SPRING 2 0 15 CONTINUING DENTAL EDUCATION F O R D E N T I S T S A N D D E N TA L T E A M M E M B E R S cde.sdm.rutgers.edu Thank You The Rutgers School of Dental Medicine, Office of Continuing Dental Education wishes to acknowledge educational grants and technical support for our Continuing Dental Education activities from the following companies: Delta Dental of New Jersey Foundation, Inc. Nobel Biocare Salvin Dental Specialties Information for educational grants or support received after publication of this catalog will appear on our website or in future brochures. ➼ IT’S ALL AT ➼ cde.sdm.rutgers.edu Our website with on-line registration makes it easy to: • Review our course calendar. • See complete course descriptions. • Print a copy of the current catalog. • Register in real-time, on-line without the hassles of paper forms and phone calls. TOTALLY SECURE, the website also offers a service – verified course credit tracking for your Rutgers School of Dental Medicine - CDE courses to aid in keeping track of your state licensure continuing education requirements. And, it permits self-reporting of other continuing education credits. LOG-IN, create your user profile, register and pay via credit card with an immediate e-mail confirmation. You can still call, fax or mail-in your registration as always, but isn’t it time to… you know? We are your source for continuing professional and allied dental education courses. 1- D AY W E E K / T W O Y E A R S ACADEMIC DENTISTRY From Practice to Preceptor Teaching, Administration and Clinical/Research Skills Rutgers School of Dental Medicine (SDM) plans to address the shortage of dental school faculty by recruiting and extensively training a diverse group of dentists to teach and fulfill all roles of effective dental faculty members. Over the course of two years, aspiring dental educators will be equipped with a broad skill set enabling them to teach and serve as mentors to the next generation of dentists. The From Practice to Preceptor (FP2P) program will train practicing general and pediatric dentists to: • Teach in a “competency-based” clinical setting • Teach in community-based settings located in underserved communities ON-LINE/ON-SITE LECTURES AND HANDS-ON EXPERIENCES INCLUDE: FALL 2015 - SPRING 2016 A 3-credit on-line course on educational theory and teaching in the health professions. Participants will be on-site at SDM approximately once per week for various learning modules: • Orientation to the program and observation in the predoctoral preclinic and clinics • Teach students how to treat vulnerable populations • A teaching curriculum that focuses on techniques, course development, mentoring, evaluation and educational technology • Develop cultural and linguistic competencies • Administrative and organizational structure and school policies • Mentor students and other aspiring faculty • Discussions with dental students • Monthly meetings with mentors In addition, at the end of this training, participants will have capabilities in: • Evidence-based practice • Interprofessional team approaches to patient care • Clinical protocols and large scale clinical management/ operations • Administrative roles in the academic environment • Committee meetings • Providing evidence-based dental care • Working with simulated patients • Addressing health disparities • Designing a research project under the supervision of an experienced researcher • Research evaluation and design Eligibility: Must be licensed to practice dentistry in the USA. FALL 2016 - SPRING 2017 Participants will work side by side with community-based faculty one day per week, and: • Teach and evaluate students Although a small stipend will be provided, PARTICIPATION IN THIS PROGRAM DOES NOT CONSTITUTE AN OFFER OF EMPLOYMENT OR A PROMISE OF FUTURE EMPLOYMENT AT THE RUTGERS SCHOOL OF DENTAL MEDICINE. • Design and conduct a community-based project • Participate in interdisciplinary grand rounds • Serve as a mentor to new faculty-trainees ENROLLMENT IN THIS PROGRAM IS LIMITED. Deadline for applications for 2015-16 cycle: March 27, 2015 ➼ To request an application or additional information contact the Office of Continuing Dental Education at 973-972-6561, or visit our website at cde.sdm.rutgers.edu. Register Online: cde.sdm.rutgers.edu Page 1 Continuing Dental Education Calendar Unless otherwise noted, course are held at the Rutgers School of Dental Medicine in Newark, NJ Hands-on Courses – Limited Enrollment ★ Courses appropriate for Dental Team Members MARCH 2015 4 OROFACIAL PAIN Persistent Post Treatment Pain What Do I Do When Things Go Wrong?.........................15 11 ANESTHESIA & PAIN CONTROL ★ Begin: Local Anesthetic and Pain Control ...................... 15 32 hours Certification Training for Dental Hygienists 18 GENERAL DENTISTRY ★ Healthy Heartbeats and Normal Blood Clots Providing Safe Care in Your Office . ............................... 16 20 ANESTHESIA & PAIN CONTROL ★Nitrous Oxide Conscious Sedation ................................ 16 20 ORTHODONTICS Congenitally Missing Maxillary Lateral Incisors How Do You Want to Compromise?...............................17 27 RESTORATIVE DENTISTRY ★ Successful Outcome of Anterior Restorations When Considering TMJ and Sleep Apnea . ..................... 6 • STEPHEN D. POSS, DDS at The Pines Manor in Edison, NJ APRIL 2015 1 IMPLANT / RESTORATIVE DENTISTRY Attachments, Implants and Narrow Body Implants........ 7 • GEORGE E. BAMBARA, MS, DMD, FACD 8 ★ DENTAL TECHNOLOGY Digital Imaging for Dental Practitioners . ...................... 17 10 ★ PERIODONTICS Total Comfort in Dental Hygiene and Periodontal Treatment: Procedural and Post Procedural Considerations ............................................................... 18 15 ★ ORAL PATHOLOGY Oral Pathology Update for the General Practitioner......18 Page 2 15 IMPLANT / RESTORATIVE DENTISTRY ★ The New Patient Experience - Treatment Planning at the Next Level – and – Considerations for the Single Tooth or Several Teeth Implant Restoration..............8 • ANTHONY SALLUSTIO, DDS at The Pines Manor in Edison, NJ 22 ★ GENERAL DENTISTRY / PUBLIC HEALTH Cross-Disciplinary Approach to Dental Care in Haiti and Dominican Republic Frontier: Anatomy of a Successful Dental Mission........................19 24 ESTHETIC / RESTORATIVE DENTISTRY ★ Cutting Edge Techniques and Materials to Maximize Success of Posterior Composite Resin Restorations – and – New Materials in Indirect Restorative Dentistry.......................................... 9 • MARC GEISSBERGER, DDS 29 PRACTICE MANAGEMENT ★ From the "Hunger Games" to the "Super General Dental Practice".....................................10 • MICHAEL ABERNATHY, DDS at The Pines Manor in Edison, NJ MAY 2015 6 ★ ORTHODONTICS & DENTAL TECHNOLOGY Top 5 Clear Aligner Issues and Solutions –and– Digital Scanning & 3D Printing – The Future is Now!......11 • PERRY E. JONES, DDS, MAGD at The Pines Manor in Edison, NJ 6 ORAL AND MAXILLOFACIAL SURGERY ★ Update in Oral Surgery for the Office-Based General Practice ................................ 19 8 SLEEP DISORDERS Basics of Sleep Medicine and Obstructive Sleep Apnea for Dentists ........................... 20 Please note change of date 8 15 IMPLANT / RESTORATIVE DENTISTRY The Two-Implant Mandibular Overdenture Restoring Quality of Life, as Well as Teeth . .................. 20 13 DENTAL TECHNOLOGY ★ Basics of Cone Beam CT for the Dental Practitioner: Lecture and Demonstration...................... 21 Call to Register: 973-972-6561 or 1-866-720-1971 Continuing Dental Education Calendar 15 RESTORATIVE DENTISTRY ★ Crown and Bridge GPS: Navigating the Maze of Indirect Dentistry Today....................................12 • PARAG R. KACHALIA, DDS at The Pines Manor in Edison, NJ 20 IMPLANT/RESTORATIVE DENTISTRY Single Implant Supported Crown Easy & Beautiful Results! .................................................. 21 29 PERIODONTICS One Day to Maximum Periodontics in Your Office What to Say, What to Use and How to Use It . ..............13 • TIMOTHY DONLEY, DDS, MSD at The Pines Manor in Edison, NJ JUNE 2015 3 ★ OROFACIAL PAIN / TMD Orofacial Pain (OFP) and Headache (HA): A Review of Diagnosis and Management of Common Chronic OFP and HA .................................. 22 3 ★ PEDIATRIC DENTISTRY Pediatric Dentistry Made Easy for the General Practitioner ...................................................... 22 10 ★ ORAL MEDICINE Oral Lesions, Orofacial Pain & Oral Care of the Medically Complex: An Update .......................... 23 10 ★ MEDICAL EMERGENCIES Management of Medical Emergencies in the Dental Office - The Team Approach............................... 23 12 ORAL MEDICINE/PATHOLOGY & ETHICS ★ Oral-Systemic Disease Relationships: New Developments for Clinical Practice –and– Ethics and Excellence in Dentistry.......................14 • DAVID D. ROLF II, DMD, MS 17 ★ ANESTHESIA & PAIN CONTROL Patient Monitoring for Nitrous Oxide Analgesia Delivery . .........................................See Website Recertification Training for Dental Hygienists & Registered Dental Assistants Registration Form........................................................................ 24 General Information........................................... Inside Back Cover Register Online: cde.sdm.rutgers.edu SEPTEMBER 2015 25 IMPLANT DENTISTRY Rutgers School of Dental Medicine and American Academy of Implant Dentistry (AAID) MaxiCourse®................................................................... 5 28 The Monday Study Club of the MaxiCourse.................. 4 LOOKING AHEAD FOR FALL 2015 Pediatric Dentistry with CARLA COHN, DMD Infection Control with JOHN A. MOLINARI, PhD Pediatric Enteral Sedation with ROBERT E. PRIMOSCH, DDS, MS, Med Medical Emergencies with STANLEY F. MALAMED, DDS Pharmacology & Street Drugs with HAROLD L. CROSSLEY, DDS, PhD Keep up with changes in HIV oral healthcare! FREE CLINICAL PRACTICUM IN HIV/AIDS At the Rutgers School of Dental Medicine FOR DENTISTS AND DENTAL TEAM MEMBERS NY/NJ AIDS Education & Training Program 315-477-8479 or HELØ[email protected] CE credits attached to all practicums. HOW TO REACH US PHONE 973-972-6561 or 866-720-1971 FAX973-972-7741 MAILRutgers School of Dental Medicine Continuing Dental Education 110 Bergen Street, B701 Newark, NJ 07103 [email protected] CONTINUING DENTAL EDUCATION STAFF Janice L. Gibbs, MA, Executive Director Corinne Swass-Fogarty, Administrative Coordinator Sherri Wilson, Program Assistant Ebony Robinson, Customer Service Representative Page 3 IMPLANT DENTISTRY Rutgers School of Dental Medicine and The American Academy of Implant Dentistry (AAID) The Monday Study Club of the MaxiCourse ® Objective of this Study Club is to train Dental Practitioners who wish to incorporate dental implants in their practice. This year-long program is modeled to be convenient for practitioners who are unable to attend the MaxiCourse® as designed. Session I: Introduction, diagnosis and treatment planning, multi-modal implant dentistry, anatomy. Session II: Clinical treatment planning and review of implant systems. Session III: Basic sciences – biomaterials and biomechanics. Session IV: Surgical anatomy and pharmacology. Session V: Imaging and presurgical planning. Session VI: Surgical sessions. Session VII: Peri-implant considerations and bone grafting. Session VIII: Prosthetics. Session IX: Prosthetic Session II and advanced implant considerations – sinus elevations, block grafts. Session X: Long-term maintenance, follow up and management of complications (2 days). ➼ A detailed curriculum will follow on our website. An opportunity is also available to earn an additional 220 credit hours by attending two days from each of the MaxiCourse® weekends. Participants, who complete the required 300 hours, will be eligible to take the written portion of the AAID Associate Fellow Membership Examination. Dates: 10 Sessions on the following Mondays: Sept. 28, Oct.19, Nov. 16, Dec. 7, 2015 Jan. 11, Feb. 8, Mar. 7, Apr. 4, May 16, Jun. 13, 2016 Time: 8 a.m. to 5 p.m. each day Location: Rutgers School of Dental Medicine Tuition: For Dentists Faculty: SHANKAR IYER, DDS, MDS – Program Director Clinical Assistant Professor Departments of Restorative Dentistry and Periodontics New York University, Department of Prosthodontics (A) Mondays only: $6,000 – register by Aug. 15, 2015 $6,500 – after Aug. 15, 2015 (B) Mondays plus 2 days per weekend of MaxiCourse®: $15,500 – register by Aug. 15, 2015 $16,500 – after Aug. 15, 2015 (Contact us regarding a payment plan) Credits: (A) 80 participation credit hours (B) 300 participation credit hours Code: 16D0239 A/B (Tuition does not include the AAID Exam Fee) Page 4 Call to Register: 973-972-6561 or 1-866-720-1971 A COMPREHENSIVE TRAINING PROGRAM IN IMPLANT DENTISTRY Rutgers School of Dental Medicine and The American Academy of Implant Dentistry (AAID) MaxiCourse ® Faculty: COURSE DIRECTOR: JACK PIERMATTI, DMD, FACP, FAAID Assistant Clinical Professor, PG Prosthodontics Department of Restorative Dentistry Private Practice in Voorhees, NJ CO-DIRECTOR: SHANKAR IYER, DDS, MDS Clinical Assistant Professor Departments of Restorative Dentistry and Periodontics New York University, Department of Prosthodontics ➼ Additional Speaker & Course Information is available on our Website: cde.sdm.rutgers.edu/maxicourse Dates: Ten Friday to Sunday Modules, Beginning September 25, 2015 and ending June 12, 2016 Time: 8 a.m. to 5 p.m. each day Location: Rutgers School of Dental Medicine Tuition: $16,500 for Dentists $5,000 initial deposit due on registration (Contact us regarding a payment plan.) Credits: 300 participation credit hours Code: 16D0240 LIMITED ENROLLMENT (Tuition does not include the AAID Exam Fee) Register Online: cde.sdm.rutgers.edu This program has been designed to impart the understanding of diagnostic and treatment modalities necessary to properly treat patients who are candidates for dental implant therapy. The 300 hour interdisciplinary approach utilizes case-based learning methodology including lectures, demonstrations, interactive seminars, hands-on sessions, patient treatment, and relevant reviews of literature emphasizing evidencebased clinical approaches. Objectives: •Provide an intensive overview of state-of-the-art implant dentistry. •Provide live surgical and prosthetic demonstrations on patients. • Assess several Implant systems and their application. •Preparation for the AAID Associate Fellow/Fellow membership examinations. •Preparation for the written portion of the AAID Associate Fellow Membership Examination. The MaxiCourse® Advantage •300+ hours of comprehensive lectures, live surgeries, demonstrations and hands-on sessions. •Hands-on patient treatment under direct supervision. (Bring your own patients.) • In-depth review of surgical and prosthetic protocols. •Non-commercial course covering a wide spectrum of implant types and systems. •Course satisfies educational requirement for Associate Fellowship in AAID. Page 5 RESTORATIVE DENTISTRY Successful Outcome of Anterior Restorations When Considering TMJ and Sleep Apnea GUEST SPEAKER: STEPHEN D. POSS, DDS DIPLOMATE ACSDD BRENTWOOD, TN This session will explore why some dental cases fail and others last a lifetime. This will include patient selection for predictable results and what cases you should avoid. Dr. Poss will also discuss the correlation with sleep apnea and night bruxism and how that can affect the success of your dentistry. This session will give the clinician the tools that can easily be implemented immediately in your practice to assure long-term success of your restorations as well as the implementation of dental sleep medicine in your practice. DR. POSS BEGAN practicing dentistry over 28 years ago, after graduating from the University of Tennessee Dental School. Post-graduate training has remained a top priority throughout his career, and he's is a graduate of the Las Vegas Institute for Advanced Dental Studies, where he received advanced training on the intricacies of occlusion, TMJ and smile makeovers. Dr. Poss lectures internationally on esthetic dentistry and TMD treatment. A former Clinical Director at the Las Vegas Institute from 1997-2004, Dr. Poss has directed numerous live patient continuums at various teaching institutes. Dr. Poss is currently the Clinical Director at The Center for Exceptional Practices in Cleveland, Ohio, and he is also on the editorial team of the Reality publishing. His articles and newsletters have been published widely. Dr. Poss is an active consultant for several dental manufacturers. He gives his professional opinion on new product development and refinement. He also has had numerous articles published in most of the leading dental journals. He maintains a cosmetic oriented restorative practice in Brentwood, TN. Date: Friday, March 27, 2015 Time: 9 a.m. to 5 p.m. Learning objectives: • Dental materials and techniques of porcelain restorations • Contraindications for anterior aesthetic restorations •Understanding sleep apnea and night bruxism how it can affect your aesthetic results Visit us online at cde.sdm.rutgers.edu for Course Information, to sign up for Email Reminders, and to Register Online. Location: The Pines Manor, Edison, NJ Tuition: $225 for Dentists $165 for Auxiliaries/Residents Credits: 7 credit hours Code: Page 6 15D0209 Call to Register: 973-972-6561 or 1-866-720-1971 IMPLANT / RESTORATIVE DENTISTRY Attachments, Implants and Narrow Body Implants For Dentists, Lab Technicians and Dental Assistants Attachments are rigid or resilient connectors that redirect forces of occlusion. They are stress attenuators and absorbers. Their function is to protect and preserve soft tissue and bone, and provide retention and cosmetic alternatives. Implants are devices that are rigidly fixated to bone. This characteristic differentiates them from natural teeth. Their long-term success depends on bone quantity and quality, number and size of implants placed, occlusal and vector relationships, loading forces, and types of attachments selected. We will explore the rationale for using attachments as connectors to implants. The restorative dentist treatment plans implants through use of study models, wax bites, occlusal set ups and surgical stents. A clear understanding of what needs to be achieved must be established first and communicated to the surgeon and the patient. Implants must be placed where they can be successfully restored and not just where there is available bone. Various precision and semi-precision attachment cases are reviewed along with numerous types of resilient and nonresilient bar units, joints, studs, magnets, screws, and various accessory attachments. GUEST SPEAKER: GEORGE E. BAMBARA, MS, DMD, FACD STATEN ISLAND, NY Narrow body implants systems are popular and provide comfort and functionality for many who are not candidates for a standard 3mm or wider implant. The restorative aspect of various systems is explained along with clinical characteristics that differentiate them from each other. Clinical cases are reviewed and a logical approach to the treatment planning of attachment and implants is presented. You will gather knowledge, excitement and confidence enabling you to utilize attachments, implants and narrow body implants in your daily practice immediately. Upon successful completion of this course, you will: • Have a fuller understanding of how rigid or resilient attachments work to ensure successful implant prosthetics. • Explore treatment possibilities using bars and stud attachments. • Learn treatment planning differences between implants and natural teeth. • Learn how accessory attachments work to enhance retention and esthetics. • Learn how to successfully treatment plan two to ten implants using attachments. • Learn how to treatment plan and restore narrow body implant systems. • Understand how various narrow body implants are protected by their attachment systems and to what extent. • Have a fuller understanding of narrow body implants by demonstrating how they are restored. • Gain a new level of confidence in treatment planning attachment retained fixed, segmented or overdenture prosthetics. DR. GEORGE BAMBARA is a graduate and faculty member of the Rutgers School of Dental Medicine. He is past president of the Richmond County Dental Society and holds Fellowships in the American College of Dentists, the International College of Dentists and the International Academy of Dento-Facial Esthetics. He lectures nationally and internationally on attachment prosthetics and was selected as one of the “Top Clinicians in Continuing Education” for 2006, 2007, 2008 and 2009 by Dentistry Today magazine. He is a general practitioner with a private practice on Staten Island. Register Online: cde.sdm.rutgers.edu Date: Wednesday, April 1, 2015 Time: 9 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $195 for Dentists $145 for Auxiliaries/lab Techs/Residents Credits: 7 credit hours Code: 15D0210 Page 7 IMPLANT / RESTORATIVE DENTISTRY The New Patient Experience - Treatment Planning at the Next Level – and – Considerations for the Single Tooth or Several Teeth Implant Restoration GUEST SPEAKER: ANTHONY SALLUSTIO, DDS OCEAN, NJ We will cover techniques and methods to having new patients experience your practice like they have never seen before. Understanding the dynamics from the first call to their arrival is essential for building patient confidence in your dentistry. Ultimately, gathering the essential information so that you can provide patients with comprehensive planning will result in you providing the dentistry you want to deliver. • Present office protocol for new patients. DR. ANTHONY SALLUSTION earned a BS in Biology at Seton Hall University (1988). His DDS at the State University of New York at Buffalo, School of Dental Medicine (1992). A Certificate in Removable & Fixed Prosthodontics at SUNY at Buffalo (1995). And a Fellowship, Maxillofacial Prosthetic in Dental Oncology, Chief Resident Roswell Park Cancer Institute, Buffalo, NY (1996). Dr. Sallustio currently serves as a Staff Prosthodontist for the General Practice and OMS Residency at St. Joseph’s Hospital & Medical Center, Patterson, NJ Dr. Sallustio is a member of the American College of Prosthodontist, national & NJ chapter. President of the NJ Section of the American College of Prosthodontists. Member of the Greater New York Academy of Prosthodontics. Member of the International College of Prosthodontists. Member of the American Academy of Maxillofacial Prosthetics. And, member of the American Dental Association. •Review methods for information gathering and organization. • Understanding different types of patient personalities. • Preparing for the consultation. • Simple photographic analysis for comprehensive planning. The Single Tooth Implant, located in the anterior and posterior region, has become the standard for tooth replacement. Treatment planning, working with a surgeon, and executing the prosthetics in the esthetic zone can be challenging. Having some basic principles in diagnosis and restorative options will help set realistic expectations for the patient and improve your prosthetic results. New innovative techniques will be discussed including how to manage several missing teeth in the anterior zone. •Diagnosis and treatment planning – when to keep or extract a tooth. Date: Wednesday, April 15, 2015 Time: 9 a.m. to 5 p.m. • Posterior interim and final prosthetic options. Location: The Pines Manor, Edison, NJ •Esthetic zone evaluation prior to or after the tooth is extracted. Tuition: $225 for Dentists $165 for Auxiliaries/Residents • Provisional restoration essentials for the esthetic zone. Credits: 7 credit hours • Abutment selection and materials – current trends. Code: • Final prosthetics – screw or cement retained. 15D0211 • Implants and luting agent issues. Rutgers School of Dental Medicine gratefully acknowledges support for this activity from: •Material selection for the final restoration – All ceramic or PFM. Nobel Biocare Page 8 Call to Register: 973-972-6561 or 1-866-720-1971 T W O TO P I C S / O N E D AY ESTHETIC / RESTORATIVE DENTISTRY Cutting Edge Techniques and Materials to Maximize Success of Posterior Composite Resin Restorations – and – New Materials in Indirect Restorative Dentistry GUEST SPEAKER: MARC GEISSBERGER, DDS, MA, CPT SAN FRANCISCO, CA DR. MARC GEISSBERGER earned his Bachelors of Science in Biology from Saint Mary’s College in Moraga, CA. He earned his DDS in 1991 from the University of the Pacific, School of Dentistry. In 1994 Dr. Geissberger earned a Masters of Arts in Educational Psychology from the University of the Pacific School of Education. Since 1991, Dr. Geissberger has split his time equally between his private practice in Marin and teaching at the University of the Pacific Dental School where he currently is Professor and Chair of the Department of Integrated Reconstructive Dental Sciences. Dr. Geissberger has fellowships in the International College of Dentists, American College of Dentists, and the Pierre Fauchard Academy. He has won several teaching awards and completed a fellowship with the American Dental Education Association’s Leadership Institute. He has presented 200 lectures and hands-on workshops to colleagues in the U.S. and internationally. He has co-authored and published numerous scientific papers and a textbook entitled Esthetic Dentistry in Clinical Practice for Wiley-Blackwell. Date: Friday, April 24, 2015 Time: 9 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $205 for Dentists $155 for Auxiliaries/Residents Credits: 7 credit hours Code: 15D0212 Register Online: cde.sdm.rutgers.edu Cutting Edge Techniques and Materials to Maximize Success of Posterior Composite Resin Restorations Use of composite resin material as a direct restorative for anterior and posterior restorations has dramatically increased. With self-etching technology emerging as a viable alternative to traditional techniques and development of new technology to assist with bulk fill techniques, it is easy to be get confused and fall behind. We will attempt to make sense of all the products and techniques available today, and focus on materials and their applications with a brief review of some of the literature. Emphasis will be placed on new developments in the composite area and outline what developments to watch for in coming years. During this program you will understand: • Self-etching principles and how they are applied to composite resins. • What is required of materials to be utilized for bulk-filled and differences between some current materials. • How to successfully and predictably place a bulk-filled restoration. • Proper placement techniques that maximize clinical outcomes and esthetics. • How to select and place an appropriate matrix system. • How to create and maintain correct posterior anatomy and contours. New Materials in Indirect Restorative Dentistry We will introduce you to several new materials in the arena of indirect restorative dentistry. Tips and techniques for these materials, and the Pros and Cons of each will be discussed. We will cover the latest development in all porcelains, cements, impression materials and CAD/CAM technology and elucidate their influences on the modern practice of dentistry. During this program you will: • Gain knowledge of modern ceramic materials and understand limitations and strengths of each type. • Develop a better understanding of indications and contraindications of each material. • Improve your understanding of modern cements and which clinical situations are indicated for their use. • Navigate technological advances in CAD/CAM Dentistry and figure out which systems may be most appropriate for your practice. • Learn predictable techniques designed to capture flawless impressions the first time they are attempted. Page 9 PRACTICE MANAGEMENT 26th Annual Dr. L. Deckle McLean Memorial Lecture From the "Hunger Games" to the "Super General Dental Practice" GUEST SPEAKER: MICHAEL ABERNATHY, DDS McKINNEY, TX New Jersey is one of the most challenging areas in the US to practice dentistry in a profitable manner. The average income for dentists within 40 miles of the dental school are some of the lowest in the country with 23% of all of the dentists in the US living within that circle. With more and more challenges, you need better answers and an entirely new way of looking at the "business" of Dentistry. •How the Climate Change in Dentistry will change the way you practice, or make sure you don't survive. Graduate of Baylor Dental School 1975. •Understanding how to use Demographics to craft a new practice strategy. Founder of McKinneyDentist.com, Signature Dental Lab, ClinicFiller.com, and Summit Practice Solutions. •Creating the Culture that will ensure growth regardless of where you are through any economic down-turn. Author of over 300 articles, and three books. 35 years of practice and current and past owner of multiple dental offices. •How to partner with your staff to stage success in every system that your practice needs to incorporate to ensure the benchmarks needed to survive in this new Dental environment. Don't expect to embrace change without bringing every one of your staff. Date: Wednesday, April 29, 2015 Time: 9 a.m. to 4 p.m. •How to find and keep twice the number of new patients that an average dental practice will have. We will send everybody a copy of Marketing the Super General Dental Practice. Location: The Pines Manor, Edison, NJ Tuition: $205 for Dentists $155 for Auxiliaries/Residents Credits: 6 credit hours Code: 15D0213 ➼ T his course is geared towards dentists, their hygienists, dental assistants and office managers. An essential element for success is to involve the entire dental team as “partners” in implementing these changes. Page 10 •Case Acceptance and the Hygiene Factor that will give you an 80% referral rate. • Becoming a Tarzan in a Managed Care Jungle. •Transitions that will show you how to add another practice and grow to the point of needing additional dentists. •Introducing the movement called, "Best For Dentistry." An alliance of individual practices with the clout of large national corporations that will ensure your practice can cut their overhead by 10%, while having the tools to increase their production to become a practice that can "produce more, collect all, and keep half". Please Take our Preference Survey Links available through our website: cde.sdm.rutgers.edu Call to Register: 973-972-6561 or 1-866-720-1971 T W O TO P I C S / O N E D AY ORTHODONTICS & DENTAL TECHNOLOGY Digital Scanning and 3D Printing – The Future is Now! – and – Top 5 Clear Aligner Issues and Solutions Digital Scanning and 3D Printing – The Future is Now! Top 5 Clear Aligner Issues and Solutions Whether you are a novice or have some experience with digital scanning and 3D printing, plug yourself into the next frontier of dentistry with the help of Dr. Perry Jones, a nationally recognized expert in this exciting, emerging and fast-changing fields. Spend a fast paced, information filled morning with Dr. Perry Jones, a national and international expert in the field of tooth movement with plastic aligners (lnvisalign). Regardless of your experience level with tooth movement with clear aligners, there are common movement issues. This course will address the basics of tooth movement with plastic as well as the top five "issues" seen with tooth movement with plastic and their solutions. Experienced, as well as inexperienced lnvisalign providers are encouraged to attend as a wealth of specific in-depth useful information and "pearls" will be presented. Participants will learn the basics of tooth movement with plastic, learn to predictably extrude lagging anterior teeth, predictably rotate lagging rounded teeth such as canines and bicuspids, understand the treatment options for tooth size discrepancy understand how to limit excess space secondary to IPR, solve the problem of posterior open bite and understand the basics of occlusal finish. Upon completion, you should be able to identify: • Ten specific benefits of digital scanning. • Differences between the currently available intra-oral digital scanning products. • How 3D printing works and common terminology. •3 D printing methods and differences in various 3D printing methods. GUEST SPEAKER: PERRY E. JONES, DDS MAGD RICHMOND, VA DR. PERRY JONES is a 1974 graduate of VCU School of Dentistry, where he is Director of Continuing Education and Faculty Development, Adjunct Faculty, and Associate Professor in the Oral Maxillofacial Surgery and General Practice Departments. He is the Director of the VCU/AGD Mastership Program. Orthodontics has been a key practice focus for some 30+ years. One of the first lnvisalign certified GP providers, Dr. Jones has been a member of the Align Technology speaker team since 2002. He has two dozen published articles; is a regular contributing editor for many lnvisalign publications; he is also a regular speaker at lnvisalign GP Summits and International lnvisalign Forums. His lnvisalign consulting service (www.ClinCheckhelp.net) has consulted on more than 10,000 ClinChecks. His passion for orthodontics extended to establishing the American Academy of Cosmetic Orthodontics (AACO), where he serves as Director of Continuing Education. He is also passionate about scanning and 3D printing technology, and guided surgical guides. He is the first general dentist in the world to have 3D printing technology in a private office. Dr. Jones maintains a private dental practice in the Bon Air area of Richmond. Register Online: cde.sdm.rutgers.edu Upon successful completion, you should be able to: • Identify basics of tooth movement and strengths and weaknesses of tooth movement with clear aligners. • Understand the use of adjuncts to predictably extrude movement lagging anterior incisors. • Understand the use of adjuncts to aid rotation of round teeth such as canines and bicuspids. • Identify the four reasons to observe unwanted posterior open bite and their solutions. • Understand techniques to help limit excess space secondary to IPR. • Understand treatment options to help resolve tooth size discrepancy. • Understand basics of occlusal relationships to aid finishing tooth movement cases. Date: Wednesday, May 6, 2015 Time: 9 a.m. to 5 p.m. Location: The Pines Manor, Edison, NJ Tuition: $225 for Dentists $165 for Auxiliaries/Residents Credits: 7 credit hours Code: 15D0214 Page 11 RESTORATIVE DENTISTRY Crown and Bridge GPS: Navigating the Maze of Indirect Dentistry Today GUEST SPEAKER: PARAG R. KACHALIA, DDS SAN RAMON, CA DR. PARAG R. KACHALIA is an Associate Professor and the Vice Chair of Simulation, Technology and Research, and is a team leader within the University of the Pacific’s prestigious complex and esthetic rehabilitation program. He is a Fellow of the American Dental Education Association’s leadership institute, a researcher, as well as a published author in the areas of dental technology, digital diagnostics, contemporary fixed prosthodontics, and financial management. He has lectured internationally in the areas of adhesive dentistry, cosmetic dentistry, photography, CAD/CAM technology, fixed prosthodontics, treatment planning, erosion, and diagnostic technologies. Dr. Kachalia acts a consultant for many dental materials/ dental technology companies and helps guide product development. Dr. Kachalia is a member of the Pride Technology Leadership Council and is frequently interviewed in regards to his vision of dentistry’s future. Dr. Kachalia has maintained a private practice geared toward restorative dentistry. He believes his continual involvement in providing patient care as well as a role in academia has given him a unique balance that allows him to blend the best of both worlds. Date: Friday, May 15, 2015 Time: 9 a.m. to 5 p.m. The world of indirect dentistry was relatively easy to understand for many years when choices were limited to gold and porcelain fused to metal restorations; however things have most definitely changed. The world of dentistry today offers numerous choices in terms of various ceramics, cements, and technologies and the practitioner is left wondering which path he or she should go down. This course will help the practitioner navigate this maze and understand the advancement in each aspect of crown and bridge restorations, so that predictable results are achieved. Furthermore the course will specifically look at technologies and materials that are available today that allow predictable impressions to be achieved both in the traditional impression world and digital world. At the conclusion of the course you will: •Understand the advancements in ceramic materials - where, when, and how. •Gain a thorough understanding of how to obtain predictable impression. •Be exposed to new technologies and materials in the impressioning arena. •Be presented with an overview of CAD/CAM dentistry with respect to traditional restorations as well as implant restorations. •Understand the evidenced based protocols surrounding cementation with respect to traditional and implant restorations. Location: The Pines Manor, Edison, NJ Tuition: $225 for Dentists $165 for Auxiliaries/Residents Credits: 7 credit hours Code: Page 12 15D0215 Call to Register: 973-972-6561 or 1-866-720-1971 PERIODONTICS One Day to Maximum Periodontics in Your Office What to Say, What to Use and How to Use It GUEST SPEAKER: TIMOTHY DONLEY, DDS, MSD BOWLING GREEN, KY DR. TIMOTHY DONLEY is currently in the private practice of Periodontics and Implantology in Bowling Green, KY. After graduating from the University of Notre Dame, Georgetown University School of Dentistry and completing a general practice residency, he practiced general dentistry. He then returned to Indiana University where he received his Master’s Degree in Periodontics. Dr. Donley is the former editor of the Journal of the Kentucky Dental Association and is an adjunct professor of Periodontics at Western Kentucky University. He is a lecturer with the ADA Seminar Series. Dentistry Today recently listed him among its leaders in Continuing Education. He lectures and publishes frequently on topics of interest to clinical dentists and hygienists. Finally, a comprehensive course on Periodontics that puts it all together in a way that makes sense! Like most courses, you will learn the latest about today’s periodontics. More importantly, you will also get access to the practice management materials necessary to incorporate this information in a way that helps your patients and your practice. Success of the periodontal portion of your practice is going to depend on your ability to identify/motivate patients in need of care, and then to use a therapeutic approach that gives the maximum chance to achieve and then maintain a preferred level of oral health. This course will show you how to do both. Doctor and hygienist will learn what to say to patients, what to do and what to use in this new age of periodontal medicine. The New Periodontics • Taking a risk based approach. • What evidence-based really means. Oral-Systemic Health • The mechanism behind the link. • What we now know. Patients We Should Be Treating Differently • Tobacco, diabetics, cardiovascular, stress, genetics, obesity, etc. • What you need to ask. Practice Management • Maximizing patient motivation. Date: Friday, May 29, 2015 Time: 9 a.m. to 5 p.m. Location: The Pines Manor, Edison, NJ Tuition: $225 for Dentists $165 for Auxiliaries/Residents Credits: 7 credit hours Code: 15D0216 ➼ T his course is focused on making it as easy as possible to bring about real changes in the periodontal portion of your practice. Register Online: cde.sdm.rutgers.edu • Tools you can use. The Best Re-Exam Protocol • The forms to use. • What to check, say, do. The New Goal of Treatment • It’s not just pocket depths anymore. • Biofilm – what it really means. • A new philosophy. Therapeutics • Hand vs. ultrasonic – finally an answer. • Local antibiotic delivery – which and when. • Laser debridement – what we now know. • Host modulation therapy. - low dose doxycycline. - nutrition – finally, something to talk about. Where to Go from Here • What to do starting tomorrow. Page 13 TWO TOPICS ORAL MEDICINE/ORAL PATHOLOGY & ETHICS/RISK MANAGEMENT Oral-Systemic Disease Relationships: New Developments for Clinical Practice – and – Ethics and Excellence in Dentistry GUEST SPEAKER: Oral-Systemic Disease Relationships: New Developments for Clinical Practice GLENDALE, AZ We will discuss the latest clinical and scientific evidence on associations between periodontal disease and diabetes, obesity, cardiovascular disease, bacterial endocarditis, pregnancy complications, ventilator-associated nosocomial pneumonia, rheumatoid arthritis, colon cancer, and relationships between diets, stress, sleep disorders and illness. DAVID ROLF II, DMD, MS DR. DAVID ROLF is a Periodontist, Clinical Ethicist and a Professor at Midwestern University College of Dental Medicine-Arizona. He has authored or co-authored 40 clinical and scientific articles and abstracts, text chapters, web-based dental curriculum, clinical training manuals and evidencebased clinical protocols, has served on the editorial board of the American Journal of Esthetic Dentistry, and is a textbook reviewer. He currently serves as a principal investigator of a three-year clinical dental implant study. Dr. Rolf is a Fellow of the American Dental Education Assoc. Leadership Institute; received a 2010 Educator Award from the American Academy of Periodontology; and was selected by the American Dental Assoc. in 2009 as an Evidence-Based Dentistry Champion. Currently Chair of the Midwestern University Bioethics Committee, Dr. Rolf is also an active consultant on dental malpractice cases and served as an Expert Consultant to the California Dental Board's Enforcement Division. Dr. Rolf is a graduate of Indiana Univ. (BA ‘87), Washington Univ. School of Dental Medicine (DMD ‘87), The Univ. of Iowa (Cert. in Periodontics ‘92; MS in Oral Science ‘00) and Rush Univ. College of Health Sciences (Graduate Cert. in Healthcare Ethics ‘03). He is a member of Omicron Kappa Upsilon Dental Honor Society, American Academy of Periodontology, American Dental Education Assoc., Int’l Assoc. for Dental Research, American Society for Dental Ethics and American Society for Bioethics and Humanities. Date: Friday, June 12, 2015 Time: 9 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $205 for Dentists $155 for Auxiliaries/Residents Credits: 7 credit hours Code: 15D0217 Page 14 We will also discuss risk-based prevention of periodontal diseases and definitive evidence-based nonsurgical and surgical management of gingivitis and periodontitis, from these clinical perspectives: Understanding characteristics of biofilm infections and pathogenesis of destructive inflammatory periodontal diseases; How risk factors modify disease susceptibility, progression and treatment outcomes; Limitations of nonsurgical and antimicrobial therapies; Critical importance of periodontal maintenance in order to help our patients arrest periodontal disease, restore oral/periodontal health, save teeth, and ultimately help maintain and improve overall health. Ethics and Excellence in Dentistry This course is clinically-oriented and covers the most critical ethical/professional issues in dental practice today: PractitionerPatient relationship and boundary issues; fiduciary duty and patient best interest standards; scope of practice; standard of care; informed consent and refusal; medical clearance; medical/dental error, disclosure of error and patient safety; failure to diagnose; supervised neglect; iatrogenic dentistry; impaired practitioners; bad outcomes and bad work; justifiable criticism; negligence/ gross negligence and malpractice; dental board regulation and disciplinary actions; breaking bad news to patients; dealing with difficult patients; insurance fraud; patient records, confidentiality and HIPAA; false and misleading advertising/marketing; claims of superiority; ethical issues involving social media; placebo & nocebo effects and clinical outcomes; and clinical issues involving evidence based dentistry. This dynamic, informative and interactive program covers the key ethical/professional issues for each clinical topic and includes question and answer discussions. This course satisfies many state dental board continuing education requirements in ethics and/or dental jurisprudence. This course is suitable for the entire dental team. Full course outline is available on our website: cde.sdm.rutgers.edu Call to Register: 973-972-6561 or 1-866-720-1971 OROFACIAL PAIN Persistent Post Treatment Pain What do I do when things go wrong? My endodontic/implant/periodontal (even prophylaxis) procedure was perfect… why does it still hurt? Your patient is upset. How do you explain the problem? While most clinical procedures conclude with predictable results and a satisfied patient, in small populations of patients this is not always the case. This course will: • Explain the pain system for the profession and the patient. • Answer the question, “is chronic pain heritable?” • Discuss post endodontic, periodontal, dental implant pain. • Diagnostic techniques. • Discuss how to explain when chronic persistent postoperative pain to the patient; medico legal issues. • Pharmacological pearls. Faculty: Department of Diagnostic Sciences GARY M. HEIR, DMD – Course Director Clinical Professor RAFAEL BENOLIEL, BDS Professor Associate Dean for Research See website for additional faculty. ANESTHESIA & PAIN CONTROL Local Anesthetic and Pain Control Certification Training for Dental Hygienists The following curriculum meets all the didactic and clinical requirements as set forth by the New Jersey State Board of Dentistry. Twenty hours of didactic and twelve hours of clinical training are necessary for certification of a licensed Dental Hygienist in local anesthesia. The didactic portion of this course will be in a format with problem-based learning sessions. During the clinical portion, participants will practice all injections on a manikin and then perform the required local anesthesia on patients in the Oral and Maxillofacial Surgery clinic. Upon completion of this didactic curriculum, you should: • Be able to take a medical history and complete review of systems along with medical risk assessment of the patient. • Have necessary knowledge of Head and Neck anatomy and Neurophysiology for proper local anesthetic delivery. • Have knowledge of the pharmacology of Local Anesthetics, Vasoconstrictors and Analgesics. • Know how to properly prepare necessary armamentarium. • Be aware of complications of Local Anesthetic administration including recognition and management. • Understand how to treat common medical emergencies that occur in the dental office. Upon completion of the clinical curriculum, you will be able to perform basic injection techniques of the maxillary and mandibular anesthesia. Prevent and manage local anesthesia and systemic complications. For additional information and requirements see our website: cde.sdm.rutgers.edu Faculty Department of Oral & Maxillofacial Surgery Date: Wednesday, March 4, 2015 PAMELA ALBERTO, DMD – Course Director Clinical Associate Professor Time: 10 a.m. to 5 p.m. See website for additional participating faculty. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Auxiliaries/Residents Credits: 6 credit hours Code: 15D0802 Date: Three Wednesdays: March 11, 18 & 25, 2015 Time: 10 a.m. to 5 p.m. each day (Clinical dates and times to be determined.) Location: Rutgers School of Dental Medicine Tuition: $865 for Dental Hygienists Credits: 32 credit hours Code: Register Online: cde.sdm.rutgers.edu 15D0919 LIMITED ENROLLMENT Page 15 GENERAL DENTISTRY Healthy Heartbeats and Normal Blood Clots Providing Safe Care in Your Office Cardiovascular Disease (CVD) in Dental Patients The Art of Understanding the Heart Don’t get high blood pressure when treating these patients! • Unique properties of cardiac structure and function. • Current medical diagnostic procedures for CVD. • The dental patient with cardiovascular disease. – Understand the various CVD pathologies and current medical care. – Patient assessment for dental treatment – their CVD status and how their medical care may impact your planning and treatment. • Review current guidelines for endocarditis prophylaxis. Blood Studies in General Dental Practice You know the outside of your patients. Do you know anything about their inside? • Importance of acquiring blood values in order to better diagnose, manage and avoid problems during patient care. • Review blood tests with particular relevance to general dental practice. • Improve communication with medical personnel. Bleeding and Clotting – Understand the Basics Avoid that weekend call, “Doc, I am still bleeding.” • Hemostasis – hematologic system’s response to injury – be updated on the latest science of how blood clots. • Guidelines for assessing and managing patients on antiplatelet and anticoagulant medications – the “blood thinners.” – Blood studies that are necessary to avoid problems with patients who may be at risk. – Interpreting these blood studies to avoid complications. – Physician communication. • The new “blood thinners” your patients take – what do we do now? Faculty: Department of Diagnostic Sciences, Division of Oral Medicine HAROLD V. COHEN, DDS, Professor Date: Wednesday, March 18, 2015 Time: 10 a.m. to 5 p.m. (6 credit hours) ANESTHESIA/PAIN CONTROL Nitrous Oxide Conscious Sedation A Basic Hands-on Course for Dentists & Dental Team Members This course will introduce you to the use of nitrous oxide conscious sedation to manage anxiety in patients. It is designed for the general practitioner with little background in the use of nitrous oxide. It is a basic course that presents background information and step-by-step procedures for nitrous oxide administration. Each participant will have the opportunity to administer and receive nitrous oxide under close supervision. Topics to be covered: • Planes of anesthesia and analgesia. • Demonstration of different types of equipment. • Demonstration of nitrous oxide administration. • Review of clinical research. • Participation of registrants in pairs administering nitrous oxide. • Assisting in the administration of nitrous oxide sedation. • Review of sedation monitoring equipment. • Consideration of occupational hazard issues. Objectives: At the course conclusion, you will be able to: • Describe signs and symptoms of various planes of nitrous oxide conscious sedation. • Administer nitrous oxide conscious sedation to patients. Faculty: Department of Pediatric Dentistry GLENN ROSIVACK, DMD, MS, Clinical Professor Date: Friday, March 20, 2015 Time: 9 a.m. to 4 p.m. Location: Rutgers School of Dental Medicine Tuition: $345 for Dentists $235 for Auxiliaries/Residents Location: Rutgers School of Dental Medicine Credits: 7 participation credit hours Tuition: $175 for Dentists • $125 for Aux./Residents Code: Code: Page 16 15D1102 LIMITED ENROLLMENT 15D0805 Call to Register: 973-972-6561 or 1-866-720-1971 ORTHODONTICS Congenitally Missing Maxillary Lateral Incisors How Do You Want To Compromise? General dentists, prosthodontists, orthodontists, periodontists and pediatric dentists all have faced the dilemma of treating a patient who is missing one or both maxillary lateral incisors. Once the problem is noted, every treatment will finish with a compromised result. The professionals are face with the question: "How do I want to compromise?" Since no objective answer can be definitive, many keep wondering if a magical formula exists to resolve this dental problem. Are the solutions currently available enough to minimize patients' suffering? What are the contemporary proposed treatments for this condition? This program will provide a review of the current proposed forms of treatment for cases missing one or both maxillary lateral incisors. Clinical situations will be used to illustrate the variable in the decision process of congenitally or acquired lack of maxillary lateral incisors. Upon completion of this program you will: • Develop knowledge of the incidence of missing maxillary lateral incisors. • Understand the compromises of congenitally missing incisors to the whole dentition. • Understand the extrinsic and intrinsic treatment variables. • Learn how to recognize treatment alternatives. • Recognize the challenges for the long term prognosis. Faculty: JOSE A. BOSIO, BDS, MS Associate Professor Department of Orthodontics Date: Friday, March 20, 2015 Time: 9 a.m. to 12 noon DENTAL TECHNOLOGY Digital Imaging for Dental Practitioners Digital Radiology can save time, money, effort and improve flow of information in and outside the office. Patients benefit by decreased dose of ionizing radiation and reduced time to view radiographs. And, no more handling chemicals and cleaning processors. • CCD/CMOS wired sensors and PSP wireless sensors. • Comparison of wired and wireless systems. • Networking and telecommunication. • Integration with office data management systems. • Technical issues of image resolution, file size, storage, and compatibility. • Cone Beam Computed Tomography (CBCT). Digital Photography: a perfect match for modern practices. • Pre- and post-operative photos of esthetic cases and oral lesions. • Communications with laboratories and specialists. • Equipment – from “need it” to “want it.” • Intra and extraoral photographs. • Lighting and best image formats. • Post-capture optimization. • Integration with practice management software. • Communication with your photographs. High Resolution Scanners and Imaging Software convert film-based images to digital formats. Equipment that is key to successfully transitioning into a modern digital office. • Resolution. • Techniques. • Optimal image formats. • Storage and transmission of images. Faculty: Department of Diagnostic Sciences STEVEN R. SINGER, DDS, Professor and Interim Chair MEL MUPPARAPU, DMD, MDS, DIP. ABOMR, Professor MAXINE STRICKLAND, DMD, MPH, Associate Professor Department of Orthodontics RENE S. JOHE, DMD, Clinical Assistant Professor Location: Rutgers School of Dental Medicine Date: Wednesday, April 8, 2015 Tuition: $125 for All Registrants Time: 10 a.m. to 5 p.m. (6 credit hours) Credits: 3 credit hours Location: Rutgers School of Dental Medicine Code: Tuition: $175 for Dentists • $125 for Aux./Residents 15D1003 Code:15D0804 Register Online: cde.sdm.rutgers.edu Page 17 PERIODONTICS Total Comfort in Dental Hygiene and Periodontal Treatment Procedural and Post-Procedural Considerations A number of common dental procedures, such as tooth scaling with an ultrasonic instrument, can result in severe pain. This pain may be a reason patients avoid needed dental treatment. Post-treatment tooth sensitivity may also be a distressing side effect of periodontal and hygiene procedures. This course is designed to help dentists and dental hygienists understand and manage symptoms accompanying periodontal therapy. A detailed discussion will be held on how most cases of procedural pain can be managed without using nerve blocks. Sources of Pain in Periodontal Procedures • Differentiating periodontal from tooth-derived pain. • Understanding why tooth roots are sensitive. •Identification of patient factors that may predispose to pain and sensitivity. Management of Pain during Periodontal Procedures • Use of topical anesthetics. • Use of topical dentin desensitizers. Local Anesthesia Techniques in Periodontal Pain Control • Infiltration vs. block injections. •Choice of anesthetic agents that allow most patients to be managed with infiltration. ORAL PATHOLOGY Oral Pathology Update for the General Practitioner This course will provide dental practitioners with a review and update of oral pathology including differential diagnosis, biopsy techniques and surgical management of common oral pathological lesions. Upon completion of this lecture, you will: • Be able to develop a differential diagnosis for common oral pathologic lesions. • Understand techniques for biopsy available including brush biopsy. • Learn basic techniques of surgical management for oral pathologic lesions. Topics to be covered: • Differential diagnosis of common oral pathologic lesions. • Biopsy techniques. • Epithelial pathology. • Vesiculo-bullous lesions. • Odontogenic cysts and tumors. • Vascular lesions. • Salivary gland lesions. • Malignant lesions of the oral cavity. Faculty: Department of Oral and Maxillofacial Surgery Post Treatment Sensitivity • Etiological and diagnostic factors. •Treatment options: sensitivity home care products and professional treatments. • New treatment options for tooth sensitivity. •Restorative and bleaching considerations when dealing with patients having sensitive teeth. •New methods to prevent and treat post-restoration tooth sensitivity. VINCENT B. ZICCARDI, DDS, MD – Course Director Professor and Chair Faculty: BARRY ZWEIG, DDS, Professor KENNETH MARKOWITZ, DDS, MSD Associate Professor Departments of Oral Biology and Restorative Dentistry Date: Friday, April 10, 2015 Time: 9 a.m. to 12 noon (3 credit hours) Location: Rutgers School of Dental Medicine Tuition: $135 for All Registrants Code: 15D0302 Page 18 PAMELA ALBERTO, DMD, Clinical Associate Professor SHAHID AZIZ, DMD, MD, Professor HANI BRAIDY, DMD, Associate Professor MAANO MILLES, DDS, Professor TALIB NAJJAR, DDS, PhD, Professor GAETANO SPINNATO, DMD, MD, Professor Date: Wednesday, April 15, 2015 Time: 10 a.m. to 5 p.m. (6 credit hours) Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Aux./Residents Code: 15D0912 Call to Register: 973-972-6561 or 1-866-720-1971 GENERAL DENTISTRY / PUBLIC HEALTH ORAL & MAXILLOFACIAL SURGERY Cross-Disciplinary Approach to Dental Care Update in Oral Surgery for in Haiti and Dominican Republic Frontier: the Office-Based General Practice Anatomy of a Successful Dental Mission Haiti is the poorest country in the Americas and one of the very poorest in the world with a per capita GDP of only $760 (USA $51,700). Seventy-seven percent of its 9.7 million people live on less than $2 per day. Access to basic healthcare is not available to forty percent of the people. With approximately one dentist for every 10,000 people, quality dental care is unavailable to most Haitians. The Dominican Republic has a population of 10 million people with thirty-five percent of its population under the age of fifteen. Most people in rural areas do not have access to a dentist. This seminar will present information on how to start a Dental mission trip and why using a cross-disciplinary approach makes it more successful. Topics to be covered: • Challenges for Dental Volunteers • History and Culture of 2 populations • Meeting Health needs of the local populations • Assembling the Team. • Cross Disciplinary Approach- Nursing View. • Cross disciplinary Approach- Physician’s View. • Sharing Knowledge in an international volunteer program. Speakers: PAMELA ALBERTO, DMD Clinical Associate Professor Department of Oral and Maxillofacial Surgery ROSA CHAVIANO-MORAN, DMD Assistant Professor, Community Health Dental practitioners will be provided with a review of commonly performed oral surgery procedures. Emphasis will be on dentoalveolar surgery, surgical extractions, biopsy techniques and minor pre-prosthetic surgery. Objectives: Through lectures and discussions participants will: • Review patient assessment in preparation for oral surgery. • Develop treatment protocols for common oral surgery procedures. • Review surgical complications and their appropriate management. • Recognize appropriate instrumentation and proper utilization of surgical instruments. • Learn surgical techniques involved in exodontias, biopsy and minor pre-prosthetic surgery. Program topics: • Armamentarium for basic oral surgery. • Principles of exodontia/impacted teeth. • Basic pre-prosthetic surgery. • Management of odontogenic infections. • Surgical management of oral pathologic lesions. • Postoperative patient management. • Management of surgical complications. Faculty: Department of Oral & Maxillofacial Surgery VINCENT B. ZICCARDI, DDS, MD, FACS – Course Director Professor and Chair PAMELA ALBERTO, DMD, Clinical Associate Professor ARTHUR SHEPPELL, MD Morristown Medical Center SHAHID AZIZ, DMD, MD, FACS, Professor JANET TRACY, PhD William Paterson University BARRY ZWEIG, DDS, Professor Date: Wednesday, April 22, 2015 Time: 10 a.m. to 1 p.m. Location: Rutgers School of Dental Medicine Tuition: $35 for All Registrants Credits: 3 credit hours Code: 15D0218 Register Online: cde.sdm.rutgers.edu HANI BRAIDY, DMD, Associate Professor Date: Wednesday, May 6, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Aux./Residents Credits: 6 credit hours Code:15D0913 Page 19 IMPLANT / RESTORATIVE DENTISTRY SLEEP DISORDERS Hands-on Course The Two-Implant Mandibular Overdenture Restoring Quality of life, as Well as Teeth Approximately 10% of Americans over the age of 18 are completely edentulous. A conventional maxillary denture suits the needs of most patients. However, mandibular dentures have problems with retention, stability, function and esthetics. This creates a less than ideal quality of life for these patients. A two-implant supported overdenture overcomes many of these problems and can be relatively cost effective, especially if their existing denture can be retrofitted at chairside obviating the expensive laboratory costs. The morning lecture is followed by an afternoon hands-on laboratory session consisting of implant placement and restoration in mannequins. Topics to be covered: • Diagnosis and treatment planning. • Implant placement. • Impression techniques. • Restorative options (bar, ball attachments, locators and magnets.) • Retrofitting an existing denture. • Overdenture economics. • Complications. Objectives: • Improve quality of life of your patients. • Increase your patient pool. • Offer additional service in your practice. Faculty: BARRY ZWEIG, DDS, Professor Department of Oral & Maxillofacial Surgery; Professor, Department of Periodontics; and Director of the Dental Implant Center LOUIS A. DI PEDE, DMD, FACP Assistant Professor and Interim Chair of Department of Restorative Dentistry Date: Friday, May 8, 2015 New date: May 15, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $295 for Dentists Credits: 6 participation credit hours Code: 15D1911 LIMITED ENROLLMENT Page 20 Basics of Sleep Medicine and Obstructive Sleep Apnea for Dentists The science of sleep medicine and treatment of sleep disorders have been going through explosive advances in the past two decades. The significant morbidity and mortality associated with sleep disorders is well documented in literature. There is a growing interest among the dental profession to learn how to treat patients with sleep disordered breathing with oral appliances. This course will help you understand the basics of sleep medicine and philosophies of treatment of sleep disorders. At the end of the course you should have an in-depth knowledge of the basics of sleep medicine, dental sleep medicine and a good understanding of when and how such a treatment modality could be incorporated into dental practice. Topics to be covered: • History of Sleep Medicine. • Sleep Neurophysiology. • Sleep Apnea and Sleep Breathing Disorders. • Role of Dentists in Sleep Medicine. • Patient Evaluation for Obstructive Sleep Apnea. • Sleep Bruxism and Associated Sleep Disorders. • Medical/Health Conditions Related to Sleep Disorders. • Diagnostic Tests for Sleep Disorders. • Appliance Treatment for Obstructive Sleep Apnea. • Practice Management in Dental Sleep Medicine. Faculty Department of Diagnostic Sciences Division of Orofacial Pain DAVIS THOMAS, BDS, DDS, MSD Associate Clinical Professor, Masters candidate (MscMed) in Sleep Medicine, University of Sydney, Australia Date: Friday, May 8, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Auxiliaries/Residents Credits: 6 credit hours Code: 15D0807 Call to Register: 973-972-6561 or 1-866-720-1971 DENTAL TECHNOLOGY IMPLANT / RESTORATIVE DENTISTRY Basics of Cone Beam CT for the Dental The Single Implant Supported Crown Practitioner: Lecture & Demonstration Easy & Beautiful Results! Cone Beam Computed Tomography (CBCT) is the newest imaging modality available to the dental profession. As the scanners and the examinations produced find their way into general and specialty practices, practitioners are eager to know how to use this exciting new modality to the benefit of their patients. This course is designed to introduce this new radiographic examination to the dental practice through lecture, demonstration, and hands-on viewing using the viewing software. Topics to be covered: • CBCT concepts. • Available CBCT units. • 3-D Anatomy. • Limitations. • Viewing the volume. • Scanning your patients. • Selection criteria and applications of CBCT. • Interpretation and reporting. • Radiation dose and comparison with other radiographic examinations. • Viewing the images using viewing software. At the course conclusion, you will understand: • Need for 3-D imaging in dentistry. • Basics of CBCT image acquisition. • Selection criteria for CBCT. • Selection of FOV. • Concept and use of viewer software. • Use of panoramic reconstruction, MPR, oblique, and other projections available with viewer software. • Basics of 3-D radiographic anatomy. • Basics of 3-D interpretation via viewing software. • Radiobiological aspects of the cone-beam CT. Faculty: Department of Diagnostic Sciences STEVEN R. SINGER, DDS, Professor and Interim Chair MEL MUPPARAPU, DMD, MDS, DIP. ABMOR, Professor MAXINE STRICKLAND, DMD, MPH, Associate Professor Among the most challenging of dental restorations is that of an anterior central incisor, particularly in the circumstance when the rest of the dentition is intact and attractive. A crown restoration, particularly implant-supported, requires an expanded perspective that includes a series of prosthodontic and surgical factors – esthetic, functional, material and soft tissue. This course will be presented in modules that highlight the major factors important in the successful treatment of the Single Implant Supported Anterior Crown. Topics to be covered: • Anatomic position of the implant – Good, Ok, Impossible. • The Provisional Crown – the Blueprint. • Esthetic Dentistry 2015 – Wow! Beautiful. • Tooth Color – now you see it or do you? • Now I have it, what do I do? Contouring, adjustment and cementation. Participant Case Studies: Please bring study models, radiographs and pictures of any problem cases for which you would like to discuss treatment planning. Faculty: Department of Restorative Dentistry SAUL WEINER, DDS, Professor HODA YOUSEF, DMD, MS, Associate Professor ABHINAV WADKAR, BDS, MDS, Assistant Professor Date: Wednesday, May 20, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Auxiliaries/Residents Credits: 6 credit hours Code: 15D1912 Date: Wednesday, May 13, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $195 for All Registrants Credits: 6 credit hours Code: 15D0803 Register Online: cde.sdm.rutgers.edu Page 21 PEDIATRIC DENTISTRY Pediatric Dentistry Made Easy for the General Practitioner For Dentists & All Dental Team Members This course is designed to be an update of latest information for the general practitioner treating children. We will review basic techniques of pediatric dentistry, present a summary of the latest clinical research, and illustrate step-by-step methods for various procedures. Topics and objectives: You will gain a greater understanding of: • Child Management (non-pharmacologic and pharmacologic methods). • Current restorative procedures using stainless steel and composite materials. • Pulp therapy procedures. • Treatment of traumatized teeth. • Use of fluoride supplements and topical fluoride. • Space management. • Treatment of dental emergencies in children. • Child abuse and forensics. OROFACIAL PAIN / TMD Orofacial Pain (OFP) and Headache (HA): A Review of Diagnosis and Management of Common Chronic OFP and HA The day is dedicated to providing a thorough overview of common chronic pain complaints in the head, face and oral cavity. We will review Temporomandibular Disorders in depth to ensure understanding of the biologic, social and functional problems underlying these. Many orofacial pain syndromes are localized presentations of common primary headaches and we will examine many of the common presentations and the problems associated with their diagnoses. At the end of the day you will be familiar with the classification of common primary headaches and criteria for diagnosis. You will be able to describe the overlap between some of these headaches and common chronic orofacial pain complaints. On completing the course you will also be updated on and cognizant of the Temporomandibular disorders. Topics: • The TMJ: Disc displacements with and without pain. This course will be a broad overview of typical areas of pediatric dentistry practice and will benefit those practitioners who treat children. • Regional muscle pain. Faculty: Department of Pediatric Dentistry • Trigeminal Neuralgia. GLENN ROSIVACK, DMD, MS – Course Director Clinical Professor GERALD GUZY, DDS, Assistant Professor CHRISTOPHER V. HUGHES, DMD, PhD, Professor and Chair MADHU MOHAN, DMD, Clinical Assistant Professor • Trigeminal autonomic Cephalgias. • Migraines and facial variants. • Other orofacial Neuropathies. Faculty: RAFAEL BENOLIEL, BDS Associate Dean for Research Professor Department of Diagnostic Sciences RYAN SCALLY, DMD, Clinical Assistant Professor NANCI TOFSKY, DDS, MS, Professor Date: Wednesday, June 3, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Aux./Residents Credits: 6 credit hours Code:15D1103 Page 22 Date: Wednesday, June 3, 2015 Time: 10 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Aux./Residents Credits: 6 credit hours Code:15D0809 Call to Register: 973-972-6561 or 1-866-720-1971 ORAL MEDICINE MEDICAL EMERGENCIES Oral Lesions, Orofacial Pain & Oral Care Management of Medical Emergencies of the Medically Complex: An Update in the Dental Office – The Team Approach For Dentists & All Dental Team Members ORAL LESIONS COMMONLY SEEN IN DENTAL PRACTICE When to Watch, When to Treat, When to Refer, and How to Treat • Which lesions may be diagnosed clinically and how? • Which lesions should be assessed immediately/referred? • Indications and different types of biopsy techniques. • When and how to use adjunct diagnostic procedures such as oral brush biopsy to screen red/white lesions. • Treating commonly occurring conditions: traumatic ulcers, canker sores, fever blisters, pyogenic granulomas, ANUG, thrush, angular cheilitis, hairy tongue, symptomatic geographic tongue, xerostomia, etc. • Role of the dentist in diagnosis and management of oral manifestations of systemic disease. •Follow-up regimen and documentation process. MEDICALLY COMPLEX DENTAL PATIENTS ASSESS AND TREAT SAFELY • Patient medical history – multiple diseases, multiple medications – how to sort these out for safe treatment. • Blood studies – understand the basics for dental patient care. • Medical emergencies – a straightforward approach. • Review of main system pathologies (cardiac, liver, kidney) – current medical treatments, safe dental care. • Pregnant and nursing patients – safe management. • Antibiotic prophylaxis, jaw osteonecrosis, the new “blood thinners” – updates on patient management. OROFACIAL PAIN: DIAGNOSIS AND MANAGEMENT • Review the basic mechanisms of acute and chronic pain. • Diagnosis of Orofacial Pain: TMJ and Neuropathic. • Pharmacologic management of Orofacial Pain. Faculty: Department of Diagnostic Sciences, Division of Oral Medicine MAHNAZ FATAHZADEH, BSC, DMD, MSD, Professor HAROLD V. COHEN, DDS, Professor SAMUEL QUEK, DMD, MPH, Professor Date: Wednesday, June 10, 2015 Time: 9 a.m. to 5 p.m. Location: Rutgers School of Dental Medicine Tuition: $195 for Dentists • $135 for Aux./Residents Credits: 7 credit hours Code: 15D0806 Register Online: cde.sdm.rutgers.edu This informational and participatory course will demonstrate the optimal way to prevent and manage “Medical Emergencies” that occur in the dental office. Emphasis will be placed on development of an emergency response team consisting of the dentist (team leader) and his/her staff each of which have an assigned, designated role. You will also develop an emergency response manual for your office. We will include a review of medical history taking, physical evaluation, and the recognition and management of medical emergencies. The “HEART” concept will be utilized: History – Evaluation – Anticipation – Recognition – Treatment. The program will consist of a series of lectures, demonstrations, and simulated drills. In addition, the armamentarium, instrumentation, and drugs needed for a comprehensive dental office emergency kit will be discussed. On completion of this program the dentist and staff members will be able to: • Evaluate and risk-assess his/her dental patient. • Equip and prepare the office to manage untoward events. • Function as a trained emergency response team. • Establish & maintain a well-designed office emergency kit. • Establish an office emergency response manual. • Recognize the most common office emergencies and initiate their management. • Utilize the equipment necessary to treat an emergency. • Select and understand the use and pharmacology of emergency drugs. Faculty: Department of Oral and Maxillofacial Surgery PAMELA ALBERTO, DMD, Clinical Associate Professor HANI BRAIDY, DMD, Associate Professor MAANO MILLES, DDS, Professor GAETANO SPINNATO, DMD, MD, Clinical Professor VINCENT ZICCARDI, DDS, MD, Professor and Chair Date: Wednesday, June 10, 2015 Time: 10 a.m. to 5 p.m. (6 credit hours) Location: Rutgers School of Dental Medicine Tuition: $175 for Dentists $125 for Auxiliaries/Residents Code: 15D0920 Page 23 Please photocopy this form REGISTRATION FORM 4 WAYS TO REGISTER: Name ON-LINE: cde.sdm.rutgers.edu Degree Address BY PHONE: 1-866-720-1971 or 973-972-6561 Monday to Friday 8:30 a.m. to 4:30 p.m. Address City StateZIP Email Please send confirmation by email Office Phone Cell Phone Fax Home Phone BY MAIL: Complete & mail registration form to: Please check: General Dentist Specialist (Please Specify) Yr. of Graduation PLEASE REGISTER ME FOR THE FOLLOWING COURSES: COURSE CODE TITLE BY FAX: 1-973-972-7741 DATE TUITION Rutgers School of Dental Medicine Continuing Dental Education 110 Bergen Street, B701 Newark, NJ 07103 $ $ $ $ $ For more information please contact us by: PHONE: 973-972-6561 EMAIL: [email protected] Total $ Note: Residents and students must include a letter from their program director verifying their student status. PAYMENT INFORMATION Check or Money Order payable to: “Rutgers-CDE” Please charge my: MasterCard Visa Card # Discover Exp. Date Course Locations are noted with the course description. Directions are sent with the confirmation package (for registrations received at least 2 weeks prior to course). Signature Or they may be found on-line at cde.sm.rutgers.edu. Card Holder’s Name (If different from Registrant) Special Needs: If you require special services, facilities or dietary considerations to support your participation in our activities, please contact Sherri Wilson at 973-972-6561. CONTINUING DENTAL EDUCATION Next NJ Dental License Renewal due October 31, 2015 GENERAL INFORMATION SPONSORSHIP. These courses are sponsored by the Rutgers School of Dental Medicine. HOW TO REGISTER: See registration form or back cover for information on registering by phone, fax or mail. Visit our website: cde.sdm.rutgers.edu - to register online. CREDIT. The Rutgers School of Dental Medicine is an approved course sponsor by the New Jersey State Board of Dentistry. Our courses, which deal with the scientific or clinical practice of dentistry, professional responsibilities, or ethical obligations of the profession, fulfill Board requirements for dentists’ license renewal. Credit hours are granted on an hour-for-hour basis, provided the course is completed as designed. The Rutgers School of Dental Medicine is an ADA CERP Recognized Provider; the current term of acceptance extends to 12/17. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the CE provider or to ADA CERP at www.ada.org/cerp. Rutgers is also an Academy of General Dentistry, approved national sponsor for FAGD/MAGD. PARTICIPANT CREDIT VERIFICATION: All participants are required to sign-in at the start of the course and following lunch. Credit letters will be provided at the end of the day and will not be mailed. Participants arriving late (one-half hour after course begins) or who may need to leave prior to completion will be asked to sign and note their arrival/departure times. Participants should complete the self-reporting section of their credit letters. CDE will adjust the database to reflect the actual number of hours received. The participant’s CDE transcript will reflect actual credit hours if called upon by the state to verify attendance. COMFORT ZONE. Although every effort is made to have a comfortable temperature in our meeting rooms, we realize individual comfort zones vary. Please bring a jacket or light wrap for your comfort. SPECIAL NEEDS. The Rutgers School of Dental Medicine complies with the Americans with Disabilities Act. If you require special services, facilities or dietary considerations (vegetarian or otherwise) to support your participation in this activity, please contact Sherri Wilson at 973-972-6561. The Rutgers School of Dental Medicine is a proud member of the Association for Continuing Dental Education. Founded in 1991, the ACDE provides a forum for cooperative, collaborative and mutual support among directors of university-based CDE programs. The ACDE mission is to provide high quality programs with superior educational value to dental care professionals. Visit Our Website: cde.sdm.rutgers.edu REGISTRATION CONFIRMATIONS are sent two weeks prior to the course date. The confirmation includes directions, parking information, room location, registration time, a receipt for tuition paid, etc. We encourage you to register early, as this protects course enrollment and avoid unnecessary cancellations. If you plan to register late, call to ensure space is available and to confirm the activity’s logistical details. MEETING PLACES. Courses are held on and off campus, please check the course outline for the location. The School’s Newark Campus is conveniently accessible to Interstate Route 280, the Garden State Parkway, NJ Turnpike, Route 78, Newark Penn Station and Newark Liberty Airport. Secure parking is available at all course locations. Directions are also available on our Website: cde.sdm.rutgers.edu. REGISTRATION FEE includes tuition, registration, handout materials, coffee breaks, lunch for most full-day courses, and other amenities involved in making this a pleasant learning experience. Residents and postdoctoral students must include a letter from their program director verifying status. CANCELLATIONS & SUBSTITUTIONS. Cancellations received up to two working days before a course are refundable, minus a $35 (Unless otherwise noted in a course outline) registration service charge – or you may apply the full registration fee toward a future course within the same academic year. After that, cancellations are subject to the entire registration fee. NOTE: The registered participant grants permission to the Office of Continuing Dental Education (and its designees and agents) to utilize the participant’s image, likeness, actions and/or statements in any live or recorded audio, video, or photographic display for exhibition, publication, or reproduction made of, about, or at an activity without further authorization or compensation. SUNSHINE ACT STATEMENT: in compliance with the Physicians Payment Sunshine Act, the Office of Continuing Dental Education may release participants’ names to applicable manufacturers who at times may provide an educational grant, in-kind and/or technical support for our programs. NOTE: Dental educational institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing dental education course by the Rutgers School of Dental Medicine does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. Rutgers reserves the right to modify course content, faculty and meeting locations; and also reserves the right to cancel a program, if necessary. Next NJ Dental License Renewal due October 31, 2015 Forty (40) credit hours are due for each biennial license renewal period. Accepted courses shall have significant intellectual or practical content that deals primarily with matters directly related to the practice of dentistry or with the professional responsibilities or ethical obligations of licensees. Not accepted: Subjects such as estate planning, financial or investment/tax planning, personal health. For more information visit the NJ State Board of Dentistry website: njconsumeraffairs.gov/dentistry/. Continuing Dental Education 110 Bergen Street, B701 Newark, NJ 07103 Visit us at: cde.sdm.rutgers.edu 4 WAYS TO REGISTER: ON-LINE:cde.sdm.rutgers.edu FAX:973-972-7741 MAIL: Rutgers School of Dental Medicine Continuing Dental Education 110 Bergen Street, B701 • Newark, NJ 07103 PHONE:973-972-6561 or 1-866-720-1971 • Monday to Friday • 8:30 am to 4:30 pm INFO: Email us at [email protected] CONTINUING DENTAL EDUCATION F O R D E N T I S T S A N D D E N TA L T E A M M E M B E R S Rutgers, The State University of New Jersey NON-PROFIT ORGANIZATION U.S. POSTAGE PAID PERMIT NO 5287 RUTGERS
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