TUFTS - School of Dental Medicine - Continuing Education Fall 2009

Aerial View From Northwest

School ofDental Medicine

2009fall

D i v i s i o n O f C o n t i n u i n g E d u c a t i o n

Course Catalogue

11 Radiology Certification Course* 16 Medical Emergencies and Head and Neck Cancer Examination for the Dental Team23 Non-Invasive Facial Cosmetic Procedures25 Practical Update in Pediatric Dentistry30 Occupational Respiratory Infectious Diseases, Allergic Patients and Dental Care Providers

2 Everything You Always Wanted to Know About Removables, But Were Afraid to Ask!7 The Answers to Your Dental Patient Care Concerns and Questions9-10 The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing Link10 New Advances in Implant Overdentures: Happiness Through Simplification* 14 Introduction to the Use of the CEREC System16 The Phantom of the Opera-tory”: Let Your Pharmacology Inner Voice Guide You to Great Patient Management! An Overview and Update in Pharmacology for Dental Professionals17 Crown Lengthening Workshop*21 Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non- Oral Surgeon in the General Office23 Interdisciplinary Treatment with Special Emphasis on Orthodontics and Periodontics24 Advancements in Instruments and Irrigation*28 Cone Beam CT Technology and Applications30-31 CEI: Real World Occlusion: It’s not just the Teeth*

4 Implant Dentistry: Development and Current Focus6-8 Forensic Science*13 Hornbrook Restorative Update 200913-14 Nitrous Oxide Certification Course* 14 The Art and Science of Porcelain Laminate Veneers*18 Risk Management: Record Keeping and Informed Consent20 The Art and Science of CAMBRA20-21 Nitrous Oxide Certification Course*

2 Dental Update for the Entire Team: Medical Emergencies 4-5 Anatomy for the General Dentist: Essentials for Reducing Pain and Complications - Lecture and Hands- On Workshop*9 Management of Common Soft Tissue Oral Lesions

* Indicates hands-on course.

calendar

Vangel R. Zissi, D.M.D.Director

Paige K. AmbroseAssociate Director

Crystal L. KrajewskiConference Coordinator

missionAs dental professionals, you are inundated with information on the latest materials and techniques in dentistry. The mission of Tufts University School of Dental Medicine’s Division of Continuing Education is to provide educational programs that will help dental care providers sift through all of this information and find the best tools and techniques for your professional needs.

We are particularly proud of our course offerings this fall. As always, we are featuring world-renowned instructors, innovative hands-on sessions, advanced level programs, and courses for the entire dental team. Our goal is to deliver pragmatic continuing dental education that will help you meet the challenges of daily practice. If we may assist you in any way, please call our office at (617) 636-6629.

We invite you to participate in our fall 2009 course offerings and thank you for your continued support of life-long learning.

Vangel R. Zissi, D.M.D. Director, Continuing Education

One Kneeland Street

Boston, MA 02111

Phone: (617) 636-6629

Fax: (617) 636-0800

http://dental.tufts.edu/ce

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contents

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ENDODONTICS10 G-15 Advancements in Instruments and Irrigation*

ESTHETICS3 G-3 Non-Invasive Facial Cosmetic Procedures12 G-17 CEI: Real World Occlusion: It’s not just the Teeth*

IMPLANT DENTISTRY6 G-9 New Advances in Implant Overdentures: Happiness Through Simplification*11 G-18 Implant Dentistry: Development and Current Focus

ORAL PATHOLOGY 2 G-2 Medical Emergencies and Head and Neck Cancer Examination for the Dental Team19 G-28 Management of Common Soft Tissue Oral Lesions

ORAL SURGERY8 G-13 Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non-Oral Surgeon in the General Office

ORTHODONTICS9 G-14 Interdisciplinary Treatment with Special Emphasis on Orthodontics and Periodontics

PEDIATRIC DENTISTRY 4 G-4 Practical Update in Pediatric Dentistry

PERIODONTICS8 G-12 Crown Lengthening Workshop*9 G-14 Interdisciplinary Treatment with Special Emphasis on Orthodontics and Periodontics

PROSTHODONTICS5 G-6 Everything You Always Wanted to Know About Removables, But Were Afraid to Ask!6 G-9 New Advances in Implant Overdentures: Happiness Through Simplification*7 G-10 Introduction to the Use of the CEREC System15 G-22 The Art and Science of Porcelain Laminate Veneers*

PRACTICE MANAGEMENT 15 G-23 Risk Management: Record Keeping and Informed Consent

RESTORATIVE14 G-20 Hornbrook Restorative Update 200915 G-22 The Art and Science of Porcelain Laminate Veneers*

TMJ6 G-8 The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing Link12 G-17 CEI: Real World Occlusion: It’s not just the Teeth*

SUPPLEMENTAL2 G-2 Medical Emergencies and Head and Neck Cancer Examination for the Dental Team3 G-3 Non-Invasive Facial Cosmetic Procedures3 G-5 Occupational Respiratory Infectious Diseases, Allergic Patients and Dental Care Providers5 G-7 The Answers to Your Dental Patient Care Concerns and Questions7 G-11 The Phantom of the Opera-tory”: Let Your Pharmacology Inner Voice Guide You to Great Patient Management! An Overview and Update in Pharmacology for Dental Professionals8 G-13 Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non-Oral Surgeon in the General Office11 G-16 Cone Beam CT Technology and Applications13 G-19 Forensic Science*13/17 G-21 Nitrous Oxide Certification Course*16 G-24 The Art and Science of CAMBRA17 G-26 Dental Update for the Entire Team: Medical Emergencies18 G-27 Anatomy for the General Dentist: Essentials for Reducing Pain and Complications - Lecture and Hands-On Workshop*

AUXILIARY/HYGIENIST/OFFICE STAFF2 G-1 Radiology Certification Course*2 G-2 Medical Emergencies and Head and Neck Cancer Examination for the Dental Team3 G-3 Non-Invasive Facial Cosmetic Procedures3 G-5 Occupational Respiratory Infectious Diseases, Allergic Patients and Dental Care Providers4 G-4 Practical Update in Pediatric Dentistry5 G-7 The Answers to Your Dental Patient Care Concerns and Questions6 G-8 The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing Link7 G-10 Introduction to the Use of the CEREC System7 G-11 The Phantom of the Opera-tory”: Let Your Pharmacology Inner Voice Guide You to Great Patient Management! An Overview and Update in Pharmacology for Dental Professionals8 G-13 Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non-Oral Surgeon in the General Office9 G-14 Interdisciplinary Treatment with Special Emphasis on Orthodontics and Periodontics10 G-15 Advancements in Instruments and Irrigation*11 G-16 Cone Beam CT Technology and Applications11 G-18 Implant Dentistry: Development and Current Focus12 G-17 CEI: Real World Occlusion: It’s not just the Teeth*13 G-19 Forensic Science*14 G-20 Hornbrook Restorative Update 200915 G-23 Risk Management: Record Keeping and Informed Consent16 G-24 The Art and Science of CAMBRA17 G-26 Dental Update for the Entire Team: Medical Emergencies19 G-28 Management of Common Soft Tissue Oral Lesions

*Indicates hands-on course.

G-1Radiology Certification CourseHANDS-ON COURSE - CLASS SIZE LIMITED

AUDREY J. FURKART, D.M.D., M.S. Former Associate Clinical Professor, Division of Oral and Maxillofacial Radiology, Former Radiation Safety Officer, Tufts University School of Dental Medicine

RICHARD W. SHEA, D.M.D. Assistant Clinical Professor, Division of Oral and Maxillofacial Radiology, Tufts University School of Dental Medicine

BRIAN M. SHEA, D.M.D. Former Clinical Instructor, Division of Oral and Maxillofacial Radiology, Tufts University School of Dental Medicine

MICHAEL PUTT, D.M.D. Private Practice, Wayland, MA

SHANNON MELOON BALLETTO, C.D.A., B.S. Infection Control Administrator, Tufts University School of Dental Medicine

BRENDAN GOUIN, D.M.D. Private Practice, Charlestown, RI

Pre-Requisite: This is not an introductory course. The applicant should have a working knowledge of dental X-ray machines and their use. Applicants should also be familiar with dental radiology related concepts and terminology. An optional 15-question pretest is available upon request. Please call (617) 636-6629 for more information.

The lecture session includes:X-ray properties and the generation of X-raysRadiation protectionRadiation biologyDarkroom proceduresIntraoral radiographic techniquesTechnique/processing errors and troubleshootingExtraoral radiography and panoramic radiographyDirect digital radiography for dentistry

The clinical session includes:Written examinationDemonstration of intraoral techniquesPractical exercise on phantomsDeveloping and reviewing films

Mandatory Lecture: Friday, September 11, 2009, 9:00 am – 5:00 pmChoice of:Clinical Session I - Saturday, September 12, 2009, 9:00 am – 5:00 pm or Clinical Session II - Saturday, September 19, 2009, 9:00 am – 5:00 pm orClinical Session III - Saturday, September 26, 2009, 9:00 am – 5:00 pmTuition: $210 (continental breakfasts and handbook included)Credit: 16 Hours - Lecture/Participation

Note: Preference for the clinical session must be specified on registration form. Registration is available on a first come, first served basis.This course meets the requirements of the Commonwealth of Massachusetts Board of Dentistry. It also meets the requirements for the state of New Hampshire. It provides an excellent review for hygienists and for those planning to take the DANB examination. Participants are advised to check with their individual state board requirements.

G-2 Medical Emergencies and Head and Neck Cancer Examination for The Dental Team

MORTON B. ROSENBERG, D.M.D. Professor and Head, Division of Anesthesia and Pain Control, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Associate Professor of Anesthesia, Tufts University School of Medicine

LYNN W. SOLOMON, D.D.S., M.S. Associate Professor, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Diplomate, American Board of Oral and Maxillofacial Pathology

The morning portion of this course will address the prevention and management of medical emergencies in the dental office. Topics will include:

• Treating the patient with a history of heart disease• Treating the diabetic and those with endocrine problems• Syncope, shock, M.I., and cardiac arrest• Seizures (etiology and treatment), bleeding disorders• Drugs that affect the incidence of emergency problems• Drugs used to treat emergencies and suggested

medications to keep available in the office• Management of the allergic reaction• Patient monitoring

In the afternoon you will learn how to get the most out of your extraoral head and neck examinations! Salivary gland disease, tumors, lymph node metastases and TMJ disorders are just a few examples of head and neck pathology that can be detected with an extraoral examination. The intraoral examination will also be discussed, with an emphasis on normal landmarks and variations of normal. Clinical examples of conditions that may be detected on examination will be presented. Dr. Solomon will demonstrate the proper technique to perform a thorough extraoral and intraoral examination on a dental student volunteer. She will explain the reasons that each area is manually palpated and visually examined and the findings that may indicate disease. An example of a diagram for use in charting the examination findings will be shown, with copies for course participants.

Adjunctive techniques for intraoral examination, such as VELscope, Identafi 3000™, ViziLite Plus, and Microlux DL will be demonstrated. The published peer-reviewed evidence of the sensitivity and specificity of these technologies will be discussed.

The high-risk sites for oral squamous cell carcinoma will be presented and clinical examples will be shown. The concepts of how to choose a biopsy site and sampling errors will be discussed. Oral exfoliative cytology using two different methods, Oral CDx and Liquid-based Brush Cytology will be demonstrated on the student volunteer. The submission of cytology samples for PAP staining, PAS staining and oncogenic HPV testing will be discussed. Incisional, excisional and punch biopsy techniques as well as specimen handling tips will be demonstrated. An example of a biopsy submission form will be given, with copies for course participants. H&E staining, direct immunofluorescence studies and immunohistochemical techniques will be explained. A poster from the American Cancer Society showing the steps of an examination to detect oral cancer will be distributed to course participants.

Date: Wednesday, September 16, 2009Time: 9:00 am – 4:00 pmTuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 142/737

2 Come hear this lecture on two unique topics in dentistry.

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G-3Non-Invasive Facial Cosmetic Procedures

CONSTANTINOS LASKARIDES, D.M.D., Pharm.D. Assistant Professor and Course Director, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Diplomate, American Board of Oral and Maxillofacial Surgery; Fellow, American Association of Oral and Maxillofacial Surgeons

Nowadays there is an astonishing increase in demand for non-invasive facial cosmetic procedures. This presentation will cover the most popular non-invasive facial cosmetic procedures like chemical denervation (Botulinum Toxin), the use of resorbable and semi-permanent fillers, treatment of facial scars, laser facial skin rejuvenation and facial chemical peels in all aspects.

Mechanism of action, relative anatomy, patient selection, treatment planning, modality selection, detailed technique description, risks and complications (including their management) will be thoroughly discussed.

At the end of the presentation there will be a live demonstration of Botulinum Toxin application. The participants will be able to observe live patient evaluation, reconstitution of the solution to appropriate concentration, choice of appropriate instrumentation and disposables, pain management, area mapping and disinfection, injections and review of post-operative instructions.

After the course the participant should be able to:

• Understand the mechanism of action, relative anatomic considerations and physics of the various methods discussed.

• Be able to apply proper patient selection and technique selection to optimize cosmetic results.

• Comprehend the multiple particularities and details that pertain to each facial cosmetic procedure.

• Be able to discuss the full range of risks and complications that are related with each technique.

• For the live demonstration: Appreciate all the details relevant to preparation and execution of chemical denervation with Botulinum Toxin as well as pre-operative and post-operative essentials.

Date: Wednesday, September 23, 2009Time: 9:00 am – 1:00 pmTuition: $165 Doctor; $99 Auxiliary/Hygienist/Staff (continental breakfast included)Credit: 4 Hours – LectureAGD Code: 770

G-5Occupational Respiratory Infectious Diseases, Allergic Patients and Dental Care Providers

JOHN A. MOLINARI, Ph.D. Former Professor and Chairman, Department of Biomedical Sciences, Univeristy of Detroit Mercy School of Dentistry; Served as Chairman, State of Michigan, Governor’s Risk Reduction and AIDS Policy Commission

The morning portion of this course will cover occupational respiratory infectious diseases: aerosols, spatter, and precautions.

Airborne infections continue to be among the common reported transmissible diseases. The spread of microbial pathogens by droplets, aerosols, and spatter during provision of patient care have also historically presented occupational risks for health care professionals. While routine use of recommended precautions has been shown to be effective in reducing exposure to known respiratory infections, discovery and emergence of other airborne pathogens require continued assessment of cross-infection risks and infection control measures. This seminar considers representative viral and bacterial respiratory diseases, including as examples: influenza, Severe Acute Respiratory Syndrome (SARS), swine flu, tuberculosis, and bacterial pneumonia. In addition, information pertaining to the emerging epidemiology, transmission patterns, and virology of avian influenza is featured. Respiratory infections are discussed using microbial characteristics, person-to-person cross-infection risks, epidemiological patterns, disease impact, and health care provider occupational hazards. The use of appropriate precautions against respiratory pathogens is also evaluated in the context of emerging disease challenges and recommended protective approaches.

The afternoon portion of this course will cover allergic patients and dental care providers: practice implications.

Upon completion of this course, the participant should understand that virtually every chemical, drug and dental material employed in the dental office has been known to induce allergic reactions in both clinical personnel and patients that certain allergic reactions are directly observable in the oro-facial tissues and that practitioners will be treating patients who may suffer from allergic conditions. The clinician should be prepared for the potential hazards these individuals present during dental treatment. Comprehension of the classes of hypersensitive reactions, clinical manifestations, and principles associated with development and treatment of allergies are thus required for the effective management of patients. Discussion will also include immunological mechanisms and manifestations of allergic reactions associated with latex products, as well as evolving prevention strategies.

This course will consider the multi-faceted aspects of clinical hypersensitivity reactions, and the participants should be able to apply the principles discussed to clinical situations and patient histories encountered.

Date: Wednesday, September 30, 2009Time: 9:00 am – 4:00 pm Tuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 148

This course is sponsored in part by unrestricted educational grants from SciCan and Kerr Total Care.

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G-4Practical Update in Pediatric Dentistry

special course offering

MICHAEL A. IGNELZI, JR., D.D.S., Ph.D. Board Certified, American Board of Pediatric Dentistry and American Board of Orthodontics; Adjunct Associate Professor, Department of Pediatric Dentistry, University of North Carolina Chapel Hill; Private Practice, Greensboro, NC; Fellow, American College of Dentists; Former Associate Professor, Department of Orthodontics and Pediatric Dentistry, University of Michigan

This entertaining and informative course features timely and practical information for any practice that treats children. We review the latest on pulp therapy for primary and young permanent teeth, prevention, tooth colored restorative materials, and the infant and toddler visit. We provide you with practical information, that is based on sound science, so that you can provide the best care to your patients. Audience participation will be encouraged.

Much has changed in recent years regarding pulp therapy for primary and young permanent teeth. We will review the latest on the indications, techniques and materials used in indirect pulp capping, pulpotomies, and pulpectomies.

Prevention is the cornerstone of what we do as professionals. Come hear the latest on the bacteria that cause caries, the protective role of saliva, chemotherapeutic agents, the consumer products that prevent enamel demineralization and promote enamel remineralization, sealants, fluoride, and sugar substitutes including xylitol.

Tooth colored dental materials including glass ionomer cements, resin-modified glass ionomer cements (compomer), and composites have revolutionized restorative care for children. We review the advantages and disadvantages and indications for each material so you can select the best material for any clinical situation.

Caries risk assessment has practical implications for how we treat children because it influences how frequently we take radiographs, what restorative materials we use, and how aggressively we use preventive agents like fluoride and sealants. We review recent trends in caries risk assessment so that you can use this information on a daily basis.

The infant and toddler visit is a wonderful opportunity to detect early caries, educate parents about good oral hygiene and healthy feeding practices, and establish a dental home. More infants and toddlers will seek dental care because the American Academy of Pediatrics has recently recommended that all children receive an oral risk assessment at 6 months of age. From a practice management perspective, it is wise to offer a service that is recommended by pediatricians and parenting magazines and requested by parents. We discuss the benefits of the infant and toddler visit and use videotapes to demonstrate a simple method to achieve a comprehensive examination.

Objectives:At the end of the course you will be able to:

1. Manage primary and permanent teeth that require pulp therapy2. Utilize the most effective methods to prevent disease3. Select the most appropriate tooth colored restorative material for any clinical situation4. Incorporate contemporary caries risk assessment into your practice5. Discuss the benefits of the infant and toddler visit and complete a thorough infant and toddler exam

Date: Friday, September 25, 2009Time: 9:00 am – 4:00 pm Tuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 430

This course is sponsored in part by an unrestricted educational grant from Delta Dental of Massachusetts.

G-6 Everything You Always Wanted to Know About Removables, But Were Afraid to Ask!

DAVID R. CAGNA, D.M.D., M.S. Professor and Director, Advanced Prosthodontic Program, Department of Restorative Dentistry, University of Tennessee Health Science Center, Memphis, TN; Diplomate, American Board of Prosthodontics; Fellow, American College of Prosthodontists; Co-Author, Stewart’s Clinical Removable Partial Prosthodontics

WILLIAM A. LOBEL D.M.D., F.A.C.D. Assistant Professor, Department of General Dentistry, Tufts University School of Dental Medicine; Scottsdale Center for Dentistry, Removable Prosthodontics Team

This eclectic presentation will cover all aspects of complete and partial denture prosthetics including current overdenture concepts. Practitioners who are capable in these modalities will satisfy an ever demanding need for quality, affordable dentistry by an exploding demographic population shift of “boomers and elders.”

Learn how to improve your impression techniques, obtain physiologically generated jaw records and avoid esthetic pitfalls before they occur. Assessment and patient management techniques will be highlighted. The “mysterious” world of partials will be covered in great detail with a particular emphasis on how to deliver esthetically pleasing results.

Presentation Objectives:• Illustrate current impression techniques for fully and

partially edentulous patients as well as for immediate and overdenture cases

• Describe a reline procedure for both edentulous and implant overdentures

• Describe a method of direct implant pick-up• Understand how to eliminate false jaw registrations

utilizing a unique self-adjusting Gothic Arch Tracing device

• Converting and salvaging existing failed abutments• Review classical RPD design theory and approaches• Consider appropriate diagnostic information gathering

and practical RPD design methodology• Review abutment preparation from burs to contours to

verification of preparation outcomes• Consider RPD design alternatives aimed at permitting

improved esthetics: Rotational Path Concepts Explored and Explained

Date: Friday, October 2, 2009Time: 9:00 am – 4:00 pmTuition: $325 Doctor (continental breakfast and luncheon included)Credits: 6 Hours – LectureAGD Code: 670

G-7 The Answers to Your Dental Patient Care Concerns and Questions: Common Sense Clinical Approaches for a More Efficacious Dental Practice

PAUL J. VANKEVICH, D.M.D. Assistant Professor, Department of General Dentistry, Tufts University School of Dental Medicine; Diplomate, American Board of Oral Medicine; Fellow, Academy of General Dentistry

Dentistry is a dynamic profession with a daily evolution of new materials, methods and strategies in the provision of healthcare to patients. With so much new information, the modern dental practice can suffer from information overload and struggle to keep current with new techniques, procedures, trends and regulations.

The goal of dentistry is to treat and prevent those diseases and disabilities, which affect the teeth and oral structures, by preventing and eliminating infection and trauma. This audience interactive one day course will review and update the current concepts, controversies and challenges regarding the principles of oral diagnosis, oral medicine, applied dental disease risk management, preventive dentistry and oral health promotions, as applied in patient care.

Specific topics covered include, iatrogenic dentistry, litigation prevention, access to care, evidence-based dentistry, dental patient communication, internet misinformation, assessment and application of innovations and technology, sedation dentistry, conservative dental caries management, body modification and oral piercing, oral health-systemic health interrelationships (diabetes, obesity), alcohol and substance abuse (patient and provider), tobacco control, safety and efficacy of dentifrices and mouth washes, special needs patients. Methods and strategies of mechanical and chemical oral hygiene, fluoride therapy, pit and fissure resin sealants, dietary counseling and oro-facial trauma prevention and patient-specific alterations in various dental treatment procedures, methods and medications will be discussed.

This day course will be interactive using the Classroom Audience Response System. Test your clinical knowledge and diagnostic acumen in a benign and anonymous format. Participants are asked to relate some of their more perplexing patient presentations for group cogitation, analysis diagnosis and suggested methods of management. This course will facilitate the role of each member of the dental healthcare team.

Are there questions that you or the members of your dental teams have? Let Dr. Vankevich answer them:

• What is the Standard of Care?• What is risk management and how do I use it in my

practice?• What’s new in dentistry? Is new better than old? Where’s

the evidence? What about new product safety and efficacy?

• What is that oral lesion? How do I treat it? What next?• The patient has what medical condition? How will I alter

my dental treatment plan when providing care?• Iatrogenic what? You mean that undesirable outcome

could have been prevented?

Date: Wednesday, October 7, 2009Time: 9:00 am – 4:00 pm Tuition: $265 Doctor; $135 Hygienist/Staff/Auxiliary (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 730

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This is one you don’t want to miss!

G-8The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing LinkHAROLD GELB, D.M.D., P.C. Adjunct Clinical Professor, Tufts University School of Dental Medicine; Founder, Gelb Cranio-Mandibular Pain Center, Tufts University School of Dental Medicine; Diplomate, American Board of Orofacial Pain and American Academy of Craniofacial Pain

DAVID KLEIN, D.C. Private Chiropractic Practice, New York, NY

The data acquired concerning the functional and structural relationship between the three components of the stomatognathic apparatus, namely, the jaws, the temporomadibular joints and the muscles, should encourage the clinician to complete a careful examination of each one with all the diagnostic aids presently available to both the generalist and specialist. If this is done, the so-called asymptomatic case frequently shows, at the sub clinical level, signs of dysfunction or even an early manifestation of the disorder. These should not be overlooked, and the treatment plan should take them into consideration. This is especially noteworthy because most of the relevant symptoms do not as a rule direct the patient to the dentist as the primary health professional. Several scientific studies at two major dental schools support the procedures that will be shown.

The International Headache Society has allocated two of thirteen headache types to the dentist. One is the Tension Type Headache; the other is the headache or facial pain associated with a disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures. Headaches break down into three major categories: 2% are traction and inflammatory, 8% are vascular and 90% are muscle contraction-tension type headaches, which the dentist can help. There are a total of 50 million headache sufferers.

Taking a thorough medical, dental and craniomandibular history coupled with a comprehensive clinical examination will still prove to be the most effective approach to diagnosing the patient’s condition.

Participants will learn: • What procedures enable the clinician to make a

proper diagnosis• Updated background of subject matter• Diagnostic classification of TM Disorders and

Orofacial Pain• Successful patient education and case presentation

Dates: Friday - Saturday, October 9-10, 2009Times: 9:00 am – 4:00 pm Tuition: $495 Doctor; $195 Auxiliary/Hygienist/Staff (continental breakfasts and luncheons included)Credits: 12 Hours - LectureAGD Code: 180

G-9New Advances in Implant Overdentures: Happiness Through Simplification

HANDS-ON COURSE - CLASS SIZE LIMITED TO 24

ALLEN L. SCHNEIDER, D.D.S., F.A.G.D. Adjunct Instructor, Department of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine; Consultant, Martinsburg Veteran’s Administration Hospital; Lecturer, AGD Mastership Program; Private Practice Emphasizing Implant Dentistry, Springfield, VA

Attachment retained/bar retained implant overdentures are one of the most cost-effective, successful, and appreciated treatment modalities for reconstructing the fully edentulous patient. Learn how to diagnose, treatment plan, fabricate surgical stents, implant impression techniques, customize a fee schedule so you never lose income, as well as work with overdenture attachments. Participants will learn how to easily change attachments in 7 seconds or less.

This detailed overdenture program will, via slides and hands-on practical experience, enable the restorative clinician to implement the new revolutionary Locator Attachment assembly (from Zest Corporation) into his or her everyday practice.

This generic implant course will focus on both the external hex and internal morse taper implant designs. Each participant will be able to keep the teaching manuals, models, and prosthetic appliance he or she fabricates, for use as a demonstration aid for patient education.

Date: Saturday, October 10, 2009Time: 9:00 am – 5:00 pm Tuition: $365 Doctor (sample materials, continental breakfast and luncheon included)Credits: 7 Hours - ParticipationAGD Code: 673/690

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Please contact the Division of Continuing Education for a list of sponsors.

Everyone should come learn from this master in TMD.

G-10Introduction to the Use of the CEREC System

PAUL C. SCHOENBECK, D.M.D. Member, American Academy of Cosmetic Dentistry, American Dental Association, American Association of Hospital Dentists, Academy of Comprehensive Esthetics (ACE); Private Practice, Gorham, NH

This is a CEREC introductory course to provide the attendee the information and understanding needed to help him/her acquire and integrate the CEREC technology into their practice. Attendees will learn the process of CEREC restorations through a virtual design presentation and then a hands-on opportunity to use the system. The course will also include an extensive description on integrating the technology into the private practice; from introduction to the staff to costs and return on the investment. Also presented will be tips on marketing and positioning your practice as an up to date hi-tech practice.

Date: Wednesday, October 14, 2009Time: 9:00 am – 4:00 pm Tuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 130

G-11 The Phantom of the Opera-tory”: Let Your Pharmacology Inner Voice Guide You to Great Patient Management! An Overview and Update in Pharmacology for Dental Professionals

THOMAS VIOLA, R.Ph. Clinical Adjunct Professor, Pharmacology, Penn State University, Abington, PA, Harcum College, Bryn Mawr, PA; Manor College, Jenkintown, PA; Burlington College, Pemberton, NJ; Middlesex County College, Edison, NJ

Throughout the course of their everyday practice, dental professionals must frequently draw upon their knowledge of pharmacology. Recently introduced competency-based curriculums have demonstrated that tasks ranging from the routine, such as obtaining a complete patient medical history and appointment planning, to the extreme, such as handling a medical emergency in the office, all require a foundation knowledge in pharmacology.

However, the science of pharmacology consistently represents only a small portion of most dental degree programs. Armed with a relatively brief exposure to such vast subject matter, many dental professionals have difficulty retaining this knowledge throughout their career. Staying current with new pharmacotherapeutic trends is especially difficult in the present marketplace, which is awash in direct-to-consumer advertising of prescription drugs and which has experienced an explosion of new drug entities over the last several years.

The purpose of this program is to provide dental professionals with an overview of the basic principles of pharmacology and the classes of drugs used in the current therapy of most common disease states. Throughout the program, special emphasis will be given to drugs administered or prescribed in dental practice, as well as to drugs whose actions, side effects, or interactions with other drugs may impact dental healthcare.

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Learning ObjectivesUpon successful completion of this program, participants will be able to:

• Identify references and sources of drug information to be used in practice

• Explain basic pharmacokinetics and describe how pharmacokinetics and related factors affect a drug’s ability to produce a therapeutic effect

• Review the etiology of common organ system disease states, describe the classes of drugs used in their treatment, and discuss considerations important to patient management

• Identify drugs listed on a patient’s medical history and be able to:• Classify them according to their pharmacologic class• Identify their basic mechanism of action, pharmacologic

effects, principle therapeutic indications, potential adverse reactions, potential drug interactions and specific contraindications

• Discuss and compare the classes of drugs used in dentistry for:• Local anesthesia and pain management• Prophylaxis and treatment of infection• Treatment of oral conditions

• Identify popular herbal and nutritional supplements and their uses and discuss their potential impact on dental treatment and patient management

Back by popular demand!

Date: Friday, October 16, 2009Time: 9:00 am – 5:00 pmTuition: $295 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 7 Hours - LectureAGD CODE: 016

G-12 Crown Lengthening Workshop HANDS-ON COURSE - CLASS SIZE LIMITED TO 24

EMILIO ARGUELLO, D.D.S., M.Sc. Assistant Professor, Department of Periodontology, Tufts University School of Dental Medicine

CATHERINE MOSHIRFAR, D.M.D. Private Practice, Swampscott, MA

This course will provide participants with a maximum “hands-on” experience. The course is designed to provide the dentist with all the principles of hard and soft tissue surgery necessary to plan and carry out crown extension procedures. The instructors will cover indications, contraindications, and methods of managing surrounding bone.

Topics to be covered include: how to handle hard and soft tissues; proper surgical techniques; preservation of esthetics and final tissue contours; including the relocation of all structures that comprise the biologic width, such as: sulcus, junctional epithelium, connective tissue fibers, and bone.

The “hands-on” experience includes flap surgery with pig jaws, plus bone surgery and suturing techniques on anatomical models under close supervision of experienced periodontists. It is coupled with a video demonstration of the surgical technique and a detailed slide presentation.

Crown extension is one of the most commonly required procedures in operative dentistry. Relocation of the structures comprising the biologic width requires varying degrees of soft and hard tissue removal. Dentists who want to do some or most of their own crown extensions, or those who just want to know more about the subject, will benefit from this course.

Learning objectives:• Diagnosing esthetic crown lengthening • When to perform crown lengthening and when to extract• Post-operative management• Understanding and treating the gummy smile • Making predictable impressions every time • Learn why crowns come loose and how to prevent

loosening • Save chair time and be more profitable • Understand causes of red gum tissue around crown

margins • Coordinate surgery with restorative procedures

This is a stand-alone course that will allow you to do many of your own crown lengthening cases. If you choose not to do your cases, it will help you understand the principles. Most important, you do not need to have taken previous perio courses or have surgical experience to benefit from this workshop. Course materials and a take home model are included in this fee.

Date: Saturday, October 17, 2009Time: 9:00 am – 4:00 pmTuition: $525 Doctor (continental breakfast, luncheon and model included)Credit: 6 Hours - ParticipationAGD Code: 490

G-13Dental Update: Medical Emergencies and the Prevention and Management of Surgical Complications for the Non-Oral Surgeon in the General Office


KALPAKAM SHASTRI, D.D.S., B.D.S. Assistant Professor in Oral & Maxillofacial Surgery, Tufts University School of Dental Medicine; Board Eligible, American Association of Oral & Maxillofacial Surgeons

This program will address the prevention and management of medical emergencies in the dental office and the basics of office oral surgery procedures performed by the non-oral surgeon. Tips and details that pertain to assessment and treatment planning that may prevent complications following surgery will also be discussed.

Topics covered will include: • Treating the patient with a history of heart disease • Treating the diabetic and those with endocrine problems • Syncope, shock, M.I., and cardiac arrest • Seizures (etiology and treatment), bleeding disorders • Drugs that affect the incidence of emergency problems • Drugs used to treat emergencies and suggested medications to keep available in the office • Management of the allergic reaction • Various complications with the tooth being extracted • Injuries to adjacent teeth • Injuries to adjacent bone • Nerve injuries • TMJ complications • Oroantral communications • Postoperative bleeding • Delayed healing • Dry socket • Mandible fracture during extraction

Date: Wednesday, October 21, 2009Time: 9:00 am – 4:00 pmTuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 142/310

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G-14Interdisciplinary Treatment with Special Emphasis on Orthodontics and Periodontics


ROBERT L. VANARSDALL, D.D.S. Professor of Orthodontics and Chairman of the Department of Orthodontics, University of Pennsylvania, School of Dental Medicine; Member, the American Association of Orthodontists, the Middle Atlantic Society of Orthodontists; Past President, Eastern Component of the E.H. Angle Society of Orthodontics

Evaluation of periodontal risk and susceptibility will improve diagnosis and treatment outcomes. The morning session will highlight new material relating to the response of the periodontium to different orthodontic treatment philosophies. Orthodontics should be accepted as a preventive service since recent findings have shown that tooth movement alone can reduce pathologic levels of periodontal pathogens. Skeletal relationships clearly identify patients who are more susceptible to periodontal breakdown, exhibit unstable dental camouflage and lead to less than optimal dentofacial esthetics. A prognosticator that has been under-appreciated is the transverse skeletal discrepancy. This factor is a reliable predicator of increased risk of gingival recession. The evolution of multidisciplinary treatment over the past 35 to 40 years will be discussed and how orthodontics has been used to reformat the periodontium. New studies will be reviewed that report the first data on skeletal effect of lip bumper therapy on the transverse dimension. Though early treatment is ideal to correct skeletal problems in three planes of space guidelines will be reviewed for adolescents as well as adults requiring interdisciplinary treatment.

The afternoon session will include an update on ectopically positioned teeth and ankylosis. This review will involve all teeth in both the maxillary and mandible.

Date: Friday, October 23, 2009Time: 9:00 am – 4:00 pmTuition: $295 Doctor; $245 TAO Members; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 370

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G-15Advancements in Instruments and Irrigation


BEN JOHNSON, D.D.S. Dr. Johnson received his dental degree and Endodontic Certificate from Baylor College of Dentistry. A popular international speaker on innovation in endodontics, Dr. Johnson has given more than 200 lectures in 25 countries and was named Oklahoma Inventor of the Year. Dr. Johnson developed the method of obturation which became the Thermafil obturation system and his recent efforts to improve the process of cleaning and shaping the root canal system have resulted in development of the ProFile nickel titanium .04 and .06 tapered rotary instruments and ProTaper instruments. He is the founder of Tulsa Dental Products and serves as clinical professor at Baylor College of Dentistry and Louisiana State University School of Dentistry.

This lecture will focus on recent developments in endodontic rotary nickel-titanium file design. Dr. Ben Johnson, a pioneer in the field, will also discuss advancements in NiTi metallurgy. These advancements have allowed for extraordinary gains in resistance to cyclic fatigue. By combining unique engineering principals of helical angles along with the NiTi enhancements, a new instrument has been developed that has shown incredible promise. This highly advanced instrument will be demonstrated during the lecture and compared to other available instruments through the use of microscope video recordings. Hands-on Instructors:

RAINA TRILOKEKAR, D.M.D. Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited to Endodontics

RONIT SMOLYAR, D.M.D. Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited to Endodontics

EMINA ZAGANJORI, D.M.D. Assistant Clinical Professor of Endodontics, Tufts University School of Dental Medicine; Private Practice Limited to Endodontics

Date: Saturday, October 24, 2009Time: 9:00 am – 4:00 pmTuition: $425 Doctor; $175 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - ParticipationAGD Code: 070

This course is sponsored in part by an unrestricted educational grant from Tulsa

HANDS-ON COURSE - CLASS SIZE LIMITED

Dr. Ben Johnson is an innovator of instrument design!

G-18 Implant Dentistry: Development and Current Focus

ROYA ZANDPARSA, D.D.S., M.Sc., D.M.D. Associate Professor, Department of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine

Goals of this Course:In this presentation Dr. Zandparsa will discuss the basic concepts and principles of dental implants and the new advancements in implant dentistry. She will also discuss the use of different treatment modalities and various treatment outcomes.

This course will cover the following topics:• What are we responsible for treating?• Osseointegration• Medical considerations: Contraindications• Obstacles• Biocompatible dental implant materials• Implant surfaces • Classification of bone quality• Classification of bone grafts• Types of membrane barriers• Guided bone regeneration• Internal and external sinus elevation• Immediate implant placement• Distraction osteogenesis• Complications and the three primary types of failure• The external hexagon vs. internal connections • Criteria for success• Screw-retained vs. cement-retained prostheses• Causes of screw loosening• Provisional vs. permanent cementations • Case presentations

Date: Wednesday, November 4, 2009Time: 9:00 am – 4:00 pmTuition: $265 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD Code: 690

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G-16 Cone Beam CT Technology and Applications

ARUNA RAMESH, B.D.S., D.M.D., M.S. Diplomate, American Board of Oral and Maxillofacial Radiology; Division Head and Associate Professor, Division of Oral and Maxillofacial Radiology, Tufts University School of Dental Medicine

The course participants will learn about “Dental Cone Beam CT”, which has been described as a revolutionary technology. The role of Dental CT and its application in implant, TMJ, Orthodontic, Endodontic and Pathologic studies will be discussed. This technology is regarded as becoming the diagnostic standard of care in all fields of dentistry.

The session will provide you with detailed information on Cone Beam CT and demonstrate the benefits of utilizing this technology in your practice to the benefit of your patients. A sample i-CATVision CD with patient data will be distributed to each participant.

The topics included in the session are:• The similarities and differences between Cone Beam

CTs and medical or spiral CTs• Different Cone Beam units available for a dentist to

choose from• Scan acquisition• Radiation dose and radiation protection• Multi-planar reformatting of CT scan volume• 3D- Rendering• Clinical case presentations • Basics of transmission of digital data to offices, labs,

and companies via Dicom 3 CDs

At the end of this program participants will be able to:• Assess the need for 3-dimensional imaging modality

and prescribe a scan for your patient• Understand the basics of Cone Beam technology and

Cone Beam usage

Date: Wednesday, October 28, 2009Time: 9:00 am – 12:00 pmTuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff (continental breakfast included)Credit: 3 Hours - LectureAGD Code: 610/690

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Faculty:NOSHIR R. MEHTA, D.M.D., M.D.S., M.S.Associate Dean of International Relations, Professor and Chairman General Dentistry, Director Craniofacial Pain Center and Assistant Dean of International Relations, Tufts University School of Dental Medicine

GERARD KUGEL, D.M.D., M.S., Ph.D. Associate Dean for Research and Professor of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine; Editor of Inside Dentistry

ROBERT J. CHAPMAN, D.M.D.Professor and Chair, Department of Prosthodontics and Operative Dentistry and Director of Informatics, Tufts University School of Dental Medicine

In most dental occlusal concepts the primary difference is one of condylar versus muscular positions. This is consistent with the textbook images of saggital condylar positions or the diamond shapes of the lateral excursive movements according to Posselt. However, these concepts do not take into account the three dimensional structures of the craniofacial skeleton due to the relative difficulty of many dentists in visualizing how the muscles, TM Joints and the teeth all function in harmony. Risk indicators of occlusal disharmony include parafunction , trauma, posture, sleep architrecture , psychological and neurologic inputs to the neuromuscular pathways. Understanding these variables reduces the risk of a adverse outcome and requires an evidenced based logical and systematic approach to cosmetic/restorative cases that will result in successful functional as well as Oral Health Related Quality of Life end points. Finally, management of patient with Temporomandibular and Cranio- Cervical dysfunctions often require the use of intra-oral appliance therapy. Studies however have reported variable results. Historical perspective suggests that different appliances and different mandibular positions be needed for different types of disorders and that the “one for all” appliance may not be an effective strategy to persue. These three world renowned lecturers will bring you their unique clinical experiences to help blend the concepts of esthetics, function and dysfunction into your everyday treatment regimen.

The course will cover: • Review of the evidence on occlusal concepts currently in vogue

o CR, CO and neuromuscular occlusion as it relates to the three dimensional concepts of biologic function , when and how to choose

o Biologic principles of dental occlusion• Role of parafunction and sleep disorders on the longevity of dental stability• Risk indicators of TMD that “call out to you” from your patients mouth before beginning any dental

treatment• How and why dental changes can affect the head and neck stability of an individual• Merging Esthetics and Function for long term stability and health, how, when and why to use occlusal

splints in the development of a stable occlusion regardless of whether the patient has TMD

Hands-on component will cover:• A step by step guide to three dimensional examination of the occlusion• Hands on record taking for transfer from the mouth to the articulator that accurately records the position

you have chosen• Splint fabrication

Dates: Friday-Saturday, October 30-31, 2009Times: Friday 9:00 am - 4:00 pm, Saturday 8:30 am – 2:00 pmTuition: Friday Only: $395 Doctor; $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included) Both Days: $550 Doctor; $225 Auxiliary/Hygienist/Staff (continental breakfasts and luncheons included)Credit: 6 Hours - Lecture or 11 Hours - Lecture/ ParticipationAGD Code: 180

This course is sponsored in part by an unrestricted educational grants from3M Omni, 3M ESPE, Astra Tech, Inside Dentistry and Orascoptic.

HANDS-ON COURSE - CLASS SIZE LIMITED

A dentist’s guide to function, esthetics and stability of the Maxillomandibular and Craniofacial Complex

presentsG-17“Real World Occlusion: It’s not just the Teeth”

G-19 Forensic Science HANDS-ON COURSE - CLASS SIZE LIMITED

WILLIAM M. MORLANG, D.D.S. Adjunct Associate Professor, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Forensic Consultant, Armed Forces Medical Examiner, Armed Forces Institute of Pathology, Air Force Office of Special Investigation; Associate Clinical Professor, Wright State University School of Medicine; Faculty Member, USAF School of Aerospace Medicine, Armed Forces Institute of Pathology; Diplomate; American Board of Forensic Odontology

This dynamic three-day workshop will provide professional train-ing in mass disaster management, identification of human remains, bitemark recognition and analysis, expert witness testimony, and child abuse identification. In addition, a portion of the course will be devoted to the topic of bioterrorism/biological weapons. It is appropriate for dentists, hygienists, state, federal, and local law enforcement personnel; medical examiners; attorneys; military personnel, etc.

The initial day of lecture will cover the history of forensic sciences, forensic science specialties, mass disaster manage-ment, identification of human remains, identification of center organization and operation, total quality leadership, aerospace and forensic pathology, search/recovery, mishap investigation, forensic dentistry and radiology, stress management, registrar functions/forensic records, computer utilization in mass disasters, legal issues, and federal assistance including FAA, NTSB, NDMS, and DMORT. Bitemark analysis, expert witness testimony, forensic photography, and child abuse will also be discussed.

Day two of the program will be a mock aircraft mishap. Partici-pants will work in teams to identify human remains associated with an aircraft mishap utilizing medical and dental records. The WINID computer coding and program will be utilized. A post laboratory conference will highlight major problem areas in this mishap and in mass disaster management.

The final day of the program will be a bitemark analysis work-shop. Participants will work in teams to analyze 10 bitemark cases. Teams will also review more than 30 additional cases and review reports, evidence documentation, and trial exhibits. A post workshop conference will review the case evaluated regarding evidentiary value and conclusions.

Participants will receive an extensive syllabus on mass disaster management/forensic dentistry, a bitemark analysis protocol, and a total quality leadership guide.

This course provides partial credit towards membership in the Odontology section of the American Academy of Forensic Sci-ences.

Dates: Friday-Sunday, November 6 – 8, 2009Times: 9:00 am – 5:00 pmTuition: $945 Doctor $345 Auxiliary/Hygienist/Staff (continental breakfasts and luncheons included)Credit: 21 Hours – Lecture/ParticipationAGD Code: 145

G-21 Nitrous Oxide Certification Course HANDS-ON COURSE - CLASS SIZE LIMITED TO 15


C.S. MALLER, D.M.D. Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Fellow, American Dental Society of Anesthesiology; Diplomate, American Dental Board of Anesthesiology

WILLIAM A. MACDONNELL, D.D.S. Assistant Clinical Professor, University of Connecticut School of Dental Medicine; Private Practice in Dental Anesthesia, West Hartford, CT

This course conforms to the ADA Guidelines for Teaching the Comprehensive Control of Anxiety and Pain in Dentistry. It, therefore, fulfills the educational requirements of the Massachusetts Board of Registration in Dentistry. Upon successful completion of a post-test, participants will receive documentation of course completion.

Pre-requisite: Participants must be certified in CPR prior to registration.

Topics will include:• Historical, philosophical, physiological, and

psychological aspects of anxiety and pain control• Patient evaluation, selection, monitoring, and records• The stages of drug-induced C.N.S. depression through

all levels of consciousness and unconsciousness• Review of pediatric and adult respiratory and

circulatory physiology and related anatomy• Pharmacology of agents used in inhalation sedation• Indications and contraindications for use of inhalation

sedation• Review of dental procedures possible under inhalation

sedation• Prevention, recognition, and management of

complications and life-threatening situations• Administration of local anesthesia in conjunction with

inhalation sedation techniques• Introduction to potential health hazards of trace

anesthetics• Discussion of abuse potential and hallucinatory effects

Upon completion of this course, participants will be able to:• Describe the basic components of inhalation sedation

equipment and their functions• List and discuss the advantages and disadvantages of

inhalation sedation• List and discuss the indications and contraindications

of inhalation sedation• List the complications associated with inhalation

sedation and discuss the prevention, recognition, and management of these complications

• Administer inhalation sedation to patients in a clinical setting in a safe and effective manner

• Discuss the abuse potential, occupational hazards, and other untoward effects of inhalation agents

Dates: Friday - Saturday, November 13-14, 2009Times: Friday: 8:30 am – 5:00 pm, Saturday: 8:00 am – 3:00 pmTuition: $1395 Doctor (continental breakfasts and luncheons included)Credit: 14 Hours - Lecture/ParticipationAGD Code: 132

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G-20Hornbrook Restorative Update 2009


DAVID S. HORNBROOK, D.D.S., F.A.A.C.D. Member, Editorial Board, Practical Procedures and Aesthetic Dentistry, Contemporary Esthetics, Signature; Clinical Editor, Dental Practice Report; Fellow, American Academy of Cosmetic Dentistry; Founder and Past Director, P.A.C.~live, and The Hornbrook Group

Join Dr. David Hornbrook as he explores how the changes in restorative dentistry and how these changes are improving and enhancing the treatment we can now offer our patients. Dr. Hornbrook will discuss, in detail, the advantages and disadvantages of the metal-free options including step-by-step cementation of porcelain veneers, all-ceramic crowns, and aesthetic inlays and onlays. He will also discuss his philosophy with treatment planning and sequencing full mouth rehabilitation cases, anterior wear, and the use of “deprogrammers” to ensure long term prognosis. Learn how to avoid many of the failures that he has made over the past 20 years and how to communicate effectively with your ceramist to ensure patient satisfaction. Understand why clinicians must offer and become proficient with ‘Prepless” and “minimal-prep” veneers and how to treatment plan and choose the correct materials to avoid the unaesthetic result that are commonly seen with these restorations. Dr. Hornbrook has an international reputation as a leader in aesthetic and functional dentistry and his passion for sharing his experiences, both successes and failures, makes him a “must see” to take advantage of what dentistry can now offer both patient and clinicians.

Learning objectives:• Learn the latest on metal-free alternatives and the advantages and disadvantages of each system• Improve lab communication to enhance aesthetic and functional results• Understand why the “newest” is not always the best with adhesion systems• Learn why traditional philosophies with posts and cores does not apply with adhesive dentistry• Learn step-by-step predictable cementation of porcelain veneers• Explore the new CAD: CAM systems and how they are changing the industry• Learn simple communication and practice enhancement techniques to increase case acceptance• Understand why “Prepless” veneers can and should be part of your restorative armamentarium • Learn to how to avoid failures in bonded, metal-free dentistry• And much more!

Date: Friday, November 13, 2009Time: 9:00 am - 4:00 pm Tuition: $295 Doctor, $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credits: 6 Hours - LectureAGD Code: 735/780

This course is sponsored in part by an unrestricted educational grant from Gold Dust Dental Lab.

G-22 The Art and Science of Porcelain Laminate Veneers HANDS-ON COURSE - CLASS SIZE LIMITED TO 28

SAMER KHAYAT, D.D.S., C.A.G.S. Assistant Professor, Department of Prosthodontics and Operative Dentistry, Advanced Education in Esthetic Dentistry, Tufts University School of Dental Medicine

YONGJEONG KIM, D.D.S., D.M.D., M.Sc., F.A.C.P. Associate Director, Graduate and Postgraduate Prosthodontics; Associate Professor, Advanced Education in Esthetic Dentistry, Tufts University School of Dental Medicine; Diplomate, American Board of Prosthodontics

Porcelain laminate veneers are one of the most esthetic restorations available today. This course will provide attendees with the successful elements to perform this increasingly popular restoration. The intensive hands-on model workshop will include step-by-step preparation instruction, and then each attendee will participate on preparations of 6 anterior laminates. Temporization and final cementation will be demonstrated during hands on workshop.

In order to provide the optimal learning environment, class size will be limited to 28 participants.

Topics will include:• Criteria of diagnosis and treatment planning• Color selection• Communication with lab technician • Preparation design• Temporization and final impression• Cementation and polishing• Ceramic materials

Date: Saturday, November 14, 2009Time: 9:00 am – 5:00 pmTuition: $425 Doctor (continental breakfast and luncheon included)Credit: 7 Hours - ParticipationAGD Code: 780

G-23Risk Management: Record Keeping and Informed Consent

BARRY REGANClaims Manager, Eastern Dentists Insurance Company, Westborough, MA

Most practitioners believe the worst thing that can happen to them is to be sued for professional malpractice. It is not. It is much worse to be sued for malpractice, render treatment that does not fall below the standard of care, and still lose the suit. How can this happen? There are several ways, including failing to give proper informed consent to a patient. Attorneys are using informed consent counts to get patients a verdict in otherwise defendable cases. A dentist may be found not negligent on a standard of care count in a lawsuit, but negligent on an informed consent count, and the jury will award a potentially large verdict against a defendant dentist.

A second way in which a dentist can lose a lawsuit while rendering treatment that does not fall below the standard of care is by failing to properly document a patient’s record in such a way as to defend or clarify the decision making process a dentist goes through in difficult treatment diagnosis situations. Allegations of misdiagnosis or treatment on the wrong tooth are impossible to defend if all testing results are not recorded in the patient’s record.

Attendees of this seminar will learn:• What constitutes proper informed consent• How to give proper informed consent to a patient• How to document your informed consent procedure

in such a manner as to give your defense counsel the ammunition he/she needs to properly defend your case to a satisfactory outcome

The instructor will also cover the importance of proper record keeping and give valuable tips. All attendees will receive sample consent forms that they may incorporate into their practice.

Date: Wednesday, November 18, 2009Time: 9:00 am – 12:00 pmTuition: $65 (continental breakfast included)Credit: 3 Hours - LectureAGD CODE: 550

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G-24The Art and Science of CAMBRA: A Team Approach Using Chemical Treatments and Minimally Invasive Dentistry


DOUGLAS A. YOUNG, D.D.S., M.S., M.B.A. Associate Professor, University of the Pacific, San Francisco, CADr. Young speaks on minimal invasive dentistry, lasers, and cariology. He has been published in several peer-reviewed dental journals and textbooks.

This course is of specific interest to all members of the dental team. Learn how to prevent and even reverse early lesions using oral disinfectants, modified sugars, fluoride, and new salivary diagnostics and replacement therapies, rather than traditional surgical techniques. Dr. Young will also present research showing that not all caries should be treated alike and the site-specific way to manage each carious site will be presented. The latest caries detection, and glass ionomer sealant methodologies will be reviewed as well and strategies on how they are used in practice. Learn how important the hygiene department and dental assisting staff are to this new paradigm.

Caries management by risk assessment (CAMBRA) is taught at all of the 5 California dental schools as well as most schools across the US. It is considered my many as the current standard of caries management. In fact, the “First Smiles” program is a 4-year $7 million grant to educate 47,000 dental professionals and over 9,000 medical professionals in California about this approach to caries prevention and treatment. Dental hygiene must be willing and able to accept these referrals from our colleagues, if not for the sole purpose of providing the best care possible for our patients.

Outcomes: After this presentation you will:1) Understand CAMBRA, the newest areas of prevention and early caries management using chemical and microsurgical approaches 2) Be able to put what you have learned into practice3) Understand why the whole dental team must participate4) Be aware of opportunities to collaborate with other existing CAMBRA organizations

Learning Objectives:• The course will outline current strategies which use critical thinking and an evidenced-based decision

method in managing the disease of dental caries.• The participant will leave with practical tools needed to treat and prevent the disease of caries using a

caries risk assessment and intervention protocols based on individual risk.• The participant shall have a better understanding of the disease process as well as the science behind

products and behaviors that will arrest, reverse, and prevent future disease.• Websites will be presented where participants can keep up to date with current science on caries

management by risk assessment (CAMBRA). Participants will learn how to code and evaluate services and products used in CAMBRA to enable continuous learning and improvement.

Date: Friday, November 20, 2009Time: 9:00 am – 4:00 pmTuition: $295 Doctor, $135 Auxiliary/Hygienist/Staff (continental breakfast and luncheon included)Credit: 6 Hours - LectureAGD CODE: 258

This course is sponsored in part by an unrestricted educational grant from GC America Inc.

G-25 Nitrous Oxide Certification CourseHANDS-ON COURSE - CLASS SIZE LIMITED TO 15


C.S. MALLER, D.M.D. Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Fellow, American Dental Society of Anesthesiology; Diplomate, American Dental Board of Anesthesiology

WILLIAM A. MACDONNELL, D.D.S. Assistant Clinical Professor, University of Connecticut School of Dental Medicine; Private Practice in Dental Anesthesia, West Hartford, CT

This course conforms to the ADA Guidelines for Teaching the Comprehensive Control of Anxiety and Pain in Dentistry. It, therefore, fulfills the educational requirements of the Massachusetts Board of Registration in Dentistry. Upon successful completion of a post-test, participants will receive documentation of course completion.

Pre-requisite: Participants must be certified in CPR prior to registration.

Topics will include:• Historical, philosophical, physiological, and

psychological aspects of anxiety and pain control• Patient evaluation, selection, monitoring, and records• The stages of drug-induced C.N.S. depression through

all levels of consciousness and unconsciousness• Review of pediatric and adult respiratory and

circulatory physiology and related anatomy• Pharmacology of agents used in inhalation sedation• Indications and contraindications for use of inhalation

sedation• Review of dental procedures possible under inhalation

sedation• Prevention, recognition, and management of

complications and life-threatening situations• Administration of local anesthesia in conjunction with

inhalation sedation techniques• Introduction to potential health hazards of trace

anesthetics• Discussion of abuse potential and hallucinatory effects

Upon completion of this course, participants will be able to:• Describe the basic components of inhalation sedation

equipment and their functions• List and discuss the advantages and disadvantages of

inhalation sedation• List and discuss the indications and contraindications

of inhalation sedation• List the complications associated with inhalation

sedation and discuss the prevention, recognition, and management of these complications

• Administer inhalation sedation to patients in a clinical setting in a safe and effective manner

• Discuss the abuse potential, occupational hazards, and other untoward effects of inhalation agents

Dates: Friday - Saturday, November 20-21, 2009Times: Friday: 8:30 am – 5:00 pm, Saturday: 8:00 am – 3:00 pmTuition: $1395 Doctor (continental breakfasts and luncheons included)Credit: 14 Hours - Lecture/ParticipationAGD Code: 132

G-26 Dental Update for the Entire Team: Medical Emergencies


This course will address the prevention and management of medical emergencies in the dental office.

Topics will include:

• Treating the patient with a history of heart disease• Treating the diabetic and those with endocrine

problems• Syncope, shock, M.I., and cardiac arrest• Seizures (etiology and treatment), bleeding disorders• Drugs that affect the incidence of emergency problems• Drugs used to treat emergencies and suggested

medications to keep available in the office• Management of the allergic reaction• Patient monitoring

Date: Wednesday, December 2, 2009Time: 9:00 am – 12:00 pmTuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff (continental breakfast included)Credit: 3 Hours - LectureAGD Code: 142

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It is important that your office is always prepared for a medical emergency, bring the entire team!

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G-27Anatomy for the General Dentist: Essentials for Reducing Pain and Complications


Don’t miss this course. The live demonstration performed on cadavers will be an excellent review of anatomy!

Lecture and Hands-On Workshop

Dates: Friday - Saturday, December 4-5, 2009Times: Friday: 9:00 am - 5:00 pm; Saturday: 9:00 am - 12:00 pmTuition: Friday Only: $295 Doctor; Both Days: $495 (continental breakfasts and luncheon included)Credit: 7 or 10 Hours - Lecture/ParticipationAGD Code: 012

ABDELGHANY HASSAN ABDELGHANY, M.D., M.S., Ph.D. Associate Professor, Department of Anatomy, Alexandria Medical School, Egypt

MOATAZ M. SHABAN, B.D.S., M.S., Ph.D. Assistant Professor, Oral and Maxillofacial Surgery, Alexandria University, Egypt

MOHAMED HASSAN, D.M.D., M.S., F.I.C.D. Periodontology Certificate, TMD Fellow, Former Assistant Professor, Prosthodontics and Operative Department, Tufts University School of Dental Medicine, Boston, MA

BERNARD FRIEDLAND, B.Ch.D, M.Sc., J.D. Assistant Professor of Oral Medicine Infection and Immunity; Head, Division of Oral and

Maxillofacial Radiology, Harvard School of Dental Medicine, Boston, MA

G-28Management of Common Soft Tissue Oral Lesions

MICHAEL A. KAHN, D.D.S. Professor and Chairman, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Laboratory Director, Tufts Oral Pathology Services; Diplomate, American Board of Oral and Maxillofacial Pathology

J. MICHAEL HALL, D.D.S. Assistant Professor, Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Diplomate, American Board of Oral and Maxillofacial Pathology

This course will review the basic clinical characteristics of the most commonly observed oral pathology soft tissue lesions. In addition, specifi c information will be given on the most proven effective treatments, as well as any new management techniques for each condition. A comprehensive handout will be provided, which will include drug regimen details. Questions and discussion during the presentation will be encouraged.

Among the lessons to be discussed:

• Recurrent aphthous ulcers• Traumatic ulcers• Acute and chronic forms of candidiasis• Burning mouth syndrome• Lichen planus• Recurrent herpes simplex infections

Date: Wednesday, December 9, 2009Time: 9:00 am – 12:00 pm Tuition: $150 Doctor; $99 Auxiliary/Hygienist/Staff (continental breakfast included)Credit: 3 Hours - LectureAGD Code: 739

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• Patient consultations and referral • Complete range of biopsy, liquid brush cytology and microbiology services • Free biopsy/cytology supplies and overnight courier delivery

Michael A. Kahn, D.D.S. J. Michael Hall, D.D.S., M.S. Lynn Solomon, D.D.S., M.S.

Call: (617) 636-6510 / Fax: (617) 636-6780

Tufts Oral Pathology Services (TOPS), Department of Oral and Maxillofacial Pathology,

Tufts University School of Dental Medicine

Vacation with

in St. JohnModern Dentistry:

Merging Old Science with New Technology

Course Speakers:Dr. Gerard Kugel, Dr. Noshir R. Mehta, Dr. Abhay Bedi, Dr. Eugene J. Mariani, Dr. Eric Gheewalla, Dr. Ancy Verdier and Dr. Kistama Naidu

January 8-10, 2010Visit our website for more information:

http://dental.tufts.edu/ceior call (617) 636-6629

Registration

Applications for registration will be processed in the order received and must be accompanied by full tuition at least ten days in advance of the course. Maximum and minimum enrollments apply.

Early registration is recommended. You may register for courses in the following manner:

Please mail registration form along with your check or credit card information. Visa, MasterCard and Discover are accepted.

Make checks payable to: Trustees of Tufts College and mail to: Tufts University School of Dental Medicine, Division of Continuing Education, One Kneeland Street, Boston, MA 02111.

Fax registration information to (617) 636-0800.

Call (617) 636-6629 to register using your credit card.

E-mail registration information to: [email protected]

* For security reasons please do NOT email any credit card information.

Written confirmation of your registration will be mailed upon receipt of payment. If confirmation is not received, please contact our office before attending the course.

The Division of Continuing Education reserves the right to end registra-tion when the enrollment limit is reached and to cancel, modify, or alter content or faculty for any course if circumstances indicate the advis-ability of such a change. If the school finds it necessary to cancel a course, a full refund will be granted. All attempts to contact registrants will be made at least one week prior to the course. The school will not be held responsible for any losses due to travel arrangements made by the registrant.

In the event of extremely poor weather (such as a snow emergency) or other extenuating circumstances, the Division of Continuing Education may be forced to cancel a course. Please call our offices at 7:00 am on course day if you are uncertain of a course’s status. If a course has been cancelled, there will be a special voice mail message.

Refunds

Full tuition refund or credit will be given for cancellations received at least 1 week prior to course date. Cancellations with less than one week’s notice are subject to a $30 pro-cessing fee. Refunds or tuition credit will not be issued for:

• Cancellations with less than 48 hours notice• Cancellations received the day of the course• “No Shows”

Location and Time

Course check-in begins thirty minutes prior to listed start time. Room locations will be specified in each registrant’s confirmation letter.

Accommodations

Information regarding hotels that offer special rates to Tufts University School of Dental Medicine’s Division of Continuing Education participants will be forwarded upon request.

Visitor/Tourist Information

For information on Boston area attractions, restaurants, accommodations, and visitor brochures, please call (617) 727-3201, the official information line of the Massachusetts Office of Travel and Tourism.

Parking

Parking is available at the Tufts Medical Center Parking Fa-cility located on Tremont Street. A map will be forwarded with all confirmation letters. Parking is $19.50 per day with validation.

Tape Recordings and Photographs

Participants are not allowed to record or photograph any ma-terials without the express permission of the presiding clini-cian or lecturer.

Conflict of Interest

Tufts University School of Dental Medicine’s Division of Continuing Education has an obligation to disseminate new knowledge related to the dental profession. Consequently, some presentations may include controversial material or commercial references. Educational grants received for dental continuing education courses offered by Tufts Uni-versity School of Dental Medicine do not necessarily imply endorsement of a particular philosophy, procedure, or prod-uct by this institution.

Tufts University School of Dental Medicine’s Division of Continuing Education provides equal opportunity in educa-tion without regard to race, color, creed, religion, national origin, gender, sexual orientation, age, marital status, dis-ability, public assistance, or veteran status.

Credits

Tufts University School of Dental Medicine is an ADA/CERP Recognized Provider.

The formal continuing education programs of this sponsor are accepted by AGD for Fellowship/Mastership credit.

Association for Continuing Dental Education (ACDE) approved provider.

All auxiliary courses are approved by the Dental Assisting National Board, Inc. (DANB). “DANB approval” indicates that a continuing education course appears to meet certain specifications as described in the DANB Recertification Guidelines. DANB does not, however, endorse or recom-mend any particular continuing education course and is not responsible for the quality of any course content.

information

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Child Abuse DetectionDr. Robert M. ReeceCall (617) 636-1333

CPR CertificationDr. Kanchan GandaCall (617) 636-6814

Division of Continuing EducationOne Kneeland StreetBoston, MA 02111T: (617) 636-6629 F: (617) 636-0800http://dental.tufts.edu/ce

other course offerings

tuition specialsTake Three, the Fourth is FreeTake three courses and receive your fourth course of lowest tuition FREE of charge. All four courses must take place during the Fall 2009 semester.

Senior Citizen DiscountDoctors 65 years of age or older may take single day lecture (non-participation) courses for $150.

Recent Graduate Special2007, 2008, and 2009 graduates may take single day lecture (non-participation) courses for $150.Tuition specials may not be used in combination with each other.

Name(s)

Specialty:

F:T:

E-Mail:

Address:

If you have any special needs we should be aware of, please specify:

COURSE DATE TUITION

$

$

$

$

$TOTAL:

registration form

Mail:

Make checks payable to: Trustees of Tufts CollegeMail payment with this form to:Tufts University School of Dental MedicineDivision of Continuing EducationOne Kneeland StreetBoston, MA 02111

Telephone/ Fax:

You may call or fax your registration and credit card information to us at:

T: (617) 636-6629 or F: (617) 636-0800

E-Mail:

To register via the internet, please e-mail your registration information to: [email protected]* For security reasons please do NOT email any credit card information.

Please charge my: Mastercard Visa Discover

Account No.: Expires:

3-Digit Security Code: Credit Card Billing Zip Code:

• Anesthesia service for all phases of dentistry

• All dental specialties available for care with anesthesia

Contact:Dr. Morton B. Rosenberg(617) [email protected]

Dr. C.S. Maller(207) [email protected]

Tufts Sedation Center

INSIDE THIS ISSUE...ADVANCEMENTS IN INSTRUMENTS AND IRRIGATIONBEN JOHNSON, D.D.S.

HORNBROOK RESTORATIVE UPDATE 2009DAVID S. HORNBROOK, D.D.S., F.A.A.C.D.

THE ART AND SCIENCE OF CAMBRA:A TEAM APPROACH USING CHEMICAL TREATMENTS

AND MINIMALLY INVASIVE DENTISTRYDOUGLAS A. YOUNG, D.D.S., M.S., M.B.A.

Division of Continuing Education

One Kneeland StreetBoston, MA 02111

Non-ProfitOrganizationU.S. Postage

Boston, MAPermit No. 54162

PAID

Documents

TUFTS - School of Dental Medicine - Continuing Education Fall 2009