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Managing the Medically Compromised Patient, Dealing with Medical Emergencies and …

October 6

Managing Pain in the Era of Prescription Opiate Abuse:
A Fast-Paced Dental CDE Program in Three Acts …

Presented by

ACT I:  Managing the Medically Compromised

We will work through a systematic review of common cardiovascular, respiratory, neurologic, hematologic, and endocrine problems that can directly impact the delivery of dental care. Practical approaches to the most common medical issues will be presented with emphasis on how these problems can impact local anesthetic choices, treatment planning and use of sedation.


  • Recognize patients with medical risk factors.
  • Identify patients that are immunocompromised.
  • Formulate strategies for managing the medically compromised.
  • Understand how to manage patients on anticoagulant therapy.
  • Understand how to use astringent materials to stop active dental bleeding.
  • Understand how the medically compromised patient impacts dental pharmacology.

ACT II:  Managing Medical Emergencies

Healthcare professionals are being asked to manage more medically compromised patients. These patients present higher risk for in-office medical emergencies. We will use a case-based approach to review the management of the most common medical emergencies the dental team may face. We will not cover the one-in-a-million medical complication, but instead focus on giving practical information needed in a medical emergency, also including instruction on the proper use of drugs and equipment used to manage medical emergencies.


  • Identify patients at highest risk for medical emergencies.
  • Recognize signs and symptoms of common medical emergencies.
  • Develop differential diagnosis for common emergency presentations.
  • Apply medical interventions to manage common medical emergencies.
  • Describe use of the drugs and equipment used to manage medical emergencies.

ACT III:  Managing Dental Pain in the Age of Opiate Prescription Abuse

Dental professionals need to manage perioperative pain on a daily basis. This is accomplished with preemptive analgesic strategies, intelligent use of available local anesthetics, anti-inflammatory analgesics and at times with careful use of opiate analgesics. We will review pharmacologically sound pain control strategies. It will focus on alternatives to narcotic pain medications and understanding problems associated with prescription opiate abuse; and understanding origins of dental pain and developing sound pain control strategies based on the science and available literature. This will include pre-emptive analgesia, use of long-acting local anesthetics, anti-inflammatory medications, and careful use of the different opiate analgesics available on the market.


  • Understand the current prescription opiate abuse problem and the dentist’s role in solving this issue.
  • Understand pain and advanced opiate-free pain control strategies.
  • Utilize pre-emptive analgesia to control pain in dental practice.

Presented by:

Dr. Joseph Best graduated from Marquette University School of Dentistry in 1989. He then went on to attend the University of Rochester School of Medicine and Dentistry in New York. He achieved a Ph.D. in pharmacology in 1995, and then earned his certificate in oral and maxillofacial surgery in 1997. He subsequently joined as a faculty member of the University of Rochester Eastman Department of Dentistry in 1999, and then the private practice of OMSA in 2000. He currently serves on the faculty of the Marquette University School of Dentistry.

Dr. Best has been the noteworthy recipient of numerous awards, grants, and honors including an oral and maxillofacial surgery foundation fellowship, the AADR Hatton Award, and the Dentist Scientist Award from the University of Rochester. Dr. Best has published several articles relating to his research in various professional journals, and has been invited to speak on numerous occasions at formal gatherings.

Dr. Best has extensive training and experience in all aspects of oral and maxillofacial surgery. He is board certified with the American Board of Oral and Maxillofacial Surgery. He is also a member of many other professional organizations.

Friday, October 6, 2023
9:00 a.m. to 5:00 p.m. | 7 credit hours
IN-PERSON at Rutgers School of Dental Medicine
$235 Dentists | $165 Auxiliaries/Residents
Code: 24D0206

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E-mail: cde@sdm.rutgers.edu — Phone: 973-972-6561
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October 6


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Rutgers School of Dental Medicine
Continuing Dental Education
110 Bergen Street, B701 • Newark, NJ 07103

973-972-6561  •  866-720-1971

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Email:  cde@sdm.rutgers.edu

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