As a seasoned clinician (and a 15
year academician) practicing in the US for the past
twenty-plus years, I have tried to compile some of the
many dental science related questions asked to me by
practicing dentists throughout the US. These topics
are not covered in most CE courses that I have seen
(and definitely not by most, if not ANY, dental school
As ‘surprises’ – both pleasant and
some not so pleasant are often encountered in our
practices, this course will try to scientifically
unravel some of these enigmas based on evidence and
literature. These will mostly be case-based
discussions. This 12 CE course is intended to
elaborate clinical pearls you could take home that I
am super-confident you will find applicable in your
practice. Whenever I had given glimpses of these
scientific explanations during my several yearly
lecture/course presentations, I have noticed the
enthusiasm of clinicians to finally get plausible
scientific explanations for these issues and pearls
To understand and refresh the
mechanism of anesthetic action and then begin to
understand the various reasons for the annoyance of a
failed block. Also to understand what it may mean if
the patient has prolonged anesthesia.
To understand the phenomenon of joint
hypermobility which is very common and the
co-morbidities that are so significant to our daily
practices, but not covered by most dental schools
To understand the recognition and
management of persistent post-endo pain, how to manage
and when to stop any further dental procedures on that
To learn the latest in literature on
Sleep related bruxism in adults and children. Why is
it NOT a “habit” and what more ominous things may come
Understand the basics of
pathophysiology of snoring and apnea and how this
could impact your practice.
Failure and perils of local
anesthesia: Why do some
anesthetic blocks fail? What if the patient reports of
having prolonged anesthesia every time? Are there
anesthetics I should NOT use in a block? We will
discuss the anatomic and other reasons for failure of
local blocks. It is frustrating for the clinician when
these don’t work out of the blue with no apparent
reason. Is there a much higher hidden danger in a
patient reporting consistent prolonged anesthesia
Should I be concerned about my hyperflexible patient?
What if she is a ballet dancer or cheer leader or
gymnast? Is it possible that this is the patient most
prone for IATROGENIC injuries?
Persistent post root canal pain
: “Doc that tooth you did the root
canal on: it still hurts”!! Is this that ever elusive
extra canal perpetually hiding from you, or could it
be something else?
Appliances for “grinding”
: do they really treat bruxism? Sleep
related bruxism is not related to dental occlusion??
Which is better an upper guard or lower? Soft or hard?
With ramp, without ramp? What is the evidence?
I was told bruxism in children (mixed dentition stage)
is “normal”. Literature is saying it might not be?
That one patient I can never get the “right bite” for!
Is there any scientific explanation?
The perpetual denture seeker:
This patient has had five
dentures made, she still complains of pain! What
possible pathology here?
Non-dental tooth ache:
The seemingly normal tooth that hurts. The case of
that newly “leaking” amalgam causing pain! Can dental
pain jump from tooth to tooth?
IV or GA or LA:
What are the red flags for my patient scheduled for IV
10. My sleep
less , snoring patient:
Should I be concerned about my snoring patient with
hypertension? Is there any concern
with local anesthetic?
.... AND MANY
OTHER SHORT INTERESTING AND CONTEMPORARY TOPICS!!
AGD Codes: tba
Davis Thomas, BDS, DDS, MSD, MSc Med
Asst. Clinical Prof, Department of Orofacial
Pain, Rutgers University Dental School, Newark, NJ, USA
Ast. Professor, Rochester medical School,
Univ. of Rochester, Rochester, NY
Masters ( MSc Med) in Sleep medicine, Univ
of Sydney, Australia
Masters (MSc) candidate in Clinical Pain
Management, Univ. of Edinburgh, UK
Diplomate American Board of Orofacial Pain
Fellow, American Academy of Orofacial Pain
Davis Thomas BDS, DDS, MSD, MSc Med
Dr. Davis Thomas
successfully completed his Bachelor of Dental Surgery (BDS) from
the prestigious Kasturba Medical College, India, in 1992. He
then joined New York University (NYU) College of Dentistry in
1994, where he received his Doctor of Dental Surgery (DDS) three
years later. In 1998, he went on to complete one year of
Advanced Education in General Dentistry at NYU.
In 2002, he
established his first practice in Oakhurst, NJ and while in
private practice, he took several Continuing Education courses
at reputed US dental and medical schools in the field of TMJ/TMD
and Orofacial Pain. To further his education in this area, Dr.
Thomas joined the Post Graduate Fellowship in TMD and Orofacial
Pain at the University of Medicine and Dentistry of New Jersey (UMDNJ)
in 2005. After completing the fellowship he then went on to
receiving his Masters (MSD) in Orofacial Pain, also from UMDNJ.
Dr. Thomas recently successfully completed his Masters in Sleep
Medicine (MSc Med) with the University of Sydney, Australia.
Currently, he is doing his Masters (MSc) in Clinical Pain
Management under the University of Edinburgh, UK.
Dr. Thomas now
continues his research in Pain Management at Rutgers University
Dental School, where he is also an Assistant Clinical Professor
in the Diagnostic Sciences Division. There, he is in charge of
the dental treatment of established Orofacial Pain cases. He is
also the faculty in charge of setting up a Dental Sleep Medicine
Program. He has over 2000 hours of Continuing education credits
on record. The experience and education Dr. Thomas has acquired
over the years has allowed him to lecture extensively all around
the world. He has presented several posters and papers at
international pain conferences, and met with leading researchers
in the field.
Dr. Thomas also
acts as a consultant to several dental and medical insurance
companies by performing Independent Medical Examinations. He has
been a commissioned officer in the United Sates Army since 2001.
He is also an Attending at Monmouth Medical Center in Long
Branch, NJ and at Jersey Shore University Medical Center.
his practice limited to TMD/ Orofacial Pain / and Dental Sleep
Medicine, and continues as Faculty at Rutgers School of Dental
medicine ( Newark, NJ, USA) and Rochester Medical School,
Rochester, NY, USA.
Click for Full CV