What All Dental Professionals Need to Know About: Opioids and Pain Control, Marijuana & Street Drugs

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  • What All Dental Professionals Need to Know About: Opioids and Pain Control, Marijuana & Street Drugs

  • 8 Live CEUs
    Subject Code: 340 / 157
  • Presenter:

    Thomas A. Viola   B.S., R.Ph., C.C.P.

  • Date + Time:

    Saturday, August 15, 2020

    8:30 am - 5:00 pm Alaska

  • Tuition:

    Dentists: $299.00

    RDH/Auxiliaries: $199.00

    RDH or Aux. in attendance with Dentist: $169.00

    Refund Policy

Registrations for this live webinar have been closed.

Course Description

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

    1. Pain Threshold and Pain Tolerance

    2. Psychosocial and Emotional Factors
    3. Pathophysiology of Pain
  2. Identification of Opioid Addiction

    1. Techniques and Cues For Identifying Opioid Abuse

    2. Strategies For Managing Opioid-Abusing Patients

  3. Management of Acute Dental Pain -
    Non-opioid Analgesics & Acetaminophen (APAP)

    1. Clinical Pharmacology

    2. Equianalgesic Doses
    3. NSAIDs

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

    1. Clinical Pharmacology
    2. Available Formulations
    3. Codeine, Hydrocodone, Oxycodone
      1. Mechanism of Action
      2. Pharmacologic Effects
      3. Clinical Considerations - Adverse Reactions, Drug Interactions & Contraindications
  5. Appropriate Opioid Prescribing Practices
  6. Preventing Opioid Abuse and Diversion

Cannabis & Oral Health: What You Need to Know
According to the DEA, cannabis remains a Schedule I substance. As such, it is considered to have no accepted medical use and, thus, it is illegal to possess. Yet, the United States has seen a clear, broad-based trend toward state-level decriminalization of cannabis, with almost every state enacting legislation aimed at legalizing and/or decriminalizing cannabis for medical and/or recreational usage. Notwithstanding this rise in social and legal acceptance, public health concerns regarding the use of cannabis remain, especially among dental professionals, since the major routes of administration of cannabis involve the oral cavity. This program will introduce dental professionals to the most current information regarding the pharmacology of cannabis, including its various dosage forms, routes of administration and adverse effects. Special emphasis will be placed on the effects of cannabis use on oral health and dental treatment, as well as the proposed use of cannabis in dentistry for the management of patient anxiety and odontogenic pain.
  1. Cannabis Basics
    1. History
    2. Types of cannabis
    3. Legal Status
    4. Proposed Uses in Dentistry
  2. Clinical Pharmacology
    1. Mechanism of Action
    2. Drug-Receptor Activity
    3. Endocannabinoids
    4. Routes of Administration
    5. Available Formulations
  3. Pharmacologic Effects
    1. CNS Effects
    2. Respiratory Effects
    3. Gastrointestinal Effects
    4. Immunological Effects
    5. Effects on Other Organ Systems
  4. Clinical Considerations
    1. Adverse Reactions
    2. Interactions with Medications
    3. Interactions with Dietary Supplements
    4. Contraindications
  5. Dental Considerations
    1. Effects on the Oral Cavity
    2. Effects on Dental Treatment
    3. Treatment Modifications
    4. Patient Care Planning

Street Drugs, Dental Considerations and Patient Care Planning
It’s a fast-paced world and, unfortunately, many of our patients seek the assistance of substances to cope and get through their busy, trying days. However, the use and abuse of both illicit and licit substances has the potential to produce systemic adverse reactions and life-threatening medical emergencies during dental treatment. This program will provide participants with an overview of the most common substances of abuse, along with their potential contraindications to dental therapy and the resulting necessity, if any, for dosage modifications of commonly used dental drugs. Using case scenarios, special emphasis will be given to developing patient management strategies and treatment planning techniques essential for successfully identifying, and delivering proper care to, our substance-abusing patients.
  1. Substance Use, Abuse and Dependence
  2. Substance Dependence as a Disease
  3. The Biochemical Nature of Substance Use Abuse and Dependence
  4. The Impact of Substance Dependence on Dental Care and Patient Health
  5. Identifying Substance Dependence
  6. Dependency and Controlled Substances
  7. Substances of Abuse and Dependence
    1. Stimulants
      1. Cocaine, Methamphetamine, MDMA
      2. Prescription Drugs for ADHD, 'Bath Salts'
    2. Depressants
      1. Benzodiazepines
      2. Rohypnol, GHB
    3. Hallucinogens
      1. Ketamine, Dextromethorphan
      2. Salvia, Antihistamines, Inhalants
    4. New on the Street
  8. Addressing Substance Dependency
  9. Preventing Drug Diversion in the Dental Office

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

Registrations for this live webinar have been closed.

Course Objectives

At the completion of this course the participants should be able to:
  1. Describe the pharmacology and mechanism of action of non-opioid and opioid analgesics, as well as their potential for abuse.
  2. Describe strategies useful in developing a pain management plan that is individualized for a patient’s needs and underlying medical conditions.
  3. Explain the intended role of non-opioid and opioid analgesics in the treatment of dental pain, as well as situations which may preclude their use.
  4. Understand appropriate prescribing practices to utilize in everyday clinical situations.
  5. Discuss the history and various types of cannabis, as well as its current legal status and proposed uses in dentistry.
  6. Identify the pharmacologic effects of cannabis on major organ systems.
  7. Explore the dental considerations of cannabis, including effects on dental treatment, potential treatment modifications, and patient care planning.
  8. Describe the pharmacology of cannabis, including its mechanism of action, routes of administration and available formulations.
  9. Explain the clinical considerations of cannabis use, including adverse reactions, drug interactions and contraindications.
  10. Identify the most common illicit and licit substances of abuse and dependence and discuss: Street names, Common adverse effects, Oral manifestations, Dental treatment considerations
  11. Discuss strategies necessary for successfully managing substance-abusing patients.
  12. Discuss the impact of substance dependence and abuse on dental therapy and on overall patient health.
  13. Describe techniques useful in identifying and addressing substance dependency.

What People Are Saying
  • "Speakers knowledge was vast and his presentation skills engaging"

  • "Dr. Viola was very informative with added personality"

  • "Tom is an incredible speaker and covers some of the driest material in the most interesting and entertaining way! The speaker is what it's all about for me: Quality both in content and presentation."


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