What All Dental Professionals Need to Know About: Local Anesthetic Agents, Marijuana (Cannabis) & Opioids and Pain Control

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  • What All Dental Professionals Need to Know About: Local Anesthetic Agents, Marijuana (Cannabis) & Opioids and Pain Control

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

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

  • Date + Time:

    Sunday, December 13, 2020

    8:30 am - 5:00 pm Central

  • Tuition:

    Dentists: $245.00

    RDH/Auxiliaries: $145.00

    RDH or Aux. in attendance with Dentist: $125.00

    Refund Policy

Registrations for this live webinar have been closed.

What All Dental Professionals Need to Know About: Local Anesthetic Agents, Marijuana (Cannabis) & Opioids and Pain Control

Course Description

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

    1. Neuroanatomy

    2. Neurophysiology

    3. Biochemistry and Mechanism of Action

  2. Review of Dental Local Anesthetic Preparations

    1. Local Anesthetic Agents for Injection

    2. Local Anesthetic Agents for Topical Use

    3. Vasoconstrictors

  3. Patient Care Considerations

    1. Medical History Review

    2. Physical Evaluation

    3. Significant Drug Interactions

    4. Absolute Contraindications
    5. Relative Contraindications
    6. Considerations with Epinephrine
  4. Patient Management

    1. The Medically Complex Dental Patient

    2. Treatment Modifications

    3. Patient Care Planning

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

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

The educational teaching methodology used in this course is live online lecture presented in concert with an accompanying PowerPoint presentation. Both the live lecture and the PowerPoint presentation incorporate a variety of audio and visual cues to enhance audience members’ understanding and retention of key concepts. In addition, audience participation will be encouraged and facilitated by group discussions as well as question and answer periods provided for at the conclusion of each section of the live lecture. Please note, this lecture will not include electronic copies of the presenter's materials."

Registrations for this live webinar have been closed.

Course Objectives

At the completion of this course the participants should be able to:
  1. Explain the basic concepts of neurophysiology and nerve conduction and the mechanism of action of local anesthetic agents
  2. Discuss the rationale for the use of vasoconstrictors in local anesthetic solutions and their potential effects in common organ system disease states
  3. Differentiate between the two major classes of local anesthetic agents with respect to their distribution, metabolism and routes of excretion
  4. Specify the various local anesthetic agent combinations most commonly used in dentistry and the rationale for their use in specific clinical situations
  5. Discuss general adverse effects, contraindications and patient care considerations with the use of local anesthetics.
  6. Identify the pharmacologic effects of cannabis on major organ systems.
  7. Describe the pharmacology of cannabis, including its mechanism of action, routes of administration and available formulations.
  8. Discuss the history and various types of cannabis, as well as its current legal status and proposed uses in dentistry.
  9. Explore the dental considerations of cannabis, including effects on dental treatment, potential treatment modifications, and patient care planning.
  10. Explain the clinical considerations of cannabis use, including adverse reactions, drug interactions and contraindications.
  11. Describe strategies useful in developing a pain management plan that is individualized for a patient’s needs and underlying medical conditions.
  12. Understand appropriate prescribing practices to utilize in everyday clinical situations.
  13. Describe the pharmacology and mechanism of action of non-opioid and opioid analgesics, as well as their potential for abuse.
  14. 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.

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

  • "Awesome Course!"

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


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