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 recorded webinars consists of 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 webinar provides participants 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

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 - are discussed in this one-hour recorded 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 webinar provide a basic overview of the Indian Health Service structure and organization.

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, designed for dental managers, is a recorded webinar that covers personnel systems and performance evaluations.

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 recorded webinar provides participants with ways to create fillable forms in Microsoft Word and Adobe Acrobat, and how to convert one format to another.

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.

None required

No tuition

This recorded webinar provides answers to some frequently asked questions - how to assess reading levels in a document, how to remove auto-corrections in Word, and how to compress files and pictures.

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.

None required

No tuition

This recorded webinar provides participants with an overview of working in Microsoft Excel.

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.

None required

No tuition

This recorded webinar offers participants the chance to learn Microsoft Outlook, including how to create .pst files, how to check folder sizes, how to use the calendar, etc.

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.

None required

No tuition

This recorded webinar provides dental staff with an update of CDC infection control recommendations in a dental setting and is particularly useful for new dental directors.

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 recorded webinar provides participants with the basics of public health dentistry which are critical to providing dental services to communities in IHS and tribal settings.

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 recorded webinar provides 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 webinar provides 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.

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

How is quality measured in IHS and tribal dental settings? This recorded webinar covers the basics for quality assurance and improvement for dental settings.

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.

None required

No tuition

Improving antibiotic use is an important public health priority not only to reduce the spread of antibiotic resistance but also to protect patients from the unintended consequences of antibiotic use. Dentistry contributes a large proportion of human antibiotic use. This course will discuss partnerships and policies that are key to improving antibiotic use, as well as both the challenges and opportunities for dental health professionals to play a role in improving antibiotic use.

Upon completion of this course, participants will be able to:
1. Describe progress in measuring antibiotic use in dentistry;
2. Discuss key partnerships and policies to improve antibiotic use in dentistry; and
3. Discuss challenges and opportunities for dental health professionals to play a role in improving antibiotic use.

Participants must be USPHS dentists.

None.

Please Make Checks Payable to: Indian Health Service.

Today in America, addiction is a public health crisis. The opioid epidemic and substance use disorders more broadly have become one of the most common chronic illnesses in the U.S. In 2016, more than 115 Americans die from an opioid overdose. The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare.

In 2015, nearly 21 million Americans – more than the number of people who have all cancers combined – suffer from a substance use disorder involving alcohol or drugs – but only 1 in 10 receives treatment. One in 7 people in the U.S. is expected to develop a substance use disorder at some point in lives.

The Office of the Surgeon General released the first ever Surgeon General’s report on Substance Use and Addiction in November 2016. Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health addresses alcohol, illicit drugs, and prescription drug misuse, with chapters dedicated to neurobiology, prevention, treatment, recovery, health systems integration and recommendations for the future. It provides an in-depth look at the science of substance use disorders and addiction, calls for a cultural shift in the way Americans talk about the issue, and recommends actions we can take to prevent and treat these conditions, and promote recovery.

In 2018, the Office of the Surgeon General released a public health advisory to urge more Americans to carry a lifesaving medication, naloxone, which can reverse the effects of an opioid overdose. Additional help and resources are available.

In 2018, The Surgeon General released Facing Addiction in America: Spotlight on Opioids to provide opioid-relevant information for the 2016 Surgeon General’s Report. The Surgeon General’s opioid postcard has 5 actions every person can take to stem the opioid epidemic. For more opioid resources, go to hhs.gov/opioids.

This course is open to all USPHS dentists. The weblink will be sent out via the listserv.

Upon completion of this course, participants will be able to:
1. Recognize signs of an opioid overdose, as compared to other medical emergencies;
2. Administer an opioid reversal agent and provide assistance until emergency medical team responds; and
3. Understand the role of dental staff in immediately responding to opioid overdoses.

Participants must be USPHS dentists.

None.

Please Make Checks Payable to: Indian Health Service.

This course is limited to the first 35 who register.

The National Challenges Course is designed to be an orientation course for new dentists - dentists with less than 3 years of experience in an IHS, Tribal, or Urban dental program. This course is taught by the IHS National Dental Specialty Consultants and relays standards of care for IHS dental programs. Whether you're a new dental graduate or a seasoned private practice dentist but new to the IHS, this course has something to offer to all newer dentists.

Individual session learning objectives are available in the Challenges Program. Overall, upon completion of this meeting/course, participants should be able to:

1. Describe the organizational structure of the Indian Health Service;
2. List at least one standard of care for each dental discipline; and
3. Define at least two best practices to help prevent tort claims.

None

To host site

Payment must be by check and accompanied by Tuition Payment Form
IHS DIvision of Oral Health, ATTN: CDE Coordinator
5600 Fishers Lane, Mail Stop 08N34 A
Rockville, MD 20857

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 2020 ADO-HQ Meeting sessions are designed to teach seasoned ADOs and HQ staff 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.

Session 1: October 6, 2020: ADO Concepts IV - 2 hours
Session 2: October 8, 2020: COVID-19 Infection Control Issues - 2 hours
Session 3: October 13, 2020: Health Promotion/Disease Prevention - 2 hours
Session 4: October 15, 2020: Recruitment Update/CDO Issues - 1 hour

Upon completion of this course, the participant will be able to:
1. Discuss how to help dental directors with specific scenarios related to dental clinic management during the COVID-19 pandemic;
2. Provide an overview of the CDC's guidelines for infection control in dental settings during the pandemic; and
3. Describe the improvement made in 13-15 year-old dental disease in the AI/AN population.

Must be an Area Dental Officer or IHS Headquarters Division of Oral Health.

Zoom meeting.

No tuition

LIMITED TO NEW AREA DENTAL OFFICERS ONLY

This course is for new Area Dental Officers and will provide the attendees with a basic understanding of the structure of IHS, Public Law 93-638, Budgets for local clinics and personnel management systems in dental clinics. The course will also cover how to assist dental directors with local clinic management issues such as quality assurance/improvement, efficiency/effectiveness, the electronic dental record and how to develop or amend existing policies and procedures. Finally, the curriculum will provide attendees an understanding of how an Area Dental Officer can improve individual field clinics by performing program reviews.

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.

None

Today in America, addiction is a public health crisis. The opioid epidemic and substance use disorders more broadly have become one of the most common chronic illnesses in the U.S. In 2017, more than 130 people died daily from opioid-related drug overdoses. The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare. Medication-Assisted Treatment [MAT] is the use of medications in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. This one-hour webinar will focus on understanding the medications used for Medication-Assisted Treatment for Opioid Use Disorder and how to manage dental pain in patients on MAT.

Upon completion of this course, participants will be able to:
1. Describe Opioid Use Disorder [OUD] and Medication-Assisted Treatment [MAT].
2.    Understand medications used for MAT for OUD, and
3.    Be able to manage dental pain in patients on MAT.

This course is open to everyone.

None.

Please Make Checks Payable to: Indian Health Service.

This is a continuation of Pediatric Dental Concepts I offered in FY 2020 and is open to dentists and DHATs.

This course, presented virtually, is an introduction to recognizing the need for guidance of eruption and the clinical steps dentists can take to optimize the natural eruption of permanent teeth. It is a two-part webinar course intended to increase the skill and comfort level of dentists and dental health aide therapists in identifying, treatment planning, and guiding the emergence of the permanent dentition in the pediatric and adolescent dental patient.

To obtain CDE credit, participants must participate in both live sessions on March 10 and 24, 2021.

Upon completion of this two-session virtual educational series, participants will be able to:
1. Describe the use of serial extractions in permanent tooth emergence;
2. Identify potential delayed tooth eruption and resolution options; and
3. Describe the use of space maintenance to develop the adult dentition.

Participants must pre-register for this course.

None -online

Please Make Checks Payable to: Indian Health Service.

This multi-part course is designed to orient new dentists in the Indian Health system on standards of care related to dental public health, endodontics, infection control, operative dentistry, oral surgery, orthodontics, pediatric dentistry, periodontics, and prosthodontics.

For additional guidance, please go to the Dental Specialties Manual, which can be found under the Clinic tab on the IHS Dental Portal.

Upon completion of these modules, participants should be able to:
1. Broadly describe standards of care related to different dental specialties;
2. Identify national specialty consultants for follow-up questions and consultation; and
3. Implement best practices in IHS or tribal dental programs based on course content.

Participants should be dentists who have entered the Indian Health system within the past five years.

None

Please Make Checks Payable to: Indian Health Service.

This course will provide an overview of the tobacco use in the United States, including an overview of the Surgeon General's Report on E-Cigarette Use Among Youth and Young Adults. This course was live on 10/31/18 and will be available for 3 years as a recorded webinar.

Upon completion of this course, participants will be able to:
1. Describe the incidence of e-cigarette use in the U.S.;
2. Explain the significance of e-cigarette abuse on oral and overall health; and
3. Implement strategies to educate patients about dangers of e-cigarettes.

Participants must be USPHS dentists.

None.

Please Make Checks Payable to: Indian Health Service.

This course will provide an overview of the Surgeon General's priorities as they relate to oral health.
This course is open to all USPHS dentists.

Upon completion of this course, participants will be able to:
1. List three current priorities of the U.S. Surgeon General;
2. Describe the severity of the opioid epidemic, the prevalence of tobacco use, and the oral health disparities in the U.S.; and
3. Explain five ways that oral health providers can address these national priorities.

Participants must be USPHS dentists.

None.

Please Make Checks Payable to: Indian Health Service.

This course will provide an overview of the Surgeon General's priorities as they relate to oral health.
This course is open to all USPHS dentists. The weblink will be sent out via the listserv.

Upon completion of this course, participants will be able to:
1. List three current priorities of the U.S. Surgeon General;
2. Describe the severity of the opioid epidemic, the prevalence of tobacco use, and the oral health disparities in the U.S.; and
3. Explain five ways that oral health providers can address these national priorities.

Participants must be USPHS dentists.

None.

Please Make Checks Payable to: Indian Health Service.

NOTE: YOU MUST BE MARKED AS "COMPLETED" IN ORDER TO REGISTER FOR A PERIODONTAL EFDA COURSE!

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, created in 2016 and updated annually, 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.

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.

Following completion of the IHS Periodontal Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing 20 dental cleanings which are checked and scored by the hygienist/dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Periodontal Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the periodontal EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

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 - for this course, the DA must have completed DA0001, the Basic Periodontal Prerequisites;
2. Complete the in-person periodontal EFDA course;
3. BE MARKED AS "COMPLETE" for the periodontal EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

Following completion of the IHS Restorative Composite-Only Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative COMPOSITE-ONLY Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

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 - for this course, the EFDA must have completed both DA0004, the Basic Prerequisites Course, and a Restorative BASIC Expanded Function Dental Assistant Course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

NOTE: YOU MUST BE MARKED AS "COMPLETED" IN ORDER TO REGISTER FOR A RESTORATIVE EFDA COURSE!

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

Following completion of the IHS Restorative Basic Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing 40 dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative BASIC Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

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 - for this course, the DA must have completed DA0004, the Basic Prerequisite Course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

Following completion of the IHS Restorative Advanced Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative ADVANCED Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

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 - for this course, the DA must have completed both DA0004, the Basic Prerequisite Course, and a Restorative BASIC EFDA course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

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:

Day 1: 1-5
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Day 2: 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts
Day 2: 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback
Day 3: 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback
Day 3: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback
Day 4: 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 4: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 5: 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 EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how 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 and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

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:

Day 1: 1-5
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Day 2: 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts
Day 2: 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback
Day 3: 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback
Day 3: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback
Day 4: 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 4: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 5: 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 EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how 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 and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to host site is required.

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.

At this time, this course is only open to dental assistants in the Lawton Service Unit.

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:

Day 1: 1-5
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Day 2: 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts
Day 2: 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback
Day 3: 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback
Day 3: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback
Day 4: 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 4: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 5: 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 EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how 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 and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

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.

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, and Class III & V composite restorations are covered in lecture and laboratory exercises. Other written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants with limited or no training and/or experience in the placement of restorative materials. It is only practical for 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 supervised placement of amalgam and composite restorations is required in order to complete the course with a Certification as a Restorative Expanded Function Dental Assistant. Students will receive CDE credits for their training time during this class, without regard to grades or future certification.

1. Describe tooth morphology and structure and the materials used to restore them.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and an unacceptable restoration.

Mandatory: Completion of the online Restorative Expanded Functions-Basic Prerequisite Course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Please Make Checks Payable to: Indian Health Service.

At this time, this course is only open to Shiprock dental assistants.

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:

Day 1: 1-5
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Day 2: 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts
Day 2: 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback
Day 3: 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback
Day 3: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback
Day 4: 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 4: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 5: 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 EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how 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 and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

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.

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, and Class III & V composite restorations are covered in lecture and laboratory exercises. Other written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants with limited or no training and/or experience in the placement of restorative materials. It is only practical for 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 supervised placement of amalgam and composite restorations is required in order to complete the course with a Certification as a Restorative Expanded Function Dental Assistant. Students will receive CDE credits for their training time during this class, without regard to grades or future certification. Students MUST enter the completion code and complete the training evaluation upon completion of the course to receive CDE credits or to later get certified as an EFDA upon completing post-course requirements. Students must obtain certification as an EFDA within ONE YEAR of completing the course.

6 slots are reserved for Cherokee Nation dental assistants, and up to 4 slots are available to dental assistants from across IHS and tribal programs.

Upon completion of this course, participants must:
1. Describe tooth morphology and structure and the materials used to restore them.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and an unacceptable restoration.

Mandatory:
1. Pre-course: Completion of the online Restorative Expanded Functions-Basic Prerequisite Course [you must show as "completed" within the past six months to register for this course].

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Please Make Checks Payable to: Indian Health Service.

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, and Class III & V composite restorations are covered in lecture and laboratory exercises. Other written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants with limited or no training and/or experience in the placement of restorative materials. It is only practical for 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 supervised placement of amalgam and composite restorations is required in order to complete the course with a Certification as a Restorative Expanded Function Dental Assistant. Students will receive CDE credits for their training time during this class, without regard to grades or future certification. Students MUST enter the completion code and complete the training evaluation upon completion of the course to receive CDE credits or to later get certified as an EFDA upon completing post-course requirements. Students must obtain certification as an EFDA within ONE YEAR of completing the course.

6 slots are reserved for Cherokee Nation dental assistants, and up to 4 slots are available to dental assistants from across IHS and tribal programs.

Upon completion of this course, participants must:
1. Describe tooth morphology and structure and the materials used to restore them.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and an unacceptable restoration.

Mandatory:
1. Pre-course: Completion of the online Restorative Expanded Functions-Basic Prerequisite Course [you must show as "completed" within the past six months to register for this course].

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Please Make Checks Payable to: Indian Health Service.

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, and Class III & V composite restorations are covered in lecture and laboratory exercises. Other written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants with limited or no training and/or experience in the placement of restorative materials. It is only practical for 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 supervised placement of amalgam and composite restorations is required in order to complete the course with a Certification as a Restorative Expanded Function Dental Assistant. Students will receive CDE credits for their training time during this class, without regard to grades or future certification.

1. Describe tooth morphology and structure and the materials used to restore them.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and an unacceptable restoration.

Mandatory: Completion of the online Restorative Expanded Functions-Basic Prerequisite Course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Please Make Checks Payable to: Indian Health Service.

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, and Class III & V composite restorations are covered in lecture and laboratory exercises. Other written and practical examinations are used to measure participant progress. The basic course has been organized for those dental assistants with limited or no training and/or experience in the placement of restorative materials. It is only practical for 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 supervised placement of amalgam and composite restorations is required in order to complete the course with a Certification as a Restorative Expanded Function Dental Assistant. Students will receive CDE credits for their training time during this class, without regard to grades or future certification.

1. Describe tooth morphology and structure and the materials used to restore them.
2. Place and finish basic amalgam and composite restorations.
3. Discriminate between what is an acceptable and an unacceptable restoration.

Mandatory: Completion of the online Restorative Expanded Functions-Basic Prerequisite Course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Please Make Checks Payable to: Indian Health Service.

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:

Day 1: 1-5
• Detection and Diagnosis- Gingivitis and Periodontitis
• Public Health Perio and Periodontal Risk

Day 2: 8:00 AM- Noon - Lecture and Lab
• Instrumentation of teeth using ultrasonic equipment
• Dental procedure codes
• Ultrasonic lab using mannequins/typodonts
Day 2: 1:00- 5:00 PM- Lab
• Ultrasonic lab with mannequins/typodonts
• Lab evaluations through direct observation and feedback
Day 3: 8:00 AM- Noon - Practicum
• Students provide dental cleanings on each
• Practicum evaluations through direct observation and feedback
Day 3: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluation for each patient through direct observation and feedback
Day 4: 8:00 AM- Noon - Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 4: 1:00- 5:00 PM- Practicum
• Students provide dental cleanings for patients
• Practicum evaluations through direct observation and feedback
Day 5: 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 EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how 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 and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

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.

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.

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

COURSE UPDATED 6/2/2020.

The HHS Office of Minority Health [OMH] developed a cultural competency [now called cultural humility] program for oral health professionals. Think Cultural Health includes three two-hour online modules for a total of six hours of continuing dental education. This program is built upon the National Standards on Culturally and Linguistically Appropriate Services in Health and Health Care [the National CLAS Standards]. The National CLAS Standards offer a framework for individuals working in health and health care on which to build policy, programs and services.

The three courses introduce you to the fundamentals of cultural and linguistic competency and its relevance to oral health care. The courses were designed to be taken sequentially. To receive continuing dental education credit for a specific course, you will need to complete it in its entirety and obtain a minimum passing score 70 on the posttest included at the end of the course. CDE is offered not through IHS [there is no corresponding IHS course], but through OMH. When you have completed and passed the posttest for all three courses, you will have the option of printing a printer-friendly version of the course content from the Resources section under the Toolkit.

This program introduces cultural and linguistic competency skills you can use in your day-to-day practice. These skills and concepts are reinforced through features such as:

· The "Filling in the Gaps" boxes designed to provide you with additional information, resources and applications of the course material;

· "Think About It" questions to encourage your reflection on the information;

· "Cultural Connections" boxes designed to provide you with additional, culturally specific information about issues related to oral health; and

· Video vignettes that show you how to adopt the skills and concepts into your own environment.

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

1. Expand your patient base by providing more culturally and linguistically appropriate care to a wider diversity of patients;
2. Deliver a higher quality of care to help your patients meet their oral health care goals, while honoring and respecting their cultural beliefs and practices;
3. Decrease clinical errors that may arise due to cultural and linguistic differences in communication and differences in oral health literacy;
4. Gain essential tools to help recognize and lessen the racial and ethnic health care disparities that persist in oral health.

None

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 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 July 2016, Special General Memorandum [SGM] 2016-05: Mandatory Training for Federal Prescribers of Controlled Substance Medications established IHS policy requiring all IHS Federal prescribers, contractors [that spend 50 percent or more of their clinical time under contract with the Federal Government], clinical residents and trainees to successfully complete this course. All existing prescribers meeting the above established criteria shall complete this training within 6 months of the date of issuance of this memo. New prescribers must comply with this requirement within 6 months from the start of IHS employment. All must complete a refresher training course every 3 years following completion of the initial training.

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

This webinar describes the effect of enamel defects on the development of early childhood caries and reviews the statement "ECC is multifactorial in origin, and the notion that the principal etiology is inappropriate feeding modalities in no longer tenable."

ATTN: You should play the recorded webinar using Mozilla Firefox.

Upon completion of this course, participants will be able to:
1. Review the evidence of the third risk factor for s-ECC;
2. Know the treatment guidelines of developmental defects of enamel, proposed by EAPD; and
3. Distinguish between carious lesions and enamel defects in the primary dentition.

None

None

No tuition required

This one-hour recorded webinar discusses how to use the Patient Health Questionnaire-2 [PHQ-2] to screen patients for depression in a dental setting, and how to follow up with patients that have a positive screening.

Upon completion of this course, participants will be able to:
1. List the two PHQ-2 questions;
2. Describe how depression relates to oral health; and
3. Explain the process of what to do with a positive depression screening result.

None

None - webinar

No tuition

This one-hour recorded webinar provides best practices related to improvement of the dental Government Performance and Results Act [GPRA] indicators of access to dental care, dental sealants, and fluoride.

Upon completion of this course, participants will be able to:
1. Describe at least one best practice as it relates to improving access to dental care;
2. Describe at least one best practice as it relates to improving the proportion of 2-15 year-olds receiving dental sealants; and
3. Describe at least one best practice as it relates to improving the proportion of 1-15 year-olds receiving topical fluoride treatment.

None

None - webinar

No tuition

This one-hour recorded webinar provides an overview of National Children's Dental Health Month.

Upon completion of this course, participants will be able to:
1. List the focus areas for this year's NCDHM;
2. Describe actions that can be taken at the local level in support of NCDHM; and
3. Develop at least one presentation or article related to NCDHM promotions.

None

None - webinar

No tuition

This presentation will review the differences in overall pathophysiology in elders with diabetes compared to younger patients with the disease. Reducing risks of complications from diabetes will also be discussed. Clinical considerations to assist in providing the best care for elders with diabetes will be described.

Upon completion of this course, participants will be able to:
1. Summarize the differences between elders with diabetes vs. younger patients with the disease.
2. Incorporate key concepts of individualizing caring for elders with diabetes into clinical practice.
3. Incorporate into practice, information on the differences in pharmacotherapy in elders with diabetes compared to younger patients.

None

None

NA

This webinar provides attendees with an overall perspective of significant adult learning along with 12 principles for improving adult learning.

Continuing dental education instructors, past and present, are encouraged to participate in this course to learn different approaches at teaching dental staff. All dental staff are encouraged to participate in this course to learn different approaches at teaching other staff and patients.

Upon completion of this webinar, participants should be able to:
1. Identify how adult learners are different from younger learners;
2. Recall at least two aspects of significant learning; and
3. Relate their own learning preferences with 3 of the 12 principles.

None

None- online course

No tuition

This one-hour webinar focuses on dental erosion management and treatment.

Upon completion of this course, participants will be able to:
1. Define etiology of dental erosion;
2. Describe erosion prevention strategies;
3. Explain how dental erosion is managed in the pediatric patient, including treatment principles.

None

None - webinar

No tuition

This presentation will review the differences in overall pathophysiology in elders with diabetes compared to younger patients with the disease. Reducing risks of complications from diabetes will also be discussed. Clinical considerations to assist in providing the best care for elders with diabetes will be described.

Upon completion of this course, participants will be able to:
1. Identify chronic kidney disease using urine and blood tests and describe kidney function and complications of CKD;
2. Identify dietary interventions to slow progression of CKD; and
3. Identify sources of sodium, protein, phosphorus, and potassium in My Native Plate food groups.

None

None

NA

This presentation is designed to assist diabetes care providers and educators in counseling people with diabetes and kidney disease who are progressing toward end-stage renal disease. The session will provide diagnostic criteria, treatment options, and recommendations for educating and assisting patients prepare appropriately for kidney failure. The benefits of care coordination for patients with diabetic kidney disease/end stage renal disease will also be addressed.

Upon completion of this course, participants will be able to:
1. Utilize lab tests for identifying and monitoring CKD and assessing progression.
2. Describe important interventions for people with progressive kidney disease approaching kidney failure.
3. Discuss treatment choices for patients with kidney failure.

None

None

NA

The FDA has recently undertaken work to promote healthy dietary practices and address the need for greater clarity in nutrition information menus and food products. This seminar will provide information on the latest requirements for menu and nutrition labeling. Details regarding changes to menu and nutrition facts labeling requirements will be reviewed. The session will include discussion of the draft voluntary sodium reduction guidance for processed and packaged food, Menu Labeling, updates to the Nutrition Facts label, and updates to designation of Serving Sizes and Labeling of Certain Sized Packages. Practical information for diabetes educators on the use of the updated menu and food labeling will also be provided.

Upon completion of this webinar, participants will be able to:
1. Describe requirements for menu labeling.
2. Identify updated changes to the Nutrition Facts label.
3. Explain the draft voluntary sodium reduction guidance and how it may be able to contribute to reduced risk of disease and improved health and well being.

None

None

NA

Immunizations are important for keeping people of all ages healthy. Specific immunization needs are determined by factors such as age, lifestyle, health conditions, locations of travel, and previous immunizations. This seminar will address the specific immunization needs of adults with diabetes and provide comprehensive information on immunization recommendations, schedule, and documentation for adults with diabetes. The immunization needs of youth with diabetes vs youth in general will also be clarified.

Upon completion of this webinar, participants should be able to:
1. Discuss specific immunization recommendations for people with diabetes, and their importance to overall health.
2. Discuss current national immunization trends in adult AI/AN patients with diabetes.
3. Identify and use resources for educating people with diabetes about their immunization needs.

None

None

NA

This is a one-hour webinar offered by the IHS Division of Diabetes Treatment and Prevention. The USDA has a number of nutrition education resources available for diabetes educators to use in their promotion of healthier lifestyles. This seminar will provide participants with the opportunity to acquire information about the online USDA nutrition education resources. The session will include an overview of a number of resources available including programs such as the SuperTracker, What's Cooking?, the BMI Calculator, My Plate Daily Checklist, Quizzes, Portion Distortion, and Pregnancy Weight Gain Calculator. Details for effective use of the resources with a variety of audiences will be shared.

Upon completion of this course, participants will be able to:
1. Locate and utilize the SuperTracker for individual and group education sessions.
2. Utilize nutrition education resources available on the USDA web site to counsel patients with pre-diabetes or diabetes.
3. Identify one change you can make in your clinical or public health practice.

None

None

NA

This webinar is offered through a collaboration with the IHS Division of Diabetes Treatment and Prevention. This seminar will provide participants with the opportunity to learn about a variety of innovative ways to connect with patients to provide diabetes education. The session will include an overview of effective approaches for providing diabetes education, including use of group education, food bank pantry, grocery store tours, connecting elders and youth, and community advisory boards. Details for effective use of these and other approaches with a variety of audiences will be shared.

Upon completion of this course, participants will be able to:
1. Utilize group education techniques to provide effective group education sessions.
2. Describe elements of a process for bringing youth and elders together to learn about improving health and well being.
3. Identify one change you can make in your clinical or public health practice.

None

None

NA

This webinar is offered through a collaboration with the IHS This presentation will provide an overview of the clinical management of overweight children and some resources and strategies for improving their care. The training will update knowledge of providers and is also designed with the intent of providing ideas for evidence based interventions. A review of current data on pediatric overweight and obesity and the relationship with type 2 diabetes and discussion of evidence based prevention and treatment of overweight and obesity in children will also be provided.

Upon completion of this course, participants will be able to:
1. Analyze epidemiology data regarding childhood diabetes and associated risk factors.
2. Assess risk factors for the development of childhood obesity in pediatric patients.
3. Identify one change you can make in your clinical or public health practice.

None

None

NA

This webinar provides participants with an update on Common Dental Terminology [CDT] 2017 codes, including a discussion of frequently used diagnostic, preventive, restorative, endodontic, periodontal, oral surgery, and prosthodontic code issues faced in IHS, Tribal, and Urban dental programs.

Upon completion of this course, the participant will be able to:
1. Discuss at least three code changes with CDT 2017.
2. Briefly provide an overview of the levels of care in the IHS system.
3. Identify the new codes for: [1] distal shoe space maintainer; [2] silver ion antimicrobial application; [3] scaling of an implant site; [4] medical consultation; [5] dental case management [4 different types]

None

The HIV/AIDS patient can present as a medically complex patient and may need special considerations for examination and for invasive procedure risks assessment. This lecture will briefly review the epidemiology and pathogenesis of HIV and the elements of the health history with special emphasis on certain aspects that related to the patient with HIV or AIDS, including oral pathology manifestations. This lecture will also review the standard of care for a HIV surgical risk assessment and discuss potential complications, as well as review the dental procedures that are routinely performed on this population.

Upon completion of this webinar, participants will be able to:
1. Review the elements of a health history and identify 3 components with specific application to the HIV patient;
2. Review the standard of care for an HIV/AIDS invasive risk assessment; and
3. Discuss 3 dental procedures performed on HIV patients and discuss any indications or contraindications, and review any pharmacological contraindications.

None

None

NA

In an effort to share innovate, best, and promising prevention practices, recipients of the 2017 IHS Oral Health Promotion/Disease Prevention Funding Initiative share their final evaluation reports.

Upon completion of this webinar, participants should be able to:
1. List at least three national oral health promotion/disease prevention initiatives in the IHS;
2. Describe at least one of the funding programs, including results of their project; and
3. Implement at least one preventive strategy learned from the projects reported by funded sites.

None

None

NA

Pain management in dentistry and in medicine continues to be a very important topic. This 1-hour webinar provides participants with pain management standards of care, examples of pain related to dentistry, and offer recommendations for treatment of dental pain through pharmacological agents.

Upon completion of this webinar, participants will be able to:
1. List pain management standards of care;
2. Describe examples of dental procedures, drugs, and disease states that can cause pain; and
3. Describe appropriate pain management for dental procedures.

None.

None

NA

This webinar is offered through a collaboration with the IHS Division of Diabetes Treatment and Prevention. This seminar will cover the latest information on diabetes medications and the management of patients receiving them. Working with patients on individualized treatment targets, and intricacies of needing and using multiple medications will also be addressed.

Upon completion of this course, participants will be able to:
1. Describe the different types of diabetes medications, their mechanisms of action, and the types of patients with diabetes for whom they are best suited.
2. Teach patients about common adverse effects of medications used to manage blood glucose.
3. Monitor patient medications to assure safety and efficacy.

None

None

NA

The IHS general dentist faces challenges often when considering space maintenance and orthodontics in their patients. This 1-hour webinar provides participants with knowledge to make informed orthodontic decisions with regard to interceptive orthodontic treatment during the transitional dentition.

Upon completion of this webinar, participants will be able to:
1. Strengthen orthodontic decision making through a limited orthodontic examination worksheet;
2. Provide guidance for interceptive orthodontic treatment; and
3. Advise parents regarding primary tooth extraction and space maintenance.

None.

None

NA

This webinar provides a review and the presenter's opinions regarding antibiotic prophylaxis as it relates to its various applications in the dental setting.

Upon completing this webinar, participants will be able to:
1. Apply the American Heart Association's recommendations for dental antibiotic prophylaxis in the clinic;
2. Formulate an individual clinical application of dental antibiotic prophylaxis with total joint replacement patients; and
3. Explain the general use of dental antibiotic prophylaxis in the clinic setting.

None

None

NA

This one-hour recorded webinar provides tips for improving dental access for 0-2 year-old children using strategies that can be implemented in the dental clinic and in collaboration with medical and community partners. IHS, Tribal, and Urban dental programs who have demonstrated success in increasing 0-2 year-old dental access will be featured on this 1-hour national webinar.

At the conclusion of this course, participants should be able to:
1. List at least three clinic-basic strategies that are effective in improving access for 0-2 year-old AI/AN children;
2. List at least three medical/community-based strategies that are effective in improving access for 0-2 year-old AI/AN children;
3. Describe at least one strategy that your facility will implement as a result of this presentation.

Non

None

The purpose of this presentation is to provide dental professionals with the knowledge and skills to detect and diagnose periodontal disease.

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

1. Explain and properly use the Community Periodontal Index in screening patients for periodontal disease;
2. Describe the examination protocol for periodontal disease and when to conduct a full periodontal workup; and
3. Develop an evidence-based periodontal diagnosis and treatment plan based on the periodontal examination.

None

None

This recorded webinar provides information in diagnosis and in treatment plans of developmental defects of enamel.

Upon completion of this course, the participant will be able to:
1.   Demonstrate competency in diagnosing and discussing developmental dental defects with appropriate nomenclature.
2.   Demonstrate competency in recognizing the differential diagnosis between incipient decay, frank cavitation, and developmental defects.
3.   Demonstrate competency in developing appropriate treatment plans for management of dental developmental defects.

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Please Make Checks Payable to: Indian Health Service.

This seminar will provide an overview of the prevalence of pre-gestational type 2 diabetes along with health outcome implications and risks. Evidence based information and ADA standards for patient care and education will be discussed.

Upon completion of this webinar, participants will be able to:
1. Provide women with type 2 diabetes with education about the importance of glycemic control and the risks of poor control in pregnancy, especially early pregnancy.
2. Describe strategies to reduce unintended pregnancy in women with diabetes.
3. Identify one change you can make in providing pre-conception care and education for women with type 2 diabetes.

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Please Make Checks Payable to: Indian Health Service.