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Treating Medically Complex Geriatric Patients

Saturday, April 15

2 - 5 PM *Updated time

3 CDE Credits – DDS, DH, DA

About the Course

Oral health doesn’t have to decline in the face of multiple chronic diseases and medication usage, but sometimes it takes more time and care. The linkages between oral health and systemic diseases become evident in geriatric patients. This program addresses the oral health needs of a medically complex older population. It will identify the linkages between chronic diseases, multiple medications and oral health. When should you provide antibiotic prophylaxis for the patient with a hip implant? What should you do for the patient taking anti-resorptive drugs for osteoporosis? The program will discuss various ADA Clinical Guidelines that can assist dental professionals in caring for their older patients and will use cases to illustrate the issues the dental team faces in helping patients maintain their oral health for a lifetime.

This session will enable participants to:
- List the new recommendations for antibiotic use in patients with hip implants
- Enumerate the types of medications that contribute to dry mouth in older adults
- Outline the various strategies to prevent caries in a medically complex patient
- Discuss the ADA’s evidence-based clinical practice guideline on nonrestorative treatments for carious lesions


Linda Niessen, D.M.D., M.P.H., M.P.P.

Dr. Linda Niessen serves as Vice Provost for Oral Health Affairs for Kansas City University (KCU) and as Founding Dean and Professor for the KCU College of Dental Medicine in Joplin, Missouri. The KCU College of Dental Medicine has received initial accreditation from the Commission on Dental Accreditation and plans to enroll its first class of students in August 2023. Dr. Niessen is a diplomate of the American Board of Dental Public Health and the American Board of Special Care Dentistry. Her academic career includes serving as a clinician caring for medically complex and geriatric patients at several VA Medical Centers, as a faculty member at the Baylor College of Dentistry and as a professor and dean at Nova Southeastern University in Fort Lauderdale, Florida. Dr. Niessen has served as president of the Dallas County Dental Society, American Association of Women Dentists, American Association of Public Health Dentistry, American Board of Dental Public Health, Friends of the National Institute of Dental and Craniofacial Research and the American Academy of Esthetic Dentistry.

Conflict of Interest: None reported

Linda Niessen, D.M.D., M.P.H., M.P.P.
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