Understanding Your Dental Patient with Significant Medical Disease

with Bart Johnson, DDS

Dates 2011-12 Series: 

     Part I: 10/28-29/2011, Part II: 2/24-25/2012 & Part III: 4/27-28/2012

Medicine is becoming an exponentially more complex practice, and our dental patients are presenting 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 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 series 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 medical doctors to make quality decisions for their patient’s care.

 

Dates & Times:
     2011-2012 Series:
Part I - Friday & Saturday, October 28-29, 2011
Part II - Friday & Saturday, February 24-25, 2012
Part III - Friday - Saturday, April 27-28, 2012
     
Times: Friday:  9 a.m. to 6 p.m. - Saturday:  8 a.m. to 5 p.m.

Tuition:  $495 per dentist & $395 per staff
*Early Tuition Fees:  $450 per Dentist / $350 per Staff
Credit:  16 hours
Location :  Executive Meeting Center - DoubleTree Hotel Lloyd Center,
        1000 NE Multnomah, Portland, OR  97232  503-281-6111
Lunch, snacks, and parking included

*Early tuition fees applied when registering one month to course begin date.

 

Part I - Cardiovascular, Pulmonary, & Hematopoietic

Please bring your stethoscope and blood pressure cuff.

Cardiovascular:
Normal anatomy and physiology, both mechanical and electrical
Common diseases including angina, hypertension, MI, CHF, shunts and stroke
Medical diagnostics: EKG, Echo’s, cardiac cath, swans and more.
Medical therapeutics & many different drugs
Dental considerations and modifications
Pulmonary:
Normal anatomy and physiology
Common diseases including asthma, COPD, interstitial pulmonary fibrosis
Medical diagnostics:  PFT’s & spirometry
Medical therapeutics & multiple medications
Dental considerations and modifications
Hematopoietic:
Detailed discussion of the five aspects of clotting
Common bleeding diseases, including cancer, liver, renal, hemophilias, Von Willibrands
Medical diagnostics - Lab tests including coags & screens
Medical therapeutics & multiple medications
Dental considerations and modifications

Part II - Hepatic, Renal, Endocrine and Gastroenterology

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

 

Part III: Immunology, Psychiatry, Neurology, Oncology, & Lab Tests

Immunology:
Normal anatomy and physiology, including antibodies and cell mediated immunity
“Over-reactive” diseases such as allergic reactions and autoimmune disease
“Under-reactive” conditions such as immunocompromising disease or medical therapies
Medical diagnostics including allergy testing, labs to determine immunocompetency
Medical therapeutics including medications, desensitization and monitoring
Dental considerations & modifications including what to do with alleged vs. real local anesthetic & latex allergic patients
Psychiatry:
Normal anatomy and (known) physiology of the brain and spinal cord
Common diseases including depression, schizophrenia, dementia, bipolar affective disorder, ADD, ADHD, PTSD, anxiety, OCD, hypochondriasis, others.
Medical diagnostics including mental tests and interviews
Medical therapeutics including medications, ECT’s, behavioral therapy
Dental considerations and modifications including xerostomia and drug-drug interactions
Neurology:
Normal anatomy and physiology of the autonomic and somatic nervous systems and their neurotransmitters
Common diseases including MS, Myasthenia gravis, Huntington’s disease, Parkinson’s, cerebral palsy & seizures
Medical diagnostics specific to each of these diseases
Medical therapeutics including replacement medications, immunomodulators, genetic therapy on the horizon.
Dental considerations and modifications
Oncology:
The normal mechanisms that must go awry to result in tumor growth
Common forms of cancer including SCCA, breast, melanoma, ovarian, prostate, lung, leukemias, lymphomas, gliomas and astrocytomas
Medical diagnostics including screening methods (mammograms, PSA, colonoscopy, biopsy)
Medical therapeutics including chemotherapy, surgery, XRT, and HBO2
Dental considerations and modifications pre-, intra- and post-therapy
Laboratory diagnostics:
CBC, electrolytes, enzymes, hormones, markers, antibodies, PCR - Dental considerations and modifications

 

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 a Fellow of the American College of Dentists.  His research interest is the molecular biological activities of retinoids and how they are involved in regulating cellular growth, differentiation and oncogenesis.  In his spare time, Dr. Johnson is editor of Pharmacology and Therapeutics for Dentistry.