CBCT Imaging: The Complete View

2-Day Veterinary Dental CE Program

Program Overview

Instructors: Dr. Meg Sislak DVM, Dipl. DACVR | Dr. Jason Hutt Dipl. AVDC® | Dr. Ira Luskin Dipl. AVDC®, Dipl. EVDC®

Credits Earned: 16 RACE-APPROVED
Veterinary CE credits

AVDC RADIOLOGY 16 specialty hours

Course Overview:
Cone Beam Computed Tomography (CBCT) is emerging as a new technology that is revolutionizing the practice of veterinary dentistry and oral surgery. ADTC is bringing its tried and true immersive and practical approach to continuing education to this hot button topic. Combining the experience of board-certified veterinary dentists with that of a veterinary radiologist will provides a unique and unparalleled learning experience for participants. Whether a participant wants to improve their skill using an existing CBCT or is looking to add this modality to their practice, this course will further that goal.

Anatomy and pathology of the head and maxillofacial structures including diagnosis and treatment will be covered. Comparison between dental radiographs, CBCT and conventional CT will be discussed as well as when to use each most effectively. Practical workflows for image capture and systematic interpretation will also be included. The course will be divided between didactic lectures and individual exercises carried out using Anatomage® Invivo 7 software on individual workstations. A library of real cases including CBCT, dental radiographs, photos and other relevant case materials will be provided. Anatomage® Invivo 7 is a powerful third party viewing software that works with any DICOM based sectional imaging. Techniques including multiplanar reconstruction (MPR), three dimensional and custom sections will be demonstrated. These techniques are fully relevant and device/software agnostic across the various CBCT manufacturers and software providers regardless of what is being used in the practice.

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animated CBCT dorsal section in a dog

What You’ll Learn With Us

Day 1 – Saturday

Program Structure (8 hours)

  • 2-hour | Lecture - Introduction to CBCT in dentistry and oral and maxillofacial surgery.
  • 2-hour | Hands-On Laboratory - Introduction to Anatomage® Invivo 7 software and study management and evaluation using individual workstations.
  • 2-hour | Lecture - Sectional imaging of the head, non-oral structures as evaluated by CBCT and conventional CT.
  • 2-hour | Hands-On Laboratory - Case based evaluation of CBCT studies including dental radiography and clinical photographs.

Learning Objectives:
1. Review indications for CBCT imaging in dental and maxillofacial surgery cases.
2. Become familiar with navigating the most common views in sectional imaging, multiplanar reconstruction (MPR), three dimensional (3D) and custom sections.
3. Understand workflow for capturing CBCT studies as well as storage and management of images.
4. Review clinically relevant anatomy and pathology of the head commonly encountered in CBCT studies.

Day 2 – Sunday

Program Structure (8 hours)

  • 2-hour | Lecture - Case based review of common oral and maxillofacial pathology and how to interpret it using CBCT.
  • 2-hour | Hands-On Laboratory - self guided review of case based materials including CBCT and CT studies as well as dental radiographs, histopathology reports and clinical photos.
  • 1-hour | Lecture - Comparison of conventional CT and CBCT from a radiologist’s perspective, pros and cons of each modality and optimal usage of each.
  • 3-hour | Hands-On Laboratory - comparison of CBCT studies and cadaver specimens along with self guided review of case based materials

Learning Objectives:
1. Evaluate common pathology including periodontal disease, trauma and neoplasia using CBCT.
2. Understand the indications for and limitations of CBCT and conventional CT in dentistry and oral and maxillofacial surgery.
3. Review a wide variety of cases using individual workstations to directly manipulate and interpret CBCT studies.

"I have recently completed my third training session at the Animal Dental Training Center. The learning experiences have been high quality and well-planned. The facility is well-equipped, neat, clean, and provides a comfortable learning environment. Instruction and discussions were in-depth and continued until all questions were answered and all specimens reviewed and critiqued. This resulted in some pretty long days that we students were eager to take advantage of and that the instructors were patient in providing. The interactive discussion and work critique sessions resulted in the learning of a large amount of material in a short time. The dedication of the instructors to providing high quality dental education was obvious in the facility, treatment of the students, and the large amount of effort that is required to prepare to offer Mock AVDC Practical Exams and other courses."
Gary C.Lantz, DVM, Dipl ACVSProfessor of Surgery, Purdue University
“Thank you for an outstanding educational program! Although I have attended many continuing education courses over the years, this is the first program I have attended that I have actually spent more time in the education process than waiting in line to use the equipment. I thoroughly enjoyed going to a dental course where each individual participant had everything they needed close at hand to perform the necessary procedures right away. Thank you for your clear instruction and program outline. It made my dental learning experience both educational and enjoyable. So far I have participated in two of your programs and am looking forwards to the challenges of the Master’s level course. You definitely make learning fun!”
Wayne Creel, DVMHaywood Road Animal Hospital, Greenville, South Carolina
“I highly recommend that anyone taking the AVDC exam take the Mock exam first (at least once). The Mock exam is intense, and this training helped me to reach a comfort level in pacing myself through procedures. The highlight of the weekend is the critique which focuses on excellence in performance of skills. I have taken the Mock exam twice and plan to return to the ADTC for a Masters Course. The instruction is superb.”
Sharon Hoffman, DVMNortheast Ohio Veterinary Dentistry, Akron, Ohio
“The Mock Exam weekend was a fun experience in that everyone there was working towards the same goal; that of increasing our level of competency in Veterinary Dentistry. I truly enjoyed the camaraderie with those that were there, and as usual, the level of instruction was great. I appreciate the time you and Mark have put in on both the Masters Level Course, and the Mock Exam. When doing procedures in a lab setting at some of the large meetings, it’s sometimes hard to get the really small details that make or break the success of a treatment. I am surprised at some of the things I’m picking up after having some of these procedures for 5 or 6 years! It’s been a long time since I’ve been in a classroom setting that was as intense as it was on Saturday. I am looking forwards to the next Masters Course!”
Clarence Sitzman, DVMFront Range Veterinary Clinic, Fort Collins, Colorado
“I highly recommend dental training with Dr. Luskin. He has a unique facility for hands-on training and provides great tips and insight from his many years in Veterinary Dentistry. I found my learning experience here much better than most of the CE I have attended in the past. For anyone serious in improving their dentistry knowledge and skills, time spend at this training center is a must!”
Joe Valese, DVMMt. Pocono Animal Hospital, Mt. Pocono, Pennsylvania
“Thanks again for a great CE experience. They have been the best CE courses I’ve had in the 20 years since graduating from veterinary school. The courses in radiology, surgery and endodontics have enabled me to make dentistry the most gratifying aspect of my small animal practice.”
Robert Baratt, DVMSalem Valley Veterinary Clinic, Salem, CT
“My experience at the ADTC was unlike any other continuing education course. I have attended many dental lectures and wet labs, and have found them of limited practical value. Lectures alone cannot teach these techniques. The wet labs I have attended have averaged 30-60 people, which only allows for extremely limited interaction. The small class size at the ADTC allows for extensive one-on-one interaction, which has given me a comfort level that I thought would take months of practice to achieve. Thanks again.”
Brian Hewitt, DVMCheyenne West Animal Hospital, Las Vegas, Nevada
“I have attended over a half dozen dental wet labs at various national meetings over the last few years. This was by far the best dental wet lab I have attended. The facility was excellent and I received very individualized attention and instruction. Particularly helpful was the extended amount of hands-on time. I would strongly recommend this wet lab.”
Don Hoover, DVMWestside Animal Hospital, Durham, North Carolina
“I am very pleased to have taken the Mock exam as my expectations were FAR EXCEEDED. The Mock exam was a unique educational experience superior to all previous continuing education I have received from any source (AAHA, AVMA, Dental Forum, ACVS, Dental Colleges and Universities). The fee for the Mock was well worth the expenditure. It was particularly enjoyable to share this experience with others at a similar level of skill. I would not hesitate to recommend the Mock exam to others interested in improving their practical dental skills. I spoke with other participants and received only very positive feedback. I feel that you should be proud of the Training Center and the foresight to have created this opportunity for my colleagues and me. I welcome others to contact me regarding the Mock exam if there are any concerns or considerations of value. There is no currently available program better than this one!”
Dale Kressin, Dipl. AVDCAnimal Medical & Dental Center of Oshkosh, Oshkosh, Wisconsin
“Thank you for the interesting Endodontic Class. I would like to tell you that the most outstanding thing for me, and what sets your instruction apart from any other that I have experienced, was that each person had his/her own work station. This in itself made the educational experience so much more beneficial.”
William Vaughn, DVMCentral Avenue Animal Clinic, Camarillo, California
“My experience at the Animal Dental Training Center was excellent. The small class size and individual attention by the instructors was far superior to other “hands on” courses I have attended. It was definitely the best value relative to the money invested. I hope to attend another course soon.”
Dr. Joseph WilderBoulevard Animal Hospital, Syracuse, New York
“I wanted to thank you for the great oral surgery lab that I attended in Baltimore last weekend. I have attended many dental labs across the country including several at the Dental Forum, and I can say without reservation that your lab is the best lab that I have ever attended. The topics were very practical and these techniques will be used in my own practice. This lab is an intense, non-stop learning experience. The facility is large, comfortable, and well equipped with instrumentation. The instructor to student ratio is excellent and either you or Dr. Mark Smith were always available to answer my questions or help with a procedure. I will definitely return to the Animal Dental Training Center to further my education.”
John KoehmCommunity Animal Hospital, Reno, NV
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Course Dates & Registration

All courses are limited enrollment; they include breakfast, lunch, refreshments and handouts. A minimum of 16 registrants is required in order for the classes to be held. Enrollment in a particular course is based on a first come first receipt of payment. If a payment is received and the course is already filled the applicant will be immediately notified. All major credit cards are welcome.

Tickets

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Feb 24-25, 2024 CBCT Imaging: The Complete View
$ 2,995.00
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The ADTC Learning Advantage

Dr Mary Volker with student at the Animal Dental Training Center

State-Of-The-Art Facility

Up to fifty (50) individual high / low speed workstations, four (4) digital radiography stations, and advanced A/V capabilities throughout the facility. Spend more time engaged in learning instead of searching and sharing instruments or waiting to use the equipment.

Highly Personalized Training

Learning at the ADTC is focused around your individual success. Students work at their own pace at individual workstations using their own set of instruments. The low teacher-to-student ratio ensures participants receive the highly personalized attention they deserve while addressing any and all specific questions and needs.

Expert Level Instruction

All faculty members of the ADTC are Diplomates of the American Veterinary Dental College (AVDC) or are in the credentialing process for board certification of the AVDC. They are selected not only for their technical merits, but their dedication to teaching and enthusiastically imparting knowledge to students.

Experiential Education

Intensive hands-on learning sessions and professional critique are just the start! Feel the energy that success brings as you personally connect with veterinary professionals from around the country (even world!) in a small cohort setting. Walk away with newfound skills that are immediately applicable in your everyday practice.

A Comprehensive Experience

Complete wet-lab materials, necessary tools & equipment, and all course handouts are provided on-site everyday. Participants earn CE credits from the State of Maryland and RACE accreditation for most courses. Each course also includes daily breakfast, snacks, and lunch in our spacious cafe lounge.

Holistic Learning Approach

The ADTC provides an “open forum” for discussion amongst both national and international participants about topics ranging from animal dentistry to practice management and marketing strategies. The information gained is both practical and can be easily implemented. The relaxed atmosphere is conducive to learning or simply renewing one’s passion for veterinary medicine.

Animal Dental Training Center Cancellation Policy

In the event of a cancellation you may also send a substitute from your practice. Due to the limited number of spaces available, requests for full refunds will be honored only if received at least 21 calendar days prior to the start of the program. A partial 75% refund will be issued for all requests received 8-20 days before the beginning of the course. No refunds will be granted for cancellations made less than 8 days prior to the course onset. All requests must be received in writing. In the unlikely event that a program is cancelled or postponed due to insufficient enrollments or unforeseen circumstances, the ADTC will fully refund registration fees but cannot be held responsible for any other expenses, including cancellation or change charges assessed by airlines, hotels, travel agencies, or other organizations. A minimum of 16 registrants is required in order for our courses to be held.

Tickets

The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities.
Feb 24-25, 2024 CBCT Imaging: The Complete View
$ 2,995.00
Quantity: 0
Total: $ 0.00

About Us

The Animal Dental Training Center was founded in January 2000 by Dr. Ira Luskin, one of the early pioneers in the field of Veterinary Dentistry. Today, nearly 24 years later, the ADTC remains the premier training facility for those seeking an unparalleled and comprehensive “hands-on” veterinary dental continuing education experience.

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1050 Cromwell Bridge Rd.
Towson, MD 21286

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Dr. Meg Sislak

DVM, Diplomate ACVR

Meg Sislak, DVM, Diplomate, ACVR, is a Board-certified Veterinary Radiologist. Dr. Meg Sislak obtained a Bachelor of Science in Microbiology from the University of Michigan. She earned a Doctor of Veterinary Medicine degree from the Western University of Health Sciences. After veterinary school, Dr. Sislak completed an internship in lameness, sports medicine, and diagnostic imaging at Virginia Equine Imaging followed by a small animal rotating internship at Michigan Veterinary Specialists. She next completed her residency at Texas A&M University.

Dr. Sislak enjoys being part of a diagnostic team helping clients enjoy more quality time with their pets.

When not reading radiographs, you’ll find her hiking in either the Cleveland Metroparks or Cuyahoga Valley National Park.

Dr. Meg Sislak

Dr. Mahdi Haghighat

DVM, Associate dentistry & Oral Surgery

Dr. Mahdi Haghighat earned his Doctor of Veterinary Medicine in Iran in 2009. Following his immigration to Canada he qualified as a member of the Canadian and American Veterinary Medicine Associations in 2016 and has been involved with general small animal practice in Ontario, Canada. His interest in specialty medicine was sparked after completing a rotating internship in 2020 through the VCA 404 Emergency and Referral Veterinary Hospital in Newmarket Ontario, with concentrations in surgical and internal medicine. Dr. Mahdi joined the Animal Dental Center in April 2023 to begin his formal residency in dentistry and oral surgery. He currently lives near Towson, and when not studying for his board exams, enjoys watching soccer and hiking in the woods with his fiancé and their very large-personality Chihuahua.
Dr. Mahdi Haghighat

Dr. Ashley Capen-Kerns

DVM, Associate dentistry & Oral Surgery

Dr. Capen-Kerns was raised in Iowa, earned a Bachelors of Arts in Biology from Wartburg College in Waverly, Iowa and graduated from the University of Minnesota with a Doctorate in Veterinary Medicine in 2019. She has practiced small animal general medicine in Phoenix, AZ prior to starting her specialty residency with the Animal Dental Center (ADC) in February 2023. Dr. Capen-Kerns loves doing outdoor activities including hiking, paddleboarding, and kayaking. She and her wife, who is also a veterinarian, have two mixed breed dogs (which she lovingly calls “the monsters”) and one cat that runs the household. Dr. Capen-Kerns and her wife are hoping to welcome a new two-legged child to their family later this year!

Dr. Alexander Reiter

Dipl. Tzt., Dr. med. vet., Dipl. AVDC, EVDC, FF-AVDC-OMFS

Dr. Alexander Reiter graduated from the University of Veterinary Medicine in Vienna, Austria in 1996. He completed a dentistry and oral surgery residency at the University of Pennsylvania School of Veterinary Medicine (Penn Vet) in Philadelphia in 2000 and became a Diplomate of the American Veterinary Dental College (AVDC) and European Veterinary Dental College (EVDC) in 2001. Dr. Reiter is Professor and Chief of Dentistry and Oral Surgery at Penn Vet’s small animal hospital. He also is a Founding Fellow, AVDC Oral and Maxillofacial Surgery (OMFS). His clinical and research interests include dental, periodontal, oral and maxillofacial disease epidemiology, advanced periodontal surgery, bone grafting procedures, oral and maxillofacial surgery (trauma and oncology), palate surgery and palatal prosthetics, maxillofacial reconstruction, microsurgery (free microvascular tissue transfer), oral manifestation of systemic disease, and systemic manifestation of oral disease.

Dr. Alexander Reiter

Dr. Sandra Manfra Maretta

DVM, DACVS, DAVDC, Founding Fellow AVDC Oral & MaxilloFacial Surgery

Dr. Sandra Manfra Marretta received her DVM degree from Cornell University in 1977. She completed an internship, surgical residency and clinical dentistry training at The Animal Medical Center. She obtained Diplomate status in the American College of Veterinary Surgeons in 1985. She became a Charter Diplomate of the American Veterinary Dental College in 1988. She served as the Charter Secretary of the American Veterinary Dental College from 1988-1995 and the President of the American Veterinary Dental College from 2012-2014.

Dr. Sandra Manfra

She is a Founding Oral and Maxillofacial Surgery Fellow of the American Veterinary Dental College and the American College of Veterinary Surgery. She recently became a Professor Emerita in Small Animal Surgery and Dentistry at the University of Illinois after 23 years of service. She is the author of over 250 publications including journal articles, chapters, abstracts and proceedings. She is the winner of numerous awards including the 2002 AAHA Veterinarian of the Year, The Animal Medical Center Alumna of the Year Award, The University of Illinois’ Campus Award for Excellence in Graduate and Professional Teaching, and the University of Illinois College of Veterinary Medicine’s All-Round Excellence Award.

Dr. Maria Evola

DVM, MPH, Diplomate ACVR

As an undergraduate, Dr. Evola attended Hendrix College in Arkansas, studying Spanish and biology. She returned home to the Midwest for veterinary school and received her DVM and MPH from the University of Missouri. She completed a small animal rotating internship in New Jersey, a diagnostic imaging specialty internship in Los Angeles, and a diagnostic imaging residency at North Carolina State University. Dr. Evola became a diplomate of the American College of Veterinary Radiology in 2016. She lives in Raleigh, North Carolina, with her partner, their two improvisational parrots, and their dog Marlin. On sunny days, she enjoys urban hiking with Marlin, who is the Platonic ideal of what a dog should be.
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Dr. Steven Ringold

DVM, Diplomate ACVR

Dr. Ringold attended the University of Wisconsin School of Veterinary Medicine in Madison, WI where he earned a Doctor of Veterinary Medicine degree. He then completed an internship in small animal medicine, surgery, and critical care at the Colorado State University College of Veterinary Medicine in Fort Collins, CO. He practiced emergency medicine and shelter medicine in San Diego, CA for 10 years while teaching at a community college and volunteering at the wildlife rehabilitation center for endangered species of small cats. Following his time in San Diego, he completed a Diagnostic Imaging Residency at the University of Missouri College of Veterinary Medicine in Columbia, MO and became a board certified radiologist in 2009.
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Dr. Ringold now lives in Montgomery County, MD with his two sons, two daughters, and their cat, Superfly. In his imagined free time, he would enjoy snowboarding, trail running, mountain biking, rock climbing, pottery and lying in a hammock with a book and a beer.

Dr. Hannah Boothe

DVM, Associate dentistry & Oral Surgery

Dr. Hannah Boothe was raised in North Carolina, earned a Bachelor of Science in Biology from Virginia Tech, and graduated from Auburn University with a Doctorate in Veterinary Medicine in 2015. She practiced small animal general medicine in Georgia, Florida, and Maryland for six years prior to starting her specialty residency with the Animal Dental Center (ADC) in August 2021. She is excited to pursue her passion of Veterinary Dentistry! In her free time she enjoys reading, yoga, running, and canine agility. She has completed numerous half marathons and two full marathons. She is married to another veterinarian and is kept busy with their one year old son and four animals (Bichon Frise, Australian Shepherd, Tuxedo cat, and a Siamese Mix).

Dr. Melinda Spaar

DVM, Associate dentistry & Oral Surgery

Dr. Spaar graduated from the University of Maryland College Park with a Bachelor of Science in Animal Science in 2003 and graduated from Virginia Maryland Regional College of Veterinary Medicine with a Doctorate in Veterinary Medicine in 2008. She has practiced general small animal medicine for 13 years in Maryland and 1 year in Virginia prior to starting her specialty residency with the Animal Dental Center (ADC) in August 2022.

Dr. Melinda Spaar

Dr. Brittany Sembler

DVM, Associate dentistry & Oral Surgery

Dr. Sembler was born and raised in Bucks County, PA and decided at the tender age of 4 that she wanted to become a veterinarian. She earned a BA degree in Chemistry at Franklin & Marshall College before pursuing her DVM degree with focus on pharmaceutical research from the University of Pennsylvania School of Veterinary Medicine. After working in general practice for 4 years she joined the Animal Dental Center in 2022 to begin her formal residency in dentistry and oral surgery. She currently lives in PA with her husband (also a veterinarian) and her 2 cats. Outside of her professional interests, Dr. Sembler enjoys painting, lyra, and reading romance & fantasy novels.

Dr. Inshil Kim

DVM, MBA, Diplomate AVDC

Dr. Inshil Kim was born and raised in Korea, arriving in the US in 2003 to prepare for veterinary school. She attended St. Matthews University on Grand Cayman earning both a veterinary degree and an MBA. Dr. Kim has lived in Indiana, Oklahoma, New York and Guam, and California before joining the team at the Animal Dental Center. She is a diplomate of the American Veterinary Dental College and an associate instructor at the Animal Dental Training Center in Towson Maryland. A true believer in the role of veterinarian as a pet’s advocate, Dr. Kim is thrilled to help pet patients at the Animal Dental Center for their dentistry and oral surgery needs. When not caring for pet’s mouth, Dr. Kim loves to go hiking with her family.

Dr. Jason Hutt

DVM, Diplomate AVDC

Dr. Jason Hutt graduated as a member of the charter class of St. George’s University College of Veterinary Medicine in 2003. He received his bachelor’s degree from Tufts University in 1997. Dr. Hutt joined the Animal Dental Center as resident in dentistry and oral surgery in July of 2016 completing his training in 2019. He is a diplomate of the American Veterinary Dental College and an associate instructor at the Animal Dental Training Center in Towson Maryland. Prior to joining ADC Dr. Hutt spent thirteen years in small animal general practice as an associate veterinarian in Liverpool, NY a suburb of Syracuse. His professional interests include dentistry, oral and maxillofacial surgery and three dimensional imaging. In his spare time Dr. Hutt is an avid woodworker, downhill skier and certified divemaster. He also enjoys spending time with his wife Loren and son Jake. They share their home with an orthodontically challenged Cavalier King Charles Spaniel named Hank.

Dr. Mary Volker

DVM, Diplomate AVDC

Dr. Mary Volker is a board-certified veterinary dentist & oral surgeon. Dr. Volker is a partner at the Animal Dental Center and is co-director of its residency training program. Since joining the Animal Dental Center in 2011, Dr. Volker strives to provide exceptional oral care to its patients. Dr. Volker teaches monthly at the Animal Dental Training Center in Baltimore, MD, where veterinarians and veterinary technicians from around the world learn about veterinary dentistry. Dr. Volker’s professional interests are varied and include endodontics and restorative dentistry. She has authored numerous publications and continues to work on research and articles with her colleagues at the Animal Dental Center. Dr. Volker also currently serves as president of the Anne Arundel County Veterinary Medical Association in Maryland.
Dr. Volker is a graduate of Iowa State University, College of Veterinary Medicine. Her rotating internship was completed at VCA Alameda East Veterinary Hospital in Denver, Colorado. She is an alumnus of Bucknell University where she was a Division I swimmer. Outside of clinical practice Dr. Volker enjoys swimming on the Maryland Masters Swim Team; running with her husband (who is also a veterinarian) and their dog, Ruby; and spending time with family and friends.

Dr. Ira Luskin

Dr. med Vet, Diplomate AVDC, Diplomate EVDC, FAVD

Since 1979, Dr. Luskin has been actively involved with Small Animal Dentistry and Oral Surgery. A graduate of the Veterinary University of Vienna, Austria, he did his postgraduate doctoral in dentistry with renown Austrian Veterinary Dentist and Oral Surgeon, Dr. Karl Zetner. He presently serves as hospital director of the Animal Dental Centers in Baltimore, Columbia, and Annapolis, Maryland and York, Pennsylvania.

Dr. Luskin is a well-known national and international speaker on small animal dentistry and oral-facial surgery and has published numerous articles in scientific journals as well as in breed club newsletters. He is often involved in research of new products to determine whether they may improve or enhance defenses against oral disease and assist the healing capacity of the mouth cavity. In January 2000, he established the Animal Dental Training Center (ADTC) of Baltimore as the first private post-graduate training center for veterinary dentistry and oral surgery in the United States. The ADTC is a state of the art teaching facility, dedicated to training veterinarians and technicians in dentistry and oral surgery. Since its inception, the center has hosted over 400 classes across a broad range of topics with veterinarians from all over the world who have come to learn dentistry. It has also hosted numerous dental wet labs for the national surgeon’s meetings and CVC veterinary conferences.