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Restorative Dentistry Course
January 28-31, 2020

Tuesday, January 28, 2020

7:00 - 9:00 am
Management of the Head and Neck Cancer Patient in General Practice Dentistry   
Dr. Ryan Hill

4:00 - 6:00 pm
Team Treatment Planning - Joint Session
Dr. David Gratton, Dr. Kyle Stein

6:00 pm 
Course Reception - Cucina Restaurant 
Course participants and families welcome

Wednesday, January 29, 2020

7:00 - 9:00 am
Successful Implant Restorations From Start to Finish - A Series of Fortunate Events   
Dr. Brent Ludens

4:30 - 6:30 pm
Implant Restorations - Delayed and Immediate Implant Placement, Delayed and Immediate Temporization
Dr. Brent Ludens

Thursday, January 30, 2020

7:00 - 9:00 am
Hands-on Session
Dr. Brent Ludens, Dr. David Gratton

4:30 - 6:30 pm
Hands-on Session
Dr. Brent Ludens, Dr. David Gratton

Friday, January 31, 2020

7:00 - 9:00 am
The Prescription Opioid Crisis: Impact on Dental Pain Management
Prof. Karen Baker

4:30 - 6:30 pm
Nutraceuticals and Oral Health: Help or Hype?
Prof. Karen Baker

Course Outline

Head and neck cancer is a common disease that dentists screen for on a daily basis. What happens when a dental patient requires radiation treatment for head and neck cancer? Evaluating and planning for these patients can be stressful and complicated for both the patient and practitioner. This course will prepare the general practitioner in the current guidelines and dental treatment options for the head and neck cancer patient.

Technology is deeply engrained in our personal and social lives, but what about our professional lives as dentists? Clinical dentistry (well, at least the dental laboratory industry) is embracing the application of digital technologies to replace the analog techniques with which we are so comfortable. While this is especially true in the realm of impression making procedures and chair side prosthesis manufacturing, processes can be digitized at each phase of restorative and implant treatment, resulting in the virtualization of the patient from diagnosis through prosthesis delivery. This course will trace the integration of digital dentistry into the everyday restorative practice.

The combined treatment planning session will bring together all the course participants for a lively interactive discussion of select patient examples. Participants will be divided into small groups, each of which will be comprised of specialists and generalists to establish various diagnoses and subsequent treatment approaches. Patient examples will encompass the spectrum of Simple, Advanced, and Complex.

Using real case studies, this detailed program will look at patients from initial patient visit through the final restoration and beyond. Every step leads to eventual success or failure. Dr. Ludens will discuss each step along the way and try and point out those areas where even the smallest decision can affect the final outcome. Treatment planning using both 2D and 3D data still allows us to place an implant in a non-ideal location if we don’t understand the final goal or the possible errors that get built into each planning step. Evaluation of the implant site and failing to recognize when there is inadequate hard and soft tissue guarantees a less than perfect result. Communication with the implant surgeon is critical and the entire team needs to be understand the goals for surgical and restorative treatment. Guided and non-guided surgical guides both lead to errors if not planned, or fabricated, or used correctly. Provisionalization and management of soft tissue is almost entirely in the hands of the restorative dentist (or should be). Immediate temporization and delayed temporization, using lab-fabricated, chair side-fabricated, or now using digital fabrication can yield excellent soft tissue outcomes…or create issues. Laboratory communication in the digital age allows us to give the laboratory technician much more detail to produce a predictable result. A step by step approach at the try-in of the final crown, if not done correctly, can increase the chance of complications, and a rationale for implant occlusion in the mixed dentition will be discussed. Follow-up and implant maintenance is also critical, but is it being misapplied, i.e., where and when should we probe around an implant restoration? All of these issues can affect the final outcome and Dr. Ludens will discuss in detail the decisions that must be made in order to ensure success.

The Wednesday afternoon session builds on the topics discussed in the morning session. In this very interactive format, attendees will help treatment plan a variety of patient scenarios. Is the tooth already missing? Or is the tooth still present but hopeless? Treatment panning, execution and outcomes of these scenarios will be discussed. The “typical” and maybe some “not-so typical” trauma cases in the anterior maxilla will be presented within this context as well. A thorough explanation of soft tissue management for each patient presented will be presented, in preparation for the hands-on session the following day.

A hands-on course will allow attendees to fabricate their own provisional restorations on an actual patient model, with guided instruction and feedback along the way. A brief lecture will be presented and the attendees will execute that step. This process will be repeated until the restoration is completed, giving each participant time to understand and comprehend the entire process. A custom impression coping will also be fabricated. Impression techniques for implants and how these techniques are different than impressions of natural teeth will be discussed.  

Over promotion and over prescribing of opioids has contributed to the current public health emergency we face in the U.S.. Dentists write less than 6% of acute use opioid prescriptions but generally prescribe very few tablets per prescription. To what extent are we contributing to the development of opioid Substance Use Disorders and how can we modify our prescribing behaviors to minimize patient risk? We will outline specific strategies designed to identify the safety of prescribing opioids based on individual patient characteristics. Patient education on safe pain relief will also be reviewed. Extensive and very current handouts will be provided to maximize the chairside value of this vitally important information.

The resurgence of alternative medicine and cannabis-related products has produced confusion and conflict among dental professionals and patients alike.  During this program, we will discuss the dental treatment impact of popular systemic supplements as well as the effectiveness of nutraceutical products promoted for treatment of oral diseases such as caries, mucositis, gingivitis and periodontitis.  We will conclude by discussing reliable information sources and step-wise strategies for evaluating and managing patients using or considering the use of nutraceutical oral health products.  A practical and detailed handout will be provided to allow participants to apply this information to their practice.

Course Objectives

At the completion of the course, participants should be able to:

  1. Analyze current head and neck cancer statistics and staging
  2. Evaluate and treatment plan the pre-radiation head and neck cancer patient
  3. Review the fabrication of Fluoride gel carriers
  4. Highlight the role of the intraoral scanner in the general practice environment
  5. Appraise the evidence pertaining to digital restorative dentistry
  6. Demonstrate the integration of intraoral scan data with CBCT data to assist in prosthetically driven implant planning
  7. Experience digital impression making, hands-on
  8. Employ a team approach to patient diagnosis and treatment planning
  9. Apply classification systems to assist in the establishment of diagnoses and treatment plans
  10. Identify current and emerging technologies for patient diagnosis and treatment planning
  11. Gain a better understanding of diagnosis and treatment planning
  12. Learn tools and tips for implant planning in a 2D and 3D environment
  13. Learn where and when pre-implant or pre-prosthetic surgery is indicated
  14. Learn how to fabricate meaningful and accurate surgical guides - using both guided and conventional surgical guides
  15. See how the provisional restoration develops and maintains soft tissue in both immediate and delayed scenarios
  16. Develop better communication between the restorative dentist and the lab - simple presentations software tips...a picture is indeed worth a thousand words
  17. Attendees will learn about occlusion in a patient with mixed implant:natural dentition, applying these principles at the insertion of the final restoration.
  18. Dentists and staff will be able to develop an implant maintenance program for their implant patients.
  19. Attendees will learn how to manage the delayed implant placement patient
  20. Attendees will learn how to manage the delayed implant placement patient with immediate implant restorations
  21. Extraction alone - now what?
  22. Attendees will learn how to manage the immediate implant placement patient
  23. Attendees will learn how to manage the immediate implant placement patient with immediate implant restorations
  24. Attendees will fabricate an implant-supported provisional restoration and receive individual feedback on their results
  25. Attendees will fabricate a custom impression coping and will receive individual feedback on their results
  26. Impression techniques will be discussed
  27. Attendees should be able to immediately implement these techniques into their dental practice
  28. Discuss the extent of the opioid abuse problem in the U.S. and in your state,
  29. Recognize the role of the dentist in contributing to the current public health emergency,
  30. Explain the relative pain relief effectiveness of non-opioid and opioid agents in acute pain, and
  31. Discuss the benefits and risks of specific pain control regimens for effective dental analgesia.
  32. Buy and use a science-based nutraceutical reference and recommend information sources for patients,
  33. Recognize the dental impact of common systemic and topical nutraceutical products,
  34. Select specific nutraceutical oral health products with reasonable claims and safe ingredients, and
  35. Evaluate and rate the effectiveness of nutraceutical products for microbial and non-microbial mucositis, caries, gingivitis and periodontitis.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

CONTINUING EDUCATION CREDIT/RECORD KEEPING
CEU verification will be provided (by email following the program) only for those individuals completing sign in sheets at each session. Credit will be appropriately adjusted for those individuals who do not attend the entire program. All attendees are encouraged to sign in at every session they attend as this will ensure that a letter documenting appropriate attendance will be sent 4 to 6 weeks following the program. The University of Iowa College of Dentistry designates this activity for 16 hours continuing education credit (16 CEU).

Individuals with disabilities are encouraged to attend all University of Iowa sponsored events. If you are a person with a disability who requires a reasonable accommodation in order to participate in this program, please contact Brenda Colbert in advance at 319-335-6994.

The University of Iowa Non-Discrimination Statement
The University of Iowa prohibits discrimination in employment, educational programs, and activities on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference. The University also affirms its commitment to providing equal opportunities and equal access to University facilities. For additional information on nondiscrimination policies, contact the Office of Equal Opportunity and Diversity, (319) 335- 0705 (voice) and (319) 335-0697 (text), 202 Jessup Hall, The University of Iowa, Iowa City, Iowa 52242-1316.

 


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