CE0731: Dental Hygiene Update

Bart Johnson, DDS, MS; Edmond Truelove, DDS, MSD; Diane Daubert, RDH; and Frank Roberts, DDS, PhD

Topics to be covered:

• Hematology, Bart Johnson, DDS, MS

  It is clear that hygienists encounter gingival bleeding. Normally this is due to irritated and inflamed capillaries, but it can be significantly worse in patients with bleeding disorders or who are taking anticoagulants. In this session, the following topics will be addressed:

  • Vascular constriction, platelets, clotting cascade, regulation and remodeling of the clot
  • Diseases that cause bleeding, including cancer, hepatitis, and hemophilia/Von Willibrands
  • Medical diagnostics including platelet count, platelet function, and the PT INR
  • Medical therapeutics including procoagulant and anticoagulant medications and therapies
  • Dental considerations and treatment modifications the hygienist may wish to consider

• Oral Cancer, Edmond Truelove, DDS, MSD

  There has been a dramatic increase in professional and public interest in the topic of oral cancer and oral premalignant disease in the past 5 years.  This increased focus has occurred in part because oral cancer survival has not improved significantly in the past 30 years, and it continues to carry a poor prognosis.  Prevention and early detection appear to be the best options for increasing survival and quality of life.  Detection of oral tissue changes using standard and new office based diagnostic approaches will be presented with a focus on recognition and management.  A review of common acute and chronic oral lesions as a reference against premalignant and malignant change will also be presented.  Specific topics will include:

  • Mechanisms related to malignant transformation of mucosa
  • Changes in risk factors and at risk populations
  • Visual diagnostic methods
  • Advanced diagnostic procedures for in-office use
  • Differential assessment and recognition of lesions with clinical characteristics of malignant disease
  • Management of patients with possible premalignant and malignant oral disease
  • Prevention of oral malignancy

• Bloodborne Pathogens for the Dental Professional, Frank Roberts, DDS, PhD

  This standard training for the dental professional will address exposure control. The lecture will satisfy the annual certification requirements of the Bloodborne Pathogens Standard published by the OSHA/WISHA regulatory agencies, including methods to control occupational transmission, personal protective clothing ad equipment, and emergency management of exposures. Topics will include:

  • Explanation of the following will be presented:
    • Regulatory text of the bloodborne pathogen standard
    • Epidemiology and symptoms of bloodborne diseases
    • Modes of transmission of bloodborne pathogens
    • Employer's written exposure control plan and how to obtain a copy
    • Reporting mechanisms for exposure incidents
    • Signs, labels, and other markings for contaminated materials
  • How to recognize occupational exposure
  • Methods to control occupational transmission of bloodborne pathogens
  • Selection and management of personal protective clothing and equipment
  • Information on the hepatitis B vaccine ad its availability through the employer
  • Management of emergencies involving blood ad other potentially infectious materials
  • Description of the post-exposure evaluation requirements
  • Description of preventive measures to help reduce the risk of occupational exposure

• Top 10 Things that Used to Be True in the Practice of Dental Hygiene, Diane Daubert, RDH

This course will provide an overview of closely held truths of the past several decades, and cover a variety of topics from a position of evidence-based dental hygiene. It will give participants a chance to evaluate practice beliefs in light of current evidence in dentistry. Current standards in the following will be addressed:

• periodontal terminology
• debridement technique and instrumentation
• premedication requirements
• local delivery antibiotics
• fluoride mechanism of action
• radiography
• hypersensitivity treatment
• current practice act

Instructors:

DIANE DAUBERT received her BS in Dental Hygiene from the UW School of Dentistry in 1982. Following graduation, she worked for five years in private practice, including Periodontics and general dentistry. In 1987, she returned to the UW as the Director of Hygiene for the periodontal faculty practice and graduate Periodontics program. She is responsible for the management of patients in these programs, which include several hundred implant patients. She is currently on the faculty in the Periodontics Department and is involved in teaching the pre-doctoral students as well as working with the periodontal residents. She also is involved in several long-term dental implant clinical trials.

BART JOHNSON received his DDS from UCLA in 1985, an MS in Oral Biology in 1989, and moved to Seattle in 1991 to join the University of Washington. He is an Associate Professor and Director of the UW General Practice Residency Program. He teaches courses in internal medicine, sedation, medical emergencies, physical diagnosis, hospital dentistry, pharmacology, BLS and ACLS. He works in the UW Medical Center’s Hospital Dentistry Clinic where he treats medically compromised patients of all varieties. Dr. Johnson also conducts molecular biological research at the Fred Hutchinson Cancer Research Center, focusing on the molecular effects of retinoids and the retinoic acid receptor systems and how they regulate cell growth, differentiation and oncogenesis in breast and hematopoietic cancers.

FRANK ROBERTS is an Associate Professor in the UW School of Dentistry Department of Periodontics and Chief of Periodontics at the Seattle Veterans Administration Medical Center. Dr. Roberts’ research involves understanding the molecular mechanisms of chronic inflammatory disease progression, the bacterial pathogenesis of periodontitis, and biology and imaging of the dental implant.

EDMOND L. TRUELOVE is a professor at the UW School of Dentistry and has served as Chair of the Department of Oral Medicine since 1972. He is an active clinician and has managed thousands of patients with atypical oral problems and mucosal lesions. His current focus includes clinical management of oral dysplasia. Additionally, Dr. Truelove has extensively researched and published findings related to mucosal disease and orofacial pain. Dr. Truelove is a past president of the American Board of Oral Medicine and holds numerous professional memberships. He lectures widely and has served as consultant to several national organizations, including the American Dental Association, the National Institutes of Health, and the American Cancer Society. He received his DDS in 1967 and his MSD in 1970 from Indiana University.

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