(340) Mercy or Menace? “The Chemistry, Use and Effect of Opiates and Alternatives for Pain Control”

Amber D. Riley, MS, RDH, FAAFS, FIACME

Amber D. Riley, MS, RDH, FAAFS, FIACME

**This program fulfills the requirements of continuing education for Dentists and Dental Hygienists on the impact of opioid abuse and/or the proper prescription writing and use of opioids, along with appropriate alternatives in the dental practice.

Legal and illicit psychoactive substances are ubiquitous in our communities, including the patients we treat daily. Use and abuse, of opiates date back hundreds, even thousands of years, but is their modern-day compounds that are both merciful and malevolent. This program will discuss the most important points of use to understand today, in order to mitigate acute risks when prescribing opiates, treating patients already using them and what long term risks will become inherent in patients that continue to use them. This program will discuss these questions from both a historical and present-day view, taking into consideration the law that governs their use and distribution, their physiology and clinical effects, benefits and detriments to use and what our roles and responsibilities are as health care providers and clinicians when treatment planning.

Learning Objectives:

• Participants will receive a concise review of opiate and opioid drug substances their basic chemistry and physiological effects.
• Recommendations for caution when managing dental procedures on patients using these substances.
• Discretionary reporting, intervention and diversion for dental professionals practicing under the influences or dependence upon opiate substances.

The policy of Vestrand Consulting Services, LLC (VCS, LLC) offers programs that support scientific research and includes an assessment of the associated benefits and risks.  VCS, LLC requires that all speaker presentations comply with AGD/PACE standards and that sound scientific basis of the presentation is supported by the best evidence, as documented by references to current peer-reviewed, clinically relevant literature.  When the sound scientific basis for clinical activity is uncertain the speaker is required to disclose the level of currently available evidence, and what is known of the risks and benefits associated with the clinical methods and modalities described in the presentation to the audience.  VCS, LLC cautions participants about the hazards of using limited knowledge when integrating new techniques into their practices.  Lectures are for information basis only.

(730) Management of Oral Cavity Cancers

Dr. Vivian F. Wu, MD

Dr. Vivian F. Wu, MD

I practice head and neck surgical oncology with Henry Ford Health. This includes cancers of the mouth, throat, voice box as well as salivary gland cancers, thyroid cancers and skin cancers. HPV related head and neck cancer is a preventable disease! It is my passion to share this good news!

 Med school: Howard

Residency: OHSU

Fellowship head and neck surgical oncology: Michigan

4 years of practice at EVMS in Norfolk

Started with HFHS 2017

My lab focuses on studying exosomes and their role in tumor microenvironment differences in HPV+ and HPV- disease

In my spare time: trying to put myself out of business by promoting HPV vaccination (and smoking cessation and wearing hat/sunscreen…)

Learning Objectives:

By the end of the talk, participant should be able to:

• Understand epidemiology, diagnosis of Oral cavity cancer
• Understand the role of photodynamic therapy
• Understand the role of role of sentinel node biopsy
• Understand the management of advanced oral cavity cancers

(750) Oral Hygiene Care Challenges for the Dental Team, Dementia Patients and their Caregivers

Dr. Joy Poskozim, DDS, PC

Dr. Joy Poskozim graduated from NYUCD in 1999 and completed a GPR at Woodhull Medical Center in Brooklyn, NY in 2000.  Dr. Poskozim is the dental director for several nursing care facilities as well as a house call dentist.  She has been in private practice for 20 yrs, practicing integrative health general dentistry at her office on the north west side of Chicago.  Dr Joy earned her fellowship with the Special Care Dentistry Association (Geriatric Council) in 2020, and recently her CDP (Certified Dental Practitioner).  An international speaker, she is an advocate for educating caregivers, home health and senior living communities on the importance of the continuity of oral care for the home-bound.

Explore the early signs of dementia versus manifestations of normal aging. Illuminate the bidirectional relationship between periodontal disease and Alzheimer’s disease, including how proper oral hygiene may lessen Alzheimer’s symptoms, as well as slow down the progress of this disease. Discover the flexibility of virtual technology (teledentistry) in conducting remote, problem-focused evaluations. Recognize the inherent communication challenges and tips for honing verbal skills. Identify the essential records and documentation to keep in the patient’s

record. Feel good about providing the best oral care to ensure your patient is comfortable, they can eat, swallow, and feel good about smiling.

Learning Objectives:

• Discuss the roles and responsibilities of the emergency contact, custodial parent, and joint custody, and their legal authority to act on the patient’s behalf.
• Recognize the legal differences between emergency contacts, durable and general powers of attorney.
• Gain strategies for working in partnership with referring dentists, primary care physicians, caregivers and families to determine the best treatment for each patient.

The policy of Vestrand Consulting Services, LLC (VCS, LLC) offers programs that support scientific research and includes an assessment of the associated benefits and risks.  VCS, LLC requires that all speaker presentations comply with AGD/PACE standards and that sound scientific basis of the presentation is supported by the best evidence, as documented by references to current peer-reviewed, clinically relevant literature.  When the sound scientific basis for clinical activity is uncertain the speaker is required to disclose the level of currently available evidence, and what is known of the risks and benefits associated with the clinical methods and modalities described in the presentation to the audience.  VCS, LLC cautions participants about the hazards of using limited knowledge when integrating new techniques into their practices.  Lectures are for information basis only.