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2022 Catalog: All Courses

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DE0246: Cariology and Cardiology [Recorded Webinar, Co-sponsored by the FAC]

Date: 10/01/2021 - 9/30/2022
Course Status: Completed
Facility: Online
Location: Online
Instructor: Robert Lustig
Director: James Schaeffer
Level: Basic
Audience: Hygienists, DHA, Dentists, Assistants
Quota: 1 - 500 students
Tuition: $0.00
Hours: 1.00 (Total CDE); 1.00 (DANB Non-Clinical); 1.00 (AGD - 010)
Joint Sponsorship: No
Lecture icon Question and Answer icon

Tooth decay, type 2 diabetes, non-alcoholic fatty liver disease, and cardiovascular disease rates have been increasing. And excessive sugar consumption explains all four.

It's a popular misconception that glucose can cause cavities. Not true; glucose polymerizes on the teeth and forms a "biofilm" which actually protects the tooth from decay. This is why cavemen didn't get cavities. Fructose doesn't contribute to the mouth biofilm. It is metabolized by the mouth bacteria into lactic acid, which burns a whole right through the biofilm and through the tooth.

Glucose also doesn't cause NAFLD or CVD. Only 20 of the glucose consumed finds
its way to the liver, and the overwhelming majority of that glucose is turned into glycogen [liver starch], which is not dangerous. It's the fructose moiety of the sugar molecule that causes both diseases. Fructose gets turned into fat in the mitochondria, which drives NAFLD and insulin resistance, which leads to type 2 diabetes and heart disease.

Physicians and dentists must be united in supporting public health measures to reduce chronic disease.

Learning Objectives:

Upon completion of this course, participants should be able to:
1. Describe the differences between fructose and glucose on metabolism;
2. Explain the similarities between the effects of sugar on tooth decay and on liver pathology, and on cardiovascular disease; and
3. determine the effects of sugar restriction on both oral and systemic disease.

Speaker / Presenter:

Robert Lustig — For follow-up questions, please contact the speaker at

Disclosure Policy:

It is the policy of the Indian Health Service, Division of Oral Health, that faculty/planners disclose any financial or other relationships with commercial companies whose products may be discussed in the educational activity. The Indian Health Service, Division of Oral Health, also requires that faculty disclose any unlabeled or investigative use of pharmaceutical products and medical devices. Images that have been falsified or manipulated to misrepresent treatment outcomes are prohibited.

None of the faculty/planners for this activity has a conflict of interest, and there is no use of unlabeled or investigative pharmaceutical products or medical devices. No images have been falsified or manipulated to misrepresent treatment outcomes.The educational objectives, content, and selection of educational methods and instructors are conducted independent of any commercial entity.

The IHS Division of Oral Health is an ADA CERP Recognized Provider

The IHS Division of Oral Health is an accredited sponsor of continuing education under the American Dental Association Continuing Education Recognition Program (CERP). ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the IHS at IHS CDE Coordinator or to the Commission for Continuing Education Provider Recognition at



Tuition Payment Information:

Please Make Checks Payable to: Indian Health Service.

Tuition Policy:

Tuition must be paid in full 8 weeks prior to the start date of any course. Request for refunds must be received in writing at least two weeks before the course begins. For each refund request, there will be an administrative charge of $100. No refunds will be made to registrants who fail to attend a course. If IHS CDE program cancels a course, then 100% of the tuition will be refunded.