The ALSC 2nd Annual Symposium 2019, March 29-31, 2019 in Phoenix, AZ
FILTER BY SESSION:
Session Speakers and Presentations
In Alphabetical Order
Lori Agulian, DVM
A Comparison between Carbon Dioxide Surgical Laser and Non-Laser Excision of Cutaneous and Subcutaneous Soft Tissue Sarcomas and Mast Cell Tumors in Dogs
Objective: To compare carbon dioxide (CO2) surgical laser and non-laser excision of cutaneous and subcutaneous soft tissue sarcomas (STS) and mast cell tumors (MCT) in dogs.
Design: Retrospective study.
Animals: Client-owned dogs that underwent CO2 laser or non-laser excision for STS (n = 13 and 34, respectively) or MCT (n = 6 and 60, respectively).
Procedures: Medical records of dogs that underwent surgical excision of cutaneous and subcutaneous STS and MCT at the University of Missouri between December 2004 and May 2018 were evaluated. Data recorded for each case included: signalment, anesthesia and surgery duration, intraoperative blood loss, postoperative hospitalization, tumor characteristics, histologic margins, postoperative complications, local tumor recurrence, metastasis, multiple procedures, adjunctive therapy, previous excision at the same location, and concurrent lymph node metastasis.
Results: Thirteen STS (n = 13 dogs) and 8 MCT (n = 6 dogs) were excised using a CO2 laser, and 35 STS (n = 34 dogs) and 81 MCT (n = 60 dogs) were excised using non-laser methods. Patient signalment did not differ between groups (P ≥ 0.06). Anesthesia and surgery duration, intraoperative blood loss, and postoperative hospitalization did not differ between STS groups (P ≥ 0.06). The proportions of tumors with complete histologic margins did not differ between STS groups (8/13 vs. 24/35; P = 0.74) or between MCT groups (7/8 vs. 67/81; P = 1.00).
Conclusions and Clinical Relevance: These data provide preliminary evidence that CO2 surgical laser excision of cutaneous and subcutaneous STS and MCT is comparable to non-laser methods.
Dr. Lori Agulian is a current soft tissue surgery research and teaching intern at the University of Missouri College of Veterinary Medicine. She received her Doctorate of Veterinary Medicine from Kansas State University College of Veterinary Medicine in 2015. She completed a small animal rotating internship at the New England Animal Medical Center in 2016, and completed her first surgical internship at the same institution in 2017. She then completed a second surgical internship at Long Island Veterinary Specialists in 2018.
Praveen Arany, BDS, MDS, MMSc, PhD
Photobiomodulation Therapy: An Innovative, Non-surgical Treatment with Broad Therapeutic Implications for Human Health
Advances in biophotonics technologies and a better understanding of light-tissue interactions from various fields such as optical imaging, optogenetics, phototherapy and photodynamic therapy are spearheading the popularity of biophotonics in biology and medicine. The use of lasers and light devices at high doses in dermatology, ophthalmology, oncology and dentistry are now considered mainstream for certain clinical applications such as surgery, skin rejuvenation, ocular and soft tissue recontouring, anti-tumor and anti-microbial photodynamic therapy. In contrast, therapeutic use of low dose biophotonics devices, termed Photobiomodulation (PBM) Therapy, is aimed at alleviating pain or inflammation, modulating the immune responses and promoting wound healing and tissue regeneration. Surprisingly, despite vast volumes of scientific literature from both clinical and laboratory studies noting the phenomenological evidences for this innovative therapy, limited mechanistic insights have prevented the development of rigorous, reproducible clinical protocols. This section will focus on the evidences for PBM therapy in a broad range of human ailments from Concussions, Alzheimer’s and Parkinson’s disease, improved neurocognitive and skeletomuscular performance to wound healing, arthritis and cardiac infarction. A special emphasis on clinical applications in dentistry will be discussed. A major issue in the mainstream adoption of this treatment is the lack of rigorous reproducibility with the clinical outcomes. Further, the sheer breadth of the scope of its clinical applications has created significant confusion on the precise clinical protocols and specific biological mechanisms involved with this treatment. This presentation will provide an overview of current mechanisms and clinical dosimetry models being employed to improve the consistency, safety and efficacy of this innovative treatment. Specifically, data from our group on a discrete PBM mechanism involving redox-mediated conformational activation of a growth factor, TGF-beta 1 and maximal dose-threshold marker ATF-4 will be highlighted. Besides these current evidences, specific gaps in knowledge for potential paths forward in clinical translation with PBM therapy will be presented emphasizing the immense potential of this therapy to revolutionize human health.
Dr. Arany is trained as a dentist and oral pathologist. He completed a joint PhD-Residency program at Harvard University as a Harvard Presidential Scholar. He has two certificates in clinical translational research from Harvard Medical School and National Institute of Health. He pursued postdoctoral fellowships at Indian Institute of Sciences, Bangalore; National Cancer Institute, Bethesda and Harvard School of Engineering and Applied Sciences & Wyss Institute, Cambridge. Following his training, he was an Assistant Clinical Investigator at National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda. He is currently an Assistant Professor, Oral Biology, School of Dental Medicine, University at Buffalo, New York.
He has over 80 scientific publications and is a recipient of numerous awards such as the NCI Director’s Young Investigator Award, Wound Healing Society’s Young Investigator Award, Eugene Seidner scholar and Horrace Furomoto Young Investigator award. He has been invited to speak in various national and international forums, reviews for over 40 scientific journals, serves on 9 journal editorial boards serving as an editor in 3 journals, and routinely reviews grants for national and international funding agencies. He is an active member and serves in various committees of the Wound Healing Society (WHS) and American Association for Dental Research (AADR), Academy of Laser Dentistry (ALD), American Society of Lasers in Medicine (ASLMS), among others. Dr. Arany holds several leadership positions namely, he is the current President, World Association for Photobiomodulation Therapy (WALT), immediate past-president, North American Association for Photobiomodulation Therapy (NAALT), Co-Chair of the International Society of Optics and Photonics (SPIE) conference on Mechanisms of Photobiomodulation therapy. He has held several past positions in Academy of Laser Dentistry (ALD), American Society of Lasers in Surgery and Medicine (ASLMS) and American Dental Education Association (ADEA). His work has over 3000 citations and has an h-index of 21 and i-10 index of 39 (source: Google scholar) and iCITE index of 101.65 (source: NIH). His work has been featured in many mainstream media highlights in over 70 countries including Fox news, CNN, MSNBC, Washington Post, BBC, Reuters and MIT technical review, among many others.
Dr. Arany’s research is predominantly focused on the molecular mechanisms and clinical translation of light therapy to promote wound healing and tissue regeneration. His lab attempts to identify key biological regulatory components that can be used in clinical studies to control biological outcomes. His work with biophotonics therapy has unraveled a major therapeutic molecular pathway that has been harnessed to promote wound healing and tissue regeneration as well as immunomodulation. His research is now focused on clinical translation of this therapy for various clinical ailments. His other areas of interest include dichotomy of wounds and tumors, cell signaling regulatory networks, Transforming Growth Factor-β biology and directing stem cell differentiation for regenerative therapy.
Pedro Azevedo, DVM, MSc, Pst-Grd
Comparison of the Hemodynamic Response in General Anesthesia between Patients Submitted to Skin Incision with Scalpel and CO2 Laser Using Dogs as an Animal Model.
This presentation will focus on evaluation of differences in the hemodynamic responses between patients submitted to skin incision with a blade scalpel and with a CO2 laser, using measurement changes in heart rate (HR) and arterial blood pressure, (ABP) (including systolic-SAP, diastolic-DAP, and median-MAP), associated with different patient pain level perceptions during surgical procedures, using the dog as model animal. The use of CO2 laser in surgery surpasses the conventional scalpel by lowering the nociceptive system stimulation, decreasing the autonomic nervous system activity and stabilizing the hemodynamic clinical signs such as the SAP, DAP, and MAP, which, in turn, promotes reduced anesthetic consumption and thus offers greater safety to the patient.
Dr. Pedro Azevedo holds the Doctor of Veterinary Medicine degree from the Faculty of Veterinary Medicine – University of Lisbon (FMV-ULisboa), Portugal. His Master thesis focused on the evaluation of postoperative pain in small animals. He completed several postgraduate international trainings (Pst-Grd) in different veterinary medicine and surgery fields, such as pain, ultrasonography and microsurgery. He is a Senior Doctor and leads the team of staff veterinarians at a private Centre of Veterinary Medicine – Anjos of Assis Veterinary Medicine Centre (CMVAA), in Barreiro, Portugal. His scientific interests in the veterinary medicine focus on anesthesia, pain and surgery. He has authored several scientific papers in different international index journals in the areas of anesthesia and analgesia, surgery, internal medicine, orthopedics and trauma, and veterinary dentistry.
Diana Batoon, DMD
Pediatric Airway and Sleep Disordered Breathing
Each year a large population of children with symptoms of mouth-breathing, snoring, bruxism, bed-wetting and ADD/ADHD go untreated and misdiagnosed. Unaware that Sleep Disordered Breathing is the root cause of their troubles, parents and children pursue treatments that make their situation worse, both in the present and the long run. It is a crucial time for the dental community to empower families to treat this condition instead of just coping with it.
Untreated or misdiagnosed, Sleep Disordered Breathing in the pediatric population has a significant impact on the deterioration of overall health, growth and development in young lives.
Dr. Diana Batoon has been at the forefront of educating the dental community and creating awareness among healthcare professionals everywhere to help identify and evaluate children for possible sleep issues. Her belief in the importance of healthy nasal breathing and healthy sleep patterns in children supports the long-standing medical research and more recently dental research that children are not growing and developing in the manner that they should be. Her practice in Scottsdale, AZ focuses on comprehensive oral health to bring about successful health changes within her patient population. She uses the most recent technology in her private practice to maximize the best possible dental treatment. Her passion and commitment to help many children and adults is contagious. She challenges other dental practitioners to elevate their practices to a different level by collaborating with all healthcare professionals and changing the way we practice in establishing complete dental health.
Noel A. Berger, DVM, MS, Dip. ABLS
Veterinary Oral Laser Surgery: Ahhh!
The oral cavity is well innervated and possesses extraordinary blood supply. These properties make traditional oral surgery challenging due to the vigorous perioperative bleeding and pain that is expected to occur. The use of a surgical CO2 laser in the mouth provides an effective method to reduce or prevent excessive bleeding and pain, thus expediting surgery time, and thereby reducing post-surgical complications. Using case presentations of excising gingival hyperplasia, removing tongue tumors, de-obstructing oropharyngeal tumors and other lesions, the many benefits of using CO2 laser in oral surgery will be demonstrated. New techniques for managing periodontal disease, creating mucoperiosteal flaps and treating feline oropharyngeal inflammation will be discussed.
Dr. Berger graduated in 1988 from the New York State College of Veterinary Medicine, and also earned the MS degree in Veterinary Clinical Sciences in 1989 from Cornell University. Following a residency in pathology, he entered private small animal veterinary practice and since that time he has been a clinician and successful business owner. He was certified by the American Board of Laser Surgery in veterinary surgery, physics and safety in 2000 and provided leadership in the practical use of surgical and therapeutic lasers. He was a charter member of the Veterinary Surgical Laser Society, and served as its president in 2002. He is first author of several peer-reviewed papers in veterinary laser surgery, laboratory diagnostics, and regenerative medicine. He has co-authored several book chapters and published a textbook of small animal laser surgery. He is an internationally recognized speaker, having instructed hundreds of veterinarians and technicians how to use therapeutic and surgical lasers. Dr. Berger delights in teaching the theory and safe techniques required to minimize post-surgical pain and inflammation using lasers.
David S. Bradley, DVM, FASLMS
Surgical Lasers In Veterinary Medicine
This short review will briefly cover the physics and science associated with veterinary surgical laser applications. Attendees will understand the direct photothermal reactions behind laser tissue interactions. The focus will be on the CO2 laser and why its unique properties make it the most versatile, efficient, and safest tool for general veterinary surgeons. A variety of surgical cases will be presented to illustrate these features.
Laser Therapy Simplified: A Quick Review of What You Really Need to Know
Laser therapy is the fastest growing modality in veterinary medicine and is becoming an essential part of the human armamentarium as well; this lecture will help you understand why. Dr Bradley simplifies the science and will review some of the current research associated with laser therapy. Attendees will understand the basic cellular and biological mechanisms behind the healing properties of therapeutic lasers and why the availability all wavelengths, high and low power/dosage, and different frequency modulations are important for optimal results on the widest array of patients and conditions. Special emphasis will be placed on explaining the practical approach to improving the clinical outcomes of a variety of neurologic, dermatologic, and musculoskeletal conditions as well as some intra-abdominal and intra-thoracic conditions.
David Bradley, DVM, FASLMS graduated from UF in 1987. He has practiced for over 30 years in Mixed, SA, Equine, and Exotics with a special interest in surgery. Dr. Bradley began using Lasers in private practice in 1999. Shortly thereafter, he began training and education in Laser physics and tissue interaction. He is a well-respected laser consultant and is a Fellow of the American Society of Laser Medicine and Surgery. He has authored numerous articles and a chapter in the recently published Laser Therapy text by Wiley. Dr. Bradley’s years of laser experience includes working with all the major Laser companies currently marketing to the veterinary community as well as many human companies. He has had the opportunity to use many different types of surgical, dental, aesthetic, and therapeutic Lasers. He has consulted with dozens of Laser specialists and thousands of veterinary and human physicians. Dr. Bradley has lectured nationally and internationally on veterinary laser use and will cover the science and practical application of laser therapy in veterinary medicine.
James M. Bronson, DDS, FIAO
Airway Enhancement following Myofunctional Therapy, Lingual Frenectomy and Quantum ALF Therapy in OSA patients
The objective of this presentation is to demonstrate (with pre- and post-CBCT analysis) and discuss the improvement in the size of Pharyngeal Airway in patients with restricted lingual frenums, achieved after they have undergone Myofunctional Therapy, CO2 Laser Frenum release, and Quantum ALF Orthopedic/Orthodontic Treatment.
Dr. Bronson is the founder and Director of Clinical Programs the ALF Educational Institute, LLC. A cum laude graduate of Georgetown University School of Dentistry, an International Lecturer, Fellow and Senior Certified Instructor of International Association for Orthodontics.
Sheila Busch, MSN, RN, OMT-C, FNP-C
Taking Care of T.O.T.S. (in the Wild Wild West)
The ideal combination that has been recommended for effective treatment for tethered oral tissue includes a dental or medical provider capable of release, IBCLC, chiropractor, OMT, massage therapist or CST. Practices in rural locations often have limited resources. Patients who travel to large metropolitan areas for TOT releases may also not have access to the recommended treatment providers. These patients and the rural providers who perform frenulectomies may find themselves in a position where they have to get creative to get the services they need. I will show you how one rural practice solved this problem to provide the recommended care for their patient population.
Sheila Busch, an accomplished RN since 2011, BSN in 2015, and recently completed her certification as an FNP, is the owner of Infinity Family Wellness in Prescott Valley, AZ. She has been involved with LightScalpel laser frenotomies for the past year and half and is seeking board certification. She is a certified oral myofacial therapist. She has recently begun to turn her attention assisting adults as well as children with airway compromise due to tethered oral tissues. Sheila practices in rural Arizona and has experienced the trials of multi-disciplinary care. Her hope is to unite disciplines in order to provide optimal care for patients.
Miguel Carreira, PhD, MSc, DTO, Pst-Grd, DMD, DVM
Comparison of the Influence of CO2 laser and Scalpel Skin Incisions on the Surgical Wound Healing Process
The method selected to perform skin incisions during surgery influences the healing process of the affected tissues. Conventional incisions with a scalpel are always associated with greater haemorrhaging, resulting in increased surgical time and inflammatory reaction, in contrast to CO2-laser incisions. Skin incisions made with the CO2 laser are associated with lower WBC counts and minor tissue trauma because the endothelial wall does not incur as much injury as with scalpel incisions, thus decreasing the PPT and ALB extravasation levels and promoting the healing process. The cosmetic results are also different between the methods, with 100% of the CO2 laser patients showing very good scar appearances eight days after surgery.
Comparative study on the plasmatic CRP level variation in dogs undergoing surgery with CO2 Laser and Scalpel blade incisions in a pre- and post-surgical time-point
In the dog, plasmatic CRP level can increase, as soon as four hours after the onset of tissue lesion stimulus. In a peri-operative scenario, plasmatic CRP can also work as a good monitoring tool relating to inflammatory tissue level, verifying that the increasing magnitude of its levels is correlated with the surgical trauma intensity produced in the patient. Lower plasmatic PCR level variation being registered for patients submitted to CO2 Laser surgery, than for those submitted to scalpel blade surgery, allowing us to conclude that the use of CO2 laser system in surgical incisions is associated with lower inflammatory response, promoting a better comfortable peri-operative period for the patient.
Dr. L. Miguel Carreira holds the degrees of Doctor of Veterinary Medicine (DVM); Doctor of Human Medicine in Dentistry (DMD); Specialist in Orthopedics and Trauma in Small Animals (DTO); postrgraduate international trainings (Pst-Grd) in several veterinary and human medicine and surgery fields; Master of Science (MSc); and Doctorate (PhD) in Veterinary Sciences (branch of Clinic – specialty of Surgery with his studies in Brain Neurosurgery and Neuronavigation in the Dog). Currently, Dr. Carreira is an Assistant Professor at the Faculty of Veterinary Medicine – University of Lisbon, teaching Surgery I and II (small animals). He is the Clinical Director of a private Center of Veterinary Medicine – Anjos of Assis Veterinary Medicine Centre (CMVAA) in Barreiro, Portugal. He has authored several scientific papers published in international index journals, and belongs to the editorial boards of numerous human and veterinary international journals. Dr. Carreira’s scientific interests in veterinary medicine focus on neurosurgery (brain and medulla), orthopedics and trauma, plastic surgery, anesthesia, pain and transplantation. His interests in the area of human dentistry focus on surgery, implants, and cosmetic dentistry.
Manuel Castillo, DDS, Diplomate, American Board of Pediatric Dentistry
Lasers in Pediatric Dentistry: The Power of Light
The use of lasers in dentistry has evolved rapidly in the last decades; their initial use was limited to a few surgical procedures. As understanding of the properties and effects of different wavelengths increased, the development of dental lasers progressed, increasing the scope and variety of dental procedures that could be performed. Fast forward almost 30 years and lasers are becoming an integral part of some more progressive dental offices. Today, they have diagnostic, surgical, reparative and healing qualities in dentistry. This presentation will showcase the everyday use of lasers in a pediatric dental office as well as selecting the correct wavelength laser for soft and hard tissue procedures.
Dr. Manuel Castillo is a Board Certified Pediatric Dentist. He is a 1991 graduate from Marquette University School of Dentistry. In addition to his extensive hands-on experience as a general doctor of dentistry, Dr. Castillo also thrived in academics. He worked as a full time assistant professor at Marquette University School of Dentistry, and held faculty appointments at Northwestern University Dental School in Chicago and at the University of Colorado, School of Dental Medicine.
After 12 years in private practice and academics, Dr. Castillo was commissioned as dental officer in the U.S. Army in 2000. Major Castillo’s first assignment was in beautiful Monterrey, California. At that time he was selected for pediatric specialty training and earned his Pediatric Dentistry Certificate from Baylor University School of Dentistry at Dallas in 2005. In September of 2006 Dr. Castillo became a Diplomate with the American Board of Pediatric Dentistry, and in May 2007 he became a Fellow with the College of Diplomates of the American Board of Pediatric Dentistry.
Lieutenant Colonel Castillo finished his military career with a three-year assignment in Germany as Chief of Pediatric Dentistry in 2008. After proudly serving in the U.S. Army for eight years, Dr. Manuel Castillo decided to establish his roots in Texas where he has served his patients in two private Children’s Dental practices. After almost 24 years of both general and pediatric dental experience, in 2015 Dr. Castillo decided it was time to venture in a solo practice where he could create a close and caring relationship with his young patients and their parents.
Dr. Castillo’s extensive experience and skills continue to earn his patients’ trust. Children and parents love his fun personality and gentle touch.
Michale Chatham, RN, BSN, OMT, LMT, IBCLC
Creating the Airway Dream Team: The heart at the Heart of the Matter
One of the significant challenges in treating the Airway and tongue tie patient is achieving consistently successful outcomes while treating diverse presentations such as: functional orthodontics, TMJD, Infant Breastfeeding, OSA and toddler feeding.
This lecture addresses how to create a multi-disciplinary team structure based on one essential outcome that ensures success. Attendees will benefit from Michale’s years of experience in creating team approaches in various venues and practice settings.
Utilizing her experience as a Registered Nurse with more than 30 years of experience in Dentistry she established one of the country’s first integrative Frenectomy Clinics. She is founder and CEO of MyoWild™, which provides a proprietary approach to healing the structural and functional effects of Oral Dysfunction in any age Client. She consults with Dentists nationwide to assist them in realizing their dream Integrative, Airway and Oral Functional practices. Michale is also Clinical Care Coordinator at Carla Damon, DDS located in Richardson, TX.
Lorraine A. Corriveau, DVM, DABVP (canine/ feline)
The use of CO2 laser in exotic animals
Performing surgery in very small exotic animals comes with special challenges. Hemostasis and pain control are of the upmost importance. The CO2 laser provides excellent hemostasis allowing the surgeon to perform surgery that would have a higher risk factor if performing with the traditional scalpel blade technique. I will also discuss the effects of the CO2 laser on the regeneration of a leopard gecko tail after using the CO2 laser for amputation due to a cancerous mass.
The use of CO2 laser in veterinary dentistry and oral surgery
The oral and nasal cavity of dogs and cats is extremely vascular and there is much bleeding when using a scalpel blade to perform a surgery. The CO2 laser provides excellent hemostasis which allows better visualization of the surgical site and less blood loss for the patient. This presentation will demonstrate the use of the CO2 laser in clinical cases related to oral surgery and dentistry in veterinary medicine and how quickly the mouth heals after the use of the CO2 laser.
Graduate from Purdue College of Veterinary Medicine in 1999 then did private practice for two years before returning to Purdue University Veterinary Teaching Hospital to teach 4th year veterinary students primary care in dogs, cats and exotics. I became a diplomate of the American Board of Veterinary Practitioners in canine/feline general practice in 2016. I started using the CO2 laser in 2006 and am in the process of becoming a diplomate of the American Board of Laser Surgery.
Claudia Cotca, DDS, MPH
Microscopic Laser Surgery in Frenectomy Clinical Protocols with Assisted Aesthetic-Functional Periodontal Mapping
As demand continues to grow for aesthetic and functional driven therapeutics, accurate and appropriate soft and hard tissue diagnosis and staging assisted mapping draws at the core for predictable oral health and aesthetic reconstructions. Advanced protocol of frenectomy surgical clinical model will be presented and discussed starting with description of current controversies of anatomical and functional deficiency and concluding with laser surgical -periodontal mapping-assisted microscopic execution. Dental clinicians ought to be prepared for appropriately appreciating the varying, though sometimes subtle, anatomical and phenotypical nuances which, if overlooked, present a limiting factor in expected longitudinal prognosis. In this spirit of diagnosis and treatment planning surgical frenectomies, microscopic laser protocols are not only important but deemed crucial for predictable, reproducible and stable clinical results. This lecture will present a brief literature review on surgical frenectomies, current controversies and limitation in diagnosis and treatment planning, and case presentation of advanced microscopic laser surgical protocol with assisted periodontal mapping.
Dr. Claudia Cotca, is a 3 times graduate of University of Michigan, where she received a Bachelor of Science with Chemistry Degree and Cellular Molecular Biology, Master of Public Health in Toxicology, and Doctor of Dental Surgery. Dr. Claudia Cotca, an international lecturer and aesthetic restorative dentist founded the Washington Institute for Dentistry & Laser Surgery in Washington DC Metro, a private practice Institute with focus on technology and interdisciplinary smile reconstruction within facial neurologic & skeletal coordinates. For more than a decade she has developed customized dental protocols on obstructive sleep apnea, temporomandibular disorders, sports dentistry, systemic implications in oral aesthetic rehabilitation, single tooth and full mouth restorative dentistry, lasers, implants, dental anti-aging, and whitening therapies. Through her studies in Toxicology and as founder of the C3 Think Tank, she develops real time oral clinical protocols for systemic conditions like diabetes, immunosuppression, cancer chemotherapy and radiation, dental facial anti-aging, and whitening. Dr. Claudia Cotca has served on national Boards and Committees including Academy of Laser Dentistry, American Academy of Oral Medicine, American Diabetes Association DC Leadership Board, American Dental Association Standards Committee on Dental Products, Subcommittee on Lasers, Whitening, Biologic Evaluation, as US Delegate to International Organizations of Standardization and held representative roles in the World Dental Federation and American Dental Association, among others. Her memberships rank with American Academy of Fixed Prosthodontics, American Society of Laser & Medical Surgery, Academy of Laser Dentistry, and many others. Since 2001 she has been involved in federal legislation and represented American Dental Association and American Academy of Oral Medicine as Spokesperson and Dental Expert on Capitol Hill, testified before United States Congress, and has appeared on media and online portals, SiriusXM Doctor’s Radio, ABC News, and NBC News as Dental and Oral Health Expert. She is Fellow of the American Academy of Oral Medicine, International College of Dentists, Pierre Fauchard Academy and is a member of the International College of Prosthodontists.
David D. Duclos, DVM, DACVD
Excision and Ablation of Various Dermatologic Lesions in the Dog and Cat
This presentation will show: excision and ablation of various skin tumors, hamartomas and skin abnormalities using the CO2 laser. This presentation is intended to demonstrate how much easier many dermatologic procedures are when using the CO2 laser. This is because of clear surgical field produced by the coagulation effect of the laser on small capillaries. Also the comfort afforded the patient because of less post-operative pain. The precision that is made possible by use of good incisional CO2 laser technique will be demonstrated in the removal of a large adnexal hamartoma on the paw of a dog, along with several other skin lesions in dogs and cats.
Aberrations of the follicular units consist of what pathologists call hamartomas. Hamartomas are ‘tumor like’ lesions that are caused by a disturbance of normal tissue growth which then surpass the surrounding areas. Two common hamartomas in the dog are fibro-adnexal hamartomas and collagenous hamartomas. The most common areas for the fibro-adnexal hamartoma is the paws. If left untreated these hamartomas become large and result in pain which the patient exhibits by frequent licking of the paw and lameness. It will be shown how removal of this tumor with the CO2 laser is better than conventional scalpel surgery. The laser allows removal of only the lesional tissue and leaves more normal skin, thus allowing easier closure of the surgical sites.
Several other examples will be shown on eyelids, ears, and the nasal planum to demonstrate the advantages of CO2 laser surgery in veterinary dermatology.
Dr. Duclos received his Bachelor of Science degree in biology and chemistry from St. Martin’s College, in Lacey, Washington, and received his professional training at the School of Veterinary Medicine, WSU, and his degree in Veterinary Medicine (Cum Laude) from Washington State University, in Pullman, Washington. After graduation, he was engaged in private clinical practice in Forks, Washington, before going to the University of Pennsylvania, in Philadelphia, for his dermatology residency. After residency, he attained board-certification status, and in 1991, moved back to the Northwest to become the owner of the Animal Skin and Allergy Clinic, near Mill Creek, Washington.
In addition to his duties as a specialist in the dermatology practice, Dr. Duclos has also contributed to the advancement of the specialty of veterinary dermatology by writing many articles, book chapters, and scientific papers on various subjects in the specialty of veterinary dermatology. He also gives continuing education lectures to veterinarians and their staff in the local Northwest region, as well as in other areas of the United States, Canada, and Europe. Dr. Duclos is well known in the veterinary dermatology specialty for his expertise in CO2 laser surgery and for his interest in clinical photography. Many veterinary dermatologists use his photographs in their lectures and publications.
Dr. Duclos is also known for his discovery of interdigital follicular cysts as one of the causes of pododermatitis in dogs. He developed a special procedure using the CO2 laser, which can cure the cause of this condition in affected dogs. He has published several papers and has given many veterinarians hands-on training in the surgical techniques used in treatment of interdigital follicular cysts in dogs.
Michelle Emanuel, OTR/L, Occupational Therapist
Mission NOT Accomplished! How a full release can end up “reattached” and inhibit great functional outcomes and what to do to prevent it.
Infant frenectomy success and optimal functional outcomes are measured not only by the release itself, but the wound healing process which occurs in the first two to four weeks post procedure. The mission is to provide high quality patient care, excellent techniques, functional improvements and successful secondary wound healing after release of tethered oral tissues. We can check all of the boxes: Planning and Implementing a Team Approach, Pre and Post Frenectomy Therapy, Strategies and Activities, Providing excellent Frenum Release with LightScalpel, Ensuring Training and Expertise in Release Procedures, however, if we are unable to help parents prevent primary intention healing, the mission is not accomplished. This talk will cover aspects related to wound healing through secondary intention, how to help parents understand and complete wound care activities that help the mission be accomplished.
Michelle Emanuel has 20 years of experience as a Neonatal / Pediatric Occupational Therapist, with specific focus on posture, movement and connection for the newborn to pre-crawling baby. She has a background in neonatal intensive care NICU, pediatric intensive care PICU, cardiac intensive care CICU, and outpatient population. She has a unique and interesting way of blending traditional and complementary forms of therapeutic applications, with her main emphasis on facilitating health nervous system function.
She is a Certified CranioSacral Therapist through the Upledger Institute and serves as a TA (teacher’s assistant) for CranioSacral Therapy I and II, SomatoEmotional Release I and II, as well as CranioSacral Therapy for Pediatrics I and II. In addition to this, Michelle has a wide variety of specialty Baby Manual Therapy / Bodywork training and experience. She has been teaching and lecturing at various conferences and groups across North America and Canada.
Michelle is a certified Yoga Instructor (RYT200), a National Board Certified Reflexologist, and is certified in Infant Massage, Baby’s First Massage, and Butterfly Touch Massage.
She developed the TummyTime! Method over ten years ago in order to address the rising numbers of babies affected by sleeping on their back, developing tension patterns and flat spots. She offers the “secret” the helping babies and families have fun and enjoy the tummy time experience.
Why does Michelle focus on the newborn to pre-crawling infant? Because outside of working pregnant women, this is the earliest time of intervention. The newborn to pre-crawling stage contains critical periods of movement, reflexes, autonomic regulation and neurodevelopment. Michelle has significantly helped thousands of babies/families over the years. She brings a vast array of knowledge, education and experience to this population, a well sought after therapist and teacher, she truly enjoys what she does.
Michelle’s emphasis is on healthy nervous system function for babies and families.
Tara Erson, DMD
Building a Frenectomy Focused Dental Practice
Dr. Tara will share the reasons for giving up regular dentistry in order to build a practice that focuses on the tongue and the things they don’t teach in dental school. Her office deals exclusively with frenectomies, airway health, functional appliances, myofunctional therapy, lactation consulting, and bodywork.
Learn her unique approach to health care in a dental office and how she built her own education, team, office building, and referral sources to support it. Additionally, learn the absolute importance of a full team approach to make functional dentistry successful, and find out how to implement it, whether that team is inside your office or out in your community.
Dr. Tara Erson was introduced to tongue-tie while attending La Leche League meetings with her first child in 2012. As time went on she began to see how negatively ties impacted breastfeeding. She was inspired to learn more about how she, as a dentist, could help breastfeeding moms and babies.
As this information is not taught routinely in dental/medical/lactation education, Dr. Erson realized she must create her own pathway of education. In the summer of 2016 she traveled to Portand, OR to spend half a day observing Dr. Bobby Ghaheri perform the procedure. Since then, she has been actively pursuing continuing education on ties. She quickly realized it was something she was truly passionate about, not only for breastfeeding, but also for oral, facial, and airway development. Dr. Erson takes great pride in bringing up-to-date knowledge to her patients for the best possible outcomes.
Paula Fabbie, RDH, BS, COM
Frenectomies – Too much, Too Little, Too Late
Utilization of ideal timing, technique and collaboration is imperative for long term post-frenectomy goals. Healthy oral function, improved breathing and long-term dental health are attainable goals. Personalized medicine and dentistry are moving away from the one-size-fits-all modality of treatment. A review of case studies will provide an insight into identifying the roadblocks that may complicate successful outcomes.
IAOM Board certified orofacial mycologist, Paula consults, lectures and has written articles and chapters on Orofacial Myofunctional Disorders and how they impact overall health and sleep. Paula offers a unique perspective on time proven oral rest posture principles combined with evidenced-based science to assist her patients in achieving myofunctional goals and functional breathing. She operates Paula Fabbie LLC where she provides myofunctional services.
Elizabeth Fleming, DDS
Laser Pointers: Activated Tips for your Practice
The diode laser is a relatively easy and inexpensive option for entering into the field of lasers in dentistry. For the general dentist, having the proper armamentarium will allow the best outcome in patient care. This introductory course will review diode laser science, and show common treatments performed with the diode laser. Guidance will be given for choosing the proper laser for the new user, or for upgrading an existing diode. An overview of ADA codes for the soft tissue procedures will be discussed, to allow an easy transition into diode laser treatments once back in the office.
Dr. Fleming is an experienced comprehensive and family dentist who has managed her private practice in Phoenix, AZ for over 30 years.
Her multi-year tenure as Chair of the Council of the AZDA that engages and books speakers for the Western Regional Dental Experience spurred her into becoming a speaker herself, as well as to form Quality Dental Voices Speaker’s Bureau.
Working outside of private practice, she was Clinical Director for Dentaltown Magazine from 2013-2015, where she became proficient in editing, writing (Women in Dentistry) and recruiting authors for the publication. (Bisphosphonates )
As an industry leader, Dr. Fleming continues to review dental products for the Publication, Dental Product Shopper.
In her home state of Arizona, she is active in the local dental association, serving as Chairman of the Council on the Annual Session for AZDA for the past 5 years. It is here that her love of learning has allowed interaction with many of the dental speakers who presented at the Western Regional Dental Experience, and her ideas were instrumental in bringing change to the local convention for 2018.
Jakub Kaczmarek, DVM
How the CO2 laser revolutionized my approach to general and perineal surgeries
Wound healing following a surgical incision is a primary factor affecting patient morbidity and recovery time. Common uses of the carbon dioxide laser in perianal surgery include excision of perianal tumors, rectal tumors, and anal sacculectomies. In general surgery carbon dioxide laser works very well during procedures, such as cutaneous tumor excision/ablation, limb amputation, celiotomy, thoracotomy. CO2 laser is very precise surgical instrument which helps to control most hemorrhages of the perianal region. However larger vessels need to be cauterized or ligated. As the laser cuts, it seals nerve endings, axons and also lymphatic vessels which leads to less postoperative swelling and pain. The photothermal eﬀect during laser cut decrease the number of bacteria and therefore minimize the risk of postoperative infection. Correct use of the CO2 laser can help the surgeon to perform the surgeries faster, safer and more beneficial for the patients which w
Jakub Lukasz Kaczmarek, DVM, ECVS Resident. After graduating the veterinary studies in Wroclaw (Poland) in 2013, he began a two-year surgical internship at the referral clinic in Birkenfeld, Germany. He is currently a resident of the European College of Veterinary Surgeons at a reference clinic in Augsburg / Germany.
Martin A. Kaplan, DMD, DABLS
My Journey from Diode to CO2 over 15 years
15 years ago, I was reading about the future of dental treatments in a dental products journal. I came across the subject of lasers and how they would help me to raise my standard of care by providing more efficient surgeries for hard and soft tissue without the problems of bleeding and discomfort; and what a tremendous advantage this would be for my pediatric and special needs patients.
I did my due diligence (I thought) and attended many classes on lasers. Diodes were touted as the new wave of providing bloodless and kinder surgery with less post-op pain. Drills were to be eliminated along with the need to administer local anesthesia.
My journey was a path of wonderful successes and disappointing failures. The laser company promises were exaggerated and unfulfilled. Yet, I knew the potential was there, because most of the science made sense.
I will review my success and failures. In addition, I will show how I adapted to the falsehoods and the found the truths.
Frenum Care Beyond the Infant
This presentation will travel beyond the infant frenum and how the frenum can affect breastfeeding. The human body knows how to adapt. Yet, there is often a cost to our body as it adapts to pathology. There are potentially millions of patients who are treated every day with medications and surgeries and who may not have developed many of the common diseases and health related problems. Every day TV commercials discuss reflux and snoring. Buy the latest medications and the newest pillow or mattress. Depression and anxiety medications will make you better. Many other physical issues, such as back and neck pain, will be relieved with the newest technology for you to wear.
I will present many clinical cases treated with lasers, from newborn to adult, with specific attention to speech, musculoskeletal issues, sleep disordered breathing and ADHD.
Dr. Kaplan earned his dental degree at Tufts University School of Dental Medicine in 1975. While attending dental school he became involved with the pediatric dental department and was captivated by the comprehensive nature of the program and the ability to treat the youngest of patients and direct them to better oral and physical health.
Upon graduating from Tufts he was accepted into a pediatric dental residency program at Montefiore Hospital and Medical Center where he received his certification as a pediatric dentist.
Following the residency, he opened his pediatric dental practice in Stoughton, Massachusetts. In 2003, Dr. Kaplan became interested in dental lasers and became an early adopter of this new treatment modality. He became laser certified through the Academy of Laser Dentistry and recently achieved his Fellowship stasis. He has been a long time contributing member and lecturer in the academy and has been a volunteer laser instructor at Tufts Dental School in the post-graduate pediatric dental department for the past 10 years. In 2015 he was instrumental in developing the first in the country “Infant Laser Frenectomy” training class through the continuing education department at the dental school. The class has been attended by dentists and physicians from around the globe.
Dr. Kaplan is a 41-year member of the American Dental Association, Massachusetts Dental Society, the Academy of Pediatric Dentistry, Academy of Laser Dentistry, the American Board of Laser Surgery, the Academy of Breastfeeding Medicine, Massachusetts Breastfeeding Coalition, Breastfeeding USA plus multiple other professional organizations.
Recently he also become a Diplomate of the American Board of Laser Surgery and is its first ever director of Dental Laser Surgery.
Dr. Kaplan has authored several articles, both dental and breastfeeding related. His recently co-authored publication, Color Atlas of Infant Tongue-Tie and Lip-Tie Frenectomy co-authored with Robert Convissar, DDS; Alison Hazelbaker, PhD, IBCLC; and Peter Vitruk, PhD, is currently being reviewed by Gordon Christensen of the Clinicians Report.
Shelly F. Klein, MD, DABLS, COM
Car Seat Challenge Accepted
The Infant Car Seat Challenge (ICSC) is a screening tool used in all North American neonatal intensive care units to identify certain at-risk neonates that may not tolerate being transported in a car seat and, therefore, unsafe to discharge home. There remains some controversy regarding the validity of a “passing” screen, but there remains greater interest regarding the 4.5% failure rate. Failing the ICSC is possibly due to central apnea, transient right to left cardiac shunting, or inhibitory reflex triggering laryngeal receptors leading to apnea and bradycardia. However, little evidence exists for any consistent correctable cause for a failed car seat challenge. In a recent case study, an infant failed an ICSC multiple times which prolonged his NICU hospitalization. He was subsequently identified as having tethered oral tissues (TOT). Once the TOT was released, he passed the ICSC. Therefore, I propose that tethered oral tissues may affect the ability of the at-risk neonate to maintain their airway and thus pass an ICSC.
Dr. Shelly Klein is a board certified pediatrician who has been practicing for over twenty years. Dr. Klein is the owner of a general pediatric practice, Cornerstone Pediatrics, in Prescott Valley, Arizona, and also serves as a hospital provider in her local hospital nursery. She has always been a proponent of breastfeeding and corrected lip and tongue ties with scissors for many years in her outpatient practice. When she discovered CO2 laser treatments for tethered oral tissues, she was thrilled to be able to offer a more complete solution to her patients and their families. Dr. Klein became a member of the ALSC in 2018 and certified in laser surgery that same year. She also became a certified oral myofacial therapist in 2018. Dr. Klein provides her patients and their families with a totally inclusive experience, offering oral myofacial therapy, laser frenulectomies, cranio-facial therapy, and lactation services, all in her rural clinic.
Katalin Kovács, DVM, PhD
Photodynamic Antibacterial Treatment (aPDT) in Pets
Bacterial infection is a common disease in pets. As in human medicine, the drug resistant microbial flora causes frustration in patients’ owners and vets alike.
Antibacterial Photodynamic Therapy has two elements: photosensitising agents and light. When the sensitiser reaches the cells, then it can be activated within the “optical window”. Photosensitising agents are only activated with light. Light reacts with the drug, breaking it down and releasing a single oxygen atom. The oxygen destroys microbial cells from the inside out.
Material and method
Our patients were treated with the sensitiser based on Phenothiazine (Methylene blue). The PDT diode laser’s wavelength was 810 nm. The photosensitising agent was administered locally, then diode laser light was applied. Light dose was 10-100 Joule/ cm depending on the case. The drug-to-light interval is the period of time between when the drug is given and when the light is applied. In our case it was five minutes. We decreased the light dose to avoid thermal effect by using the 500 mWatt output power of the laser. If it was necessary to repeat the treatment, maximum once per week.
The treatment time is considerably reduced because of the higher dye concentration and light doses are reached more quickly. The 810 nm wavelength penetrates deeply into the tissues, up to 3 to 4 cm, instead of a few mm in conventional 670nm based PDT systems.
Photodynamic Antibacterial Treatments in Pets were very effective without high risk. In each case the resistant recurrent infection was decreased dramatically, and in some cases recessed to a manageable state (in Rabbits).
Antimicrobial PDT not only kills the bacteria, but may also lead to the detoxification of endotoxins such as lipopolysaccharide.
Antimicrobial PDT seems to be a unique and interesting therapeutic approach in the future of the veterinary field.
Dr. Kovács, the owner of Laservet Clinic, has practiced animal veterinary medicine for over 10 years and offers an array of services, such as laser surgery and therapy; animal dentistry (pets and zoo animals); ENT therapy; dermatology and internal medicine. After obtaining her veterinary degree, she went on to attend Semmelweis University (Budapest, Hungary) for her PhD (graduated Summa Cum Laude). She is Research Adviser for Laser Therapy and Surgery at the Semmelweis University, at the Faculty of Medicine, Department of Surgical Research and Techniques.
Dr. Kovács believes in providing clients and her patients with quality leading edge veterinary care.
She often presents at many veterinary congresses and courses. As a specialist, she also works with zoo animals.
Dr. Kovács lives with her two children and her lovely Boston terrier. In her spare time, she enjoys horse riding, gardening and spending time outdoors.
Ziemowit Kudła, DVM
Brachycephalic Obstructive Airway Syndrome (BOAS) – my 7 years of experience using Aesculight CO2 laser, over 460 patients operated
Brachycephalic Obstructive Airway Syndrome (BOAS) is a problem for more and more dogs and cats in the world. It starts with the stenosis of the nasal cavities and entails a lot of disease consequences.
The use of CO2 laser for nose surgery, soft palate correction, and laryngeal saccules allows the procedure to last shorter; there is no significant tissue swelling at the surgery site, bleeding is practically not possible, and the healing process is much faster than when using a traditional scalpel.
Performing over 460 treatments in animals affected by BOAS allowed me to develop my own technique of cutting the nose and soft palate. The CO2 laser has opened new surgical possibilities for us. During the presentation, I will show a lot of films and photos from my operations.
Dr. Ziemowit Kudła was born in Bielsko-Biała, Poland in 1974. He graduated from the Veterinary Technical School in Nowy Targ, after which he began studies at the Wrocław University of Environmental and Life Sciences, Faculty of Veterinary Medicine. In 2004, after finishing his studies, he opened his own veterinary practice in his hometown of Bielsko-Biała, which he runs to this day with his wife Anna.
Dr. Kudła is the father of three sons. He has two European cats, two German dogs and two Gipsy Cob mares, who he rides, Western style, with his wife.
In 2012, looking for new solutions in veterinary medicine, after meeting with John Godbold, DVM, he bought the Aesculight, the first CO2 laser in Poland.
Since then, he has entered a new era of bloodless surgery. He has adapted all surgical procedures in his practice to laser surgery.
Dr. Kudła authored several publications in the national press on the use of the Aesculight CO2 laser in veterinary practice. He lectured at the workshops on the use of CO2 laser in surgery, as well as on other veterinary fields in Poland. Dr. Kudła participated in many conferences, workshops and courses. He taught first aid pre-veterinary courses and courses for dog carers. Dr. Kudła participated in radio and television programs devoted to animal health. In 2018 he graduated from the Veterinary Anesthesiology School under the supervision of Peter Kronen, Dipl. ECVA, and received the VAT-Veterinary Anesthesiology Technique certification.
Lisa Lahey RN, IBCLC, OMT
Form Function and Physiology for TOTS Assessment across the Lifespan
Instructor will review with the learning audience variations of anatomy and physiology of the tongue, lips, cheeks, jaw, and the body systems as a whole as it relates to assessment of TOTs and oral myofunctional dysfunction across the lifespan. Participants will then learn best ways to communicate the clinical assessment and data to the patient and the treatment team which optimizes professional practice standards in this emerging field.
Lisa has worked as a maternal child health nurse and lactation consultant for 23 years first in the hospital settings of Labor and Delivery, postpartum, NICU, newborn nursery, and perinatal education. As a nurse and IBCLC, Lisa has a special interest in tethered oral tissues and myofunctional therapy where she has taken many trainings and courses beyond her baccalaureate nursing degree to provide expertise to her patients. Lisa now provides lactation consults and holistic modalities for complex breastfeeding issues in her private practice Advanced Breastfeeding Care. Lisa also works in a functional orthodontic office in Indianapolis providing myofunctional assessment and therapy to babies, children, and adults. Lisa is a contributing author to the book Tongue Tied.
In her free time she enjoys traveling with her husband and five children especially to state and national parks to unplug and enjoy nature.
Brynn L. Leroux, DDS
The Joys and Challenges of Incorporating TOTS, Airway and Laser Procedures into Your Pediatric Dental Practice
Are you interested in “jumping into the rabbit hole” of incorporating tethered oral tissues, airway dentistry and laser procedures into your pediatric dental practice, but are overwhelmed with where to even begin? Join us for a brief overview of numerous topics, including developing a collaborative team with other medical professionals, making appropriate referrals, incorporating forms/educational materials/systems, insurance and billing, screening and educating your patients, discussing and implementing multiple sedation options where applicable, performing laser procedures, follow-up care, wound management of TOTS, and more!
Dr. Brynn Leroux is a graduate of Louisiana State University School of Dentistry and was ranked 2nd in her graduating class. She completed a residency in Pediatric Dentistry at the Medical University of South Carolina, acting as Chief Resident. A native of Maringouin, LA, Dr. Leroux graduated as Valedictorian from Catholic High School of Pointe Coupee and continued on to study Biological Sciences at LSU in Baton Rouge. Dr. Leroux is a partner in Associates in Pediatric Dentistry, a group practice with 4 locations serving the Greater Baton Rouge area. She is a Board Certified Pediatric Dentist of the American Board of Pediatric Dentistry and has begun the certification process through the American Board of Laser Surgery. She is an active member of numerous local and national dental organizations and honorary societies, including the Greater Baton Rouge Dental Association, Louisiana Dental Association, American Dental Association, Southwest Society of Pediatric Dentistry, American Academy of Pediatric Dentistry, OKU National Dental Society, C.E. Kells Honorary Society, and Pierre Fauchard Honor Society. After being personally affected by tongue tie and sleep disordered breathing, Dr. Leroux has taken a special interest in tethered oral tissues, airway-centered dentistry, sleep medicine, and interceptive orthodontics. She is a TOTS trained professional, an active member and speaker of the American Laser Study Club, and a founding member of the International Consortium of Oral Ankylofrenula Professionals (ICAP). She evaluates her patients for signs and symptoms of tethered oral tissues and sleep disordered breathing and provides laser lip and tongue tie revisions from birth through adulthood using the LightScalpel CO2 laser. Her practice can offer any level of sedation or anesthesia “in house” as needed to provide patients with the most thorough, positive, and safest laser revision experience. Dr. Leroux works closely with a team of local lactation consultants, therapists, bodyworkers, pediatricians, and ENTs to ensure collaboration, follow through, and comprehensive care for her patients. In her spare time, Dr. Leroux, her husband, Lance, and her children, Anson and Amelie, enjoy entertaining family and friends, attending LSU football games, exercising, traveling, and spending time at their lake house.
Robert Levine, DDS
How the use of lasers can help support all dynamics of restorative dentistry. This includes the support of virtual technologies.
Lasers have become a fundamental technology utilized in the support of multiple procedures in dentistry. They are used in the micro-removal of soft tissue to support crown and bridge procedures.
Examples of such procedures include troughing for impression taking, uncovering margins for accurate virtual scanning, and surgical procedures such as, frenectomies (infant lip and tongue tie release), cosmetic gingival architecture design and, of course, control of bleeding. These procedures have been made relatively routine with laser support. All of these areas will be briefly covered in this presentation.
Laser Use in the Academic Environment: What We are Teaching our Pre-Doctoral Students.
What are our students learning about laser technology in dentistry? How widespread is laser use in private practice? Are we ahead of the curve? Get answers to these questions and more when Dr. Levine reviews ASDOH’s laser curriculum and the range of laser experiences in which his students participate. Discuss laser research projects currently in progress.
Dr. Robert Levine is President of Global Laser Oral Health, LLC, and Levine Consulting. GLOH is a CERP Recognized provider for On-line Laser Training. Dr. Levine designs these programs for General Dental and Hygiene professionals as well as, Academics. He has been in the field of dentistry since 1973. He graduated from N.Y. University and completed a two year residency from 1973 to 1975 at the VA Hospital in Brooklyn, N.Y. He remained as a consultant from 1975 to 1985 and was in private practice in NYC from 1978-2005.
Dr. Levine has 12 years of experience in the laser arena, both in academic and private practice. For the past 8 years, Dr. Levine has been a full time faculty member at Arizona School of Dentistry & Oral Health, (ASDOH). He served as clinical director of the AEGD Post Graduate program from 2009-2013, as well as, Director of Laser Dentistry. Dr. Levine has published many papers on the science and use of CO2 Laser technologies for use in dentistry. He also lectures on Lasers and the new emerging technologies in dentistry.
Dr. Levine is also a proud co-developer of the first accepted laser curriculum at an accredited United States dental school. He also works heavily in the Special Care Dentistry arena, where he is able to apply this technology to a special group of patients.
His interest in oral cancer has led him to be a keynote speaker at the Major League Baseball meeting in Dallas, Texas, in 2011. He spoke on the dangers of using smokeless tobacco products. Dr. Levine educates the Major and Minor League players on the dangers of ST Products as well as HPV related Oral Cancer.
Through the GLOH training process, Dr. Levine saw a way of introducing to the Dental Professional, a comprehensive pathway to laser technology. The GLOH website utilizes the Articulate Process to provide training. With these technologies, they would see the potential benefits for their patients and their practices. He realized that an on-line training program is the most viable way to share this information to a large audience of dentists at a very affordable price. Dr. Levine interests include baseball, golf, skiing, and tennis. He resides in Scottsdale, Arizona.
Dr. Levine is owner and President of Global laser Oral Health, LLC (GLOH) and Levine Consulting LLC. Dr. Levine provides independent consulting services to various laser companies
Lisa Paladino MS, RN, CNM, IBCLC
Team Approach to Tethered Oral Tissues (TOTs) in the Breastfeeding Infant
The assessment of tethered oral tissues in infants is one of form and function, and timing (or readiness) of the breastfeeding dyad is vital. As a private practice Lactation Consultant (IBCLC), Lisa will demonstrate her role in the treatment team, and discuss why assessing readiness in infant, parent and feeding is key to having successful results.
Education and preparation of families lead to better outcomes, and Lisa will discuss how she is meeting this need with her online program, “Parent’s Guide to TOTs”.
Lisa Paladino is an International Board Certified Lactation Consultant/Certified Nurse Midwife in Staten Island, NY. Lisa’s 30+ year career includes 28 years at Staten Island University Hospital, first as an RN (1987), then as a CNM (2008), and finally as an IBCLC (2011). At Staten Island University Hospital, Lisa was the co-founder and coordinator of the Breastfeeding Initiative and worked in collaboration with the NYC Department of Health for eight years on efforts toward achieving the “Baby Friendly” designation. In 2015, Lisa established her private practice Lisa Paladino CNM, IBCLC, focusing on lactation, women’s wellness and nutrition, with an approach that integrates the Midwifery model with the Functional medicine model.
In 2016, Lisa completed the Academy of Oral Myofunctional Therapy course to advance her knowledge in this emerging field. Lisa has recently completed certification programs in Herbal Medicine for Women (2017) and Women’s Integrative Medicine (2018).
Lisa has been assisting new families to breastfeed since 1990, first at the bedside, and in the past years in the outpatient office setting. Lisa’s unique qualifications as both a nurse practitioner and lactation consultant, give her the ability to diagnose and prescribe treatment protocols for breastfeeding management as an independent provider. Being a founding member of the International Consortium of Oral Ankylofrenula Professionals (ICAP), she is experienced with assessment, diagnosing and treatment protocols for infants with tethered oral tissues (tongue, lip, and buccal ties) and has a network of professionals for collaboration and referral.
Lisa is an administrator for a local Facebook breastfeeding support group, Staten Island Breastfeeding Moms and a women’s health and empowerment group, called Roots. She also leads an online Reset and Replenish group, focusing on thyroid and adrenal health solutions. Her social media goals are to change the culture around infant feeding and wellness, one woman, one family at a time and her mission is to support as many parents as possible in reaching their own feeding goals. She is fortunate to work in a collaborative/referral network with a team that includes a laser dentist for frenotomy, body workers and SLPs.
A version of this presentation was given in NYC in 2017 and in Toronto in July, 2018. Other public speaking experiences include many educational offerings for the NYC Health Maternal Child Health department and as the primary faculty for Lactation education at the hospital for eight years, as well as various social media video presentations.
Seena Patel, DMD, MPH
An Overview of Common Oral Lesions: Diagnosis and Management
Dentists are the first-line providers patients see for oral lesions. However, appropriately diagnosing and managing oral mucosal diseases can be challenging, and patients often see several providers before obtaining a correct diagnosis. A sound understanding of oral mucosal diseases and following a systematic approach to diagnosis can help prevent unnecessary office visits, diagnostic tests, treatments, and most importantly, a delayed diagnosis. This presentation will outline common conditions affecting the oral soft tissues and how to manage them. It will aid clinicians in forming differential diagnoses and in understanding how to order appropriate diagnostic tests. Further, it will highlight the importance of a comprehensive oral health examination.
Dr. Seena Patel currently serves as the Associate Director of Oral Medicine and Associate Professor at the Arizona School of Dentistry & Oral Health at A.T. Still University. She is also an associate at Southwest Orofacial Group in Phoenix, AZ, limiting her practice to orofacial pain, oral medicine, and dental sleep medicine since 2012. She is a Diplomate of the American Board of Orofacial Pain and the American Board of Oral Medicine. Dr. Patel simultaneously earned her dental and master’s in public health degrees from the Arizona School of Dentistry & Oral Health in 2010, and completed her residency in both orofacial pain and oral medicine at the Herman Ostrow School of Dentistry at the University of Southern California in 2012.
Her educational interests are in myofascial pain, neuropathic pain, oral mucosal diseases, management of obstructive sleep apnea with mandibular advancement devices, and the dental management of medically complex patients. She has authored several publications that encompass these topics, and her current research endeavors are focused on the management of myofascial pain affecting the orofacial structures, the dental management of patients taking direct oral anticoagulants, and the dental management of patients undergoing head and neck cancer therapy. She also serves as a peer-reviewer of scientific articles for dental journals. Furthermore, she has lectured at several local and national dental meetings on various topics on orofacial pain and oral medicine-related conditions.
Dr. Patel maintains her membership in the American Academy of Orofacial Pain, and American Academy of Oral Medicine, Central Arizona Dental Society, Arizona Dental Association, American Dental Association, and American Dental Education Association.
Patricia Pine, RDH, COM
Lasers Meet Soft Tissue Frenums (TOTs)
The recent epidemic of tongue and lip ties utilizes technology of CO2 lasers providing comfort to mothers of babies with breastfeeding concerns, as well as patients that have discovered the need for tethered oral tissue releases. Restrictions of seemingly normal frenums can prevent normal development and facial growth.
Combination of CO2 laser and soft tissue frenums allows for a safe, char-free, and blood-free surgical therapy. The ability to control the environment ensures a more efficient and positive outcome for patient success. Successful laser therapy creates minimal scar tissue with proper function (movement with the ability for infants to breastfeed effectively thus benefiting long-term health). Benefits of lasers outweigh the past treatment modalities of frenum releases. Importance of pre- and post-myofunctional therapy shares in the benefits of CO2 laser effects on tethered tissue. The oral systemic link is apparent, awareness is key.
Patricia Pine, RDH, COM® is a national and international speaker with experience wearing a variety of clinical and non-clinical dental hats. Pat turned her passion for safety and infection prevention into a finely tuned practice policy program. She has been speaking on OSHA and infection prevention for the last 25 years. Pat established a one-of-a-kind OSHA Training Boot Camp. Pat’s new professional niche is Orofacial Myofunctional Therapy. Switching professional hears Pat has advanced her knowledge to be a Certified Orofacial Myofunctional Therapist, she feels both topics overlap with keeping patients healthy while keeping oral muscles in harmony. She had discovered her own son had orofacial disorders, which evolved Pat to providing therapy to other children to lead them to a healthier life style.
Pat feels that tongue-tie challenges have been camouflaged long enough and physical imbalances seem contagious on children with unknown reasons. Pat has years of experience with lasers as she taught dental hygienists how to use diode lasers and to balance their time with the effectiveness and efficiency of laser therapy. As her personal experience with her son, put her in a path of passion on this topic of tethered oral tissues. Her son had nutritional concerns as an infant and the puzzle is always evolving. If infants through adulthood knew about the consequences of frenums, they would say, “Please Release Me!” Pat is the book author of “Please Release Me – The Tethered Oral Tissue (TOTs) Puzzle.” this book can be found on her website. Pat’s blog has a plethora of information on TOTs. Her speaking engagements are interactive with the audience, everyone has different learning styles, interaction seems to work well for all. She has a great educational platform.
Janet Press, RDH
German Ramirez-Yañez, DDS, Pedo. Cert., MDSC, PhD, FRCD
Tongue-tie, sleep and breathing disorders and dental malocclusions: where the dots connect?
Sleep and Breathing Disorders (SBDs) in children have become more recognized lately. Dentists are responsible for screening SBDs at an early age, as those disorders may affect the general health of the child. An association between craniofacial growth and development and SBD has been established. In that context, a correct lip seal and proper tongue dynamics should be established from birth to properly stimulate a normal craniofacial growth and development, and therefore to prevent SBDs. In this conference, Dr. Ramirez-Yañez will present insights on craniofacial growth and development, as well as on the correct oral functions, and their association with SBDs in the child.
Dr. German Ramirez-Yañez is a Certified Pediatric Dentist in Canada practicing in Aurora, Ontario. He has over 30 years of experience treating malocclusions and oral dysfunctions at early age with a functional approach. Dr. Ramirez-Yañez has been associate professor in two Universities in North America. He has published more than 40 scientific articles in peer-review journals about functional appliances and the biological rationale for functional treatment of malocclusions. He is a member of the editorial board of the Journal of Dentistry and Oral Health and the Journal of Orthodontic Science and Practice. He is the author of the book “Early Treatment of Malocclusions: Prevention and Interception in Primary Dentition”, as well as co-author of the book “The Myobrace System: A myofunctional approach to treat malocclusions”. He investigates on Craniofacial Growth and Development, the Patho-Physiology of Functional Disorders in the Cranio-Cervico-Mandibular system and how the craniofacial structures are modified by functional appliances.
Cara Riek, DNP, RN, FNP-BC, IBCLC, DABLS; and Stevanie Bahnerth, DC
Frenectomy Dissected: Discussion of anatomy pre and post exercises, laser settings, and other consideration
It is well known that tethered oral tissue (TOT) contributes to difficulty in breastfeeding. TOTs cause an alteration in ability of the infant to latch to the breast and coordinate a proper suck to allow for appropriate transfer of milk. While only medical and dental providers can perform TOT releases on infants, care for the mother/baby dyad after releases requires the work of multiple disciplines to optimize breastfeeding and support the dyad, and it is important to understand everyone’s role. Understanding the biomechanics of breastfeeding including joints, bones, muscles, and cranial nerves and how TOT affects breastfeeding is necessary to understand the appropriate aftercare for infants, whose TOTs have been released. This talk focuses on the necessary aftercare, including support of the family of infants receiving release of TOT. Appropriate exercises, the role of body work, and additional consideration related to birth trauma are discussed in this presentation. This presentation utilizes the experiences of both a provider performing releases with additional IBCLC education and an infant chiropractor.
Biographical Highlights - Cara Riek, DNP, RN, FNP-BC, IBCLC, DABLS
Dr. Cara Riek graduated from Arizona State University of with Doctor of Nursing Practice degree. She is a board certified Family Nurse Practitioner in addition to having her IBCLC certification. Dr. Cara is also a diplomate of the American Board of Laser Surgery, specializing in “Oral Surgery in Infants, Toddler, and Adults.” Dr. Cara very much enjoys helping families to reach their breastfeeding goals.
Biographical Highlights - Stevanie Bahnerth, DC
Dr. Stevanie Bahnerth is a family chiropractor with over 14 years of experience. She earned her Bachelor of Science degree from Purdue University and then attended Palmer College of Chiropractic in Davenport, Iowa. Her practice revolves around providing ongoing care and treatment for patients with TOTS: infants through adults. In her free time, Dr. Stevanie enjoys spending time with family and friends, yoga, and traveling.
Justin Roche, MB ChB, MRCPCH, IBCLC
The effect of frenectomy on bottle-fed infants with colic/reflux. How a Team approach optimizes outcome in Tongue Tie for infants and thus your clinics reputation
I will present the finding of a pilot study looking at improvements in reflux/colic symptoms in a cohort of bottlefed babies. Many babies experience symptoms of colic and reflux in early infancy; once diagnosed, these infants are frequently prescribed medication and have frequent changes of formula often resorting to specialised formulae including hydrolysed or amino acid formulae.
A cohort of babies who were formula fed and had reflux symptoms were followed up to record how symptoms improved following division using the I-GERQ-R, how many of them reduced or stopped their medication(s) and how many returned to a regular rather than specialised formula.
How to manage infants with difficult feeding issues related to tongue tie and how an on-site team approach can facilitate achieving their feeding goals.
Consultant Paediatrician with over a decade of experience in infant frenectomy.
Has used scissors, diode laser and CO2 laser for frenectomy. He is part of a multi-disciplinary team at The National Tongue Tie Centre in Ireland which is dedicated to the care of Infants with oral ankylofrenula.
Matthew J. Rowe, DDS, MSD
Making Breast Friends: A collaborative approach to diagnosis, treatment and frenectomy aftercare.
An overview of how to piece together an all-star team for tongue-tie release therapy consisting of a functional provider, surgeon, and bodyworker. A brief review of classic signs and symptoms of the dyad (mom & baby) and adult patient. Discussion of best practices for diagnosis and treatment of tongue and lip ties, discussion of pain management protocols and wound care, how to discuss surgery with parents, and management of less-than-ideal patient outcomes.
Dr. Matthew J. Rowe is a native of Fort Wayne, Indiana. He completed his Bachelor’s in Science degree at Xavier University with a Biology Major and Business Minor. He attended the Indiana University School of Dentistry, graduating with honors in 2010. He continued his stay at IU to complete his 3-year residency in Periodontics, receiving the prestigious Dr. Henry Swenson award for clinical excellence during his second and third years of training. He is Board Certified as a periodontist and owns and runs his practice, Southern Roots Periodontics: Implant & Laser Dentistry, LLC in downtown Columbia, SC. He is proficient in advanced bone grafting, sinus augmentation, wisdom teeth extractions, implantology, soft tissue grafting, and regenerative techniques.
Dr. Rowe’s true passion shines when working with patients suffering from ankyloglossia. He speaks nationally regarding diagnosis, treatment, and developing collaborative care about treating tongue and lip ties. He dedicates one clinic day per week to treating infants who are having difficulties with nursing and/or bottle feeding. He truly believes in treating mother and baby as a dyad as well as using a unique integrative approach to treatment. This approach involves coordination and collaboration with colleagues throughout the State of South Carolina and surrounding states. He works closely with IBCLC’s, SLP’s, orthodontists, pediatricians, ENT’s, chiropractors and massage therapists, to deliver a comprehensive approach to pre-surgical and post-surgical wound management and therapy. He treats adolescent and adult patients with ankyloglossia during the remainder of the week and is developing an airway management approach to treating ankyloglossia and sleep apnea within his periodontal practice. He looks forward to collaborating with more colleagues within the pediatric and orthodontic communities to learn more about how he can better serve his patients by being a proactive provider.
Dr. Rowe is a member of the American Dental Association, American Board of Periodontology, American Academy of Periodontology, American Laser Study Club, International Consortium of Oral Ankylofrenula Professionals (ICAP), South Carolina Dental Association, Greater Columbia Dental Association, and Indiana Dental Association. He was recently voted onto the Board of Directors of the International Consortium of Oral Ankylofrenula Professionals (ICAP). While serving on the Board, he will help to collaborate with professionals from around the world, to bring best practice methods to the practice of treating tethered oral tissues (TOTS).
He is bilingual, with fluency in Spanish and English languages. He has traveled to Honduras to lead over 6 dental mission trips to care for the underserved. Dr. Rowe is currently a Major in the United States Army and has served for over 8 years as a dental officer within the United States Military. He regularly works with other officers and enlisted to coordinate treatment for soldiers and is experienced in collaboration and leadership.
Dr. Rowe and his wife, Hye Jea, currently have three sons, Elijah, Gabriel and Theodore. They are expecting their third son in October. He enjoys his hobbies of running, biking, swimming, hiking, and target shooting. He also enjoys donating his services and time to help special needs patients in his office.
Ron Rubin, DMD, Diplomate, American Board of Maxillofacial Surgery
The Efficacy of the Time Machine’s near Infrared Photobiomodulation to rapidly decrease pain in TMD and Muscular Spasm
There is no question remaining about the absolute importance of Laser therapy in the present and future for inflammation and pain reduction/elimination, as well as its ever importance in the treatment of TMJ disease.
One of the most important challenges presented to the Dental Profession is the patient with TMD. The diagnosis can be relatively straightforward; however the treatments may be quite varied pending tissues involved.
The focus here is not on definitive therapy. I will be introducing this highly successful non-invasive modality in TMD pain reduction, in even the most severe cases.
This is not meant to replace a complete and proper TMD workup. However, NOW that the workup can be more accurate, and with longer lasting success, when the Doctor can evaluate the patient without pain and muscle spasm to contend with as well.
Dr. Ronald L. Rubin is currently in private practice in Boca Raton, Florida. His Dental Education was completed the Howard University College of Dentistry in Washington, D.C. where he was on the Dean’s list for 4 years. While there he was granted an Oral Cancer Society Fellowship as well as an externship to the Sloan-Kettering Memorial Cancer Hospital, New York City.
He received his Certification in Oral and Maxillofacial Surgery while attending the prestigious Tufts University – New England Medical Center Hospitals and the Boston City Hospital, and was granted an Oral Cancer Fellowship in Head and Neck Cancer by the American Cancer Society, where he performed experimental research in Radiotherapy Modalities and Applications at the New England Medical Center.
Dr. Rubin is on the Active Surgical Staff of the Boca Raton Regional Hospital. He was a founding member of the Dean’s Advisory Board of the Florida Atlantic University College of Medicine, and served as an Assistant Professor of Clinical Biomedical Science in their Department of Surgery.
Dr Ron Rubin was the Chief Investigator in Clinical Trials of The Evaluation of Low Level Laser Therapy – 810/830nm on Photobiomodulation, wound healing and pain reduction, participating with the FDA’s Institutional Review Board. This led to a successful 510K Clearance for Clinical therapy.
Dr. Rubin maintains a role in local Community Leadership as well as in the International Rotary Club and Soroptimist Organizations, and participates in the care of Holocaust Survivors and the Mason Angel Fund.
William E. Schultz, DVM
Laser Eyelid Surgical Procedures
Vascularity of the eyelids and related tissues is a source for concern when using sharp dissection. Surgical field visualization is paramount in a successful procedure. Sharp dissection does not allow control of localized hemorrhage and electrocautery causes severe tissue damage that may lead to dehiscence of the incision(s). The use of a scalpel, even though incredibly sharp, needs tissue friction to make an incision. With the soft tissues of the eyelids, the friction during incision will cause difficulty keeping the incision line in the proper position. Carbon dioxide lasers allow for no tissue friction and excellent control of incisional depth along with excellent hemostasis.
Tissue removal for entropion is accurate and with little to no hemorrhage. It is important to maintain a distance from the lid margin to allow for suture placement and for success the first time the procedure is done.
Full thickness removal of meibomian adenomas is important to prevent recurrence. Removal of the lesion at the level of the lid margin will improve the cosmetics of the area but does not stop new adenomatous tissue from forming in the future. Complete removal is easily done with the laser offing excellent cosmetics and prevention of recurrence.
Controlled depth and small spot size make the laser an excellent modality for distichiasis procedures. The small beam adequately removes the hair follicles with very little thermal damage to the lid margin.
Laser surgery of orbital tissue is accurate and rapid with excellent hemostasis and very little tissue damage making it the modality of choice.
Dr. William E. Schultz graduated from Michigan State University in 1973, went into private practice and opened his companion animal practice in the fall of 1974. Dr. Schultz has been a board member on the Synbiotics Reproductive Advisory Panel, The Society for Theriogenology and The Theriogenology Foundation with speaking engagements at veterinary conferences, veterinary associations and national specialties because of a special interest in canine reproduction with transcervical and surgical inseminations using fresh, chilled and frozen semen. Dr. Schultz was given the Dr. John Steiner Practice of Excellence Award by the Society of Theriogenology in 2014. Dr. Schultz also has a special interest laser surgery having spoken at veterinary conferences and has published many related articles. Dr. Schultz has over 20 years of soft tissue laser experience using flexible fiber CO2 lasers and focused beam hand pieces.
Warren B. Seiler, III, MD, DABLS
Cosmetic Laser Protocols and Regimens
There have been many presentations in the past ten years discussing basic lasers and laser wavelengths used in clinical practice but few really discussing protocols for before, during and after treatment regimens. Often we discuss “how strong” or “how much energy” we can use with different lasers in different patients and conditions but I rarely hear our community focusing on what is just as important: everything we do with/for the patient before and after. This presentation will discuss various laser procedures, treatment protocols and especially pre/post planning and regimentation.
Dr. Seiler is a board-certified cosmetic laser surgeon and the Owner and Medical Director at Seiler Skin Cosmetic Laser & Aesthetics Center in Birmingham, Alabama. He obtained his Bachelor of Science degree from the University of Notre Dame, where he graduated with honors. He graduated from the University of Arkansas for Medical Sciences. After training in general surgery at Carraway Methodist Medical Center in Birmingham, Ala., Dr. Seiler, completed extensive further cosmetic specialty training, which extends well beyond any traditional residency or fellowship program. He is also a fellow of the American Society for Laser Medicine and Surgery.
Ben A. Sutter, DMD, FAGD, FICCMO, LVIF, DABLS
Identification and Laser Eradication of Oral Cavity Spirochetes: Case Study, or How to Use a Laser Like a Jedi.
Microbial infections represent a substantial heath risk worldwide. Recently, more emphasis has been placed on the role of spirochetes in the etiology of Alzheimer’s disease. Periodontal treponemas have been implicated in playing a co-infectious role in the disease process. Eliminating the co-infecting pathogens could interrupt or slow down the disease progression. This is a clinical case review, where a patient was confirmed to have an oral spirochetal infection via Phase Contrast Microscopy (PCM), was treated using a 10,600 nm CO2 laser, and followed for a year. At postoperative intervals sub-gingival plaque samples were examined with PCM. No return of the infection was observed. The author is also publishing the protocol used in the eradication of the oral infection.
Dr. Sutter delivers advanced dentistry for beautiful smiles and optimal oral health. He cares about his patients and invests the time and concern required to sustain lasting relationships. Dr. Sutter received a BA in psychology as well as a BS in biology from the University of Nevada at Las Vegas. He earned his DMD from the University of Medicine and Dentistry of New Jersey, where he received numerous academic awards. While in New Jersey, he completed a one year, hospital-based residency at the Overlook Hospital in Summit.
James Thomas, DDS, MS
Sleepless in Seattle
Clear communication and proper messaging are essential throughout the entire infant frenectomy process. From the initial contact to a detailed aftercare report and everything in between, a consistent message can ensure better health outcomes for young families. Discover how health:latch leveraged an authentic consistent message to change the conversation about infant frenectomy in Seattle and beyond. The answer may be simpler than you think.
Dr. Thomas received his Doctor of Dental Surgery (DDS) from The University of Michigan in Ann Arbor, Michigan. He discovered his love for working with young patients while volunteering at a special needs camp in Bay Cliff, Michigan and decided to focus on preventing oral health problems in the youngest population. He completed his Masters in Pediatric Dentistry (MS) from The University of Michigan in 2005. After relocating to Seattle in 2006 with his family, Dr. Thomas practiced as an associate in Lakewood and Mt. Vernon before opening his own practice – Everyone By One – in Bellevue, and later a second practice in Lynnwood and business office in Centralia. He sold the entire business in April 2016 in order to found health:latch. After treating thousands of children, some of whom struggled with breastfeeding due to tongue and lip tie, he has a unique understanding of the issue. Seeing firsthand how stressful it can be for families, he has created a specialty practice dedicated to changing the lives of these babies and their families.
Peter Vitruk, PhD, MInstP, CPhys, DABLS
Joint Session – Panel Discussion – 21st Century Laser Medicine Education for the Small Office
Dr. Peter Vitruk was born and raised in Western Ukraine. He earned his PhD degree in Physics from the Moscow Physics and Technology Institute, Moscow in the late 1980s in the former USSR. In the 1990s he held Research Scientist position with The Academy of Sciences in the former USSR and then a Royal Society Visiting Research Fellow position at Heriot-Watt University in Edinburgh, Scotland, UK. He later worked as Senior Scientist with Synrad Inc. in Seattle, WA, and then as Chief Scientist with Luxar/ESC/Lumenis also in Seattle, WA. In 2002 Dr. Vitruk founded Luxarcare LLC – an exclusive certified Luxar laser service and accessories provider for 12,000+ surgical Luxar laser installations around the globe. In 2005 he founded Aesculight LLC and LightScalpel LLC – the only American based designer and manufacturer of surgical CO2 lasers for small office out-patient market. Dr. Vitruk has authored 10 patents and over 20 articles on CO2 lasers, and is a Member of The Institute of Physics, UK. In 2017 he founded the American Laser Study Club, an educational platform that helps physicians, dentists, veterinarians, and practice staff members to excel at efficient and safe application of laser energy in everyday practice. He is married to his wife of 32 years Natasha and they together have two children, Olga and Alexander.
Christopher J. Winkler DVM, VMLSO, Dip. ABLS
Veterinary CO2 Surgical Laser Case Presentations.
Certain procedures in veterinary surgery are conducted in vascular areas known for profuse bleeding and their sensitivity to post-operative pain and discomfort, making recovery difficult for the client and patient. This presentation will show through animal models how conducting these procedures with a CO2 surgical laser can mitigate these effects, assisting the surgeon by providing an unobstructed surgical field while reducing pain, thus reducing anesthetic consumption, which in turn increase intra-operative safety for the patient and improve the pet’s post-operative comfort and recovery. Veterinary laser surgical case studies (including neuter, soft palate resection, stenotic nares, “cherry eye” conjunctival tuck, and entropion) will be presented for the edification of the symposium audience, utilizing a VetScalpel CO2 laser in veterinary surgical settings and procedures. Case studies to be examined will include a single patient with multiple surgical conditions all conducted in a single procedure, demonstrating how the CO2 surgical laser allows for rapid conduction of varied surgeries by facilitating excellent hemostasis.
A graduate of Ross University School of Veterinary Medicine, Dr. Winkler currently owns and operates Suffolk Veterinary Group Animal Wellness and Laser Surgery Center on Long Island and introduced lasers in his practice in 2010. He is certified in Veterinary Laser Medicine and Surgery by the American Board of Laser Surgery, a certified Veterinary Medical Laser Safety Officer by the American Institute of Medical Laser Applications, and a Fellow of the American Society for Laser Medicine and Surgery. Dr. Winkler offers the benefits of laser surgery and laser therapy to his own patients and referrals he receives from other veterinarians locally and nationally, and also takes a special interest in laser education for veterinary students, colleagues, and licensed veterinary technicians. He has appeared nationally as a speaker and laser surgery instructor for conferences such as the New York Veterinary Conference, the WVC, the NAVC, the AVMA, and the ASLMS. Dr. Winkler contributes articles on laser surgery for Veterinary Practice News, has acted as a consultant for laser surgery and laser therapy companies, and is the editor and co-author of the (forthcoming) textbook Laser Surgery in Veterinary Medicine.
Richard B. Winter, DDS, MAGD, DABOI/ID, DCOI, FAAID, DABLS
Modified Minimal Crown Lengthening and other laser Pearls for General Dentistry
General Dentistry is a complex specialty that requires numerous skill sets and armamentaria to achieve predictable outcomes. This presentation will highlight dental case studies and procedures and how a 10,600 nm CO2 laser augments my care.
The ability to perform modified minimal crown lengthening (MMCL), in a nearly bloodless field with optimal healing is a “gold mine” for laser use. As opposed to other laser wavelengths, the CO2 laser allows for a spatially accurate ablative procedure that can save patients time, visits and money. CO2 laser procedures (more specifically MMCL) can help preserve bone! The ability to prolong the life of a “hopeless” tooth can also preserve bone until implant dentistry can be implemented.
We will show complete dental cases where lasers can aid in crown-lengthening, frenectomy, treatment of peri-implantiits, socket disinfection, ovate pontic site development and a myriad of other indications.
Richard B. Winter, DDS, MAGD, DABOI/ID, DCOI, FAAID, DABLS
Master, Academy of General Dentistry
Diplomate, American Board of Oral Implantologists/Implant Dentists
Diplomate International Congress of Oral Implantologists
Fellow American Academy of Implant Dentists
Diplomate American Board of Laser Surgery
Dr. Winter is one of Dentistry Today’s CDE Leaders. He has lectured on advanced reconstructive and implant dentistry throughout the country and has published several articles on Upgradeable Dentistry, Advanced Treatment Planning, Reconstructive and Implant Dentistry and General Dentistry as a Specialty.
Jesse R. Witkoff, DDS, Diplomate, American Board of Pediatric Dentistry
String theory: a non-unified theory of Frenuli
Is it time for a paradigm shift? The traditional medical model is focused on treating disease. But should we be looking at disease prevention, or even wellness promotion? Lip ties and tongue ties go far beyond breastfeeding. With an understanding of the pathophysiology of tethered oral tissues, we can understand how these “strings” are inter-connected, foresee the impact they can have, and intervene before deleterious effects are seen.
1990 Doctor of Dental Surgery, University of North Carolina at Chapel Hill
1994 Certificate in Pediatric Dentistry, Rutgers University
1993-1999: Associate Pediatric Dentist
1999-2008: Owner/Pediatric Dentist Pedodontics
2004-2018: A Wild Smile- Founder/Owner/Pediatric Dentist. A traditional pediatric dental practice utilizing lasers for restorative dentistry as well as Tethered Oral Tissues.
2018-present: Colorado Tongue Tie- Founder/Owner/Pediatric Dentist. A practice limited to the diagnosis and treatment of Tethered Oral Tissues
2005 Board Certified in Pediatric Dentistry
2012 Standard Proficiency in Laser Dentistry.
Colorado Lactation Society, Wyoming Lactation Society, Pediatric Speech Therapy Associates, Medical Center of the Rockies- Lactation Meeting.
American Dental Association, Colorado Dental Association, Metro Denver Dental Society, American Academy of Pediatric Dentistry, Colorado Academy of Pediatric Dentistry, American Board of Pediatric Dentistry, College of Diplomates, American Laser Study Club, Academy of Laser Dentistry, American Academy of Physiological Medicine and Dentistry
Karen M. Wuertz, DDS, ABCDSM, DABLS, FOM
Talk the Talk: Exploring current terminology used in the specialty of oral restrictions and how it affects the perceptions and acceptance by multidisciplinary practitioners.
Controversy and skepticism over various aspects of the “Tongue Tie Phenomenon” continue to exist. Despite growing evidence documenting the negative impact of oral restrictions on feeding, swallowing, craniofacial growth and development, speech and airway, it appears that we, as practitioners, are becoming more fractionalized rather than unified. In the past, this resistance could be attributed to a lack of practitioner knowledge. Today however, it appears to arise from a multitude of contributing factors such as: a lack of a valid definition, standardized assessment tools or even perhaps a fundamental misunderstanding and misuse of current terminology. A new perspective and proposed terminology as it relates to the Oral Restrictive Complex™ (O.R.C.™) and its application in this field will be explored.
Dr. Wuertz has an extensive background that she brings with her to NHS. She is the Neo-Health Services, Inc. dental representative for AGE/PACE continuing education training courses offered.
She received her Doctorate of Dental Surgery at The University of Texas Health Science Center Dental School in 1992. She completed a General Practice Residency at the Barnes-Jewish Hospital in St. Louis, MO the following year.
In 2013 Dr. Wuertz concurrently attended Tufts University Dental Sleep Medicine Mini Residency and the American Academy of Craniofacial Pain (AACP) Mini-Residency, and she received her Fellowship in the Academy in 2014. Also In 2014, Dr. Wuertz earned her Diplomate Status, in the American Board of Craniofacial Dental Sleep Medicine (ABCDSM), and has passed the Written Exam for the American Academy of Dental Sleep Medicine.
Dr. Wuertz holds the Qualification in Orofacial Myology as the QOM-D, a special designation for dentists who are trained in the methods and programs of Neo-Health Services’ highly recognized and respected treatment programs used throughout the world. She was also the first recipient of the Fellow in Orofacial Myology designation from the International Association of Orofacial Myology.
She has served on the Faculty of Creighton University in the Fixed Prosthodontics Department and was a Research Assistant at the University of Texas Health Science Center Dental School. Dr. Wuertz has published numerous papers on restorative & cosmetic dentistry, biomaterials and most recently on the effect of CO2 laser surgery and the Oral Restrictive Complex (O.R.C.™)
Continuing her passion for sharing knowledge and educating others, she has created cAIRWAYS, LLC to provide consultation, “on-site training”, and customized course seminars in the areas of Dental Sleep Medicine, Lasers in Dentistry, the Oral Restrictive Complex (O.R.C.™) and Tethered Oral Tissues (TOTS).
Dr. Wuertz currently serves on the Board of Examiners for the ABCDSM and the AACP. She practices in San Antonio Texas, With almost 30 years in both Private Practice ownership, as well as in the Academic environment, Dr. Wuertz prides herself on a team and multidisciplinary approach to provide the best care to her patients of all ages. She has a supportive husband with 4 children.
Rajeev Agarwal, MD, FAAP
Keynote: Talk of the Town – The Untied Tongue
Over the last several years, laser frenectomies are being performed at increasing rates to improve breastfeeding and several other symptoms. Though the number of frenectomies has increased exponentially, the scientific evidence has continued to lag behind in regards to the clinical paradigm that should be used in decision making for performing the procedure. Lack of credible information has brought forth many different schools of thought and protocols, none of which have solidly proven scientific bases, but are only based on individual experiences. The apparent lack of evidence is highly publicized by the medical community and hence, most physicians do not routinely suggest the procedure to their patients. The frenectomy-providers often observe significant benefit in target symptoms after the procedure. More and more health issues in adult life are being correlated with this diagnosis and hence some providers are advocating prophylactic frenectomies in infants. Though the word tongue-tie itself is an anatomical term, the diagnosis is based on the functional impairment caused by limitation of movements of the tongue. This basic fact is often not understood by many on both sides, and causes both under and over diagnosis. This disconnect breeds conflict and allows for both sides to attack and minimize each other, which causes a lot of confusion and dismay to new parents. It can potentially precipitate health issues like post-partum depression in mothers as they are already psychologically vulnerable, and have exposure to unlimited information via the internet, without any perspective or baseline. In the best practice, the diagnosis should be based on establishing a clinical objective for performing a frenectomy, in the context of the overall clinical scenario. At the end of the day we need to ask ourselves, whether we are making the best decision for the family, respecting their needs, and using frenectomy as a tool for overall health improvement of the child, or in our zeal to help, promoting a procedure without any clear goals or established criteria? One thing to always remember- at the end of the laser is a baby, and a family!
Dr. Agarwal worked on the Eastern Shore of Virginia for eight years in general pediatrics before moving to the Valley of the Sun to establish Agave Pediatrics in 2005. Dr. Agarwal underwent medical schooling at India’s premier institute of medical sciences, AIIMS, in New Delhi. He completed his residency in Pediatrics at the University of Texas Medical Branch at Galveston. To further his learning in subspecialty medicine, he joined the fellowship program in Pediatric Nephrology at the University of Florida at Gainesville. Under the program, he also conducted bench research at Ohio State University.
Richard Baxter, DMD, MS, DABLS
Keynote: Treating Toddlers to Teens for Tongue-Tie, Clinical Strategies and Case Studies
Children with tongue-ties present their own set of challenges to treatment including behavior management, assessment, diagnosis, and aftercare. Each age range and each child in that range needs a unique approach and care, but there are many unifying aspects of treatment for these patients. In this session, Dr. Baxter will show treatment videos, positioning, case studies, and testimonial videos of the changes seen after a release. Assessment and diagnosis will also be discussed, as well as the common effects of a tongue-tie on speech, feeding, and sleep issues. This session will prepare clinicians to treat this unique population in their offices with confidence and see the rewarding treatment results that can come from releasing these age groups.
Dr. Baxter finds great satisfaction in working with children and helping them have a positive dental experience. He attended Vanderbilt University for his undergraduate studies where he met his wife, Tara. He graduated magna cum laude, studying human and organizational development with a focus on health and human services, as well as pre-dentistry. He finished a semester early and spent that time as an inner-city school teacher in Nashville.
Dr. Baxter then attended the University of Alabama at Birmingham School of Dentistry where he graduated at the top of his class and was inducted into Omicron Kappa Upsilon, the national dental honor society. After he decided to pursue a specialty certification in pediatric dentistry, Dr. Baxter and his wife chose to move to Columbus, OH so that he could attend the residency program at Nationwide Children’s Hospital, one of the nation’s top-ranked pediatric hospitals and busiest pediatric dentistry clinics. During his residency, he worked alongside the program’s world-renowned faculty and received extensive training in preventive and restorative care, dental emergencies and trauma, orthodontics, dental sedation and general anesthesia, and care for children with special needs. Dr. Baxter is a Board Certified pediatric dentist and Diplomate of the American Board of Pediatric Dentistry, member of the American Academy of Pediatric Dentistry, the Alabama Dental Association, and the American Dental Association.
He is the founder and owner of Shelby Pediatric Dentistry and Alabama Tongue-Tie Center where he uses the CO2 laser to release oral restrictions that are causing nursing, speaking, dental, sleep and feeding issues. He is also the lead author and publisher of the new book Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More (2018).
Charles M. Cobb, DDS, MS, PhD
Keynote: The Current Status of Laser Mediated Treatment of Periodontal Disease
The presentation will address the treatment of periodontal disease with lasers. A wide range of issues will be discussed: How common is periodontal disease? What is the pathogenesis and clinical presentation of periodontal disease? What constitutes traditional treatment? And, lastly, an evidence-based answer to the final question: Are lasers equal to or better than traditional nonsurgical periodontal therapy?
Charles M. Cobb, DDS, MS, PhD
Professor Emeritus, Department of Periodontics, University of Missouri-Kansas City
Dr. Charles Cobb graduated from the University of Missouri-Kansas City (UMKC), School of Dentistry in 1964. He received a Certificate of Specialty in Periodontics and a Master of Science degree in Microbiology, both from UMKC in 1966. Following two years of active duty with the U. S. Navy, Dr. Cobb returned to school at Georgetown University, graduating in 1971 with a Ph.D. in Anatomy (emphasis in microanatomy). After graduation from Georgetown, he held teaching and research positions at Louisiana State University and the University of Alabama in Birmingham. Dr. Cobb devoted 15 years to full-time private practice in periodontics and 20 years to academics. He is a Diplomate of the American Board of Periodontology, has published over 200 peer-review articles and presented over 200 programs at regional, national and international meetings. He recently concluded one year as the Interim Director of the Graduate Periodontics Program at UMKC. Lastly, Dr. Cobb retired from the U. S. Army Reserves with the rank of Colonel and is one of the few Reservists to have received the “A” Specialty Designator from the Office of the U. S. Army Surgeon General and induction into the Order of Military Medical Merit.
Jack Dillenberg, DDS, MPH
Keynote: And You Thought Dentistry Was Just About Teeth
The ability to succeed in the newly emerging oral health care system requires skills that were not emphasized in in dental school in past years. The clinical skills acquired since graduation, including the development and use of lasers, are only part of the story. The successful dentist of today and the future has to be innovative, entrepreneurial and effective in leading a team. The team may be limited to your office staff or as broad as colleagues you work with in your communities or professional associations. This requires a special set of skills that many current and new dentists don’t anticipate needing or practicing to succeed. The process begins with establishing a level of trust/integrity, respect and transparency in all of your relationships especially with your team members. Most importantly remember, life is a team sport!
Dr. Dillenberg is Dean Emeritus of A.T. Still University’s Arizona School of Dentistry & Oral Health (ASDOH) after serving fifteen years as the Inaugural Dean. He received his Master’s Degree in Public Health from the Harvard School of Public Health and completed his dental education at New York University, College of Dentistry.
Prior to joining ASDOH, Dr. Dillenberg was Associate Director for public health programs in the California Department of Health Services and prior to that served as an Area Health Officer serving the west area of the Los Angeles County Department of Health Services.
During most of the 1990s, Dr. Dillenberg served in several capacities in the Arizona Department of Health Services, including Director and Assistant Director for the Division of Family Health Services.
Dr. Dillenberg is the recipient of a great number of honors and awards, including the Arizona Medical Association Humanitarian of the Year, the Fresh Start Foundation Man of the Year, the Harvard School of Public Health Alumni Award of Merit and the Lifetime Achievement Award from the American Association of Developmental Medicine and Dentistry. Dr. Dillenberg is recognized at the local, state, and national levels as an expert in the area of public health leadership, health program development, social marketing, oral health issues, health center design, training of community health workers, community organizing and lecture presentations. He is also a member of the American Dental Association, the American Association of Public Health Dentistry, the American Dental Education Association, the Delta Omega Public Health Honor Society, as well as many others
Dr. Dillenberg serves as the Board President of Global Smiles For All a 501c3 nonprofit making a difference in global oral health. He also serves as the Global Ambassador for the American Association of Developmental Medicine and Dentistry, and currently is the Board Chairman for both the Center for Oral Health and the Brighterway Institute. He was recently elected to the Town Council of Jerome, Arizona.
Robert A. Strauss DDS, MD, FACS
Keynote: Laser physics for poets: how the good practitioner uses basic principles for the best clinical laser results
As a surgical modality, lasers have many advantages over cold steel or electrocautery. However, using a laser in the same manner as either of these will result in unpredictable, erratic and potentially very poor results. Understanding that laser use is based strictly on the physics of light energy, one can apply a few very basic physics concepts to obtain repeatable, predictable and positive results. This lecture will discuss the “Big 3” techniques to using surgical lasers and how to manage power, time and spot size to maximize efficiency while limiting lateral thermal damage.
Robert A. Strauss, DDS, MD, FACS, Professor and Director of the Residency Training Program in Oral and Maxillofacial Surgery at the Virginia Commonwealth University Medical Center, and Past President of the American College of Oral and Maxillofacial Surgeons. Dr. Strauss is Board Certified by the American Board of Oral and Maxillofacial Surgery and is a former Chair of the Major Surgery Section of the Board. Over the last 30 years he has authored numerous publications and textbook chapters on the use of lasers in oral and maxillofacial surgery.
Dr. Strauss received his dental degree from the University of Buffalo and his medical degree from the UHSA School of Medicine. He completed his internship at the Buffalo General Hospital and residencies in both Oral and Maxillofacial Surgery and in Anesthesiology at the Michael Reese Medical Center in Chicago.
Dr. Strauss specializes in laser surgery of the head and neck, facial and jaw reconstructive surgery, cosmetic facial surgery, and sleep apnea surgery. His research interests include laser and cosmetic surgery, sleep apnea, anesthesia and orthognathic and reconstructive surgery.
Soroush Zaghi, MD
Keynote: A Brief History of Case & Clinical Studies in Sleep and Airway Disorders From Tracheotomy to Frenectomy and Beyond
Restrictive lingual frenulum has been identified as a phenotype of obstructive sleep apnea in children and adults, and recent studies on the assessment of functional ankyloglossia have been instrumental in identifying a larger population of patients with restricted tongue mobility who may benefit from treatment. A growing number of patients and providers are seeking peer-reviewed evidence-based information for the treatment of ankyloglossia, especially as it relates to sleep-disordered breathing, however, most articles that are published on this topic consist of limited case-reports, case-series, and retrospective cohort studies. This presentation will provide a brief history of case & clinical studies in sleep and airway disorders from tracheotomy to frenectomy and beyond to provide context for the limited levels of evidence currently supporting the rapidly evolving fields of sleep-disordered breathing, myofunctional therapy, and tongue-tie surgery.
Dr. Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology- Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University. The focus of his sub-specialty training is on the comprehensive treatment of nasal obstruction, snoring, and obstructive sleep apnea. He is very active in clinical research relating to sleep disordered breathing with over 70+ peer-reviewed research publications in the fields of neuroscience, head and neck surgery, and sleep-disordered breathing. Dr. Zaghi is particularly interested in studying the impact of tethered-oral tissues (such as tongue-tie) and oral myofascial dysfunction on maxillofacial development, upper airway resistance syndrome, and obstructive sleep apnea. He is an invited lecturer, author, and journal reviewer for topics relating to the diagnosis and management of sleep-disordered breathing and tongue-tie disorders.
C. Kumar N. Patel, PhD, MS, the Inventor of the CO2 Laser
Presenting the “Kumar Patel Prize in Laser Surgery” Annual Award
C. Kumar N. Patel was born in Baramati, India in 1938. He received his bachelor’s degree in Telecommunications from Poona University at the age of 19 (1958), then came to the US for graduate school. He earned an MS (1959) and PHD (1961) in Electrical Engineering from Stanford University. He spent more than 30 years at Bell Labs, starting in 1961.
Dr. Patel began doing fundamental research in laser action in the pure rare gases. This led him to discover laser action in carbon dioxide (CO2) in 1963. He is the inventor of the carbon dioxide, carbon monoxide, and the Spin-Flip Raman lasers. He pioneered the use of these and other lasers to measure trace gases in difficult environments.
In February, 2000 he founded Pranalytica, Inc. in Santa Monica, CA. where he is CEO and Chairman of the Board. The company initially developed revolutionary ultra-sensitive trace gas detection instrumentation based on laser spectroscopy. Driven by advances in its laser sources, Pranalytica led the commercialization of revolutionary new infrared light sources – quantum cascade lasers.
Dr. Patel is a Professor of Physics with a joint appointment in Electrical Engineering at UCLA. He served as UCLA’s vice chancellor for research through 1999. Among his many awards, Patel was elected to the National Academy of Science in 1974 and the National Academy of Engineering in 1978. He received the National Medal of Science given by the President of the United States in 1996.
Testimonials from the 2018 Symposium
Scott Siegel, MD, DDS
Matthew J. Rowe, DDS, MSD
Martin A. Kaplan, DMD, DABLS
Annette Skowronski, DDS, DABLS
Robert Levine, DDS
Noel Berger, DVM, MS, DABLS; and David D. Duclos, DVM, DACVD
Lorraine Corriveau, DVM; and Christopher Winkler, DVM, DABLS
Lorraine A. Corriveau, DVM, DABVP
David D. Duclos, DVM, DACVD
Don’t miss the chance to attend the 2019 premier gathering of the top laser surgeons and dentists at the American Laser Study Club (ALSC) 2nd Annual Symposium March 29–31, 2019, in Phoenix, Arizona. Join us for more than 50 exhilarating presentations in three tracks by physicians, dentists, veterinarians and other specialists. CE credits will be provided and hands-on training will be available.
Dentistry CE credits will be provided through partnership with ADA CERP CDE providers.
Veterinary CE credits will be provided through the AAVSB’s Registry of Approved Continuing Education (RACE) program.
The American Laser Study Club (ALSC) promotes Science-Based Laser Surgery, Dentistry and Safety Education. The ALSC fills the void in current Laser Surgery and Laser Dentistry education (i.e., the physics of laser tissue interaction, such as absorption, scattering, ablation, coagulation and hemostasis, soft and hard tissue ablation, laser safety, etc.) and helps Physicians, Dentists, Veterinarians, and Practice Staff Members to excel at efficient and safe application of laser energy in everyday practice.
The ALSC 2nd Annual Symposium 2019, March 29-31, 2019 in Phoenix, AZ
*Information, terms, and conditions in this communication are subject to change without prior notice.