JBLM Table Clinics

Post-graduate residents in the Joint Base Lewis-McChord (JBLM) Advanced Education in General Dentistry program will present table clinics on Thursday, June 15 from 11:30 AM – 1:30 PM at the Seattle Convention Center. One CE credit available.

Dr. Courtney Boyd: E-cigarettes and Vaping

Vaping has gained popularity in recent years, especially among younger populations. It is sometimes falsely marketed as a safer alternative to smoking cigarettes or even as a tool for smoking cessation. Not many consumers are fully aware of the potential cardiovascular and pulmonary effects of vaping and even fewer are aware of the oral effects which include: xerostomia, periodontal and dentition destruction and trauma. Although there is no definitive formula for calculating pack years for vaping, it is possible to roughly estimate nicotine consumption via vaping which is important information for medical and dental providers and their patients.

Dr. Andrea Ciuro Sone: Valplast Removable Appliances and Uses Within the Military Population

Flexible dentures are an excellent alternative to conventionally used methyl methacrylate dentures, which not only provide excellent aesthetics and comfort but also adapt to the constant movement and flexibility in partially edentulous patients. Valplast devices are non-metallic flexible dentures made from thermoplastic biocompatible nylon and its use is applicable for the replacement of teeth lost due to trauma, dental disease or pathology. This table clinic will focus on the benefits for fabrication of Valplast appliances for soldiers with an upcoming deployment as a temporary functional and durable solution to retain esthetics and occlusion while definitive treatment is resumed on-post.

Dr. Jazmin Jones: Atraumatic Management of Carious Lesions in Pediatric Populations

Early Childhood Caries (ECC) affects 60-90% of school children globally and is thought to be one of the most preventable diseases in the world. Without proper treatment, ECC can lead to difficulties in sleeping, eating, and overall growth development. Furthermore, traditional caries management can often be a source of anxiety, leading to dentophobia. Atraumatic management of carious lesions through Silver Diamine Fluoride (SDF), Atraumatic Restorative Treatment (ART), and Silver-Modified Atraumatic Restorative Treatment (SMART) are techniques aimed at maximizing the conservation of tooth structure with the least psychological impact on a patient. These techniques can play a pivotal role in pediatric dental health, especially when access to care is limited. This table clinic aims at providing a review of these techniques and providing guidance as to when/where they can be utilized.

Dr. Timothy Kennedy: Guided Endodontics with the Use of 3-D Printed Guides

Guided endodontics (GE) is based on the use of endodontic treatment planning with the help of computer and CBCT technologies. Thus, the risk of perforations and other iatrogenic problems is reduced by creating a specific pathway for root canal access and instrumentation. This table clinic will discuss the types of guided endodontics, pros and cons, and clinical implications that you can utilize this technology in your practice.

Dr. Jin Kwon: Advancements in Dental Implant Therapy: Surgical Robotics, Digital Navigation, Surgical Guides and Freehand Techniques

Five million implants are placed in the U.S. alone and expected to grow 9% every year. With more implants placed, the number of failed implants and procedural complications also increase. Although upgrades in the implants themselves have contributed greatly, proper digital planning and guided assistance in the placement of implants have been critical for their safety, function, longevity, and esthetics. This table clinic will reflect on the critical advancements of implantology, as well as discuss the advantages and disadvantages between freehand, surgical guides, and surgical robotics. Finally, we will highlight the most advanced robotic implant protocols offered today and compare their unique improvements.

Dr. Caylin Levin: ICON: Resin Infiltration

The management of white spot lesions is an important treatment modality one should be aware of for those patients who desire it. With that being said a minimally invasive procedure to help with these esthetic cases should be knowingly accessible. The ICON resin infiltration technique has proven it can arrest incipient carious lesions, fluorosis, as well as improve or sometimes reverse the appearance of enamel defects and white spot lesions while preserving tooth structure. This table clinic will discuss the clinical implications of ICON Resin Infiltration, how to properly use it, and some pros and cons to its use.

Dr. Steven Phung: An Overview of Various Interdental Cleaning Devices

Daily compliance for flossing can be as low as 10-30%. Though flossing may be effective in the hands of an experienced provider, it is ineffective if not done at the same quality and daily frequency. Luckily, there are a variety of interdental cleaning aids including interdental brushes, wooden interdental sticks, and water flossers. Many of these devices have shown to be just as effective or more effective than floss at improving gingival health and are, additionally, more easy to use.

Dr. Courtney Raspiller: Orthodontic Extrusion in the Assistance of Esthetic Treatment Plans: An Overview

The orthodontic extrusion of esthetically crucial teeth can be a very useful tool for general dentists to consider when creating a treatment plan for their patients. Indications for the use of this treatment modality include: teeth with no clinical crown, teeth needing a clinical crown lengthening that still have plenty of root length, traumatically intruded teeth, impacted teeth, or enhancement of periodontal appearance prior to implant placement. This table clinic will discuss contraindications, required orthodontic instruments and items, as well as procedural basics, techniques and additional considerations. The goal is to help familiarize general dentists with basic orthodontic treatment to better understand all possible options they may offer a patient for their potentially complex esthetic treatment plan.