Hot Topics 2020 - Lesson Set One

Mini Lesson One - 45 Minutes

This is How We Do It!: Test, Treat, and Repopulate To Reduce the Risk of Vascular Inflammation (Hot Topics 2020)

Presented by: Patti DeMatteis, ASDH, RDH;  Lora Hooper, BSDH, RDH, EFDA; Barbara McClatchie, DDS; Eric Goulder, MD, FACC

Original Publication Date: February 20, 2020

Course Description: 

Test, Treat, and Repopulate with the DHEmethod. Hear how much merit your dental care has from the mouth of a preventive cardiologist! We will share how we collaborate with The Heart Attack and Stroke Prevention Center of Central Ohio to knock out oral pathogens and their effects on vascular inflammation. We know many clinicians are testing saliva and trying to reduce high-risk bacteria for optimal oral and vascular health, which is very difficult! Testing with salivary diagnostics, treating with targeted therapies, and repopulating with oral care probiotics is vital in reducing oral systemic inflammation, which decreases the risks of heart attacks, strokes, and diabetes.

Learning Objectives:

• Apply acquired knowledge from AAOSH sessions to develop actionable strategies for integrating concepts into clinical practice, demonstrating the application of learned principles to real-world scenarios.
• Analyze and execute methods to diminish the prevalence of high-risk oral pathogens, employing strategies that exhibit a comprehensive understanding of pathogen reduction techniques.
• Evaluate and construct interventions to mitigate the risk factors associated with heart attacks, strokes, and diabetes through oral health initiatives, demonstrating a synthesis of knowledge to address systemic health implications.
• Facilitate interdisciplinary collaboration between medical and dental professionals, demonstrating proficiency in navigating and fostering cooperative relationships between healthcare domains for comprehensive patient care planning and implementation.

Mini Lesson Two - 25 Minutes

Girl Power: How Girlosity Will Change Sickcare Back to Healthcare (Hot Topics 2020)

Presented by: Shirley Gutkowski, RDH, BSDH

Original Publication Date: February 20, 2020

Course Description: 

The focus on girls and their health, nutrition, social, and mental is the answer to future health care. Let’s tour why that’s so and what dentistry can and should do about it. The oral systemic link is easy to manipulate and has less to do with a toothbrush or scaler than you think.

Learning Objectives:

• Analyze and categorize the influence of dental interventions on DNA, demonstrating an understanding of the specific impacts and implications of dental procedures on genetic material.
• Justify the significance of considering girls as unique cases in the context of future global health, elucidating the reasons behind the necessity to approach their healthcare needs with special attention and consideration.
• Elaborate on the mechanisms by which comprehensive nutritional approaches can enhance health profiles across diverse populations, demonstrating an understanding of the holistic impact of full-spectrum nutrition on overall well-being.
  
  

Mini Lesson Three - 25 Minutes

Our Friends the Mitochondria (Hot Topics 2020)

Presented by: Lee Ostler, DDS

Original Publication Date: February 20, 2020

Course Description:

Cell mitochondria are responsible for the creation of energy (ATP). They also create oxidized molecules (ROS – reactive oxygen species) as a ‘by-product’ of this cellular respiration. Traditionally, anti-oxidants have been used to balance oxidative stress in the body and control the over-production of ROS molecules. Now, it is understood that an essential role for these molecules is to control gene expression, signaling the DNA to respond in ways to defend, repair, and replace and to activate stem cells, anti-oxidants, and the cellular processes that advance healing and well-being. This cellular messaging is the foundational basis for the immune system, healing, and anti-aging medicine – in short, epigenetics - the ‘overlay’ that signals DNA.

The development of stabilized redox signaling molecules directly replenishes cellular signaling and improves gene expression and is one of the newest advances in cellular health and healing. Both genetic and metabolomics studies have shown the dramatic improvement in gene expression and metabolomic shifts that result from supplemented increases in redox signaling messengers. This epigenetic modulation supports cellular health, oxidative balance, and anti-aging medicine in new and promising ways. Due to the dual benefits of their biocidal action against pathogens and their use in supporting cellular health, their use in oral health is a promising application in addition to their advantage in overall systemic health.

Learning Objectives:

• Understand how mitochondrial-driven redox signaling works in nature and with enhanced diet and supplementation.
• Describe the role of redox signaling in maintaining a healthy inflammatory response, improved immune system, digestive health, cardiovascular health, and hormone modulation.
• Describe redox signaling, its role in accelerating healing, oxidative balance, and cellular health, and how it can be utilized in oral health.
  
  

Mini Lesson Four - 25 Minutes

Ozone, Peptides, and Exosomes, Oh My!: The New Era For Regenerative Dentistry is Upon Us (Hot Topics 2020)

Presented by: Eric Zaremski, DDS

Original Publication Date: February 20, 2020

Course Description:

We have all learned that dental issues can be solved by tissue removal. Amputation of body parts, if you will! If we realize and recognize that oral issues are disease states, we can start to treat these issues with different modalities. It also helps shift the responsibility for that disease onto the patient's shoulders. Ozone, peptides, and exosomes are just a few of the newer tools that have appeared to help us treat and heal oral diseases. We will discuss how each of these tools is used and why.

Learning Objectives:

• Evaluate and compare alternative tools and techniques capable of expediting oral tissue healing beyond conventional approaches, demonstrating the ability to analyze and assess their efficacy in promoting faster recovery.
• Explain the methods and modes of administration employed in dentistry for the application of ozone, showcasing an understanding of the various techniques utilized and their specific roles in dental procedures.
• Analyze and propose alternative dental modalities beyond conventional injection and drilling procedures, demonstrating the ability to evaluate and recommend alternative tools and approaches for dental treatments in diverse clinical scenarios.
  
  

Mini Lesson Five - 37 Minutes

How Much Bleeding is Acceptable In Your Practice? (Hot Topics 2020)

Presented by: Tanya Dunlap, PhD

Original Publication Date: February 20, 2020

Course Description: 

47% of American adults have chronic periodontitis. It’s one of the most underdiagnosed diseases in the US, and we need more effective treatment. Home care is also an obvious concern. Toothbrushes, rinses, and floss fall short in pockets >3mm. Adjunctive antibiotic therapies have a temporary effect, and the biofilm repopulates. Treatment can feel like a carousel, but you can get off the ride and chart a path to better health with Rx tray peroxide therapy.

Learning Objectives

• Review the health risks of gingival infections and bleeding for periodontal disease management.
• Identify the benefits and limitations of antimicrobial and mechanical therapies for biofilm control.
• Summarize how and why antimicrobials with oxidative and oxygenating reactions more effectively manage biofilms.
  
  

Mini Lesson Six - 23 Minutes

Don’t Let the Health of Your Mouth Break Your Heart (Hot Topics 2020)

Presented by: Machell Hudson, RDH, and Kerry Hyland-Lepicek, RDH

Original Publication Date: February 20, 2020

Course Description:

Heart attack is the number one killer in our country, and stroke is the number one most debilitating. Oral health plays an enormous role in keeping our hearts healthy or making our hearts very sick. Learn how to be on the front line in detecting, educating, and treating patients at risk for heart attack and stroke. Understand the role oral disease plays in the causation of heart attack and stroke and how we, as dental professionals, can save our patients' lives.

Learning Objectives:

• Analyze the correlation between periodontal disease and heart health, demonstrating a comprehensive understanding of the interrelation and potential impact of periodontal health on cardiovascular well-being.
• Evaluate the association between endodontic lesions and heart health, demonstrating a nuanced understanding of how endodontic conditions may influence or correlate with cardiovascular health.
• Appraise the significance of pathogen testing in determining patients' risks associated with oral health, showcasing the ability to assess and apply pathogen testing data to personalize patient care.
• Assess and interpret inflammatory testing outcomes, demonstrating a comprehensive understanding of how inflammatory markers may relate to oral health and systemic well-being.
• Demonstrate the importance of interdisciplinary collaboration in dentistry, emphasizing the pivotal role of teamwork and communication among healthcare professionals for comprehensive patient care strategies.