Full Day Courses

The Dr. Meryl J. Efron Memorial Lecture

Date:

Friday, February 21, 2020

Location:

Hilton Garden Inn, Staten Island, NY

Title:

"Diagnosis and Treatment of Oral Mucosal Lesions"

Featured Clinician:

David J. Zegarelli, D.D.S.

Professor Emeritus, Columbia University College of Dental Medicine

Synopsis:

There will be a brief introduction describing the oral pathologist's background education, role and how this impacts the diagnosis and treatment of mucosal lesions. Following the introduction, roughly equal time (about one hour) will be given to the following six topics: the burning mouth patient; biopsy procedures of oral mucosal lesions; red, white and blue lesions of the oral mucosa, and oral cancer. Questions from attendees are encouraged during the entire presentation.

Within the topic of a burning mouth, the following entities will be covered: candidiasis, burning mouth syndrome, pernicious anemia, diabetes mellitus, geographic tongue and others. The oral biopsy technique segment will concentrate on choosing the most appropriate site to biopsy, the length, width and depth of the biopsy and the appropriate size of the excised tissue, as well as filling out and sending the specimen. The red, white and blue portion of this presentation is actually three segments in one emphasizing lesions having those colorations. They range from pre-cancerous lesions such as epithelial dysplasia through erythema multiforme, from lichen planus through pemphigus vulgaris, from hemangiomas through mucoceles, and many, many more.

Finally, there will be a lengthy presentation on oral cancer. Mostly, this segment will emphasize pre-cancerous lesions of epithelial dysplasia through invasive squamous cell carcinoma. Clinical features will be emphasized, such as coloration and texture. Other malignancies will also be described, such as Kaposi's sarcoma and metastatic tumor. Upon successful completion of this course, attendees will have improved their ability to diagnose and treat most common and many rare oral mucosal lesions and diseases. Also, the attendee will know how to biopsy the aforementioned lesions.

MCEU - 6 HOURS / TIME: 9 A.M. to 4 P.M.

Breakfast and lunch included

The Dr. Irving E. Gruber Memorial Lecture

Date:

Friday, March 13, 2020

Location:

Dyker Beach Golf Course, Brooklyn, NY

Title:

"Three Serious Adverse Drug Interactions that Every Dentist Should Know About," "Local Anesthetics: Old Drugs, New Drugs" & "Dentistry has Changed -- Are You Ready?"***

Featured Clinicians:

Elliot V. Hersh, D.M.D., M.S., Ph.D.*

Professor of Pharmacology/Oral Surgery, University of Pennsylvania School of Dental Medicine

Mark S. Wolff, D.D.S., Ph.D.**

Morton Amsterdam Dean, University of Pennsylvania School of Dental Medicine

*Dr. Hersh has received grants/research support from Septodont and St. Renatus, LLC.

**Dr. Wolff is a consultant for Colgate-Palmolive.

Synopsis:

***This presentation features multiple speakers and topics. Attendees must stay for the entire duration of the program to receive continuing education credits. Partial credit will NOT be issued.

MORNING SESSION (PART 1): Three Serious Adverse Drug Interactions that Every Dentist Should Know About by Elliot Hersh, D.M.D., M.S., Ph.D.

Patients with complex medical and drug histories are becoming more commonplace in dental practice. This presentation reviews three serious adverse drug interactions that are well supported by the literature and can impact endodontic practice. Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit the renal excretion of lithium and lead to lithium toxicity. Metronidazole and fluconazole inhibit the metabolism of warfarin by blocking cytochrome P-450 2C9 (CYP-2C9), the major metabolic pathway of warfarin, with the result being dramatic increases in patients' international normalized ratios (INRs) and potentially fatal bleeding. Propranolol and other nonselective beta-adrenergic blocking agents can inhibit the vasodilatory effect of epinephrine in dental local anesthetic solutions, leading to hypertensive reactions and a concomitant reflex bradycardia. It is important for clinicians to recognize and avoid these serious drug interactions. By doing so, they will provide the safest and best treatment for their patients. This course will enable participants to:

• Discuss the pharmacological mechanism behind the potentially lethal metronidazole or fluconazole/warfarin interaction

• Identify the common characteristic shared among most drugs involved in the most serious adverse drug: drug interactions

• Identify which class of anti-hypertensive drugs where high doses but therapeutic doses of local anesthetic plus epinephrine are most likely to cause a pressor reaction with a reflex bradycardia

• Discuss the rationale of why ibuprofen (Advil) and naproxen sodium (Aleve) should be avoided in a bipolar disorder patient taking lithium (Eskalith)

MORNING SESSION (PART 2): Dentistry has Changed - Are You Ready? by Mark S. Wolff, D.D.S., Ph.D.

The American public is aging, presenting with significantly more health issues and experiencing dental disease at different times than historically experienced. For instance, not only are we living longer, we are retaining our teeth. The implication of this is that we must deal with diseases like tooth decay in a population that previously had no teeth at all. Research in dental materials and preventive strategies performed decades ago failed to look at the aging and disabled population. This leaves the dental practitioner to select less studied therapeutics or worse, to select therapies based upon ancient teaching (as short as 20 years ago!).

This seminar will focus on how we can best treat all populations of patients but particularly those who are experiencing an increased level of dependence on others for successful healthcare. We will discuss the interactions with other health professionals, the need for new preventive strategies and most importantly, discuss treatment strategies that can yield improved quality of life for all patients. This discussion will include how to recognize individuals who may need modification of the conventional treatment plan, decisions as to what therapies will yield best results and what communication strategies we must use with caregivers, family members and patients. These strategies are applicable throughout the lifespan from childhood to aging. Participants will understand how to best select materials from the panoply of materials presenting every day and the dental practice. Upon successful completion of this course, attendees will learn the changing demographics in dental care related to caries, aging, disability and breakthrough therapeutics. Participants will also learn how to treatment plan and manage a broad variety of patients utilizing the latest in dental therapeutics.  

AFTERNOON SESSION: Local Anesthetics: Old Drugs, New Drugs by Elliot Hersh, D.M.D., M.S., Ph.D.

Local anesthetics and their associated vasoconstrictors have had a long history of safety and efficacy in dental practice. However, pediatric dental patients are especially vulnerable to overdose reactions with this group of drugs, and it is critical that the clinician does not exceed maximum recommended dosages of these agents. These important dosage calculations and an introduction to "The Rule of 25" will be discussed. Kovanaze®, an intranasal "spray" formulation of 3% tetracaine plus 0.05% oxymetazoline, received FDA approval on June 29, 2016 to provide maxillary anesthesia for a single restorative procedure from second premolar to second premolar and in all primary teeth without the need for a conventional injection in patients weighing at least 88 pounds. This appears to be a useful addition to the pediatric dentist's local anesthesia armamentarium in fearful children, and evidence-based research performed by the speaker and others supporting the efficacy and safety of this formulation will be highlighted. Finally, evidence-based research concerning the ability of Oraverse® (phentolamine mesylate) to safely accelerate the recovery of soft tissue numbness in adults and children as young as 3 years of age will also be presented.

After taking this course the participant should be able to:

1. Calculate maximum recommended doses of local anesthetics based on patient body weight

2. Describe the rule of 25 when it comes to local anesthetic dosing

3. Identify the components in Kovanaze®

4. Discuss the mechanism of action of phentolamine mesylate

5. Explain why it would be a bad idea to employ Oraverse® as an antidote for a local anesthetic overdose

MCEU - 6 HOURS / TIME: 9 A.M. to 4 P.M.

Breakfast and lunch included

Date:

Friday, April 24, 2020 CANCELED

Location:

Dyker Beach Golf Course, Brooklyn, NY 

Title:

"Digital Dentistry I: Integrated Implantology"

Featured Clinician:

Anthony Ramirez, D.D.S., M.A.G.D., D.I.C.O.I.

Chief of Implantology, NewYork-Presbyterian Brooklyn Methodist Hospital

Synopsis:

The focus of this presentation is the art and science of digital dentistry. Cone Beam CT (CBCT) imaging is the foundation for the complete dental examination. Learn how to take the new patient experience to a new level by providing an interactive and engaging consultation utilizing the concept of co-diagnosis. Innovative 3D analysis and virtual planning enhances diagnosis and is the basis for improving case acceptance. Gain a thorough understanding of your patient's maxillofacial anatomy by identifying vital structures, reviewing the dentition, boney architecture, pathologies and incidental findings which provide the clinician with the evidence to move forward with the proper diagnosis and formulation of optimal treatment plans.

Indications and clinical applications for CBCT imaging will be extensively reviewed. Myriad case studies will validate and support the use of this imaging modality, which overcomes the inherent limitations of 2D radiography. Attendees will learn how to incorporate a digital workflow to unlock unlimited possibilities for the production of any and all types of restorations. The benefits of using a digital workflow to facilitate the design and fabrication of surgical guides for the integrated dental practice will be explained. Clinicians will learn a methodology to safely, precisely and predictably replace missing teeth with dental implants. Positive implant patient experiences are the rule when treating patients with these protocols. Easy to restore implants that can last a lifetime are possible when treating our patients with the most innovative implantology, as optimized by the digital workflow.

Collaborating with the digital dental lab offers additional opportunities to produce superior treatment outcomes by improving communication and incorporating digital smile design concepts and advanced CADCAM restorative options. Advanced implant and restorative concepts and therapies will be explored including All-on-4 and "teeth in a day" protocols planned and treated within a digital workflow. This presentation is the culmination of a decade of Dr. Ramirez treating his patients using a digital workflow and guided implantology. Live video documentation of both surgical and restorative treatments will validate his methodology for incorporating a completely digital workflow to raise the standard of care delivered in his practice. Upon successful completion of this course, attendees will learn:

• Interpretation, diagnosis and treatment planning using Cone Beam CT imaging

• A methodology to provide guided implantology, digital dentistry and esthetic smile design within a digital workflow

• How to master the replacement of a single missing tooth with dental implants and avoid complications

MCEU - 6 HOURS / TIME: 9 A. M. to 4 P.M.

Breakfast and lunch included

Date:

Friday, May 8, 2020

Location:

Hilton Garden Inn, Staten Island, NY

Title:

"Contemporary Smile Design -- Eliminating the Denture Look" & "Ten Sequential Steps to Successful Treatment Planning"

Featured Clinician:

Zev Kaufman, D.D.S.

Clinical Assistant Professor, Ashman Department of Periodontology and Implant Dentistry, New York University College of Dentistry

Synopsis:

Contemporary Smile Design-Eliminating the Denture Look

Denture fabrication has been relegated to entry-level dentistry, especially since the advent of implants. However, many of our patients still require complete removable prostheses and proper smile design is key to esthetic denture fabrication. This course will analyze key elements to an attractive smile and review incorporation of those elements into denture fabrication. Upon successful completion of the course, attendees will be able to analyze the key elements of smile design, transforming denture fabrication from a rudimentary dental procedure to a work of art.

Ten Sequential Steps to Successful Treatment Planning

In the era of digital dentistry and technology on demand, reinforcement of proper treatment planning skills and diagnosis are critical to patent care. This course will discuss, using clinical examples and clinical slides, the proper sequence of treatment planning from the basic question of the patient's chief complaint, to the advanced discussion of gingival tissue typing and proper tooth proportions. Specific reference will be made to digital design, incorporation of surgical guides and CBCT analysis into the treatment plant workflow. At the completion of the course, attendees will be able to apply the ten sequential steps to every patient treatment, elevating the level of their practice to an organized, easy to apply sequence.

MCEU - 6 HOURS / TIME: 9 A.M. to 4 P.M.

Breakfast and lunch included 

Date:

Friday, June 19, 2020

Location:

Dyker Beach Golf Course, Brooklyn, NY

Title:

"Solving Restorative and Aesthetic Challenges: The Role of Veneers in Dentistry"

Featured Clinician:

Michael Ghalili, D.D.S., M.S.D.

Former Director, Advanced International Restorative Dentistry Program, New York University College of Dentistry

Synopsis:

This lecture offers techniques and the philosophy behind using veneers in everyday practice. It will provide practitioners with the tools necessary to awaken their practices, transform their patient base and refresh their patients' smiles. Upon successful completion of this course, attendees will have an in-depth grasp of the importance of veneers in dentistry and discover opportunities to grow their practices.

MCEU - 6 HOURS / TIME: 9 A.M. - 4 P.M.

Breakfast and lunch included

Date:

Friday, October 16, 2020

Location:

Hilton Garden Inn, Staten Island, NY

Title:

"Implant Prosthodontics Review"

Featured Clinician:

Nurit Bittner, D.D.S., M.S.

Associate Professor of Clinical Dentistry, Division of Prosthodontics, Columbia University College of Dental Medicine

Synopsis:

This lecture will focus on the restorative dentist's point of view on guiding cases in a systematic approach to obtain an esthetic and functional result in implant dentistry. It will cover all steps of implant dentistry including impression, provisionalization, design of fixed final restorations, implant overdentures. Upon successful completion of this course, attendees will learn:

• All aspects of implant restorative procedures from beginning to end

• Possible treatment modalities to maintain the stability of the soft tissues

• Treatment planning considerations to ensure case control

MCEU - 6 HOURS / TIME: 9 A.M. - 4 P.M.

Breakfast and lunch included

Date:

Friday, November 6, 2020

Location:

Dyker Beach Golf Course, Brooklyn, NY

Title:

"Demystifying the Diagnosis" and ''Now that We Have the Diagnosis...Pain Control and Pain Management in the Dental Patient"

Featured Clinician:

Laurie R. Fleisher, D.M.D., C.A.G.S.

Director, Urgent Care Clinic, New York University College of Dentistry

Synopsis:

MORNING SESSION: "Demystifying the Diagnosis"

The presentation of dental pain and its proper management is dependent upon the correct diagnosis of its etiology. Many times the diagnosis is difficult due to overlap in the patient's symptoms. The differential diagnosis of various clinical presentations will be presented and discussed. Case management and clinical treatment will be underscored.

AFTERNOON SESSION: "Now that We Have the Diagnosis...Pain Control and Pain Management in the Dental Patient"

Pain management is often a challenge. This presentation will review a range of strategies to prevent, control, and manage pain. Medically compromised patients, as well as urgent care patients and their pain management, will also be reviewed. Physiological and psychological factors in pain management will be presented. This should help provide the practitioner with additional tools for treating patients in pain.

MCEU - 6 HOURS / TIME: 9 A.M. to 4 P.M.

Breakfast and lunch included

Date:

Friday, November 20, 2020

Location:

Hilton Garden Inn, Staten Island, NY 

Title:

"Oral Surgery Mixed Topics"

Featured Clinician:

Edward J. Miller, D.M.D.

Adjunct Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, New York University College of Dentistry

Synopsis:

This presentation will cover several topics the practicing dentist encounters on a daily basis. The management of impacted teeth and how to avoid problems will be discussed. Then, the evaluation and treatment of clinical cases requiring bone and soft tissue grafting for dental implant reconstruction will be addressed. The seminar will also review medical emergencies in the dental setting. There will be ample time for questions and answers.

Upon successful completion of this course, participants will learn how to stay out of harm's way with impacted teeth. They will also learn how to treatment plan and avoid complications in bone and soft tissue grafting. The seminar will also teach attendees how to be fully prepared and confident to handle medical emergencies.

MCEU - 6 HOURS / TIME: 9 A.M. to 4 P.M.

Breakfast and lunch included