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                                                        DR. DAN PETERSON

                                                                      1415 SAGE STREET ~ GERING, NEBRASKA 69341 
                                                             
      Call: 308-436-3491       www.dentalgentlecare.com           

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STAFF CONTINUING EDUCATION 2000

Oct 15-20,00

    Linda attended the National Conference for the American Dietetic Association in Denver, Colorado. The workshop topics were on such subjects as the new dietary guidelines; eating disorders; power foods; supplements; media and nutritional messages and nutrition on the internet.  As a registered dietitian she is required to have 75 continuing education hours in 5 years.

Oct 6, 00

   Our whole office attended an all day workshop  in Denver on gum disease know as periodontal disease.   We went through eight hours of intense training on :

bulletGum disease direct relationship to overall health 
bulletLearned the New American Dental Association codes for the definitions and classifications of gum disease.
bulletWe have a new program to help you stop the beginning stages of gum disease BEFORE it destroys not only your gums but your jaw bone. If left untreated this condition could eventually lead to surgery or worse yet, tooth loss.
bulletNew equipment that allows us to do deep cleaning know as Root Planing and Scaling for our patients who have Type 2 Periodontal disease.  We will now be able to treat our patient's in office.  
bulletMedications and their use to help our patients prevent gum disease and how to care for those who already have it.

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Sept 15 and 16, 00

Dr. Peterson just completed two days of training in composite materials and glass iomers at the West District Dental Association held in Gering.  He is anxious to incorporate some of these new techniques and materials into his practice in order to offer better quality products and services to you.

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Aug 19-20,00

Jacque Rogers attended a workshop in Ogallala in Radiology.  She completed this intensive two day work in radiology and is now certified to take dental x-rays.  She returned to our office we new ideas along with her new skills!

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July 16-26, 00

Dr. Peterson and his family attended a workshop in Tennessee presented by the Christian Dental Society.  Implantology, cosmetic dentistry, dental missions and treating planning were some of the topics.

July 12, 2000

Dr. Peterson attended a hands on workshop on Endodontics (root canals) given by the Creighton University School of Dentistry in Bridgeport.  You will see improvement in the equipment and methods we use in this area. 

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June 9,10 2000                 

Sharon Stricker attended the Coronal Polishing course presented by Creighton University at Ogallala by Dr. Howard.  The goals of coronal polishing were for cosmetics, to reduce plaque and smooth the tooth surface so the surface is less soluble to acids attack.  The particle size of the "polish" are so fine that the result is a surface so smooth that it is said to be polished.  

They covered polishing materials, disclosing agents and technique.  OSHA standards and requirements were coved in order to practice top level infection control.  Universal precautions were stressed that all human blood and other potentially infected materials are to be treated and considered as infectious. Dental water lines were discussed with the conclusion that no ill health effects can be DIRECTLY associated with dental water lines.  Tooth anatomy and clinical parts of the tooth were stressed.  The effects of coronal polishing on teeth were discussed.

 She is now certified to polish (clean) the crown portions of your teeth.  Congratulations Sharon!  Well done!

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May 11,  2000

 

(OSHA Four Way Coding System)

The staff attended a workshop on OSHA standards during this time.  This workshop covered OSHA requirements and Practical Infection Control.  Some current facts presented is that an unvaccinated dental personnel are three times more likely to be attacked by Hepatitis B than the general population.   The good news is there is a 90% recovery rate from Hepatitis B due to current medications. 

 Hepatitis C is a virus to be concerned about in all medical fields.  85% of those who acquire it will get sick, there are no vaccinations or treatments to help those infected. 70% develop chronic liver disease. The current HIV epidemoiology is that 33 million people are infected with HIV, there are one half a million in the US which is 1/100 people could have HIV/AIDS. The good news is there are no documented HIV reports associated with dentistry.  It is transmitted through blood, semen, vaginal secretions and maybe even breast milk.  Factors that affect risk is the amount of blood and high titer of HIV.  Our standard of infection control standards are very high at our office and we continue to strive to keep on improving the materials we use and the ways we provide them to you.

May 5 & 6

    Debbie, our patient care coordinator just completed a two day workshop in Denver.  This workshop was "The Essentials Course" presented by Dentrix.  This is our office management software.  She attended this course so she can better serve our patients with quick and easy check ins and check outs; more efficient chart updates and financial records.  To learn more about our dental office software visit: www.dentrix.com

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May 4, 00

    Our whole staff attended the traveling caravan Continuing Education Course offered by University of Nebraska at Western Nebraska College.  The topics offered where Amalgams, Mercury and Systemic Health and Chemotherapeutics in Periodontal Disease.  Here are the highlights from this informative seminar:

     The type of mercury used in amalgams is elementary mercury.  Most amalgam fillings contain        na of mercury.  Seafood contains the highest amount of methyl mercury.  (The government recommends you only eat one tuna sandwich a week!).  Amalgam fillings last about 10 years; composite or tooth colored fillings last about 7-8 years.

     The Canadian Dental Association has made these recommendations: Amalgam fillings are not advised for individuals with kidney problems, anyone with metallic devices (braces) in their mouth ; pregnant women; anyone allergic to mercury and to find alternative materials for use with children.  The American Dental Association states that amalgam fillings are fine for everyone except if you have an allergic reaction to mercury.  For more information on the ADA statement on amalgams visit the American Dental Association's 

     If you feel your health is affected by mercury please see your physician first to obtain a urine test for mercury.

Here are our plans of action to incorporate these changes into our practice to better protect and serve you:

     1.  We have hard surface floors so mercury will not be trapped in carpet fibers.

     2.  We recap our amalgam capsules to prevent further mercury vapor exposure.

    3.  We use high volume vacuum system to remove mercury vapor while working.

    4.  We use wet environment and high volume vacuum to protect you from mercury vapor.

    5.  We properly dispose of all used amalgam materials in closed containers.

    6.  Inform patients with amalgam fillings to not chew allot of gum due to mercury release each time you chew.  If you grind your teeth at night this could lead to a higher exposure of mercury from amalgam fillings.  We recommend a nightguard to prevent this. 

    7.  Good office air flow for adequate ventilation.

    8.  Leave dental gowns at work and do not wear in public.

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Chemotherapeutic for Periodontitis

     Periodontitis is another name for gum tissue. Its warning signs are:

bulletBad taste in mouth    
bulletBad breath
bulletRed or swollen gums
bulletTender gums
bulletBleeding gums
bulletLoose teeth
bulletSensitive teeth
bulletPain when chewing
bulletPus around teeth and gums
bulletCalculus (brown, hard deposits) on tooth surfaces

     75 % off all Americans have some form of gum tissue and do not realize it because in it's beginning stages there is little discomfort.  Periodontitis is when you have gum tissue with pockets depths over 4 mm. A systemic antibiotic that works well with root planning and scaling is tetracycline because it is concentrated in the gum  tissue to help reduce pocket size, bone loss and tissue attachment.

     Another surprising fact was the use of NSAIDS (flurbiprofen) to reduce bone loss.  This is especially important for women in menopause who can develop osteoporosis causing bone loss throughout the body including the jaw.  Estrogen is important to prevent or slow down this bone loss, reduce bleeding from the gums and improve attachment levels.

     The advantage of local antibiotics is that it is site specific.  Actisite works the best to reduce pocket depths yet is expensive and difficult to place.  Periochip contains chlorhexidine and is easy to place yet once placed the patient must be careful not to clean this site to vigorously.  Atriodox is a gel of metronidizole that is placed in the pocket and is effective at decreasing pocket depth and  increase attachment.

    It was recommended to use low dose tetracycline due to easy of use and low cost to patient along with root planning and scaling in combination with an anti-inflammatory agent.

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April 11, 00

Our office did an OSHA update in the areas of infection control, patient safety and equipment repairs.  Goals were set and each staff member is striving to incorporate these goals into daily practice.  

September 14, 2007

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          If you have any questions please e-mail me at: drdpeterson@scottsbluff.net
                                                                                 308-436-3491 Office number

PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
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