Odontalgia

Odontalgia

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  • Includes Credits

    CE Hours: 1.5

    Description: This course will give the participant an overview of TMDs and other orofacial pain conditions (e.g., neurovascular, neuropathic) as they relate to endodontic practice. This includes prevalence and the clinical presentation of TMDs and other orofacial pain conditions either mimicking endodontic pain or being a contributing factor to an endodontic patient’s chief complaint. The brief screening method for TMD pain that is useful in a busy endodontic practice will be presented. Differential diagnostic process that will help endodontists distinguish pain of endodontic origin from pain of TMD or other origin will be discussed.

    Learning Objectives: 

    • Define four major clusters of non-odontogenic pain disorders. Compare prevalences of such disorders.
    • Identify signs, symptoms, and examination findings that may indicate TMD or another non-endodontic pain condition as an etiology or a contributing factor of the patient’s tooth pain complaint.
    • Utilize the brief TMD screening tool to identify those who may need a more thorough TMD examination. Reference and use the validated Diagnostic Criteria for TMD (DC/TMD) and International Classification of Orofacial Pain (ICOP) in differential diagnosis of non-odontogenic pain.

    Iryna H. Daline, D.M.D., M.S.

    Dr. Iryna Daline is a board-certified Orofacial Pain specialist and a board-eligible Endodontist. She completed her orofacial pain residency at the University of Minnesota and endodontic residency at the University of North Carolina at Chapel Hill. Her clinical and research interests include differential diagnosis, comorbidity, and treatment of endodontic pain and other orofacial pain conditions. She has received grants from the American Association of Endodontists, American Board of Orofacial Pain, International Association for Dental Research, and Dental Foundation of North Carolina to support her research bridging endodontics and orofacial pain. She has published articles in the Journal of Endodontics, Journal of Oral Rehabilitation, and Cephalalgia. Dr. Daline is a co-author of chapters on non-odontogenic pain in the 3rd edition of Seltzer and Bender's Dental Pulp and the 7th edition of Principles and Practice of Endodontics. She has been repeatedly invited to speak and share her expertise with both dental and endodontic professionals.

    Speaker Disclosure 

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

  • Includes Credits

    CE Hours: 1.5

    Description: This course will review the latest studies on pain management from the perspective of treating both acute and persistent post-endodontic pain. We will provide recommendations for suitable drugs, their dosing and rationale using case based scenarios to best manage endodontic patients in pain.

    Learning Objectives: 

    • Describe common mechanisms for acute and persistent post-endodontic pain
    • Describe a strategy for selection of various medications for treating these patients
    • Describe indications, contraindications and potential adverse effects of these medications

    Kenneth Hargreaves, D.D.S., Ph.D.

    Ken Hargreaves received his DDS from Georgetown University, his PhD in physiology from the Uniformed Services University of the Health Sciences in Bethesda, MD, and his certificate in Endodontics from the University of Minnesota. Ken spent 5 years at the Pain Clinic of the NIDCR and 7 years as an associate professor of Endodontics and Pharmacology at the University of Minnesota. He joined the University of Texas Health Science Center at San Antonio in 1997, as professor and Chair of the Department of Endodontics and is cross-appointed as professor in the Departments of Pharmacology, Physiology and Surgery in the Medical School. He maintains a private practice limited to endodontics and is a Diplomate of the American Board of Endodontists. Ken has received an NIH MERIT Award for research, two IADR Distinguished Scientist Awards, the ADA Gold Medal for Research and the Louis I. Grossman Award from the AAE. He has published more than 190 articles and, with Harold Goodis and Frank Tay, co-edited the 2nd edition Seltzer and Bender’s Dental Pulp, and, with Lou Berman, co-edited the 11th edition of Cohen’s Pathways of the Pulp. Ken also serves as editor of the Journal of Endodontics.

    Speaker Disclosure: 

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation

    Nikita Ruparel, D.D.S., M.S., Ph.D.

    Dr. Ruparel is Board certified Endodontist who practices in San Antonio at UT Faculty Endodontics. She is the Director of the Advanced Program in Endodontics at UT San Antonio. She received her certificate in Endodontics in 2013 after receiving her doctoral (PhD) and DDS at The University of Texas Health Science Center at San Antonio. Her practice in Endodontics includes all aspects of modern endodontics. She also lectures at national and international meetings on pain biology and management and regenerative endodontics. She has also been awarded the American Association of Endodontics Educator Fellowship for committing her career to academics. Nikita Ruparel is committed to a long-term career as a clinician-scientist.

    Speaker Disclosure

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

  • Product not yet rated Includes Credits

    CE Hours: 1.5

    Description: The FDA funded the development of analgesic prescribing deadlines for the dental profession that was conducted by the ADA and the University of Pittsburgh. The process and results of these deliberations will be presented and critiqued in this presentation.

    Learning Objectives: 

    • Describe the chronic pain phenotype
    • List the predictors of persistent pain
    • Define the role of the Endodontist in chronic pain prevention

    Pei Feng Lim, BDS, MS

    Dr. Pei Feng Lim is an Associate Professor at the University of North Carolina at Chapel Hill. She is the Director of the Orofacial Pain Graduate Program. She is a Diplomate of the American Board of Orofacial Pain, and an investigator on several NIH research grant awards. She has published numerous book chapters and articles on Orofacial Pain. She has also lectured extensively locally and internationally. Her research interests include pain education, pain pharmacogenomics, and widespread pain.

    Speaker Disclosure

    In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated:NIDCR (Individual(s) Involved: Self): Grant/Research Support

  • CE: 0

    Course Description: 

    The treatment of acute odontogenic pain in the emergency department (ED) is often managed by medical personnel without dental training. Hospital survey data prior to the current opioid overdose epidemic indicate that the majority of patients reporting acute odontogenic pain in the ED received an opioid combination. Recognition that this may be a source of opioids for drug-seeking patients and contribute to drug diversion indicates the need to standardize the management of acute pain both in the ED and in dental settings. This program will summarize the current status of opioid prescribing for acute odontogenic pain, suggest therapeutic strategies to alleviate pain without an opioid, and review guidelines for prescribing opioid combination analgesics for dental outpatients. A draft checklist for prescribing opioids for acute dental pain by ED staff will be presented for review and revision by the attendees for dissemination to the emergency medicine community.

    At the conclusion, participants should be able to:

    • Identify therapeutic strategies to alleviate pain in patients seeking emergency care.
    • Identify when opioid prescriptions are needed.
    • Explain how to prescribe opioid combination analgesics.

    Asma A. Khan, BDS, Phd

    Dr Asma Khan is a tenured Associate Professor at the University of North Carolina- Chapel Hill. After dental school, Dr Khan completed her PhD in Neuroscience from the University of Maryland and a fellowship in clinical pain research at the NIH. She then moved to University of Texas at San Antonio where she earned a certificate in Endodontics and completed a post-Doctoral fellowship. Her areas of research include Orofacial Pain and Regenerative Endodontics.

    Raymond Dionne, D.D.S., M.S. Ph.D.

    Dr. Dionne received a DDS from Georgetown University and a PhD from the Medical College of Virginia. He conducted clinical and translational pain research at the National Institute of Dental and Craniofacial Research for 34 years, as well as practiced dentistry part-time in the District of Columbia. He is currently a restless retiree living in Missouri.

    Speaker Disclosure

    In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: AIM Targeted Therapeutics: Consultant on preclinical development of an investigational analgesic formulation (Ongoing); Rilento Pharma: consultant for pre-clinical development of investigational analgesic formulation (Ongoing)

    Asma A. Khan,  B.D.S., Ph.D

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

    Raymond A. Dionne, DDS, MS, PhD

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.