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Transcript
Understanding Your Dental Patient with Significant Medical
Disease - Part II - Hepatic, Renal, Endocrine and
Gastroenterology
Friday - Saturday, January 11-12, 2013 with Bart S. Johnson, DDS
Medicine is becoming an exponentially more complex practice, and our dental patients are presenting us
with ever-increasingly complex histories. In order to make the best dental decisions with our patients, we
need to understand the intimate details of their overall status. This will be both a lecture and participation
(“dive in and do it!”) course. We will first go over the topics listed below, and then do a detailed
discussion of how dental treatment might need to be modified based on the patient’s individual situation.
Real-life examples of medical reports/lab tests/diagnostics will be given out and reviewed so the
participant can gain practical experience in reading and understanding the type of information that is
likely to be sent to them by a medical doctor’s office.
Objectives: This course is intended to take the dentist and hygienist from a virtually zero-based
knowledge of medicine to a level where they can successfully read charts, lab tests and basic diagnostic
reports. This knowledge will enable them to work closely with the physicians to make quality decisions
for their patient’s care.
Hepatic: Normal anatomy and physiology, including metabolism, synthesis and storage
Common maladies including viral hepatitis, cirrhosis, jaundice and autoimmune disease
Typical signs and symptoms of liver disease
Medical diagnostics including liver function tests and palpation
Medical therapeutics including medications, surgery and vaccinations
Dental considerations and modifications (Many to think of!)
Renal: Normal anatomy and physiology
Common diseases including acute/chronic renal failure, polycystic kidneys and osteomalacia
Medical diagnostics including auscultation, percussion, and renal function tests
Medical therapeutics including medications, dialysis, and surgery/transplant
Dental considerations and modifications
Endocrine: Normal anatomy and physiology of the pituitary, thyroid, pancreas, adrenals & (briefly)
ovaries/testes
Detailed discussion of common endocrine diseases of these organs, especially diabetes
Medical diagnostics specific to each of these organ systems
Medical therapeutics including stimulant and replacement medications, insulin pumps, etc.
Dental considerations and modifications
Gastroenterology: Normal anatomy and physiology of the GI tract and the enterohepatic circulation
(gastric, pancreas, bile, digestion/absorption, etc.)
Common diseases including Crohns, diverticulitis, colitis, peptic ulcers, GERD, constipation,
diarrhea, malabsorption syndrome
Medical diagnostics including lab tests and colonoscopy/esophogastroduodenoscopy
Medical therapeutics including medications and surgical procedures
Dental considerations and modifications
Next Class:
May 31 & June 1, 2013 - Part III - Immunology, Psychiatry, Neurology, Oncology
Speaker: Barton S. Johnson, DDS, MS is the Director of the General Practice Residency program at
Swedish Medical Center in Seattle. He is a co-owner of Seattle Special Care Dentistry, a private practice
focusing on the care of medically complex patients. Bart is a Diplomate of the American Board of
Special Care Dentistry, a Fellow in the American Association of Hospital Dentists, and a Fellow of the
American College of Dentists. His research interest is the molecular biological activities of retinoids and
how they are involved in regulating cellular growth, differentiation and oncogenesis. In his spare time,
Dr. Johnson is editor of Pharmacology and Therapeutics for Dentistry.
When: Friday - Saturday, January 11-12, 2012
Time on Friday: 9 a.m. to 6 p.m.
Lunch Included
Credit: 16 hours
Tuition : $500 per dentist & $400 per staff
Location : TBD
Time on Saturday: 8 a.m. to 5 p.m.