November 2019 Volume LIV Number 6


Friday, May 24

January 2013 Volume XLVIX Number 1

 7:30 – 9 am

Keynote Address: At the Corner of Artisanal Food

and Business   PD, DT, S

Marcus Samuelsson

9 am – 3 pm

PALS Recertification

See additional workshops on page 30 for more information.

9:30 am – 12:30 pm

100. Management of Interproximal Caries: Challenges, Current Clinical Recommendations, Innovative Approaches and

Future Directions         PD

9:30 – 10:15 am

Defining the Problems

Gajanan (Kiran) Kulkarni, B.D.S., M.Sc., Ph.D., D.Ped.Dent., F.R.C.D.(C)

Pediatric dentists are routinely faced with the management of interproximal caries. While routine, this poses numerous clinical judgments, decisions, challenges, and dilemmas. Results of a survey of North American dentists will be presented to highlight the above. This first session will provide an overview of this symposium. The challenge of setting treatment thresholds in the context of clinical, radiographic and histopathologic presentations will be discussed. An overview of current modalities for detecting/diagnosing interproximal caries along with guidelines and teaching philosophies regarding management of interproximal caries will be briefly reviewed. The biological basis for differences in the management of the primary versus permanent dentition will be discussed.

A case for long-term outcome studies, especially on the newer modalities for diagnosis and management of interproximal caries will be argued. This session will include a live survey of the audience on how they would manage clinical scenarios with clinical histories and the results will be tabulated for presentation during the panel discussion section that will follow the symposium.

Dr. Gajanan Kulkarni is a fulltime tenured associate professor of dentistry at the University of Toronto, where he has been working since 1998. After his undergraduate dental training, he obtained a M.Sc. degree and followed that with a specialty diploma in pediatric dentistry and a Ph.D. in cell and molecular biology from the University of Toronto. Following his formal education, Kulkarni completed two post-doctoral fellowships at Guys Hospital and Northwestern University. He is a Fellow of the Royal College of Dentists of Canada and a Diplomate of the American Board of Pediatric Dentistry. Kulkarni has over 150 publications and presentations in various fields of basic and clinical dental research and he is on the editorial boards of several journals. His duties as a full-time academic include teaching of undergraduate, graduate and post-graduate students. Kulkarni also maintains an active research program with several graduate and post-doctoral students. His main research interests are in fields related to pediatric dentistry.

He has received competitive funding from CIHR, CFI and the Hospital for Sick Children. Most recently Kulkarni, along with his graduate students, has developed a program for the promotion of infant and baby oral health that was distributed by the Royal College of Dental Surgeons of Ontario to all dentists in the province. He has partnered with several community organizations and has been volunteering regularly to deliver this program. Kulkarni has presented numerous continuing education courses and is an invited speaker to national and international conferences. Lastly, Kulkarni maintains an active private practice with a special focus on children with special needs and growth issues. This, he believes, provides an ideal balance among teaching and research and clinical practice.

10:15 11:15 AM

Effectiveness and Safety of Fluoride Based Products in Managing Interproximal Lesions Peter Milgrom, D.D.S.

With increasing parental scrutiny of, and even resistance to fluorides in the dental office, the pediatric dentist needs to be on top of changes in the field. The lecture will describe the current modalities, clinical use and effectiveness and safety. This session will also better enable the clinician to train staff and respond to questions by parents.

11:15 am – 12:30 pm

Review of Non-Fluoride and Calcium-Based Products Timothy Wright

110. New Advances in Vital Pulp Therapy and Revascularization of Necrotic Pulps PD

Nestor Cohenca, D.D.S.

Immature teeth with apical periodontitis present a clinical challenge due to the presence of short undeveloped root structures, thin dentinal walls, and wide open foramens. In addition, disinfection and obturation of the root canal system is risky and unpredictable, affecting the long-term treatment outcome. Maintenance of pulp vitality should always be our first priority for dentin deposition and development of a stronger mature root that is better able to withstand fracture. However, the treatment outcome for carious exposed pulps is questionable and in case of failure, pulp revascularization and apexification should be considered. This novel procedure exploits the full potential for revascularization and tissue in growth toward dentin deposition and stronger roots able to withstand fracture. This presentation will review the current evidence-based research and illustrate the clinical implications of vital and non-vital therapy.

120. Class III Malocclusion         PD

 Thomas J. Kiebach

130. Great Solutions for Tough Parent Situations PD, DT, S Robin Wright, Ph.D.

Parents say: Why isn’t this treatment covered under my insurance? My 10-year-old wants her teeth bleached. Why fill baby teeth when they fall out anyway? We don’want any X-rays. I’m dropping off my son and Ill be back later. This fast-paced course tells how the pediatric dental team can work together to solve difficult parent situations in less time and build parent trust, loyalty and satisfaction. You will learn how to turn challenging conversations into an opportunity to show parents that your pediatric dental practice is just right for their child, and persuade them that your quality caris worth their time and money. Based upon ongoing research with pediatric dental offices, this true-to-life seminar is relevant to every member of your team.

Robin Wright has an international reputation as a dental communication specialist and has served as the AAPDs media consultant for over 20 years. She has presented more than 500 seminars, including the annual meetings of the AAPD, American Dental Association, and Academy of General Dentistry. Her combination of humor, enthusiasm and expertise make her a powerful speaker. Wright has taught communication courses at four universities and holds a doctorate in healthcare communication at Northwestern University in Evanston, Ill. She is the author of over 50 publications and the book "Tough Questions, Great Answers: Responding to Patient Concerns about Todays Dentistry" through Quintessence Publishing. In her media consulting work, she has prepared national spokespersons to speak in such challenging settings as the U.S. Senate and network television programs including "The Oprah Winfrey Show," "60 Minutes," and "Good Morning America."

1:30 – 3:30 pm

140. New Dentist Program: Health Care Reform What it Means for the Pediatric Dentist   PD Heber Simmons Jr., D.D.S., M.S.; Lewis Kay, D.D.S.; C. Scott Litch, M.A., J.D., CAE;

Jim Crall, D.D.S., Sc.D.

Health Care Reform: Weve all heard about it, but few of us understand what it means to our practices. We have secured some AAPD experts to address several issues regarding this topic, and how it affects the pediatric dentist. Topics for discussion include: 1) Explanation of the pediatric dentistry benefit as part of the Affordable Care; Act 2) Changes to current regulations and its effect on dentistry; 3) Pediatric dentist role in advocating for oral health care and how to get involved.

Dr. Heber Simmons Jr. currently serves as Congressional Liaison for the AAPD, taking time from his practice to come to Washington D.C., once a month to educate members of Congress and their staff concerning oral health issues for children. Simmons has practiced in Jackson, Miss., for over 45 years, and been a distinguished leader in dentistry, having served as past President of the AAPD, the American Academy of Dental Practice Administration, and the Mississippi Dental Association. Simmons has served on the ADAs Board of Trustees, and also been an ADA dental consumer spokesperson since 1981, making numerous media appearances. Simmons received his dental degree at the University of Tennessee and completed his pediatric dentistry training there as well. He has testified before Congress for the AAPD and also been an integral part of past AAPD Legislative Workshops and Washington, D.C., Lobby Days. Simmons received the Academys Distinguished Service Award in 1994. Simmons was awarded an AAPD Presidential Citation in 2001 in recognition of his successful efforts in obtaining an additional $2 million in federal fiscal year (FY) 2001 for the pediatric dentistry Title VII program. His advocacy leadership in this area has continued, as the AAPD successfully obtained a combined total of $16 million for pediatric dentistry residencies in FY 2004, 2005, and 2007 federal budgets. Simmons has built strong relationships with a number of key Congressional offices, and contributes significantly to the ongoing efforts of the AAPDs Council on Government Affairs and PAC Steering Committee.

Dr. Lewis A. Kay is a past president of the American Academy of Pediatric Dentistry (1994-1995). He is currently clinical program director in the Pediatric Dental Residency program at Temple University Hospital/Episcopal Division. Kay has served as the chair of the AAPDs Political Action Committee Steering Committee since 2009, having previously represented AAPDs second district on the steering committee from 2005-2008. He received his dental degree from the University of Pennsylvania, and received his certificate in pediatric dentistry from the University of Pennsylvania/Childrens Hospital of Philadelphia, where he was Chief Resident. Kay is a fellow of the American and International College of Dentistry and the Academy of Dentistry for the Handicapped, past president of the Academy of Dentistry for Persons with Disabilities and the Southern Dental Society of New Jersey, and past editor of the South Dental Society of New Jersey. He is a member of the New Jersey Forensic Dentistry Go Team.

C. Scott Litch is Chief Operating Officer and General Counsel for the American Academy of Pediatric Dentistry (AAPD). Litch has three primary duties with the AAPD: coordinating internal operations and planning; directing the AAPDs government relations and public policy agenda; and managing legal issues affecting the AAPD and pediatric dentistry. He also serves as secretary to the AAPD Political Action Committees Steering Committee, member of the Constitution and Bylaws Committee, and staff liaison to the AAPD Council on Government Affairs. Prior to joining the AAPD in 1999, Litch worked on legislative and regulatory issues at the American Dental Education Association in Washington, D.C., for 11years, ultimately as general counsel and associate executive director for government and institutional relations. Litch has coordinated numerous advocacy campaigns on behalf of the AAPD, including efforts to increase HRSA Title VII funding for pediatric dentistry residency programs and to encourage innovative state Medicaid dental reforms. Litch received a law degree from the University of Maryland and a masters degree in Public Policy from Duke University. He is a licensed attorney in three jurisdictions and a Certified Association Executive (CAE). He has also served as a member of the Board of Directors of the Association Forum of Chicagoland (‘Forum’), chair of the Forums Public Policy Committee, and chair of the Forums PAC Trustees.

Dr. Jim Crall recently joined the faculty at the UCLA Center and is professor and chair of pediatric dentistry at the UCLA School of Dentistry. He directs the MCHB-funded National Oral Health Policy Center, currently housed at the UCLA Center. He holds degrees in dentistry and pediatric dentistry from the University of Iowa and is a Diplomate of the American Board of Pediatric Dentistry. He was selected to be a Robert Wood Johnson Foundation Dental Health Services Research Scholar from 1984-86, and subsequently obtained masters and doctoral degrees in Health Policy and Management from the Harvard School of Public Health. Crall was appointed as the first Dental Scholar-in-Residence at the Agency for Healthcare Research and Quality (formerly AHCPR) in 1997, and has served as a consultant or panel member for the Joint Commission on Accreditation of Healthcare Organizations, Milbank-Reforming States Group Oral Health Workgroup, National Committee on Quality Assurance, National Governors Association, Pew Health Professions Commission, U.S. Department of Health and Human Services, and U.S. General Accounting Office. Prior to moving to UCLA, Crall directed Columbia Universitys Oral Health Disparities and Policy Center and served as Head of the Department of Pediatric Dentistry and Associate Dean for Program Evaluation and Planning at the University of Connecticut School of Dental Medicine. His work focuses on disparities in pediatric oral health care and public policy affecting access and quality of care.

1:30 – 4:30 pm

150. Management of Interproximal Caries: Challenges, Current Clinical Recommendations, Innovative Approaches and Future Directions         PD

1:30 – 2:30 pm

Newer and Experimental Technologies and Approaches Sebastian Paris, D.D.S.

In recent years several new micro-invasive approaches to prevent caries formation or to arrest lesion progression have been suggested. They all aim to postpone or even avoid the first invasive intervention, which often initiates a death spiral of restorations. Caries infiltration for example, aims to occlude the pores within the lesion body with low viscosity light curing resins. That way, diffusion pathways are blocked and lesion progression is slowed down or even arrested. Lasers have also been suggested to reduce enamel solubility. The presentation will address the current scientific evidence on micro-invasive techniques such ascaries infiltration and laser treatment and give a perspective on future developments.

Dr. Sebastian Paris graduated in Dentistry 2003. He passed his doctorate thesis (Promotion) in 2005. From 20042008 he worked at the Department of Operative Dentistry and Periodontology, Charit©, Berlin as a lecturer and instructor of undergraduate students. Since August 2008 he has worked at the Clinic for Operative Dentistry and Periodontology, University of Kiel, Germany. In 2011, Paris passed his PhD-Thesis (Habilitation) and is currently working as associate professor for cariology. Paris’ main scientific contributions have been within the field of cariology. In particular he worked on the infiltration of enamel caries lesions with light curing resins, a novel micro invasive technique to arrest caries lesions. Paris is author and co-author of 34 original papers, nine review articles and 62 scientific abstracts.


2:30 – 3:30 pm

Newer Diagnostic Tests and Conservative Options for the Management of Interproximal Caries

Joel H. Berg, D.D.S., M.S. 

This lecture will describe various new technologies in dental caries detection and caries diagnosis. Early detection will certainly breed new and less-invasive treatments, and this talk will provide attention to the opportunities having heard the other discussions of the day regarding treatment methods for interproximal lesions.

Joel H. Berg is Dean of the University of Washington School of Dentistry in Seattle. He is Professor in the UW Department of Pediatric Dentistry and also holds the Lloyd and Kay Chapman Chair for Oral Health. Berg is a board-certified pediatric dentist and is President of the American Academy of Pediatric Dentistry for 2012-13. Berg previously held positions as Chair of Pediatric Dentistry at the University of Washington from 2003-12, as Vice President of Clinical Affairs at Philips Oral Healthcare from 2000-03, as Head of the Scientific Department for ESPE Dental AG from 1998-2000, and as Director of the Postgraduate/Residency Program in Pediatric Dentistry at the University of Texas, Houston from 1989-1995. He is the author of the textbook Early Childhood Oral Health, and of numerous manuscripts, abstracts and book chapters on subjects including dental restorative materials for children and other work related to biomaterials. His current research interests include the development of dental caries prevention programs using risk assessment models and early childhood oral health, and he conducts clinical trials evaluating restorative dental materials and caries (dental decay) management in children.


3:30 – 4:30 pm

Panel Discussion: What is Needed for a Paradigm Shift in the Management of Interproximal Caries?160. Practical Diagnostic Imaging for the Pediatric Dentist           PD

Juan F. Yepes, D.D.S., M.D., M.P.H., M.S., Dr.P.H.

This course will present a comprehensive review of the most common radiographic entities in children. The course will place special emphasis on radiographic description and the differential interpretation process. Current topics in oral and maxillofacial radiology in children will be also included such as radiation safety and Cone Beam

Computed Tomography (CBCT).

Dr. Juan F. Yepes is an associate professor of pediatric dentistry at the University of Kentucky. Also, Yepes is the University of Kentucky Institutional Review Board Vice-Chair. Yepes attended the University of Iowa and the University of Pennsylvania where he completed a fellowship and residency in Oral and Maxillofacial Radiology and Oral Medicine respectively in 2002 and 2004. In 2006, Yepes completed a Master in Public Health (MPH) with emphasis in Epidemiology at the University of Kentucky College of Public Health. In 2008, Yepes completed a residency program in Dental Public Health at University of Texas, Baylor College of Dentistry, and in 2011 Yepes completed a doctoral degree in Public Health (DrPH) with emphasis in epidemiology at the University of Kentucky College of Public Health. Finally, in the summer of 2012, Yepes finished a certificate and Master of Science degree program in pediatric dentistry at the University of Kentucky. Yepes is board certified by the American Board of Oral Medicine and American Board of Dental Public Health. He is an active member of the American Academof Oral Medicine, American Medical Association, Hispanic Dental Association, American Academy of Oral and Maxillofacial Radiology (elected member of the Executive Committee since 2009), American Association of Public Health Dentistry, International Association of Dental Research, International Association of Dento-Maxillo-Facial Radiology, and American Dental Association.

170. Impacted Canine and/or Missing Teeth        PD

Thomas J. Kiebach

180. Coding and Insurance Workshop    PD, DT, S

Paul Reggiardo, D.D.S.; Mary Essling, R.D.H., M.S.

This workshop will cover the latest edition of CDT 2013 which has many significant revisions, additions and deletions, including 35 new codes, 37 revised codes, and 12 deleted codes. Many of the new and revised codes pertain to pediatric dentists and general dentists who see children. In addition, the course will offer advice for submitting efficient and clean dental claims, medical claims submissions and cross coding dental procedures to medical procedures and medical diagnostic codes, developing meaningful narratives, Medicaid policies on reimbursement issues, and tips for appealing claim denials. Reggiardo will provide information on the revised Guideline on Caries-risk Assessment and Management for Infants, Children and Adolescents, protocols and office treatment for early infant dental care. The presentation will include current information on the Affordable CarAct as it pertains to the Essential Health Benefits (EHB) for pediatric oral health and how the various State Exchanges define EHB.

Dr. Paul Reggiardo is chair of the Council on Dental Benefit Programs. Reggiardo previously served as president of the American Academy of Pediatric Dentistry and is currently the public policy advocate for the California Society of Pediatric Dentistry. Reggiardo maintains a private pediatric dental practice in Huntington Beach, Calif.

Mary Essling joined the AAPD in October, 2007 in the new position of Dental Benefits Manager. Mary has previous experience working on dental and medical procedure coding and third party insurance matters for both the American Dental Association (from 1994 2002) and the American Society of Plastic Surgeons. She has a bachelor of science degree from Marquette University, an M.S. in Health Law Policy from DePaul University, and is a registered dental hygienist.