Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Dental Providers' Drug Reference for the U.S. Opioid Epidemic

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Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

Educational Objectives

After completing this course, the reader should be able to:
• Discuss the origin of orofacial pain and appropriate pain management practices.
• Describe the pharmacodynamics (effects and mechanism of action) of non-narcotic and opioid analgesic classes of drugs.
• Recognize their responsibility and contribution to opioid use disorders and apply proper pain management techniques to help decrease the opioid epidemic in America.

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Abstract

Opioid abuse and deaths from overdose have reached epidemic levels in the United States. These drug classes cause significant systemic changes and carry a high risk for tolerance, dependence, and addiction. Dental providers who have the authority to prescribe opioids have a responsibility to the public to ensure appropriate pain management protocols are followed so patients do not run the risk of developing a substance abuse disorder. This course will present information and statistics about commonly misused opioids, pharmacodynamics of non-narcotic and opioid analgesics, and dental pain origin and management.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 114 of 126

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HOT TOPIC: Practice Building with Oral Conscious Sedation

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Date: 07-15-2020 08:18:02 am

At first I didn’t hear it, but then it happened again...A giggle. Then another giggle. We had just completed a 1 ½ hour restorative appointment. I was taking off my gloves in preparation to talk to the patient’s driver in the waiting room when I first heard it. The third giggle became a cascade of giggles that quickly dissolved into laughter.

At first I didn’t hear it, but then it happened again...A giggle. Then another giggle. We had just completed a 1 ½ hour restorative appointment. I was taking off my gloves in preparation to talk to the patient’s driver in the waiting room when I first heard it. The third giggle became a cascade of giggles that quickly dissolved into laughter. The patient’s laugh was beginning to affect my assistant, who now was starting to laugh herself. I glanced at the patient with an inquisitive look.

“Doc, that was awesome,” she chuckled, “I can’t believe how easy that was.”

Now, I was smiling….

Welcome to oral conscious sedation. The laughing patient had been a nervous wreck when we sat down to treatment plan her condition a few weeks ago. She had avoided dental treatment her entire adult life because of a bad experience in the dental chair as a child. She was so anxious that she could not sit in the operatory when we met to plan out the phases of her treatment. She had shown up for the preoperative appointment in tears. Now, however, she was laughing.

Stories like this are commonplace in a practice that uses oral conscious sedation. Multiple studies have shown that roughly one-third of all Americans will not go to the dentist due to fear and anxiety. There are 3 main barriers to a patient seeking dental treatment: time, money, and fear. By removing one of those barriers, fear, a practice can expand.

Relieving patient anxiety is one of the big benefits of oral conscious sedation, but there are several more. We’ve all experienced a nervous patient who interferes with the quality of the treatment by moving around, talking, or being overly sensitive. By using oral conscious sedation, many of these factors are mitigated and the practitioner can concentrate on providing a high quality of care. Additionally, by removing some of the patient’s fear and anxiety, the practitioner can provide expanded services and procedures for the patient.

Retrograde amnesia is also a big practice builder. Many of the sedation drugs used in oral conscious sedation will cause amnesia of the procedure. Quite frankly, most patients would prefer not to have lasting memories of procedures such as crown preps, extractions, implant placement, and endodontic therapy. If a patient can walk away from the procedure without concrete memories of the treatment, they are more likely to let their friends know of the positive experience they had at your office.

Anytime a patient is going to be sedated, safety must be the most important item on the dentist’s mind. Oral conscious sedation is very safe when a dentist strictly follows rules about patient selection, patient monitoring, and dosing protocols. When these are closely followed, oral conscious sedation can be both rewarding and reliable.

If a dentist is considering incorporating oral conscious sedation into their practice, they should begin by taking a course that checks off all their state board’s regulations for minimal sedation/anxiolysis. A good oral conscious sedation course should leave the dentist respectful of how to sedate patients safely and confidently while providing this remarkable service to their patients.

You may even get your patients laughing.

Article 26 of 39

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Recurrent Aphthous Stomatitis

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Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

Educational Objectives

Recurrent Aphthous Stomatitis 

The overall goal of this article is to provide the reader with information and scientific data on recurrent aphthous stomatitis. On completion of this course, the participant will be able to do the following:
1. List and describe the different types of recurrent aphthous ulcers;
2. Differentiate between recurrent aphthous ulcers and herpes simplex ulcers;
3. List and consider the different types of ulcers and associated conditions that must be part of the differential diagnosis for recurrent aphthous ulcers; and
4. Provide an overview of the types of treatments available for the different categories of recurrent aphthous ulcer patients.

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Abstract

Recurrent aphthous ulcers are commonly found in the general population. They consist of minor, major, and herpetiform types. A number of factors are considered to be possible etiological factors for recurrent aphthous ulcers; however, their exact etiology remains unclear. Several systemic diseases and conditions associated with oral ulcerations and other causes of oral ulcerations must be considered during the differential diagnosis. Once a definitive diagnosis for recurrent aphthous ulceration has been made, the patient can be given palliative care for the lesions as well as advice and recommendations on nutrition, oral hygiene practices, and other factors that may be associated with his or her recurrent aphthous ulcers.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 46 of 126

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Analgesics in Dentistry

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Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dentists from novice to advanced

Educational Objectives

The overall goal of this course is to provide information on nonparenteral analgesics used in dentistry. After completing this article, the reader will be able to:
1. Describe opioid medications and aspects of the new ADA policy on opioids.
2. List and describe ingested nonsteroidal anti-inflammatory drugs (NSAIDs) used in dentistry for pain management.
3. Describe an inhaled NSAID that can be used for acute pain management.
4. Review findings from systematic reviews and trials comparing opioid and non-opioid analgesics.

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Abstract

Historically, management of acute odontogenic pain in adolescents and adults has typically been accomplished through an approach that incorporated nonparenteral opioid and/or nonopioid analgesics. However, the availability of opioid analgesics has resulted in epidemic levels of opioid abuse and addiction. Alternative treatment strategies utilizing non-opioids are preferable for management of acute pain, where indicated, including moderate to severe pain. Non-opioids include NSAIDs, acetaminophen, and combination medications, and are more, or as, effective as opioids. This article reviews opioid medications before focusing on non-opioid analgesics, as both monotherapy and combination therapy, for the safe and effective management of acute postprocedural pain in dentistry.

COMMERCIAL SUPPORTER: This course has been made possible through an unrestricted educational grant from Orapharma.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 39 of 126