Dr. Leventer graduated from the University of Maryland School of Dentistry in 1990. He then completed a General Practice Residency and a Dental Anesthesiology Residency at Brookdale Hospital Medical Center in New York. He is a full-time assistant professor at the UMSOD and provides sedation and general anesthesia, with the post-graduate residents. He also practices general dentistry and provides dental services at the University of Maryland Hospital.

Dr. Wynn, is a professor of pharmacology in the Department of Neural and Pain Sciences at the University of Maryland School of Dentistry. He is a nationally recognized speaker, author, columnist, and consultant on dental drug therapeutics and drug information for the dental professional. He is the lead author of the most recognized chairside dental drug reference book, Drug Information Handbook for Dentistry, now in its 25th edition. Wynn keeps the dental profession informed about current issues relative to drugs in dentistry, including new therapeutic agents, new drug interactions, and newly reported adverse reactions in dental patients. He researches the literature daily for new reports of interest to the profession.

This two-day, 12-credit-hour course meets the requirements for renewal of a Class 1 permit for the use of non-parenteral anesthetic technique to attain the level of moderate sedation in adult dental patients. The Maryland State Board of Dental Examiners requires Class 1 permit holders to complete at least 10 hours of continuing education related to sedation or anesthesia in a classroom setting during the five-year term of the permit. Each day-long course can be taken individually, or they can be taken together.

This course also includes all the necessary material to fulfill the Maryland State Board of Dental Examiner’s guidelines for a 2-hour CE course in “Proper Pharmacologic Prescribing and Disposal for Dental Practitioners” as related to the Opioid Epidemic.

Day Two: Airway Management for Dentistry with Sedation | Management of Emergencies

Course Description:
Safety in sedation for dentistry is largely dependent on maintaining a clear and patent airway, as well as preparing for emergencies. This course will cover the most common "what if" scenarios. The presentation includes videos, hands-on management with manikins, as well as a PowerPoint presentation. Dr. Leventer will cover emergency scenarios as listed in the Maryland State Board of Dentistry requirements for a Class 1 oral sedation permit. He will also discuss airway anatomy, respiratory mechanics and monitors, such as pulse oximeter and precordial stethoscope.

Day One: Pharmacology Update of Enteral-Inhalation Sedation

Course Objectives:

Upon completion of this course, the participants should be able to:

• Describe the pharmacological differences between anxiolysis (no permit required) and moderate sedation (Class 1 permit)
• List any new drugs recently developed by the "sleep drug industry"
• Define the current mechanisms of sedation induced by triazolam (Halcion), midazolam (Versed), lorazepam (Alivan), hydroxyzine (Atarax, Vistaril), zaleplon (Sonata), zolpidem (Ambien), and nitrous oxide; describe the use and mechanisms of action of flumazenil (Romazicon)
• Describe the dosings, precautions, patient variability in response, overdose syndrome, abuse potential and hallucinatory syndromes associated with sedative drugs
• Define and describe the important drug adverse interactions between sedative drugs and the most common medications, including new blood thinners and herbal supplements taken by medically-compromised patients
• Discuss the literature reports on the use of triazolam (Halcion) as an oral sedative in dentistry; discuss pharmacokinetic data associated with oral and sublingual triazolam (Halcion)
• Describe the use of local anesthetics during the sedation paradigm
• Discuss the use of post-operative analgesics in the patient recovering from sedation
• List the anti-nausea drugs that are somewhat effective in treating postoperative nausea/vomiting

Day Two: Airway Management for Dentistry with Sedation | Management of Emergencies

Course Objectives:

Management of Dentistry with Sedation

Upon the completion of this course, participants should be able to:

• Review the anatomy of the upper and lower airway
• Understand the criteria for preoperative airway evaluation
• Review respiratory mechanics
• Explain the physiology of exchange of oxygen and carbon dioxide
• Understand methods of supplemental oxygen
• Provide examples of airway obstructions
• Utilize airway adjuncts, including bag valve mask ventilation
• Develop a comprehensive understanding of advanced airway management
• Use the precordial stethoscope and pulse oximeterUpon the completing of this course, participants should be able to manage the following emergencies:

Management of Emergencies:

• Laryngospasm
• Foreign body airway obstruction
• Emesis and aspiration
• Acute allergic reaction
• Bronchospasm
• Angina
• Conditions requiring advance cardiac life support, including:
• Bradycardia
• Tachycardia, ventricular fibrillation
• Cardiac arrest
• Hypotension
• Hypertension
• Seizure
• Syncope
• Venipuncture complication

None

General Cancellation Policy for Continuing Education

The Office of Continuing Education reserves the right to end registration when an enrollment limit is reached and to cancel, modify, or alter content or faculty for any course if circumstances indicate the need for such a change. If the school finds it necessary to cancel a course, a full refund will be granted. All attempts to contact registrants will be made as soon as possible in the event of a course cancellation. The school will not be held responsible for any losses due to travel arrangements made by the registrant.

In the event of inclement weather (such as a snow emergency) or other extenuating circumstances, the Office of Continuing Education may be forced to cancel a course. If a course has been cancelled, we will contact participants by the email address provided. You may call or email our office on the day of the course if you are uncertain of a course’s status.

Refund Policy for Continuing Education

A refund or credit will be issued (less a $50 admin fee) if received no later than three weeks prior to the start of course date. Refunds or tuition credit will not be given after that time or to no-shows.