1. Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC

2. Oral Lesions Stephen Abel, DDS, MSD Hairy Leukoplakia Hodgkin's Lymphoma HPV Aphthous Ulceration KS Lesion

3. Xerostomia Gwen Cohen-Brown, DDS Depapillated Red Tongue Rampant Caries Dry-peeled lipsErythematous Candidiasis

4. Caries David Nassry, DMD

5. ADDITIONAL NOTES FOR SPEAKER – DO NOT PROJECT TO PARTICIPANTS Fluorides: Prescription and over the counter (OTC) Many types of fluoride therapies are known, ranging from at-home therapies (use of fluoridated toothpaste) to professionally administered, such as topical fluorides provided by dental offices, systemic fluoride and publicly sponsored fluoridation of water. At-home therapies can be further divided into over-the-counter (OTC) and prescription strengths. -OTC fluorides and mouth rinses should be recommended by the medical provider. -If prescription fluoride is necessary it is best that the patient is evaluated by a dentist followed by consultation between the dentist and medical provider. It would be best for the dentist to determine the form and frequency of fluoride prescribed. -Please visit the American Dental Association website for additional information www.ada.orgwww.ada.org What is the level of urgency to get this patient to a dentist? Dental referral is necessary if the patient presents with -Severe tooth related pain -Visible signs of decay or caries -Abscess, pus or acute infection (which could potentially lead to septicemia) -Broken teeth

6. Dental Emergencies Ross Kerr, DDS Recent onset of severe lingering pain Disrupts sleep, eating, usual daily activities Inadequate response to OTC analgesics Pulpal pain Periodontal pain Fascial Space Infection

7. MOUTH INVADERS The Progression of Periodontal Disease “Reproduced with permission. Copyright © (Publication Year) Scientific American, Inc. All rights reserved.” A PRIME LOCATION TENACIOUS BUGS and A HEATED STRUGGLE Scientific American- Special Edition: Oral and Whole Body Health 2006

8. Periodontal Diseases Gingivitis Periodontitis Necrotizing Ulcerative Periodontitis