Peru CE Trip: Updates on Local Anesthesia, Head and Neck Anatomy and Management of Caries Disease

Saturday, August 6, 2022 - Sunday, August 14, 2022

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A luxury 8 night land tour through Lima, Sacred Valley, Machu Picchu and Cusco with presentations by Dr. Alan Budenz on Local Anesthesia, The Anatomical Basis of Dentistry and Management of Caries Disease.


What's New? Updates on Local Anesthesia Pharmacology and Safety (3 CEU)

This lecture is for those who wish to expand their understanding of the pharmacologic mechanisms of local anesthesia and to solve some of the difficulties that arise in obtaining profound anesthesia in the oral cavity. How do local anesthetic agents work for dentistry, and why don't they always work? Simple calculations for maximum safe dosage levels and possible contraindications and interactions of local anesthetic solutions with patient medical conditions and medications are presented. The controversy surrounding the use of articaine (Septocaine) and prilocaine (Citanest) for block anesthesia injections will be addressed, and management of possible complications and injuries related to the delivery of oral local anesthesia agents, such as hematoma, paresthesia, and trismus, will be discussed. Use of alternative anesthesia modalities, such as topical anesthetic formulations (Oraqix, compounded topicals), the anesthetic-reversal agent (OraVerse) and anesthesia buffering systems (OnSet and Anutra) are also presented.


Learning Objectives:

1. Discuss the mechanisms and clinical importance of local anesthetic uptake and binding.

2. Discuss advantages and disadvantages for use of the available local anesthetic agents with and without vasoconstrictor additives.

3. Discuss potential adverse reactions to local anesthetics, such as syncope, allergy, and toxicity, and how to minimize the risk of adverse reactions.

4. Have a thorough understanding of the pharmacology of available local anesthetic agents, including their advantages, disadvantages, and safety profiles.

5. Be better able to assess and manage complications that may occur in the delivery of local anesthesia, and be better able to avoid them when possible.

6. Discuss the science and effectiveness of new anesthetic delivery systems such as nasal inhalation, buffering, and reversal agents that have been introduced to dental practitioners.

7. Apply the latest anesthetic agent technology to their daily practice, and describe the latest trends in achieving profound patient comfort.


What's New? Updates on Local Anesthesia Techniques (2 CEU)

This lecture is designed for anyone who wishes to expand their understanding of the delivery techniques of local anesthesia and to solve some of the difficulties that arise in obtaining profound anesthesia in the oral cavity. Re-view of the anatomical landmarks and structures important to effective and safe delivery of local anesthesia forms the foundation for this presentation. A wide range of both maxillary and mandibular block and infiltration techniques will be emphasized, including discussion of the Gow-Gates and Akinosi mandibular division nerve block techniques, and techniques for recognizing and anesthetizing accessory nerve pathways will be discussed.


Learning Objectives:

1. Describe the anatomy and landmarks commonly used for a variety of local anesthesia block and infiltration injections of the mandible and maxilla.

2. Compare the advantages and disadvantages of each of the possible techniques that could be used in any given situation.

3. Contrast the appropriate uses of mandibular and maxillary quadrant anesthesia techniques.

4. Understand a rational protocol for troubleshooting and solving difficulties in achieving profound local anesthesia.

5. Discuss the best secondary injection techniques and agents to anesthetize infected teeth.

6. Describe methods to decrease the risk of injection-related complications, such as hematoma or paresthesia.



It's Alive! The Anatomical Basis of Dentistry (3 CEU)

This course reviews selected aspects of head and neck anatomy fundamental to the practice of dentistry. The topics will be approached from a functional perspective with emphasis on common anatomical variations, pertinent anomalies and important clinical applications. This course is for dentists, hygienists and assistants who wish to gain a better appreciation for the anatomical basis of dental practice.


Learning Objectives:

1. Basic anatomical relationships and landmarks which are key to accurate examination and evaluation of dental patients.

2. Detailed anatomy of the superficial face, the masticatory musculature, the temporomandibular joint, the infratemporal fossa, and the oral and nasal cavities, and how function and disease/injury conditions relate to the anatomy.

3. Anatomical considerations and variants that must be carefully taken into account when treatment planning placement of implant restorations.

4. The anatomical pathways and likely patterns of the spread of infection or cancer metastases in the head and neck region.

5. At least a few of the possible causes and management considerations when assessing potential sleep apnea signs and symptoms in patients.



Management of Caries Disease (2 CEU)

It's Not Just About the Drill Anymore Tremendous progress has been made in our understanding of caries disease resulting in better assessment and management tools for this most fundamental of dental diseases. This lecture is will review, update, and further your knowledge of the diagnosis and optimal management of caries disease. Presentation of the most current protocols for caries disease assessment and management by risk assessment (CAMBRA) are presented, with particular emphasis on salivary flow, bacterial composition, and oral pH measurement. Options for minimally invasive comprehensive removal and/or restoration of carious lesions are also discussed. Is complete caries removal necessary? What role can glass ionomer materials play in caries management? What benefits might Silver Diamine Fluoride hold for our patients? The goal of this presentation is for practitioners to their offices with renewed empowerment to provide the very best of comprehensive care to all patients.


Learning Objectives:

1. Discuss the science of caries disease prevalence and the practicality of various methods proposed for eradicating, or at least controlling, caries disease.

2. Describe protocols for assessing and managing different levels of active caries disease and risk for future disease, from mild to extreme.

3. Provide detailed descriptions of treatment options, both chemical and mechanical, for different levels of caries disease and risk.

4. Extrapolate where the future of caries disease prevention and restorative options are likely to lead us.


Who Should Attend
This program is designed for all dentists and allied dental professionals.

About Us

University of the Pacific, Arthur A. Dugoni School of Dentistry is one of the nation's premier dental schools and has served the Bay Area community for more than 100 years. The dental school is committed to excellence and innovation in education, research, community service and patient care. The Division of Continuing Dental Education is dedicated to educating dental professionals by providing the highest quality CE programs available in dentistry today.



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Land tour must be booked through Cruise and Travel Partners, LLC

Jodi Murphy
Tel: (610) 399-4501 Cell: (610) 420-9364

CE Credit

CEU: Units - 10

This activity is designated for 10 units of continuing education credit.



CE Course Tuition:

$745 Dentist

$595 Allied Dental Professionals


Peru Land Tour:

$4,450 per person


Alan W. Budenz, MS, DDS, MBA  is Professor in the Department of Biomedical Sciences and is Vice-Chair of the Department of Diagnostic Sciences at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California. He received his graduate degree in Anatomy from UCLA, and his dental degree from UCSF. Dr. Budenz has taught Anatomy courses at the University of the Pacific since 1984, and has extensive experience in head and neck anatomy, dissection, and nerve tract identification with particular emphasis on dental local anesthesia, and has lectured nationally and internationally on local anesthesia, anatomy, oral medicine/oral diagnosis, and cariology topics. Dr. Budenz has over thirty-five years of general practice experience in San Francisco, has served as clinical Group Practice Administrator, and as Chair of the Department of Diagnostic and Emergency Services, and as a general dentistry clinical instructor at Pacific. Due to his background, Dr. Budenz is well qualified to combine basic anatomical instruction with practical clinical application for dentists and hygienists alike, and for thirteen consecutive years, from 2005 – present, has been recognized as an Annual Leader in Continuing Education by "Dentistry Today".


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