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School of

Dental Medicine

Division Of Continuing Education

Course Catalogue
fall 2009
11 Radiology Certification Course*
september
calendar
16 Medical Emergencies and Head and Neck Cancer
Examination for the Dental Team
23 Non-Invasive Facial Cosmetic Procedures
25 Practical Update in Pediatric Dentistry
30 Occupational Respiratory Infectious Diseases,
Allergic Patients and Dental Care Providers

2 Everything You Always Wanted to Know About


Removables, But Were Afraid to Ask!
7 The Answers to Your Dental Patient Care Concerns
october

and Questions One Kneeland Street


9-10 The Triad Approach to Diagnosis and Treatment of TM
Disorders: The Missing Link Boston, MA 02111
10 New Advances in Implant Overdentures: Happiness
Through Simplification* Phone: (617) 636-6629
14 Introduction to the Use of the CEREC System Fax: (617) 636-0800
16 The Phantom of the Opera-tory”: Let Your Pharmacology
Inner Voice Guide You to Great Patient Management! http://dental.tufts.edu/ce
An Overview and Update in Pharmacology for Dental
Professionals
17 Crown Lengthening Workshop*
21 Dental Update: Medical Emergencies and the Prevention
and Management of Surgical Complications for the Non-
Oral Surgeon in the General Office
23 Interdisciplinary Treatment with Special Emphasis on
Orthodontics and Periodontics
24 Advancements in Instruments and Irrigation* Vangel R. Zissi, D.M.D.
28 Cone Beam CT Technology and Applications Director
30-31 CEI: Real World Occlusion: It’s not just the Teeth*

4 Implant Dentistry: Development and Current Focus


november

6-8 Forensic Science*


13 Hornbrook Restorative Update 2009
13-14 Nitrous Oxide Certification Course* Paige K. Ambrose
14 The Art and Science of Porcelain Laminate Veneers* Associate Director
18 Risk Management: Record Keeping and Informed
Consent
20 The Art and Science of CAMBRA
20-21 Nitrous Oxide Certification Course*

2 Dental Update for the Entire Team: Medical Emergencies


december

4-5 Anatomy for the General Dentist: Essentials for Crystal L. Krajewski
Reducing Pain and Complications - Lecture and Hands- Conference Coordinator
On Workshop*
9 Management of Common Soft Tissue Oral Lesions

* Indicates hands-on course. mission


As dental professionals, you are inundated with information on the latest materials and techniques in dentistry.
The mission of Tufts University School of Dental Medicine’s Division of Continuing Education is to provide
educational programs that will help dental care providers sift through all of this information and find the best
tools and techniques for your professional needs.

We are particularly proud of our course offerings this fall. As always, we are featuring world-renowned
instructors, innovative hands-on sessions, advanced level programs, and courses for the entire dental team.
Our goal is to deliver pragmatic continuing dental education that will help you meet the challenges of daily
practice. If we may assist you in any way, please call our office at (617) 636-6629.

We invite you to participate in our fall 2009 course offerings and thank you for your continued support of
life-long learning.

Vangel R. Zissi, D.M.D.


Director, Continuing Education
contents
SUPPLEMENTAL
2 G-2 Medical Emergencies and Head and Neck
Cancer Examination for the Dental Team
3 G-3 Non-Invasive Facial Cosmetic Procedures
3 G-5 Occupational Respiratory Infectious
ENDODONTICS Diseases, Allergic Patients and Dental Care
10 G-15 Advancements in Instruments and Providers
Irrigation* 5 G-7 The Answers to Your Dental Patient Care
Concerns and Questions
ESTHETICS 7 G-11 The Phantom of the Opera-tory”: Let
3 G-3 Non-Invasive Facial Cosmetic Procedures Your Pharmacology Inner Voice Guide You to
12 G-17 CEI: Real World Occlusion: It’s not just Great Patient Management! An Overview
and Update in Pharmacology for
the Teeth*
Dental Professionals
8 G-13 Dental Update: Medical Emergencies and
IMPLANT DENTISTRY the Prevention and Management of Surgical
6 G-9 New Advances in Implant Overdentures: Complications for the Non-Oral Surgeon in the
Happiness Through Simplification* General Office
11 G-18 Implant Dentistry: Development and 11 G-16 Cone Beam CT Technology and
Current Focus Applications
13 G-19 Forensic Science*
ORAL PATHOLOGY 13/17 G-21 Nitrous Oxide Certification Course*
2 G-2 Medical Emergencies and Head and Neck 16 G-24 The Art and Science of CAMBRA
Cancer Examination for the Dental Team 17 G-26 Dental Update for the Entire Team:
19 G-28 Management of Common Soft Tissue Oral Medical Emergencies
Lesions 18 G-27 Anatomy for the General Dentist:
Essentials for Reducing Pain and Complications
ORAL SURGERY - Lecture and Hands-On Workshop*
8 G-13 Dental Update: Medical Emergencies and
the Prevention and Management of Surgical
AUXILIARY/HYGIENIST/OFFICE STAFF
Complications for the Non-Oral Surgeon in the
2 G-1 Radiology Certification Course*
General Office
2 G-2 Medical Emergencies and Head and Neck
Cancer Examination for the Dental Team
ORTHODONTICS 3 G-3 Non-Invasive Facial Cosmetic Procedures
9 G-14 Interdisciplinary Treatment with Special 3 G-5 Occupational Respiratory Infectious
Emphasis on Orthodontics and Periodontics Diseases, Allergic Patients and Dental Care
Providers
PEDIATRIC DENTISTRY 4 G-4 Practical Update in Pediatric Dentistry
4 G-4 Practical Update in Pediatric Dentistry 5 G-7 The Answers to Your Dental Patient Care
Concerns and Questions
PERIODONTICS 6 G-8 The Triad Approach to Diagnosis and
8 G-12 Crown Lengthening Workshop* Treatment of TM Disorders: The Missing Link
9 G-14 Interdisciplinary Treatment with Special 7 G-10 Introduction to the Use of the CEREC
Emphasis on Orthodontics and Periodontics System
7 G-11 The Phantom of the Opera-tory”: Let
PROSTHODONTICS Your Pharmacology Inner Voice Guide You to
5 G-6 Everything You Always Wanted to Know Great Patient Management! An Overview
and Update in Pharmacology for
About Removables, But Were Afraid to Ask!
Dental Professionals
6 G-9 New Advances in Implant Overdentures:
8 G-13 Dental Update: Medical Emergencies and
Happiness Through Simplification* the Prevention and Management of Surgical
7 G-10 Introduction to the Use of the CEREC Complications for the Non-Oral Surgeon in the
System General Office
15 G-22 The Art and Science of Porcelain Laminate 9 G-14 Interdisciplinary Treatment with Special
Veneers* Emphasis on Orthodontics and Periodontics
10 G-15 Advancements in Instruments and
PRACTICE MANAGEMENT Irrigation*
15 G-23 Risk Management: Record Keeping and 11 G-16 Cone Beam CT Technology and
Informed Consent Applications
11 G-18 Implant Dentistry: Development and
RESTORATIVE Current Focus
14 G-20 Hornbrook Restorative Update 2009 12 G-17 CEI: Real World Occlusion: It’s not just
15 G-22 The Art and Science of Porcelain Laminate the Teeth*
Veneers* 13 G-19 Forensic Science*
14 G-20 Hornbrook Restorative Update 2009
15 G-23 Risk Management: Record Keeping and
TMJ
Informed Consent
6 G-8 The Triad Approach to Diagnosis and
16 G-24 The Art and Science of CAMBRA
Treatment of TM Disorders: The Missing Link 17 G-26 Dental Update for the Entire Team:
12 G-17 CEI: Real World Occlusion: It’s not just Medical Emergencies
the Teeth* 19 G-28 Management of Common Soft Tissue Oral
*Indicates hands-on course.
Lesions 1
G-2
G-1 Medical Emergencies and Head and Neck
Radiology Certification Course Cancer Examination for The Dental Team
HANDS-ON COURSE - CLASS SIZE LIMITED
MORTON B. ROSENBERG, D.M.D.
Professor and Head, Division of Anesthesia and Pain Control,
AUDREY J. FURKART, D.M.D., M.S. Department of Oral and Maxillofacial Surgery, Tufts University
Former Associate Clinical Professor, Division of Oral and School of Dental Medicine; Associate Professor of Anesthesia, Tufts
Maxillofacial Radiology, Former Radiation Safety Officer,
University School of Medicine
Tufts University School of Dental Medicine

RICHARD W. SHEA, D.M.D. LYNN W. SOLOMON, D.D.S., M.S.


Assistant Clinical Professor, Division of Oral and Maxillofacial Associate Professor, Department of Oral and Maxillofacial
Radiology, Tufts University School of Dental Medicine Pathology, Tufts University School of Dental Medicine; Diplomate,
American Board of Oral and Maxillofacial Pathology
BRIAN M. SHEA, D.M.D.
Former Clinical Instructor, Division of Oral and Maxillofacial The morning portion of this course will address the prevention and
Radiology, Tufts University School of Dental Medicine management of medical emergencies in the dental office.
Topics will include:
MICHAEL PUTT, D.M.D. • Treating the patient with a history of heart disease
Private Practice, Wayland, MA
• Treating the diabetic and those with endocrine problems
• Syncope, shock, M.I., and cardiac arrest
SHANNON MELOON BALLETTO, C.D.A., B.S.
Infection Control Administrator, Tufts University School of • Seizures (etiology and treatment), bleeding disorders
Dental Medicine • Drugs that affect the incidence of emergency problems
• Drugs used to treat emergencies and suggested
BRENDAN GOUIN, D.M.D. medications to keep available in the office
Private Practice, Charlestown, RI • Management of the allergic reaction
• Patient monitoring
Pre-Requisite: This is not an introductory course. The
applicant should have a working knowledge of dental X-ray In the afternoon you will learn how to get the most out of your
machines and their use. Applicants should also be familiar extraoral head and neck examinations! Salivary gland disease,
with dental radiology related concepts and terminology. An tumors, lymph node metastases and TMJ disorders are just a few
optional 15-question pretest is available upon request. Please examples of head and neck pathology that can be detected with
call (617) 636-6629 for more information. an extraoral examination. The intraoral examination will also be
discussed, with an emphasis on normal landmarks and variations
The lecture session includes:
of normal. Clinical examples of conditions that may be detected
X-ray properties and the generation of X-rays
on examination will be presented. Dr. Solomon will demonstrate
Radiation protection
Radiation biology the proper technique to perform a thorough extraoral and intraoral
Darkroom procedures examination on a dental student volunteer. She will explain the
Intraoral radiographic techniques reasons that each area is manually palpated and visually examined
Technique/processing errors and troubleshooting and the findings that may indicate disease. An example of a diagram
Extraoral radiography and panoramic radiography for use in charting the examination findings will be shown, with
Direct digital radiography for dentistry copies for course participants.

The clinical session includes: Adjunctive techniques for intraoral examination, such as
Written examination VELscope, Identafi 3000™, ViziLite Plus, and Microlux DL will
Demonstration of intraoral techniques be demonstrated. The published peer-reviewed evidence of the
Practical exercise on phantoms sensitivity and specificity of these technologies will be discussed.
Developing and reviewing films
The high-risk sites for oral squamous cell carcinoma will be
Mandatory Lecture: Friday, September 11, 2009,
presented and clinical examples will be shown. The concepts of
9:00 am – 5:00 pm
how to choose a biopsy site and sampling errors will be discussed.
Choice of:
Clinical Session I - Saturday, September 12, 2009, Oral exfoliative cytology using two different methods, Oral
9:00 am – 5:00 pm or CDx and Liquid-based Brush Cytology will be demonstrated on
Clinical Session II - Saturday, September 19, 2009, the student volunteer. The submission of cytology samples for
9:00 am – 5:00 pm or PAP staining, PAS staining and oncogenic HPV testing will be
Clinical Session III - Saturday, September 26, 2009, discussed. Incisional, excisional and punch biopsy techniques as
9:00 am – 5:00 pm well as specimen handling tips will be demonstrated. An example
Tuition: $210 (continental breakfasts and handbook included) of a biopsy submission form will be given, with copies for course
Credit: 16 Hours - Lecture/Participation participants. H&E staining, direct immunofluorescence studies and
immunohistochemical techniques will be explained. A poster from
Note: Preference for the clinical session must the American Cancer Society showing the steps of an examination to
be specified on registration form. detect oral cancer will be distributed to course participants.
Registration is available on a first come, first served basis.
This course meets the requirements of the Commonwealth Date: Wednesday, September 16, 2009
of Massachusetts Board of Dentistry. It also meets the
Time: 9:00 am – 4:00 pm
requirements for the state of New Hampshire. It provides an
Tuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff
excellent review for hygienists and for those planning to take
the DANB examination. Participants are advised to check with (continental breakfast and luncheon included)
their individual state board requirements. Credit: 6 Hours - Lecture
AGD Code: 142/737
2 Come hear this lecture on two unique topics in dentistry.
G-5
Occupational Respiratory Infectious
G-3 Diseases, Allergic Patients and Dental Care
Non-Invasive Facial Cosmetic Providers
Procedures JOHN A. MOLINARI, Ph.D.
Former Professor and Chairman, Department of Biomedical Sciences,
CONSTANTINOS LASKARIDES, D.M.D., Pharm.D. Univeristy of Detroit Mercy School of Dentistry; Served as Chairman,
Assistant Professor and Course Director, Department of Oral State of Michigan, Governor’s Risk Reduction and AIDS Policy
and Maxillofacial Surgery, Tufts University School of Dental Commission
Medicine; Diplomate, American Board of Oral and Maxillofacial
Surgery; Fellow, American Association of Oral and Maxillofacial The morning portion of this course will cover occupational respiratory
Surgeons infectious diseases: aerosols, spatter, and precautions.

Nowadays there is an astonishing increase in demand for non- Airborne infections continue to be among the common reported
invasive facial cosmetic procedures. This presentation will cover transmissible diseases. The spread of microbial pathogens by
the most popular non-invasive facial cosmetic procedures like droplets, aerosols, and spatter during provision of patient care
chemical denervation (Botulinum Toxin), the use of resorbable have also historically presented occupational risks for health care
and semi-permanent fillers, treatment of facial scars, laser facial professionals. While routine use of recommended precautions has
skin rejuvenation and facial chemical peels in all aspects. been shown to be effective in reducing exposure to known respiratory
infections, discovery and emergence of other airborne pathogens
Mechanism of action, relative anatomy, patient selection, require continued assessment of cross-infection risks and infection
treatment planning, modality selection, detailed technique control measures. This seminar considers representative viral and
description, risks and complications (including their management) bacterial respiratory diseases, including as examples: influenza,
will be thoroughly discussed. Severe Acute Respiratory Syndrome (SARS), swine flu, tuberculosis,
and bacterial pneumonia. In addition, information pertaining to the
At the end of the presentation there will be a live demonstration emerging epidemiology, transmission patterns, and virology of avian
of Botulinum Toxin application. The participants will be able to influenza is featured. Respiratory infections are discussed using
observe live patient evaluation, reconstitution of the solution to microbial characteristics, person-to-person cross-infection risks,
appropriate concentration, choice of appropriate instrumentation epidemiological patterns, disease impact, and health care provider
and disposables, pain management, area mapping and disinfection, occupational hazards. The use of appropriate precautions against
injections and review of post-operative instructions. respiratory pathogens is also evaluated in the context of emerging
disease challenges and recommended protective approaches.
After the course the participant should be able to:
The afternoon portion of this course will cover allergic patients and
• Understand the mechanism of action, relative anatomic dental care providers: practice implications.
considerations and physics of the various methods
discussed. Upon completion of this course, the participant should understand
• Be able to apply proper patient selection and technique that virtually every chemical, drug and dental material employed
selection to optimize cosmetic results. in the dental office has been known to induce allergic reactions in
• Comprehend the multiple particularities and details both clinical personnel and patients that certain allergic reactions
that pertain to each facial cosmetic procedure. are directly observable in the oro-facial tissues and that practitioners
• Be able to discuss the full range of risks and will be treating patients who may suffer from allergic conditions.
complications that are related with each technique. The clinician should be prepared for the potential hazards these
• For the live demonstration: Appreciate all the details individuals present during dental treatment. Comprehension of
relevant to preparation and execution of chemical the classes of hypersensitive reactions, clinical manifestations, and
denervation with Botulinum Toxin as well as pre- principles associated with development and treatment of allergies are
operative and post-operative essentials. thus required for the effective management of patients. Discussion
will also include immunological mechanisms and manifestations of
Date: Wednesday, September 23, 2009 allergic reactions associated with latex products, as well as evolving
Time: 9:00 am – 1:00 pm prevention strategies.
Tuition: $165 Doctor; $99 Auxiliary/Hygienist/Staff
(continental breakfast included) This course will consider the multi-faceted aspects of clinical
Credit: 4 Hours – Lecture hypersensitivity reactions, and the participants should be able to apply
AGD Code: 770 the principles discussed to clinical situations and patient histories
encountered.

Date: Wednesday, September 30, 2009


Time: 9:00 am – 4:00 pm
Tuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff
(continental breakfast and luncheon included)
Credit: 6 Hours - Lecture
AGD Code: 148

This course is sponsored in part by unrestricted


educational grants from SciCan and Kerr Total Care.
3
special course offering

G-4
Practical Update in Pediatric Dentistry

MICHAEL A. IGNELZI, JR., D.D.S., Ph.D.


Board Certified, American Board of Pediatric Dentistry and American Board of Orthodontics; Adjunct Associate
Professor, Department of Pediatric Dentistry, University of North Carolina Chapel Hill; Private Practice,
Greensboro, NC; Fellow, American College of Dentists; Former Associate Professor, Department of Orthodontics
and Pediatric Dentistry, University of Michigan

This entertaining and informative course features timely and practical information for any practice that treats
children. We review the latest on pulp therapy for primary and young permanent teeth, prevention, tooth colored
restorative materials, and the infant and toddler visit. We provide you with practical information, that is based on
sound science, so that you can provide the best care to your patients. Audience participation will be encouraged.

Much has changed in recent years regarding pulp therapy for primary and young permanent teeth. We will
review the latest on the indications, techniques and materials used in indirect pulp capping, pulpotomies, and
pulpectomies.

Prevention is the cornerstone of what we do as professionals. Come hear the latest on the bacteria that cause caries,
the protective role of saliva, chemotherapeutic agents, the consumer products that prevent enamel demineralization
and promote enamel remineralization, sealants, fluoride, and sugar substitutes including xylitol.

Tooth colored dental materials including glass ionomer cements, resin-modified glass ionomer cements
(compomer), and composites have revolutionized restorative care for children. We review the advantages and
disadvantages and indications for each material so you can select the best material for any clinical situation.

Caries risk assessment has practical implications for how we treat children because it influences how frequently we
take radiographs, what restorative materials we use, and how aggressively we use preventive agents like fluoride
and sealants. We review recent trends in caries risk assessment so that you can use this information on a daily basis.

The infant and toddler visit is a wonderful opportunity to detect early caries, educate parents about good oral
hygiene and healthy feeding practices, and establish a dental home. More infants and toddlers will seek dental
care because the American Academy of Pediatrics has recently recommended that all children receive an oral
risk assessment at 6 months of age. From a practice management perspective, it is wise to offer a service that
is recommended by pediatricians and parenting magazines and requested by parents. We discuss the benefits
of the infant and toddler visit and use videotapes to demonstrate a simple method to achieve a comprehensive
examination.

Objectives:
At the end of the course you will be able to:
1. Manage primary and permanent teeth that require pulp therapy
2. Utilize the most effective methods to prevent disease
3. Select the most appropriate tooth colored restorative material for any clinical situation
4. Incorporate contemporary caries risk assessment into your practice
5. Discuss the benefits of the infant and toddler visit and complete a thorough infant and toddler exam

Date: Friday, September 25, 2009


Time: 9:00 am – 4:00 pm
Tuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff
(continental breakfast and luncheon included)
Credit: 6 Hours - Lecture
AGD Code: 430

This course is sponsored in part by an unrestricted educational grant from Delta Dental of Massachusetts.

4
G-6 G-7
Everything You Always Wanted The Answers to Your Dental Patient Care
to Know About Removables, Concerns and Questions:
Common Sense Clinical Approaches for
But Were Afraid to Ask! a More Efficacious Dental Practice

PAUL J. VANKEVICH, D.M.D.


DAVID R. CAGNA, D.M.D., M.S. Assistant Professor, Department of General Dentistry, Tufts
Professor and Director, Advanced Prosthodontic Program, University School of Dental Medicine; Diplomate, American Board
Department of Restorative Dentistry, University of Tennessee of Oral Medicine; Fellow, Academy of General Dentistry
Health Science Center, Memphis, TN; Diplomate, American
Dentistry is a dynamic profession with a daily evolution of new
Board of Prosthodontics; Fellow, American College of
materials, methods and strategies in the provision of healthcare to
Prosthodontists; Co-Author, Stewart’s Clinical Removable Partial patients. With so much new information, the modern dental practice
Prosthodontics can suffer from information overload and struggle to keep current
with new techniques, procedures, trends and regulations.
WILLIAM A. LOBEL D.M.D., F.A.C.D.
Assistant Professor, Department of General Dentistry, Tufts The goal of dentistry is to treat and prevent those diseases and
disabilities, which affect the teeth and oral structures, by preventing and
University School of Dental Medicine; Scottsdale Center for
eliminating infection and trauma. This audience interactive one day
Dentistry, Removable Prosthodontics Team course will review and update the current concepts, controversies
and challenges regarding the principles of oral diagnosis, oral
This eclectic presentation will cover all aspects of complete and medicine, applied dental disease risk management, preventive
partial denture prosthetics including current overdenture concepts. dentistry and oral health promotions, as applied in patient care.
Practitioners who are capable in these modalities will satisfy
an ever demanding need for quality, affordable dentistry by an Specific topics covered include, iatrogenic dentistry, litigation
exploding demographic population shift of “boomers and elders.” prevention, access to care, evidence-based dentistry, dental patient
communication, internet misinformation, assessment and application
Learn how to improve your impression techniques, obtain of innovations and technology, sedation dentistry, conservative
physiologically generated jaw records and avoid esthetic dental caries management, body modification and oral piercing, oral
pitfalls before they occur. Assessment and patient management health-systemic health interrelationships (diabetes, obesity), alcohol
techniques will be highlighted. The “mysterious” world of partials and substance abuse (patient and provider), tobacco control, safety
will be covered in great detail with a particular emphasis on how and efficacy of dentifrices and mouth washes, special needs patients.
to deliver esthetically pleasing results. Methods and strategies of mechanical and chemical oral hygiene,
fluoride therapy, pit and fissure resin sealants, dietary counseling
Presentation Objectives: and oro-facial trauma prevention and patient-specific alterations in
• Illustrate current impression techniques for fully and various dental treatment procedures, methods and medications will
partially edentulous patients as well as for immediate be discussed.
and overdenture cases
• Describe a reline procedure for both edentulous and This day course will be interactive using the Classroom Audience
implant overdentures Response System. Test your clinical knowledge and diagnostic
• Describe a method of direct implant pick-up acumen in a benign and anonymous format. Participants are asked
• Understand how to eliminate false jaw registrations to relate some of their more perplexing patient presentations for
utilizing a unique self-adjusting Gothic Arch Tracing group cogitation, analysis diagnosis and suggested methods of
device management. This course will facilitate the role of each member of
• Converting and salvaging existing failed abutments the dental healthcare team.
• Review classical RPD design theory and approaches
• Consider appropriate diagnostic information gathering Are there questions that you or the members of your dental teams
and practical RPD design methodology have? Let Dr. Vankevich answer them:
• Review abutment preparation from burs to contours to • What is the Standard of Care?
verification of preparation outcomes • What is risk management and how do I use it in my
• Consider RPD design alternatives aimed at permitting practice?
improved esthetics: Rotational Path Concepts • What’s new in dentistry? Is new better than old? Where’s
Explored and Explained the evidence? What about new product safety and
efficacy?
Date: Friday, October 2, 2009 • What is that oral lesion? How do I treat it? What next?
Time: 9:00 am – 4:00 pm • The patient has what medical condition? How will I alter
Tuition: $325 Doctor my dental treatment plan when providing care?
(continental breakfast and luncheon included) • Iatrogenic what? You mean that undesirable outcome
Credits: 6 Hours – Lecture could have been prevented?
AGD Code: 670
Date: Wednesday, October 7, 2009
Time: 9:00 am – 4:00 pm
Tuition: $265 Doctor; $135 Hygienist/Staff/Auxiliary
This is one you don’t want to miss! (continental breakfast and luncheon included)
Credit: 6 Hours - Lecture
AGD Code: 730

5
G-8 G-9
The Triad Approach to Diagnosis New Advances in Implant Overdentures:
and Treatment of TM Disorders: Happiness Through Simplification
The Missing Link
HANDS-ON COURSE - CLASS SIZE LIMITED TO 24
HAROLD GELB, D.M.D., P.C.
Adjunct Clinical Professor, Tufts University School of Dental ALLEN L. SCHNEIDER, D.D.S., F.A.G.D.
Medicine; Founder, Gelb Cranio-Mandibular Pain Center, Adjunct Instructor, Department of Prosthodontics and Operative
Tufts University School of Dental Medicine; Diplomate, Dentistry, Tufts University School of Dental Medicine; Consultant,
American Board of Orofacial Pain and American Academy of Martinsburg Veteran’s Administration Hospital; Lecturer, AGD
Craniofacial Pain Mastership Program; Private Practice Emphasizing Implant
Dentistry, Springfield, VA
DAVID KLEIN, D.C.
Private Chiropractic Practice, New York, NY Attachment retained/bar retained implant overdentures are one
of the most cost-effective, successful, and appreciated treatment
The data acquired concerning the functional and modalities for reconstructing the fully edentulous patient. Learn
structural relationship between the three components how to diagnose, treatment plan, fabricate surgical stents, implant
of the stomatognathic apparatus, namely, the jaws, the impression techniques, customize a fee schedule so you never lose
temporomadibular joints and the muscles, should encourage income, as well as work with overdenture attachments. Participants
the clinician to complete a careful examination of each will learn how to easily change attachments in 7 seconds or less.
one with all the diagnostic aids presently available to both
the generalist and specialist. If this is done, the so-called This detailed overdenture program will, via slides and hands-on
asymptomatic case frequently shows, at the sub clinical level, practical experience, enable the restorative clinician to implement
signs of dysfunction or even an early manifestation of the the new revolutionary Locator Attachment assembly (from Zest
disorder. These should not be overlooked, and the treatment Corporation) into his or her everyday practice.
plan should take them into consideration. This is especially
noteworthy because most of the relevant symptoms do not This generic implant course will focus on both the external hex and
as a rule direct the patient to the dentist as the primary health internal morse taper implant designs. Each participant will be able
professional. Several scientific studies at two major dental to keep the teaching manuals, models, and prosthetic appliance
schools support the procedures that will be shown. he or she fabricates, for use as a demonstration aid for patient
education.
The International Headache Society has allocated two of
thirteen headache types to the dentist. One is the Tension Type Date: Saturday, October 10, 2009
Headache; the other is the headache or facial pain associated Time: 9:00 am – 5:00 pm
with a disorder of the cranium, neck, eyes, ears, nose, sinuses, Tuition: $365 Doctor
teeth, mouth or other facial or cranial structures. Headaches (sample materials, continental breakfast and luncheon included)
break down into three major categories: 2% are traction Credits: 7 Hours - Participation
and inflammatory, 8% are vascular and 90% are muscle AGD Code: 673/690
contraction-tension type headaches, which the dentist can help.
There are a total of 50 million headache sufferers.
Please contact the Division of Continuing
Taking a thorough medical, dental and craniomandibular Education for a list of sponsors.
history coupled with a comprehensive clinical examination will
still prove to be the most effective approach to diagnosing the
patient’s condition.

Participants will learn:


• What procedures enable the clinician to make a
proper diagnosis
• Updated background of subject matter
• Diagnostic classification of TM Disorders and
Orofacial Pain
• Successful patient education and case presentation

Dates: Friday - Saturday, October 9-10, 2009


Times: 9:00 am – 4:00 pm
Tuition: $495 Doctor; $195 Auxiliary/Hygienist/Staff
(continental breakfasts and luncheons included)
Credits: 12 Hours - Lecture
AGD Code: 180

Everyone should come learn


from this master in TMD.

6
Back by popular demand!
G-11
G-10 The Phantom of the Opera-tory”:
Introduction to the Use of Let Your Pharmacology Inner Voice Guide You
the CEREC System to Great Patient Management! An Overview and
Update in Pharmacology for Dental Professionals

PAUL C. SCHOENBECK, D.M.D. THOMAS VIOLA, R.Ph.


Member, American Academy of Cosmetic Dentistry, American Clinical Adjunct Professor, Pharmacology, Penn State University,
Dental Association, American Association of Hospital Dentists, Abington, PA, Harcum College, Bryn Mawr, PA; Manor College,
Jenkintown, PA; Burlington College, Pemberton, NJ; Middlesex
Academy of Comprehensive Esthetics (ACE); Private Practice,
County College, Edison, NJ
Gorham, NH
Throughout the course of their everyday practice, dental
This is a CEREC introductory course to provide the attendee the
professionals must frequently draw upon their knowledge of
information and understanding needed to help him/her acquire and
pharmacology. Recently introduced competency-based curriculums
integrate the CEREC technology into their practice. Attendees will
have demonstrated that tasks ranging from the routine, such as
learn the process of CEREC restorations through a virtual design
obtaining a complete patient medical history and appointment
presentation and then a hands-on opportunity to use the system.
planning, to the extreme, such as handling a medical emergency in
the office, all require a foundation knowledge in pharmacology.
The course will also include an extensive description on
integrating the technology into the private practice; from
However, the science of pharmacology consistently represents
introduction to the staff to costs and return on the investment.
only a small portion of most dental degree programs. Armed with
Also presented will be tips on marketing and positioning your
a relatively brief exposure to such vast subject matter, many dental
practice as an up to date hi-tech practice.
professionals have difficulty retaining this knowledge throughout
their career. Staying current with new pharmacotherapeutic trends
Date: Wednesday, October 14, 2009
is especially difficult in the present marketplace, which is awash in
Time: 9:00 am – 4:00 pm
direct-to-consumer advertising of prescription drugs and which has
Tuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff
experienced an explosion of new drug entities over the last several
(continental breakfast and luncheon included)
years.
Credit: 6 Hours - Lecture
AGD Code: 130
The purpose of this program is to provide dental professionals with
an overview of the basic principles of pharmacology and the classes
of drugs used in the current therapy of most common disease states.
Throughout the program, special emphasis will be given to drugs
administered or prescribed in dental practice, as well as to drugs
whose actions, side effects, or interactions with other drugs may
impact dental healthcare.

Learning Objectives
Upon successful completion of this program,
participants will be able to:
• Identify references and sources of drug information to be used in
practice
• Explain basic pharmacokinetics and describe how pharmacokinetics
and related factors affect a drug’s ability to produce a therapeutic
effect
• Review the etiology of common organ system disease states,
describe the classes of drugs used in their treatment, and discuss
considerations important to patient management
• Identify drugs listed on a patient’s medical history and be able to:
• Classify them according to their pharmacologic class
• Identify their basic mechanism of action, pharmacologic
effects, principle therapeutic indications, potential
adverse reactions, potential drug interactions and specific
contraindications
• Discuss and compare the classes of drugs used in dentistry for:
• Local anesthesia and pain management
• Prophylaxis and treatment of infection
• Treatment of oral conditions
• Identify popular herbal and nutritional supplements and their uses
and discuss their potential impact on dental treatment and patient
management

Date: Friday, October 16, 2009


Time: 9:00 am – 5:00 pm
Tuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff
(continental breakfast and luncheon included)
Credit: 7 Hours - Lecture 7
AGD CODE: 016
G-12 G-13
Crown Lengthening Workshop Dental Update:
HANDS-ON COURSE - CLASS SIZE LIMITED TO 24 Medical Emergencies and the
Prevention and Management of Surgical
EMILIO ARGUELLO, D.D.S., M.Sc. Complications for the Non-Oral Surgeon in
Assistant Professor, Department of Periodontology, Tufts
University School of Dental Medicine the General Office

CATHERINE MOSHIRFAR, D.M.D. MORTON B. ROSENBERG, D.M.D.


Private Practice, Swampscott, MA 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,
This course will provide participants with a maximum
Tufts University School of Medicine
“hands-on” experience. The course is designed to provide the
dentist with all the principles of hard and soft tissue surgery
KALPAKAM SHASTRI, D.D.S., B.D.S.
necessary to plan and carry out crown extension procedures.
Assistant Professor in Oral & Maxillofacial Surgery, Tufts
The instructors will cover indications, contraindications, and
University School of Dental Medicine; Board Eligible,
methods of managing surrounding bone.
American Association of Oral & Maxillofacial Surgeons
Topics to be covered include: how to handle hard and soft
tissues; proper surgical techniques; preservation of esthetics This program will address the prevention and management of
and final tissue contours; including the relocation of all medical emergencies in the dental office and the basics of office
structures that comprise the biologic width, such as: sulcus, oral surgery procedures performed by the non-oral surgeon. Tips
junctional epithelium, connective tissue fibers, and bone. and details that pertain to assessment and treatment planning
that may prevent complications following surgery will also be
The “hands-on” experience includes flap surgery with pig discussed.
jaws, plus bone surgery and suturing techniques on anatomical
models under close supervision of experienced periodontists. Topics covered will include:
It is coupled with a video demonstration of the surgical • Treating the patient with a history of heart disease
technique and a detailed slide presentation. • Treating the diabetic and those with endocrine
Crown extension is one of the most commonly required problems
procedures in operative dentistry. Relocation of the structures • Syncope, shock, M.I., and cardiac arrest
comprising the biologic width requires varying degrees of soft • Seizures (etiology and treatment), bleeding disorders
and hard tissue removal. Dentists who want to do some or most • Drugs that affect the incidence of emergency
of their own crown extensions, or those who just want to know problems
more about the subject, will benefit from this course. • Drugs used to treat emergencies and suggested
medications to keep available in the office
• Management of the allergic reaction
Learning objectives:
• Various complications with the tooth being extracted
• Diagnosing esthetic crown lengthening
• Injuries to adjacent teeth
• When to perform crown lengthening and when to extract
• Injuries to adjacent bone
• Post-operative management
• Nerve injuries
• Understanding and treating the gummy smile
• TMJ complications
• Making predictable impressions every time
• Oroantral communications
• Learn why crowns come loose and how to prevent
• Postoperative bleeding
loosening
• Delayed healing
• Save chair time and be more profitable
• Dry socket
• Understand causes of red gum tissue around crown
• Mandible fracture during extraction
margins
• Coordinate surgery with restorative procedures
Date: Wednesday, October 21, 2009
Time: 9:00 am – 4:00 pm
This is a stand-alone course that will allow you to do many
Tuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff
of your own crown lengthening cases. If you choose not to
(continental breakfast and luncheon included)
do your cases, it will help you understand the principles.
Credit: 6 Hours - Lecture
Most important, you do not need to have taken previous
AGD Code: 142/310
perio courses or have surgical experience to benefit from
this workshop. Course materials and a take home model are
included in this fee.

Date: Saturday, October 17, 2009


Time: 9:00 am – 4:00 pm
Tuition: $525 Doctor
(continental breakfast, luncheon and model included)
Credit: 6 Hours - Participation
AGD Code: 490

8
special course offering

G-14
Interdisciplinary Treatment with Special
Emphasis on Orthodontics and Periodontics

ROBERT L. VANARSDALL, D.D.S.


Professor of Orthodontics and Chairman of the Department of Orthodontics, University of Pennsylvania,
School of Dental Medicine; Member, the American Association of Orthodontists, the Middle Atlantic Society of
Orthodontists; Past President, Eastern Component of the E.H. Angle Society of Orthodontics

Evaluation of periodontal risk and susceptibility will improve diagnosis and treatment outcomes. The
morning session will highlight new material relating to the response of the periodontium to different
orthodontic treatment philosophies. Orthodontics should be accepted as a preventive service since recent
findings have shown that tooth movement alone can reduce pathologic levels of periodontal pathogens.
Skeletal relationships clearly identify patients who are more susceptible to periodontal breakdown, exhibit
unstable dental camouflage and lead to less than optimal dentofacial esthetics. A prognosticator that has
been under-appreciated is the transverse skeletal discrepancy. This factor is a reliable predicator of increased
risk of gingival recession. The evolution of multidisciplinary treatment over the past 35 to 40 years will be
discussed and how orthodontics has been used to reformat the periodontium. New studies will be reviewed
that report the first data on skeletal effect of lip bumper therapy on the transverse dimension. Though
early treatment is ideal to correct skeletal problems in three planes of space guidelines will be reviewed for
adolescents as well as adults requiring interdisciplinary treatment.

The afternoon session will include an update on ectopically positioned teeth and ankylosis. This review will
involve all teeth in both the maxillary and mandible.

Date: Friday, October 23, 2009


Time: 9:00 am – 4:00 pm
Tuition: $295 Doctor; $245 TAO Members; $135 Auxiliary/Hygienist/Staff (continental breakfast and
luncheon included)
Credit: 6 Hours - Lecture
AGD Code: 370

9
special course offering
HANDS-ON COURSE - CLASS SIZE LIMITED
G-15
Advancements in Instruments and Irrigation

BEN JOHNSON, D.D.S.


Dr. Johnson received his dental degree and Endodontic Certificate from Baylor College of Dentistry. A popular
international speaker on innovation in endodontics, Dr. Johnson has given more than 200 lectures in 25 countries
and was named Oklahoma Inventor of the Year. Dr. Johnson developed the method of obturation which became the
Thermafil obturation system and his recent efforts to improve the process of cleaning and shaping the root canal
system have resulted in development of the ProFile nickel titanium .04 and .06 tapered rotary instruments and
ProTaper instruments. He is the founder of Tulsa Dental Products and serves as clinical professor at Baylor College
of Dentistry and Louisiana State University School of Dentistry.

This lecture will focus on recent developments in endodontic rotary nickel-titanium file design. Dr. Ben Johnson,
a pioneer in the field, will also discuss advancements in NiTi metallurgy. These advancements have allowed for
extraordinary gains in resistance to cyclic fatigue. By combining unique engineering principals of helical angles
along with the NiTi enhancements, a new instrument has been developed that has shown incredible promise. This
highly advanced instrument will be demonstrated during the lecture and compared to other available instruments
through the use of microscope video recordings.

Hands-on Instructors:

RAINA TRILOKEKAR, D.M.D.


Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited
to Endodontics

RONIT SMOLYAR, D.M.D.


Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited
to Endodontics

EMINA ZAGANJORI, D.M.D.


Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited
to Endodontics

Date: Saturday, October 24, 2009


Time: 9:00 am – 4:00 pm
Tuition: $425 Doctor; $175 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)
Credit: 6 Hours - Participation
AGD Code: 070

Dr. Ben Johnson is an innovator of instrument design!

This course is sponsored in part by an unrestricted educational grant from Tulsa

10
G-16 G-18
Cone Beam CT Technology and Implant Dentistry: Development and
Applications Current Focus
ARUNA RAMESH, B.D.S., D.M.D., M.S. ROYA ZANDPARSA, D.D.S., M.Sc., D.M.D.
Diplomate, American Board of Oral and Maxillofacial Associate Professor, Department of Prosthodontics and Operative
Radiology; Division Head and Associate Professor, Dentistry, Tufts University School of Dental Medicine
Division of Oral and Maxillofacial Radiology,
Tufts University School of Dental Medicine Goals of this Course:
In this presentation Dr. Zandparsa will discuss the basic concepts
The course participants will learn about “Dental Cone Beam CT”, and principles of dental implants and the new advancements
which has been described as a revolutionary technology. The role in implant dentistry. She will also discuss the use of different
of Dental CT and its application in implant, TMJ, Orthodontic, treatment modalities and various treatment outcomes.
Endodontic and Pathologic studies will be discussed. This
technology is regarded as becoming the diagnostic standard of This course will cover the following topics:
care in all fields of dentistry. • What are we responsible for treating?
• Osseointegration
The session will provide you with detailed information on Cone • Medical considerations: Contraindications
Beam CT and demonstrate the benefits of utilizing this technology • Obstacles
in your practice to the benefit of your patients. A sample • Biocompatible dental implant materials
i-CATVision CD with patient data will be distributed to each • Implant surfaces
participant. • Classification of bone quality
• Classification of bone grafts
• Types of membrane barriers
The topics included in the session are: • Guided bone regeneration
• The similarities and differences between Cone Beam • Internal and external sinus elevation
CTs and medical or spiral CTs • Immediate implant placement
• Different Cone Beam units available for a dentist to • Distraction osteogenesis
choose from • Complications and the three primary types of failure
• Scan acquisition • The external hexagon vs. internal connections
• Radiation dose and radiation protection • Criteria for success
• Multi-planar reformatting of CT scan volume • Screw-retained vs. cement-retained prostheses
• 3D- Rendering • Causes of screw loosening
• Clinical case presentations • Provisional vs. permanent cementations
• Basics of transmission of digital data to offices, labs, • Case presentations
and companies via Dicom 3 CDs
Date: Wednesday, November 4, 2009
At the end of this program participants will be able to: Time: 9:00 am – 4:00 pm
• Assess the need for 3-dimensional imaging modality Tuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff
and prescribe a scan for your patient (continental breakfast and luncheon included)
• Understand the basics of Cone Beam technology and Credit: 6 Hours - Lecture
Cone Beam usage AGD Code: 690

Date: Wednesday, October 28, 2009


Time: 9:00 am – 12:00 pm
Tuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff
(continental breakfast included)
Credit: 3 Hours - Lecture
AGD Code: 610/690

11
G-17 presents
“Real World Occlusion: It’s not just the Teeth”
A dentist’s guide to function, esthetics and stability of the Maxillomandibular and Craniofacial Complex

Faculty: HANDS-ON COURSE - CLASS SIZE LIMITED


NOSHIR R. MEHTA, D.M.D., M.D.S., M.S.
Associate Dean of International Relations, Professor and Chairman General Dentistry, Director Craniofacial Pain Center
and Assistant Dean of International Relations, Tufts University School of Dental Medicine

GERARD KUGEL, D.M.D., M.S., Ph.D.


Associate Dean for Research and Professor of Prosthodontics and Operative Dentistry, Tufts University School of Dental
Medicine; Editor of Inside Dentistry

ROBERT J. CHAPMAN, D.M.D.


Professor and Chair, Department of Prosthodontics and Operative Dentistry and Director of Informatics,
Tufts University School of Dental Medicine

In most dental occlusal concepts the primary difference is one of condylar versus muscular positions. This is consistent
with the textbook images of saggital condylar positions or the diamond shapes of the lateral excursive movements
according to Posselt. However, these concepts do not take into account the three dimensional structures of the craniofacial
skeleton due to the relative difficulty of many dentists in visualizing how the muscles, TM Joints and the teeth all
function in harmony. Risk indicators of occlusal disharmony include parafunction , trauma, posture, sleep architrecture ,
psychological and neurologic inputs to the neuromuscular pathways. Understanding these variables reduces the risk of a
adverse outcome and requires an evidenced based logical and systematic approach to cosmetic/restorative cases that will
result in successful functional as well as Oral Health Related Quality of Life end points. Finally, management of patient
with Temporomandibular and Cranio- Cervical dysfunctions often require the use of intra-oral appliance therapy. Studies
however have reported variable results. Historical perspective suggests that different appliances and different mandibular
positions be needed for different types of disorders and that the “one for all” appliance may not be an effective strategy to
persue. These three world renowned lecturers will bring you their unique clinical experiences to help blend the concepts of
esthetics, function and dysfunction into your everyday treatment regimen.

The course will cover:


• Review of the evidence on occlusal concepts currently in vogue
o CR, CO and neuromuscular occlusion as it relates to the three dimensional concepts of
biologic function , when and how to choose
o Biologic principles of dental occlusion
• Role of parafunction and sleep disorders on the longevity of dental stability
• Risk indicators of TMD that “call out to you” from your patients mouth before beginning any dental
treatment
• How and why dental changes can affect the head and neck stability of an individual
• Merging Esthetics and Function for long term stability and health, how, when and why to use occlusal
splints in the development of a stable occlusion regardless of whether the patient has TMD

Hands-on component will cover:


• A step by step guide to three dimensional examination of the occlusion
• Hands on record taking for transfer from the mouth to the articulator that accurately records the position
you have chosen
• Splint fabrication

Dates: Friday-Saturday, October 30-31, 2009


Times: Friday 9:00 am - 4:00 pm, Saturday 8:30 am – 2:00 pm
Tuition: Friday Only: $395 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)
Both Days: $550 Doctor; $225 Auxiliary/Hygienist/Staff (continental breakfasts and luncheons included)
Credit: 6 Hours - Lecture or 11 Hours - Lecture/ Participation
AGD Code: 180
This course is sponsored in part by an unrestricted educational grants from
12 3M Omni, 3M ESPE, Astra Tech, Inside Dentistry and Orascoptic.
G-21
Nitrous Oxide Certification Course
HANDS-ON COURSE - CLASS SIZE LIMITED TO 15
G-19
Forensic Science MORTON B. ROSENBERG, D.M.D.
Professor and Head, Division of Anesthesia and Pain Control,
HANDS-ON COURSE - CLASS SIZE LIMITED Department of Oral and Maxillofacial Surgery, Tufts University
School of Dental Medicine; Associate Professor of Anesthesia, Tufts
WILLIAM M. MORLANG, D.D.S. University School of Medicine
Adjunct Associate Professor, Department of Oral and
C.S. MALLER, D.M.D.
Maxillofacial Pathology, Tufts University School of Dental Assistant Clinical Professor, Department of Oral and Maxillofacial
Medicine; Forensic Consultant, Armed Forces Medical Examiner, Surgery, Tufts University School of Dental Medicine; Fellow,
Armed Forces Institute of Pathology, Air Force Office of American Dental Society of Anesthesiology; Diplomate, American
Special Investigation; Associate Clinical Professor, Wright State Dental Board of Anesthesiology
University School of Medicine; Faculty Member, USAF School
WILLIAM A. MACDONNELL, D.D.S.
of Aerospace Medicine, Armed Forces Institute of Pathology; Assistant Clinical Professor, University of Connecticut School of
Diplomate; American Board of Forensic Odontology Dental Medicine; Private Practice in Dental Anesthesia, West Hartford,
CT
This dynamic three-day workshop will provide professional train-
ing in mass disaster management, identification of human remains, This course conforms to the ADA Guidelines for Teaching the
bitemark recognition and analysis, expert witness testimony, and Comprehensive Control of Anxiety and Pain in Dentistry. It, therefore,
child abuse identification. In addition, a portion of the course will fulfills the educational requirements of the Massachusetts Board of
be devoted to the topic of bioterrorism/biological weapons. It is Registration in Dentistry. Upon successful completion of a post-test,
appropriate for dentists, hygienists, state, federal, and local law participants will receive documentation of course completion.
enforcement personnel; medical examiners; attorneys; military
personnel, etc. Pre-requisite:
Participants must be certified in CPR prior to registration.
The initial day of lecture will cover the history of forensic
sciences, forensic science specialties, mass disaster manage- Topics will include:
ment, identification of human remains, identification of center • Historical, philosophical, physiological, and
organization and operation, total quality leadership, aerospace and psychological aspects of anxiety and pain control
forensic pathology, search/recovery, mishap investigation, forensic • Patient evaluation, selection, monitoring, and records
dentistry and radiology, stress management, registrar functions/ • The stages of drug-induced C.N.S. depression through
forensic records, computer utilization in mass disasters, legal all levels of consciousness and unconsciousness
issues, and federal assistance including FAA, NTSB, NDMS, and • Review of pediatric and adult respiratory and
DMORT. Bitemark analysis, expert witness testimony, forensic circulatory physiology and related anatomy
photography, and child abuse will also be discussed. • Pharmacology of agents used in inhalation sedation
• Indications and contraindications for use of inhalation
Day two of the program will be a mock aircraft mishap. Partici- sedation
pants will work in teams to identify human remains associated • Review of dental procedures possible under inhalation
with an aircraft mishap utilizing medical and dental records. The sedation
WINID computer coding and program will be utilized. A post • Prevention, recognition, and management of
laboratory conference will highlight major problem areas in this complications and life-threatening situations
mishap and in mass disaster management. • Administration of local anesthesia in conjunction with
inhalation sedation techniques
The final day of the program will be a bitemark analysis work- • Introduction to potential health hazards of trace
shop. Participants will work in teams to analyze 10 bitemark anesthetics
cases. Teams will also review more than 30 additional cases and • Discussion of abuse potential and hallucinatory effects
review reports, evidence documentation, and trial exhibits. A post
workshop conference will review the case evaluated regarding Upon completion of this course, participants will be able to:
evidentiary value and conclusions. • Describe the basic components of inhalation sedation
equipment and their functions
Participants will receive an extensive syllabus on mass disaster • List and discuss the advantages and disadvantages of
management/forensic dentistry, a bitemark analysis protocol, and a inhalation sedation
total quality leadership guide. • List and discuss the indications and contraindications
of inhalation sedation
This course provides partial credit towards membership in the • List the complications associated with inhalation
Odontology section of the American Academy of Forensic Sci- sedation and discuss the prevention, recognition, and
ences. management of these complications
• Administer inhalation sedation to patients in a clinical
Dates: Friday-Sunday, November 6 – 8, 2009 setting in a safe and effective manner
Times: 9:00 am – 5:00 pm • Discuss the abuse potential, occupational hazards, and
Tuition: $945 Doctor $345 Auxiliary/Hygienist/Staff other untoward effects of inhalation agents
(continental breakfasts and luncheons included)
Credit: 21 Hours – Lecture/Participation Dates: Friday - Saturday, November 13-14, 2009
AGD Code: 145 Times: Friday: 8:30 am – 5:00 pm, Saturday: 8:00 am – 3:00 pm
Tuition: $1395 Doctor
(continental breakfasts and luncheons included)
Credit: 14 Hours - Lecture/Participation
AGD Code: 132
13
special course offering

G-20
Hornbrook Restorative Update 2009

DAVID S. HORNBROOK, D.D.S., F.A.A.C.D.


Member, Editorial Board, Practical Procedures and Aesthetic Dentistry, Contemporary Esthetics, Signature;
Clinical Editor, Dental Practice Report; Fellow, American Academy of Cosmetic Dentistry; Founder and Past
Director, P.A.C.~live, and The Hornbrook Group

Join Dr. David Hornbrook as he explores how the changes in restorative dentistry and how these changes are
improving and enhancing the treatment we can now offer our patients. Dr. Hornbrook will discuss, in detail, the
advantages and disadvantages of the metal-free options including step-by-step cementation of porcelain veneers,
all-ceramic crowns, and aesthetic inlays and onlays. He will also discuss his philosophy with treatment planning
and sequencing full mouth rehabilitation cases, anterior wear, and the use of “deprogrammers” to ensure long
term prognosis. Learn how to avoid many of the failures that he has made over the past 20 years and how to
communicate effectively with your ceramist to ensure patient satisfaction. Understand why clinicians must offer
and become proficient with ‘Prepless” and “minimal-prep” veneers and how to treatment plan and choose the
correct materials to avoid the unaesthetic result that are commonly seen with these restorations. Dr. Hornbrook
has an international reputation as a leader in aesthetic and functional dentistry and his passion for sharing his
experiences, both successes and failures, makes him a “must see” to take advantage of what dentistry can now offer
both patient and clinicians.

Learning objectives:
• Learn the latest on metal-free alternatives and the advantages and disadvantages of each system
• Improve lab communication to enhance aesthetic and functional results
• Understand why the “newest” is not always the best with adhesion systems
• Learn why traditional philosophies with posts and cores does not apply with adhesive dentistry
• Learn step-by-step predictable cementation of porcelain veneers
• Explore the new CAD: CAM systems and how they are changing the industry
• Learn simple communication and practice enhancement techniques to increase case acceptance
• Understand why “Prepless” veneers can and should be part of your restorative armamentarium
• Learn to how to avoid failures in bonded, metal-free dentistry
• And much more!

Date: Friday, November 13, 2009


Time: 9:00 am - 4:00 pm
Tuition: $295 Doctor, $135 Auxiliary/Hygienist/Staff
(continental breakfast and luncheon included)
Credits: 6 Hours - Lecture
AGD Code: 735/780

This course is sponsored in part by an unrestricted educational grant from Gold Dust Dental Lab.

14
G-22 G-23
The Art and Science of Porcelain Risk Management:
Laminate Veneers Record Keeping and Informed Consent
HANDS-ON COURSE - CLASS SIZE LIMITED TO 28
BARRY REGAN
SAMER KHAYAT, D.D.S., C.A.G.S. Claims Manager, Eastern Dentists Insurance Company,
Assistant Professor, Department of Prosthodontics and Operative Westborough, MA
Dentistry, Advanced Education in Esthetic Dentistry, Tufts
University School of Dental Medicine Most practitioners believe the worst thing that can happen to
them is to be sued for professional malpractice. It is not. It is
much worse to be sued for malpractice, render treatment that does
YONGJEONG KIM, D.D.S., D.M.D., M.Sc., F.A.C.P.
not fall below the standard of care, and still lose the suit. How
Associate Director, Graduate and Postgraduate Prosthodontics; can this happen? There are several ways, including failing to
Associate Professor, Advanced Education in Esthetic Dentistry, give proper informed consent to a patient. Attorneys are using
Tufts University School of Dental Medicine; Diplomate, American informed consent counts to get patients a verdict in otherwise
Board of Prosthodontics defendable cases. A dentist may be found not negligent on a
standard of care count in a lawsuit, but negligent on an informed
Porcelain laminate veneers are one of the most esthetic consent count, and the jury will award a potentially large verdict
restorations available today. This course will provide attendees against a defendant dentist.
with the successful elements to perform this increasingly popular
restoration. The intensive hands-on model workshop will include A second way in which a dentist can lose a lawsuit while
step-by-step preparation instruction, and then each attendee will rendering treatment that does not fall below the standard of care
participate on preparations of 6 anterior laminates. Temporization is by failing to properly document a patient’s record in such a way
and final cementation will be demonstrated during hands on as to defend or clarify the decision making process a dentist goes
workshop. through in difficult treatment diagnosis situations. Allegations of
misdiagnosis or treatment on the wrong tooth are impossible to
In order to provide the optimal learning environment, class size defend if all testing results are not recorded in the patient’s record.
will be limited to 28 participants.
Attendees of this seminar will learn:
Topics will include: • What constitutes proper informed consent
• Criteria of diagnosis and treatment planning • How to give proper informed consent to a patient
• Color selection • How to document your informed consent procedure
• Communication with lab technician in such a manner as to give your defense counsel the
• Preparation design ammunition he/she needs to properly defend your case
• Temporization and final impression to a satisfactory outcome
• Cementation and polishing
• Ceramic materials The instructor will also cover the importance of proper record
keeping and give valuable tips. All attendees will receive sample
Date: Saturday, November 14, 2009 consent forms that they may incorporate into their practice.
Time: 9:00 am – 5:00 pm
Tuition: $425 Doctor Date: Wednesday, November 18, 2009
(continental breakfast and luncheon included) Time: 9:00 am – 12:00 pm
Credit: 7 Hours - Participation Tuition: $65 (continental breakfast included)
AGD Code: 780 Credit: 3 Hours - Lecture
AGD CODE: 550

15
special course offering
G-24
The Art and Science of CAMBRA:
A Team Approach Using Chemical Treatments
and Minimally Invasive Dentistry

DOUGLAS A. YOUNG, D.D.S., M.S., M.B.A.


Associate Professor, University of the Pacific, San Francisco, CA
Dr. Young speaks on minimal invasive dentistry, lasers, and cariology. He has been published in several peer-
reviewed dental journals and textbooks.

This course is of specific interest to all members of the dental team. Learn how to prevent and even reverse early
lesions using oral disinfectants, modified sugars, fluoride, and new salivary diagnostics and replacement therapies,
rather than traditional surgical techniques. Dr. Young will also present research showing that not all caries should
be treated alike and the site-specific way to manage each carious site will be presented. The latest caries detection,
and glass ionomer sealant methodologies will be reviewed as well and strategies on how they are used in practice.
Learn how important the hygiene department and dental assisting staff are to this new paradigm.

Caries management by risk assessment (CAMBRA) is taught at all of the 5 California dental schools as well as
most schools across the US. It is considered my many as the current standard of caries management. In fact, the
“First Smiles” program is a 4-year $7 million grant to educate 47,000 dental professionals and over 9,000 medical
professionals in California about this approach to caries prevention and treatment. Dental hygiene must be willing
and able to accept these referrals from our colleagues, if not for the sole purpose of providing the best care possible
for our patients.

Outcomes: After this presentation you will:


1) Understand CAMBRA, the newest areas of prevention and early caries management using chemical and
microsurgical approaches
2) Be able to put what you have learned into practice
3) Understand why the whole dental team must participate
4) Be aware of opportunities to collaborate with other existing CAMBRA organizations

Learning Objectives:
• The course will outline current strategies which use critical thinking and an evidenced-based decision
method in managing the disease of dental caries.
• The participant will leave with practical tools needed to treat and prevent the disease of caries using a
caries risk assessment and intervention protocols based on individual risk.
• The participant shall have a better understanding of the disease process as well as the science behind
products and behaviors that will arrest, reverse, and prevent future disease.
• Websites will be presented where participants can keep up to date with current science on caries
management by risk assessment (CAMBRA). Participants will learn how to code and evaluate services
and products used in CAMBRA to enable continuous learning and improvement.

Date: Friday, November 20, 2009


Time: 9:00 am – 4:00 pm
Tuition: $295 Doctor, $135 Auxiliary/Hygienist/Staff
(continental breakfast and luncheon included)
Credit: 6 Hours - Lecture
AGD CODE: 258

This course is sponsored in part by an unrestricted educational grant from GC America Inc.

16
G-25
Nitrous Oxide Certification Course
HANDS-ON COURSE - CLASS SIZE LIMITED TO 15

MORTON B. ROSENBERG, D.M.D. G-26


Professor and Head, Division of Anesthesia and Pain Control,
Department of Oral and Maxillofacial Surgery, Tufts University
Dental Update for the Entire Team:
School of Dental Medicine; Associate Professor of Anesthesia, Tufts Medical Emergencies
University School of Medicine
MORTON B. ROSENBERG, D.M.D.
C.S. MALLER, D.M.D.
Assistant Clinical Professor, Department of Oral and Maxillofacial
Professor and Head, Division of Anesthesia and Pain Control,
Surgery, Tufts University School of Dental Medicine; Fellow, Department of Oral and Maxillofacial Surgery, Tufts University
American Dental Society of Anesthesiology; Diplomate, American School of Dental Medicine; Associate Professor of Anesthesia,
Dental Board of Anesthesiology Tufts University School of Medicine
WILLIAM A. MACDONNELL, D.D.S.
Assistant Clinical Professor, University of Connecticut School of
This course will address the prevention and management
Dental Medicine; Private Practice in Dental Anesthesia, West Hartford, of medical emergencies in the dental office.
CT
Topics will include:
This course conforms to the ADA Guidelines for Teaching the
Comprehensive Control of Anxiety and Pain in Dentistry. It, therefore, • Treating the patient with a history of heart disease
fulfills the educational requirements of the Massachusetts Board of • Treating the diabetic and those with endocrine
Registration in Dentistry. Upon successful completion of a post-test, problems
participants will receive documentation of course completion. • Syncope, shock, M.I., and cardiac arrest
• Seizures (etiology and treatment), bleeding disorders
Pre-requisite: • Drugs that affect the incidence of emergency problems
Participants must be certified in CPR prior to registration. • Drugs used to treat emergencies and suggested
medications to keep available in the office
Topics will include: • Management of the allergic reaction
• Historical, philosophical, physiological, and • Patient monitoring
psychological aspects of anxiety and pain control
• Patient evaluation, selection, monitoring, and records Date: Wednesday, December 2, 2009
• The stages of drug-induced C.N.S. depression through Time: 9:00 am – 12:00 pm
all levels of consciousness and unconsciousness Tuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff
• Review of pediatric and adult respiratory and (continental breakfast included)
circulatory physiology and related anatomy Credit: 3 Hours - Lecture
• Pharmacology of agents used in inhalation sedation AGD Code: 142
• 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 It is important that your

inhalation sedation techniques
Introduction to potential health hazards of trace office is always prepared

anesthetics
Discussion of abuse potential and hallucinatory effects
for a medical emergency,
Upon completion of this course, participants will be able to:
bring the entire team!
• 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

Dates: Friday - Saturday, November 20-21, 2009


Times: Friday: 8:30 am – 5:00 pm, Saturday: 8:00 am – 3:00 pm
Tuition: $1395 Doctor
(continental breakfasts and luncheons included)

17
Credit: 14 Hours - Lecture/Participation
AGD Code: 132
special course offering
G-27 Lecture and Hands-On Workshop
Anatomy for the General Dentist:
Essentials for Reducing Pain and Complications

ABDELGHANY HASSAN ABDELGHANY, M.D., M.S., Ph.D.


Associate Professor, Department of Anatomy, Alexandria Medical School, Egypt

MOATAZ M. SHABAN, B.D.S., M.S., Ph.D.


Assistant Professor, Oral and Maxillofacial Surgery, Alexandria University, Egypt

MOHAMED HASSAN, D.M.D., M.S., F.I.C.D.


Periodontology Certificate, TMD Fellow, Former Assistant Professor, Prosthodontics and Operative
Department, Tufts University School of Dental Medicine, Boston, MA

BERNARD FRIEDLAND, B.Ch.D, M.Sc., J.D.


Assistant Professor of Oral Medicine Infection and Immunity; Head, Division of Oral and
Maxillofacial Radiology, Harvard School of Dental Medicine, Boston, MA

Don’t miss this course.


The live demonstration
Dates: Friday - Saturday, December 4-5, 2009
Times: Friday: 9:00 am - 5:00 pm; Saturday: 9:00 am - 12:00 pm performed on cadavers will
Tuition: Friday Only: $295 Doctor; Both Days: $495
(continental breakfasts and luncheon included)
be an excellent review of
Credit: 7 or 10 Hours - Lecture/Participation anatomy!
18 AGD Code: 012
G-28
Management of Common Soft Tissue
Oral Lesions Vacation with
MICHAEL A. KAHN, D.D.S.
Professor and Chairman, Department of Oral and Maxillofacial
Pathology, Tufts University School of Dental Medicine;
Laboratory Director, Tufts Oral Pathology Services; Diplomate,
American Board of Oral and Maxillofacial Pathology

J. MICHAEL HALL, D.D.S.


Assistant Professor, Department of Oral and Maxillofacial
in St. John
Pathology, Tufts University School of Dental Medicine;
Diplomate, American Board of Oral and Maxillofacial Pathology
Modern Dentistry:
Merging Old Science with
This course will review the basic clinical characteristics of the
most commonly observed oral pathology soft tissue lesions. In New Technology
addition, specific information will be given on the most proven
effective treatments, as well as any new management techniques Course Speakers:
for each condition. A comprehensive handout will be provided,
which will include drug regimen details. Questions and discussion Dr. Gerard Kugel, Dr. Noshir R. Mehta,
during the presentation will be encouraged. Dr. Abhay Bedi, Dr. Eugene J. Mariani,
Among the lessons to be discussed:
Dr. Eric Gheewalla, Dr. Ancy Verdier and
Dr. Kistama Naidu
• Recurrent aphthous ulcers
• Traumatic ulcers


Acute and chronic forms of candidiasis
Burning mouth syndrome
January 8-10, 2010
• Lichen planus
• Recurrent herpes simplex infections Visit our website for more information:
Date: Wednesday, December 9, 2009
http://dental.tufts.edu/cei
Time: 9:00 am – 12:00 pm or call (617) 636-6629
Tuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff
(continental breakfast included)
Credit: 3 Hours - Lecture
AGD Code: 739

Tufts Oral Pathology Services


(TOPS), Department of Oral
and Maxillofacial Pathology,
Tufts University School of Dental Medicine

• Patient consultations and referral


• Complete range of biopsy, liquid brush
cytology and microbiology services
• Free biopsy/cytology supplies and overnight
courier delivery
Michael A. Kahn, D.D.S.
J. Michael Hall, D.D.S., M.S.
Lynn Solomon, D.D.S., M.S.

Call: (617) 636-6510 / Fax: (617) 636-6780

19
information Accommodations
Registration Information regarding hotels that offer special rates to
Tufts University School of Dental Medicine’s Division
Applications for registration will be processed in the order of Continuing Education participants will be forwarded
received and must be accompanied by full tuition at least upon request.
ten days in advance of the course. Maximum and minimum
enrollments apply. Visitor/Tourist Information
Early registration is recommended. You may register for For information on Boston area attractions, restaurants,
courses in the following manner: accommodations, and visitor brochures, please call
(617) 727-3201, the official information line of
Please mail registration form along with your check or the Massachusetts Office of Travel and Tourism.
credit card information. Visa, MasterCard and Discover are
accepted. Parking
Make checks payable to: Trustees of Tufts College Parking is available at the Tufts Medical Center Parking Fa-
and mail to: cility located on Tremont Street. A map will be forwarded
Tufts University School of Dental Medicine, with all confirmation letters. Parking is $19.50 per day with
Division of Continuing Education, validation.
One Kneeland Street, Boston, MA 02111.
Tape Recordings and Photographs
Fax registration information to
(617) 636-0800. Participants are not allowed to record or photograph any ma-
terials without the express permission of the presiding clini-
Call (617) 636-6629 to register using your credit card. cian or lecturer.
E-mail registration information to: Conflict of Interest
crystal.krajewski@tufts.edu
Tufts University School of Dental Medicine’s Division of
* For security reasons please do NOT email Continuing Education has an obligation to disseminate new
any credit card information. knowledge related to the dental profession. Consequently,
some presentations may include controversial material or
Written confirmation of your registration will be mailed commercial references. Educational grants received for
upon receipt of payment. If confirmation is not received, dental continuing education courses offered by Tufts Uni-
please contact our office before attending the course. versity School of Dental Medicine do not necessarily imply
endorsement of a particular philosophy, procedure, or prod-
The Division of Continuing Education reserves the right to end registra- uct by this institution.
tion when the enrollment limit is reached and to cancel, modify, or alter
content or faculty for any course if circumstances indicate the advis- Tufts University School of Dental Medicine’s Division of
ability of such a change. If the school finds it necessary to cancel a Continuing Education provides equal opportunity in educa-
course, a full refund will be granted. All attempts to contact registrants tion without regard to race, color, creed, religion, national
will be made at least one week prior to the course. The school will not origin, gender, sexual orientation, age, marital status, dis-
be held responsible for any losses due to travel arrangements made by ability, public assistance, or veteran status.
the registrant.
Credits
In the event of extremely poor weather (such as a snow emergency) or
other extenuating circumstances, the Division of Continuing Education Tufts University School of Dental Medicine is
may be forced to cancel a course. Please call our offices at 7:00 am on an ADA/CERP Recognized Provider.
course day if you are uncertain of a course’s status. If a course has been
cancelled, there will be a special voice mail message. The formal continuing education programs of this sponsor
are accepted by AGD for Fellowship/Mastership credit.
Refunds
Association for Continuing Dental Education (ACDE)
Full tuition refund or credit will be given for cancellations approved provider.
received at least 1 week prior to course date. Cancellations
with less than one week’s notice are subject to a $30 pro-
cessing fee. Refunds or tuition credit will not be issued for: All auxiliary courses are approved by the Dental Assisting
National Board, Inc. (DANB). “DANB approval” indicates
• Cancellations with less than 48 hours notice that a continuing education course appears to meet certain
• Cancellations received the day of the course specifications as described in the DANB Recertification
• “No Shows” Guidelines. DANB does not, however, endorse or recom-
mend any particular continuing education course and is not
Location and Time responsible for the quality of any course content.
Course check-in begins thirty minutes prior to listed start
time. Room locations will be specified in each registrant’s
confirmation letter.

20
other course registration form
offerings Name(s)

Specialty:
Child Abuse Detection
Dr. Robert M. Reece
Call (617) 636-1333 T: F:

CPR Certification E-Mail:


Dr. Kanchan Ganda
Call (617) 636-6814 Address:

tuition specials If you have any special needs we should be aware of, please specify:

Take Three, the Fourth is Free


Take three courses and receive your fourth course of
lowest tuition FREE of charge. All four courses must COURSE DATE TUITION
take place during the Fall 2009 semester.
$
Senior Citizen Discount
Doctors 65 years of age or older may take single day $
lecture (non-participation) courses for $150.
$
Recent Graduate Special
2007, 2008, and 2009 graduates may take single day
lecture (non-participation) courses for $150. $
Tuition specials may not be used in combination with each other.
TOTAL: $

Mail:
Make checks payable to: Trustees of Tufts College
Tufts Mail payment with this form to:

Sedation Center
Tufts University School of Dental Medicine
Division of Continuing Education
One Kneeland Street
Boston, MA 02111
• Anesthesia service for all phases of
dentistry Telephone/ Fax:
• All dental specialties available for
You may call or fax your registration and credit card information to us at:
care with anesthesia
Contact: T: (617) 636-6629 or F: (617) 636-0800
Dr. Morton B. Rosenberg
(617) 636-6877 E-Mail:
morton.rosenberg@tufts.edu
To register via the internet, please e-mail your registration
information to: crystal.krajewski@tufts.edu
Dr. C.S. Maller
* For security reasons please do NOT email any credit card information.
(207) 288-5333
csmaller5333@gmail.com Please charge my: Mastercard Visa Discover

Account No.: Expires:

3-Digit Security Code: Credit Card Billing Zip Code:

Division of Continuing Education


One Kneeland Street
Boston, MA 02111
T: (617) 636-6629 F: (617) 636-0800
http://dental.tufts.edu/ce
Non-Profit
Organization
U.S. Postage
PAID
Boston, MA
Division of Continuing Education Permit No. 54162

One Kneeland Street


Boston, MA 02111

INSIDE THIS ISSUE...


ADVANCEMENTS IN INSTRUMENTS
AND IRRIGATION
BEN JOHNSON, D.D.S.

HORNBROOK RESTORATIVE UPDATE 2009


DAVID S. HORNBROOK, D.D.S., F.A.A.C.D.

THE ART AND SCIENCE OF CAMBRA:


A TEAM APPROACH USING CHEMICAL TREATMENTS
AND MINIMALLY INVASIVE DENTISTRY
DOUGLAS A. YOUNG, D.D.S., M.S., M.B.A.

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