Eastern Washington Medical-Dental Summit



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Eastern Washington Medical-Dental Summit II Presented by Benton-Franklin Community Health Alliance -and- Benton-Franklin Counties Dental Society BRIDGING the GAP Between Medicine and Dentistry Reports confirm that good oral health lowers costs for all stake-holders when properly managed by physicians, dentists and health administrators. New research strengthens the links between the mouth and cardiovascular disease, diabetes, cancer, kidney and lung disease, Alzheimer s and pregnancy complications. The Eastern Washington Medical-Dental Health Summit II follows the format of the first meeting and is a first-of-its-kind continuing education event, bringing together health professionals, hospitals, health educators and administrators, community leaders and policy makers to improve health in our region. Leading authorities will present the latest research along with practical solutions that enable health professionals to work together to deliver better healthcare to their patients and the community at large. Medical and dental communities across the country are Bridging the Gap and working closer together than ever before. Oral health assessments in medical settings, professional networking and patient co-management, bacterial DNA testing, and patient/public education are all part of the new protocols and awareness driven by the new oral-systemic health collaboration. Topics Presented The nature of systemic inflammation Cardiovascular and cerebrovascular disease and oral health Insulin resistance, diabetes and periodontal disease Oral health support for the cancer and immunocompromised patient Oral cancer update and screening protocols Dental caries as an infection Interdisciplinary networking and patient care Friday March 6, 2015 8:00am - 5:15pm Shilo Inn Richland, WA 7 CME/CDE Credits Available Category II CME For More Information and Registration Visit www.tchealth.net

Program: Joel Berg DDS, MS Dean University of Washington School of Dentistry Amy Doneen DNP, ARNP Director Spokane Heart Attack and Stroke Prevention Center Dennis Abbott DDS Director Dallas Dental Oncology Associates Anne-Marie Feyrer-Melk MD Cardiology, Scottsdale AZ Program Learning Objectives: At the end of this activity, participants should be able to: Review the science and physiology of oral and systemic inflammation and its effects on health Discuss the association between heart disease and oral health Discuss the association between diabetes and oral health Discuss the effects of oral health on pregnancy complications and outcomes Discuss oral-systemic related conditions such as oral cancers, dental caries and gastroesophageal reflux disease Learn and implement oral health assessment tools and assist patients in improving overall health through improved oral health Determine when partnership between dental/medical providers is appropriate to co-manage oralsystemic health conditions, and learn how to better facilitate inter-disciplinary care Co-manage oral health of people undergoing cancer treatment, or who are otherwise immunocompromised, have oral-medicine effects from medications and health conditions, etc Continuing Education Credit: Continuing Medical Education (CME-Category II) 7.0 Hr Credits Continuing Dental Education (CDE) 7.0 Hr Credits

Eastern Washington Medical-Dental Health Summit II Friday March 6, 2015, 8:00 AM 5:15 PM Shilo Inn, Richland WA www.tchealth.net The Eastern Washington Medical-Dental Health Summit is a first-of-its-kind continuing education event, bringing together health professionals, hospitals, health educators, administrators and policy makers to improve health in our region. Leading authorities will present the latest research along with practical solutions that enable physicians and dentists to work together to deliver better healthcare to their patients and the community. Reports confirm that oral health lowers medical costs for all stake-holders when properly managed by physicians and dentists. New research continues to strengthen the links between the mouth and cardiovascular disease, diabetes, cancer, kidney and lung disease, Alzheimer s and pregnancy complications. Medical and dental communities across the country are Bridging the Gap and working closer together than ever before. Oral health assessments in medical settings, genetic and inflammatory and bacterial DNA testing, professional networking, interdisciplinary collaboration, patient co-management, optimal care, and education of patient and public are all part of the new protocols and awareness related to oral-systemic health. Time Title Speaker 8:00 9:45am Arteriology: Where Disease and Inflammation Collide. Recognizing the Oral/Systemic Connection Amy Doneen, MSN, DNP 9:45 10:15am BREAK and EXHIBITS 10:15 12:00am Combating the Myths of Cardiovascular Disease: Promoting Principles for Arterial & Oral Health. Anne-Marie Feyrer-Melk, MD 12:00m 1:00pm LUNCH and EXHIBITS 1:15 3:00pm Dental Caries is a Disease: How do I treat the infection, and what new technologies can help me? Joel Berg, DDS MS 3:00 3:30pm BREAK and EXHIBITS 3:30 5:15pm Dental Oncology: Why a Dentist Must be a Member of the Cancer Care Team Dennis Abbott, DDS

Amy Doneen, MSN, DNP Presentation Title: Arteriology: Where disease and inflammation collide. Recognizing the oral/systemic Connection Targeted Audiences: All medical (physicians, NPs, PAs, RNs, assistants), dental providers (DDS, RDH, and dental assistants), lab technicians and office/clerical who deal with patient s health related to wellness. All individuals who work in or around the medical and dental office and network with patients about wellness. This course will be absorbable to all audience members. Synopsis: The oral/systemic link is based on the connection between vascular health and inflammation. Heart Attacks and Ischemic strokes are triggered by an inflammatory process that can be initiated and exacerbated by periodontal disease. The presentation will cover: Red Flags: who is at risk? Event Reality: Understanding what causes an ischemic event. Arteriology vs Lumenology Understanding vascular disease. A global understanding of Inflammation: The oral/systemic Connection Root Causes: Numerous Pathologies that create an inflammatory atherosclerotic backdrop. Appreciating the role of the oral/systemic connection as it relates to the prevention of heart attacks and strokes. Clinical Application: demonstrate how to create/facilitate relationships between the medical and dental community. Learning Objectives: Participants will appreciate the vascular link between periodontal disease and heart attack and stroke risk. The dental professional will be able to elucidate the inflammatory relationship between periodontal pathogens and atherosclerosis. The audience will understand event reality and the general concept of atherosclerosis and vascular inflammation. Biographical Sketch: Amy Doneen, MSN, DNP is an international leader in preventing heart attacks, stroke, and diabetes. She has a strong focus on women s heart health utilizing her skills to define risk assessment and treatment. Since 2002, she has given more than 600 presentations to global medical groups, including to the International Atherosclerosis Society, International Symposium on Atherosclerosis, National Lipid Association Symposium, Women s Heart Symposium, American Heart Association, Berkeley Heart Lab, and Cleveland Heart Lab. Doneen is owner and medical director of the Heart Attack & Stroke Prevention Center in Spokane, Washington and cofounder of the Bale/Doneen Method for heart attack, stroke, and diabetes prevention. She presents AAFP accredited continuing medical education (CME) Preceptorship courses several times a year in cities across the United States, training health care providers in such advanced CVD detection techniques as genetic testing, state-of-the-art ultrasound measurements of major arteries, high-tech heart scans, personalized treatment strategies and fire panel tests for insulin resistance cornerstones of the patented Bale/Doneen Method. Passionate about educating fellow providers about how to save lives, Doneen has been described in a magazine profile as a risk detective because the Bale/Doneen Method s mission is to find the root cause for why patients arteries become inflamed and could ignite future heart attacks and strokes if the

fire isn t extinguished early enough. She was co-chair of a national continuing medical education (CME) course for doctors on residual lipid risk in CVD, presented in 20 cities in both 2008 and 2009 and participated in a national Grand Round CME course on metabolic syndrome. Doneen is an adjunct professor at Texas Tech University Health Science Center School of Nursing and has delivered numerous keynote addresses on women s heart health at major medical conferences. She did general undergraduate studies at Western Washington University and Eastern Washington University, and received her Associate Degree in Nursing (ADN) and Registered Nurse (RN) from Spokane Community College in 1996. After working as an registered nurse for several years, she returned to school and received her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), Advanced Registered Nurse Practitioner (ARNP) degrees from Gonzaga University, graduating summa cum laude in 2003. She received her Doctorate Nurse Practitioner (DNP) degree from Gonzaga University in 2014. While working on her graduate thesis, she was shocked to discover, through an extensive review of medical literature, how few studies have been done on CVD in women. She also learned that many women at risk for heart attacks and strokes are missed by the current standard of care, with devastating or even fatal consequences. During her graduate studies, she met Dr. Bradley Bale, who had revamped his family medical practice to pioneer state-of-the-art CVD prevention techniques, such as screening patients for early stage vascular disease using electron beam tomography. Doneen created a thesis project using patients in the practice, comparing the widely used Framingham Risk Score, which predicts CVD risk through such factors as age, gender, cholesterol levels, blood pressure, and smoking status, against checking patients arteries for calcium deposits--a better method of evaluating future risk for heart attacks and stroke. Out of this collaboration was born the Bale/Doneen Method for prevention of heart attack, stroke, and diabetes. Doneen is an international board member and consultant to decode Genetics and has served on an international advisory board on the utility of carotid intra-medial thickness, an ultrasound test that screens for heart disease by measuring the amount of plaque in neck arteries. She is chair of Pacific Northwest Chapter of the Preventive Cardiovascular Nurses Association, and has served on the steering committee for Healthy U at Deaconess Medical Center. She is on the speakers bureau of Abbott Pharmaceuticals, Cleveland HeartLab, and Berkeley HeartLab. She s a member of the Society of Atherosclerosis, Imaging, Prevention; American Heart Association; American Stroke Association; Coalition for the Diagnosis and Treatment of Peripheral Artery Disease; and National Lipid Association, and others. Doneen has presented her ambulatory research at the International Symposium for Atherosclerosis in Rome, Italy in 2006 and in Boston, in 2009. She also presented data at the European Atherosclerotic Society in Helsinki, Finland in 2007 and at National Lipid Association Annual Symposium in New York City, NY, 2011. In 2009 and 2010, Doneen was a member of a 12 person international committee, for the definition and clinical utility of cimt with the SAIP Society. In 2007, she was a member of a 4 person National Committee for development and allocation of CME Grand Round presentation on metabolic syndrome. Other participation and presentations at major medical conferences are listed in her online CV.

Anne-Marie Feyrer-Melk MD Presentation Title: Combating the Myths of Cardiovascular Disease: Promoting Principles for Arterial & Oral Health. Synopsis: From "Cholesterol Causes Heart Attacks" to "My Dentist Keeps My Mouth Pretty", we will explore and dispel eight prominent myths of cardiovascular disease today. Learning Objectives: Recognize the connection between Inflammatory Biomarker testing, oral health, and cardiovascular disease. Understand the importance of endorsing the dental provider as a key player in achieving comprehensive cardiovascular health. To understand the scope of cardiovascular disease as a global health issue. Biographical Sketch Dr. Feyrer-Melk is redefining what a cardiology practice can be. She recognizes that trust grows from deep diagnostic knowledge and effective, solutions-oriented treatment available through a hands-on approach. Dramatically improving the lives of her patients is paramount, from discovery to diagnosis to treatment. She instills confidence, while providing the compassion and emotional strength patients need. Dr. Feyrer-Melk s Optimal Heart Attack & Stroke Prevention Center, provides the most advanced diagnostics and therapies in heart attack and stroke prevention available today. She is the first and only cardiologist in Arizona to design a program to provide screenings, specialized technologies and the research time necessary to comprehensively evaluate heart and blood vessel health, and identify and assess cardiac risks before tragedy strikes. Anne-Marie Feyrer-Melk, M.D. has been in practice since 1997. She received her medical degree from the University of Wisconsin Medical School, and her internship, residency, and fellowship training at Banner Samaritan Medical Center in Phoenix, focusing on cardiovascular diseases.

Joel Berg DDS MS Presentation Title: Dental Caries is a Disease: How do I treat the infection, and what new technologies can help me? Synopsis: This course will provide the attendee with the most up-to-date information regarding emerging technologies in pediatric dentistry. Dental caries, the infectious disease that cause cavities, is the most prevalent disease in mankind, and affects 97% of the population in their lifetime. Many children as young as 2 years of age are treated under general anesthesia to take care of the tooth decay that quickly can destroy their baby teeth. This affects eating, speaking and can be dangerous to overall health. Recently, new ways of assessing and dealing with dental caries as an infectious disease have been proposed, and new products have been introduced. It is anticipated that the progression of this most significant technological development in dentistry will do more to change the way dentistry works to treat disease more than anything in recent decades. This course will review the science behind these developments, and will introduce clinically relevant information to health care professionals from a variety of disciplines. Learning Objectives: How to identify kids at risk for cavities as early as 6 months of age, and how to aggressively prevent cavities at a young age. How to examine an infant's or toddler s mouth. How to effect change in parental attitudes toward oral health To discover new diagnostic tools that many disciplines in health care can use to see kids at risk Biographical Sketch: Joel H. Berg is Dean of the University of Washington, School of Dentistry in Seattle. He is Professor in the UW Department of Pediatric Dentistry and also holds the Lloyd and Kay Chapman Chair for Oral Health. Dr. Berg is a board-certified pediatric dentist and was President of the American Academy of Pediatric Dentistry for 2012-13. Dr. Berg previously held positions as Chair of Pediatric Dentistry at the University of Washington from 2003-12, as Vice President of Clinical Affairs at Philips Oral Healthcare from 2000-03, as Head of the Scientific Department for ESPE Dental AG from 1998-2000, and as Director of the Postgraduate/Residency Program in Pediatric Dentistry at the University of Texas, Houston from 1989-1995. He is the author of the textbook Early Childhood Oral Health, and of numerous manuscripts, abstracts and book chapters on subjects including dental restorative materials for children and other work related to biomaterials. His current research interests include the development of dental caries prevention programs using risk assessment models and early childhood oral health, and he conducts clinical trials evaluating restorative dental materials and caries (dental decay) management in children.

Dennis M. Abbott, D.D.S. Presentation Title: Dental Oncology: Why a Dentist Must be a Member of the Cancer Care Team Synopsis: With a diagnosis of cancer comes many questions, much anxiety, and multiple medical visits. Understandably, consideration of dental and oral health is often overlooked, but at a great expense to overall health and quality of life both during and after treatment. Learning Objectives: Learning Objectives: This presentation is designed for the health care provider to better understand why attention to oral health concerns is imperative prior to the commencement of oncology treatment. The learner will understand and appreciate the need for dentistry and oral medicine as essential elements of comprehensive cancer care for every person with cancer through introduction of some of the most common oral health challenges faced by patients undergoing treatment of cancer. The learner will understand what is meant by dental clearance and why such clearance is important in all oncology patients, but is imperative in patients whose treatment includes head and neck radiation therapy or intravenously-administered bisphosphonate therapy. The learner will have knowledge of what information should be exchanged between the dental oncologist and medical and radiation oncology team members for effective comprehensive care before, during, and after cancer therapy. Biographical Sketch: Dennis M. Abbott, D.D.S. is the founder and CEO of Dental Oncology Professionals (DOP), an oral medicine practice based in Dallas, Texas dedicated to care for the unique dental and oral health needs of individuals battling cancer. Dr. Abbott holds a Bachelor of Arts in biology from Rice University in Houston, and is an honor graduate of Baylor College of Dentistry in Dallas. After dental school, Dr. Abbott studied immunology, microbiology, and oral medicine at the School of Dental Medicine, State University of New York at Buffalo. In addition to private practice, he is a member of the dental oncology medical staff at Baylor Charles A. Sammons Cancer Center and Baylor University Medical Center in Dallas and serves as a consultant to the national American Cancer Society in the development of oral monitoring guidelines for post-treatment cancer survivors.