ConcordSeminars Course Content
21st Century Periodontics: "Inflammatory Periodontal Disease and the Systemic Response" and "Diagnostic Considerations and Treatment Strategies for Inflammatory Periodontal Disease"
	with Charles M. Cobb, D.D.S., M.S., Ph.D. This course is primarily intended for the general dentist and dental hygienist with an interest in the role of inflammatory periodontal disease and the systemic response. The morning session will provide detailed information regarding the role of bacteria in the pathogenesis of periodontal diseases, the host response, and the role of inflammation in various systemic diseases such as atherosclerosis, cardiovascular and cerebrovascular disease, diabetes, and adverse pregnancy outcomes. The afternoon session will be devoted to the diagnosis and treatment strategies of the inflammatory periodontal diseases. Various issues will be addressed, such as the role of genetic and pathogenic microbial testing, expected outcomes and limitations of non-surgical therapy, use and limitations of locally delivered and systemic antibiotics, the paradox of evidence vs. clinical opinion regarding laser mediated periodontal therapy, and the periodontist as part of your team. EDUCATIONAL OBJECTIVES Those attending the seminar will become familiar with the: role of subgingival microbial biofilm, successional colonization, and the “Red Complex” microbes and their association with inflammation and the systemic inflammatory response; biologic plausibility for the oral-systemic link; relationship between periodontal disease and atherosclerosis, cardiovascular disease, and ischemic stroke; relationship between periodontal disease and adverse pregnancy outcomes, pre-term birth, low birth weight, fetal growth restriction, and pre-eclampsia; the bi-directional relationship between the inflammatory periodontal diseases and diabetes; and screening of the periodontal patient for potential systemic disease involvement. understand the role of assessment of risk factors for the development of periodontal disease; develop a clinical strategy for treatment and control of periodontal inflammation; understand expected outcomes and limitations of locally delivered and systemic antibiotic therapy when combined with traditional non-surgical periodontal therapy;  understand expected outcomes and limitations of laser periodontal therapy when used as a monotherapy or adjunctive to scaling and root planing; and  develop a clinical strategy for determining when referral for treatment is indicated.  COURSE OUTLINE 9:00 am – 12:30 am Inflammatory Periodontal Disease and the Systemic Response Subgingival biofilm and pathogenesis of periodontal disease Subgingival biofilm and the host response The role of genetics in inflammatory periodontal disease Biologic plausibility for an oral disease-systemic disease link Inflammatory periodontal disease and: • cardiovascular disease • cerebrovascular disease • adverse pregnancy outcomes • diabetes COURSE OUTLINE 1:30 pm - 5:00 pm Diagnostic Considerations and Treatment Strategies for Inflammatory Periodontal Disease Prevalence and diagnosis of chronic periodontitis Risk assessment: What and so what? Paradigm for treatment of slight and moderate periodontitis Non-surgical therapy: Expectations and limitations Locally delivered and systemic antibiotics: When and what Lasers: The paradox of evidence vs. clinical opinion The issue of referral: Do you have your own criteria? Are you at risk?
Emerging Concepts in Periodontitis and Overall Health - Separating Fact from Fiction - 8 CEUs
	with Dianne D. Glasscoe Watterson, R.D.H., B.S., M.B.A. Course Description For many years, medical and dental clinicians have treated the oral cavity as if it is a separate entity from the rest of the body. However, oral health is part of systemic health and should not be partitioned. Inflammation and infections in the oral cavity are not confined to the mouth and can affect other areas of the human body. A growing body of evidence points to a wide array of systemic disturbances that are associated with periodontitis. Some associations are controversial. How strong is the evidence? What can we believe? This course examines the evidence associated with the effects of periodontitis on non-oral distant sites and disease processes. We also examine various systemic diseases and medications that have a direct impact on oral health. Learning Objectives: To increase knowledge about many systemic diseases that have oral implications To learn the latest information about the association of periodontal disease and non-oral disease To increase awareness of the importance of a thorough intraoral/extraoral examination To study various medications and their effects on oral tissues To understand the role of diet in the disease process Course Outline: Systemic diseases associated with periodontal diseases A. Cardiovascular disease and atherosclerosis B. Diabetes mellitus C. Respiratory diseases D. Pregnancy factors E. Chemotherapy and radiation effects on oral health F. Prostate cancer treatment G. Osteoporosis H. Rheumatoid arthritis I. Head and neck cancer Lifestyle factors and oral health A. Tobacco use B. Recreational drug use C. Excessive alcohol use D. Oral piercings and systemic health Systemic diseases with oral implications A. Crohn’s disease B. AIDS C. HPV D. Herpes E. Pernicious anemia F. Oral neoplasms G. The intraoral/extraoral exam Autoimmune diseases with oral implications A. Lichen planus B. Lupus erythematosus C. Pemphigus D. Sjögren’s syndrome E. Behcet’s disease Oral effects of various prescription drugs A. Immunosuppressives B. Anti-seizure medications C. Hypertensive medications D. Bisphosphonates The role of diet and periodontal disease A. Obesity and inflammation B. Role of calcium C. Dietary carbohydrates and dental-systemic disease Wrap-up and questions
Successfully Treating Older Adults: Techniques for the Entire Dental Team
	with Randy F. Huffines, D.D.S   The 78 million boomers now entering their senior years are sophisticated healthcare consumers who are willing to invest in their oral health if the dental team is trained to meet their unique needs. However, these patients can be very challenging due to an array of complex dental and medical conditions that become more common as we age.  In this entertaining and informative presentation, Dr. Huffines will share valuable clinical pearls in the areas of: pharmacology, soft tissue lesions, prosthodontics, esthetics and aging, remineralization products, implants, CAMBRA protocols, simplifying medically complex patients, root caries, and periodontics. The latest in the restoration and prevention of root caries will be covered in detail. Procedures are clearly explained by extensive use of clinical images and video clips so they can immediately be put into practice. Everyone in your office needs to understand these concepts and techniques to make treating seniors enjoyable and profitable. COURSE OBJECTIVES At the conclusion of the course the clinician will be able to: Describe the clinical implications of aging on the oral cavity Modify treatment based on the patient's medical conditions  Select therapeutic interventions for common oral conditions Manage periodontal disease in the elderly Evaluate how to make their office more senior-friendly Appropriately manage root caries COURSE OUTLINE THE AGING MOUTH: FACT AND FICTION  Teeth  Oral mucosa  Alveolar bone  Gingiva  SIMPLIFYING THE MEDICALLY COMPLEX PATIENT Time-saving medical resources Avoiding pitfalls in medical consultation Heart disease and stroke Alzheimer's  Diabetes Cancer Respiratory disease Osteoporosis Renal Disease Liver disease PRACTICAL PHARMACOLOGY AND AGING Time-saving drug information resources Evidence-Based Pain Management Antibiotics, antifungals, antivirals Local anesthetics and vasoconstrictors Oral sedation, oral anxiolysis, and nitrous oxide Bisphosphonates and osteonecrosis: current recommendations Xerostomia: implications and treatment New endocarditis guidelines: legal and practical considerations Managing patients on "blood thinners": ADA recommendations ROOT CARIES: RESTORATION AND PREVENTION Glass Ionomer and composite techniques  Isolation and matrixing techniques Full coverage: when and how Antimicrobial protocols ACP versus CCP-ACP Sodium fluoride and difluorosilane varnishes Prescription fluorides and Xylitol products Implementing CAMBRA guidelines REMOVABLE PROSTHODONTICS  Clinical implications of alveolar resorption Prosthesis-related soft tissue disease Aging and esthetics Implants and aging PERIODONTAL DISEASE IN THE ELDERLY Is the pathogenesis different? Implications for diagnosis and treatment Oral-systemic link: science or sensation THE SENIOR-FRIENDLY OFFICE Office design and modification  Marketing to seniors: "Gold in Gray" Improving communication with seniors
Oral Pathology for Dental Professionals
	with Olga A.C. Ibsen, RDH, MS   "Oral Pathology for Dental Professionals" 9:00 am - 12:30 pm This course will provide the participant with the seven diagnostic methods that are a part of the diagnostic process. They include: clinical, radiographic, historical, laboratory, surgical, therapeutic and differential. Lesions in each category will be discussed from etiology to prognosis of the disease. OBJECTIVES 1. List and describe the seven diagnostic methods. 2. Give two examples of lesions/conditions that are diagnosed using one or more of the diagnostic methods. 3. State characteristics of benign and malignant lesions. 4. State and describe three types of biopsy. 5. Identify information on the medical history that can contribute to the diagnosis of five conditions discussed under historical diagnosis. 6. Know when it is appropriate to refer a patient to a specialist. 7. List three variants of normal diagnosed through clinical diagnosis. 8. Describe the clinical and histological feature and prognosis for squamous cell carcinoma, verrucous carcinoma and basal cell carcinoma. "Differential Diagnosis of Oral Lesions" 1:30 - 5:00 pm After a brief introduction of the diagnostic process, there will be a discussion of normal structures, variations of normal, and pathologic conditions of the oral cavity. This will include the lips, tongue, floor of the mouth, buccal mucosa, palate and gingiva. Clinical features will be emphasized; however, oral lesions and conditions will be discussed from etiology to prognosis. OBJECTIVES 1. Describe two variations of normal for each area discussed. 2. Name the diagnostic method that contributes significantly to the differential diagnosis. 3. Describe the histologic features of Pemphigus and Lichen Planus. 4. Describe leukoplakia and erythroplakia. 5. List two screening procedures that may assist in the diagnostic process. 6. List and describe three conditions which are example of molecular chromosomal abnormalities. 7. Name three oral conditions that may be treated with therapeutic diagnosis. 8. List and describe four conditions with immunologic pathogenesis. Oral lesions to be discussed, but not limited, to include: Herpes Simplex White Sponge Nevus Minor + Major Aphthous Ulcers Syphilis Erythema Multiforme Candidiasis Squamous Cell Carcinoma Pyogenic Granuloma Lichen Planus Myoblastoma (Granular Cell Tumor) Carcinoma in Situ Pemphigus Vulgaris Agranulocytosis Condyloma Acuminatum Tobacco Pouch Keratosis Papillary Hyperplasia Pleomorphic Adenoma Nicotine Stomatitis About this Course: A comprehensive review of Oral Pathology which will enhance your clinical expertise.
Innovative Periodontics for Today's Dental Practice - 8 CEUs
	with Samuel B. Low, D.D.S., M.S., M.Ed.   COURSE DESCRIPTION Take the frustration out of delivering periodontal care and develop a systems approach with success by patient case acceptance, tooth retention and financial reward. With periodontitis being the major contributor for tooth loss in the practice of dentistry, the dental TEAM, including the dental hygienist, must be committed to resolving the disease process through a systems approach for effectiveness. COURSE BENEFITS Review successful parameters to determine tooth survival in short and long term prognosis. Investigate computer system approaches to risk assessment determination Evaluate anti-infective tray delivery systems Develop decision making protocols in choosing between various forms of power instrumentation and various micro thin tips Determine the efficacy of utilizing various laser wavelengths in sulcular decontamination, degranulation, new attachment, and bone regeneration Standardizing the collection of periodontal data in a time efficient manner to determine accurately the prognosis of restorative abutments considering when to extract and place implants Developing “realistic” non-surgical therapies and the respective reevaluation with emphasis on “new” anti inflammatory systems including micro-ultrasonics and laser technology. Establishing a quality periodontal maintenance program that enhances the restorative practice including insurance reimbursement. Creating positive interactions between dentists, periodontists, and dental hygienists through communication skills and continuous quality improvement. WHO SHOULD ATTEND Dentists who desire to enhance comprehensive care through a TEAM approach of periodontal care and enhance their restorative treatment. Dental hygienists interested in providing time efficient therapy and incorporating innovations into their practice as micro thin ultrasonics Dental staff members who will broaden their interests in the overall periodontal care for the patient family COURSE OUTLINE 8:30- I. Causes of Periodontitis The role of the bacteria and the host Periodontitis as a major chronic inflammatory disease The Oral Systemic link? II. Identifying the Periodontal Patient Innovative diagnostics devices Utilizing risk assessment Determining accurate prognosis III. Open Discussion 12:30-1:00 Lunch 1:00- IV. Innovative periodontal therapies Role of nutraceuticals Micro thin ultrasonic therapy Laser treatment dynamics V. Maintaining the Periodontal Patient in Health Create oral hygiene Enhancing compliance via reward Practical management with recare and periodontist team interactions Insight into insurance reimbursement VI. Open Discussion 5:00 Adjourn COURSE OBJECTIVES Standardize the collection of periodontal data in a time efficient manner to determine accurately the prognosis of restorative abutments considering when to extract and place implants. Empower the dental hygienist with expanded work descriptions beyond the “prophy” with emphasis on ultrasonic therapy and consideration for laser technology. Develop “realistic” non-surgical therapies and the respective reevaluation with emphasis on “new” anti inflammatory systems including micro-ultrasonics and laser technology, and nutraceuticals as probiotics and anti-oxidants. Establish a quality periodontal maintenance program that enhances the restorative practice including insurance reimbursement. Create positive interactions between dentists, periodontists, and dental hygienists through communication skills and continuous quality improvement.
Health, Safety, Protection & Infection Control in the Dental Office
	with John A. Molinari, Ph.D. Fighting the Flu: Respiratory Infections & Protection (1.5 hrs) A. Overview of most common respiratory infections - global impact B. Occupational respiratory infection risks for dental professionals C. Important Occupational Respiratory Diseases Tuberculosis Influenza Common Cold Viruses D. Respiratory protection in dental settings Allergic Patients & Dental Care Providers: Practice Implications (2 hrs) A. Impact definition, & classification of allergic reactions B. Discussion of Type I and Type IV hypersensitivities using clinical cases, including many with head, neck, & intraoral manifestations C. Latex hypersensitivity & prevention strategies Infection Control Update (3.5 hrs) A. Current guidelines, recommendations overview & exposure control plan for dental practice - CDC, ADA, OSHA B. Aseptic Techniques - hand hygiene C. Post-Exposure Management Protocols D. Personal Protection Equipment Updates - gloves, eyewear, masks E. Vaccines for dental health professionals F. Instrument Sterilization & Processing G. Environmental Surface Disinfection Covers Spray disinfectants Disinfectant wipes H. Dental Unit Waterline Asepsis   FIGHTING THE FLU: RESPIRATORY INFECTIONS AND PROTECTION This seminar considers representative viral and bacterial respiratory diseases, including: influenza, “the common cold”, Severe Acute Respiratory Syndrome (SARS), tuberculosis, and bacterial pneumonia. In addition, information pertaining to the emerging epidemiology, transmission patterns, and virology of avian influenza in featured. Respiratory infections are discussed using microbial characteristics, person-to-person cross-infection risks, epidemiological patterns, disease impact, and health care provider occupational hazards. Appropriate precautions against respiratory pathogens and recommended protective approaches are discussed. ALLERGIC PATIENTS & DENTAL CARE PROVIDERS: PRACTICE IMPLICATIONS Virtually every chemical, drug, and dental material employed in the dental office had been known to induce allergic reactions in both clinical personnel and patients. Certain allergic reactions are directly observable in the oro-facial tissues and practitioners will be treating patients who may suffer from allergic conditions. This clinician should be prepared for the potential hazards these individuals present during dental treatment. Classes of hypersensitive reactions, clinical manifestations, principles associated with the development and treatment of allergies, and effective management of allergic patients will be included. Discussion will also include immunological mechanisms and manifestations of allergic reactions associated with latex products, as well as evolving prevention strategies. INFECTION CONTROL UPDATE The Current CDC Guidelines for Infection Control in Dentistry will serve as the framework for this discussion. Evidence-based information that will reinforce and expand the rationale for specific recommendations as well as the “why” and “what” of the most recent guidelines will be discussed. AT THE COMPLETION OF THIS COURSE, THE PARTICIPANT WILL BE ABLE TO: Discuss transmission, spread, epidemiology, and precautions of various respiratory infections Be prepared to prevent, recognize and manage patients with allergic reactions Understand occupational microbial hazards to routinely apply practical and effective infection control measures Discuss updated scientific and clinical information in regard to the historical role vaccines have played in infectious disease prevention, as well as the outlook for future advances
Periodontics 2011: Pearls for the General Practice
	with Francis G. Serio, D.M.D., M.S., M.B.A., F.A.C.D., F.I.C.D.   COURSE OBJECTIVES At the end of this course, the participant will be able to: Evaluate dental literature and decision-making using the evidence-based approach. Understand the current technologies used in Periodontics including the electronic dental record, digital imaging, and lasers. Understand risk assessment in Periodontics and use risk assessment tools such as Previser® in evaluating and treating patients with periodontal disease. Describe the concept of cause-related periodontal disease. Describe the oral health- whole body connection- what is the relationship between periodontal disease and systemic disease- is it causal, correlational, or coincidental? Describe the relationship between oral chronic inflammation and inflammatory-based systemic disease. Develop cause-related therapy for patients with chronic periodontitis including local and systemic antibiotic therapy. Recognize, diagnose, and manage bisphosphonate-related osteonecrosis of the jaws. Evaluate and treat perio-aesthetic conditions including single tooth recession, deficient maxillary ridges, and the “gummy smile.” COURSE OUTLINE Introduction Progress in Periodontics No longer just mechanical therapy- targeting the molecular pathways Evidence-based decision making Steps in evidence-based decision making Strength of evidence Judgment-based decision making- what to do when the evidence isn’t there Periodontal Pearls for the General Practice Perio Related Technology Better, different, or both? Electronic dental record Advantages, disadvantages Digital radiology Standard digital radiology- sensors and phosphor plates Cone beam CT 3-D implant treatment planning Implant decision-making- ridge preservation Previser®- computer-based risk assessment Lasers in Periodontal Therapy What kinds? What can they be used for? Where are we now? Hype and truth for treating inflammatory periodontitis with lasers. LANAP- what is it? Can an $80,000 machine treat periodontal disease better than a $25 curette or a $2 scalpel blade? Clinical Issues Current periodontal terminology Cause-related disease Chronic inflammation is the common denominator How chronic inflammation relates to chronic systemic disease Review of basic concepts- biofilm and the molecular basis of inflammation. New models of periodontal inflammation Cytokines control the inflammatory process The Oral Health-Whole Body Connection Diabesity®- What is it? What does it mean to our patients? The connection between periodontal inflammation and systemic disease. How can you prove causality? Diabetes Cardiovascular disease Pregnancy and periodontal disease Cause related therapy Mechanical plaque (biofilm) control Systemic antibiotics in periodontal therapy. Host modulation Bisphosphonate related osteonecrosis of the jaws (BRONJ)- a moving target- findings will get worse before they get better The Perio-Aesthetic Connection- New tools for the toolbox Golden proportion- The Phi Mask Periodontal plastic surgical procedures Solutions for aesthetic challenges Treatment planning in the aesthetic zone How do we make sense of all of this in 2011? Summary and conclusions
Dental Pharmacology: An Overview and Update
	with Thomas Viola, B.S., R.Ph. Throughout the course of their everyday practice, dental professionals must frequently draw upon their knowledge of Pharmacology. Recently introduced competency-based curriculums have demonstrated that tasks ranging from the routine, such as obtaining a complete patient medical history and appointment planning, to the extreme, such as handling a medical emergency in the office, all require a foundation knowledge in Pharmacology. However, the science of Pharmacology consistently represents only a small portion of most dental degree programs. Armed with a relatively brief exposure to such vast subject matter, many dental professionals have difficulty retaining this knowledge throughout their career as well as staying current with new pharmacotherapeutic trends, especially when faced with a marketplace awash in direct-to-consumer advertising of prescription drugs and an explosion of new drug entities over the last several years. 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: Review the history of drugs and their use Identify references and sources of drug information to be used in practice Explain basic pharmacokinetics and related factors that affect a drug’s handling and action Review the etiology of most common disease states and describe the classes of drugs used in their treatment Identify a drug listed on a patient’s medical history and explain the drug’s basic mechanism of action and pharmacologic effects potential adverse reactions and contraindications potential drug interactions and considerations important to patient management during dental treatment. Discuss and compare the classes of drugs used in dental practice for: local anesthesia and pain management prophylaxis and treatment of infection treatment of oral conditions Recognize the generic and trade names of some of the most commonly prescribed drugs and be able to classify them according to their principle therapeutic indications.   COURSE OUTLINE PHARMACOLOGY BASICS Importance to the dental professions Drug Nomenclature Pharmacokinetics Natural Medicine Sources of Drug Information TREATMENT & MANAGEMENT OF PAIN Non-Narcotic Analgesics Opioid Analgesics Local Anesthetics Vasoconstrictors Topical Benzocaine and Methemoglobinemia TREATMENT OF INFECTION Antibiotic Agents Antituberculosis Agents Antifungal Agents Antiviral Agents TREATMENT OF DISEASE OF MAJOR ORGAN SYSTEMS Autonomic Drugs Cardiovascular Drugs Respiratory Drugs Gastrointestinal Drugs Pradaxa: The New Coudamin TREATMENT OF DISEASE OF THE CNS Antianxiety Agents Antidepressants Psychotherapeutic Agents Agents Used to Treat Bipolar Disorder Anticonvulsants Agents Used to Treat Neuropathic Pain Agents Used in the Treatment of Migraine Headache Agents Used in the Treatment of Alzheimer’s Disease Antiparkinsonism Drugs TREATMENT OF ENDOCRINE & OTHER DISEASES Adrenalcorticosteroids Antidiabetic Agents Thyroid Agents Reproductive Hormones Anti-osteoporosis Agents Antineoplastic Agents Bisphosphonates and Atypical Fractures Anti-rheumatic Agents