Friday, December 12th, 2008

Marquette University
Milwaukee, WI
Alumni Memorial Union
Third Floor Ballroom.

8:30 am to 11:30 am
3 Continuing Education Units
Cost = $50.00

If you graduated from Marquette University in the last five years or are a dentist 65 years of age or older, you are eligible for a discount. Subtract 20% from your total.

Polypharmacy and the Dental Patient

The Affects of Medications on Dental Treatment

In the dental office, an adverse drug reaction (ADR) may occur with the administration of a single drug.  The risk of an ADR increases when managing patients who use multiple medications. 40% of seniors take an average of three medications.

Currently, persons age 65 and older comprise 13% of the population but consume almost 1/3 of all drugs prescribed in the United States. ADRs occur more often in older persons - often due to polypharmacy. The potential risk of an adverse reaction rises from 6% for those persons who use two medications to 50% for those who use five and to 100% for those persons who use eight or more.

In the dental setting, taking a thorough health history and monitoring the patient carefully can prevent most of these ADRs.

The medical conditions resulting in polypharmacy and the medications themselves impact our patient's oral health and the way dentistry is practiced.

Objectives:

  1. Identify medical conditions necessitating a drug and its potential impact on the provision of dental care.
  2. Identify drugs with the potential for oral side effects.
  3. Create a system for assessing and prescribing for the polypharmacy patient.

Dr. Elisa M. Chávez

Dr. Elisa M. Chávez is a graduate of Saint Mary's College of California and the University of California San Francisco, School of Dentistry. After graduation she practiced in private practice in San Francisco, but then returned to El Paso to practice in community health at Clinica de Salud Familiar, La Fe. After reflecting upon her experiences in both settings, and the medical and dental complexity of the patients seeking treatment in the community health center, she pursued and completed a two-year fellowship in geriatric dentistry at the University of Michigan, Ann Arbor.

Dr. Chávez is currently an Assistant Professor in the Department of Removable Prosthodontics at University of the Pacific, School of Dentistry in San Francisco. She provides didactic and clinical instruction on oral health issues and dental care for frail elders and medically compromised patients at pre and post - doctoral levels. She developed and directs a clinical rotation in geriatric dentistry through On Lok Senior Health Services and is also developing the Laguna Honda Hospital Dental Program through the University of the Pacific. She practices at Jewish Home for the Aged, where she is also the Dental Director. Her clinical and research interests are in the relationships between oral health and systemic diseases.

Dr. Michael Malone

Dr. Michael Malone graduated with honors from medical school at Texas Tech University in Lubbock, Texas. He did his residency in Internal Medicine and Geriatrics Fellowship at Mt. Sinai Medical Center/University of Wisconsin Medical School in downtown Milwaukee. He joined the Section of Geriatrics and has lead the Aurora Geriatrics Institute at Aurora Sinai Medical Center for 10 years.

Dr. Malone is a Professor of Medicine at the University of Wisconsin School of Medicine and Public Health. He has lead the development of several innovations in medical education such as "ACE cards" and is the Editor of the American Geriatrics Society's on-line CME programs. He is the Coordinating Edi-tor of Oakstone Medical Publishing's monthly audiotape based CME program called "Practical Reviews in Geriatric Medicine". He joined Dr. Ed Duthie and Dr. Paul Katz as Edi-tor of Elsevier Publishing's "Practice of Geriatrics, Fourth Edition" to be released in spring 2007.ADA American Dental Association

Marquette University School of Dentistry is a Recognized Provider by the American Dental Association's Continuing Education Recognition Program (ADA CERP).

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