John Zuniga, DMD, MS, PhD

 John Zuniga, DMD, MS, PhD

John Zuniga, DMD, MS, PhD 

Friday, April 8, 2011
1. 9 am – 12 pm
2. 2 – 5 pm
All Courses Recommended for: Dentists, Hygienists, Assistants
3 CE Credits each
ODA courses
 
Saturday, April 9, 2011
3. 8 am – 4:30 pm
OSSO Course 
All Courses Recommended for: Dentists
6 CE Credits
OSOMS Course 
 
 
 

  

1. Trigeminal Nerve Injuries in the Dental Practice

Nerve injuries are one of the most infrequent complications encountered in the practice of dentistry in general, but common in oral and maxillofacial surgery in particular. Management of patients with needle injection injuries, injuries following dentoalveolar surgery (especially third molar extraction), endodontics, periodontal surgery and implant placement will be addressed. Determining whether to observe or treat a nerve injury can be difficult and confusing for both the clinician and the patient. 

This course is designed to assist the practicing clinician in making decisions to observe or treat nerve injuries by covering the following topics:

  • The natural history and incidence of sensory recovery following a nerve injury
  • The pertinent history and physical findings associated with a nerve injury;
  • The use of diagnostic tests to determine types of injury and recovery
  • The characteristics of pain associated with nerve injury, if present
  • The potential benefits and risks of different treatments including medical, physical, chemical and surgical treatments.
  • Risk management issues will also be discussed.

At the conclusion of this course, attendees will be able to:

  • Discuss the different causes, incidence and natural history of nerve injury and nerve injury recovery reported among dentists and dental specialists
  • Understand and apply a nerve injury algorithm of the pertinent historical, physical and simple neurosensory testing technique findings to document the extent of injury and determine whether to observe or treat a nerve injury
  • Discuss the characteristics and treatment options for neuropathic pain, if present;
  • Discuss the different treatment options (including when to refer) for the management of nerve injuries.

2. Facial Pain Diagnosis and Management

Inadequate management of acute and chronic facial pain is widely prevalent, harmful to patients and costly. Studies demonstrate that poor control of postoperative and trauma pain exist for facial pain and misdiagnosis of chronic pain conditions can lead to delayed treatment, refractory pain control and increased costs for care delivery. Trigeminal neuralgias and neuropathic pain conditions are especially difficult conditions for the patient and the clinician to recognize and effectively treat.

The topics to be covered include:

  • Acute postoperative pain control for routine oral surgery
  • Chronic pain conditions including recalcitrant TMD, trigeminal neuralgia and neuropathic pain, providing diagnosis and prognosis
  • Management schemes ranging from pharmacotherapeutics, behavioral, chemical denervation and surgical interventions.
  • Management dilemmas and controversies will be presented.

At the conclusion of this course, attendees will be able to:

  • Discuss the diagnostic criteria for acute pain control and the use of step 1, 2 and 3 drug regimens for ambulatory pain control in oral surgery
  • Discuss the diagnostic criteria for chronic pain conditions associated with recalcitrant TMD, trigeminal neuralgia and neuropathic pain
  • Discuss the different methods for the management of recalcitrant TMD, trigeminal neuralgia and neuropathic pain 

 3. Contemporary Management of Nerve Injuries in Oral and Maxillofacial Surgery

Injury to the Inferior Alveolar, Lingual and Infraorbital nerves are infrequent complications encountered in the practice of oral and maxillofacial surgery. Management of patients with sensory deficits can often be difficult, and may, at times, be confusing for both the clinician and the patient. This program is designed to provide the attendees information about contemporary methods to diagnose the extent of nerve injury, document its progression or resolution, and identify the “window of opportunity” for enhancing return of nerve function.

The topics to be covered will be the clinical trials involving third molar surgery, orthognathic surgery and dental implants and the incidence of trigeminal nerve injury. The diagnosis and management of sensory and special sensory deficits associated with trigeminal nerve injuries and the diagnosis and management of oral and facial pain associated with trigeminal nerve injuries. The surgical approaches to nerve injuries and the outcomes of those procedures and risk management concerns.

At the completion of the course, attendees will be able to:

  • Discuss the etiologies and incidence of inferior alveolar, lingual and infraorbital nerve injury associated with third molar surgery, orthognathic surgery and dental implant surgery
  • Apply simple neurosensory testing techniques to document the extent of the nerve injury, the source of painful neuropathy, and determine the prognosis for spontaneous recovery
  • Understand when and how surgical and medical managements may be applied to treat Inferior Alveolar, Lingual and Infraorbital nerve injuries.

John Zuniga, DMD, MS, PhD received his dental degree from Tufts University School of Dental Medicine, in 1978. He completed a general dental residency and OMS residency at Strong Memorial Hospital in 1986. He received a MS and PhD in Neuroscience in the Neuroendocrine Unit of the University of Rochester in 1986. He was a faculty member of the Department of OMS at UNC at Chapel Hill from 1986 to 2006. He has been chair of the Division of Oral and Maxillofacial Surgery in the Department of Surgery at the University of Texas Southwestern Medical Center at Dallas and Parkland Memorial Hospital since 2006. Dr. Zuniga has authored over 120 contributions to the scientific literature. Dr. Zuniga’s major research interest includes regenerative neuroscience, pain and taste function. He has been the recipient of numerous research grants, contracts, awards and lectures extensively in the areas of chronic and acute orofacial pain and neurosensory disorders.