The Silver Lining to Pediatric Dental Sedation
Dr. Kari Cunningham
Diplomate, American Board of Pediatric Dentistry
In recent years, pediatric dental sedation has come under great scrutiny in the media. Stories have surfaced of children who have experienced death or severe impairment after receiving dental treatment while sedated – calling into question the necessity of this procedure. The American Academy of Pediatric Dentistry advises that advanced behavior guidance techniques, such as sedation and general anesthesia, are indicated for patients who cannot cooperate for treatment in the office due to a lack of psychological or emotional maturity and/or mental, physical, or medical disability. While adverse outcomes following sedation dentistry bring controversy of sedation to the surface, most never hear about the hundreds of thousands of successful procedures performed across the country in which form and function have been restored and a patient's overall quality of life has been enhanced.
While pediatric dentists are in a seemingly endless battle against early childhood caries, the silver lining may be found in the United States FDA-approved use of silver diamine fluoride (SDF). While approved for use in adults with tooth hypersensitivity, SDF has been used off-label to treat and arrest active caries in children and adults. Dentists can utilize SDF in their practices as an adjunct to treating pediatric patients in an effort to halt caries progression and delay, or possibly prevent, the need for sedation dentistry in high-risk children and individuals with special health care needs.
This lecture will discuss pediatric sedation dentistry and how the use of silver diamine fluoride can help decrease or delay the need to use these advanced behavior guidance techniques to treat children with extensive dental needs who are unable to tolerate treatment in the office.
Define medically necessary care
Define dental home
Define severe early childhood caries
Review basic and advanced behavior guidance techniques
Discuss indications for sedation and general anesthesia
Discuss and review headlines in media and stories of adverse outcomes during or following pediatric dental sedation procedures
Review the AAPD and AAP responses to media coverage of pediatric sedation
Review AAPD guidelines on infant and adolescent oral health care and management of patients with special health care needs
Understand what silver diamine fluoride is and how it is used off-label in the treatment of caries and arresting active lesions
Discuss the roles medical and dental professionals can play in preventive pediatric dentistry and the treatment of dental caries.
Perio Plastic and Regenerative Procedures to Enhance Your Restorative Outcomes
Dr. Jennifer Doobrow
Diplomate, American Board of Periodontology
This dynamic and interactive program emphasizes the interdisciplinary team approach to ultimate patient care. Defining your practice and developing effective strategies for patient communication to enhance case presentation and case acceptance is the key to differentiating your practice in our challenging economic environment. Building a solid foundation is essential to your patients’ long-term success. Emphasis is placed on multiple advances in hard and soft tissue regeneration, as well as, various Perio Plastic Surgical procedures to help facilitate and enhance your restorative and cosmetic outcomes.
1. Highlight the benefits of Bioactive Modifiers in hard and soft tissue regeneration
2. Define advancements in technology and treatment modalities that can enhance your restorative outcomes
3. Communicate the benefits of Perio Plastic Surgical procedures on your Cosmetic Outcomes
4. Understand the impact that interdisciplinary care plays in a positive patient experience
the future of dental meetings
an event for the next generation of dental professionals
The Zygomatic Implant Approach …. Have we evolved to a different first choice?
Dr. Frank Tuminelli
Diplomate, American Board of Prosthodontics
The atrophic maxilla presents a significant challenge to the surgical and restorative team. Ultimately patients seek a long-term solution in the restoration of function, esthetics, and ultimately their quality of life. Prosthetic rehabilitation of patients with severe maxillary bone resorption is often challenging due to the inability to obtain sufficient skeletal anchorage. The utilization of osseous support beyond the immediate oral cavity supplies predictable expeditious return to function, shortening treatment times. The prosthetic and surgical team is faced with the choice of grafting and staged implant placement or a one-step surgical prosthetic solution with identical results. The edentulous mandible continues represent one of the most common clinical challenges. The advent of CAD / CAM technology and stent driven surgical surgery now affords the dental team to provide a permanent fixed restoration on the day of surgery.
The surgical and restorative goals are to achieve anatomically consistent implant placement thus maximizing esthetics and function within the “normal” alveolar tooth envelope. The zygoma implant allows for shortened surgical sequences and reduced treatment time—while meeting the patients’ expectations of success.
This discussion will focus on utilization of zygomatic implant using an immediate load protocol. The team approach in utilizing a prosthetic driven treatment plan will be highlighted. The presentation will review multiple patient treatments utilizing the zygoma implant with emphasis on the immediate load quad zygoma implant that has been followed for over 7 years with 98% success rate
-Become familiar with the surgical and prosthetic treatment planning of the zygomatic solution
-Understand the indications and limitations of the zygomatic approach
-Become familiar the surgical procedures and immediate loading concept as they relate to the zygoma implant.
-Understand the concept of one day surgery for a final mandibular prostheses
-Become familiar with the final prosthetic solutions and design for restorations that are supported by the zygomatic implant
Digital Dentistry: Treatment Planning to Execution- A Team Collaboration
Dr. Debra Cohn
Dr. Eddie Gottesman
Diplomate, American Board of Periodontology
1. Why to implement CAD/CAM into your practice, understanding and accepting the learning curve
2. How to plan surgical/restorative treatment
3. Understanding treatments from single unit to quadrant to full mouth reconstruction
4. Why collaboration and teamwork ensure successful outcomes
unique topics and speakers
Dr. Josh Austin
The internet has changed everything, including how prospective patients find their new dentist. Online review sites like Google and Yelp have become integral in building and maintaining a dental practice. What is the psychology behind this? How can a dental practice best take advantage of this trend? Perhaps the scariest aspect of this brave new digital world is how should a dentist handle a bad review? We will cover these topics and more in a fast paced, fun session designed to give some catharsis to all of use dealing with internet culture in our practices everyday!
Data Security Compliance and Breach Prevention and Response
Healthcare organizations are prime targets of cybercriminals because of the data they collect and use. Cybercriminals covet this data both for its value on black markets, and as a means of extorting money by forcing victimized organizations to make payments – often in the form of cryptocurrencies – in order to regain access to their information so that they can resume normal business operations. In the wake of cyberattacks, such organizations often face a panoply of problems, ranging from business disruption and loss of patient confidence, to legal liability and breach response costs.
To incentivize healthcare organizations to address the risks posed by cyberattacks and other causes of data breaches – including employee error, theft, and vendor-related issues – HIPAA and a growing number of state laws impose complex and demanding obligations on these organizations, and levy significant fines and penalties for non-compliance.
To ensure that your practice is compliant, it is critical that you conduct a thorough risk assessment, and then develop and implement appropriate policies and procedures. The purpose of this program is to provide you a better understanding of:
1. The threats to your data.
2. Your legal obligations to safeguard your data.
3. What you can do to prevent data breaches.
4. And what you should do if you experience a breach.
The program will include a discussion of scalability and reasonableness (i.e., how the size and financial resources of your practice impact your legal obligations), and provide practical guidance on how to conduct the risk assessment process, how to evaluate the sufficiency of your current policies and procedures, and how to triage the various aspects of compliance with HIPAA and other applicable laws so that you make the most efficient use of your time and money.
the future is now
a new type of meeting experience
Regenerative Endodontic Procedures (REP)
A new protocol in the management of Open/Immature Apices
Dr. Marcus Johnson
Tooth development in the presence of pain and infection is a common dental problem. REP s which include pulp Revascularization and pulp regeneration use methods of disinfection and repair to fix teeth that are infected. Teeth that show swelling, infection in the presence or absence of pain are often extracted in young children. Through advanced treatment techniques, diseased and infected teeth can continue to grow and exist as functioning teeth in the mouth. Treatment options like apexification that arrested development at a point in time, no longer pose limitations on continued development of teeth with immature apices when REPs protocols are employed.
Regenerative endodontic procedures, moreover the nexus of treatment between endodontics and pedodontics illustrates the best practices of these disciplines to manage pulpally involved teeth with immature apices.
A landmark study in the Journal of endodontics which is often referenced within the endodontic literature as 1st showing the advantages of regeneration which included further root development, reinforcement of dentinal walls thus strengthening the root against fracture (Banchs 2004), is the basis for many REP techniques.
Concerns of premature permanent dentition loss decreased resistance to fracture and diminished form and function can be met with real world techniques to surmount these challenges.
REPs are technique sensitive and often require multiple visits to obtain satisfactory clinical success. Various disinfection strategies that are increasingly supported in the endo/pedo literature show that the underlying factor lending to healing and continued growth is largely dependent upon significantly decreased microbial loads and a sterile environment.
Cytotoxicity and operator experience or rather a lack there of can be mitigated with new materials, antimicrobial medicaments and bioceramic substances that respect that anatomy and promote healing.
Best modern day practices will be highlighted within this presentation.