Medical Emergencies for the Entire Dental Team and Diagnostic Strategies and Pitfalls in Soft-Tissue Oral Pathology

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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

MICHAEL A. KAHN, D.D.S. Professor and Chair, Depart­ment of Oral and Maxillofacial Pathology, Oral Medicine, and Craniofacial Pain; Laboratory Director, Tufts Oral Pathology Services, Tufts Univer­sity School of Dental Medicine; Diplomate, American Board of Oral and Maxillofacial Pathology

The morning portion of this course will address the prevention and management of medical emergencies in the dental office. Topics will include preparing your office and team for a medical emergency; emergency drugs and emergency equipment; diagnosis and treatment of the obstructed airway; and management of minor and major emergencies.

Learning objectives:

  • Understand the rationale and composition of emergency drugs and equipment for anticipated medical emergencies
  • Be prepared to diagnosis acute medical emergencies
  • Review the fundamentals of emergency airway management and BLS-HCP including the use of an AED

In the afternoon, the course will first review the basic building blocks of formulating clinical differential diagnoses for soft- tissue pathology of the head and neck, particularly the oral cavity proper. Following this review, the instructor will present a series of clinical unknown cases (i.e., “What can this be?” format) culled from 28 years of extensive clinical experience in treating patients with a variety of oral pathology. Participants will be shown several less common conditions and diseases that the general practitioner and special­ist may encounter in daily practice. Some of the lesions and conditions to be included are recurrent herpes simplex infection, recurrent aphthous stomatitis, lichen planus, candidiasis, fibroma, pyogenic granuloma, mucocele, varix, leukoedema, traumatic ulcerations, squamous cell carcinoma, salivary gland neoplasms, and geographic tongue.

The course will discuss the protocols for lesion diagnosis, review the characteristics, and why the other diagnoses are correct or incorrect. The program will conclude with a discussion of patient treatment plans and case management of each of the presented lesions.

Learning objectives:

After successfully completing this course, participants will be able to meet the following objectives.

  • Understand the basic soft tissue site, color, and morphology terms for lesions in the oral cavity and adjacent skin
  • Understand the protocols and methods for formu­lating a differential diagnostic for an unknown oral soft tissue lesion
  • Understand what to utilize, how to treat, and how to manage common oral soft tissue lesions in your daily practice