May 2019 Volume LIV Number 3


Sunday, May 26

January 2013 Volume XLVIX Number 1

 7 – 8 am


Breakfast Rounds II PD, DT

These are ticketed events; please indicate your preference during registration.


BR21. 10 Ways to Advocate for Childrens Oral Health

Homa Amini, D.D.S., M.P.H., M.S.

and Kara M. Morris, D.D.S., M.S.

Advocacy exists on a continuum from local

to national activities. This session will focus on how practitioners and staff can become involved through focused actions on many different levels. This active discussion will outline practical programs. Be prepared to talk and be prepared to leave ready to implement strategies!


BR22. Are the Pediatricians Referring to You?

Craig S. Hollander, D.D.S., M.S.

Discussion on time-tested methods to increase referrals into your office by pediatricians and general dentists and help you increase your visibility within your professional community.


BR23. Bleaching in Children and Adolescents

Samah Omar, B.D.S., D.D.S., M.S.D.

Parents of children and adolescents request information on dental bleaching with increasing frequency. Bleaching was performed in children as young as 4 years old; however, systemic and local effects have not been studied. We will discuss risks, benefits, indications for children, alternatives, and AAPD guidelines.


BR25. Diagnosis and Treatment for Anterior Cross Bite in Mixed Dentition

Elsa Alfonzo-Echeverri, D.D.S.

The correction of anterior cross bite is a very significant event in the life of a pre-adolescent. A detailed description of diagnosis, techniques and appliances will be discussed, and advantages and disavantages of each approach will be evaluated. (RPE, NPE and brackets) BR26. Gaming, Texting, Internet Surfing, Drilling, and Filling Elizabeth Shick, D.D.S., M.P.H.

This presentation will review the current trends and guidelines for media use among US children. We will discuss the harmful effects excessive media use has on children, including higher rates of dental caries. We will discuss the role of the dentist in counseling patients and caregivers about media use.


BR27. Hanging Your Single Shingle Starting Your Own Private Practice

Robert D. Elliott, D.M.D., M.S.

Strategies and handouts on starting a solo private practice will be discussed. Attendees will receive a "cookbook" manual that sequences the events and suggests a timeline when putting everything together to open an office. Topics covered range from initial concept to the end of your first year of practice.


BR28. How Should We Define Good Clinical Pediatric Pain Practice for Pediatric Procedure Pain? Dennis P. Nutter, D.D.S.

How much pain we choose to permit children to experience during needle or restorative procedures is reflective of our ideas about what good, clinical pediatric pain practice means. Starting from a definition of pain, and working through iatrogenic clinician factors that hinder our ability to assess and quantify pain behavior. Nutter will lead a discussion among participants about how pediatric dentists should define good clinical pain practice in a procedural setting. The appropriate use of restraints will be discussed.


BR29. In-Office Management of the Combative Patient with Special Health Needs

Timothy B. Followell, D.M.D., M.S.

The purpose of this breakfast round is to discuss the clinical management of patients with intellectual and developmental disabilities (IDD) who are minimally able to cooperate and physically imposing. Access to the operating room is often limited due to geographical and financial barriers, extent of treatment required, and desires of the guardian. This discussion focus on practical tips and suggestions for dentists who are interested in treating patients with special needs in-office.


BR30. Lesion Sterilization and Tissue Repair

Kimberly Kay Patterson, D.D.S., M.S.

Lesion Sterilization and Tissue Repair (LSTR) therapy uses a combination of three antibacterials applied directly to infected dentinal and pulpal tissues of primary teeth or immature permanent teeth. The applications for LSTR include non-extraction of pulpally involved primary teeth and revascularization of necrotic immature permanent teeth.


BR31. Magic 101 for the Pediatric Dentist

Ben Taylor, D.D.S.

This course will review the basics of using magic in the pediatric dental practice for marketing, developing patient rapport, and just having fun. Discussion will include magic as a performance art, types of effects, and magic organizations. Some simple effects will be taught that can be brought back to the practice immediately.Taylor will explain his use of magic in his practice and how it has progressed over the years.

BR32. Managing a Dental Practice for Fun and Profit

Scott D. Goodman, D.D.S., M.S.

Would you like your practice day to be fun and stress free? Would you like your staff to manage the practice instead of you trying to put out fires? Learn basic business principles to share with your staff to create an environment that promotes growth and development.


BR33. Orthodontic Extrusion with the Modified Essex Appliance Janice A. Townsend, D.D.S.

Orthodontic extrusion of the compromised tooth can present difficulties in a patient with malocclusion. This presentation will demonstrate how a modified Essex appliance can be used to extrude a single tooth with no reciprocal movement. Indications, advantages, and disadvantages of this technique will be discussed.

BR34. Practice Management Software Best Solutions for Your Practice

Oshmi Dutta, B.D.S., D.D.S., M.S.,


Practice management software forms the backbone for any contemporary paper-free practice. With the numerous choices in the marketplace, the decision can be confusing at best. This presentation will provide a simple decision tree when deciding which application to consider in a new or an existing practice.

BR35. Sedation A Practical Protocol for Patient Selection and Management

Jeffrey O. Young, D.D.S.

Presentation and discussion of a screening form to assist in selection of patients for treatment with oral sedation. Review and discussion of a "day of sedation" checklist utilized to prepare, dispense, administer, treat, and recover patients at sedation appointments.

BR36. Sedation Management of the Unmanageable Child

Henna DeSimone, D.D.S., Meredith

Blitz, D.D.S.

The relative merits of different management approaches, anesthetic techniques and drug regimens will be debated by a pediatric dentist / dental anesthesiologist and an oral and maxillofacial surgeon. Each presenter will bring her perspective to the controversial issues surrounding the safe and appropriate management of uncooperative children.

BR37. Seeing the Light-Introduction and Use of Lasers in Pediatric Residency Programs

Linda Murzyn-Dantzer, D.M.D.

Ideas for incorporating laser training into a pediatric dental residency curriculum will be presented. Also, we will discuss how this can benefit the training program and future practice opportunities.


BR38. The Impact of the Infant Oral Health Care on the Future Care of Pediatric Patients

Leda R.F. Mugayar, D.D.S., M.S.

The goals of this session are to emphasize the importance and benefits of prevention and early intervention, as well as discuss how oral health care and parental education can affect general and oral health of young patients throughout their lifetime. The establishment of an Infant Oral Health Clinic, as implemented at the University of Florida, will serve as possible model to start other services in the community and/or private practices.


BR39. Toothful Tales, Creative and Concise Discussions About Diet that Can Help Improve Your Patients’ Oral and Systemic Health

Jeanette Flannery Courtad, D.D.S.

By creating a concise, dietary analysis form that can be reviewed and discussed in under three minutes, patients can be made aware of how their food and drink choices, along with snacking habits, affect their oral and systemic health. High-impact visual aids and take-home materials will be presented.


8:30 – 10 am


320. Hands-On Workshop: Clinical Applications of Lasers in Pediatric Dentistry          PD

Lawrence A. Kotlow, D.D.S. and Fred S. Margolis, D.D.S., B.S.,

F.I.C.D., F.A.C.D., M.A.L.D.

This hands-on session gives you the opportunity to learn by doing. Instructors will be available to guide you through procedures on pigs’ jaws and extracted teeth. Both erbium and diode lasers will be available for your use. Any attendee who registers for the hands-on workshop must attend the didactic lecture on Saturday afternoon. Space is limited; please make the appropriate notation during registration.


8:30 11:30 am

300. Mini Clinics II       PD, DT


8:30 – 9:15 am

How We Assess Pain, How We Justify Pain, and Why We Need to Stop Managing ‘Behavior

Dennis P. Nutter, D.D.S.

New AAPD guidelines direct that proper pain management is crucial for successful behavior guidance. Nutter will present compelling evidence to dissuade clinicians that they can knohow much pain a child is experiencing and that, under procedural conditions, nearly all behavior is most effectively understood as pain behavior in either its nociceptive or affective (emotion/ anxiety) dimensions. Clinical instruments and methods to assess, measure and justify pediatric pain will be presented.


9:15 – 10:00 am

The Management of Cleft Lip and Palate: A Modern Team Approach

Pat Ricalde, D.D.S., M.D., F.A.C.S.

The dental professional is paramount in the management of patients with cleft lip and palate. This presentation will review modern team approaches to care, with emphasis on the oral rehabilitation of these patients.


10 – 10:45 am

Sedation Pharmacokinetics: The Use of a Computer Model to Evaluate the Clinical Application of Different Sedation Agents and Their Administration Techniques Christopher Heard, M.D.

Understanding the pharmacokinetics of sedatives can help the dentist in providing safe and effective sedation. The differences due to routes of administration, redistribution, elimination

and cumulation are important to understand their efficacy as well as potential side effects. Oral sedation failure may also be partly explained using a kinetic model.


10:45 11:30 am

Quicksleeper for Intra-Osseous Local Anesthesia: Technique and Advantages

Johan K. Aps, D.D.S., M.Sc. Ped.Dent. and Special Care, M.Sc.,

D.M.F.R., Ph.D.

Some of your patients still feel pain after you have administered your local anesthetic? Do you also have those where you cannot touch one specific spot in the tooth, while all soft tissues and the rest of the tooth are as numb as can be? Better insights into anatomy explain why that is and consequently also whintra-osseous anesthesia is more efficient in achieving proper local anesthesia, while avoiding potential lip and tongue biting, limiting the number of injections and allowing working bilaterally in the mandible.


310. Pediatric Dental Sedation Best Practices     PD,DT

Robert Eliot Primosch, D.D.S., M.S., M.Ed.

This didactic educational experience is appropriate for the dental team interested in reinforcing the knowledge and performance skills requisite to providing best practices for the sedated pediatric dental patient. Following completion of the course, the participant will have gained or reinforced the knowledge to:

Discuss the pharmacology and pharmacokinetics of the enteral and parenteral sedative agents commonly used in pediatric dentistry.

Describe the actions, indications, adverse reactions, precautions, dosages, and routes of administration for the commonly used agents in pediatric dental sedation.

Identify the significant elements of various pediatric medical histories and physical evaluation findings to determine sedation risk assessment and appropriate management.

Use and interpret a broad variety of monitoring modalities.

Identify pre-operative, intra-operative, and post-operative sedation difficulties and assist in their resolution.

Describe a protocol for management of emergencies in the dental office; list and discuss the interventional drugs and equipment required for management of life threatening situations.


Dr. Robert E. Primosch is professor of pediatric dentistry and former associate dean for education at the University of Florida College of Dentistry. He is former

post-graduate program director and chair of the Department of Pediatric Dentistry at the University of Florida. He earned his D.D.S. at the Medical College of Virginia, his M.S. and certificate in pediatric dentistry at the University of Minnesota, and his M.Ed. in educational psychology at the University of Oklahoma. He is a fellow of the American College of Dentists and a diplomate and former chair of the American Board of Pediatric Dentistry. A prolific author and lecturer, he has contributed over 60 articles to scientific journals and has co-authored three editions of the textbook "Fundamentals of Pediatric Dentistry" published by Quintessence Publishing Company.

340. Mini Clinics III         PD, DT


8:30 – 9:15 am

Zirconia for Children – Why, When, Where and How

Anne C. O’Connell, B.A., BDentSc,


Esthetic restorations should be the standard of care for children. Many products are available for full coverage restorations, most recently Zirconia crowns. Case selection for esthetic crowns on primary anterior and posterior teeth is essential for success. Tooth preparation, cementation and common issues in placement of crowns will be highlighted, with an emphasis on Zirconia restorations.


9:15 – 10 am

Development of the Pediatric Airway Dental Treatment Implications and Complications Sarat Thikkurissy, D.D.S., M.S.

With the advent of the "Dental Home by Age 1" concept over a decade ago, children are being seen at the dentists’ office at a younger age. Practioners need to understand how development

of the pediatric airway, and issues such as prematurity can impact treatment planning.


10 – 10:45 am

Defects of Enamel and/or Dentin: A Systemic Approach to Differential Diagnosis and Management Simon J.Y. Lin

Differential diagnosis of common enamel and/or dentin defects is often difficult for young children. This presentation will provide a systemic approach for pediatric dentists in their daily practice. A simple restorative technique for managing cases with loss of vertical dimension in primary dentition will be demonstrated.

10:45 11:30 am

The Development of Smart Dental Materials: A Clinicians Experience

Mark L. Cannon, D.D.S., M.S.

Most of us use a smart phone, don’t we? We wouldn’t think of not having one as we are now dependent on that technology. The same should be true for our dental materials. As a clinician and researcher I had expected that dental technology would naturally follow the lead of our profession and respect the needs of our patients. This presentation chronicles the progress of the development of new smart dental materials and their clinical applications.

10 11:30 am

330. Hands-On Workshop: Clinical Applications of Lasers in Pediatric Dentistry          PD

Lawrence A. Kotlow, D.D.S. and Fred S.

Margolis, D.D.S., B.S., F.I.C.D., F.A.C.D., M.A.L.D.

This hands-on session gives you the opportunity to learn by doing. Instructors will be available to guide you through procedures on pigs’ jaws and extracted teeth. Both erbium and diode lasers will be available for your use. Any attendee who registers for the hands-on workshop must attend the didactic lecture on Saturday afternoon.

Space is limited; please make the appropriate notation during registration.