32nd Annual Chautauqua Dental Congress
June 29 - July 1, 2011

Lectures convene 9am Wednesday, Thursday & Friday mornings...Hall of Christ, Chautauqua Institution

Wednesday, June 29, 2011

Minor Oral Surgery in General Dental Practice...A Review

Dr. Richard Hall

Review common surgical procedures in the dental office including oral cancer diagnostic procedures, blood pressure concerns, and HIPPA basics, patient evaluation, surgical crown lengthening, pocket maintenance, third molar extraction and evaluation and treatment of oral lesions.

Information presented on sedation demonstrates the care required for its use and may be a good topic for in-office discussion. Dr. Hall also covers the management on perioperative bleeding, including a discussion of the over-the-counter herbs that are related to an increased risk of bleeding by the patient.

Basic oral surgery can be a satisfying and successful part of a general dental practice. Dr. Hall presents oral surgical principles and practical techniques for use by GPs in everyday practice. Learn some basic surgical principles and patient management skills, tips on specific techniques for various surgical situations, and hints about when to treat and when to refer. The main surgical emphasis will be on uncomplicated and complicated exodontia, impactions and some preprosthetic considerations. This course is a must for the general practitioner who does extractions, not only as a refresher course, but as a means to help avoid those uncomfortable clinical situations which always seem to occur when the waiting room is full. But even if you don't do much surgery in your practice, this review will help you feel more knowledgeable regarding your surgical referrals.

Thursday June 30, 2011

Temporomandibular Disorders:
Evidence-Based Diagnosis & Rational Management
Dr. Yoly Gonzalez

Diagnosis of temporomandibular disorders (TMD) has progressed substantially over the past 30 years, and the ground-breaking Research Diagnostic Criteria for TMD, translated into more than 20 languages and used in both clinical and research settings around the world, has lead to valuable data pertaining to these disorders. A large-scale study funded by NIH and which included UB as a collaborating institution has consequently resulted in a new diagnostic framework, the Diagnostic Criteria for TMD that is currently in the prepublication stage, endorsed by many organizations and clinical perspectives. Based on the data, the DC/TMD was designed to be a useful, reliable, and valid classification method for the busy practitioner. The content of this new system will be presented. By demonstrating valid diagnostic procedures, clinical treatments advocated for many years by specialist centers become better understood with regards to their rational selection. Treatments appropriate for TMDs will be highlighted, and an algorithm for effective implementation for management will be presented. Space for discussion regarding this often-controversial aspect of TMD will be part of the presentation structure.

Benefits of Attending:

Learn efficient, effective, and evidence-based diagnostic methods, and know what treatments are regarded as appropriate and rational for these conditions that are found throughout the body. Knowing when to refer due to yellow flags that complicate the course of a disorder or affect prognosis from a given treatment improves overall practice management.

Course Objectives:

At the completion of this program, participants should be able to:

(1) Understand the basis for the DC/TMD and why it is evidence-based;

(2) Know the procedures needed for effective evaluation and diagnosis;

(3) Select rational treatments;

(4) Know when referral is in the best interest of both patient and practice.

Intended Audience:

General practitioners and specialists should find this information of value for any practice that sees individuals complaining of pain. This information may be valuable for hygienists or assistants if they are involved with patient assessment or treatment delivery associated with TMD.

Friday, July 1, 2011

Conservative & (Controversial) Caries Management

Dr. John Maggio

New materials and years of research data are leading dentists to treat caries as a disease process, and not just a series of individual lesions. Risk assessment & prevention, early recalcification treatment, cautious and conservative caries removal, and refurbishing of existing restorations will be discussed.

In this course, Dr. Maggio provides a literature review as a framework for reworking our approach to caries as a disease. Specific guidelines will be developed for risk assessment, prevention, and for treatment of small carious lesions, very deep lesions, and recurrent caries. Clinical cases will be presented, to directly apply this information to the dentists daily routine.

After completing the course, you will:

• see caries as a disease process and approach it using the medical model
• recognize risk factors and methods of assessing risk
• choose the best prevention regimen(s) for each patient
• know how to recalcify incipient lesions, and unsightly white, yellow or brown lesions on anterior teeth
• be able to differentiate between indirect pulp caps, stepwise excavation, and incomplete caries removal
• understand the nature of soft dentin, and its ability to be recalcified
• know the indications for, and advantages of, the open sandwich technique
• see opportunities for repair of restorations, over replacement

This course stresses the need to rely on research findings to inform clinical decision making.