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Module 62 CE Hours
Drugs & MaterialsView Objectives
xObjectives
- Following completion of this course the participant will be able to:
- – Understand the mechanism of action of NSAIDS.
- – Comprehend the benefit of taking pre-op NSAIDS.
- – Realize a reasonable strategy for the management of postoperative pain.
- – Distinguish between ibuprofen sodium and ibuprofen.
- – Understand the mechanism of action of opioid analgesics.
- – Appreciate when you may select an opioid analgesic for your patient.
- – List various types of opioid analgesics commonly used in dentistry.
- – Describe epinephrine and its properties.
- – Understand why epinephrine is used in local anesthetics.
- – Comprehend the risks associated with epinephrine.
- – List which emergency situations epinephrine may be useful for.
- – Describe a Collaplug®, how they work and when they would be employed.
- – Describe Gel Foam, how it works and when it would be employed.
- – Distinguish between bone wax and bone putty.
- – Apply bone wax or bone putty correctly at the appropriate times.
- – Describe Tranexamic Acid (cyklokapron).
- – Understand the applications for Tranexamic Acid.
- – Understand what Alveogyl® is and how it works.
- – Use Alveogyl® to treat the symptoms of alveolar osteitis.
- – Describe Warfarin (coumadin) and its properties.
- – Explain what an international normalized ratio (INR) is and why is it relevant to oral surgery.
- – Recall tips for managing a patient taking Warfarin safely.
- – Understand the mechanism of action of Aspirin.
- – Understand the mechanism of action of Plavix® (clopidogrel).
- – Manage patients taking Plavix® (clopidogrel) or Aspirin that require extractions.
- – Explain what direct oral anticoagulants are and when they are used.
- – Manage exodontia cases when a patient is taking a direct oral anticoagulant.
- – Discuss the effectiveness of preoperative steroids.
- – Discuss methylprednisolone (Medrol® Dose Pack) and when might you consider employing this drug.
- – Understand the current literature on the use of postoperative antibiotics.
- – Identify the stages of odontogenic infection and the bacterial composition of each stage.
- – Judiciously select the appropriate antibiotic for a given odontogenic infection.
- – Describe the mechanism of action of the commonly employed antibiotics in dentistry.
- – Distinguish between bacteriostatic and bactericidal antibiotics.
- – Know which drugs must be on hand for medical emergencies.
- – Identify additional drugs that should be considered as part of an emergency kit.
- – Realize how and when we employ each emergency drug in our kit.
xDrugs & Materials
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Module 73 CE Hours
Local AnesthesiaView Objectives
xObjectives
- Following completion of this course the participant will be able to:
- – State why needle gauge is important.
- – Understand why we aspirate prior to injecting anesthetic.
- – Demonstrate the proper aspirating technique.
- – Demonstrate safe techniques for re-capping needles.
- – Demonstrate proper technique for injecting local anesthetic.
- – Deliver more comfortable palatal infiltrations.
- – Supplement a lower block with a lingual infiltration in the appropriate situations.
- – Identify situations when mandibular infiltrations could be effective on their own.
- – Describe a periodontal ligament (PDL) infiltration and its applications.
- – Demonstrate the proper technique for a PDL infiltration.
- – Deliver atraumatic palatal anesthesia via the papilla injection technique.
- – Be familiar with the interseptal injection.
- – Demonstrate the proper interseptal injection technique.
- – Describe the gate control theory of pain.
- – Employ this theory to make injections and exodontia more comfortable for our patients.
- – Competently utilize the greater palatine nerve block.
- – Competently utilize the nasopalatine nerve block.
- – Describe the posterior superior alveolar (PSA) nerve block.
- – Demonstrate the proper technique for a PSA nerve block.
- – Understand the application of an anterior middle superior alveolar (AMSA) nerve block.
- – Demonstrate the proper technique for an AMSA nerve block.
- – Describe the anterior superior alveolar (ASA) nerve block.
- – Demonstrate the proper technique for an ASA block.
- – Understand and demonstrate 2 different approaches to maxillary (V2) nerve blocks.
- – Discuss the intraoral cervical plexus anesthetic technique (ICPAT) and the potential merits of this injection.
- – Perform a successful supplementary ICPAT injection.
- – Describe the mental nerve block and its application.
- – Demonstrate the proper technique for a mental nerve block.
- – Understand the applications for the Vazirani-Akinosi nerve block.
- – Perform a successful Vazirani-Akonosi nerve block.
- – Discuss the buccal nerve block.
- – Utilize a more predictable technique for buccal nerve block anesthesia.
- – Describe the Gow-Gates block.
- – Demonstrate the proper technique for a Gow-Gates nerve block.
- – Describe the proper inferior alveolar nerve (IAN) block technique and deliver more predictable anesthesia of the IAN.
- – Recall and demonstrate additional less-conventional approaches to IAN nerve blocks.
- – List reasons why mandibular blocks fail and how to limit failures of these blocks.
- – List the various types of anesthetic allergies.
- – Circumvent and or manage various anesthetic allergies.
- – Explain what methemaglobinemia is and how can it be triggered.
- – Discuss tachyphylaxis and how it affects the quality of our anesthesia.
- – Appreciate why infection counteracts profound anesthesia and how to overcome this.
- – Recognize the signs and symptoms of anesthetic toxicity and common causes of toxicity.
- – Identify causes of pain during dental injections and how to minimize this discomfort for our patients.
- – Recognize and manage other common complications of local anesthesia.
- – State the cause and management of temporary facial nerve paralysis.
- – Recall useful facts about anesthetic carpules.
- – Learn the properties of the 5 most commonly employed local anesthetics in dentistry.
- – Select the appropriate anesthetic for the procedure at hand.
- – Discuss the properties of articaine and it’s applications for exodontia.
- – Appreciate the controversy surrounding the use of Articaine for lower blocks.
- – Describe the types of topical anesthetic.
- – Demonstrate the proper application of topical anesthetic.
- – Discuss a potent, novel, custom compounded topical agent to employ in your practice.
- – Describe the properties of Oraverse® (phentolamine) and its recommended dosage.
- – Understand when one might use Oraverse®.
- – Explain the significance of the pKa of anesthetics.
- – Understand we have to wait for anesthetic to take effect.
- – Discuss anesthetic buffering and its advantages.
- – Utilize anesthesia in select cases to help diagnose a toothache.
- – Anesthetize pediatric patients with more confidence.
- – Understand how one can safely anesthetize a patient for multiple extractions or a full mouth clearance.
xLocal Anesthesia
$250USD Add to cart -
Module 22 CE Hours
Medical ConsiderationsView Objectives
xObjectives
- Following completion of this course the participant will be able to:
- – Understand the American Society of Anesthesiologists (ASA) Classification System and how it used to evaluate the health of our patients.
- – Recite concerns about removing teeth safely in patients with Hypertension.
- – Demonstrate proper technique for taking blood pressure and sizing blood pressure cuffs.
- – State how diabetes impacts oral surgery procedures.
- – List tips for treating diabetic patients more safely and predictably.
- – Say why NSAIDS are a relative contraindication in patients with asthma.
- – Note important considerations for treating the asthmatic patient.
- – Safely manage the hyperthyroid patient.
- – Appreciate the nuance of sedating hyperthyroidism patients.
- – Understand appropriate drugs for pain management in hyperthyroid patients.
- – Identify the signs and symptoms of hypothyroidism.
- – Understand the importance of hypothyroid disorders as they pertain to exodontia.
- – List types of anemia and why anemia is a concern when doing oral surgical procedures.
- – State treatment considerations for people with angina, history of heart attack or congestive heart failure.
- – Recall the current American Dental Association guidelines for prosthetic joint antibiotic prophylaxis.
- – Understand the guidelines for the treatment of patients with a history of infective endocarditis.
- – Know what to prescribe for prophylaxis when a patient is already taking an antibiotic prescription.
- – Describe what scarlet fever is.
- – Explain how scarlet fever relates to infective endocarditis.
- – Identify osteoporosis via clinical presentations of the patient.
- – See how osteoporosis relates to exodontia.
- – State some of the main causes of liver failure.
- – Confidently manage patients with liver disease.
- – Identify suitable prescription options for patients with liver disease.
- – Understand some of the concerns regarding the management of a hemodialysis patient.
- – Find information on Hemophilia or Von Willebrand Disease.
- – Appreciate the concerns regarding the management of a Hemophiliac or Von Willebrand patient.
- – Know when it is safest to complete procedures on pregnant patients.
- – State considerations for managing a pregnant patient.
- – Understand the guidelines regarding radiographs during pregnancy.
- – Recite the drug categories and know how they relate to employing drugs in pregnant patients.
- – Choose a safe antibiotic for pregnant patients.
- – Select an appropriate drug for pain management in pregnancy.
- – Respect the concerns regarding sedation of pregnant patients.
- – Select the most appropriate topical and local anesthetic agents for pregnant patients.
- – Identify the significance of chemotherapy as it relates to exodontia.
- – Recall a suggested protocol for managing the chemotherapy patient.
- – Understand the suggested protocol for extractions on patients undergoing radiation therapy.
- – Safely manage an immunocompromised patient.
- – Be familiar with the the signs, symptoms, and management of common medical emergencies in the dental office including syncope, seizures, hypoglycemia, mild allergic reactions, hyperventilation, orthostatic hypotension, acute asthma, airway obstruction, heart attack, stroke, cardiac arrest, and anaphylaxis.
- – Discuss the concept of Advanced Cardiac Life Support training and why they should consider taking it.
xMedical Considerations
$195USD Add to cart