ConcordSeminars Course Content

 Comprehensive Periodontics for the General Practice - Clinical Update 2018

Nicolaas C. Geurs, DDS, MS

Dr. Geurs' presentation will use an interactive lecture format that will include a wide variety of clinical photographs to emphasize and demonstrate concepts. The presentation will also allow for audience participation in developing treatment strategies for their individual patients There will be ample opportunity for Q & A following each section of the presentation and at the end of the session.

COURSE DESCRIPTION
Optimizing Your Patients' Systemic Health Through Dental Care!
The effects of periodontal infection and inflammation are not limited to the destruction of the periodontium. There is compelling evidence outlining its influence on systemic health. Our patients are increasingly seeking opportunities to improve to improve their health. This course will review current concepts of etiology and pathology of periodontal diseases and the interface with systemic health with a focus on how we should educate our patients in 2017. The long-term relationship with our patients and our commitment to prevention in a dental practice present a unique opportunity to incorporate wellness concepts in our practices. Successful smoking cessation strategies will be discussed. The opioid abuse epidemic is gripping the country. The role of dentistry in this crisis will be discussed. This course will outline the latest innovations in periodontal treatment and prevention of periodontal disease. After completion of this course the participant will be able to implement these therapies in their dental practices to optimize the oral and periodontal health and improve the overall wellness of our patients.

Long-Term Implant Success

Dental implants have become the preferred option for the replacement of missing teeth. The maintenance of dental implants has become an important aspect of every dental practice and an important parameter for long term implant success. Peri-implant diseases are a very common finding and the management has proven to be challenging. This course will present the latest innovations in prevention and therapy in implant maintenance.

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

  • Understand the systemic effects of periodontal infection and inflammation
  • Use the current understanding and evidence to discuss the oral disease burden on systemic health
  • Learn the latest concepts in periodontal therapy, anti microbial therapy and inflammation regulation
  • Understand the Opioid abuse epidemic
  • Learn how to diagnose peri-implant diseases
  • Learn the risk factors and etiology for peri-implant diseases
  • Learn how to prevent peri-implant diseases and the latest concepts in implant maintenance
  • Learn how to manage and treat peri-implant disease
  • Understand the surgical treatment of peri-implantitis

COURSE OUTLINE

  1. Optimizing your patient’s systemic health through dental care!
    1. Periodontal Disease and Systemic Health: “What do we tell our patients”?
      1. Pathogenesis of Periodontal disease
      2. Microbial biofilms
      3. The truth about flossing
    2. Periodontal Infection, Inflammation and Systemic Health
      1. Cardiovascular and stroke

        Mid-morning Coffee Break

      2. Diabetes and inflammatory periodontal disease
      3. Pregnancy and periodontal diseasey
        1. Preterm birth
        2. Treatment during pregnancy

          Lunch

      4. Smoking and periodontal disease
        1. Hookah, E-Cigarettes
        2. Successful smoking cessation programs
      5. The opioid abuse epidemic and the role of dentistry

        Afternoon Dessert Break

  2. Long-Term Implant Success
    1. Diagnosis of peri-implant diseases
    2. Prevention of peri-implant diseases and Implant maintenance
    3. Treatment of peri-implant disease
  3. Open Discussion

Advanced Hygiene Therapy - Developing a Comprehensive Approach

Dianne Glasscoe Watterson, RDH, BS, MBA

Ms. Glasscoe Watterson's presentation is didactic lecture using a comprehensive student handout and PowerPoint visuals. There is a pretest and numerous fill-in-blank reviews throughout the teaching session with ample time for question and answer interaction with the presenter.”

COURSE DESCRIPTION
In treating today’s periodontal patient successfully, the clinician must customize a treatment plan that goes beyond the removal of plaque and calculus.  Achieving excellent clinical outcomes involves assessing for systemic issues, communicating and customizing home care according to the patient’s level of understanding and ability to perform home care procedures, and choosing appropriate adjuncts to care.  In this course, we will explore the multi-faceted treatment planning approach, including scheduling and coding.  We will also discuss the assisted model of hygiene care and effective instrument sharpening.  We will also explore strategies for dealing with refusal of definitive care. 

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

  • Understand the factors involved in periodontal breakdown
  • Explore the most prominent systemic disease interrelationships
  • Choose adjuncts to care based on severity and appropriateness
  • Develop better clinical protocol
  • Customize home care modalities
  • Understand which codes are most appropriate for particular case types
  • Consider how the assisted model of hygiene could be implemented and why it is beneficial
  • Understand how instrument sharpening can be accomplished easily and effectively
  • Develop the best approach when patients refuse definitive care for periodontal disease
COURSE OUTLINE
  1. Etiology of periodontitis/host involvement
    1. Etiology and microbes associated with disease progression
    2. Bacterial complexes and role of viruses
    3. Role of biofilm
    4. Efficacy of various antimicrobials
    5. High velocity lavage
    6. Other risk factors
  2. Systemic interrelationships
    1. Diabetes
    2. Cardiovascular disease
    3. Respiratory diseases
    4. Other systemic diseases
  3. Adjuncts to care
    1. Interdental cleaning aids
    2. Power brushes
    3. Systemic antibiotics
  4. Probing technique
    1. Protocol
    2. Angulation
  5. Clinical process
    1. Step-by-step debridement process
    2. Treatment planning by case type
  6. Scheduling
    1. Time consideration
    2. Recall systems
  7. Teaching homecare/interdental cleaning
    1. Customizing according to patient ability
    2. Changing home care behavior
  8. Coding considerations
    1. Using the most appropriate codes
    2. How to code the gingivitis patient
    3. Site-specific periodontal treatment
  9. Periodontal maintenance
    1. Debridement protocol
    2. Adjuncts to care
  10. Assisted hygiene
    1. Duties of the hygiene assistant
    2. Scheduling for assisted hygiene
    3. How to sabotage the model
    4. Pre-requisites
  11. Instrument sharpening
    1. Friction-grip stones
    2. Angulation and magnification
  12. Legal issues/refusal of treatment
    1. Informed refusal/informed consent
    2. How to deal with patients that refuse definitive care
  13. Wrap-up and questions

Health, Safety, Protection & Infection Control in the Dental Practice

John A. Molinari, PhD

"Dr. Molinari's seminar will use a traditional Power Point lecture format that will include microbiological, research, and other evidence-based clinical information to demonstrate and reinforce concepts. The presentation will also encourage audience participation in the discussion of appropriate infection prevention strategies for clinical settings. Participants will have multiple opportunities to ask questions during the course of the seminar."

COURSE OUTLINE

  1. Infection Control Update
    1. Current guidelines, recommendations overview & exposure control plan for dental practice - CDC, ADA, OSHA
    2. Current Statistics - Hepatitis-C
    3. Aseptic Techniques - hand hygiene
    4. Post-Exposure Management Protocols
      Coffee Break
    5. Personal Protection Equipment Updates - gloves, eyewear, masks
    6. Instrument Sterilization & Processing
    7. Environmental Surface Disinfection
      1. Covers
      2. Spray disinfectants
      3. Disinfectant wipes
    8. Dental Unit Waterline Asepsis
      Lunch (12:30 - 1:00 pm)
  2. The Challenges of Waterborne Infections
    1. Waterborne diseases overview
      1. Global impact
      2. Infectious agents
    2. Outbreaks and characteristics
    3. Waterborne infections in health care
      1. Medical outbreaks and sources of cross-infection
      2. Representative pathogens
    4. Implications for dental water sources
      Dessert
  3. Vaccine Recommendations
    1. Public health impact
      1. Vaccine principles and types
      2. CDC recommendations
    2. Discussion of representative vaccines
      1. HBV, influenza
      2. Zoster, HPV
    3. Public Health Knowledge
      1. Herd immunity
      2. Mandated requirements
    4. Science vs. vaccine myths
COURSE DESCRIPTION

Let’s Talk About Infection Control and OSHA

This seminar will discuss the current infection control regulations and recommendations for dentistry. The most current CDC Guidelines for Infection Control in Dentistry, along with the recent updates and accumulated data regarding health care risks, and preventive measures, will serve as frameworks for this presentation. Evidence-based information also will be discussed to address certain issues where perceptions and misuse of infection control procedures and products are in conflict with scientific and clinical knowledge. A major goal of this presentation is to help dental professionals increase their understanding of the “why” as well as the “what” of infection control practices.

The Challenges of Waterborne Infections: A Microbiology Perspective

Infections caused by waterborne microorganisms are among the most harmful to global health. These include diseases caused by a variety of bacteria, protozoa, viruses, and other parasites. They are able to proliferate in a many natural water sources, as well as man-made systems designed to provide potable water for public and health care use. An initial overview of the principles and epidemiology associated with waterborne infections will be followed by discussion of representative, clinically important pathogens and the challenges they present to healthcare settings and the general population. With specific regard to dentistry, comprehensive infection prevention recommendations now address the potential for colonization and contamination of dental treatment water. Emphasis here will focus on current waterborne microbial challenges, including Pseudomonas, Legionella pneumophila, and nontuberculous Mycobacteria (NTM) species.

Vaccine Recommendations: Science, Success & Myths
This seminar will consider vaccination as an effective public health infection control approach for protection of both the general population and health care professionals. Emphasis will focus on the most recent updated information pertaining to vaccines used in the prevention of adult infectious disease, especially those with increased occupational health care risks. Discussion concerning recent public health vaccine recommendations, such as those targeting shingles and human papilloma viruses (HPV) will also be included. The rationale and classification of available vaccines and emerging technologies will be discussed in order to provide participants appropriate scientific and clinical evidence, which can be useful when considering the necessity for their own protection, as well as protection of the general public and individuals diagnosed with immune compromising conditions and diseases. In addition, important information will be presented concerning certain public misperceptions against vaccines which threaten their documented global success against many preventable infectious diseases.

 

EDUCATIONAL OBJECTIVES
At the completion of this course the participants should be able to:
  1. To use the most current infection control recommendations for dentistry as reinforcement for clinicians of an effective, practical infection control program.
  2. Understand the routine application of various infection control practices and protocols based on accumulated science- and clinical-based evidence and regulatory requirements.
  3. Comprehend the variety of acceptable product choices for accomplishing a infection control goals in a dental facility.
  4. Comprehend the historical and current challenges waterborne infections present to the population and healthcare facilities.
  5. Understand the unique colonization and pathogenic properties of microorganisms that promote cross-contamination and infection in susceptible hosts.
  6. Describe infectious disease characteristics and outbreaks of specific waterborne pathogens that challenge our health care infection control procedures.
  7. Discuss available approaches to control microbial colonization of waterlines in dental and medical settings.
  8. Comprehend the overall impact vaccinations have had in protecting the population against many infectious diseases.
  9. Discuss the latest CDC vaccine recommendations for health care professionals.
  10. Understand the rationale for other representative vaccination recommendations, including human papilloma virus infections.
  11. Describe the dangers of public misperceptions against vaccines.

Oral Pathology & Oral Medicine - Clinical Update: 2018


Kenneth R.
Tilashalski, DMD

"Dr. T's sessions will include a lecture format to present the subject information incorporating numerous clinical examples to highlight the material. Personal anecdotes, lessons learned, and audience participation will accentuate key points. The interactive approach will include opportunities to ask questions, share information, and have further discussions throughout the day."

Diagnosis & Treatment of Ulcerative Disorders

COURSE DESCRIPTION

Oral pathology can be interesting and a significant patient benefit offered by your practice. In this presentation, the “mysteries” of pathology will become clear, allowing you to communicate more effectively with your patient regarding their oral disease. You will learn key points to help make your life easier and practical information that can be immediately applied. Exciting newly developed treatment modalities will be featured. A myriad of topics and cutting edge information will be discussed, and include: what is that thing and how do I treat it? what caused this and how do I prevent it? and if it hurts, what will make it feel better?


EDUCATIONAL OBJECTIVES

Upon successful completion of this program, participants will be able to:

  • Identify clinical soft tissue lesions of the oral cavity.
  • Formulate a differential diagnosis of ulcerative disorders.
  • Synthesize medical and clinical findings to render a working diagnosis.
  • Employ appropriate treatment strategies to oral ulcers.
COURSE OUTLINE
  1. Introduction: Acute & chronic ulcers

  2. Viral ulcers

    1. Clinical presentation
    2. Herpes family of viruses

    3. HSV

    4. Coxsackie viruses

    5. Treatment strategies
  3. Aphthous

    1. Clinical presentation

    2. Etiology
    3. Treatment strategies
  4. Gingival diseases

    1. Desquamative gingivitis
    2. Lichen planus

    3. Pemphigoid

    4. Pemphigus

    5. Burns
    6. Treatment strategies


Treatment of Common Oral Lesions

COURSE DESCRIPTION

The afternoon session will focus on some common funky conditions and how to fix them! Candidiasis presents in a variety of ways and it is important to recognize these and apply appropriate treatment strategies. We will focus on the various lesions induced by human papilloma virus including cancer. The afternoon will continue with a discussion of oral cancer risk factors (you may be surprised by some of these!). Numerous clinical examples will highlight how to recognize cancer and we will analyze the latest evidence on diagnostic aids and whether you should be using these in your practice. And if you have ever had a patient grumbling about a burning mouth, you don’t want to miss this review of appropriate patient management.

EDUCATIONAL OBJECTIVES
Upon successful completion of this program, participants will be able to:

  • Distinguish between normal anatomy and clinical pathology.
  • Apply treatment strategies for the various presentations of oral candidiasis.
  • Identify HPV associated lesions.
  • Understand the role personal habits play in the risk for oral cancer.
  • Demonstrate a rational thought process to the evaluation of oral lesions.
  • Use a sequenced treatment regimen for management of burning mouth syndrome

COURSE OUTLINE

  1. Candidiasis

    1. Risk factors
    2. Clinical presentation
    3. Treatment strategies
  2. HPV

    1. Associated lesions
    2. Role in oral cancer
    3. Vaccination options
  3. Oral cancer
    1. Etiology
    2. Clinical presentation
    3. Adjunctive diagnostic aids
  4. Burning mouth syndrome
    1. Presentation
    2. Mimickers
    3. Treatment strategies

Review of Local Anesthesia, Appropriate Opioid Prescribing & Frequently Prescribed Medications


Thomas Viola, BS, RPh

“The educational teaching methodology used in this course is live lecture presented in concert with an accompanying PowerPoint presentation. Both the live lecture and the PowerPoint presentation incorporate a variety of audio and visual cues to enhance audience members’ understanding and retention of key concepts. In addition, audience participation will be encouraged and facilitated by group discussions as well as question and answer periods provided for at the conclusion of each section of the live lecture.”

Pharmacology and Therapeutics of Local Anesthesia:
An Overview & Update

COURSE DESCRIPTION

Due to their potential for producing life-threatening systemic adverse reactions, a thorough knowledge of the pharmacological and clinical properties of local anesthetic agents is essential for their safe and effective use. This program will provide participants with an overview of the pharmacology and therapeutics of local anesthetic agents. Special emphasis will be given to those agents commonly administered in dental practice and patient management techniques necessary with specific disease states.


EDUCATIONAL OBJECTIVES

Upon successful completion of this program, participants will be able to:

  • Explain the basic concepts of neurophysiology and nerve conduction and the mechanism of action of local anesthetic agents

  • Differentiate between the two major classes of local anesthetic agents with respect to their distribution, metabolism and routes of excretion

  • Discuss the rationale for the use of vasoconstrictors in local anesthetic solutions and their potential effects in common organ system disease states

  • Specify the various local anesthetic agent combinations most commonly used in dentistry and the rationale for their use in specific clinical situations

  • Discuss general adverse effects, contraindications and patient care considerations with the use of local anesthetics.

COURSE OUTLINE
  1. Local Anesthesia Pharmacology Basics

    1. Neuroanatomy

    2. Neurophysiology

    3. Biochemistry and Mechanism of Action

  2. Review of Dental Local Anesthetic Preparations

    1. Local Anesthetic Agents for Injection

    2. Local Anesthetic Agents for Topical Use

    3. Kovenase and Needle-Free Anesthesia
    4. Topical Benzocaine and Methemoglobinemia

    5. Vasoconstrictors

  3. Patient Care Considerations

    1. Individual Factors Affecting Efficacy

    2. Medical History and Physical Evaluation

    3. Pharmacokinetics and Systemic Illness

    4. Significant Drug Interactions

    5. Absolute and Relative Contraindications

  4. Patient Management

    1. The Medically Complex Patient

    2. Considerations with Epinephrine

    3. Treatment Modifications and Care Planning

Appropriate Prescribing Practices for Opioid Analgesics in the Dental Office

COURSE DESCRIPTION
Management of acute dental pain is accomplished with the use of non-opioid and opioid analgesics. However, this normally occurs outside the dental office, away from the immediate supervision of the clinician, who is often faced with the difficult task of managing patient pain while also avoiding adverse outcomes for both the patient and their communities. Thus, it is critical for clinicians to be able to accurately identify the need for pain control, individualize patient care based on this need as well as associated risks, assess the efficacy of analgesic agents prescribed and monitor for their appropriate use. This program will provide participants with an overview of the pharmacology of pain control and the effective management of acute dental pain using non-opioid and opioid analgesics. Special emphasis will be given to appropriate prescribing practices for opioid analgesics.

EDUCATIONAL OBJECTIVES
Upon successful completion of this program, participants will be able to:

  • Describe the pharmacology and mechanism of action of non-opioid and opioid analgesics, as well as their potential for abuse.
  • Explain the intended role of non-opioid and opioid analgesics in the treatment of dental pain, as well as situations which may preclude their use.
  • Describe strategies useful in developing a pain management plan that is individualized for a patient’s needs and underlying medical conditions.
  • Understand appropriate prescribing practices to utilize in everyday clinical situations.
COURSE OUTLINE
  1. The Concept of Pain

    1. Pain Threshold and Pain Tolerance

    2. Psychosocial and Emotional Factors

    3. Pathophysiology of Pain
  2. Addressing Opioid Abuse
    1. Techniques For Identifying Opioid Abuse
    2. Strategies For Managing Opioid-Abusing Patients
  3. Management of Acute Dental Pain - Non-opioid Analgesics

    1. Clinical Pharmacology

    2. Equianalgesic Doses

    3. NSAIDs
      1. Mechanism of Action
      2. Pharmacologic Effects
      3. Clinical Considerations
        1. Adverse Reactions
        2. Drug Interactions
        3. Contraindications
  4. Management of Acute Dental Pain - Acetaminophen (APAP)

    1. Mechanism of Action
    2. Pharmacologic Effects
    3. Clinical Considerations
      1. Adverse Reactions
      2. Drug Interactions
      3. Contraindications
  5. Management of Acute Dental Pain - Opioid Analgesics

    1. Clinical Pharmacology
    2. Available Formulations

    3. Codeine, Hydrocodone, Oxycodone

      1. Mechanism of Action
      2. Pharmacologic Effects
      3. Clinical Considerations
        1. Adverse Reactions
        2. Drug Interactions
        3. Contraindications
  6. Appropriate Prescribing for Acute Dental Pain
  7. Preventing Opioid Abuse and Diversion

Frequently Prescribed Medications and Clinical Dental Considerations

COURSE DESCRIPTION

The challenge faced by all clinicians today is to provide safe and effective dental treatment to our medically complex patients. However, dental professionals find themselves practicing in a marketplace awash in direct to consumer advertising of prescription drugs and in the midst of an explosion of new drug entities over the last several years. Thus, many dental professionals may find it challenging to stay up to date with the latest prescribing trends in disease state management.

This program will provide an overview of those frequently prescribed brand name medications whose actions, side effects, contraindications and potential drug interactions may have the greatest impact on dental therapy.

EDUCATIONAL OBJECTIVES

Upon successful completion of this program, participants will be able to:

  • Identify frequently prescribed FDA-approved brand name medications for the treatment of systemic illnesses.
  • Discuss the basic mechanisms of action, potential adverse reactions, drug interactions and contraindications of these medications.
  • Explain the clinical dental considerations of these medications and their potential impact on dental therapy.
  • Describe patient management strategies essential for successful treatment planning and proper care of our medically complex dental patients.

COURSE OUTLINE

  1. Overview of Most Frequently Prescribed Drugs

    1. The Top 25 Brand Name Drugs
    2. Categorization by Disease State Treated
  2. Review of Medications Used in Dentistry

    1. Analgesics
    2. Anti-infective Agents
    3. Sedative-Hypnotic Agents
    4. Miscellaneous Agents
  3. Review of Medications for Systemic Diseases
    1. Cardiovascular Agents
    2. Gastrointestinal Agents
    3. Respiratory Agents
    4. Central Nervous System Agents
    5. Endocrine Agents
    6. Miscellaneous Agents
  4. Patient Care Considerations
    1. Importance of the Medical History
    2. Significant Drug Interactions
    3. Significant OTC Drug Interactions
    4. Significant Herbal Interactions
    5. Significant Illicit Drug Interactions
    6. Absolute Contraindications
    7. Relative Contraindications
  5. Patient Management
    1. The Medically Complex Dental Patient
    2. Dental Considerations
    3. Treatment Modifications
    4. Patient Care Planning