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Course Title: Anesthesia & Pain Relief (Chapter 1): New Products and Equipment - Course A-1

Release Date: 01/01/2014

Type of Course: Written Text, Self-Instructional

Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

CE Processing: If you wish to claim CE credits:
  • Please download and complete the CE quiz and fax it to us at 203-372-4296.
  • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
  • Please also include credit card information for processing.
  • A processing fee of $25 per quiz will be assessed.
  • CE credits will be awarded only if you attain a correct score of 80% or greater.
  • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
  • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
  • CE processing fees are non-refundable.
Contact Person: Michael Curtis, DMD.
  • Phone: 800-427-2830
  • Fax: 203-372-4734
  • Email: Hundredsofpearls@sbcglobal.net
Dates: CE credits are available January 1, 2014 through December 31, 2014.

Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.


Course Content:
According to Dr. Michael Curtis, author of Anesthesia & Pain Relief, providing successful anesthesia is the most important thing a dentist can do to positively impact case acceptance, practice growth, and profitability. When patients are comfortable, they feel confident in their dentist's abilities and more readily agree to proposed treatments. Dentists' stress levels decrease, as well.

Today, anesthesia and pain control methods provide faster onset and more profound relief than ever before. Dr. Curtis provides information from hundreds of sources on the best products, tools, and techniques for safe, effective relief. Dentists discover the benefits of Septocaine, learn to successfully perform intraosseous injections, administer Botox for pain relief, and more. By using the appropriate pain relief method for specific procedures and refining anesthesia delivery techniques, dentists impress patients and encourage referrals. When patients are happy, profits soar!

About the Instructor:
Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

Educational Objectives:
After reading chapter 1, dentists will know how to:
  • Evaluate the latest anesthesia products and techniques
  • Implement advanced tools and methodologies to increase patient comfort
  • Deliver comfortable injections
  • Assess computer-controlled anesthesia delivery tools
  • Avoid needles and the drill
  • Successfully implement Botox for pain relief
Continuing Education Quiz A-1:

Anesthesia & Pain Relief (Chapter 1): New Products and Equipment
  1. Which of the following is not a benefit of Septocaine over other anesthetics?
    1. Better diffusion through bone and nerve
    2. Faster onset
    3. Upper buccal infiltration may get palatal tissue
    4. Reliable infiltration for lower molars
  2. Tips to improve success of intraosseous injections include: (Select all that apply.)
    1. Inject into attached gingiva if possible
    2. Slowly inject up to 1/2 carpole
    3. Take up to a foll minute to perforate the cortical plate
    4. Use a rubber stopper to prevent backflow
  3. According to the ADA, the success rate of intraosseus injections on asymptomatic lower molars jumps to 90 to 100% when combined with:
    1. A mandibolar block
    2. The use of Citanest prior to injection
    3. Anti-prostaglandins
  4. The benefits of Citanest include:
    1. Rapid soft-tissue anesthesia
    2. A near neutral pH to eliminate burning upon delivery
    3. Reduced need for secondary anesthesia
    4. All of the above
    5. A and B only
  5. P-ASA and AMSA blocks are usefol for:
    1. Cosmetic procedures involving anterior teeth
    2. Effective numbing of abscessed teeth
    3. Patients who experience difficolt becoming numb
  6. Computer-controlled anesthesia delivery:
    1. Ensures a slow release of anesthesia
    2. Was preferred by patients in a recent study
    3. Can be an effective marketing tool
    4. All of the above
    5. A and C only
  7. True or False: Topical anesthetic is usefol prior to injections only.
  8. Dr. Curtis recommends giving NSAIDS along with Tylenol prior to:
    1. Lengthy procedures
    2. All procedures
    3. Surgical procedures only
  9. To avoid needles and drills, dentists shoold consider: (Select all that apply.)
    1. Jet injectors
    2. Soft- and/or hard-tissue lasers
    3. Air abrasion
    4. Computer-controlled anesthesia delivery
    5. Electric handpieces
  10. True or False: Botox injected in the Masseter, Temporalis, and Pterygoids muscles is usefol for treating TMD, severe clenching, bruxism, and chronic head/neck pain and spasms.

CE Processing:
If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

Dentist Name & Degree: ____________________________________________________
AGD or ADA #: ____________________________________________________________
Phone #: _________________________ Fax #: _________________________________
Email Address: _____________________________
Quiz Completion Date: _______________________________________
Processing Fee: $25
Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
Card Number: ________________________ Expiration Date: ______________________

Signature: ___________________________________ Date: ________________________



Course Title: Anesthesia & Pain Relief (Chapter 2): Why Blocks Fail and How to Fix Them - Course A-2

Release Date: 01/01/2014

Type of Course: Written Text, Self-Instructional

Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

CE Processing:
If you wish to claim CE credits:
  • Please download and complete the CE quiz and fax it to us at 203-372-4296.
  • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
  • Please also include credit card information for processing.
  • A processing fee of $25 per quiz will be assessed.
  • CE credits will be awarded only if you attain a correct score of 80% or greater.
  • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
  • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
  • CE processing fees are non-refundable.
Contact Person:
Michael Curtis, DMD.
  • Phone: 800-427-2830
  • Fax: 203-372-4734
  • Email: Hundredsofpearls@sbcglobal.net
Dates: CE credits are available January 1, 2014 through December 31, 2014.

Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.

Course Content:
Studies show that 15 to 20% of mandibular blocks fail, resulting in disgruntled patients and stressed dentists! When patients have a negative dental experience, they are hesitant to accept recommended treatment, and they do not recommend referrals. A dentist's reputation suffers, along with profits.

In Chapter 2 of Anesthesia & Pain Relief, Dr. Curtis describes the reasons blocks fail and how to correct them. He reviews the traditional mandibular block; explains the Akinosi, Gow Gates, and Clark-Holmes techniques; and provides practical tips to helps dentists administer the perfect block. By mastering mandibular block techniques, dentists increase their standing in the eyes of patients. Case acceptance and profits rise, and stress and frustration diminish.

About the Instructor:
Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

Educational Objectives:
After reading chapter 2, dentists will know how to:
  • Utilize advanced mandibular block methodologies
  • Effectively numb patients who salivate heavily, cannot keep their mouths open, or gag easily
  • Determine which block technique will work best on a specific patient
  • Master new injection techniques
  • Administer the perfect block

Continuing Education Quiz A-2:
Anesthesia & Pain Relief (Chapter 2): Why Blocks Fail and How to Fix Them
  1. Common reasons mandibular blocks fail include:
    1. Accessory nerves branch off from the mandibular nerve
    2. Other nerves enervate lower teeth
    3. The mandibular nerve takes an usual course
    4. Inability to locate the mandibular nerve
    5. All of the above
    6. B and C only
  2. When dentists numb accessory nerves to lower molars, they should: (Select all that apply.)
    1. Inject at least 5mm higher than the occlusals of the lower teeth
    2. Inject a full 1/2 carpule of solution
    3. Administer Septocaine along with the block
    4. Use 30-gauge needles
  3. True or False: It is acceptable to administer anesthetic with epinephrine following a failed mandibular block.
  4. The Akinosi technique:
    1. Lets dentists perform blocks with patients mouth closed
    2. Successfully numbs patients who salivate heavily and/or have a sensitive gag reflex
    3. Requires perfect needle position for maximum effectiveness
    4. A and C
  5. Common Akinosi technique mistakes include:
    1. Injecting too deep or too low
    2. Failing to bend the needle laterally
    3. Facing the bevel medially
    4. A and C
    5. B and C
    6. None of the above
  6. To perform a needle bend block, bend the needle to:
    1. 50 degrees
    2. 45 degrees
    3. 20 degrees
  7. True or False: The Gow Gates block has a 98% success rate because it accesses the mandibular nerve before branching occurs.
  8. The Clark-Holmes block is useful for patients who:
    1. Suffer from TMD
    2. Fight dentists with their tongues , gag easily, and/or salivate heavily
    3. Dislike needles
  9. To eliminate heavy salivation that inhibits successful location of injection landmarks, dentists should consider using:
    1. A Listerine pre-rinse
    2. Medications such as Pro-Banthine and Sal-tropine
    3. Dry Tips
    4. Denture adhesive on Absorb-it pads
    5. All of the above
    6. B and C only


CE Processing:
If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

Dentist Name & Degree: ____________________________________________________
AGD or ADA #: ____________________________________________________________
Phone #: _________________________ Fax #: _________________________________
Email Address: _____________________________
Quiz Completion Date: _______________________________________
Processing Fee: $25
Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
Card Number: ________________________ Expiration Date: ______________________

Signature: ___________________________________ Date: ________________________



Course Title: Anesthesia & Pain Relief (Chapter 3): Everyday Tips and Tricks - Course A-3

Release Date: 01/01/2014

Type of Course: Written Text, Self-Instructional

Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

CE Processing: If you wish to claim CE credits:
  • Please download and complete the CE quiz and fax it to us at 203-372-4296.
  • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
  • Please also include credit card information for processing.
  • A processing fee of $25 per quiz will be assessed.
  • CE credits will be awarded only if you attain a correct score of 80% or greater.
  • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
  • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
  • CE processing fees are non-refundable.
Contact Person: Michael Curtis, DMD.
  • Phone: 800-427-2830
  • Fax: 203-372-4734
  • Email: Hundredsofpearls@sbcglobal.net
Dates: CE credits are available January 1, 2014 through December 31, 2014.

Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.

Course Content:
Patients want a pain-free experience. They judge a dentist's competency by his or her ability to provide gentle care and comfortable numbing. Painful injections and hygiene visits make patients lose trust in a dental practice. Diminished confidence on the part of patients spells disaster for dentists and results in lower case acceptance, broken appointments, and lost referrals.

Chapter 3 of Dr. Michael Curtis' Anesthesia & Pain Relief offers useful tips and tricks to help dentists provide comfortable anesthesia delivery and satisfy a patient's need for soothing care. Dr. Curtis also imparts useful information to make the most frequent procedure in a general practice - hygiene - less stressful and more comfortable. When dentists and their teams gain patient trust, everyone benefits!

About the Instructor:
Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

Educational Objectives:
After reading chapter 3, dentists will know how to:
  • Administer more effective PDL, furcation, intraseptal, intrapulpal, and palatal injections
  • Numb hot teeth
  • Perform successful aspirations and comfortable infiltrations
  • Provide gentle hygiene for new and recare patients
  • Navigate the intricacies of insurance when patients need multiple hygiene visits

Continuing Education Quiz A-3:

Anesthesia & Pain Relief (Chapter 3): Everyday Tips and Tricks
  1. To increase the duration of a PDL injection, Dr. Curtis recommends using a higher concentration of:
    1. Long-acting anesthetic
    2. Epinephrine
    3. Antiobiotic prophylaxis
  2. For more comfortable intrapulpal injections, a dentist should: (Select all that apply.)
    1. Use a 1/2 round or larger bur
    2. Bathe the pulp with anesthetic for one minute before injecting
    3. Bend the needle, if needed
    4. Advance the needle as far apically as possible
  3. If the periodontium is unhealthy, dentists should consider a/n __________________ injection.
    1. PDL
    2. Intraseptal
    3. Palatal
  4. To numb an abscessed tooth, Dr. Curtis recommends: (Select all that apply.)
    1. Neutralizing pH with a Citanest pre-injection
    2. Giving pre-op anti-prostaglandin and anti-inflammatory medications
    3. Injecting lower to block nerve impulses
    4. Delivering supplemental injections at precisely time intervals
    5. Using a higher concentration anesthetic
  5. True or False: Palatal injections should be given as fast as possible to minimize discomfort.
  6. The Gow Gates, Akinosi, and high blocks have a ___________ incidence of positive aspiration than traditional blocks.
    1. Higher
    2. Lower
    3. Similar
  7. When infiltrating multiple teeth, inject the most distal/mesial tooth first. (Circle the correct answer.)
  8. To perform a more comfortable injection:
    1. Pull tissue taut and push the needle into the tissue
    2. Pull tissue taut and pull the tissue over the needle
    3. Let tissue relax and push the needle into the tissue
  9. True or False: Hygienists should always scrape off a layer of cementum to remove endotoxins from tooth roots.
  10. Ways to make X-rays more comfortable for the patient include: (Select all that apply.)
    1. Angling PA film to reduce pinching
    2. Using topical anesthetic
    3. Administering sedation
    4. Using pedodontic film



CE Processing:
If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

Dentist Name & Degree: ____________________________________________________
AGD or ADA #: ____________________________________________________________
Phone #: _________________________ Fax #: _________________________________
Email Address: _____________________________
Quiz Completion Date: _______________________________________
Processing Fee: $25
Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
Card Number: ________________________ Expiration Date: ______________________

Signature: ___________________________________ Date: ________________________



Course Title: Anesthesia & Pain Relief (Chapter 4): Sedation and Relaxation - Course A-4

Release Date: 01/01/2014

Type of Course: Written Text, Self-Instructional

Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

CE Processing: If you wish to claim CE credits:
  • Please download and complete the CE quiz and fax it to us at 203-372-4296.
  • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
  • Please also include credit card information for processing.
  • A processing fee of $25 per quiz will be assessed.
  • CE credits will be awarded only if you attain a correct score of 80% or greater.
  • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
  • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
  • CE processing fees are non-refundable.

Contact Person: Michael Curtis, DMD.
  • Phone: 800-427-2830
  • Fax: 203-372-4734
  • Email: Hundredsofpearls@sbcglobal.net

Dates: CE credits are available January 1, 2014 through December 31, 2014.

Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.

Course Content:
In Chapter 4 of Anesthesia & Pain Relief, Dr. Curtis illustrates how to make patients feel relaxed, cared for, and confident of a dentist's abilities. It has been said that it is more important for a patient to feel understood than to understand a dentist's recommendations. Simply put, making patients feel comfortable, delivering undivided attention, and expressing an interest in their interests elevate dentists in the eyes of patients.

Dr. Curtis stresses the power of psychology and the importance of people skills. Patient/dentist rapport often overshadows technical expertise. Therefore, the time a dentist spends relating to patients more than pays for itself in greater case acceptance, larger profits, increased referrals, and more successful anesthesia.

About the Instructor:
Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

Educational Objectives:
After reading chapter 4, dentists will know how to:
  • Acquire oral and IV sedation information and training
  • Better utilize nitrous oxide and screen patients for contraindications
  • Assess and implement patient amenities
  • Successfully treat patients with severe gag reflexes
  • Improve people skills to encourage better patient relationships
  • Build trust with patients
  • Employ proven relaxation techniques
  • Avoid overlooking forgotten critical comfort issues
  • Successfully treat children
  • Implement a useful medical/dental history form

  • Continuing Education Quiz A-4:

    Anesthesia & Pain Relief (Chapter 4): Sedation and Relaxation
    1. Sedation dentistry is ideal for:
      1. Dental-phobic patients
      2. Patients who want to complete numerous and/or lengthy procedures in as few visits as possible
      3. Small and large cases alike
      4. All of the above
      5. A and B only
    2. According to the Dental Organization for Conscious Sedation (DOCS), the average case size with sedation dentistry is ____________ that of the "typical" patient.
      1. The same as
      2. 3 to 4 times larger than
      3. 1 to 2 times larger than
      4. Less than
    3. A recent study showed that Halcion (0.25mg) with nitrous oxide at 40% achieves a state of sedation ______________ IV sedation with Valium.
      1. Deeper than
      2. Comparable to
      3. Of shorter duration than
    4. True or False: Oral sedation can be marketed as sleep dentistry.
    5. A short-term push of nitrous oxide at a dose of _______ can be extremely effective for phobic patients or hot teeth.
      1. 35%
      2. 50%
      3. 70%
    6. True or False: It is necessary to deliver 2 to 3 minutes of pure oxygen after administering nitrous oxide.
    7. Techniques and products to diminish the gag reflex include:
      1. Scopolamine and similar drugs
      2. Acupressure
      3. Sedation
      4. Distraction, relaxation, and deep breathing
      5. All of the above
      6. A only
      7. C and D only
    8. What percentage of patients do not want or need detailed or technical procedural descriptions?
      1. 25%
      2. 50%
      3. 80%
    9. Encouraging patients to share past negative dental care experiences:
      1. Wastes time
      2. Helps dentists build trust and lets patient feel safe and relaxed
      3. Is recommended for severe dental-phobic patients only
    10. Patient distractions such as movies, music, and TV: (Select all that apply.)
      1. Encourage relaxation
      2. Give patients something to focus on other than the work being performed
      3. Are recommended for spa practices only
      4. Are not cost effective
    11. The sights, sounds, and smells of a dental office:
      1. Are perceived by many as unpleasant
      2. Can impact a patient's assessment of the quality of dental work performed at a practice
      3. Cannot be controlled
      4. All of the above
      5. A and B only
    12. When treating children: (Select all that apply.)
      1. Employ the "tell, show, do" methodology
      2. Let them assist by holding a mirror or other tool
      3. Address the parent(s) and not the child
      4. Let me see how the equipment works
      5. Never administer nitrous oxide



    CE Processing:
    If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

    Dentist Name & Degree: ____________________________________________________
    AGD or ADA #: ____________________________________________________________
    Phone #: _________________________ Fax #: _________________________________
    Email Address: _____________________________
    Quiz Completion Date: _______________________________________
    Processing Fee: $25
    Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
    Card Number: ________________________ Expiration Date: ______________________

    Signature: ___________________________________ Date: ________________________



    Course Title: Anesthesia & Pain Relief (Chapter 5): Confusing Issues and What To Do - Course A-5

    Release Date: 01/01/2014

    Type of Course: Written Text, Self-Instructional

    Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

    Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

    Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

    CE Processing: If you wish to claim CE credits:
    • Please download and complete the CE quiz and fax it to us at 203-372-4296.
    • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
    • Please also include credit card information for processing.
    • A processing fee of $25 per quiz will be assessed.
    • CE credits will be awarded only if you attain a correct score of 80% or greater.
    • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
    • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
    • CE processing fees are non-refundable.

    Contact Person: Michael Curtis, DMD.
    • Phone: 800-427-2830
    • Fax: 203-372-4734
    • Email: Hundredsofpearls@sbcglobal.net
    Dates: CE credits are available January 1, 2014 through December 31, 2014.

    Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.


    Course Content:
    Successful administration of anesthesia is crucial to a patient's satisfaction and a dentist's professional reputation. How dentists address and correct problems that occur in this realm dramatically impact patient retention, referrals, and practice success. In addition, documentation of appropriate resolution can protect a dentist against medicolegal ramifications.

    In Chapter 5 of Anesthesia & Pain Relief, Dr. Michael Curtis delivers vital information to help dentists deal with the multitude of issues that can arise when administering anesthesia. How can a dentist determine the true source of an anesthesia allergy? In what situations should epinephrine be given? How is paresthesia prevented? Which antibiotics are preferred for a specific category of infection? Dr. Curtis answers these questions and more as he eliminates confusion and corrects misinformation to give dentists a clear path to successful anesthesia delivery and happy patients!

    About the Instructor:
    Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

    Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

    Educational Objectives:
    After reading chapter 5, dentists will know how to:
    • Assess and counteract reactions to local anesthetic
    • Successfully administer epinephrine and avoid toxicity
    • Reduce the risk of paresthesia
    • Avoid contaminating anesthetic
    • Treat unexpected anesthesia reactions
    • Prescribe appropriate antibiotic therapy
    • Appropriately pre-medicate
    • Correctly determine children's doses
    • Comply with OSHA updates and the latest policy on needlestick injuries
    Continuing Education Quiz A-5: Anesthesia & Pain Relief (Chapter 5): Confusing Issues and What To Do
    1. A Novacaine "allergy" may actually be a reaction to: (Select all that apply.)
      1. Latex
      2. Sodium Metabisulfite
      3. Epinephrine
      4. Non-epinephrine anesthesia
      5. Stress
    2. When a patient complains of a history of allergy to anesthesia, Dr. Stanley Malamed suggests:
      1. Sending the patient for allergy testing
      2. Substituting Benadryl for local anesthetic
      3. Using nitrous oxide only
    3. Because epinephrine elevates heart rate and stroke volume similar to light/moderate exercise and causes peripheral vasodilation, mean arterial blood pressure _____________.
      1. Increases
      2. Decreases
      3. Stays the same
      4. True or False. According to Dr. Michael Wahl, patients are more at risk from endogenously released epinephrine when they feel pain or stress than from properly administered anesthetic.
    4. When administering epinephrine, decrease the dosage by ___________ for patients over 65 to avoid toxicity.
      1. 15%
      2. 25%
      3. 50%
    5. To reduce the occurrence of paresthesia: (Select all that apply.)
      1. Check the needle for barbs before reinjecting
      2. Avoid heavy bone contact
      3. Change the needle direction when administering a mandibular block
      4. Store carpules in alcohol
      5. Pre-rinse with Peridex or Listerine
    6. Which antibiotic is considered the drug of choice for periodontal infections?
      1. Amoxycillin
      2. Doxycycline
      3. Erythromycin
      4. Augmentin
    7. True or False. The pre-medication dosage should be increased when administered following treatment.
    8. What percentage of minor infections and pain do not require antibiotics?
      1. 30%
      2. 50%
      3. 80%
      4. All infections require antibiotics
    9. Pre-medication is not needed for:
      1. Prosthetic joints after two years
      2. Intraosseous injections
      3. Bypass surgery after 12 months
      4. Patients already taking antibiotics
    10. Norepinephrine and Neo-Corbefrin are:
      1. Safer for cardiac patients than epinephrine
      2. More dangerous to cardiac patients than epinephrine
      3. Useful in conjunction with epinephrine
    11. Adherence to the updated OSHA regulations on needlestick practices do not apply to:
      1. Practices with 10 or fewer employees
      2. Multi-doctor practices
      3. Practices with more than 10 employees



    CE Processing:
    If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

    Dentist Name & Degree: ____________________________________________________
    AGD or ADA #: ____________________________________________________________
    Phone #: _________________________ Fax #: _________________________________
    Email Address: _____________________________
    Quiz Completion Date: _______________________________________
    Processing Fee: $25
    Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
    Card Number: ________________________ Expiration Date: ______________________

    Signature: ___________________________________ Date: ________________________



    Course Title: Anesthesia & Pain Relief (Chapter 6): Sensitivity & Post-Op Pain/Better Diagnosis & Treatment - Course A-6

    Release Date: 01/01/2014

    Type of Course: Written Text, Self-Instructional

    Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

    Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

    Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

    CE Processing: If you wish to claim CE credits:
    • Please download and complete the CE quiz and fax it to us at 203-372-4296.
    • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
    • Please also include credit card information for processing.
    • A processing fee of $25 per quiz will be assessed.
    • CE credits will be awarded only if you attain a correct score of 80% or greater.
    • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
    • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
    • CE processing fees are non-refundable.
    Contact Person: Michael Curtis, DMD.
    • Phone: 800-427-2830
    • Fax: 203-372-4734
    • Email: Hundredsofpearls@sbcglobal.net
    Dates: CE credits are available January 1, 2014 through December 31, 2014.

    Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.


    Course Content:
    What is the most common mistake dentists make regarding anesthesia? According to Dr. Michael Curtis, author of Anesthesia & Pain Relief, it is forgetting to address post-op pain. When a patient experiences significant pain following treatment, they lose confidence in the dentist's ability to provide comfortable care - and they may not return. A little effort goes a long way to give patients relief from post-op pain. Dr. Curtis discusses the duration and efficacy of anesthetics, drug interactions and precautions, and non-medicinal pain relievers.

    Before alleviating post-op pain, a dentist must render an accurate diagnosis and perform treatment. In the second half of Chapter 6, dentists gain practical knowledge to aid in accurate diagnoses of a variety of dental condition, including tooth and root sensitivity and occulusal problems. Dentists learn about diagnostic tools to enhance quality of care and increase patient confidence. The result: improved case acceptance, recare appointments, and referrals.

    About the Instructor:
    Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

    Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

    Educational Objectives:
    After reading chapter 6, dentists will know how to:
    • Lessen and alleviate post-op pain
    • Determine the appropriate medications and dosages to provide post-op patients
    • Create post-op comfort through non-medicinal methods
    • Evaluate patient discomfort for improved diagnostic accuracy
    • Accurately diagnose occlusal abnormalities
    • Discover the source of post-op sensitivity
    • Alleviate root sensitivity
    • Incorporate light and magnification for improved diagnostics


    Continuing Education Quiz A-6:

    Anesthesia & Pain Relief (Chapter 6): Sensitivity & Post-Op Pain/Better Diagnosis & Treatment
    1. NSAIDS mixed with ______________ provide significant post-op pain relief.
      1. Steroids
      2. Acetaminophen
      3. Celebrex
    2. True or False: Non-narcotic pain medications should be prescribed PRN only.
    3. Steroids are indicated if a dentist feels that pain is related to:
      1. Infection
      2. The trauma of a procedure
      3. Unrelated or undiagnosed dental conditions
    4. Long-acting anesthetics are:
      1. Always preferred over anesthetics with a shorter duration
      2. Often variable in duration
      3. Considered safe and effective for children and adults
    5. When diagnosing pain, the most important factor to consider is: .
      1. How long the pain lingers
      2. The intensity of the pain
      3. How quickly the tooth reacts
    6. To assess a tooth for sensitivity to hot or cold, apply the stimulus on the:
      1. Cervical area
      2. Buccal near the occlusal
      3. Distal side
    7. When testing percussion, pain that is fast and sharp indicates a/an:
      1. Tooth fracture
      2. Endo problem
      3. Cracked filling
    8. To treat a fractured tooth, Dr. Curtis suggests:
      1. Extraction
      2. Endo
      3. Banding
    9. A sudden, deep vertical defect on a tooth may suggest: (Select all that apply.)
      1. Periodontal disease
      2. A fractured root
      3. Perforation
      4. Resorption
      5. An endo-perio lesion
    10. Sensitivity to salt, sugar, and dry cotton indicate that fluid is moving out of open tubules. Recommended treatment is:
      1. A replacement filling
      2. A crown
      3. Endodontic treatment
    11. The most reliable treatment for root sensitivity is:
      1. Fluoride and potassium nitrate
      2. Glutaraldehyde
      3. A bonding agent
      4. A combination of methods to increase the odds of success
    12. Benefits of light and magnification include:
      1. Speed of treatment
      2. Precision
      3. Less sensitivity for patients
      4. Improved posture and energy for dentists
      5. All of the above
      6. A and B only



    CE Processing:
    If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

    Dentist Name & Degree: ____________________________________________________
    AGD or ADA #: ____________________________________________________________
    Phone #: _________________________ Fax #: _________________________________
    Email Address: _____________________________
    Quiz Completion Date: _______________________________________
    Processing Fee: $25
    Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
    Card Number: ________________________ Expiration Date: ______________________

    Signature: ___________________________________ Date: ________________________




    Course Title: Anesthesia & Pain Relief (Chapter 7): Relief for Oral Lesions & Chronic Pain - Course A-7

    Release 01/01/2014

    Type of Course: Written Text, Self-Instructional

    Program Provider: Hundreds of Pearls, L.L.C., C/O Dr. Michael Curtis, 4699 Main Street, Suite 100, Bridgeport, CT 06606

    Credits: This self-instructional program qualifies for 1 Continuing Education (CE) credit hour.

    Purchase Price: $109 for each book (all chapters), though you may claim CE credits for sub-sections of each book. The 100s of Pearls books have a 100% money-back guarantee for one full year following your purchase. If you are not satisfied in any way, simply return the materials for a full refund of your purchase price.

    CE Processing: If you wish to claim CE credits:
    • Please download and complete the CE quiz and fax it to us at 203-372-4296.
    • You must include your name, degree, address, phone number, fax number, email address, AGD or ADA number, and the date you took the quiz.
    • Please also include credit card information for processing.
    • A processing fee of $25 per quiz will be assessed.
    • CE credits will be awarded only if you attain a correct score of 80% or greater.
    • If successful, a certificate of completion and the credits earned will be faxed back to you. If an 80% grade is not achieved, you will be notified.
    • You may take the CE quiz an unlimited number of times. A separate processing fee will be assessed each time you submit a quiz.
    • CE processing fees are non-refundable.

    Contact Person: Michael Curtis, DMD.
    • Phone: 800-427-2830
    • Fax: 203-372-4734
    • Email: Hundredsofpearls@sbcglobal.net

    Dates: CE credits are available January 1, 2014 through December 31, 2014.

    Commercial Support: Hundreds of Pearls, L.L.C. and Dr. Michael Curtis did not receive any commercial support from any entity during the writing of these materials.
    Course Content:
    Millions of people experience uncomfortable oral lesions and chronic pain, including debilitating headaches and myofascial discomfort. Successfully diagnosing and treating these conditions creates happy, healthy, appreciative patients. Chapter 7 of Dr. Michael Curtis' Anesthesia & Pain Relief provides dentists with information on products and techniques to positively resolve aphthous ulcers, canker sores, fungal infections, dry mouth, cold sores, and more. He tells dentists how to gain entry into the $40 billion dollar market surrounding the treatment of head and neck pain and provide the relief patients crave. The chapter concludes with information to help dentists prevent and overcome their own occupational-related discomfort.

    About the Instructor:
    Michael Curtis, DMD is the founder, editor, and president of Hundreds of Pearls. Thousands of his "100s of Pearls" books have sold in all 50 states and 19 countries around the world. Dr. Curtis graduated from the University of Pennsylvania in 1978, where he received several scholarships and awards. He then completed two years of residency training at Albert Einstein Medical Center in Philadelphia and Montefiore Hospital in New York. Dr. Curtis has served as an instructor at both the University of Connecticut and New York University Dental Schools.

    Over his 30 years in practice, Dr. Curtis has seen dentists grow increasingly confused and frustrated with the avalanche of information scattered into innumerable courses, books, articles, CDs and web sources. To help cut through the confusion, he has assembled "100s of pearls" for easier, faster, better clinical dentistry, enhanced practice administration, greater efficiency, and increased profitability. His Motto: "Here's What You Need to Know." Dr. Curtis has been a member of the American Dental Association, Academy of General Dentistry, and numerous other dental organizations. He has written extensively in numerous dental magazines and been interviewed for several webinars and CDs.

    Educational Objectives:
    After reading chapter 7, dentists will know how to:
    • Eliminate the pain of oral lesions
    • Prevent dry mouth and the accompanying oral damage
    • Prevent and treat dry sockets
    • Resolves herpes and cold sores and prevent an outbreak during treatment
    • Successfully diagnose and treat TMJ/TMJ
    • Network with medical professionals to gain TMJ/TMJ referrals
    • Relieve their own occupational-related back, neck, shoulder, and/or headache pain
    • Assess nickel sensitivity


    Continuing Education Quiz A-7:

    Anesthesia & Pain Relief (Chapter 7): Relief for Oral Lesions & Chronic Pain
    1. Sodium laurel sulfate in toothpastes has been linked to:
      1. Dry mouth
      2. Aggravation of fungal infections
      3. Aphthous ulcers
    2. True or False: Xylitol is metabolized by caries-forming bacteria and should be avoided by patients who suffer from dry mouth.
    3. To prevent dry socket, dentists should consider a:
      1. Vertical-releasing incision
      2. Traditional envelope incisions
      3. Mid-crestal incision
    4. Chlorhexidine antibacterial rinse is useful to reduce: (Select all that apply.)
      1. Bleeding
      2. Occurrence of dry socket
      3. Gingival inflammation
      4. Cold sore outbreaks during dental treatment
    5. A side effect of Peridex brand Chlorhexidine is:
      1. Increased bleeding
      2. Staining
      3. Difficult margin placement
    6. TMJ therapy is warranted for patients who:
      1. Experience chronic headaches and/or unexplained facial pain
      2. Have poor posture that causes muscle spasms which present as temporal pain
      3. Experience tension headaches due to long hours of computer use
    7. Chronic use of _______________ has been linked to frequent aphthous ulcers and cold sores.
      1. Antibiotics
      2. Ibuprofen
      3. Narcotic pain relievers
    8. What percentage of the population exhibits symptoms of nickel hypersensitivity?
      1. 10 to 20
      2. 15 to 30
      3. 20 to 35
    9. Which condition(s) are common under dentures and secondary to long-term antibiotic use?
      1. Canker sores
      2. Candida
      3. Fungal infections
      4. ANUG
      5. A and D
      6. B and C
      7. A only
    10. True or False: Female hormone levels have no bearing on the formation of dry sockets.



    CE Processing:
    If you wish to claim CE credits, please download and complete the CE quiz and provide the following information. Fax the completed quiz and form to us at 203-372-4734.

    Dentist Name & Degree: ____________________________________________________
    AGD or ADA #: ____________________________________________________________
    Phone #: _________________________ Fax #: _________________________________
    Email Address: _____________________________
    Quiz Completion Date: _______________________________________
    Processing Fee: $25
    Credit Card: (check one) American Express _____ MasterCard _____ Visa _____
    Card Number: ________________________ Expiration Date: ______________________

    Signature: ___________________________________ Date: ________________________




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