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Course		Expiration	Issue	Credit	Cost
Worn Out: How Americans Are Damaging Their Teeth Dental professionals should be aware—and concerned—about patients’ stress levels, lifestyles, and diet, and how these factors are affecting their teeth. Acidic food and beverage consumption is on the rise, causing tooth wear and acid erosion to be of increasing concern in dental offices. In addition, harmful hygiene habits require identification and correction by a dental professional. Habitually grinding teeth, a sign of stress, can cause surface wear. Up to 75% of tooth whitening patients may experience sensitivity. By focusing on patients’ attitudes towards beauty and their lifestyle habits, the dental hygienist may be able to identify symptoms and causes of tooth wear that will help diagnose and prevent future erosion. Dental professionals cannot force a patient to change his or her lifestyle, but they can prescribe tools and treatments that reduce tooth wear and treat the symptoms that result from worn-out teeth.	View course Take quiz View questions	9/30/2012	September 2010	2	18
Bisphosphonates 101: An Update Never before in dentistry has a group of drugs rocketed into the limelight. The sudden rise to infamy of the group of drugs called bisphosphonates is unfortunately because of the serious complication of osteonecrosis of the jaws. This article has three simple goals. The first two are to give readers an understanding of bisphosphonates and describe their common uses by providing a chemical description of the drugs, how the drugs work, why the drugs are prescribed, and why the drugs cause complications. The third goal is to give readers suggestions on managing their patients to prevent or minimize oral complications.	View course Take quiz View questions	8/31/2012	July/August 2010	2	18
Periodontal Disease: Conservative Management With advances in dental healthcare technology, hygienists no longer have to watch periodontal disease progress and wait until surgical intervention alone is required to regain health. Now, a stable long-term periodontal condition can be achieved through conservative treatment. Objectives of conservative periodontal treatment include altering or eliminating microbial etiology and the contributing factors for periodontal disease, halting disease progression and returning the dentition to a state of health and comfort, obtaining host healing, and achieving gains in clinical attachment levels. New approaches to treatment, such as the recent advances in the use of site-specific, local antibiotics and host modulation by enzyme suppression, have become available. Periodontal disease can be successfully managed nonsurgically, with simpler and more effective hygiene aids, and through conservative procedures such as scaling and root planing.	View course Take quiz View questions	6/30/2012	June 2010	2	18
Tooth Sensitivity and Whitening This article presents a review of the basic concepts of tooth sensitivity and how those concepts apply to cervical dentin hypersensitivity and the sensitivity frequently associated with tooth whitening. The etiology and treatment of cervical dentin hypersensitivity are described. The clinical presentation, incidence, and predisposing factors for sensitivity associated with tooth whitening also are discussed.	View course Take quiz View questions	5/31/2012	May 2010	2	18
Managing Caries in the High-Risk Child Dental hygienists often report that treating children is either the most rewarding or the most challenging of all their professional experiences. Special considerations must be made for the biology of the caries process, the psychological development of the child, parental involvement, the complex environmental factors that contribute to caries, and the wide variety of clinical treatment options available. Caries management by risk assessment (CAMBRA) is becoming the standard of care for dental professionals. Although significant progress has been made against caries in the past 30 years, very resistant pockets of disease remain in certain demographics. This article presents a number of different clinical scenarios, which will explore diagnostic and restorative protocols that apply to children who are at risk for caries.	View course Take quiz View questions	4/30/2012	April 2010	2	18
Acid Erosion: Why Is It Important to Your Patients? The wear of teeth is an almost universal problem. Fortunately, severe wear is less common, estimated to affect 7% of patients in a general practice.1 The cause of tooth wear is generally a combination of acid erosion, abrasion, and attrition; however, the interaction is complex and not fully understood. While the impact of attrition and abrasion has been recognized for many years, the role of acid erosion is only now beginning to be fully understood. For those patients with severe tooth wear, conventional prosthodontic or operative treatments to restore the appearance and function of teeth are required. However, for most patients, early signs of wear do not mean that their teeth will wear completely in their lifetimes. For these patients, a preventative approach designed to maximize the techniques available is more relevant.	View course Take quiz View questions	3/31/2012	March 2010	2	18
Treating Worn Dentition from Gastroesophageal Reflux Disease When patients present to the office with an extensively worn dentition, the oral healthcare practitioner must have an understanding of what is causing the wear in order to initiate successful treatment. Tooth wear can be caused by a number of factors, but usually one factor predominates. Communication between the dental hygienist and the patient is essential in establishing an etiology of the wear. Usually, patients are aware of a problem and must be informed on how to prevent further damage and what treatment options are available. This article will review the etiology of gastroesophageal reflux disease (GERD) and a conservative, esthetic treatment solution.	View course Take quiz View questions	2/28/2012	February 2010	2	18
The Patient with Asthma: Implications for Dental Practice A history of asthma is reported commonly by adult dental patients and may be more prevalent in children. An acute episode of asthma in the dental office may be precipitated by extrinsic factors such as inhaled allergens, as well as intrinsic factors such as fear or anxiety. An asthma episode should be considered a medical emergency and must be treated promptly by inhalation of a bronchodilating agent. A history of asthma in the dental patient should alert the dentist to implement strategies that may prevent an acute attack and to be prepared to manage this potentially life-threatening medical emergency appropriately. The chronic use of bronchodilating inhalers and/or glucocorticoids for the management of asthma can increase the likelihood of oral candidiasis, particularly in patients who have additional risk factors such as smoking, denture use, or the use of xerostomic medications.	View course Take quiz View questions	1/31/2012	January 2010	2	18
Caries Management in the Dental Practice Practical, cost-effective implementation of caries management in general practice has been limited by several factors. The single pathogen model of disease has not been effective in clinical caries management, and the advent of the ecologic plaque model and a better understanding of the management of imbalances in dental biofilms have led to the development of more effective treatment protocols based on the elevation of oral pH. Simplification of caries risk assessment, in combination with more effective treatment regimens, means effective caries management can be readily provided by general dentists. These gains in efficiency and efficacy, in combination with applicable current dental terminology (CDT) codes, means that caries management has become economically viable in private practice.	View course Take quiz View questions	12/31/2011	November/December 2009	2	18
Periodontal Probing Depth Measurement: A Review There has been significant increase in the knowledge and understanding of the etiology, pathogenesis, and treatment of inflammatory periodontal diseases over the past few decades. However, arriving at a diagnosis and determining the course of treatment still are based largely on basic clinical techniques, such as periodontal probing. With all the advances in dental technologies, the periodontal probe remains the best diagnostic tool to collect information regarding the health status and attachment level of periodontal tissues, despite some inherent drawbacks, especially when it is used to monitor periodontal status longitudinally. Dental professionals must be aware of the strengths as well as the limitations of using a periodontal probe to gather data. This systematic review describes several factors that affect the accuracy and reliability of periodontal probing, including periodontal health, probing force, type of periodontal probe, and probing site.	View course Take quiz View questions	10/31/2011	October 2009	2	18

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