Understanding Your Dental Patient with Significant Medical Disease- Part III- Immunology, Psychiatry, Neurology, Oncology, & Test Labs

Bart S. Johnson, DDS

Friday, May 31, 2013  9:00 a.m. to 6:00 p.m.  
Saturday, June 1, 2013   8:00 a.m. to 5:00 p.m
16 CE hrs
$500.00 Dentists / $400 Staff
Lunch, snacks & parking included.

Medicine is becoming an exponentially more complex practice, and our dental patients are presenting with ever-increasingly complex histories.  In order to make the best dental decisions with our patients, we need to understand the intimate details of their overall status. This will be both a lecture and participation course.  We will first go over the topics listed below, and then do a detailed discussion of how dental treatment might need to be modified based on the patient’s individual situation.  Real-life examples of medical reports/lab tests/diagnostics will be given out and reviewed so the participant can gain practical experience in reading and understanding the type of information that is likely to be sent to them by a medical doctor’s office.

Objectives: This course is intended to take the dentist and hygienist from a virtually zero-based knowledge of medicine to a level where they can successfully read charts, lab tests and basic diagnostic reports.  This knowledge will enable them to work closely with the medical doctors to make quality decisions for their patient’s care.


  • Normal anatomy and physiology, including antibodies and cell mediated immunity
  • “Over-reactive” diseases such as allergic reactions and autoimmune disease
  • “Under-reactive” conditions such as immunocompromising disease or medical therapies
  • Medical diagnostics including allergy testing, labs to determine immunocompetency
  • Medical therapeutics including medications, desensitization and monitoring
  • Dental considerations & modifications including what to do with alleged vs. real local anesthetic & latex allergic patients


  • Normal anatomy and (known) physiology of the brain and spinal cord
  • Common diseases including depression, schizophrenia, dementia, bipolar affective disorder, ADD, ADHD, PTSD, anxiety, OCD, hypochondriasis, others.
  • Medical diagnostics including mental tests and interviews
  • Medical therapeutics including medications, ECT’s, behavioral therapy
  • Dental considerations and modifications including xerostomia and drug-drug interactions


  • Normal anatomy and physiology of the autonomic and somatic nervous systems and their neurotransmitters
  • Common diseases including MS, Myasthenia gravis, Huntington’s disease, Parkinson’s, cerebral palsy & seizures
  • Medical diagnostics specific to each of these diseases
  • Medical therapeutics including replacement medications, immunomodulators, genetic therapy on the horizon.
  • Dental considerations and modifications


  • The normal mechanisms that must go awry to result in tumor growth
  • Common forms of cancer including SCCA, breast, melanoma, ovarian, prostate, lung, leukemias, lymphomas, gliomas and astrocytomas
  • Medical diagnostics including screening methods (mammograms, PSA, colonoscopy, biopsy)
  • Medical therapeutics including chemotherapy, surgery, XRT, and HBO2
  • Dental considerations and modifications pre-, intra- and post-therapy

Laboratory diagnostics:

  • CBC, electrolytes, enzymes, hormones, markers, antibodies, PCR – Dental considerations and modifications

Speaker: Barton S. Johnson, DDS, MS is the Director of the General Practice Residency program at Swedish Medical Center in Seattle.  He is a co-owner of Seattle Special Care Dentistry, a private practice focusing on the care of medically complex patients.  Bart is a Diplomate of the American Board of Special Care Dentistry, a Fellow in the American Association of Hospital Dentists, and a Fellow of the American College of Dentists.  His research interest is the molecular biological activities of retinoids and how they are involved in regulating cellular growth, differentiation and oncogenesis.  In his spare time, Dr. Johnson is editor of Pharmacology and Therapeutics for Dentistry. 

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