Presentation 1: Substance Abuse and Post-operative Pain ManagementPresenter: Angie Rake, DDS

Learning Objectives

Discuss substance use disorders (SUD)
Consider current statistics of SUD in the United States, analyze the top four substances of misuse, and review their impact on dental procedures and surgeries
Understand special considerations for patients with opioid use disorder, buprenorphine, and considerations and agreements when prescribing opioids
Acknowledge the importance of communication with patients and medical specialists regarding pain management

Presentation 2: Identification and Management of Opioid and Substance Use Disorders in Pediatric Patients
Presenter: Scott Hadland, M.D., M.P.H., M.S.

Learning Objectives

Describe alcohol and drug use in early adolescence with progression to substance and opioid use disorders in late adolescence
Discuss the neurocognitive effects of addictive substances on the developing adolescent brain
Discuss patterns, trends, epidemiology, and contributing factors to opioid and other substance use \ abuse among the child and adolescent population
Discuss how the dental team can identify and manage substance use and withdrawal syndrome behaviors in patients
Recognize and deliver safe dental procedures for children and adolescents who are actively using alcohol and/or other drugs
Develop strategies for brief interventions, referrals, and resources for children, adolescents, parents, and caregivers.

Presentation 3: Mixing Common Prescriptions with Pain Management Medication: Insights from Your Local Pharmacist
Presenter: Ashley Duggins, Pharm.D., N.B.C.-H.W.C.

Learning Objectives

Identify the ten most prescribed medications in adults and pediatrics and what types of pain management medications are most effective
Recognize common dental issues associated with certain disease states. and complications that prescribed medications can cause regarding dental health
Identify limitations various federal mandates have on dentist's medication prescribing
Understand the role of a clinical pharmacist in improving dental health
Develop a cheat sheet with the right pain medication choices for patients with specific disease states

Presentation 4: Identifying and Referring Patients with Opioid and Substance Abuse Disorders
Presenter: Evan Rosenthal, M.S., L.P.C.C., L.A.D.C. 

Learning Objectives

Evaluate best practices in referral by analyzing case studies and implement screening tools, such as the Opioid Risk Tool (ORT) or the Screener and Opioid Assessment for Patients with Pain (SOAPP), to identify potential cases of opioid abuse
Recognize signs of opioid abuse, including changes in behavior or mood, frequent requests for early refills or lost prescriptions and evidence of drug-seeking behavior
Utilize prescription drug monitoring programs (PDMPs) to track patients' prescription histories and identify potential cases of opioid abuse or diversion
Refer patients with suspected addiction to specialists, such as psychiatrists, addiction medicine physicians, or substance abuse counselors, for evaluation and treatment
Identify how teens, young adults, adults, and seniors with substance abuse disorders may present in the dental clinic
Evaluate the prevalence of substance abuse disorders among LGBTQ+ patients
Provide educational resources for providers, patients, families, and caregivers related to opioid abuse and addiction

Presentation 5: Understanding Substance Use through a Trauma-Informed Lens
Presenter: Evan Rosenthal, M.S., L.P.C.C., L.A.D.C. 

Learning Objectives

Define intersectionality, minority stress theory and how a trauma informed lens supports every patient
Identify ways to reduce harm and risk in substance use through application of defined topics
Assess and outline ways to maintain and increase affirming dental care spaces for employees and patients in current practice

Activity 6: Analgesics for the management of acute dental pain in the pediatric population

Publication: Systematic Review and Meta-Analysis from the Journal of the American Dental Association

Learning Objectives

Weigh the clinical effectiveness of analgesics to manage acute pain after dental extractions and pain associated with irreversible pulpitis in children
Learn how pharmacologic interventions alone or in combination may provide
a beneficial effect when managing acute dental pain in children

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