Activity Overview:

This course is an E-Learning course that is divided into two parts covering the chemo and the mechanical aspects of endodontic cleaning and shaping. Part 1 covers the selection and use of chemotherapeutic agents in endodontics. Part 2 covers the proper use of conventional stainless steel hand files and nickel titanium rotary files. The hand filing section explains and demonstrates crown down technique, step back technique, negotiating narrow canals, as well as blocked and ledged canals. The rotary section covers basic principles of all rotary files and the detailed use of the analytic K3 nickel titanium file system.

Teaching Methods

This course is delivered online and includes interactive activities, lecture, and video demonstrations.

Course developed July, 2007; reviewed and updated August, 2010

After review of this DVD and completion of the post-test the clinician will be able to:

1. Describe the principles and advantages of an ideal tapered endodontic preparation.
2. Perform a Crown Down Step Back endodontic preparation using Gates-Glidden burs, orifice shapers and standard hand files.
3. Negotiate a blocked and ledged canal.
4. Negotiate a narrow “calcified” canal.
5. Explain the basic similarities and differences between the main types of rotary file systems.
6. State the logic behind a crown down preparation using both hand and rotary files.
7. Demonstrate using the K3 rotary file system and how to safely and properly use it.
8. Apply various chemo agents used in endodontics and explain their safe and proper usage.

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

Activity Overview:

This course is an E-Learning, online based course that covers all aspects of an emergency endodontic visit. It is structured around the SOAP note and will walk you through developing a good patient note, performing diagnostic tests, formulating a pulpal and perapical diagnosis, and providing initial emergency treatment. At the end of the course you will be given an exam. A score of 80 or higher is needed before the CDE system can print out your course certificate.

Teaching Methods

This course is delivered online and includes interactive activities, lecture, and video demonstrations.


Course developed:

July, 2007; reviewed and updated August, 2010; reviewed 2014


Course References:

Cohen's Pathways of the Pulp Expert Consult, 10eMay 24, 2010
by Kenneth M. Hargreaves DDS PhD FICD FACD and Louis H. Berman DDS FACD


Endodontics: Principles and Practice, 5eApr 10, 2014
by Mahmoud Torabinejad DMD MSD PhD and Ashraf Fouad


Ingle's Endodontics 6e Hardcover – December 31, 2007
by John I. Ingle [Author], Leif K. Bakland [Author], J. Craig Baumgartner [Author]


Questions about this course can be directed to: Thomas.Taylor@ihs.gov

Upon completion of this course, participants will be able to:

1. Write a logical and supportable SOAP note.
2. Perform a subjective patient interview.
3. Describe appropriate pulpal and periapical tests.
4. Interpret test results to justify diagnosis.
5. Formulate a pulpal and periapical diagnosis.
6. Perform a safe and effective pulpectomy.
7. State the logic and perform a partial pulpectomy.
8. Provide a patient with a “long term” initial endodontic access.
9. Minimize exposure to malpractice litigation based on poor documentation.

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

Activity Overview:

Before final restoration and after complete cleaning and shaping, the root canal system must be obturated. This course covers the most common and best supported techniques available today. Various techniques presented include cold lateral obturation [standard and non-standard], as well as warm vertical obturation utilizing the System B heat carrier, and a gutta percha gun. Techniques, tips, and detailed visual examples including demonstrations and 3D animations are used to explain and demonstrated these techniques.

Course developed July, 2007; reviewed and updated August, 2011.

At the end of this training you will be able to explain:
-Requirements for endodontic obturation materials
-Cold lateral standard obturation
-Cold lateral non-standard obturation
-Warm vertical system B Obturation

Successful completion of Endodontic Emergencies and Cleaning and Shaping e-learning courses.

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

Caries stabilization can increase treatment options for babies and young children. Caries stabilization involves using fluoride-releasing glass ionomer for interim therapeutic restorations [ITRs], resin and glass ionomer sealants to protect pit and fissures on primary molars, fluoride varnish, and twice daily use of fluoride toothpaste at home.

YOU MUST BE LOGGED IN TO TAKE THIS ONLINE COURSE.

Course developed: February, 2010.

A the end of this course, participants will be able to explain:

None

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

This online course provides an overview of the IHS Clinical Productivity, Efficiency, and Effectiveness Indicators.

At the conclusion of this presentation, participants should be able to:

1. list at least 5 of the IHS clinical productivity, efficiency and effectiveness standards;

2. identify at least two best practices related to improving access to care; and

3. discuss the balance between assessing quality of care and maximizing third party collections.

None

None

This course is a duplicate - please register at DD0032.

People are by virtue of their assignment location, thrust into professional roles for which they have not been adequately prepared by previous schooling or experience. “Challenges” is designed for all new Indian Health Service [IHS], tribal, and urban dentists within their first three to six months of service. The course provides a basis for understanding and working in the IHS dental programs as well as to establish a baseline of skill and knowledge to be able to provide dental services efficiently and effectively.

Headquarters Session for Challenges [0.5 hour]
The overall goal of the Headquarters session is to explain the mission of the Indian Health Service and the Division of Oral Health, and to provide an organizational framework of how the federal government interacts with Tribal organizations. The teaching resources include PowerPoint presentations and group discussions.
Learning Objectives:
By the end of this session, participants will be able to:
•   State the mission of the Indian Health Service
•   Describe the functions of the Division of Oral Health
•   Identify how to access clinical issues and career development resources

Dental Public Health Session [3 hours]
Dental Public Health is the science and art of preventing and controlling dental diseases, and promoting dental health through organized community efforts. Previous educational or practice experiences may have emphasized how to be successful in the private sector. This session will focus on how to be successful in a dental public health program. This session is designed to give an overview of key dental public health data and concepts; distinctions between public health and private practice models; basic epidemiology principles; critical reading of research; and social and behavioral dimensions of dental disease. The learning format includes interactive PowerPoint presentations, case studies, and small group discussions.
Learning Objectives
At the end of the dental public health session, participants will be able to:
•   Describe the differences between a dental public health practice model and a private practice model;
•   List available resources that describe oral health status in the United States;
•   Discuss the effects of social and behavioral effects on one dental disease, and develop a scenario where these effects could be seen in an IHS setting;
•   Categorize common dental procedures in one of the dental levels of care;
•   Explain the basis of both preventive and periodontal recall management in an IHS dental public health practice.
•   Distinguish the three current IHS dental GPRA indicators and discuss the rationale behind these indicators.
•   Explain the goal for the IHS ECC Initiative, and how to access resources to achieve these goals.

Pediatric Dentistry Session for Challenges [7.5 hours]
The overall goal of the pediatric dentistry session is to help the course participant better understand the treatment needs often presented in young children. This session is designed to give an overview of infant oral health and disease; preventive, diagnostic, and restorative strategies; and how to deal with common traumatic injuries. The learning format includes interactive PowerPoint presentations, case studies, and small group discussion.
Learning Objectives:
By the end of this session, participants will be able to:
•   Provide anticipatory guidance to parents/guardians as to what is normal development and when bottle, breast, cup, pacifier use is appropriate.
•   Explain how and why early caries relates to latter caries experience.
•   Recognize varying degrees of carious involvement, space maintenance needs, behavioral considerations, and when consults [related to co-morbidities] are necessary.
•   Determine when radiographs are required and what types of radiographs are appropriate for a given age.
•   Discuss a variety of pulp treatments in primary teeth, medicaments utilized, and rates of success.
•   Describe common trauma injuries in children, what to evaluate, and when consults are needed.
•   Distinguish between various types of restorative materials for primary teeth considering their relative longevity and their public health implication.
•   Recognize developing occlusion, early malocclusions, possible treatment options, and appropriate referrals.
•   Select behavior modification technique for achieving treatment appropriate with the child’s chronological age and maturity.
•   Discuss types and dosages of analgesics and local anesthesia appropriate for children.
•   Explain the logic for when and why general anesthesia may be an appropriate treatment option.
•   Describe what constitutes special needs patients and how their treatment is approached.
•   Identify the most common chronic diseases [anemia, asthma] encountered with children in our population and their impact on patient treatment.
•   Recognize the most common oral pathologies seen in our population and identify what should be treated and what should be referred.
•   Describe common ages for abuse and neglect, the most common presenting features, and dental provider’s legal responsibility.


Periodontics Session for Challenges [5.5 hours]
The overall goal of the periodontics session is to advance participants knowledge and skills in nonsurgical and surgical periodontics, and to introduce them to public health in periodontics. The format will be lecture, discussion, and case studies.
Learning Objectives:
At the end of the periodontal session, the participants will be able to:
•   Record CPI/PSR scores accurately.
•   Diagnose periodontal diseases.
•   Plan periodontal treatment taking into account the delivery of care, including the provider [DA, RDH, or DDS/DMD].
•   Recommend appropriate antimicrobial agents for brushing, rinsing, local and systemic delivery in the treatment of periodontitis.
•   Recognize indications and contraindications to periodontal surgery.
•   Describe inflammation and the relationship between oral and systemic diseases.
•   List five conditions that put individuals at risk for periodontitis.
•   List three new technologies in periodontics that can/could be recommended for use in an I/T/U dental program.


Endodontic Session for Challenges [7 hours]
The overall goal of the endodontic session is to provide a review of endodontic principles and techniques applied to clinical situations common to Indian Health Service dental practice: diagnosis and treatment of common dental pulp diseases with the emphasis on pulp testing; radiography, anatomy; vital pulp therapy; endodontic access; cleaning and shaping; and placement of medicaments in the pulp space and coronal restoration. Teaching resources include PowerPoint presentations developed by IHS Endodontists based on their experience and the published scientific literature. Laboratory exercise operating on extracted human teeth.
Learning Objectives:
By the end of the endodontic session, participants will be able to:
•   Apply the protocol for taking at least two pre-op radiographs made at different angles.
•   Explain the SLOB rule.
•   Identify clues to multiple canals.
•   Perform pulp and periradicular testing
•   Explain the rationale for making a pulpal and periradicular diagnosis.
•   Record diagnoses that are consistent with exam findings.
•   Describe the American Association of Endodontics [AAE] diagnoses.
•   Locate sources for endodontic information on basic canal anatomy.
•   Describe the importance of Straight Line Access and how to achieve it.
•   List techniques to avoid perforations, ledging and blocking.
•   Explain the importance of magnification and illumination.
•   Discuss the rationale for working length distinguishing between preparation of the canal and obturation.
•   Describe the relationship of diagnosis and urgent treatment needed.
•   Demonstrate hand filing techniques to handle ledges and blocked canals.
•   Use Balanced Forces Filing technique and placement of CaOH.
•   Discuss the advantages and disadvantages of temporary filling materials.
•   Demonstrate the use of gutta percha cones of greater taper.
•   Evaluate which teeth are restorable.
•   Discuss rationale for using post retention.
•   Explain the concept of restore at the time of obturation.
•   Trauma diagnosis and treatment


Oral Surgery Session of Challenges [6.5 hours]
The overall goal of the oral surgery session is to advance participants’ skills and abilities about surgical procedures by adhering to a set of principles to provide the best possible treatment for patients. The format of this session is lecture, discussions, case studies, simulated practice, and hands-on suturing lab.

Lectures will be presented about how to interview a patient; review medical history; obtain appropriate labs, radiographs; perform a workup to identify and avoid possible complications during and after surgery. Discussions will emphasize talking with the patients about consent forms; explanation of procedures and risks associated with the procedure; possible alternative treatments; answering patient’s questions; documenting process and findings in a patient’s chart. Cases will demonstrate the principles of simple and moderately difficult surgical extractions. The simple dental extraction cases will focus on establishing and maintaining surgical aseptic technique; proper instrumentation and set up, and use of local anesthetics; complications associated with dental extractions [including but not limited to anatomical considerations]; unexpected inter-operative complications with techniques to deal with these complications; and medical considerations that may compromise a successful surgical outcome. The moderately difficult surgical extraction cases will accentuate establishing and maintaining surgical aseptic technique; instrumentation, expected wound healing; appropriate follow-up and referrals. Cases will demonstrate the evaluation of an ectopically positioned tooth with its anatomic considerations to determine the degree of surgical difficulty and surgical approach [i.e. flap design, degree of bone reduction, sectioning technique, delivery, choice of suturing material and techniques]; possible complications and treatment of those complications including but not limited to bleeding, nerve damage, and infections; management of pain with a brief discussion of antibiotics and analgesics.
Learning Objectives:
At the end of the oral surgery session, participants will be able to:
•      Describe the principles of patient evaluation and workup for oral surgical procedures.
•      Establish and maintain surgical aseptic technique.
•      Explain the principles of simple dental extractions.
•      Summarize the principles of moderately difficult surgical extractions with consideration of associated hard and soft tissue anatomy and possible complications. Based upon the providers abilities make appropriate referral.
•      Explain the various suture materials and use.
•      Demonstrate various suturing techniques in a laboratory setting and explain when these techniques should be used
•      Document informed consent, treatment plan, and treatment in patient’s chart.

General Dentistry Session for Challenges [6 hours]
Session Summary:
The goal of the general dentistry session is to introduce the course participant to the provision of general clinical services in an Indian Health Service dental program. This session is designed to give an overview of diagnostic and treatment planning; preventive and restorative therapies; utilization of expanded-function auxiliaries; advantages and disadvantages of working with different dental materials; and strategies for working with medically compromised patients. The learning format includes interactive PowerPoint presentations, case studies, and small group discussions
Learning Objectives:
At the end of the general dentistry session participants should be able to:
•   Assign risk for decay, discuss appropriate therapies and recall intervals for individual patients.
•   Describe factors affecting caries risk.
•   Describe restorative dentistry strategies and dental auxiliary utilization in a public health clinic and how they differ from a typical private practice setting.
•   Discuss the pros and cons of commonly used dental materials and bonding systems.
•   Summarize the caution needed in the treatment of medically compromised patients.

Must have a current dental license.

Title V compacted programs should send $250.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

To gain access to this course, please contact Dr. Christina Zeigler at Christina.Zeigler@TCHEALTH.ORG.

People are by virtue of their assignment location, thrust into professional roles for which they have not been adequately prepared by previous schooling or experience. “Challenges” is designed for all new Indian Health Service [IHS], tribal, and urban dentists within their first three to six months of service. The course provides a basis for understanding and working in the IHS dental programs as well as to establish a baseline of skill and knowledge to be able to provide dental services efficiently and effectively.

Headquarters Session for Challenges [0.5 hour]
The overall goal of the Headquarters session is to explain the mission of the Indian Health Service and the Division of Oral Health, and to provide an organizational framework of how the federal government interacts with Tribal organizations. The teaching resources include PowerPoint presentations and group discussions.
Learning Objectives:
By the end of this session, participants will be able to:
•   State the mission of the Indian Health Service
•   Describe the functions of the Division of Oral Health
•   Identify how to access clinical issues and career development resources

Dental Public Health Session [3 hours]
Dental Public Health is the science and art of preventing and controlling dental diseases, and promoting dental health through organized community efforts. Previous educational or practice experiences may have emphasized how to be successful in the private sector. This session will focus on how to be successful in a dental public health program. This session is designed to give an overview of key dental public health data and concepts; distinctions between public health and private practice models; basic epidemiology principles; critical reading of research; and social and behavioral dimensions of dental disease. The learning format includes interactive PowerPoint presentations, case studies, and small group discussions.
Learning Objectives
At the end of the dental public health session, participants will be able to:
•   Describe the differences between a dental public health practice model and a private practice model;
•   List available resources that describe oral health status in the United States;
•   Discuss the effects of social and behavioral effects on one dental disease, and develop a scenario where these effects could be seen in an IHS setting;
•   Categorize common dental procedures in one of the dental levels of care;
•   Explain the basis of both preventive and periodontal recall management in an IHS dental public health practice.
•   Distinguish the three current IHS dental GPRA indicators and discuss the rationale behind these indicators.
•   Explain the goal for the IHS ECC Initiative, and how to access resources to achieve these goals.

Pediatric Dentistry Session for Challenges [7.5 hours]
The overall goal of the pediatric dentistry session is to help the course participant better understand the treatment needs often presented in young children. This session is designed to give an overview of infant oral health and disease; preventive, diagnostic, and restorative strategies; and how to deal with common traumatic injuries. The learning format includes interactive PowerPoint presentations, case studies, and small group discussion.
Learning Objectives:
By the end of this session, participants will be able to:
•   Provide anticipatory guidance to parents/guardians as to what is normal development and when bottle, breast, cup, pacifier use is appropriate.
•   Explain how and why early caries relates to latter caries experience.
•   Recognize varying degrees of carious involvement, space maintenance needs, behavioral considerations, and when consults [related to co-morbidities] are necessary.
•   Determine when radiographs are required and what types of radiographs are appropriate for a given age.
•   Discuss a variety of pulp treatments in primary teeth, medicaments utilized, and rates of success.
•   Describe common trauma injuries in children, what to evaluate, and when consults are needed.
•   Distinguish between various types of restorative materials for primary teeth considering their relative longevity and their public health implication.
•   Recognize developing occlusion, early malocclusions, possible treatment options, and appropriate referrals.
•   Select behavior modification technique for achieving treatment appropriate with the child’s chronological age and maturity.
•   Discuss types and dosages of analgesics and local anesthesia appropriate for children.
•   Explain the logic for when and why general anesthesia may be an appropriate treatment option.
•   Describe what constitutes special needs patients and how their treatment is approached.
•   Identify the most common chronic diseases [anemia, asthma] encountered with children in our population and their impact on patient treatment.
•   Recognize the most common oral pathologies seen in our population and identify what should be treated and what should be referred.
•   Describe common ages for abuse and neglect, the most common presenting features, and dental provider’s legal responsibility.


Periodontics Session for Challenges [5.5 hours]
The overall goal of the periodontics session is to advance participants knowledge and skills in nonsurgical and surgical periodontics, and to introduce them to public health in periodontics. The format will be lecture, discussion, and case studies.
Learning Objectives:
At the end of the periodontal session, the participants will be able to:
•   Record CPI/PSR scores accurately.
•   Diagnose periodontal diseases.
•   Plan periodontal treatment taking into account the delivery of care, including the provider [DA, RDH, or DDS/DMD].
•   Recommend appropriate antimicrobial agents for brushing, rinsing, local and systemic delivery in the treatment of periodontitis.
•   Recognize indications and contraindications to periodontal surgery.
•   Describe inflammation and the relationship between oral and systemic diseases.
•   List five conditions that put individuals at risk for periodontitis.
•   List three new technologies in periodontics that can/could be recommended for use in an I/T/U dental program.


Endodontic Session for Challenges [7 hours]
The overall goal of the endodontic session is to provide a review of endodontic principles and techniques applied to clinical situations common to Indian Health Service dental practice: diagnosis and treatment of common dental pulp diseases with the emphasis on pulp testing; radiography, anatomy; vital pulp therapy; endodontic access; cleaning and shaping; and placement of medicaments in the pulp space and coronal restoration. Teaching resources include PowerPoint presentations developed by IHS Endodontists based on their experience and the published scientific literature. Laboratory exercise operating on extracted human teeth.
Learning Objectives:
By the end of the endodontic session, participants will be able to:
•   Apply the protocol for taking at least two pre-op radiographs made at different angles.
•   Explain the SLOB rule.
•   Identify clues to multiple canals.
•   Perform pulp and periradicular testing
•   Explain the rationale for making a pulpal and periradicular diagnosis.
•   Record diagnoses that are consistent with exam findings.
•   Describe the American Association of Endodontics [AAE] diagnoses.
•   Locate sources for endodontic information on basic canal anatomy.
•   Describe the importance of Straight Line Access and how to achieve it.
•   List techniques to avoid perforations, ledging and blocking.
•   Explain the importance of magnification and illumination.
•   Discuss the rationale for working length distinguishing between preparation of the canal and obturation.
•   Describe the relationship of diagnosis and urgent treatment needed.
•   Demonstrate hand filing techniques to handle ledges and blocked canals.
•   Use Balanced Forces Filing technique and placement of CaOH.
•   Discuss the advantages and disadvantages of temporary filling materials.
•   Demonstrate the use of gutta percha cones of greater taper.
•   Evaluate which teeth are restorable.
•   Discuss rationale for using post retention.
•   Explain the concept of restore at the time of obturation.
•   Trauma diagnosis and treatment


Oral Surgery Session of Challenges [6.5 hours]
The overall goal of the oral surgery session is to advance participants’ skills and abilities about surgical procedures by adhering to a set of principles to provide the best possible treatment for patients. The format of this session is lecture, discussions, case studies, simulated practice, and hands-on suturing lab.

Lectures will be presented about how to interview a patient; review medical history; obtain appropriate labs, radiographs; perform a workup to identify and avoid possible complications during and after surgery. Discussions will emphasize talking with the patients about consent forms; explanation of procedures and risks associated with the procedure; possible alternative treatments; answering patient’s questions; documenting process and findings in a patient’s chart. Cases will demonstrate the principles of simple and moderately difficult surgical extractions. The simple dental extraction cases will focus on establishing and maintaining surgical aseptic technique; proper instrumentation and set up, and use of local anesthetics; complications associated with dental extractions [including but not limited to anatomical considerations]; unexpected inter-operative complications with techniques to deal with these complications; and medical considerations that may compromise a successful surgical outcome. The moderately difficult surgical extraction cases will accentuate establishing and maintaining surgical aseptic technique; instrumentation, expected wound healing; appropriate follow-up and referrals. Cases will demonstrate the evaluation of an ectopically positioned tooth with its anatomic considerations to determine the degree of surgical difficulty and surgical approach [i.e. flap design, degree of bone reduction, sectioning technique, delivery, choice of suturing material and techniques]; possible complications and treatment of those complications including but not limited to bleeding, nerve damage, and infections; management of pain with a brief discussion of antibiotics and analgesics.
Learning Objectives:
At the end of the oral surgery session, participants will be able to:
•      Describe the principles of patient evaluation and workup for oral surgical procedures.
•      Establish and maintain surgical aseptic technique.
•      Explain the principles of simple dental extractions.
•      Summarize the principles of moderately difficult surgical extractions with consideration of associated hard and soft tissue anatomy and possible complications. Based upon the providers abilities make appropriate referral.
•      Explain the various suture materials and use.
•      Demonstrate various suturing techniques in a laboratory setting and explain when these techniques should be used
•      Document informed consent, treatment plan, and treatment in patient’s chart.

General Dentistry Session for Challenges [6 hours]
Session Summary:
The goal of the general dentistry session is to introduce the course participant to the provision of general clinical services in an Indian Health Service dental program. This session is designed to give an overview of diagnostic and treatment planning; preventive and restorative therapies; utilization of expanded-function auxiliaries; advantages and disadvantages of working with different dental materials; and strategies for working with medically compromised patients. The learning format includes interactive PowerPoint presentations, case studies, and small group discussions
Learning Objectives:
At the end of the general dentistry session participants should be able to:
•   Assign risk for decay, discuss appropriate therapies and recall intervals for individual patients.
•   Describe factors affecting caries risk.
•   Describe restorative dentistry strategies and dental auxiliary utilization in a public health clinic and how they differ from a typical private practice setting.
•   Discuss the pros and cons of commonly used dental materials and bonding systems.
•   Summarize the caution needed in the treatment of medically compromised patients.

Must have a current dental license.

Travel to host site required.

No tuition required

This is a two-part webinar [DD0009, to be held on 2/10/17, is the other webinar]. To access this webinar, look for instructions on the IHS Dental Listserv or go to https://ihs.adobeconnect.com/pediatric1/.

The exhaustion of remedies course is driven primarily with clinical slides and fictitious presentations and includes deferred treatment, interim treatment, comprehensive treatment and various treatment scenarios with healthy and medical complex pediatric patients.

Upon completion of this course, participants will be able to:
1. Understand the appropriate use of deferred and interim treatment in the primary and mixed dentition;
2. Demonstrate a conversant level of knowledge on the literature-based evidence in caries management; and
3. Improve local anesthetic technique with children as measured by self-reported experiences.

None

None - webinar

No tuition

This is the 2nd of two webinars on this subject [the earlier one is 2/3/17], but participants can participate in just one as well. To participate in this course, follow the instructions provided in the IHS Dental Listserv or go to https://ihs.adobeconnect.com/pediatric2/.

The exhaustion of remedies course is driven primarily with clinical slides and fictitious presentations and includes deferred treatment, interim treatment, comprehensive treatment and various treatment scenarios with healthy and medical complex pediatric patients.

Upon completion of this course, participants will be able to:
1. Understand the appropriate use of deferred and interim treatment in the primary and mixed dentition;
2. Demonstrate a conversant level of knowledge on the literature-based evidence in caries management; and
3. Improve local anesthetic technique with children as measured by self-reported experiences.

None

None - webinar

No tuition

This course will provide general dentists with a framework on how to comfortably and confidently deliver comprehensive care to pediatric patients. In addition to learning the science, techniques, and materials of the field, participants will learn ways to reduce the stress associated with treating children.

Upon completion of this course, participants will be able to:
1. Understand the principles and treatments of emergency dental care;
2. Choose the appropriate procedure and materials for restorative and pulp therapy treatments in primary teeth; and
3. Determine the best approach to managing the behaviors of pediatric dental patients.

None

To host site

Title V compacted programs should send $150.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

Preventive and therapeutic dental care and oral soft tissue management for special populations - bone marrow, stem cell, and solid organ transplant patients, and kidney dialysis patients - will be discussed in this one-hour webinar.

Upon completion of this course, participants should be able to:
1. Understand preventive care and treatment considerations for bone marrow and stem cell transplant patients;
2. Understand preventive care and treatment considerations for solid organ transplant patients; and
3. Understand preventive care and treatment considerations for kidney dialysis patients.

None

None

No tuition

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Describe the IHS organizational structure from HQ to field and the types of dental programs across the IHS system.
2. Differentiate the different types of employment and personnel systems available to all dental staff in IHS direct or Tribal programs.
3. Understand IHS dental standards and centralized location of standards regarding infection control, oral health promotion disease prevention, quality of care and clinical efficiency and effectiveness.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Describe the different personnel systems in the IHS & Tribal setting;
2. Discuss tips in setting realistic performance expectations and in evaluating performance of staff;
3. Describe how to deal with common staff issues such as meetings, handling grievances, and handling interpersonal conflicts.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Describe the IHS organizational structure from HQ to field and the types of dental programs across the IHS system.
2. Differentiate the different types of employment and personnel systems available to all dental staff in IHS direct or Tribal programs.
3. Understand IHS dental standards and centralized location of standards regarding infection control, oral health promotion disease prevention, quality of care and clinical efficiency and effectiveness.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Describe the IHS organizational structure from HQ to field and the types of dental programs across the IHS system.
2. Differentiate the different types of employment and personnel systems available to all dental staff in IHS direct or Tribal programs.
3. Understand IHS dental standards and centralized location of standards regarding infection control, oral health promotion disease prevention, quality of care and clinical efficiency and effectiveness.

None-webinar

No tuition required

New IHS Area Dental Officers face unique challenges: almost as soon as they assume the role of ADO they are expected to be experts on everything from recruitment, pay and benefits, tribal self-governance, dental public health, clinic design, clinical efficiency, and myriad other topics. The ADO Concepts Courses are designed to teach prospective, new, and seasoned ADOs key concepts regarding dental public health, personnel management, clinical efficiency and effectiveness, program budget management, time management, and how to work within the system by building and developing partnerships, collaborations, and valuable relationships with fellow ADOs, Area Office staff and Headquarters staff.

Upon completion of this course, the participant will be able to:

1. Describe the organizational structure of the Indian Health Service, including IHS Areas, types of program management, key leaders, etc.;
2. Understand the IHS Division of Oral Health standards related to clinical productivity, efficiency and effectiveness and be able to utilize these standards in a practical setting;
3. Distinguish between the four types of personnel systems with regard to recruitment, salary, benefits, performance evaluations, discipline, retirement, etc.;
4. Explain the differences between a private practice and public health dental model and the rationale behind clinical concepts such as levels of care, open access, the Government Performance and Results Act [GPRA] as they relate to the public health model; and
5. Develop a workplan that incorporates the needs of internal and external customers, reflects priorities of these stakeholders, and follows a logical sequence

Must be an Area Dental Officer or IHS Headquarters Division of Oral Health Staff hired within the past 5 years in this position.

Required travel to in-person meeting in November 2016. All other segments of the course are by webinar or conference call.

No tuition

This course, which is available only to IHS Area Dental Officers, will consist of a full-day in-person session and three follow-up webinars, all designed to enhance leadership, knowledge, skills, and abilities of senior IHS dental leadership.

Upon completion of this course, participants will be able to:
1. Describe the ADO's role in assessing and supporting the clinical management of field dental programs.
2. Describe the ADO's role in supporting specific aspects of personnel management of the various types of field dental programs.
3. Discuss concepts related to 638 management, Federal Tort Claims, credentialing, privileging, support centers and budget management.

Participants must be current Area Dental Officers.

To host site

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Describe how to create a Microsoft Word-fillable form;
2. Describe how to convert Word documents to PDF documents;
3. Describe how to create a PDF-fillable form.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Explain how to assess reading level in a document;
2. Describe how to remove autocorrections in Word and Outlook; and
3. Describe how to compress pictures and files.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Describe methods of copying and pasting data into Microsoft Excel;
2. Demonstrate how to set up formulas in cells and drag formulas to other cells; and
3. Explain how to create graphs in Excel from data sheets.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Describe how to create .pst files in Outlook;
2. Explain how to check folder size using Outlook; and
3. Demonstrate how to use the calendar and tasks to keep track of projects, tasks, and meetings.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Describe how to create borders and improve the graphical displays in Microsoft Word;
2. Demonstrate how to create an effective and visually improved agenda in Word; and
3. Describe how to edit photos using Microsoft Word.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This course is part of a 6-course series available to ADOs and dental chiefs/directors on practical, everyday tips to improving work efficiency and producing quality administrative products.

Upon completion of this course, participants will be able to:
1. Describe how to create newsletters using Microsoft Publisher;
2. Demonstrate how to create and change designs in Publisher; and
3. Demonstrate how to add pictures, textboxes, and graphics to a Publisher document.

Participants should be current Area Dental Officers or Dental Chiefs. This session will be recorded for later viewing.

None required

No tuition

This in-person course provides dental chiefs/directors, especially newer ones, with basic guidance on dental clinic management including evaluating efficiency and effectiveness, budgeting, general personnel management, and managing people skills.

Upon completion of this course, participants will be able to:
1. Identify the IHS clinical efficiency and effectiveness indicators;
2. Differentiate between employee performance and conduct; and
3. Describe available resources for dental chiefs/directors.

Participants should be service unit or tribal dental chiefs or directors, or Area Dental Officers or Headquarters dental staff.

Travel to host site is required.

Title V compacted programs should send $250.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

This in-person course provides dental chiefs/directors, especially newer ones, with basic guidance on dental clinic management including evaluating efficiency and effectiveness, budgeting, general personnel management, and managing people skills.

Upon completion of this course, participants will be able to:
1. Develop a plan to improve productivity, efficiency, and effectiveness of clinical care;
2. Understand business principles of dentistry to maximize collections and use those funds to improve patient care; and
3. Describe principles and methods for human resource development as applied to self- and staff-development.

Participants should be service unit or tribal dental chiefs or directors, or Area Dental Officers or Headquarters dental staff.

Travel to host site is required.

Title V compacted programs should send $250.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

This in-person course provides dental chiefs/directors, especially newer ones, with basic guidance on dental clinic management including evaluating efficiency and effectiveness, budgeting, general personnel management, and managing people skills.

Upon completion of this course, participants will be able to:
1. Understand and develop initial steps to improve their clinic team's functions in a culture of learning and knowledge-sharing;
2. Understand the leadership skills of influence and negotiation and create plans using those skills for clinic improvement; and
3. Develop staff as evidence by delegating assignments to improve individuals and recommend for promotion or advancement.

Participants should be service unit or tribal dental chiefs or directors, or Area Dental Officers or Headquarters dental staff.

Travel to host site is required.

Title V compacted programs should send $250.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Describe applicability of CDC infection control standards in IHS and tribal dental settings;
2. Explain methods of sterilization and disinfection and appropriateness of these methods;
3. Provide examples of correct sterilization techniques including digital xrays and low speed handpieces.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. List at least three philosophies of dental care in the IHS.
2. Describe the organizational structure of the IHS Dental Program.
3. Define the levels of dental care, listing at least two examples of each level.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

Upon completion of this course, participants will be able to:
1. Define quality assurance and quality improvement;
2. Describe the Model for Improvement, including the three questions that should be asked prior to implementation of quality improvement activities;
3. Cite at least one example of a successful multi-PDSA cycle quality improvement project.

None-webinar

No tuition required

This course is part of the ADO/Dental Chiefs/Dental Directors ongoing webinar series designed to provide Area Dental Officers and dental managers with both practical information and leadership information to help them do their jobs better.

This webinar will be available live on May 2, 2017 from 3-4 Eastern Time. Information on this webinar will be sent out via the IHS Dental Chiefs Listserv. The session will be recorded, and a recorded link will be send out via the IHS Dental Chiefs Listserv 2-5 days after the course.

The webinar will provide definitions of efficiency and effectiveness and describe in detail the 20 IHS clinical efficiency and effectiveness indicators and how they apply to a clinical and public health setting.

Upon completion of this course, participants will be able to:

1. List at least 5 of the IHS clinical productivity, efficiency and effectiveness standards;
2. Identify at least two best practices related to improving access to care; and
3. Discuss the balance between assessing quality of care and maximizing third party collections.

None

None-webinar

No tuition required

This one-hour webinar, offered live on July 11, 2017, is available to Area Dental Officers, Dental Support Centers, and dental chiefs/directors. It will provide an overview of the P-O-A-R-E planning model of oral health promotion/disease prevention and help program directors plan for upcoming prevention activities in the new school year.

Upon completion of this webinar, participants will be able to:
1. Describe the components of the POARE planning model;
2. Discuss how to engage collaborative partners in implementing a prevention program at a school or Head Start; and
3. Define the current three dental GPRA indicators.

None

None

NA

This course is part of the ongoing monthly leadership webinar series available to Area Dental Officers, Dental Support Centers, and Dental Directors/Chiefs. This course is available for live viewing on 9/5/17 and recorded viewing 1-2 weeks later; details on viewing the webinar will be sent out via the IHS Dental Chiefs Listserv.

Upon completion of this course, participants will be able to:
1. Define the IHS quality measure utilized in the Improving Patient Care Initiative;
2. Explain limitations in measuring quality of care in the IHS;
3. List three or more ways to measure quality of care delivered in an IHS or Tribal dental setting.

Participants should be current Area Dental Officers, work in Dental Support Centers, or serve as a Dental Director/Chief or Deputy Dental Director/Deputy Chief at an IHS, Tribal, or IHS-funded Urban dental program. This session will be recorded for later viewing.

None required

No tuition

Note: Contact Dr. Todd Smith for registration to this course. This course is held in conjunction with the IHS periodontal EFDA course, and the RDH will be working alongside a certified periodontal educator.

This didactic and lab course is for dental hygienists who have a desire to be IHS educators in periodontics. This is a teaching course, where the participant will learn how and what to teach dental assistants in basic clinical periodontics. You will be preparing the assistant to provide ultrasonic instrumentation, OHI, and antimicrobial recommendations to their patients under the direction of a dentist or hygienist. This course will certify you to teach dental assistants and provide continuing education credits through the Division of Oral Health CDE program, as well as enhance your CV/Resume with dental activities outside your normal service unit duties. PowerPoint presentations will be provided to all course participants to facilitate teaching activities.

Upon completion of this course, the participant will be able to:
1. Use the concepts of adult education in teaching situations.
2. Teach detection and classification of periodontal disease.
3. Motivate individuals to improve oral hygiene and periodontal health.
4. Teach safe and effective ultrasonic scaling of teeth.
5. Accurately code for periodontal and hygiene procedures with IHS/ADA coding.
6. Recommend effective toothpastes, mouth rinses and oral hygiene aids to dental assistants and patients.
7. Identify who is at risk for periodontal breakdown.
8. Use mounted dentiforms effectively to teach instrumentation of teeth.

Participant has been a clinical hygienist for at least five years and has the supervisor's permission to teach a four-day course, either at or away from the service unit.

Contact Dr. Todd Smith for registration to this course.

Travel is required to the course site.

No tuition required.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; predisposing factors that relate to motivation to act or change; how antimicrobials work, and their use in preventing and treating periodontal diseases.

This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the Periodontal Expanded Functions-Basic course.

Course developed January 2011. Course revised January 2016.

At the end of this course, participants will be able to:
• Distinguish between effective and ineffective oral hygiene instruction.
• Discuss methods about how to modify patient behavior to improve compliance with oral hygiene regimens.
• Clarify how antimicrobials work and their use in preventing and treating periodontal diseases.

None.

None

No tuition required.

Dental assistants must have a core set of knowledge and skills before registering for the Expanded Functions-Basic Restorative course. The core set of knowledge and skills include: dental terminology; placing and removing a Tofflemire matrix band and wedge, preparing, placing and removing a dental dam; and setting up for Class I, Class II, and Class V amalgams, and Class III and Class V composite restorations.

This online course consists of pre-tests, learning activities, post-tests and demonstrations for each lesson in the four modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test, and certify competency by demonstrating skills and knowledge to their supervisor. Upon successful completion of all four modules in this course, dental assistants will be able to register for the EF-Basic Restorative Course.

Upon completion of this course, the participants will be able to:
•Identify parts and surfaces of teeth.
•Use universal numbering system.
•Define tooth anatomy terms.
•Describe the caries process and identify cavity classifications.
•Place and remove Tofflemire retainer, matrix band, and wedge.
•Place and remove a dental dam.
•Set up instruments and materials for amalgam restorations.
•Set up instruments and materials for composite restorations.

None

None

No tuition required

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person at San Xavier, AZ.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Parker, AZ.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Crow Agency, MT.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Crow Agency, MT.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Crow Agency, MT.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Crow Agency, MT.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This course is composed of didactic and clinical instruction. It is designed to provide dental assistants who have provided periodontal/hygiene care in the past an update on periodontal expanded functions. This will include training in dental cleanings with newer state-of-the art Piezoelectric scalers as well as hand instrumentation with a Montana Jack sickle scaler.

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Lecture- Instrumentation of teeth using ultrasonic equipment and hand scalers.
• Ultrasonic and hand instrumentation lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM-Lab
• Lab Instrumentation of teeth using ultrasonic equipment and hand scalers.
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each other
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index [CPI] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth along with isolated hand scaling.
4. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
5. Motivate patients to improve plaque removal and periodontal health.
6. Identify who is at risk for periodontal breakdown.

Dental assistants must have been certified in the use of ultrasonic scalers in the past.
The other prerequisite required prior to this course includes successfully completing two modules on effective oral hygiene instruction; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Please sign up for, and complete, this Prerequisite Online Periodontal Course prior to attending the Refresher Course.

Travel to Phoenix, AZ is required for this course

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the
"Indian Health Service" in the amount $200.00 per student to the following address:

IHS Division of Oral Health
ATTN: CDE Coordinator
5600 Fishers Lane, Mail Stop 08N34 A
Rockville, MD 20857.

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This advanced course is composed of didactic and clinical instruction. Reminder - This course has prerequisites and is for the advanced dental assistant clinician who has taken the Perio EF Basic course and has been comfortable with the ultrasonic for at least two years or used an ultrasonic for at least five years. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using the following two universal scalers:
Montana Jack
Sickle Scaler

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using universal scalers.
• Dental procedure codes
• Universal Scalers lab using mannequins/typodont
- Posture will be covered

Tuesday 1:00- 5:00 PM- Lab

• Instrumentation of teeth using universal scalers lab with
mannequins/typodonts
- Lab evaluations through direct observation and feedback
- Sharpening will be covered


Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each other
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation
and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
- Closeout, review, questions, post test



Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.
.

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index [CPI] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough scaling of teeth.
4. Use universal scalers efficiently and atraumatically.
5. Sharpen universal scalers correctly and efficiently.
6. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
7. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
8. Motivate patients to improve plaque removal and periodontal health.
9. Identify who is at risk for periodontal breakdown.

Prerequisites:

This course is for the advanced dental assistant who has attended the Perio EF Basic course and has been comfortable using the ultrasonic for at least one year or has been using the ultrasonic for at least five years.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Advanced course. Additional knowledge on what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases is provided in the required online Prerequisite course. This online course consists of pre-tests, learning activities, and post-tests in the “Effective OHI” and “Antiseptics” modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel is required to Warm Springs, OR

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This advanced course is composed of didactic and clinical instruction. Reminder - This course has prerequisites and is for the advanced dental assistant clinician who has taken the Perio EF Basic course and has been comfortable with the ultrasonic for at least two years or used an ultrasonic for at least five years. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using the following two universal scalers:
Montana Jack
Sickle Scaler

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using universal scalers.
• Dental procedure codes
• Universal Scalers lab using mannequins/typodont
- Posture will be covered

Tuesday 1:00- 5:00 PM- Lab

• Instrumentation of teeth using universal scalers lab with
mannequins/typodonts
- Lab evaluations through direct observation and feedback
- Sharpening will be covered


Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each other
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation
and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
- Closeout, review, questions, post test



Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index [CPI] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough scaling of teeth.
4. Use universal scalers efficiently and atraumatically.
5. Sharpen universal scalers correctly and efficiently.
6. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
7. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
8. Motivate patients to improve plaque removal and periodontal health.
9. Identify who is at risk for periodontal breakdown.

Prerequisites:

This course is for the advanced dental assistant who has attended the Perio EF Basic course and has been comfortable using the ultrasonic for at least one year or has been using the ultrasonic for at least five years.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Advanced course. Additional knowledge on what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases is provided in the required online Prerequisite course. This online course consists of pre-tests, learning activities, and post-tests in the “Effective OHI” and “Antiseptics” modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel is required to Warm Springs, OR

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Following completion of the IHS Periodontal Expanded Function BASIC Course, dental assistants have up to 6 months to complete the post-course requirements of completing 20 dental cleanings which are checked and scored by the hygienist/dentist at their home clinic. One this requirement is met, the supervisor of the dental assistant will notify the IHS CDE Coordinator of completion of the requirements [documentation of completion will be maintained at the local clinic and does not need to be sent into the IHS CDE Coordinator]. The IHS CDE Coordinator will then provide a completion code to the dental chief/director and the dental assistant. The dental assistant will then log into this course, enter the completion code, and print his/her Periodontal Expanded Function Dental Assistant Certificate.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the periodontal EFDA course;
2. Complete the in-person periodontal EFDA course; and
3. Have his/her supervisor notify the IHS CDE Coordinator of completion of post-course requirements.

None

No tuition

Following completion of the IHS Periodontal Expanded Function ADVANCED Course, dental assistants have up to 6 months to complete the post-course requirements of completing 20 dental cleanings which are checked and scored by the hygienist/dentist at their home clinic. One this requirement is met, the supervisor of the dental assistant will notify the IHS CDE Coordinator of completion of the requirements [documentation of completion will be maintained at the local clinic and does not need to be sent into the IHS CDE Coordinator]. The IHS CDE Coordinator will then provide a completion code to the dental chief/director and the dental assistant. The dental assistant will then log into this course, enter the completion code, and print his/her Periodontal Expanded Function Dental Assistant Certificate.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the periodontal advanced EFDA course;
2. Complete the in-person periodontal advanced EFDA course; and
3. Have his/her supervisor notify the IHS CDE Coordinator of completion of post-course requirements.

None

No tuition

This course is offered by request "in your clinic." It is suggested that the Chief of the dental clinic contact Dr. Haney directly by email at haney@sisna.com. Costs will be negotiated between the instructor and the facility where the course is taught.

The purpose of this course is to introduce the dental assistant to the placement and finishing of restorative materials used in operative dentistry. Technical background information is presented in cavity classification and dental anatomy. Class I, II, V amalgam restorations, Class III, and V composite restorations are covered in lecture and laboratory exercises. Both written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants who have limited or no training and/or experience in the placement of restorative materials. Additionally, it is limited to those clinics where the ratio of dentists to dental assistants allows the practice of expanded restorative functions. If the newly acquired skills are to become fully developed, the assistant must be able to return to his/her clinic and work with their dentist for a recommended period of 6 months. This follow-up is required in order to complete the course and receive a certificate.

Upon completion of this course, participants will be able to:
1. Describe tooth morphology and structure.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and unacceptable restoration.

Completion of the online Restorative Expanded Functions-Basic Prerequisite course.

Required to host site

Costs will be negotiated between the instructor and the facility where the course is taught.

This course is offered by request "in your clinic." It is suggested that the Chief of the dental clinic contact Dr. Haney directly by email at haney@sisna.com. Costs will be negotiated between the instructor and the facility where the course is taught.

This course is a continuation of the “Basic Expanded Functions” course, which is a prerequisite.
All five-cavity classifications/preparations will be covered in lecture and laboratory exercises, including amalgam and composite restorations. Lectures will review and update course participants on dental restorative materials including a discussion of bonding agents. Laboratory exercises will be performed on typodonts beginning with conservative preparations and working up to and including cusp-protected amalgam and incisal angle composite resin restorations. Also, participants will be introduced to the basics of occlusion. The course will require that the participant perform 5 cusp-protecting amalgams [CPAs] and 5 class IV composite restorations back in their clinical setting before receiving her/his certificate.

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2. Be able to place and finish complex Class II amalgam restorations and composite restorations involving the incisal angle.
3. Have an understanding of the current state-of-the-art in dentinal bonding agents.
4. Have the ability to discriminate between acceptable and unacceptable restorations

1. Certificate from the Basic Expanded Functions course.
2. Completion of the online Restorative Expanded Functions-Basic Prerequisite course.

To host site

Costs will be negotiated between the instructor and the facility where the course is taught.

Following completion of the IHS Restorative Expanded Function BASIC Course, dental assistants have up to 6 months to complete the post-course requirements. One this requirement is met, the supervisor of the dental assistant will notify the IHS CDE Coordinator of completion of the requirements [documentation of completion will be maintained at the local clinic and does not need to be sent into the IHS CDE Coordinator]. The IHS CDE Coordinator will then provide a completion code to the dental chief/director and the dental assistant. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative Expanded Function Dental Assistant Certificate.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the restorative EFDA course;
2. Complete the in-person restorative EFDA course; and
3. Have his/her supervisor notify the IHS CDE Coordinator of completion of post-course requirements.

None

No tuition

Following completion of the IHS Restorative Expanded Function ADVANCED Course, dental assistants have up to 6 months to complete the post-course requirements. One this requirement is met, the supervisor of the dental assistant will notify the IHS CDE Coordinator of completion of the requirements [documentation of completion will be maintained at the local clinic and does not need to be sent into the IHS CDE Coordinator]. The IHS CDE Coordinator will then provide a completion code to the dental chief/director and the dental assistant. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative Expanded Function Dental Assistant Certificate.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the restorative advanced EFDA course;
2. Complete the in-person restorative advanced EFDA course; and
3. Have his/her supervisor notify the IHS CDE Coordinator of completion of post-course requirements.

None

No tuition

This course will provide dental assistants with the knowledge and skills to perform supplemental oral surgery procedures and understand why and how oral surgery procedures are performed.

Upon completion of this course, participants will be able to:
1. Describe complex oral surgery procedures and their role in those procedures;
2. Explain how to recognize and treat medical emergencies; and
3. Describe adjunctive measures in an oral surgery practice.

None

Yes, to host hotel. For more information, contact Dr. Justin Sikes at Justin.sikes@ihs.gov.

Title V compacted programs should send $200.00 per student to:
IHS Division of Oral Health, ATTN: CDE Coordinator, 5600 Fishers Lane, Mail Stop 08N34 A, Rockville, MD 20857.
Tuition is required only for staff from Title V Compact programs, and is required at least 2 weeks prior to the course.

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

THIS COURSE IS OPEN ONLY TO CLAREMORE SERVICE UNIT
Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

None

NA

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

Agenda:

Monday 1:00-5:00 PM - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Tuesday 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Tuesday 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Wednesday 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Wednesday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Thursday 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Thursday 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Friday 8:00 AM- Noon – Practicum and Close Out
• Students provide dental cleanings for patients until 11:00 AM
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record, which is then maintained at the local program. The dental chief/director should then e-mail the IHS CDE Coordinator to inform him that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS CDE Coordinator will provide the student with a link to receive their CDE certificate and their EFDA certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

Travel required to attend course in person in Crow Agency, MT.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

This is a CLOSED course, available only to dental assistants at San Carlos.

This course is a continuation of the “Basic Expanded Functions” course, which is a prerequisite.

All five-cavity classifications/preparations will be covered in lecture and laboratory exercises, including amalgam and composite restorations. Lectures will review and update course participants on dental restorative materials including a discussion of bonding agents. Laboratory exercises will be performed on typodonts beginning with conservative preparations and working up to and including cusp-protected amalgam and incisal angle composite resin restorations. Also, participants will be introduced to the basics of occlusion. The course will require that the participant perform 5 cusp-protecting amalgams [CPAs] and 5 class IV composite restorations back in their clinical setting before receiving her/his certificate.

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2. Be able to place and finish complex Class II amalgam restorations and composite restorations involving the incisal angle.
3. Have an understanding of the current state-of-the-art in dentinal bonding agents.
4. Have the ability to discriminate between acceptable and unacceptable restorations

1. Certificate from the Basic Expanded Functions course.
2. Completion of the online Restorative Expanded Functions-Basic Prerequisite course.

To host site

NA

This is a CLOSED course, available only to dental assistants selected previously by the course director.

This course is a continuation of the “Basic Expanded Functions” course, which is a prerequisite.

All five-cavity classifications/preparations will be covered in lecture and laboratory exercises, including amalgam and composite restorations. Lectures will review and update course participants on dental restorative materials including a discussion of bonding agents. Laboratory exercises will be performed on typodonts beginning with conservative preparations and working up to and including cusp-protected amalgam and incisal angle composite resin restorations. Also, participants will be introduced to the basics of occlusion. The course will require that the participant perform 5 cusp-protecting amalgams [CPAs] and 5 class IV composite restorations back in their clinical setting before receiving her/his certificate.

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2. Be able to place and finish complex Class II amalgam restorations and composite restorations involving the incisal angle.
3. Have an understanding of the current state-of-the-art in dentinal bonding agents.
4. Have the ability to discriminate between acceptable and unacceptable restorations

1. Certificate from the Basic Expanded Functions course.
2. Completion of the online Restorative Expanded Functions-Basic Prerequisite course.

To host site

NA

This course is composed of didactic and clinical instruction. It is designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers.

This course is for the Lawton Service Unit

Agenda:

Time Block 1 [4 hours] - Lecture
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Time Block 2 [4 hours] - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts

Time Block 3 [4 hours]- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback

Time Block 4 [4 hours]- Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback

Time Block 5 [4 hours] - Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback

Time Block 6 [4 hours] - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Time Block 7 [4 hours] - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback

Time Block 8 [4 hours] – Practicum and Close Out
• Students provide dental cleanings for patients
• Explanation of post-course work, Q&A session, and evaluations

Post-Course Requirements: Students must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. This is documented on the Follow-Up Training Progress Record maintained on site by the dental assistant's supervisor. Upon successful completion of the 20 cases, the supervisor should e-mail the IHS CDE Coordinator, who will then provide the DA with information on how to print their EFDA Certificate.

Upon completion of this course, participants will be able to: 1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; and antimicrobials and their use in preventing and treating periodontal diseases. This online course consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the course.

NA

NA

There is no need to "Register" for this course. Simply login to the CDE and use the link provided on the Course Page - "Take the exam" in the "Instructions" section on the Course Detail page to receive credit.

According to PL 97-35, the initial certification of competency in Dental Radiology involves two components:
1. Written Evaluation: "A criterion-reference test designed to measure knowledge and functional capability essential for making diagnostically acceptable radiographic surveys with minimal risk to the patient and the operator."
2. Clinical Evaluation: "The written examination is supplemented as necessary with a clinical examination." Demonstration of clinical proficiency means meeting the minimum standards in Infection control, radiology protection, quality of radiographs and presentation of radiographs.

The radiology certification process is intended to be accomplished at the dental auxiliarys facility under the guidance of the supervising dentist.

This course is the online version of the written exam.
Upon successful completion [a grade of 75 percent or higher] on the online exam and the completion of the clinical portion of the radiology certification process, the dental auxiliary will receive a certificate of competency in radiology.

To complete the online clinical portion of the radiology exam process, the supervisor must enter the clinical evaluations online in the dental directory. Go to the Assistants listing in the directory and use the drop down menu under their name to select "Add Radiology Clinical Eval" which will present the evaluation entering screen.

There is no need to "Register" for this course. Simply login to the CDE and use course DA2001 to prepare for the exam, if necessary, and then Click on "Take the exam" in the "Instructions" section on the Course Detail page to receive credit.

According to PL 97-35, the initial certification of competency in Dental Radiology involves two components:
1. Written Evaluation: "A criterion-reference test designed to measure knowledge and functional capability essential for making diagnostically acceptable radiographic surveys with minimal risk to the patient and the operator."
2. Clinical Evaluation: "The written examination is supplemented as necessary with a clinical examination." Demonstration of clinical proficiency means meeting the minimum standards in Infection control, radiology protection, quality of radiographs and presentation of radiographs.

The radiology certification process is intended to be accomplished at the dental auxiliarys facility under the guidance of the supervising dentist.

This course is the online version of the written exam.
Upon successful completion [a grade of 75 percent or higher] on the online exam and the completion of the clinical portion of the radiology certification process, the dental auxiliary will receive a certificate of competency in radiology.

To complete the online clinical portion of the radiology exam process, the supervisor must enter the clinical evaluations online in the dental directory. Go to the Assistants listing in the directory and use the drop down menu under their name to select "Add Radiology Clinical Eval" which will present the evaluation entering screen.

It is recommended that dental auxiliaries study for the exam using Digital Imaging course DA2001.

The Consumer-Patient Radiation Health and Safety Act of 1981 [PL 97-35] requires dental personnel be trained and certified in dental radiology. The intent of radiology certification is to eliminate unnecessary radiation exposure to the patient, operator, and other staff while assuring quality, diagnostic radiographs. The certification process involves successfully passing a written examination, and demonstrating clinical competency while adhering to accepted radiological practices.

After completing this course, dental auxiliaries will be prepared to take the written exam, and demonstrate competency in the following areas:



Infection Control

None

None

No tuition

The Consumer-Patient Radiation Health and Safety Act of 1981 [PL 97-35] requires dental personnel be trained and certified in dental radiology. The purpose of the certification program is to eliminate unnecessary radiation exposure to the patient, operator, and other staff while assuring quality, diagnostic dental images.

Learning resources [video demonstrations, practice quizzes, skill competency checklists] are accessible after registering for this course. The learning resources also include the Dental Digital Imaging Study Guide which presents information about: 1] Radiation Safety and Protection; 2] Digital Dental Equipment; 3] Dental Digital Imaging Techniques; 4] Infection Control; and 5] Special Dental Imaging Techniques.

After studying the information in the Dental Digital Imaging Study Guide, watching the video demonstrations, completing the quizzes and skill competencies, dental auxiliaries will be prepared to take the written exam, and demonstrate competency in digital imaging in the following areas:

Infection Control
• Place barriers or disinfect operatory and X-ray equipment.
• Wear appropriate PPE.
• Select appropriate receptor and exposure settings.
• Assemble the XCP.
• Disinfection of the protective devices [apron and thyroid collar].
• Limit contamination when taking dental images.

Patient Protection
• Place protective devices on each patient during all exposures.
• Store protective devices to reduce creasing and damage.
• Stabilize the PID or cone and position it in close proximity to the XCP when the image is taken.

Operator Protection
• Stand at least six feet from the patient and not in the path of the primary beam or behind protective barrier during exposure.
• Allow only necessary persons in radiographic area during exposures.
• Give a warning prior to pushing the X-ray activator button.
• Position receptor and cone correctly without being held by staff or patient during exposures.
• Wear dosimeter.

Take, Process, and Upload into Proper Template/ Store Diagnostic Dental Digital Images
• Place receptor appropriately for the area of the mouth under study.
• Take images with correct density and contrast such that anatomical hard and soft tissue landmarks can be differentiated.
• Take images with no distortion in the area of the mouth under study.
• Take images with no overlapping in the area of mouth under study, except where tooth alignment does not permit open contacts.
• Take images with no cone-cutting.
• Take bitewing images that show the distal surface of the erupted canine and distal surface of the second molar.
• Use appropriate template to assure dental images are dated, identified with patient’s name and chart number, and contained in the patient’s electronic dental record.

None

None

No tuition required

You must be logged in to the CDE site to access this course. This one-hour course, How to Apply fluoride Varnish, was developed as a collaboration between the Indian Health Service [IHS] and the IHS Head Start Program. This course will provide an overview of Early Childhood Caries and describe its impact among American Indian and Alaska Native children. Participants will learn how to provide an oral health risk assessment, how to apply fluoride varnish, and key messages for families to prevent ECC.

Course developed January, 2010.

After completing this course, participants will be able to:

1. Describe Early Childhood Caries [ECC]
   
2. List two ways to prevent ECC.
   
3. Recognize the various stages of ECC.
   
4. Discuss the benefits of topical fluoride.
   
5. List the 5 steps to applying fluoride varnish.
   
6. Demonstrate the appropriate application of fluoride varnish.
   
7. List one key message for families to prevent ECC.
   

None

This series of five modules is designed to provide oral health
professionals with information to help ensure that young children with
special health care needs have access to health promotion and disease
prevention services that address their unique oral health needs in a
comprehensive, family-centered, and community-based manner. Four CE
credits through IHS are available to dentists, dental hygienists, and
dental assistants.

• Module 1: An Overview of Children with Special Health Care Needs and Oral Health
  
• Module 2: Providing Optimal Oral Health Care
  
• Module 3: Oral Health Supervision
  
• Module 4: Prevention of Oral Disease
  
• Module 5: Behavior Guidance
  

To register for the course, click on the link www.mchoralhealth.org/SpecialCare and follow the directions to start the course.

At the end of this course, participants will be able to be:
1. Aware and responsive to the oral health unique requirements for young children with special health care needs.
2. Develop family-centered preventive programs for young children with special health care needs.
3. Proficient in managing oral health behaviors for young children with special health care needs.

None

Course developed September, 2006; reviewed August, 2011.

The goal of infection control is to create a safe environment to prevent or reduce the risk of disease transmission to patients and dental staff. Having trained staff who know how to do this becomes a critical part of any infection control program. This course is appropriate as an annual review of infection control procedures and practices for all dental providers.

This course is delivered online including narration and interactive activities.

At the end of this course you will be able to:

• Explain the importance of infection control
  
• Describe the four principles of infection control
  
• Discuss practices to reduce or prevent the risk of disease transmission
  

To receive CDE credit, you must view the entire course, pass the quiz with a score of 80 or higher, and complete a course evaluation. You will be able to print a letter documenting successful completion.

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

You want to be effective with every client, but sometimes it feels like you are not only ineffective, you might even be bothersome. This training will help you improve your communication skills. You will learn to listen better, hear what your client is really saying, and therefore know what kind of information will really help them. Plus, you’ll get to test the techniques presented, so the next time you meet with your client, you’ll be ready to listen and be heard.
The training consists of two interviews, a coaching session on basic communication skills and a discussion of these skills, a short quiz and a practice session to gain experience.

Course developed February, 2008; reviewed March, 2011.

At the end of this training, you will be able to:

• Identify six techniques important in building relationships with clients to enhance lifestyle change
  
• Apply the six techniques in a simulated counseling session
  
• Describe one change you can make in your practice as a result of completing this training

You must have a computer with internet access and a browser such as Internet Explorer. You must also have Flash 8 Player installed on your computer to watch the videos. Click on the "Flash" link in the bottom navigation menu to install the player, if necessary. If you have trouble viewing any of these video trainings, contact us for alternate viewing options at talee.roberts@ihs.gov.

Conflicts happen. You probably experience them every day. They don’t have to be uncomfortable, and they don’t have to escalate. This training will help you see that in every conflict there is an opportunity to find common ground, and come together to achieve goals. By learning these solid conflict resolution skills, the thought of facing conflict will no longer be anxiety-producing. This training will give you the knowledge and experience so you can deal confidently with conflicts no matter how large or small.
The training consists of two phone calls, a discussion of conflict resolution skills, a short quiz and an evaluation.

It is the policy of the Indian Health Service [IHS], Division of Oral Health [DOH], that faculty/presenters disclose any significant financial or other relationships with commercial companies whose products may be discussed in the activity. The IHS, DOH also requires faculty disclose any unlabeled or investigational use [not yet approved for any purpose] of pharmaceutical products and medical devices.

Course developed February, 2008; reviewed March, 2011.

At the end of this training, you will be able to:

• Identify the four levels of conflict communication.
  
• Apply skills that enhance the four levels of conflict communication
  
• Describe the two goals of conflict resolution
  
• Describe one change you can make in your practice as a result of completing this training.
  

You must have a computer with internet access and a browser such as Internet Explorer. You must also have Flash 8 Player installed on your computer to watch the videos. Click on the "Flash" link in the bottom navigation menu to install the player, if necessary. If you have trouble viewing any of these video trainings, contact us for alternate viewing options at talee.roberts@ihs.gov

This training presents ways to make your large meetings or conferences and small staff meetings more interesting and effective. Meetings that provide opportunities for participants to interact and network with each other and provide information on the latest developments in diabetes care can enhance overall patient care. Our goal is to enliven meetings that can too often become routine and boring. Information is included on how to facilitate a variety of techniques during your meetings such as panel discussions; brainstorming, role playing and others. We encourage you to experiment with alternative ways of setting up your meetings. In this way, you will enhance the contributions of everyone and make life a lot more interesting at work.

Course developed February, 2008; reviewed March, 2011.

At the end of this training, you will be able to:

• Identify the principles of planning creative meetings.
  
• Describe five techniques that encourage interaction and networking among participants.
  
• Compare and contrast the goals of small and large meetings and the five techniques.
  
• Discuss the role of the facilitator in small and large meetings and the five techniques.

You must have a computer with internet access and a browser such as Internet Explorer. You must also have Flash 8 Player installed on your computer to watch the videos. Click on the "Flash" link in the bottom navigation menu to install the player, if necessary. If you have trouble viewing any of these video trainings, contact us for alternate viewing options at talee.roberts@ihs.gov

Whether working with clients or colleagues, having good problem-solving skills enhance collaboration and team work. Working together as a team can enhance work satisfaction, increase productivity, provide support and improve personal connections. Instead of trying to solve problems once they have occurred, problem-solving models provide a framework to tackle problems as they arise. In this training, you will see a problem unfolding and have the opportunity to view and practice problem-solving skills.
The training consists of a series of short videos with quiz questions and coaching on problem solving skills, a short quiz and an evaluation.

Course developed February, 2008; reviewed March, 2011.

At the end of this training, you will be able to:

• Identify the steps in problem solving
  
• Apply skills that enhance problem solving
  
• Describe related communication skills that enhance problem solving [i.e., listening skills, nonverbal communication, questioning and reflection]
  
• Describe one change you can make in your practice as a result of completing this training

You must have a computer with internet access and a browser such as Internet Explorer. You must also have Flash 8 Player installed on your computer to watch the videos. Click on the "Flash" link in the bottom navigation menu to install the player, if necessary. If you have trouble viewing any of these video trainings, contact us for alternate viewing options at talee.roberts@ihs.gov

This course provides an overview of prevention strategies to improve oral health both in the dental clinic and in American Indian/Alaska Native communities. The course discusses the importance of prevention and describes best practices to prevent dental caries and periodontal diseases in all age groups.

Course developed February, 2010.

After completing this online course, participants will be able to:

1. List three ways to provide topical fluoride.
   
2. Discuss the effectiveness of sealants in AI/AN communities.
   
3. Describe an effective protocol for fluoride varnish for children 9-24 months of age.
   
4. List two negative effects of drinking pop.
   
5. List the steps for providing a toothbrush prophylaxis.
   
6. Discuss the effects of tobacco use and diabetes on periodontal disease.
   
7. List three ways that you can get involved in oral health in your community.
   
8. Describe two ways to improve the effectiveness of oral health education.

   Hardware/Software Requirements:

Windows	Macintosh
Intel Pentium II 450MHz or faster processor [or equivalent]	PowerPC G3 500MHz or faster processor
128MB of RAM	128MB of RAM

Operating systems and browsers
Flash Player 8 is supported on the following operating systems and browsers:

Windows

Platform	Browser
Microsoft Windows 98	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Me	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows 2000	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows XP	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later
Windows Server 2003	Microsoft Internet Explorer 5.5, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL 9, Opera 7.11 or later

Macintosh

Platform	Browser
Mac OS X v.10.1.x, 10.2.x, 10.3.x, or 10.4.x	Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x or later, AOL for Mac OS X, Opera 6, Safari 1.x or later

In the wake of recent disasters such as Hurricanes Katrina and Rita and the terrorist attacks on September 11, 2001, and the Homeland Security Presidential Directive [HSPD-21], emergency preparedness and disaster and crisis response have gained national recognition and significance. This course is designed to equip disaster and crisis volunteers and personnel with the awareness, knowledge, and skills needed to provide culturally and linguistically appropriate services to diverse communities during all phases of disaster. The course is grounded in the Office of Minority Health's [OMH] CLAS Standards, which are grouped into three themes: Culturally Competent Care, Language Access Services, and Organizational Supports.

Course developed September, 2008; reviewed August, 2011; scheduled for review December, 2012.

Upon completion of this course, the participant will be able to:

1. Discuss issues related to cultural competency in disaster preparedness, response, and recovery.
2. Identify strategies to promote self-awareness about attitudes, beliefs, biases, and behaviors that may influence the disaster services they provide.
3. Devise strategies to enhance skills toward the provision of culturally and linguistically competent care in disaster situations.
4. Demonstrate the advantages of the adoption of the CLAS Standards as appropriate in their emergency services.

None

This online course presents current information regarding alcoholism and fetal alcohol syndrome, as well as the dental management of patients affected by alcoholism. This interactive program includes a presentation of information on specific topics followed by practice in the form of multiple-choice and true/false questions. This format provides you with immediate feedback to reinforce key learning concepts for different topics, and prepare you for the final quiz.

Upon completion of this course, participants will be able to:

1. Define alcoholism and its effects on different body systems.
3. Discuss contraindications of medciations for the alcoholic patient.
4. Identify considerations when treating patients with alcohol problems.
5. Describe fetal alcohol syndrome [FAS] and fetal alcohol effect [FAE].
6. List considerations when treating patients with FAS/FAE.
7. Explain the purpose and components of CAGE questionnaire.

None.

Course developed February, 2011.

This course reviews the carious process and etiology. It also covers various strategies commonly used for both caries prevention and control. It also presents appropriate combinations of strategies for patients in various risk categories. Supplemental reading is suggested at the end of the course.

Course developed July, 2009; reviewed August, 2011.

At the completion of this course, you will be able to:
1. Discuss dental caries risk assessment and the IHS risk categories.
2. Explain the various factors that place some patients at greater risk of developing dental caries.
3. Describe how the concept of caries management might be used to improve access to dental care.

None

This course covers treatment assumptions made with conventional caries management. It explains the risks of restorative treatment and the impact of examiner variation on patient care. Supplemental reading is suggested at the end of the course.

Course developed July, 2009; reviewed August, 2011.

At the completion of this course, you will be able to:
1. List the treatment perspectives of conventional caries management.
2. Describe what could lead to variability in diagnosis and treatment planning.
3. Identify the risks of restorative intervention.
4. Contrast caries treatment choices between the conventional and medical models.

None

This course covers exam and diagnosis, treatment planning and recall. It focuses on the concept of a risk-based medical model to manage dental caries. It is an evidence based approach to preventive and restorative procedures that considers both the clinician’s judgment and available resources. Recommendations and regimens listed are supported by current professional, refereed literature. The model is a clinical approach which addresses treatment planning and delivery of oral health care services for the individual and family. Supplemental reading is suggested at the end of the course.

Course developed July, 2009; reviewed August, 2011.

At the completion of this course, you will be able to:
1. Describe how to examine for and diagnose dental caries.
2. Place patients in appropriate risk categories based on exam findings and modifiers.
3. Develop a prioritized treatment plan that includes an appropriate recall interval.

None

This course provides two basic reasons for evaluating a caries risk program: 1] are doing it right and 2] does it work. If you are not doing the right things, you can’t possibly tell if a particular program is working or not. Supplemental reading is suggested at the end of the course.

Upon completion of this course, you will be able to:
1. Discuss why program evaluation is important.
2. Identify what outcomes will be measured in your program and how they will be measured.
3. Describe the importance of coding standardization and the need to apply codes in a consistent and appropriate manner.

None.
Course developed January, 2001. Revised January, 2004. Revised January, 2010.

This course showcases a risk based approach for the management of dental caries. It includes basic information on caries diagnosis, risk assessment and treatment planning. Supplemental reading is suggested at the end of the course.

Course developed January, 2001.
Revised January, 2004
Revised January, 2010

Upon completion of this course, you will be able to:
1. Discuss dental caries risk assessment and the IHS risk categories.
2. Describe the various factors that place some patients at greater risk of developing dental care.
3. Explain how the concept of caries management might be used to improve access to dental care.

None

This course showcases a risk based approach for the management of periodontal diseases. It includes basic information on periodontal detection, diagnosis, risk assessment, treatment planning, and prognosis.

Upon completion of this course, the participant will be able to:
1. Diagnose periodontal diseases.
2. List 4 major risk factors that place patients at greater risk of developing periodontitis.
3. Discriminate between teeth with guarded and hopeless prognoses.
4. Explain how the concept of risk assessment and periodontal management might be used to improve access to dental care.

All staff working in Indian Health Service, Tribal and Urban Indian healthcare facilities are invited to attend the IHS Tribal Forensic Healthcare’s web-based training on Domestic Violence Screening. This training supports the IHS GPRA measure on DV Screening. This training is available year round and can be completed according to your schedule.

After completing this activity, the participant should be better able to:

• Defining IPV across the lifespan
  
• Describing ways to create a supportive environment
  Identifying limits of confidentiality and parameters for mandatory reporting requirements
  
• Describing the GPRA IPV/DV screening measure and documenting the results using he EHR, BHS, or paper encounter forms
  
• Employing a process for comprehensive screening of IPV patients

In order to address the dual epidemics of Chronic Pain and Unintended Overdose within Indian Country, IHS, in partnership with the University of New Mexico Project ECHO and the Center for Rural and Community Behavioral Health, is providing Essential Training on Pain and Addiction. This training will be essential for all IHS providers who have a DEA number and will provide 5 hours of free CE.

In order to minimize the impact on patient care, this training will be conducted via Adobe Connect. This platform will allow you to connect and participate from any internet connected device [including mobile devices]. Be aware that it is expected that you will complete the entire session in one day, otherwise you will have to restart the training.

Webinar begins at 9:00AM [Mountain Time]

Total Time= 6 hours [5 hours of training, 30 min. lunch break, 15 min. breaks x 2]

This course was sponsored by the IHS TeleBehavioral Health Center of Excellence - contact Mary Toledo at Mary.Toledo@ihs.gov or 505-248-4312.

Upon completion of this course, the participant will be able to:
1. Discuss the epidemic of unintentional opiate overdose deaths.
2. List Institute of Medicine Guidelines for Best Practices in pain management.
3. Explain safe prescribing of opiate analgesics, with detailed equianalgesic dosing guidelines.
4. Identify the patient at risk for addictions, current addictions issues, and diversion.
5. Refer to Federal regulations regarding pain management.

None