May 2019 Volume LIV Number 3

 
 
 
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Friday, May 23, 2014

January 2014 Volume L Number 1

100. 2D and 3D Imaging and Covering the Use of CBCT in Pediatric Dentistry

Friday, May 23

9:30 am 12:30 pm

Johan K. Aps, D.D.S., M.Sc. Ped. Dent. and Special Care, M.Sc. D.M.F.R., Ph.D. and John Ludlow 

 

The use of radiographic techniques,  whether it be with or without using ionizing radiation, is common sense these days in general medical and dental practice. Two-dimensional radiographs in dentistry have switched from analog to digital in the past few decades. Not every practitioner is digitized, but that does not mean they are not up-to-date with regard to diagnostic quality. Two-dimensional imaging remains the first line of diagnostic imaging, as the majority of dental interventions do not necessitate three-dimensional imaging. However, in those cases where three-dimensional radiographic information is needed, the dental practitioner should be able to decide which type is best suited for each particular case. Ultrasound imaging of the soft tissues, like salivary glands and lymph nodes, may be preferred over Magnetic Resonance Imaging; Multislice CT may be preferred over Cone Beam CT; and for certain cases a combination of diagnostic approaches is needed. Proper knowledge and understanding of all these techniques and their specific advantages and disadvantages is the first step to making a correct diagnosis. Being able to understand what one can appreciate in these images is obviously the next step in the diagnostic cascade. 

 

Dr. Johan K. Aps is a clinical associate professor at the University of Washington, Department of Pediatric Dentistry and Department of Oral Medicine Diplomas. He received his D.D.S. in 1993, an M.Sc. in Pediatric Dentistry and Special Care in 1997, and his Ph.D. in 2002 from Ghent University, Belgium. In 2008, he received his M.Sc. DMFR in 2008 from London University, U.K. From 1993 to 2004, he worked as a research and clinical professor at University of Ghent and Ghent University Hospital, Belgium, before starting his own private dental practice in pediatric dentistry. Since 2012, he has been a professor and senior clinical consultant at University of Ghent and Ghent University Hospital with teaching assignments in dental and maxillofacial radiology, cariology and in local anesthesia. His expertise is in dental and maxillofacial radiology, including sialography and ultrasound imaging local anesthesia in dentistry (special interest in intraosseous anesthesia). He is the editor for several peer-reviewed dental journals, including editor in chief for Het Tandheelkundig Jaar (a Dutch-Belgian yearbook). Aps is a member of numerous pediatric dentistry and dental maxillofacial radiology associations and academies. He is the recipient of five scientific awards and the author of several scientific abstracts, papers and book chapters. Aps is chair of AADR Diagnostic Sciences Group.

 

Dr. John Ludlow is a professor of Radiology in the Department of Diagnostic Sciences at the University of North Carolina School of Dentistry. He received his D.D.S. from the University of Michigan in 1978 and M.S. in Oral Diagnosis and Radiology in 1983. He joined the UNC faculty in 1989. He is a fellow of the Royal College of Surgeons Edinburg, past president of the American Board of Oral Maxillofacial Radiology, and past secretary of the American Board of Oral Medicine. He is a member of the State of North Carolina Radiation Protection Commission and the ADA Council on Scientific Affairs. Ludlow has published over 90 scientific manuscripts and was an AAOMR Weurhmann Prize winner for the best radiology research paper in 2006-7 and 2010-11. His current research focuses on pediatric dose and risk from dental imaging. 

 

110. Medical Conditions Commonly seen by the Pediatric Dentist and sedation Implications

Friday, May 23

9:30 am 12:30 pm

Steve Ganzberg, D.D.S., M.S.

This presentation will review common medical condition encounter in a pediatric dental practice and discuss sedation strategies for managing these challenging pediatric patients. Conditions such as asthma, seizure disorders, attention deficit-hyperactivity, syndromes, obesity and cerebral palsy will behighlighted. Sedation monitoring will then be reviewed. Monitors that will likely be required in the future will be highlighted.

 

Learning Objectives: 

  • Pre-sedation Assessment and Monitoring
  • Review common medical conditions affecting children 
  • Understand how these medical conditons affect sedation in children 
  • Understand what information various sedation monitors provide and what monitors will be required in the future 

Dr. Steve Ganzberg, clinical professor of anesthesiology at the UCLA School of Dentistry, is a dentist anesthesiologist with  over 25 years experience in pain management. Ganzberg graduated from M.I.T. in 1977 and the University of Pennsylvania School of Dental Medicine in 1981. He completed his pain management training at New York University and his anesthesiology training and Master's degree at The Ohio State University. Ganzberg is a Diplomate of the American Dental Board of Anesthesiology and the American Board of Orofacial Pain. He taught at OSU for 17 years where he started the first Joint Commission accredited ambulatory surgery center devoted to dental and oral surgery in a children's hospital, Nationwide Children's Hospital in Columbus. He is a past president of the American Society of Dentist Anesthesiologists and the American Dental Board of Anesthesiology. He currently directs the dental anesthesiology residency at UCLA School of Dentistry while providing anesthesia services for the Century City Outpatient Surgery Center, a Joint Commission accredited surgery center focusing on dentoalveolar, maxillofacial and facial plastic surgery. Ganzberg has lectured extensively nationally and internationally and has published over 50 original research articles and book chapters in the field. His research focuses on out-patient anesthesia techniques and clinical pharmacology.

 

120. Esthetic Full Coverage Restorations for Primary Teeth

Friday, May 23 

9:30 am 12:30 pm

William F. Waggoner, D.D.S., M.S. In 1950, Humphrey introduced the stainless steel crown to dentistry as a method of restoring badly decayed primary molar teeth. This has remained a mainstay of restorative dentistry for pediatric dentists for over 60 years. However, although the durability of stainless steel crowns continues to be superior to almost every other pediatric restorative option, many parents are requesting and demanding more aesthetic restorations for their child's teeth. This presentation will discuss aesthetic full coverage options for badly decayed primary teeth with an emphasis on pre-made zirconia primary crowns, pre-veneered primary crowns, and full resin based composite crowns. Indications and advantages and disadvantages of each type of crown will be discussed as well as tips on preparation, fitting and cementation.

 

Dr. William F. Waggoner has been in full-time practice of pediatric dentistry in Las Vegas, Nev., since 1996. He graduated from the West Virginia University College of Dentistry in 1980 and completed his Master of Science degree in pediatric dentistry at the University of Iowa in 1982. From 1982-1986, Waggoner held a full-time academic appointment at the University of Oklahoma College of Dentistry. From 1986-1995 he was associate professor of pediatric dentistry and director of the Children's Dental Clinic at the Ohio State University College of Dentistry. Waggoner has numerous research publications in peer-reviewed dental journals and is the author of achapter in a popular pediatric dental textbook. He is a diplomate of the American Board of Pediatric Dentistry and a fellow of the American Academy of Pediatric Dentistry. Waggoner is a frequent speaker on the subject of dentistry for children. He has been a featured seminar speaker of the American Dental Association and has given dental presentations internationally and in over 30 states. He is a member of the American Dental Association, American College of Dentists, American Academy of Pediatric Dentistry, and is past President of the Nevada Academy of Pediatric Dentistry. Waggoner has been married for 34 years to his wife, Linda Ann, a marriage and family therapist. They have four grown children. His spare time is devoted to family activities, reading and traveling.
 
130. Building and Bettering your Castle of Chaos
Friday, May 23
9:30 am 12:30 pm
Ann M. Bynum, D.D.S.
Whether it's your first year or your last year in dentistry, or whether you are the doctor or you have just joined the field of pediatric dentistry in any capacity, we all have days that are perfect from start to finish. We also have other days (or weeks) that we want to stay in bed, or drive right past the office. These are all normal feelings. It's what we do with them that matters. This presentation will provide you and your entire team with tangible tools to take back to your office, tools that make walking in the office back door a delight, and make taking care of the patients that walk in the front door—and write your paycheck!—a joy. With entertainment and information, I hope to help you take ownership of your Castle of Chaos, making it the best practice for your patients, parents and team.
 

Dr. Ann M. Bynum is originally from Ocala, Fla. She did her undergraduate training at Florida State University. She then attended dental school at the University of Iowa, where she met her husband, Matt Bynum. She did two further years of training in Pediatric Dentistry at the University of Texas Health Science Center in San Antonio, Texas. Bynum moved to Greenville, S.C., in 1997 and opened her practice in Simpsonville. She has three children of her own-all boys!-and understands and appreciates the arts of pediatric dentistry and parenting! Bynum is a diplomate of the ABPD, a member of the SSPD, the AAPD, and the ADA. She has lectured and written numerous articles on customer service, marketing, leadership and teamwork over the years. She enjoys spending time with her husband and their three boys, Matthew, Luke, and John. She enjoys working on her practice, triathlons and travelling. She can be reached at http://www. hollytreepediatricdentistry.com or ann@hollytreepediatricdentistry.com.

150. Autism: Behaviors, Issues and Management
 
Friday, May 23
1:30 4:30 pm
Purnima Hernandez, D.D.S.
Dental procedures can be challenging for children and adults. Successful treatments necessitate that the individual receiving treatment be able to tolerate a variety of sensory stimuli such as tactile, auditory, olfactory, tastes, and textures. Many of our patients in the dental office are unable to tolerate these multiple sensory stimuli, especially those with Autism Spectrum Disorder (ASD). This course will review the current diagnostic criteria and behavioral characteristics of ASD. The course will introduce the fundamental principles of behavior from the field of Applied Behavior Analysis. The course will show how a behavioral profile of a child with ASD is determined, and how this profile may be used to manage patient's problem behaviors. In addition, the course will present methods to help patients acquire the skills to accept routine dental procedures, which increases the likelihood of positive outcomes for patients with ASD.

 

Dr. Purnima Hernandez is a board-certified pediatric dentist who has been serving the communities of New York and New Jersey for over 20 years. She is currently pursuing a Masters in Applied Behavior Analysis. Hernandez received her education in Pediatric Dentistry at Columbia University College of Dental medicine. After serving as an assistant professor for many years she decided to pursue a career in the clinical practice of pediatric dentistry. While she delivers care to all children, her special interests are treating children with special health care needs. Her area of focus is on the non-pharmacological management of children's behaviors in the dental office. Hernandez focuses on teaching her patients the skills that will allow them to sit appropriately in an office chair and receive routine treatment. Shaping such skills and foundations are essential in future transitions to adult dentistry. She is currently studying to become a behavior analyst to pursue her research interests in the behavior modification of children with disabilities. Hernandez is also a parent of a child with multiple disabilities including Autism Spectrum Disorder. She is an advocate not only for her child but also other children in the community. She has spoken to audiences on various topics related to disability such as health, advocacy, therapy, and special needs dentistry, and has authored and co-authored articles related to disability issues. She serves as council member on the Council of Developmental Disabilities in New Jersey and a board member Disability Rights New Jersey. Hernandez was awarded the Solomon Rosenstein Visiting Professorship and Fellowship by the Columbia University College of Dental Medicine for her contribution to the field of special needs dentistry. She was also awarded the Francis Black Humanitarian award in health care by Friends Health Connection, N.J. 
 

160. Medical and sedation Emergencies: An Algorithm for the Pediatric Dentist Friday, May 23 1:30 4:30 pm Steve Ganzberg One of the greatest fears for the pediatric dentist is having to deal with a serious sedation-related emergency. This presentation will present an easy to understand and follow algorithm that will allow the pediatric dentist to help successfully manage the most common serious sedation emergency airway compromise in all its forms. The pediatric dentist should come away with a new comfort level for managing these potential complications.

 

Learning Objectives:
 
  • Medical and Sedation Emergencies in Pediatric Dental Practice
  • Know what medications and equipment is required for pediatric dental sedation
  • Know how to manage common medical emergencies in pediatric dental practice
  • Understand an algorithm on how to manage airway emergencies in pediatric dental practice
 
170. Esthetic Restorative Options for Anterior and Posterior Permanent Teeth in the Adolescent Patient
Friday, May 23
1:30 4:30 pm
André Ritter, D.D.S. 
 
Composites are widely used for restorations in both anterior and posterior teeth. In the adolescent patient, composites representan excellent material choice owing to their ease of use, bonding potential and esthetics. When correctly used in the proper indications, composites can result in excellent and long-lasting restorations. This presentation will summarize the current uses of direct composites in anterior and permanent teeth in the adolescent patient, and discuss clinical solutions for common problems inherent with the use of composites. Among the topics covered, the presentation will address the use of composites in hypoplastic and severely decalcified teeth, patients with tooth-arch size discrepancies post orthodontics, fractured anterior teeth (trauma), and other conservative anterior and posterior composite applications.The presentation will be illustrated with clinical cases in which the materials and techniques used are demonstrated.

 

Dr. André Ritter is a professor and graduate program director in the Department of Operative Dentistry at the University of North Carolina School of Dentistry, in Chapel Hill, N.C. He received his dental doctorate degree fromthe Federal University of Santa Catarina, Brazil (UFSC), in 1987 and a M.S.D. degree from the University of North Carolina at Chapel Hill (UNC) in 2000. Ritter also has two certificates in Operative Dentistry, from UFSC and UNC, and an M.B.A. with concentration on Health Care Management from Northeastern University (2013). He is actively involved in clinical and laboratory research, particularly in the areas of biomaterials and caries-risk assessment and management. He also maintains a part-time intramural practice devoted to restorative and esthetic dentistry. Ritter has published numerous journal articles, research abstracts, and book chapters. He is a member of several dental organizations, including the American and International Associations for Dental Research, the European Caries Organization, and the International College of Dentists. Ritter has presented many scientific papers and continuing education courses regionally, nationally, and internationally. 
 
180. What's New with the ACA's Impact on Pediatric Dental Coverage and the 2014 Dental Codes
Friday, May 23
1:30 4:30 pm
Jeff Album; Janice Kupiec and Mary Essling, R.D.H., M.S.
This session provides an update on the pediatric dental benefits in the Affordable Care Act (ACA) and current trends to include: what the plans look like, how many signed up, stand-alone vs. embedded breakdown, family out of pocket (OOP), and ADA-AAPD advocacy efforts in this area. In addition, we will update you on how the ACA includes dental care by statute, how subsequent rule-making by federal and state agencies will change the delivery of dental care for children, and what specific shape dental benefits are taking as a result of state-by-state implementation. Finally, an update on the 2014 CDT Codes will be provided to include: deletions, additions and revisions. Understand what is and isn't working with respect to the offer of pediatric oral services in state health exchanges.

 

Learn the proper use of the new and revised CDT 2014 codes; know how to properly select codes for corresponding procedures.

Jeff Album is vice president of Public and Government Affairs for Delta Dental of California, New York, Pennsylvania, and affiliates. He serves as the principal public information officer for this nationwide dental carrier, with responsibilities that include government and media relations, employee and crisis communications and reputation/issues management for all affiliates. Today, Album is widely regarded as one of the dental industry's foremost experts on health care reform. His first-hand involvement in the formation of federal and state rules and regulations stem largely from his efforts to manage a team of 15 state lobbyists, as well as his direct involvement with federal legislation through his positions on the Delta Dental Plans Association Public Policy Committee, and as a former board member and current health care reform task force member with the National Association of Dental Plans. Album holds a Master of Arts degree in communication from Stanford University, and a Bachelor of Arts degree in planning and public policy from the University of California, Santa Cruz. He is past chair and a current member of the San Francisco Public Relations Round Table, and a current board director of the San Francisco Chamber of Commerce. 

Janice Kupiec has served as a manager of legislative and regulatory policy for the American Dental Association since 2006. In this role she oversees federal regulatory activity on access to oral health care services, analyzes legislation and policy affecting access to care, and communicates with policymakers on behalf of the association. Before coming to the ADA, Kupiec spent five years as the director of state affairs for the National Association of Health Underwriters and focused on issues affecting health insurance agents, brokers and the private health insurance marketplace. Kupiec served as a legislative associate for a consulting firm from 1999-2001 in the firm's health care practice. She earned her Bachelor of Arts degree from Wesleyan University and currently lives in Alexandria, Va., with her family.

Mary Essling has served with the AAPD since 2007 as the dental benefits manager. Essling 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. Essling earned her Bachelor of Science degree from Marquette University and an M.S. in Health Law Policy from DePaul University. In addition, Essling is a licensed registered dental hygienist in Illinois, Indiana and Texas.

190. New Dentist Program: Periodontics Update

Friday, May 23

1:30 3:30 pm

Enrique Bimstein, D.D.S.; Nadeem Karimbux, D.M.D., M.M.Sc. and Catherine Hayes, D.M.D., S.M., Dr.Med.Sc 

Pediatric Dentistry is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral care for infants, and children through adolescence (AAPD Guidelines). By doing so, the foundation of a life-long oral health condition may be established. The pediatric dentist should not be deceived by the mostly found "benign" appearance of gingival and periodontal diseases in children since: 1) the gingivitis initial lesion is not clinically detectable, but still may have the potential to deteriorate to severe gingival or periodontal diseases; 2) there is an increasing age-dependent reactivity of the gingival and periodontal tissues to periodontal bacteria and their products; 3) aggressive periodontitis in children may have an inexistent or mild clinical image. While gingival inflammation may be found in almost every child, the prevalence of periodontitis has been reported to be from zero to 26.8 percent in children, and from zero to 88.7 percent in adolescents. This wide range in the prevalence of periodontitis in children and adolescents may be related to methodology, criteria and population. Nevertheless, the leading issue is the explicit need to identify children, families and populations of children who develop gingival and periodontal diseases, especially those who develop gingivitis that is not proportional to the child's age and amount of plaque, and/or develop chronic or aggressive periodontitis, since there is clear evidence of an association in the prevalence and severity of gingival and periodontal diseases in childhood, adolescence and adulthood. Furthermore, pediatric dentist must be aware of the intimate relationship between the systemic and oral health condition, with cases in which the oral symptoms may be the first evidence of serious systemic diseases. The recognition and successful early treatment of children and their families who develop gingival or periodontal diseases is not only feasible but essential.

  • Experience increased appreciation for the emergence and prevalence of gingival and periodontal diseases in children, their clinical appearance, and the increased susceptibility to gingival and periodontal diseases that may be found in children
  • Increased alertness to gingival and periodontal diseases in children and adolescents
  • Leave motivated to expand your knowledge on gingival and periodontal health and diseases, and their treatments 
Dr. Enrique Bimstein graduated as Cirujano Dentista from the Escuela de Odontología, Universidad Nacional Autónoma de México, specialized on Pediatric Dentistry at the Hadassah Medical Center Faculty of Dentistry, Hebrew University in Jerusalem. He was professor of pediatric dentistry at the Hebrew University in Jerusalem and the University of Florida. He received a Master Educator Fellowship at the University of Florida College of Medicine. Bimstein is a professor of pediatric dentistry and chief of the Division of Pediatric Dentistry of the Department of Oral Health Sciences, University of Kentucky College of Dentistry. His clinical and research interests include gingival and periodontal health and diseases in children and adolescents, pulp treatment in the primary dentition, oral health of children with disabilities, and dental/medical education. He has published more than 125 manuscripts and is the editor-in-chief of the book "Periodontal and Gingival Health and Diseases. Children Adolescents and Young Adults" (Martin Dunitz Ltd, London United Kingdom, 2001). He has received research awards for studies on pediatric dentistry and dental education, was chairman or member in committees at the Hebrew University in Jerusalem, the Israeli Dental Association, the Israeli Ministry of Health, the University of Florida, and the University of Kentucky. Bimstein spent sabbaticals at the

University of the Pacific College of Dentistry in San Francisco, University of Texas in San Antonio, University of Otago in New Zealand, University of Western Ontario in Canada, University of Maryland in Baltimore, Children's Hospital in Boston and the University of Florida. He has been a key lecturer on the topic of gingival and periodontal health and diseases in children in national and local meetings in Spain, Mexico, China, Cyprus, Turkey, London, Greece and the Unites States.

 

Dr. Nadeem Karimbux is the associate dean for Academic Affairs at Tufts University School of Dental Medicine. He is a full professor of Periodontology. Karimbux is known nationally and internationally for curriculum development and management. He has had experiences in developing and implementing novel curriculum in small and large schools and in acting as a consultant for new schools globally. He has promoted faculty development and scholarship of teaching and learning. Karimbux received his D.M.D. from the Harvard School of Dental Medicine (HSDM) in 1991 and his M.M.Sc. and Certificate in Periodontology from the Harvard School of Dental Medicine in 1993. He assumed the position of assistant dean for dental education at HSDM in 1998. From 2005 to 2012 he was the program director of the Advanced Graduate Education Program in Periodontology at HSDM. He assumed his current position at TUSDM in 2012. Karimbux was on the Council of Faculty for the American Dental Education Association for four years. He has served as site visitor for the Commission on Dental Accreditation. He has been on the board of editors for the Journal of Dental Education and was an associate editor for the Journal of Periodontology and MedEdPORTAL. Karimbux has received numerous honors during his academic career, including the G.W. Teuscher Award from the American Society of Dentistry for Children, the Periodontal Educator Award from the American Academy of Periodontology, and Distinguished Faculty Awards from the Harvard School of Dental Medicine. In 2010 he received the Presidential Citation from ADEA. Karimbux is a board certified periodontist. He is a member of the American Dental Association and the American Academy of Periodontology. He was a staff member at Childrens Hospital Boston where he treated children and young adults with periodontal disease.

 

Dr. Catherine Hayes is president of the American Association of Public Health Dentistry. Hayes received her B.S. in Biology from Boston College and her D.M.D. from Tufts University, magna cum laude. She completed a general practice residency at Brigham and Women's Hospital and received both Master's and Doctoral degrees in Epidemiology from Harvard University where she also completed a dental public health residency. Hayes is a diplomate of the American Board of Dental Public Health and is a past president on the same board. She has held leadership positions in national and international organizations and has published numerous articles and book chapters in the field of dental public health and epidemiology. In 2006, Hayes was appointed as the independent monitor to oversee Remediation of the MassHealth Dental program. In this role, she worked with the Federal Court in overseeing reform of the dental program of the Massachusetts Medicaid program.