OHSU

Understanding Your Dental Patient with Significant Medical Disease: Part II

Hepatic, Renal, Endocrine and Gastroenterology Friday - Saturday, February 5-6, 2010 with Bart S. Johnson, DDS


Medicine is becoming an exponentially more complex practice, and our dental patients are presenting us with ever-increasingly complex histories.  In order to make the best dental decisions with our patients, we need to understand the intimate details of their overall status. This will be both a lecture and participation (“dive in and do it!”) course.  We will first go over the topics listed below, and then do a detailed discussion of how dental treatment might need to be modified based on the patient’s individual situation.  Real-life examples of medical reports/lab tests/diagnostics will be given out and reviewed so the participant can gain practical experience in reading and understanding the type of information that is likely to be sent to them by a medical doctor’s office.

Objectives:  This course is intended to take the dentist and hygienist from a virtually zero-based knowledge of medicine to a level where they can successfully read charts, lab tests and basic diagnostic reports.  This knowledge will enable them to work closely with the physicians to make quality decisions for their patient’s care.

Hepatic:  Normal anatomy and physiology, including metabolism, synthesis and storage
    Common maladies including viral hepatitis, cirrhosis, jaundice and autoimmune disease
    Typical signs and symptoms of liver disease
    Medical diagnostics including liver function tests and palpation
    Medical therapeutics including medications, surgery and vaccinations
    Dental considerations and modifications  (Many to think of!)
Renal:      Normal anatomy and physiology
    Common diseases including acute/chronic renal failure, polycystic kidneys and osteomalacia
    Medical diagnostics including auscultation, percussion, and renal function tests
    Medical therapeutics including medications, dialysis, and surgery/transplant
    Dental considerations and modifications
Endocrine:  Normal anatomy and physiology of the pituitary, thyroid, pancreas, adrenals & (briefly) ovaries/testes
    Detailed discussion of common endocrine diseases of these organs, especially diabetes
    Medical diagnostics specific to each of these organ systems
    Medical therapeutics including stimulant and replacement medications, insulin pumps, etc.
    Dental considerations and modifications
Gastroenterology:  Normal anatomy and physiology of the GI tract and the enterohepatic circulation (gastric, pancreas, bile, digestion/absorption, etc.)
    Common diseases including Crohns, diverticulitis, colitis, peptic ulcers, GERD, constipation, diarrhea, malabsorption syndrome
    Medical diagnostics including lab tests and colonoscopy/esophogastroduodenoscopy
    Medical therapeutics including medications and surgical procedures
    Dental considerations and modifications

Next Class:  4/30-5/1/2010  Part III - Immunology, Psychiatry, Neurology, Oncology - (DoubleTree Lloyd Center-EMC)

Speaker:   Barton S. Johnson, DDS, MS is the Director of the General Practice Residency program at Swedish Medical Center in Seattle.  He is a co-owner of Seattle Special Care Dentistry, a private practice focusing on the care of medically complex patients.  Bart is a Diplomate of the American Board of Special Care Dentistry, a Fellow in the American Association of Hospital Dentists, and an Affiliate Investigator at the Fred Hutchinson Cancer Research Center.

**This course is applicable toward dental hygiene limited access permit education requirements
                                                    
When:  Friday - Saturday, February 5-6, 2010        
Course:   #DNOM020510            
Credit:  16 hours
Early Tuition Fees:  Until  1/17 - $450.00 per Dentist / $350.00 per Staff
Tuition    :  After 1/17 - $475 per dentist & $365 per staff
Location :  Executive Meeting Center - DoubleTree Hotel Lloyd Center, 1000 NE Multnomah, Portland, OR 97232