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DEA MATE Act Training: Dental Implications of Substance Use Disorders - Sponsored by Delta Dental

Aug 11, 2023

08:00 AM - 04:00 PM

Dental Science Building, Galagans B/C Auditorium

801 Newton Road, Iowa City, IA 52246

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The Program and Objectives

Substance Use Disorders (SUDs) are unfortunately both common and destructive in our society. We will discuss new developments in the neurophysiology and treatment of common SUDs. Recreational marijuana is currently legal in 21 states and initiatives are currently being promoted in many more states. We will review the pharmacology of cannabis products and discuss oral effects and dental treatment ramifications for patients who frequently use cannabinoids with special emphasis on risks of high potency THC among adolescents.

Both unethical promotion and rampant over prescribing of opioids have contributed to the current public health emergency we face in the United States. We will discuss the unique risks associated with opioid use and outline strategies for opioid-sparing analgesia in dental practice. We will identify effective pain relief alternatives based on individual patient characteristics. Finally, we will discuss identification and management of addiction and impairment in the dental professional. Extensive and very current handouts will maximize the chairside value of this timely and practical information.

At the completion of this presentation, the participants should be able to:

  • Discuss the neurophysiology and neurotransmitter basis for SUDs.
  • Describe the mental health disorders that predispose to SUDs.
  • List the dental pain management and anesthesia implications of chronic cannabis use.
  • Identify the signs and symptoms & treatment alternatives for alcoholism and other SUDs.
  • Review the causes for and consequences of the current opioid epidemic in the U.S.
  • Explain the relative pain relief effectiveness of non-opioid and opioid agents in acute pain.
  • Discuss the benefits and risks of specific pain control regimens for effective dental analgesia.

NOTE:  The University of Iowa does not endorse specific products or training methods.


Program Schedule

7:30 a.m. - Check-in and Breakfast (1st floor link)

8–9 a.m.       Understanding the Disease of Substance Use Disorder

99:30 a.m.         Common SUD Drugs and Underlying Mental Health Disorders

9:309:45 a.m.         Refreshment Break

9:4510:45 a.m.       Cannabis Legalization and Implications for Dentistry

Pharmacology of cannabinoids and impact of chronic use

Dental treatment considerations for chronic cannabis users

10:45 a.m.–noon        Dental Implications for Non-Opioid SUDs and Medication-Assisted Therapies


Benzodiazepines-including flunitrazepam ( rohypnol)

CNS stimulants—cocaine, methamphetamine, methylphenidate, etc.

Ecstasy/MDMA—both stimulants and hallucinogens

Hallucinogens—LSD, mescaline, phencyclidine (PCP), etc.

Inhalants—paint thinners, gasoline, glues, nitrous oxide, etc.

Ketamine—dissociative anesthetic with some hallucinogenic effects

Noon–12:30 p.m.           Lunch Break


12:30 p.m.1 p.m.      The Origins and Development of the Opioid Epidemic in the U.S.

Magnitude of the problem and where dentists figure into the problem

Why are opioids so addictive and what factors increase habituation?

Who is at highest risk of developing a substance use disorder?

How to minimize opioid prescription risks by minimizing MME.

How to manage patients on medication-assisted therapies.

12 p.m.         What is the Truth about Pain Efficacy in Dentistry

What does the NNT data tell us about relative efficacy?

Why do patients perceive opioids to be “stronger” than NSAIDs?

Are cannabinoids or kratom effective “alternative” analgesics?

How can we educate patients about the risk/benefit of opioids?

22:15 p.m.   Refreshment Break

2:153:15 p.m.    Selecting the Best Regimen for Patient-Specific Pain Control

Guidelines for prescribing NSAIDs for dental analgesia

What’s the current status of acetaminophen dosing?

When is tramadol a good analgesic alternative?

Prescribing opiates to maximize tolerability

Pseudo-allergy vs. IgE mediated hypersensitivity to opioids

Practical guidelines to minimize abuse liability in dental practice

Drug interactions with dental pain medications

Information resources for dentists and their patients

3:15 p.m.3:45 p.m.   Addiction and Impairment in the Dental Professional

Identifying addiction and impairment in the dental clinician

Intervention, evaluation and assessment

Treatment, relapse and monitoring

Peer assistance or dental well-being committee programs

3:454 p.m.    Questions and Adjourn

Program Faculty

Professor Karen Baker B.S., M.S., Associate Professor, Department of Oral Pathology, Radiology and Medicine, College of Dentistry.


Dentist $245

CoD Faculty/Staff $75

CoD Adjunct/Emeriti $40

CE credit

8 hours relicensure credit/Lecture Course (7 in person hours, plus 1 online reading assignment)

Please register before July 28, 2023

General Information

Sponsored by Delta Dental 

The College of Dentistry will make every reasonable effort to assure that requested continuing education programs are provided, but assumes no liability for failure to deliver beyond the refunding of any fees paid to The University of Iowa. The University of Iowa reserves the right to limit registration to the size of the available classroom or clinical space. Sponsorship of this course does not imply subject matter, product or technical endorsement. This material is offered to the profession for educational and informational purposes in a spirit of academic freedom.


CANCELLATIONS/REFUNDS: Fees paid will be refunded less a $55 per person processing fee following notice of cancellation. Refunds will not be granted for cancellations received after the course begins. All refunds will be credited to your credit card. If insufficient enrollment necessitates canceling a course, all fees will be refunded.

CONTINUING EDUCATION CREDIT/RECORD KEEPING: A CEU verification will be provided (by email following the program) only for those individuals completing/submitting a CEU card at the completion of the program. Credit will be appropriately adjusted for those individuals who do not attend the entire program. All attendees are encouraged to submit a CEU card which will ensure that a letter documenting attendance will be sent following the program. The University of Iowa College of Dentistry designates this activity for 8.0 hours continuing education credit (0.8 CEU).

PARKING: Parking is included with the course registration. Please take a ticket when entering the parking lot. You will receive a parking voucher at check-in to be used when exiting the lot.  

COMFORT ZONE: Although every effort is made to have a comfortable temperature in the meeting room, we realize everyone’s comfort zone is different. Please bring a jacket or sweater in case the room is too cool for your comfort.

THANK YOU FOR PARTICIPATING in our continuing dental education courses. We appreciate your support and interest in our dental programs. Your patronage allows us to provide the highest quality and most current education in dentistry. If you have any suggestions for the Office of Continuing Education or would like further information about our programs, please visit us online at www.dentistry.uiowa.edu/ce or contact:

            Ms. Kearstin Bisnett

            The University of Iowa

            345 Dental Science N

            Iowa City, IA  52242-1010



Preview of Courses

We look forward to seeing you at our fall programs.

The University of Iowa College of Dentistry is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Individuals with disabilities are encouraged to attend all University of Iowa–sponsored events. If you are a person with a disability who requires a reasonable accommodation in order to participate in this program, please contact in advance at

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