Fall Workshops 2018


Turbyne & Associates, Auburn, ME

Fall 2018 Category I Continuing Education

Programs for Dental Care Providers in Maine

Turbyne & Associates is designated as a approved PACE Program Provider by the Academy of General Dentistry (AGD).  The formal continuing education program of this Provider are accepted by AGD for fellowship, Mastership, and member maintainence credit.  Approval does not imply acceptance by state or provencial boards of dentistry or AGD endorsement.  The current term of approval extends from January 1, 2015 to May 31, 2019.  Provider #209585.





Participant(s) Name(s):

Thursday Eve., October 4, 2018:  *Auburn, ME.   $100.00


       Location:  -Residence Inn, 670 Turner Street, Auburn, ME 


*Leadership and Action Skills Workshop for Professional and Personal Success in

  the 21st Century.    6:00pm – 9:30 pm  (*3.5 Category I CEUs) Instructor:  Cathy Turbyne, Ed.D.

Participant(s) Name(s):

Thursday Eve., October 11, 2018:  *Portland , ME.    $100.00


           -Location: Fireside Inn & Suites, 81 Riverside  St.


*What is Your Patient's Tongue Saying to You?


          6:00pm – 9:30 pm  (*3.5 Category I CEUs) Instructor:  Ashley Landry, RDH, BS

Participant(s) Name(s):

Thursday Eve, October 18, 2018,  *Presque Isle, ME  $95.00

         Location: -Hampton Inn 768 Main Street, Presque Isle, ME


  Cost Saving/Patient Safety Maintenance Techniques for Dental Handpieces, Autoclaves, Sterilization, Operatory Vacuum Lines, Air Compressors, and Waterlines.


       6:00pm – 9:30pm   (*3.5 Category I CEUs) Instructor: Kristin Sanborne, IPDH




Participant(s) Name(s):

 Thurs Eve, October 18, 2018:  *Brewer, ME.    $100.00

       -Location: -Jeff's Banquet Center,  I-395, Exit 5, Turn left 


   *Leadership and Action Skills Workshop for Professional and Personal Success in the 21st Century.    


           6:00pm – 9:30 pm  (*3.5 Category I CEUs) Instructor:  Cathy Turbyne, Ed.D.



Participant(s) Name(s):

Friday Morning, October 19, 2018: *Brewer, ME.   $100.00    

      -Location: -Jeff's Banquet Center,  I-395, Exit 5  


*Stress/Time Management: Helping You Think Your Way to an Excellent, Safe, Work

  and Home Life!


         8:30pm – 12:00 noon (*3.5 Category I CEUs)  Instructor:  Cathy Turbyne, Ed.D., MS  



Participant(s) Name(s):

Thursday Eve., November 1, 2018: *Auburn, ME.     $100.00   

        Location: -Residence Inn, 670 Turner Street, Auburn, ME 


*What is Your Patient's Tongue Saying to You?


         6:00pm – 9:30 pm  (*3.5 Category I CEUs) Instructor:  Ashley Landry, RDH, BS, 



Participant(s) Name(s):

Thurs. Eve., November 8, 2018: *Portland, ME.   $100.00

     -Location:  Fireside Inn & Suites, 81 Riverside  St.

 *Leadership and Action Skills Workshop for Professional and Personal Success       in the 21st Century. 


       6:00pm – 9:30pm  (*3.5 Category I CEUs) Instructor: Cathy Turbyne, Ed.D., MS   


Participant(s) Name(s):

Thurs. Eve., November 15, 2018: *Brewer, ME.   $100.00 

    -Location:  -Jeff's Banquet Center,  I-395, Exit 5  

*2018 OSHA & CDC Review of Infection Prevention Practices in Dental Settings,   Basic Expectations for Safe Care of Patients and Staff, Facility Safety, GHS Program and Recordkeeping     

 6:00pm - 9:30pm  (*3.5 Category I CEUs) C. Turbyne, Ed.D., MS




Program Descriptions for Fall, 2018:

Leadership and Action Skills Workshop for Professional and Personal Success in the 21stCentury  (3.5 Category I CEUs) 

  1.  What are the key to successful business in the 21stCentury and how does the business model of


  2.  Determine the dental health care provider and patient expectations  of the future and Managing


  3.  Discuss the many unique qualities and styles of Leadership, Communication, Empowerment,

       Conflict Management and Problem Solving expected for success.

  4.  Personally determine your style and effectiveness in each area.

  5.  Utilize problem analysis, problem ownership and deflecting strategies for peaceful problem


  6.  Develop a personal understanding of a “Soft Skill”, “Care Fronting” approach to increase

       collaborative working relationships, facilitate and support each other in a way that policy and

       rules cannot achieve.  


What is Your Patient’s Tongue Saying To You? (3.5 Category I CEUs)

   1.  Exploring Tongue Diagnosis through Traditional Chinese Medicine

   2.  Understand What Tongue Diagnosis is and its background, plus the benefit if Tongue Diagnosis

   3.  Learn how to examine the Tongue and read the patterns.

   4.  Explore meridians and connection to the body

   5.  Understand the benefits of an integrative approach for the overall health of our patients

   6.  Understand how we as dental professionals can use Tongue Diagnosis in our practice.


Cost Saving/Patient Safety Maintenance Techniques for Dental Handpieces, Autoclaves, Sterilization, Operatory Vacuum Lines, Air Compressors and Waterlines. (3.5 Category I CEUs)

  1.  Proper maintenance procedures for high/low-speed motors, swivels, surgical drills and


  2.  Understanding different lubrications and cleaners, review flushing and autoclaving procedures

  3.  Review instrument sterilization management, improving the life of your sterilizer, cleaning and


  4.  Evaluation techniques for instrument sharpening or replacement, determine optimal instrument

       quantity based on patient load, Air Pressure for handpieces

  5.  Maintenance techniques for the Vacuum line, Air Compressor, Dental Unit Waterlines


Stress/Time Management: Thinking Your Way to an Excellent, Safe, Work and Home Life (3.5 Category I CEUs).

 1. Define stress, the types, sources, causes, incidence and consequences of    

       stress an why this is part of most workplaces and our daily lives.

 2.  Identify the type of stress that affects you in your workplace or personal life.

 3.  Recognize the causes and symptoms of “out of control” stress and the 

      potential injury/illness consequences to you, your co-workers and family. 

      **Evaluate your Time Management Skills.

 4.  Determine how to assess/evaluate specific situations, protocols and

      procedures that cause on-the job stress in your work setting.

 5.  Discuss/determine prevention/management strategies for individual and

      group issues that occur in the workplace and at home.

 6.  Outline a commitment plan of stress and time management to save your life.


2018 OSHA and CDC Administrative, Infection Control, GHS Hazardous Chemical and Facility Safety Program Requirements and Record-keeping (3.5 Cat. I CEUs)

 1.    OSHA's Strategic Plan 2018 -2022, Directives, and Enforcement Goals for Dentistry. 

 2.    Describe the Written Components that provide an Administrative Evidence Trail of  CDC and

         OSHA Compliance Expectations.

  3.    Define the Expectations of the Sterilization Process and Record-keeping Expectations for 

         Dental Office Infection Control.

  4.    Answers to Frequently asked Infection Control Questions.

  5.    Determine the OSHA Expectations for the GHS Hazardous Chemical Program and How to 

         Implement the program in your dental practice. 

  6.    Self-Inspection, Safety Meetings and Facility Safety Reckord-keeping

  7.    Organization and ownership of your OSHA Programs through Staff Teams Roles,  

          Responsibilities and Cross Training.


Introduction to Dental Sleep Medicine (3.5 CEUs)

   1.  Determine Epidemiology of Sleep Apnea, and Effect on Human Health and Longevity in adults

        and Children

   2.  Sleep Basics and the positive/negative conditions affecting it.

   3.  Oral Systemic Medicine, how the Dentist, MD and Sleep Specialists work together to diagnose

         the condition

   4.  Explore the Economic Benefits of OSA Diagnosis and Treatment.

   5.  Explain systemic and dental diagnostic criteria, patient for determining patient symptoms that 

        qualify as mild, medium, or Obstructive Sleep Apnea (OSA)  

   6.  Discuss/review medical and dental treatment options for the affected patients.

   7.  Patient education and follow-up for a successful outcome.


Implant and Peri-Implantitis Management: What Every Dental Hygienist needs to know: Assessment, Treatment, Patient Education, & Prevention (3.5 Cat. I CEUs)

  1.   Review the evolution, statistics, and current research on Dental Implants/Peri-Implantitis.

  2.   Define the diagnostic process for the recommendation/use of implants; patient considerations,

        3-D Cone Beam, Guided Bone Regeneration and  Precision Implant technology.

  3.   Define what evaluation criteria defines a successful implant.

  4.   What is the Role of the dental hygienist in Implant Management?  Assessment, Treatment,

        Patient Education, & Prevention of Peri-Implantitis.

  5.   Define the criteria for Peri-implantitis and Risk Factors.

  6.   Describe the current treatment recommendations, modalities, equipment, and

        technology available for the dental hygienist.

  7.   Evaluate your practice’s Dental Hygiene Department approach to Implant and

        Peri-implantitis Management.


*What is Dental Ozone Therapy, Exploring Its Application and Value in Dental Healing and Prevention

  1.    Be able to understand and define what Ozone and Ozone Therapy is

  2.    Be able understand the benefits of adding Dental Ozone Therapy to your office

  3.    Gain knowledge of Ozone Therapy in both the medical and dental setting

  4.    Understand how ozone is generated in both the environment and in the dental setting,

  5.    Understand dental applications of Ozone Therapy to address questions regarding safety, and

         how to safely use ozone while protecting the clinician and patient

  6.    Understand how it works, its healing and preventive qualities and the different ways it can be

         delivered to a patient.

   7.   Where to seek training prior to implementation.


*The Pros and Cons of Maine's Medical/Legalized Marijuana Use and Opiate Addiction, and the Impact on Workplace, Health/Dental and Domestic Issues

 1.    Introduction an Review of Marijuana and Opiates from Historical to the current 21st Century     


  2.    Chemical Composition of Marijuana, its byproducts and biological effects/risks of intake.  

         (Consumption vs smoking and other means.

  3.    Perspectives on Medical Marijuana (MM), Legalized Marijuana (LM) and Opiate use: Diseases/ 

          Conditions.  Opinions of Physicians, Patients, Families, government, Insurance and

          Enforcement Organizations (Growth and Distribution).

  4.    Perspectives and Impacts of Legalized Marijuana for the general population, especially youth,

          families, workplace safety, legal debates/issues, drug testing. Opiates?

  5.    States with LM, Pending Legislation.  States permitting public sale and use of Marijuana.  

          Summary of Maine LM, Opiate debate.  LM/Opiate Laws, fees and possession limits.

  6.     Discussion of dental care provider concerns and risks when treating patients under the

          influence of Marijuana and Opiates.  

   7.    Patient history, behaviors and medical indicators that may require observation, investigation or

          intervention policies 




New 2016 CDC Infection Control Summary of Infection Prevention Practiced in Dental Settings, Basic Expectations for Safe Care of Patients and Staff.  (3.5 Category I CEUs)

  1.  The goals, objectives, and Expectations of CDC’s new recommendations
  2.  Fundamental elements needed to prevent transmission of Infectious Agents in the Dental Setting
  3.  Key Administrative Recommendations for Dental Settings and Education and Training.
  4.  Key Recommendations for Dental Health Care Personnel Safety and Program Evaluations.
  5.  Key recommendations for Respiratory Hygiene/Cough Etiquette in Dental Settings
  6.  Key Recommendations for Hand Hygiene, Personal Protective Equipment, Sharps Safety and Safe  Injection practices.
  7.  Key recommendations for Sterilization and Disinfection of Patient-Care Items and Devices.
  8.  Key recommendations for Environmental Infection Prevention and Control.
  9.  Key recommendations for Dental Unit water quality in Dental Settings.
  10.  Infection Control Prevention Checklists for Policies, Practices and Direct Observation of Personal and Patient Care Practices.


Overview of Dental Stem Cell Collection and Application in Regenerative Medicine and Dentistry (3.5 Cat. I CEUs)

  1.  Discuss the history and early research of stem cell use.
  2.  Define and understand stem cell terminology and definitions for patient educational  discussions.
  3.  Discuss the differences between Embryonic and Adult stem cell value, use, and social acceptance (stem cell use controversy, ethics, “right to life”) placenta harvesting practices, cost, and storage.
  4.  Define and discuss dental stem cell the value, use, and ethics.
  5.  Discuss the four human dental stem cells that have been isolated and characterized and their potential use in regenerative dentistry
  6.  Determine effective harvesting methodologies, storage “Banking”, recordkeeping and cost.
  7.  Discussion of frequently asked questions by patients.
  8.  Discuss future stem cell research for human potential and humanity.


Update on the U.S. Diabetes Epidemic & Clinical Dental Care Implications

  1. Describe the History, Epidemiology, landmark discoveries and Societal/Cultural Trends of Diabetes.
  2. Define Diabetes and Explore the group of metabolic diseases that are called Diabetes.
  3. Identify the classifications and complications of Type I, II, Gestational Diabetes and healing    issues.
  4. Identify Diabetes signs, symptoms, pathophysiology, diagnosis, treatment and prognosis at   varying ages, oral recognition and explain the oral/physical connection to periodontal disease.
  5. Understand recommended self-treatment management, new pharmacology medicines, and challenges of patient disciple and compliance management.
  6. Discuss on-site Glucometer Testing, and the ethical issues of dental office diabetic testing.


Introduction to Basic Strategies as They Relate to Facial Pain and TM Joint Management ((3.5 Cat. I CEUs)

  1.  Identify the anatomy and function in the normal TM Joint.
  2.  Recognize and differentiate facial pain referral patterns and determine Primary Etiological Factors
  3.  Obtain a patient complaint and pain history in a rudimentary interview process.
  4.  Perform a cursory clinical examination in the area of pain reported.
  5. Compare and recognize a stable/destructive:  bite, positioning/opening closing musculature, front tooth   and sideways movement and molar contact.
  6. Discuss potential modalities of treatment which may include imaging, splint therapy, pharmacological management, or specialist referral.


Oral Wellness:  Exploring Traditional and Natural Remedies (3.5 Cat. I CEUs)

o   Define oral wellness, and be able to alter treatment recommendations to meet patient’s needs

      with greater understanding.

o   Gain knowledge in alternative homecare remedies and provide insight to patients.

o   How to oil pull and its usefulness, natural whitening, natural approaches to oral thrush.

o   Understand how and which essential oils can have dental benefits. 

o   Can we “heal” tooth decay? does it work?  Natural ways of soothing toothaches and teething pain


Overview of Advances in Dentistry; Cone Beam Technology, Extraction/Bone Site Preservation/Development, and Prosthetic Rehabilitation with Precision Implants.

  • Define Cone Beam Technology and its value in Bone Regeneration for Implantology.
  • Discuss the field of Implantology and the Basic Bone Physiology for Dental Implantology.
  • Describe current Bone Grafting Materials, A-PRF, i-PRF technology/Membranes for Guided Bone    Regeneration
  • Discuss the rationale and process for Alveolar Ridge Preservation after tooth Extraction.
  • Describe the rationale and process for an anterior or posterior ridge augmentation
  • Describe the rationale and process for a Sinus Lift.
  • Explain the Value and Patient Safety of Virtual/Precision Implantology using Cone Beam Technology.


 Overview of Oral Pathology and Skin Lesions of Concern

  • Introduction to the Diagnostic Process: Clinical, Radiographic, Historical, Laboratory, Microscopic, Surgical, Theraputic, Differential and associated vocabulary to define clinical appearance of lesions
  • Variations of Normal Conditions, Benign Conditions of Unknown Cause, Inflammation/Repair lesions
  • Injuries to the soft tissue, and Oral lesions with Immunologic Pathogenesis.
  • Infectious diseases:Bacterial, Fungal, and Viral
  • Developmental soft tissue abnormalities and disorders, Genetic conditions
  • Cysts, Abnormalities of teeth and tooth structure, Neoplasias (Tumors) of the mouth
  • Oral Manifestations of Systemic Diseases, Skin lesions need that need further evaluation.


7 Things To Know About Biological/Holistic Dentistry

   -The meaning of biological/holistic dentistry.

     -The difference between traditional and biological/holistic dentistry.

     - The potential harm mercury fillings pose to patients and clinical staff.

     - The holistic point of view of root canals.

     - Biocompatibility testing of dental materials.

     - The controversy of fluoride.

     - Ozone Therapy


2016 Legal Risk Management and Documentation for the Dental Practice from Patient Consent to Dismissal.  Discuss HIPAA and  Dental Fraud. 

  • Identify what Laws govern Dentistry as a profession. Identify the role of the Board of Dental Examiners.
  • Discuss ME Statutes Relating to Employment, Employee-Patient Safety/Ethics and Conduct. (Practice Act)
  • What is the Definition of Duty and Standard of Care, Unintentional Acts (Torts), Intentional Misconduct, and Contributory Negligence. Identify effective Contractual Relationships with Patients.
  •  Define “How to document” Medical History information, Treatment Proposed, Performed, Refused, Uncompleted, Emergency, and Patient Dismissal.  HIPAA HITech. Law of 2013, Dental Fraud
  •  Describe your practice’s Quality Assurance, Office Protocols and Legal Patient Documentation/ Record Keeping, including required patient consent forms for Restorative, Surgical and Periodontal Treatment
  •  Determine what type of patient complaints/cases are managed by the ME Board of Dental Examiners.
  • What are the possible processes from complaint to resolution.



Suicide Awareness and State of Maine Prevention Strategies and Resources

Ø  Introduction and review of Suicide, from historical to the current 21st century perspective that it is a “Public Health concern” as one of the leading causes of death in certain generational segments.

Ø  Understand the individual and the Six Stages and Symptoms of Suicide. Clinical Identification?

Ø  Discuss the differences between Impulsive Acts of Suicide, Direct and Indirect Suicide.

Ø  Discuss Main’s Statistical Picture, Completions, Attempts, Methodologies and Means.

Ø  Define Suicide Theories and Risk Factors including Managed Care, the Media and other influences.

Ø  Discuss Preventive and Protective Factors and Strategies:  Call to Action, Successful Primary,

Secondary Preventive Strategies and Tertiary Strategies.

Ø  Discuss and debate the realities of the challenge in Clinical Dentistry.


Gluten Intolerance/Sensitivity and Celiac Disease, Implications for Dental Care

  • Discuss the history of wheat and its evolution in today's U.S. production and consumption.
  • Understand how wheat, and other "whole grains" found their way into the American diet in 1985.
  • Review the Research:  Are wheat and other "whole grains" the driving factor of obesity, and diabetes in our current U.S. population?  Are wheat products addictive?  Does wheat cause or exacerbate behavioral problems?
  • Discuss the differences between Gluten Intolerance, Gluten Sensitivity and Celiac Diseae.
  • Determine what Medical History responses may trigger a thought about a problem with gluten and what oral cavity findings will be evident?
  • Define and discuss preventive and fietary strategies that will have a positive affect on oral and body health.
  • Is advertised "Gluten Free, really Gluten Free?  Understanding how to coach the affected patient.  How does one find unexpected source of wheat and gluten?  What is a GAPS diet?
  • Discussion and frequently asked questions by dental patients.


Essentials for On-site Dental Medical Emergency Prevention and Response.

+  Define the essential components for Emergency Preparation in the Dental Office?

+  Identify the Emergency Kit Content, including Essential Drugs, Supplemental Drugs and other items?

Are you prepared to check all vital signs?  What is the difference between Hypertensive Urgency and

     Hypertensive Emergency.  Explain the methods, equipment and operation of Oxygen equipment.

+  Review of Neurological Emergencies: Syncope, Shock, Hyperventilation, Seizure Disorders, CVA

+  Review of Cardiac Emergencies: Angina, Acute Myocardial Infarction, Heart Failure and Acute Pulmonary

     Edema, Pacemaker, and Cardio Defibrillator Malfunction.

+  Review of Respiratory Emergencies:  Asthma, Airway Aspiration or Blockage, Allergic Reactions

+  Review of Endocrine Emergencies: Diabetes, Adrenal insufficiency/Crisis and Thyroid

+  Review of Bleeding Emergencies: Epistaxis, post Extraction Bleeding

+  Other Emergencies: Broken Instrument Tip Inhaled/Ingested, Object in Eye, Drug Overdose/Toxicity,


 Focus on Disease Trends and Dental Infection Control:

•   Overview of Current and Emerging Disease Trends for Dental Care Providers

•   Review/Discuss the OSHA/CDC Guidelines for Infection Control in Dental Health-Care settings for infection prevention in dental offices, dental health clinics, and other dental care settings.

•   Understand the infection control challenges in medically compromised patients.

•   Define current Patient safety and risk management principles.

•   Documentation/Record Keeping Checklist for the Infection prevention program management.

•   Identify emerging pathogens that may require a pandemic preparedness plan. Do you have a plan?


*OSHA's HCS Mandatory Training on Global Harmonization System Changes to the Dental Hazardous Chemical Program, Plus Federal/State Law Updates That Affect Dentistry.  

  • Discuss the whay and why of the Global Harmonization Sysytem (GHS) and the history of its development and international mandate.
  • Describe the scope of GHS and how changes were adopted for the U.S. Hazardous Chemical Standard (HCS) and implementation dates for U.S. workplaces.
  • Define which parts of the of the U.S. HCS have remained intact and must be continued.
  • Describe the major changes to the U.S. HCS have changed, i.e. Types of Hazards, Chemical Classifications, Labels/Pictograms and Safety Data Sheets.
  • Determine the OSHA GHS program implementation measures for your practice.
  • Describe the Genetic Information Nondiscrimination Act (GINA) and its implementation.
  • Identify Federal Employment Law Updates and implemention requirements.


U.S. and Maine Current Tobacco Trends, Prevention and Treatment Techniques

  • Discuss the U.S. and Maine's currrent tobacco use and cost in health care dollars
  • Identify and discuss new tobacco trends and products sweeping the U.S. market.
  • Identify specific medical and dental health risks, specific to nicotine content and oral placement of new product use.
  • What is "harm reduction" and when would this be a dental patient discussion?
  • Compare and contrast tobacco cessation products and prevention strategies/techniques.


Introduction to Dental Stem Cells and Salivary Testing (3.5 Category I CEUs)

  • Discuss the history and early research of stem cell use.
  • Define and understand stem cell terminology and definitions for patient educational discussions.
  • Discuss the differences between Embryonic and Adult stem cell value, use, and social acceptance (stem cell use controversy, ethics, “right to life”).
  • Overview of placenta harvesting practices, cost, and storage.
  • Define and discuss dental stem cell the value, use, and ethics.
  • Determine effective harvesting methodologies, storage and recordkeeping.
  • Discuss future stem cell research for human potential and humanity.
  • Salivary testing, current, future trends that will challenge and change the profession of dentistry.



Ergonomic Injury Prevention for the Dental Care Provider (3 Category I CEUs)

GOAL: To prevent the occurrence of work-related musculoskeletal disorders (MSDs) in clinical practice through education and early intervention. The participant will be able to:


  1. inform and educate dental professionals about the disorders risk factors andsymptoms that can cause or aggravate MSDs.
  2. Understand and apply a method to survey, analyze and prevent potential ergonomicinjuries in the workplace and home.
  3. Apply preventive concepts and methods for personal clinical practice and equipment alignmentto prevent MSDs.
  4. Create a plan to brain storm personal solutions to identified problems in your practice and home environment.


3-Day Didactic and Clinical Radiographer Course to Prepare of the DANB (RHS) Examination

  • *8 week pre-study required
  • Course held Fri. - Sun, April 1-3, 2016.


If you are interested in any of the following services, please contact us!

  • On-Site OSHA or HIPAA training workshops
  • 1-day course to prepare staff for the DANB Infection Control Examination-ICE
  • 1-day course to prepare for the DANB Chairside Assisting Exam - GC
  • A Mock OSHA Inspection Audit to evaluate your OSHA readiness



 For more information, please visit our website.

website: www.turbyneme.com
email: turbyne@roadrunner.com
phone: 207-786-4033 


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Updated 01.08.2018