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 maintenance credit. Approval does not imply acceptance by state or provincial boards of dentistry or AGD endorsement. The current term of approval extends from April 1, 2019 to March 31, 2021. Provider #209585.
How to Achieve Clean Air, Clean Water and Clean Handpieces in Your Dental Practice!
1. Discuss Department of Labor Ranking of Unhealthy Professions
-- Bio Aerosols
-- Indoor Air Quality
-- Surgically Clean Air
2. Discuss/Implement Dental Unit Water Quality
-- CDC/ADA Guidelines, -- Types of Water Treatments
-- How to Properly Test your Dental Unit Water -- Common Mistakes
1. Differentiate the main difference between the 1999 system and the 2017 update
2. Recognize the rationale and scientific evidence supporting the new staging and grading system
3. Discuss the application for staging and grading as part of the classification system
4. Relate the updated classification system to clinical practice
5. Identify clinical considerations for classifying disease
The Oral Microbiome: 3.5 CEUs
A follow up course to Inflammation: the role of the gut, immune system and lifestyle,we will shift our focus from chronic inflammation to the gut. Attending the previous course is notnecessary as we will review and build upon the principles outlined prior and examine the gut by way of the oral microbiome. As we being our journey in the mouth we will draw connection to the bidirectional relationships between systemic, dental and gut health as well as diet and the immune system. Learning Objectives
1. Identify the origin of the gut microbiome.
2. Discuss the influence of oral bacteria in relation to the gut.
3. Explain the effect of diet on the oral and gut microbiome.
4. Relate the role of the gut to the immune system.
5. Recognize the communicative role of the microbiome.
6. Discuss how each piece influences overall health.
Identifying and Treating Patients with PTSD, 3.5 CEUs
1. Discuss the brief history of the PTSD diagnosis and revisions to PTSD diagnosis criteria.
2. Define the difference between adjustment disorders and PTSD.
3. Explain the assessment criteria for DSM-5, A-H for PTSD Diagnosis.
4. Recognize the symptoms and presentations of the PTSD Patient.
5. Recognize the Oral Signs and Symptoms of the PTSD Patient.
6. Screening Patients for PTSD and Pre-treatment assessment for patients with PTSD.
7. Describe a variety of strategies and techniques for the Diagnosis and Treatment Phases of the PTSD Patient.
2020 Update: Dental CDC/OSHA Federal and State Basic Clinical Expectations/Record keeping for Safe Care if Patients and Staff. (3.5 CEUs)
OSHA's Strategic Plan 2019 -2022, Directives, and Enforcement Goals for Dentistry.
Describe the Written Components that provide an Administrative Evidence Trail of CDC and OSHA Compliance Expectations.
Define the Expectations of the Sterilization Process and Record-keeping Expectations for Oral Dental Office Infection Control.
Answers to Frequently asked Infection Control Questions.
Determine the OSHA Expectations for the GHS Hazardous Chemical Program and How to Explain and Implement the program in your dental practice.
Self-Inspection, Safety Meetings and Facility Safety Record keeping.
Organization and ownership of your OSHA Programs through Staff Teams Roles, Responsibilities and Cross Training.
Why do Dental Hygienists (DHs) get such Different Patient Scaling Results? Overview of DH Instruments, Sharpening Systems, New Instruments and Clinical Application. 3.5 CEUs
1. Compare and contrast dental hygiene instruments;
-Design changes, tips, grip, scaling efficiency
-Types of metals used and clinical application of instruments, especially for implants,
-Newer Hand Instruments and their clinical applications; utilization, specialization,
-Clinical result discussion for those that use them and why.
2. How to evaluate instruments for sharpening, re-tipping, or discard.
3. Sharpening: Hand sharpening, stones, diamond sharpening cards, files, square vs. round,
ston vs. ceramic
4. Automated Sharpening devices, how they work and comparative results.
5. Pros/Cons of re-tipping.
6. Working as a DH team to discuss, compare and teach each other about instruments, clinical
techniques, sharpening and comparing patient results.
Inflammation: The Role of the Gut, Immune System and Lifestyle, 3.5 CEUs
Chronic Inflammation is a silent catalyst of many diseases including periodontal disease. By examining pro and anti-inflammatory influences we can better understand the connection between lifestyle and disease. Additionally, we will explore the connection between the gut, the immune system and oral/overall health.Identify what Laws govern Dentistry as a profession. Identify the role of the Board of Dental Practice.
Identify the role of lifestyle and inflammation.
Identify pro and anti-inflammatory influences.
Describe how food and probiotics can influence the immune system.
Discuss environmental toxins and their role in disease.
Identify the human microbiome and immune system link.
Discuss the role of gut health and immune function.
Recognize the link between gut health and oral health.
Recognize developments in dental health including the use of probiotics
Connect this information to the improvement of patient care.
Identify what Laws govern Dentistry as a profession. Identify the role of the Board of Dental Practice.
Discuss ME Statutes Relating to Employment, Employee-Patient Safety/Ethics and Conduct. (Practice Act)
What are the Definitions of: Duty and Standard of Care, Unintentional Acts (Torts), Intentional Misconduct, Contributory Negligence. Identify effective Contractual Relationships with Patientsand minors.
Documentation for the Dental Practice from Patient Consent to Dismissal: Medical History, Treatment Proposed, Performed, Refused, Uncompleted, Emergency, and Patient Dismissal.
Consent Forms: When are they required? Are quality Assurance checks performed on your records?
Review of HIPAA HI-tech. Laws: Documentation Expectations, Breaches, Reporting, Record Keeping for the management of minors and the eight-year old "Adult". Record Confidentiality and Transfer.
Discuss what type of complaints and cases are managed by the ME Board of Dental Practice and the possible Processes from complaint to resolution.
Maine's Opioid Policy for Dentists when prescribing for Patients, and the Patient's Role, Record keeping when the drugs are prescribed or used during patient treatment.
Introduction to Dental Sleep Medicine (3.5 CEUs)
Determine the Epidemiology of Sleep Apnea, and Effect on Human Health and Longevity in adults and Children.
Sleep Basics and the Positives and Negatives Affecting it.
Oral Systemic Medicine, how the Dentist, MD and Sleep Specialists work together to diagnose the condition.
Explore the Economic Benefits of OSA Diagnosis and treatment for the Patient and Practice.
Explain systemic and dental diagnosis criteria for determining patient symptoms that qualify as mild, medium or Obstructive Sleep Disorder (OSA).
Discuss/review medical and dental treatment options for the affected patients.
Patient education and follow-up for a successful outcome.
Leadership and Action Skills Workshop for Professional and Personal Success in the 21stCentury (3.5 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 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 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 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.
Implant and Peri-Implantitis Management: What Every Dental Hygienist needs to know: Assessment, Treatment, Patient Education, & Prevention (3.5 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
*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
PREVIOUS COURSES Presented:
New 2016 CDC Infection Control Summary of Infection Prevention Practiced in Dental Settings, Basic Expectations for Safe Care of Patients and Staff. (3.5 CEUs)
The goals, objectives, and Expectations of CDC’s new recommendations
Fundamental elements needed to prevent transmission of Infectious Agents in the Dental Setting
Key Administrative Recommendations for Dental Settings and Education and Training.
Key Recommendations for Dental Health Care Personnel Safety and Program Evaluations.
Key recommendations for Respiratory Hygiene/Cough Etiquette in Dental Settings
Key Recommendations for Hand Hygiene, Personal Protective Equipment, Sharps Safety and Safe Injection practices.
Key recommendations for Sterilization and Disinfection of Patient-Care Items and Devices.
Key recommendations for Environmental Infection Prevention and Control.
Key recommendations for Dental Unit water quality in Dental Settings.
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 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”) placenta harvesting practices, cost, and storage.
Define and discuss dental stem cell the value, use, and ethics.
Discuss the four human dental stem cells that have been isolated and characterized and their potential use in regenerative dentistry
Determine effective harvesting methodologies, storage “Banking”, recordkeeping and cost.
Discussion of frequently asked questions by patients.
Discuss future stem cell research for human potential and humanity.
Update on the U.S. Diabetes Epidemic & Clinical Dental Care Implications
Describe the History, Epidemiology, landmark discoveries and Societal/Cultural Trends of Diabetes.
Define Diabetes and Explore the group of metabolic diseases that are called Diabetes.
Identify the classifications and complications of Type I, II, Gestational Diabetes and healing issues.
Identify Diabetes signs, symptoms, pathophysiology, diagnosis, treatment and prognosis at varying ages, oral recognition and explain the oral/physical connection to periodontal disease.
Understand recommended self-treatment management, new pharmacology medicines, andchallenges of patient disciple and compliance management.
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 CEUs)
Identify the anatomy and function in the normal TM Joint.
Recognize and differentiate facial pain referral patterns and determine Primary Etiological Factors
Obtain a patient complaint and pain history in a rudimentary interview process.
Perform a cursory clinical examination in the area of pain reported.
Compare and recognize a stable/destructive: bite, positioning/opening closing musculature, front tooth and sideways movement and molar contact.
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 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
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.