Dental Professionals and HIV - Part 2

Earn 3 CE credits This course was written for dentists, dental hygienists, and assistants. Dental Professionals and HIV - Part 2 © Skypixel | Dream...
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3 CE credits

This course was written for dentists, dental hygienists, and assistants.

Dental Professionals and HIV - Part 2 © Skypixel | Dreamstime.com

A Peer-Reviewed Publication Written by Richard H. Nagelberg, DDS

Abstract

Educational Objectives

Author Profile

Part one of this course presented current science related to the immune events associated with the oral route of transmission of the HIV virus and oral pathology that is associated with AIDS. This second part discusses the epidemiology of HIV-infected patients, dental healthcare needs and clinical considerations when treating the AIDS patient.

At the conclusion of this educational activity participants will be able to: 1. Describe which HIV-infected patients present the greatest risk of disease transmission. 2. Discuss risk management and infection control strategies for HIV-infected patients. 3. Discuss the CDC recommendations for infection control procedures in the management of HIVinfected patients. 4. Implement barrier control and needle-stick prevention measures.

Author Disclosure

Dr. Richard Nagelberg has been practicing general dentistry in suburban Philadelphia for 32 years. He has international practice experience, having provided dental services in Thailand, Cambodia, and Canada. He is co-founder of PerioFrogz.com, an information services company, and an advisory board member, speaker, key opinion leader and clinical consultant for several dental companies and organizations. Richard has a monthly column in Dental Economics magazine, “GP Perio-The Oral-Systemic Connection”. A respected member of the dental community, Richard lectures internationally on a variety of topics centered on understanding the impact dental professionals have beyond the oral cavity. Dr. Nagelberg can be reached at [email protected]. Dr. Nagelberg is Editorial Director, Dental Education, PennWell Publishing.

Go Green, Go Online to take your course Publication date: July 2015 Expiration date: June 2018

Supplement to PennWell Publications

PennWell designates this activity for 3 continuing educational credits. Dental Board of California: Provider 4527, course registration number CA# 03-4527-15004 “This course meets the Dental Board of California’s requirements for 3 units of continuing education.” The PennWell Corporation is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by the AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from (11/1/2011) to (10/31/2015) Provider ID# 320452.

This educational activity was developed by PennWell’s Dental Group with no commercial support. This course was written for dentists, dental hygienists and assistants, from novice to skilled. Educational Methods: This course is a self-instructional journal and web activity. Provider Disclosure: PennWell does not have a leadership position or a commercial interest in any products or services discussed or shared in this educational activity nor with the commercial supporter. No manufacturer or third party has had any input into the development of course content. Requirements for Successful Completion: To obtain 3 CE credits for this educational activity you must pay the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. CE Planner Disclosure: Heather Hodges, CE Coordinator does not have a leadership or commercial interest with products or services discussed in this educational activity. Heather can be reached at [email protected] Educational Disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. Image Authenticity Statement: The images in this educational activity have not been altered. Scientific Integrity Statement: Information shared in this CE course is developed from clinical research and represents the most current information available from evidence based dentistry. Known Benefits and Limitations of the Data: The information presented in this educational activity is derived from the data and information contained in reference section. The research data is extensive and provides direct benefit to the patient and improvements in oral health. Registration: The cost of this CE course is $59.00 for 3 CE credits. Cancellation/Refund Policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting PennWell in writing.

Educational Objectives At the conclusion of this educational activity participants will be able to: 1. Describe which HIV-infected patients present the greatest risk of disease transmission. 2. Discuss risk management and infection control strategies for HIV-infected patients. 3. Discuss the CDC recommendations for infection control procedures in the management of HIV-infected patients. 4. Implement barrier control and needle-stick prevention measures.

Abstract Part one of this course presented current science related to the immune events associated with the oral route of transmission of the HIV virus and oral pathology that is associated with AIDS. This second part discusses the epidemiology of HIV-infected patients, dental healthcare needs and clinical considerations when treating the AIDS patient.

Overview According to the Morbidity and Mortality Weekly Report (MMWR) published in 20111 there were over 1.1 million adults and adolescents infected with HIV in the United States and individuals newly infected per year ranged from 48,200 to 64,500 persons. Also reported is a disproportionate burden of the disease within racial and ethnic minorities, except for individuals who define themselves as Asians. These statistics also indicate that gay and bisexual men of all races are most affected by HIV infection2. Although the incidence of HIV infection does not appear to be increasing, dental personnel need to be aware that of the 1.1 million people living with HIV, approximately one individual in six is thought to be unaware that they have the infection and as a result are not getting treatment. These individuals, if they need oral care, can potentially spread the disease in the dental setting.3 Even though the above statistics are distressing, additional MMWR statistics from a recent 2014 study4 are encouraging as they reveal that of those patients knowing they are HIV infected, most (88.7%) are taking highly active antiretroviral therapy (HAART) and as a result 71.6% demonstrate a virtually undetectable viral load when tested (

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