calvani, M.D., D.D.S., M.Sc., C.D.T., F.A.C.P., F.I.C.D. Diplomate, American Board of Prosthodontics; Adjunct Associate Professor, Department of Prosthodontics and Operative Dentistry, Division of Graduate and Postgraduate Prosthodontics, Tufts University School of Dental Medicine.

This course will review the knowledge and procedures necessary to create proper complete dentures, from the first visit to delivery. Particular attention will be paid to the literature, the clinical and technical passages, and to the functional and aesthetic rehabilitating possibilities of these prostheses.

Course program

First Visit: Importance of the extra-oral and intra-oral examination; radiographic exams; study and evaluation of macroscopic and microscopic oral structures important in C.D.; preliminary impressions.

Phase Two: Custom trays, final impressions, and border molding: how and why; master casts; creation and use of the ideal bases and wax rims: concepts of support, stability, and retention.

Phase Three: Bases and wax rims clinical use; evaluation of the proper vertical dimension of occlusion and of the maxillo/mandibular relationship; how and why to mount the bases and related master casts on the articulator; how to choose and correctly position the proper anterior teeth.

Phase Four: Clinical aesthetic and phonetic evaluations; how to choose and correctly position the posterior teeth; how to set the condilar guidance on the articulator; different types of occlusion, edentulism vs. aging changes and limitations; how to mimic nature carving the bases flanges; evaluations of the possibilities to improve and correct the oral and facial aesthetics; C.D. processing, flasking and deflasking; in-lab remounting on the articulator for the first occlusal check; polishing and characterizing; second clinical occlusal check.

C.D. Delivery: Clinical adaptation and integration evaluations.

This course will also cover:

• Immediate dentures: importance and limitations
• Over-dentures possibilities: natural teeth vs. implants
• Complete denture importance in rehabilitating patients with full-arch implant-supported fixed restorations
• Future computer based possibilities to create complete denture prostheses.

Learning objectives:

Upon completion of this course, participants will be able to:

• Know how to clinically evaluate an edentulous patient
• Know how to plan the prosthetic rehabilitation of an edentulous patient
• Know the different clinical and technical steps which can lead to a complete denture rehabilitation
• Know a large number of scientific articles and research outcomes necessary to justify all clinical and technical steps to be performed to create a complete denture prosthetic dentition

Course Number: B800002
Date: Wednesday, November 9, 2011
Time: 9:00 a.m.-4:00 p.m.
Tuition: $265 Doctor; $135 Auxiliary/
Hygienist/Staff
Credit: 6 Hours--Lecture

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Medical Emergencies Dental Update for the Entire Team and American Heart Association Basic Life Support for Health Care Providers (BLS-HCP)*

Morton B. Rosenberg, D.M.D. Professor and Head, Division of Anesthesia and Pain Control, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Associate Professor of Anesthesia, Tufts University School of Medicine.

Karen Dowler, R.N., B.S.N, MEd

The morning portion of this course will address the prevention and management of medical emergencies in the dental office.

Topics will include:

• Treating the patient with a history of heart disease
• Treating the diabetic and those with endocrine problems
• Syncope, shock, M.I., and cardiac arrest
• Seizures (etiology and treatment), bleeding disorders
• Drugs that affect the incidence of emergency problems
• Drugs used to treat emergencies and suggested medications to keep available in the office
• Management of the allergic reaction
• Patient monitoring

The second part of this course reviews the skills of CPR for victims of all ages (including ventilation with a barrier device, bag-masking device, and oxygen), use of an AED, and relief of a foreign-body airway obstruction (FBAO). It is intended to re-certify participants who provide health care to patients in a wide variety of settings. Course participants must complete the online BLS for Health Care Providers Part 1 to be able to attend this hands-on workshop. This online course can be found at www.onlineaha.org.

Upon completion, participants will be able to print out a completion certificate. The online program must be taken within 60 days prior to program date. Only certificates from the American Heart Association are accepted and must be brought by participants to gain admittance to this program. Certificates will be requested at course registration.

Participants have the option of taking the morning or the afternoon session separately.

Course Number: B800085
Date: Wednesday, November 9, 2011
Time: Session 1: 9:00 a.m.-12:00 p.m.; Session 2: 1:00 p.m.-4:00 p.m.
Tuition: Session 1: $150 Doctor; $99 Auxiliary/Hygienist/Staff
Session 2: $150 Doctor; $99 Auxiliary/Hygienist/Staff
Combined: $250 Doctor; $150 Auxiliary/Hygienist/Staff
Credit: Session 1: 3 Hours-Lecture
Session 2: 3 Hours-Participation
Combined: 6 Hours-Participation
AGD Code: 142

Please note: a bagged lunch will be provided for all participants attending Session 1.

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Osteonecrosis and Osteomyelitis of the Jaws: Tips and Tricks on Prevention and Management for the General Dentist

Daniel Oreadi, D.M.D. Assistant Professor, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine

Osteomyelitis and osteonecrosis of the jaws are unique diseases that represent a great challenge for the treating practitioner as well as the patient, despite all recent advances in diagnosis and treatment modalities. Patients exposed to radiation therapy and more recently to bisphosphonates have an increased risk of developing osteonecrosis especially if they have had trauma from dental procedures or ill-fitting dentures and/or infection. Osteomyelitis can develop in the presence of systemic conditions like diabetes or even in the immuno-competent host making this condition relatively rare but difficult to treat.

This highly interactive course will review normal bone physiology and tissue healing process. In addition, it will review the pathophysiology of each disease entity including tips for prevention and treatment strategies of each condition. Participants will experience both lecture and case presentations for the various topics included in this description. The instructor invites the participants to send in challenging and complex cases prior to course start date. Several of the submitted cases will be included within the course group discussions on treatment planning options.

Learning objectives:

Upon completion of this course, the participant will be able to:

• Understand bone physiology and its importance during the healing process
• Identify patients at high risk for the development of osteomyelitis or osteonecrosis
• Review the legal implications associated with each condition and how to avoid long term issues
• Learn how to manage high risks patients before, during and after any dental or surgical procedures
• Understand how to apply different techniques to minimize the development of osteonecrosis and osteomyelitis
• Learn different treatment modalities for each condition

Course Number: B200074
Date: Wednesday, November 16, 2011
Time: 9:00 a.m.-4:00 p.m.
Tuition: $265 Doctor; $135 Auxiliary
Credit: 6 Hours--Lecture
AGD Code: 734

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Introduction to Dental Sleep Medicine

Hands-on course.

Noshir R. Mehta, B.D.S., D.M.D., M.D.S., M.S. Professor and Chairman, Department of General Dentistry; Director, Craniofacial Pain Center; Associate Dean for International Relations, Tufts University School of Dental Medicine

Noah Siegel, M.D., E.N.T. Assistant Clinical Professor, The Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine; Massachusetts Eye and Ear Hospital, Boston; Private Practice, ENT Specialists, Inc.

Leopoldo P. Correa, B.D.S., M.S. Assistant Professor, Department of General Dentistry; Head, Dental Sleep Medicine Section of Craniofacial Pain, Headache, and Sleep Center, Tufts University School of Dental Medicine

Tufts University School of Dental Medicine is offering for the first time Introduction to Dental Sleep Medicine, a course taught by internationally recognized leaders in the field of dental sleep medicine. This one-and-a-half day intensive course is intended to provide participants with the core information on all the elements of dental sleep medicine including classification of sleep disorders, use of various oral appliances in treatment of patients with sleep disorders, and critical elements for patient examination.

Additional information will include an overview of the field of dental sleep medicine, including new clinical protocols and innovations in clinical techniques, to achieve more successful treatment outcomes for patients with the use of oral appliances in the therapy of obstructive sleep apnea. Participants of this course will leave with a better understanding of treatment options for these patients and therefore be able to help provide better patient management.

Learning objectives:

Upon completion of the course, participants will be able to:

• Understand the key elements of sleep medicine and normal human sleep physiology
• Evaluate the head, face, neck, and airway as they relate to sleep-disordered breathing
• Become more familiar with the latest medical and surgical treatments for sleep disorders
• Understand the oral appliance options currently available for sleep disorder patients

Course Number: B800079
Dates: Friday, November 18, 2011;
Saturday, November 19, 2011
Time: 9:00 a.m.-4:00 p.m.;
8:30 a.m.-12:00 p.m.
Tuition: $495 Doctor; $225 Auxiliary/
Hygienist/ Staff
Credit: 10 Hours--Participation
AGD Codes: 182/183/184