DENT111-0413: Advanced Tooth Extractions and Fractured Tips
Staying in the frying pan, avoiding the fire.

Enrollment is closed.

INSTRUCTOR(S):
Steven Holmstrom, DVM, Dipl. AVDC
William Gengler, DVM, Dipl AVDC
Matthew Lemmons, DVM, Dipl. AVDC

COURSE OPEN: March 25-April 18, 2013
REAL TIME SESSIONS (RTS): Mondays, April 1 and 8; 9:30-11:30 pm ET (USA)
LAB SESSIONS: Saturday, April 13 and Sunday, April 14 at the Oquendo Center in Las Vegas, Nevada.
Course RTS Times in Your Area: World Clock Converter

Practice Sessions: In order to prepare you for a successful experience in your CE course, we request you attend a Practice Session prior to the first Real Time Session. Please arrive promptly at the start time; each Practice Session is up to 1 hour in length. For more information, please visit the CE Practice Area.

*The instructors for this course will be using audio to answer questions which will require you to have a headset or speakers to listen. If you have any concerns regarding your computer's audio capabilities, please be sure to attend one of the Practice Sessions.

Level and Prerequisites: This intermediate course will be open to veterinarians actively interested in veterinary dentistry, specifically exodontia.
VIN CE Course: Open to veterinarians. This course has been RACE approved for veterinarians.

Course Description:
This course is designed to focus on canine and feline dentistry in order to strengthen the attendee's knowledge and skills in dog and cat exodontia. Complete oral examination, charting, and treatment planning will be thoroughly reviewed. Discussion of intraoral radiographic acquisition and interpretation, periodontal disease, gingivostomatitis, tooth resorption, common oral tumors, and extraction techniques will be presented with numerous visual aids to enhance learning and increase retention for the attendees. Pathophysiology and treatment planning for the aforementioned diseases will be covered. Clinical cases will be used to set the stage for step-by-step presentations for canine tooth extractions with heavy emphasis on being able to predict the difficult tooth extraction, extraction pitfalls and complications will be presented to help attendees minimize complications and address complications if they should occur in clinical practice. The laboratory will provide the opportunity to put clinical skills into practice.

The VIN CE online portion of this class consists of two (2) 2-hour Real Time Sessions, supplemental library materials, interactive message board discussions, and a mandatory end-of-course test. Successful completion (scoring 80% or better) on the end-of-course test is required to earn a certificate of completion for the course.
The Oquendo Center portion of the class will consist of two (2) consecutive days of laboratory experience held in the Oquendo Center, in Las Vegas, Nevada.

Upon completion of this course, the participant should be able to

• Understand clinical presentations, current knowledge of pathophysiology, diagnostics and treatment options and techniques for canine periodontal disease, tooth resorption, fractured teeth, and common oral neoplasia.
• Produce and interpret canine intraoral radiographs
• Perform surgical extractions of the dog dentition
• Increase knowledge, confidence, and skill level in diagnosing and treating canine dental and oral diseases.

Course Materials: Course materials will be available in the course library prior to each Real Time Session.

Required Textbook(s): There is no required textbook for this course.

About the Instructors:
Dr. Steve Holmstrom was one of the two original VIN Dental Consultants. He has co-authored the textbook which the course is based on, Veterinary Dental Techniques, which is in its 3rd edition and in 4 languages. He has also authored Veterinary Dentistry: A Team Approach, in its second edition and edited two editions of Veterinary Clinics of North America. He is in a dental only practice in San Carlos, California.

Dr. Bill Gengler received a Bachelor of Science degree from the University of Wisconsin - Platteville, a Master of Science and Doctor of Veterinary Medicine from the University of Missouri - Columbia. Dr. Gengler is a Diplomate in the American Veterinary Dental College. He has 25 years of general small animal practice and 15 years of specialty practice experience. He recently held a dual appointment as Associate Dean for Clinical Affairs/Director of the Veterinary Medical Teaching Hospital at the University of Wisconsin School of Veterinary Medicine and as the Section Head of Dentistry and Oral Surgery in the Department of Surgical Sciences. Bill is the Immediate Past President of the American Veterinary Dental College, the 2003 recipient of the Wisconsin VMA Veterinarian of the Year award and the 2009 recipient of the Hill's Excellence in Dental Research and Education award. He currently practices Dentistry and Oral Surgery in Dallas, TX.

Dr. Matt Lemmons is a 2003 graduate of Purdue University's School of Veterinary Medicine. After working in general practice he completed a residency in Dentistry and Oral Surgery at the University of Wisconsin in 2007. He is a consultant for the Veterinary Information Network and currently performs clinical veterinary dentistry at Circle City Veterinary Specialty and Emergency Hospital in Indianapolis.

Course Outline:
Week 1 (Real Time Session - April 1, 2013)
Content:

• Anatomy, clinical oral examination, nomenclature, and charting
• Intraoral radiography and interpretation
• Instrumentation for exodontia and oral surgery

Week 2 (Real Time Session April 8, 2013)
Content:

• Mucoperiosteal flaps and surgical extractions step-by-by step
• Complications during canine extractions
• Tooth resorption and treatment

Oquendo Center (Lab Session 1 - April 13, 2013): Lab, Radiology, Tooth Extractions
Schedule:

• 8:00-10:00 am
  Oral examination, charting and intraoral radiography - the attendee will become comfortable with a comprehensive oral examination, the instruments needed and production of a time-efficient but detailed medical record along with the use of digital dental radiographic equipment to understand proper positioning to produce diagnostic images in addition to image interpretation.
• 10:00-11:00 am
  Introduction to the care and use of hand and power instruments required for exodontia.
• 11:00-noon
  Non-surgical and surgical extraction of teeth in dogs and cats, including the use of mucogingival flaps, buccal cortical osteotomy, tooth sectioning, proper selection and technique for elevators/luxators and forceps, suture selection and surgical closure.
• 1:00-5:00 pm
  Continue Non-surgical and surgical extraction of teeth, learn ways to extract teeth with less bone removal and the use of alternative instruments.

Oquendo Center (Lab Session 2 - April 14, 2013): Fractured Tips, Recovering from Complications in Exodontics
Schedule:

• 8:00-noon
  "Staying in the frying pan, avoiding the fire" When bad things happen to good people learn how to effectively and safely retrieve solidly-held broken root tips, root tips that inadvertently are pushed into the nasal sinus, infraorbital canal or mandibular canal. Recovering from common "blunders" in exodontics.
• 1:00-4:00 pm
  Oronasal fistula repair, alternative methods for safe tooth extraction, further master extraction techniques of their personal interest, radiographic interpretation or to catch a flight that will get them home Sunday evening.

CE CREDITS: 4 for the VIN CE online course; 14 for the in-person Oquendo Center extraction lab.

Tuition: Included in the registration for the Oquendo extraction course.

*To ensure participants are ready and prepared for classes, enrollment will close when the maximum number of participants is reached or at 5pm ET the day of the first Real Time Session unless otherwise noted. If the first Real Time Session is on a weekend, course enrollment will close on the Friday before the first Real Time Session.

*For more information on how online CE works, see the Participant Resource Center.

TO ENROLL:

1. Enrollment qualifications: VIN CE courses are open to VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a VSPN CE or a VIN CE course open to VSPN member enrollment.
2. Each enrollee must be able to receive emails from @vspn.org and @vin.com addresses. Email is our major form of communication with participants; personal emails are highly recommended rather than clinic/hospital email addresses.
3. Each person is individually responsible for his/her own registration. To ensure that all information received is secure and correct, please do not enroll for a course on behalf of another individual.
4. For further assistance call 1-800-700-INFO (4636) or email (VIN CE) CEonVIN@vin.com or (VSPN CE) VSPNCE@vspn.org. Please include the course title, your full name, and contact information in your correspondence.

*Note: "This course is approved for 4 online and 14 in-person continuing education credits in jurisdictions which recognize AAVSB RACE approval; however participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education." Call VSPN/VIN CE at 1-800-700-4636 for further information. (Attendees are encouraged to check with their licensing jurisdiction(s) for information regarding recognition by their board).

Course withdrawal and refund policy: A complete refund of the paid course price will be issued when your withdrawal request is received prior to the listed start date of the course. If you wish to withdraw after the start date please contact the VIN/VSPN office 1-800-700-INFO (4636) to discuss eligibility for a pro-rated refund.
* Note: To ensure rapid handling of your request for withdrawal, we recommend that you call the VIN/VSPN office at 1-800-700-INFO (4636).

*For more information on VIN's upcoming CE courses, check the VIN Course Catalog.

Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Coordinator

VIN CE Services: CEonVIN@vin.com
1-800-846-0028 or 1-530-756-4881 or direct line to VIN/VSPN from the United Kingdom: 01452226154
Andrea Pomposo (Andrea@vin.com); ext 126
Debbie Friedler (Debbie@vin.com); ext 756
Heather Schoffstall (Heather@vin.com); ext 116
Jennifer Boyle (JenniferB@vin.com); ext 169
Peggy Hall (Peggy@vin.com); ext. 195

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