Fall 2019

TDO User Meeting & Scientific Session

Fall 2019

2019 Lectures

Eric Coryell

Eric Coryell

Eric Coryell

Understanding how to more effectively understand, motivate and communicate with your employees and patients.

 

Objectives:

Connect better with your patients, improve working relationships, and achieve better team work in your office. Learn how to help resolve conflicts or stuck points between employees manage more effectively by understanding the motivations and priorities of your team members.

Expect to Learn:

How to use the DiSC to understand how we are hard wired as humans in terms of how we respond to problems and challenges, influence others, manage change and follow rules and procedures. These underlying drivers have a significant in how we process the world around us, what motivates us and how we tend to respond in most situations. Attendees will learn how to identify others styles and most importantly how to communicate and work with them effectively.

Bio:

Eric dedicates his working life to helping other leaders engage their employees through the creation of functional and accountable teams. He learned the importance and impact of achieving meaningful levels of trust and accountability in organizations during his “working career” which spanned twenty years across three different progress organizations. Through the course of these years he held a variety of positions, including two stints as President, during which he learned a lot about the promises and pitfalls of leadership and leading teams.

Presenter: Dr.  Robert Naviaux
San Diego, CA

TDO Software - 2019 User Group Meeting - Dr. Naviaux_sml2 copy

Mitochondria and the Cell Danger Response—the birth and early development of a new paradigm for chronic disease pathogenesis and treatment

Description:

Methods in systems biology now permit scientists to measure hundreds of molecular and physiologic abnormalities in any chronic illness. Experience has shown that treatments directed at any one abnormality is rarely curative and usually results in having to take a medicine for life, even though it only produces marginal benefits and never cures. For example, insulin can be taken for diabetes, but no one is cured of their diabetes with insulin. A statin can be taken for high cholesterol, but dyslipidemia is not cured by statins. The cell danger response (CDR) is a universal response to injury. Three metabolic stages of the CDR comprise the healing cycle. Fundamental discoveries in our lab have shown that mitochondria are the central regulators of the CDR and healing. This is accomplished via metabolites called metabokines that serve two functions. Inside the cell, they act as everyday metabolites like ATP. Outside the cell, they act as signaling molecules that bind to cellular receptors, change gene expression, and help to manage infections, injuries, and toxin exposures. In this talk, I will show how knowledge of metabolic signaling pathways such as purinergic signaling, can be used to develop new treatments for disorders like autism, for which no FDA-approved treatment has yet been developed.

Objectives:

What are the three stages of the cell danger response and how are they related to healing after any surgery or injury?

Expect to Learn:

A history of the discovery of the cell danger response and its role in many chronic complex illnesses.

Bio:

Dr. Naviaux is the founder and co-director of the Mitochondrial and Metabolic Disease Center (MMDC), and Professor of Medicine, Pediatrics, Pathology, and Genetics at UCSD, where he directs a core laboratory for metabolomics. He is the co-founder and a former president of the Mitochondrial Medicine Society (MMS), and a founding associate editor of the journal Mitochondrion. He is an internationally known expert in human genetics, inborn errors of metabolism, metabolomics, and mitochondrial medicine. Dr. Naviaux is the discoverer of the cause of Alpers syndrome—the oldest Mendelian form of mitochondrial disease—and the developer of the first DNA test to diagnose it. His lab also discovered the first mitochondrial DNA (mtDNA) mutations that cause genetic forms of autism and the metabolic features of the cell danger response (CDR). This work has led to the discovery that many complex chronic disorders are the result of abnormal persistence of the CDR that lead to blocks in healing. He directed the first FDA-approved clinical trial to study the safety and efficacy of the antipurinergic drug suramin as a new treatment for autism spectrum disorder (ASD). His lab has developed new methods in metabolomics and environmental toxicology that have shown that many complex chronic disorders like ASD and chronic fatigue syndrome (ME/CFS) have a metabolic signature that can be used in diagnosis and lead to fresh insights to treatment. Information about Naviaux Lab research can be found on the web at: naviauxlab.ucsd.edu.

 

Presenter: Dr. Rahim Karmali, DDS
Denver, CO

Karmali headshot

Resorption Untangled

Description:

This presentation will focus on untangling the web of misunderstanding surrounding resorption.  The pathogenesis, etiology and classification of resorption will be discussed and simplified. The diagnosis and prognosis of the different types of resorption will also be addressed.  This presentation is case based and will show detailed management techniques.

Objectives:

  1. Understand the pathogenesis, etiology and classification of resorption.
  2. Understand how image guided endodontics helps in diagnosis and prognostication.
  3. Understand various treatment strategies for resorption.

Bio:

Dr. Rahim Karmali is a clinical endodontist who strives to offer world-class care to his patients. His conservative approach to diagnosing and treating oral pain has earned him recognition amongst leaders in the field.

Dr. Karmali is sought after by patients for his conservative and innovative approach to managing endodontic disease. His practice is focused on understanding before treating. It is focused on trying conservative approaches before aggressive ones. He has gained the reputation of predictably saving teeth that would otherwise require extraction and replacement.

Dr. Karmali shares his knowledge and experience through thought provoking presentations. His presentations are clinically based and challenge the norms of conventional endodontic approaches. He presents internationally at dental meetings and universities.

Dr. Karmali was born in Kenya and raised in Seattle. He attended the University of Washington. There he earned a Bachelor’s in Science Degree and a Doctorate of Dental Surgery. Upon graduation, he served honorably with the United States Navy as a Dental Officer. He was stationed around the globe with the Navy and the Marines. After completing his service, he returned to the Long Beach Veterans Administration Medical Center to specialize in Endodontics.

Dr. Karmali pursues the highest standards in clinical excellence in the art and science of endodontics. He has served as the President of the International Academy of Endodontics. He is the founder and chairman of the Denver Academy of Integrative Dentistry. Dr. Karmali’s passion for professional and personal growth is focused towards helping his patients maintain their oral health for a lifetime.

Presenter: Dr. Dale Jung, DDS
Huntington Beach, CA

2019 TDO Software User Group Meeting and Scientific Session - Dr. Dale Jung

Restorative Endodontics

Description:

Restoration of the endodontically treated tooth is a critical factor for its long-term survival. Performing the restorative task well can be daunting but achieving proficiency is achievable and rewarding.

 

Objectives:

The lecture will teach how to approach each step of the restorative phase of endodontic treatment.

Expect to Learn:

1.Identify the common reasons for endodontic treatment 2.Identifying challenging restorative situations 3.Managing these difficult situations predictably

Bio:

Dr. Jung was raised in Orange County, California. He attended Pomona College and graduated with a degree in Biology. Following college, he spent two years at the National Institute of Dental and Craniofacial Research in Bethesda, Maryland where he studied human salivary gland development and authored or co-authored papers. Dr. Jung received his dental degree from UCLA School of Dentistry and his certification in endodontics from New York University College of Dentistry. He is a Fellow of the International Academy of Endodontics and he currently practices in Victorville and Huntington Beach, CA.

Presenter: Dr. Kehn Yapp, BDSc, DCD
Australia

dr kehn yapp

Clinical Inference and Decision Making. Part 2

Description:

Making clinical decisions can be problematic without a logical inferential framework. The reasons behind the production of observational data may be unclear and can affect the validity of future decision making. This is part 2 of a lecture series that will outline the mechanism behind making inferences and how probability theory can be used to help make better estimates of the confidence in making inferences.

Objectives:

To give an overview of the inferential decision making process and the use of probability theory as a method of assessing the confidence in making inferences.

Expect to Learn:

– How to recognize difficulties and limitations in the clinical inferential process.

– How a Bayesian approach can be used to help solve inferential problems.

Bio:

Dr. Kehn Yapp is an Australian endodontist. He has been in specialist practice since 2014, following completion of his general and specialty training at The University of Melbourne. His professional interests include: providing high quality endo-restorative care to patients, ergonomic microscope team training and endodontic applications of cone beam CT imaging. Kehn has lectured at several international and Australian endodontic conferences in the areas of: restoratively driven endodontics, diagnostic testing and decision theory and efficient use of the operating microscope.

 

Presenter: Dr. Robert Corr, DDS MS

Colorado Spring, CO

Dr. Corr

Allostatic Load and Dental Pain

Description:

This presentation is designed to review the stress-sleep-pain connection that effects endodontic patients. A possible mechanism for ‘atypical’ pain that plagues endodontic practices will be presented, along with possible solutions for some of our challenging pain cases.

 

Objectives:

– Understand allostatic load and how this might impact pain experience – Review common sources of sleep disruption (both anatomical and behavioral) that can influence inflammation and pain – Discuss possible strategies for addressing allostatic load as a means of addressing pain – Review outcomes of patients with long-standing pain who were unsuccessfully treated with extensive and sometimes invasive dental/medical interventions who then responded favorably to very conservative biofeedback and behavioral modification directed at addressing allostatic load

Expect to Learn:

– The sources of allostatic load (physiologic stress)

– How physiologic stress influences our patients and what to look for to identify at-risk patients

– Strategies used to address physiologic stress

– Resources to consider for unusual pain in the endodontic practice.

Bio:

Robert Corr graduated Arizona State University with a degree in Psychology prior to completing his DDS and endodontic training. After three years of active duty service, he started a private practice from scratch and continues to maintain this private practice in Colorado Springs. As an eternal student, he is perpetually questioning and exploring. Over the last half-decade he has developed an interest in the role of anxiety, physiologic stress, and sleep with regard to dental pain.

 

Presenter: Dr. Carlos Aznar Portoles, DDS, MSc
The Netherlands

Carlos Portrait

Basic principles to build an efficient office set-up

Description:

During this presentation we will review different principles to build an efficient endodontic office.

Objectives:

– Explain the main characteristics of an efficient set-up

– Describe how an efficient set-up can positively influence the daily workflow

– List the most important factors to take into account when building a new endodontic office

What Attendees Should Expect to Learn: Learn the main principles of building up an efficient endodontic office

Bio:

Carlos Aznar Portoles obtained his dental degree in 2004 from Universitat Internacional Internacional de Catalunya, Barcelona, Spain. In 2009 he completed a Master Programme in Endodontics at the same university. After moving to The Netherlands, he obtained a Postgraduate Certificate in Endodontics in 2014 (ACTA, Amsterdam). He is the author of several endodontic-related articles and lectures regularly at national and international meetings. He has a private office in Haarlem, The Netherlands, which is limited to Endodontics and Endodontic Microsurgery.

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