Returning the oral Microbiome to a Symbiotic State

Course Description
This course discusses the concept of microbial dysbiosis based on the findings of the Human Microbiome Project and how the microbes that we live with are not necessarily the culprits we have been lead to believe. How microbes interact with the human immune system is a fine line that can either protect or harm the host. A toolbox of strategies will be provided that will help clinicians to educate their patients about how to return a dysbiotic microbiome into a state of symbiosis.

Objectives
1. Discuss findings from the “Human Microbiome Project” and how they relate to the oral microbiome.
2. Explain the interaction between a dysbiotic microbiome and its relationship to inflammation and periodontitis.
3. Describe several systemic mediators that play a role in the transition from a healthy symbiotic state to one of disease or dysbiosis.
4. Discuss how microbial dysbiosis and “Precision Medicine” influenced the development of the new classification of periodontal disease.
5. Describe various evidence based strategies that will provide clinicians with the tools to assist their patients in reversing their state of dysbiosis back to one of symbiosis.
6. Use a decision tree that models the concept of “Precision Medicine” to assist you with personalizing your recommendations for each individual patient.

Salme E Lavigne, Dip. DH, BA, MSDH, PhD
Salme was the founding Director of the dental hygiene program at Confederation College (Thunder Bay, ON); Associate Professor & Chair of the Department of Dental Hygiene at Wichita State University (Wichita, KS); and Professor & Director, School of Dental Hygiene at the University of Manitoba. Currently, she holds the title of Senior Scholar at the University of Manitoba and is the Scientific Editor of the Canadian Journal of Dental Hygiene (CJDH). Salme holds a Diploma in Dental Hygiene (University of Toronto), a BA in Biomedical Anthropology (Lakehead University), a Master of Science in Dental Hygiene Education (University of Missouri-Kansas City) and a PhD in Community Health Sciences and Epidemiology (Faculty of Medicine, University of Manitoba). Salme is the recipient of Alumni of Distinction Awards from the University of Toronto and the University of Missouri-Kansas City (UMKC) School of Dentistry and received the Life Membership Award from the Canadian Dental Hygienists Association. Salme has authored three textbook chapters, and has over 75 publications in both national and international peer reviewed journals and has delivered over 100 continuing education presentations in Canada, the US, Scandinavia, Holland, Italy, Switzerland, Australia, China and South Africa. Her research interests lie in periodontics; oral-systemic health connections; and community health.

Recommended QA Subcategories: D2, D3, D3, E6