CAMBRA Coalition Annual Conference August 20 22, 2017 Westin Denver Airport Agenda Draft July 10, 2017

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1 CAMBRA Coalition Annual Conference August 20 22, 2017 Westin Denver Airport Agenda Draft July 10, 2017 Sunday, August 20 6:30 PM 7:00 PM New Attendee Orientation 7:00 PM 9:00 PM Welcome Reception Monday, August 21 7:00 AM Breakfast available 8:00 AM Welcome, introductions 8:30 9:30 Report Out: - Dental Wellness Plan Susan Fournier - California Dental Transformation Initiative Gayle Mathe - ICNARA - John Featherstone - American Academy of Cariology John Featherstone 9:30 10:30 The Value of Interprofessional Oral Health Practice Sean Boynes 10:30 11:30 Understanding Dysbiosis Oral Disease Development from a Commensal Point of View Jens Kreth 11:30 12:00 ECLIPSE Viewing 5 th floor plaza (viewing glasses will be provided) 12:00 1:30 Lunch sponsor presentations 1:30 4:00 CAMBRA in practice: Making clinical guidelines and the state of the evidence Alonso Carrasco-Labra, Ben Chaffee, Jack Dillenberg (moderator) Caries Management by Risk Assessment A Practice Based Research Network Study Initial Results - Peter Rechmann 4:15 5:30 Ethics and Law Larry Jensen, Ed Zinman 5:30 Final thoughts 6:00 Adjourn Evening on own

2 Tuesday, August 21 7:00 AM Breakfast available 8:00 8:15 CAMBRA in Japan: Dr. Yukio Aso 8:15 8:30 Toolkit Presentation Saam Zarrabi and Andrea Zandona 8:30 AM Noon Conversations about Change - An Introduction to Motivational Interviewing for Oral Health Professionals Matt Allen Noon: Adjourn and depart

3 Course Descriptions The Value of Interprofessional Oral Health Practice This course will provide background on the paradigm shift in health care which has heightened interprofessional care models as a means to achieving Triple or Quadruple Aim goals of reducing per capita costs, improving the health of populations, and improving the experience of care for provider and patient. Oral health integration and coordination models will be discussed and the impact oral health can have on patient care and patient systems will be highlighted. The overall aim of the course is to raise basic understanding of opportunities with oral health integration and coordination of care while presenting on the financial and policy implications of true team-based, person centered health care. Understanding Dysbiosis Oral Disease Development from a Commensal Point of View Polymicrobial infections are caused by a change in the microbial composition (dysbiosis) of the residential microbial biofilm and therefore a problem of microbial ecology. The microbial flora is influenced by several factors, includingenvironmental perturbations due to dietary choices of the host. Current understanding of caries etiology a polymicrobial infection: o Consortia formed by multiple microorganisms acting collectively (synergistically) to initiate and expand cavities o Shift in the microbial profile leading to dysbiosis o Functional output (e.g. lactic acid production) of a microbial community is more important than its taxonomic composition o Koch s postulates do not adequately describe polymicrobial infections like caries and periodontal disease Methods to treat mono-infections of invading species are not useful to treat dysbiotic communities Promising approaches to combat polymicrobial infections include the remodeling of a dysbiotic community to a healthy community Conversations About Change: An Introduction to Motivational Interviewing Motivational interviewing (MI) is a collaborative, goal-oriented method of communication with particular attention to the language of change. It is designed to strengthen an individual's motivation for a movement toward a specific goal by eliciting and exploring the person's own arguments for change. In this interactive session, Dr. Allen and Ms. Carlson will provide an introduction to this evidenced-based method of patient communication, specifically tailored towards oral health professions interested in managing caries as a chronic disease process. In their own unique style, they will help participants experience both the spirit and the core skills of motivational interviewing, with exercises designed to speak to both the head and the heart. Finally, participants will receive practical tips on how to start incorporating motivational interviewing into their workplace -- which can be revolutionary for the patient, the dental team, and ultimately, our profession.

4 Speaker Bios Matthew Allen, DDS, is the owner and head trainer of M David MI LLC, a motivational interviewing training and coaching firm based in Denver, CO. He is also a clinic dental director at Clinica Family Health, a nationally recognized community health center. Additionally, Dr. Allen volunteers as faculty at his alma mater, the University of Colorado School of Dental Medicine. He is a member of MINT, the Motivational Interviewing Network of Trainers. Sean Boynes, DMD, MS is a Dentist Anesthesiologist who received his D.M.D. from the University of Pittsburgh and completed a three year residency in anesthesiology from the University of Pittsburgh Medical Center. He currently serves as Director of Interprofessional Practice at the DentaQuest Institute overseeing national programs and initiatives focused on the integration and coordination of care. Prior to taking his current position, Dr. Boynes was Director of Dental Medicine at a federally qualified health center in the Pee Dee Region of South Carolina and Director of Anesthesia Research at the University of Pittsburgh School of Dental Medicine. A prolific author and speaker, he has been recognized by many organizations for his work in health policy and clinical care, that include: the National Health Service Corps featured him as one of the 40 top clinicians for their 40 th Anniversary Celebration, the South Carolina School Nurses Association named him recipient of the Distinguished School Services Award, and the National Children s Oral Health Foundation lists him as a Dentist of Distinction. Alonso Carrasco-Labra, DDS, MSc, PhD is the director of the Center for Evidence-Based Dentistry for the American Dental Association (ADA). He leads and supervise projects, programs, and services that meet the Center s vision of developing and disseminating clinically relevant scientific information impacting the practice of preventive and curative dentistry. Prior to joining the ADA, Carrasco-Labra authored a series of 10 papers titled A practical approach to evidence-based dentistry, published in The Journal of the American Dental Association between 2014 and Prior to his position with the ADA, Carrasco-Labra served as the clinical practice guideline methodologist for the Pan-American Health Organization/World Health Organization, the American Gastroenterological Association, as well as the governments of Saudi Arabia and Chile. He is an author of 51 articles published in peer-reviewed journals and coauthor of two books for practicing evidence-based medicine, including the Users Guide to the Medical Literature. Benjamin W. Chaffee, DDS MPH PhD is an assistant professor in the Division of Oral Epidemiology and Dental Public Health at the University of California San Francisco. His research interests include how early life circumstances impact oral health and quality of life in childhood; implementation of risk-based, prevention-oriented caries management in clinical settings; tobacco-related behaviors and decisionmaking among adolescents; and the application of statistical methods for improved causal inference. His UCSF affiliations include Global Health Sciences, the Center to Address Disparities in Children's Oral Health, and the Center for Tobacco Control Research & Education. Dr. Chaffee serves as Director of the UCSF School of Dentistry Program in Global Oral Health and has been recognized for excellence in student teaching and mentoring. Jack Dillenberg, DDS, MPH was the inaugural Dean at A.T. Still University s Arizona School of Dentistry & Oral Health and is now Dean Emeritus. He completed his dental education at New York University, College of Dentistry and received his Master s Degree in Public Health from the Harvard School of Public Health. Previously, Dr. Dillenberg was Associate Director for public health programs in the California Department of Health Services. He also served in several capacities in the Arizona Department of Health Services, including being its Director for four years. Dr. Dillenberg continues to serve in numerous

5 leadership positions on health-related boards and associations and is the recipient of many honors and awards locally, nationally and globally. Larry Jenson DDS, MA is a former Health Sciences Clinical Professor at UCSF where he taught general dentistry, dental ethics, clinical cariology and practice management. He is the secretary/ treasurer of the American Society for Dental Ethics section of the American College of Dentists, and is an assistant editor and reviewer for their journal, Issues in Dental Ethics. He also reviews and contributes ethics articles for CDA and ADA. Dr. Jenson practiced general dentistry for 30 years before retiring from a CAMBRA/MID-based practice in Jens Kreth is an Associate Professor in the Department of Restorative Dentistry at the Oregon Health & Science University, School of Dentistry, Portland, Oregon. He earned his Ph.D. degree in genetics at the University of Osnabrück, Osnabrück Germany. His post-graduate education was received at the University of California, Los Angeles Dental School from 2002 to 2006 and at the University of Minnesota, Minneapolis Dental School from 2006 to 2008 mainly working on the regulation of oral streptococcal gene expression and oral biofilm formation. In 2008 he joined the OUHSC College of Medicine faculty and in 2015 moved to Portland to join OHSU School of Dentistry. He actively participates in teaching of medical, dental and graduate students and supervises graduate students and post-doctoral researchers in his laboratory. Dr. Kreth s research group at OHSU studies primarily aspects of oral bacterial ecology and aims to understand the complex interactions between members of the oral biofilm and how these interactions determine disease or health. He is also very much interested in the RNA biology of Group A Streptococcus pyogenes and how this bacterium regulates its virulence factors. Peter Rechmann, DMD, PhD, Prof. Dr. med. dent., is at the University of California, San Francisco, Department of Preventive and Restorative Dental Sciences. He is Director of the Clinical Sciences Research Group. He has been involved in clinical research for more than 30 years. His clinical research relates to caries prevention including the application of new oral care products, laser/light-based diagnostic tools and new delivery systems for caries prevention. He has also been involved in laboratory and clinical research dealing with lasers in dentistry for many years. In collaboration with the California Dental Association he established a Practice Based Research Network in the San Francisco Bay Area. Dr. Rechmann is successfully funded by Industry Grants, and has published over 130 papers and book chapters. Douglas A. Young DDS, EdD, MS, MBA is a Professor at the University of the Pacific where he is an active and ardent educator in the field of minimally invasive dentistry, dental materials, and cariology. He is one of the founders of the CAMBRA (caries management by risk assessment) Coalition. Dr. Young currently serves on the ADA Council of Scientific Affairs and is currently a cariology consultant for the ADA. Dr. Young has presented at congresses and universities around the world. He has been published in numerous peer-reviewed dental journals and textbooks focusing on minimal invasive dentistry, glass ionomer, and cariology. Ed Zinman, DDS, JD graduated the University of Pittsburgh undergrad and U. of Pgh. dental school. He received his certificate in periodontics and oral medicine from NYU College of Dentistry. After practicing periodontics in New York and San Francisco and teaching at UCSF Department of Periodontics, he attended UCSF Hastings College of Law. Dr. Zinman's legal practice is devoted to dental negligence matters. Dr. Zinman has lectured several hundred times to dental and legal societies. He has authored chapters in 10 different dental textbook and dozens of journal articles including a Dental Economics column entitled "Dentists and the Law".

National Coalition Consensus Conference: Oral Health of Vulnerable Older Adults and Persons with Disabilities

National Coalition Consensus Conference: Oral Health of Vulnerable Older Adults and Persons with Disabilities Healthy Aging in the Years to Come: Will Oral Health Be a Consideration? Barbara J Smith, PhD, RDH, MPH Manager, Geriatrics and Special Needs Populations Council on Access, Prevention, and Interprofessional