Disciplines:

Dentists

Hours: 6 Contact Hours
Item#: LLT06

 

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Item # LLT06
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Diabetes: Dental Management and Links to Periodontal Disease

Price: $29.95 
Item # L0785  

Release Date: October 7, 2016

Expiration Date: October 6, 2019

 

Diabetes mellitus, a chronic disease of metabolism, poses a significant public health challenge in the United States. According to the Centers for Disease Control and Prevention, 29.1 million Americans, or 9.3% of the U.S. population, have diabetes. Of these people, 21 million have been diagnosed with diabetes, while 8.1 million remain undiagnosed. Approximately 1.7 million new cases are diagnosed each year. Appropriate management of the patient with diabetes by the dental team requires an understanding of the patient’s metabolic control, as well as the patient’s potential for and limitations related to response to treatment with current therapy. The dental team plays a vital role in the overall health care of patients with diabetes through recognition and treatment of their oral needs, especially regarding tooth loss and related periodontal conditions.

The purpose of this basic-level course is to equip dental professionals to recognize the classifications and classic signs and symptoms of diabetes mellitus, to grasp the relationship between periodontal disease and diabetes, and to identify periodontal and other oral manifestations associated with diabetes, including attachment loss, alveolar bone loss, gingivitis, xerostomia, and oral candidiasis. Moreover, this course discusses dental treatment considerations for patients with diabetes, adverse interactions between hypoglycemic medications and adjunct dental treatment medications, and emergency management procedures for patients with diabetes.

 

AGD Subject Code: 754
 
Western Schools designates this activity for 3 continuing education credits.

 

Disclosures
  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.
Objectives

Course Objectives

  • Describe the classic signs and symptoms of the different types of diabetes.
  • Explain the association between periodontal disease and diabetes.
  • Identify periodontal and other oral manifestations of diabetes.
  • List dental treatment considerations for diabetic patients.
  • Identify the potential adverse interactions between common oral hypoglycemic medications and medications used adjunctive to dental treatment.
  • Describe the emergency management of dental patients with diabetes.
Author Bio(s)

 

Mark J. Szarejko, DDS, FAGD, received a bachelor’s degree in biology from St. John Fisher College in Rochester, New York, and a DDS from the State University of New York at Buffalo in 1985. He has been a Fellow of the Academy of General Dentistry since 1994 and a Certified Correctional Healthcare Professional since 2007. Dr. Szarejko has more than 30 years of dental experience in New York and Florida. He is currently staff dentist at the Hillsborough County Jail in Tampa, Florida, and has been an examiner for the State of Florida dental and dental hygiene examinations since 1994. Dr. Szarejko has presented nationally on correctional health care and has authored more than 20 continuing education courses.

 

Peer Reviewer Bio(s)

Raymond K. Martin, DDS, MAGD, graduated in 1979 from Texas Tech University with a bachelor’s degree in microbiology and earned his DDS in 1983 from the University of Texas Health Science Center at San Antonio. He then went on to study at Tufts University School of Dental Medicine in the General Practice Residency Program. Dr. Martin began his work in dental risk management after being awarded a Mastership in the Academy of General Dentistry. He consults with 20 legal firms as an expert witness and lectures extensively on dental risk management and ethics in dentistry. In addition, Dr. Martin teaches CAD/CAM dentistry as a CEREC mentor and has served as a Key Opinion Leader for an international dental implant manufacturer. Dr. Martin has maintained a private practice for more than three decades and is currently president of the Massachusetts Dental Society. He has served the American Dental Association on the Future of Dentistry work group and is currently a member of the Council on Government Affairs.

Medication-Related Damage to Oral Hard and Soft Tissues, 2nd Edition

Price: $29.95 
Item # L0805  

Release Date: July 27, 2010

Review Date: December 23, 2016

Expiration Date: December 22, 2019

 

Even when used according to recommendations, many common medications can damage, discolor, and otherwise adversely affect the hard and soft oral structures. Dental professionals must be prepared to address such conditions, which are common among dental patients. Dental professionals are increasingly observing the oral effects of polypharmacy in larger numbers of their patients. Furthermore, given the constant evolution of pharmaceutical formulations, dental professionals must keep abreast of new medications and their effects on the oral hard and soft tissues. The purpose of this basic-level course is to prepare dentists, dental hygienists, and dental assistants to identify these medication-related adverse effects and treat or assist in treating them.

This course begins by presenting conditions involving damage to the hard dental structures caused by fluoride, anticonvulsants, chemotherapeutics, and medications such as bisphosphonates that are associated with osteonecrosis of the jaw. Tooth discoloration is also discussed. Damage to oral soft tissues is then reviewed. Color changes to the oral mucosa, including mucosal pigmentation and black hairy tongue, are described. Drug-related gingival enlargement and other mucosal disorders, oral allergic reactions, drug-related white lesions, and conditions of the salivary glands are examined. 

 

 

AGD Subject Code: 741
 
Western Schools designates this activity for 3 continuing education credits.

 

 

Disclosures
  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.
Objectives

Course Objectives

  • Identify common chemical- and medication-related damage to oral hard tissues and their dental management.
  • Identify common damage to oral soft tissues resulting in color changes to the oral mucosa.
  • Describe drug-related effects on the oral soft tissues, including gingival enlargement, mucosal disorders, white lesions, and salivary gland disorders.
Author Bio(s)

 

Evan B. Rosen, DMD, MPH, is a maxillofacial prosthodontist and lecturer at the Harvard School of Dental Medicine. Dr. Rosen completed his master’s degree in public health at Florida International University, his doctor of dental medicine degree at the University of Florida College of Dentistry, and his prosthodontics residency at the Eastman Institute for Oral Health in Rochester, New York. Dr. Rosen continued his professional training by completing a fellowship in maxillofacial prosthetics at Memorial Sloan Kettering Cancer Center in New York City. Dr. Rosen is actively engaged in research focusing on quality of life outcomes and the management of medically complex patients.

 

Peer Reviewer Bio(s)

Veronica Powers, DMD, received a BS degree from Providence College and a DMD degree from the Oregon Health & Science University. After working for four years as a general dentist in Portland, Oregon, Dr. Powers returned to New York City to serve as lead dentist for Phoenix House Foundation in Brooklyn, New York, where she provided comprehensive treatment for the residents of a rehabilitation facility. In this capacity, she performed simple and surgical extractions and root canals and placed crowns, bridges, and removable prosthodontics. Dr. Powers created the protocol for the day-to-day management of the clinic and became especially adept at treating anxious patients. Now in private practice, Dr. Powers is licensed to practice dentistry in the state of New York, maintains registration with the Drug Enforcement Administration, and is CPR-certified. She has provided volunteer dentistry in India and in Chiapas, Mexico, and has worked with the American Dental Association’s Give Kids a Smile program in the United States.

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