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------=_NextPart_01C6688D.1627C3A0 Content-Location: file:///C:/813A8236/Master_PDHA_3_22_06_files/master21.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C6688D.1627C3A0 Content-Location: file:///C:/813A8236/Master_PDHA_3_22_06_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C6688D.1627C3A0 Content-Location: file:///C:/813A8236/Master_PDHA_3_22_06_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Raising the Standard of Care for Periodontal Treatment in the General Practice
Raising the Standard of Care for Periodontal Treatment in the General Practice
PDHA
March 22, 2006 = ;
 Casey M. Herrera, D.D.S.
Welcom= e to all, THANK YOU TO PDHA , DIANE FOR ORGANIZING THE EVENT, PAT, YOUR PRESIDENT A= ND THE BOARD. IT’S AN HONOR TO BE HERE….
A FEW = WORDS ABOUT ME.. MY INTEREST IN DENTISTRY STARTED…RDH AT USC…TAUGHT AT US= C, IN SPAIN…WENT BACK TO UNR, UOP, UCSF.  I HAVE 2 CHILDREN, WORK 5 DAYS A= WEEK, I HAVE A KEEN INTEREST IN THE DENTAL HYGIENE PROFESSION, ALWAYS HAVING LO= VED IT.
I HAVE= NO FINANCIAL INTEREST IN ANY OF THE PRODUCTS OR INTSRUMENTS I WILL DISCUSS. THANK YOU LAURIE AND ORIANA  FOR ALL T= HEIR WORK ON THE PHOTOS FOR THIS  PRESENTATION AND FOR CONTINUING TO HELP ME RAISE THE BAR FOR OUR PATIENTS. THANK YOU TO INGRID FOR HER CONTINUED INSPIRATION.  Her love OF DENTISTRY, HER KNOWL= EDGE OF TECHNOLOGY AND HER ENTHUSIASM HAS UPLIFTED ME FOR 16 YEARS.  ALL TOGETHER WE HAVE ………YEARS EXPERIENCE IN DENTISTRY..
THANK = YOU TO THE DOCTORS WHO HAVE COME TONIGHT. THEY CONTINUE TO INSPIRE ME WITH THEIR COMMITMENT TO THEIR PATIENTS AND THEIR ONGOING EDUCATION.
THANK = YOU TO STAN AND THE NIMBUS COMPANY FOR THEIR GENEROUS SPONSORSHIP.
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WHY?
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>n Patients
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>n Dental  Colleagues
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>n Dental  Hygiene Colleagues
<= span class=3DBB style=3D'position:absolute;left:-3.78%;top:.39em'>n Abundance of Implant and Esthetic Courses
Increa= singly patients that I see have severe periodontitis in this area which is so ve= ry affuent.
 When I was doing research on this= topic AND TALKING TO COLLEAGUES, IT’S BEEN BROUGHT UP THAT THIS MAY BE A CONTROVERSIAL TOPIC

SO WHA= T I WANT YOU TO KNOW IS THAT I WELCOME YOUR QUESTIONS, YOUR DIFFERENT POINTS OF VIEWS BECAUSE BY OPEN SHARING WE CAN START TO OVERCOME THE OBSTACLES THAT WE ALL FACE IN DELIVERING OPTIMAL PATIENT CARE.

I KNOW= THAT YOU ARE HERE BECAUSE OF YOUR DEDICATION AND LOVE FOR YOUR PATIENTS AND I RESPECT = YOU DEEPLY FOR THAT



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National Statistics
n“Based on the year 2000 US Census, population projections estimate= a current population of 293 million people … Given the collective epidemiological data from these various studies, it can be projected that at least 60<= /u> mil= lion adults aged 18 and older have periodontal disease of moderate to advance severity.”
nThis is 20% of our population
= n
Source: Triage /= June 2005 “Diagnosis and Treatment of Periodontal Disease: A Crisis of Direction
------=_NextPart_01C6688D.1627C3A0 Content-Location: file:///C:/813A8236/Master_PDHA_3_22_06_files/slide0150_image003.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlh8AEUAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAADv ARIAgQAAAOXl/////wECAwKiVI6py+0Po5y02ouz3rz7D4biGAoGiabqyrbuC8fyDJn0jef6zvf+ 37ABh8Si8YhMooTKpvMJjUpZzKn1is1qk9Wt9wsOizvdsfmMTmfL6rb7Dc+x4/S6/a6Z4/f8/l3v Fyg4CAZIeIiYyHWi2Oj4+GMIOUlZWcJomam5mSHJ+QmqaTJKWmp6ipqqusra6voKGys7S1tre4ub q7vL2+v7K1AAADs= ------=_NextPart_01C6688D.1627C3A0 Content-Location: file:///C:/813A8236/Master_PDHA_3_22_06_files/slide0151.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Raising the Standard of Care for Periodontal Treatment in the General Practice
Simplifying Epidemiological Data
n“…da= ta collected from insurance companies indicate that only 2.5% of= the submitted treatment codes are related to periodontal therapy.” n̶= 0;...major disconnect between the prevalence of inflammatory periodont= al diseases and the timely diagnosis and rendering of appropriate treatment…”
Source: Triage /= June 2005 “Diagnosis and Treatment of Periodontal Disease: A Crisis of Direction
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AAP Conclusion 
n“What epidemiology has demonstrated is that the majority of just about any adult population has chronic periodontitis to some degree.”
Source: JPeriodo= ntol, August 2005
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95%
SRP Procedures =
5%
Prophylaxis
WHILE = I KNOW THAT RECENT ADVANCES IN IMPLANTS AND COSMETICS AS WELL AS TELEVISION SHOWS LIKE EXTREME MAKEOVER HAVE CAPTURED THE MARKET, MY CONCERN IS THAT  WE HAVE DRIFTED AWAY FROM PLACIN= G THAT SOME KIND OF EMPHASIS  ON DIAGNOSIS
AND TR= EATMENT PLANNING OF PERIODONTITIS.
WHAT I= HAVE SEEN IS THAT BY PLACING THAT SAME FOCUS ON THE CORE WHICH IS PERIO DIAGNOSIS AND TREATMENT PRACTICES CAN  GROW EXPONENTIALLY;
THE BE= NEFITS ARE SEEN IN
ORAL A= ND SYSTEMIC HEALTH
CLINIC= AL EXCELLENCE
AND FI= NANCIAL ABUNDANCE.

Consul= tants:
Implan= ts,
Cosmet= ics,
Bottom= line
Who di= scusses excellence in diagnosis and periodontal treatment
Who di= scusses early intervention to lower the risk of heart disease, heart attack and stroke?=





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Trends in Periodontal Treatment
nPeriodontal medicine has established links to systemic health in the last 18 years nBetween 1980 and 2= 000 according to Cobb, J Periodo= ntol  77:3, 341-349 <= span style=3D'position:absolute;top:51.5%;left:9.73%;width:97.37%;height:6.5%'>= nAlthough fewer pat= ients use tobacco, at referral to periodontist patients, had greater loss of teeth, had more severe disease, required extraction of more <= /span>= teeth in 2000 than in 1980
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How ma= ny dental hygienests do we have here?  Dentists?
Of the= hygienists, how many of you practice in mulTIPLE OFFICES?
HOW MA= NY WORK PART TIME?
HOW MA= NY OF YOU GRAD’ BEFORE 1980?
HOW MA= NY BETWEEN 1980 AND 1995, AFTER 1995?
OF THE= SE, DO YOU HAVE DIFFERENT INSTRUMENTS IN THESE OFFICES?
DO YOU= HAVE DIFFERENT EQUIPMENT?
DIFFER= ENT TIME ALOTTED FOR PROCEDURES?
DO THE= PHILOSOPHIES IN HOW YOU TREAT PERIODONTITIS  DIFFER BETWEEN OFFICES ?
WOW, W= ITH SO MANY DIFFERENT VARIABLES, WE SEE HOW MANY CHALLENGES THERE ARE TO HAVING CONSISTENCY IN HOW WE PRACTICE AND THE RESULTS WE ACHIEVE.
-there= are also tremendous benefits to our diversity.&nb= sp; We can see in the audience tonight that we have those of you with experience which brings us wisdom and those of you right out of school wh= ich brings us progress through innovation.

I CAN = GO IN TO ANY STARBUCKS ANYWHERE IN THE WORLD AND PURCHASE A CUSTOM, CONSISTENTLY HIGH QUALITY DRINK. IF I I HAVE PERIODONTITIS, SHOULDN’T I BE ABLE TO EN= TER ANY OFFICE AND RECEIVE CONSISTENT DIAGNOSIS AND TREATMENT?

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Periodontal Care Variables
<= span class=3DHBB style=3D'position:absolute;left:-9.7%;top:.39em'>nVaryi= ng locations
nVaryi= ng schedule structures
<= span class=3DHBB style=3D'position:absolute;left:-9.7%;top:.39em'>nVaryi= ng equipment
<= span class=3DHBB style=3D'position:absolute;left:-9.7%;top:.39em'>nVaryi= ng instruments
<= span class=3DHBB style=3D'position:absolute;left:-9.3%;top:.39em'>nVaryi= ng philosophies
nVaryi= ng dates of graduation
n
<= span style=3D'visibility:hidden'>n
<= span style=3D'visibility:hidden'>n
n    "Protocols for diagnosing and treating  periodontal &= #13;
n    disease are at best inconsistent
n    throughout the profession“
= n Dental Practice Act:
= n The standards of care in regard
n to the diagnosis and treatment of = periodontal disease do not differ
for general practitioners and specia= lists.
Source: JPeriodo= ntol, 2000;71 / Parameter on comprehensive periodontal examination
WE HAV= E THESE VARIABLES, WE KNOW BY RESEARCH AND HERE IS A QUOTE FROM TRIAGE ABOUT THE PROBLEMS THAT WE’RE FACING

AND YET ……
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Today’s Goal:
nTo accomp= lish the following together:
<= span class=3DBB style=3D'position:absolute;left:-3.78%;top:.39em'>nAcknowledge daily obstacles to optimal care= 3;
nDevelop a clear vision of what excellent periodontal care is nProvide you with the tools to deliver that standard of care nStart to integrate clinical protocols related = to perio-systemic link
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