Join us!

Howard County Dental Association is pleased to offer the following continuing education course:  

Thursday, April 15, 2021
6:30 p.m.  Happy Hour & Networking
7:00 - 9:00 p.m.  Seminar
Zoom Meeting
Hot Topics in Dentistry:
What Does the Evidence Say?
A Panel Discussion Featuring:
Jordan Virden, DDS

Michael Virts, DDS

Fazel Fakhari, DDS, MS, PhD

Meetu Kohli, DMD

1 CE Credit AGD 430 - Pediatric Dentistry
1 CE Credit AGD 070 - Endodontics
Course Description:

Join us for a robust panel discussion on two hot topics in dentistry today - the use of silver diamine fluoride and vital pulp therapy. We've brought you a panel of experts to discuss and debate the pros and cons on each topic.

Panel – Pediatric Dentistry.  One out of four children aged 2-5 are affected by dental decay.  Decay is the most common chronic disease of childhood, more common than asthma, diabetes, or childhood obesity. Early childhood caries (ECC) can lead to pain and infection, making it hard to eat, sleep, or concentrate in school. Arresting and preventing the growth of incipient lesions is an important goal in a comprehensive treatment plan. Silver diamine fluoride has been used internationally since 1969. The FDA approved silver diamine fluoride (SDF) in 2014 for the purpose of treating tooth sensitivity. SDF has become used more recently in the US for off label use, arresting caries. Silver diamine fluoride can be considered a valuable part of a comprehensive caries management plan, especially for pre-cooperative children and those with special healthcare needs. While SDF has many indications, there are contraindications including teeth with pulpal inflammation or caries approaching the pulpal tissues. It is important for practitioners to understand the uses, benefits, and limitations of SDF which will be discussed.

Panel – Endodontics.  The endodontic treatment spectrum is wider than just routine root canal therapy. The treatment of choice for a case is decided upon after a thorough diagnosis and dental history evaluation. Vital pulp therapy should be the first consideration when a treatment modality for a carious lesion is being considered based on pulpal diagnosis. The best filling for root canal space is the pulp. With the advent of newer materials, such as tricalcium silicate cements their biocompatibility and sealing ability makes these procedures more predictable and successful if the case selection is accurate. 

Course Objectives:
  • Attendees will become familiar with evidence supporting Silver Diamine Fluoride, and its limitations.

  • Attendees will be updated on evidence supporting traditional restorative therapy and its limitations.


  • Attendees will review indications and case selection for SDF vs traditional restorations.


  • Attendees will become familiar with evidence supporting vital pulp therapy (VPT) and its limitations.


  • Attendees will be updated on evidence supporting traditional root canal therapy (RCT) and its limitations.


  • Attendees will review indications and case selection for VPT vs RCT.

About our panelists:


Dr. Jordan Virden was born and raised in Ellicott City Maryland. She is a pediatric dentist at Smiles4Children, where she was formerly a patient and dental assistant. She attended Virginia Tech for her undergraduate degree in Biology. After working for a year as a dental assistant she went on to pursue both her dental degree and pediatric dental residency at University of Maryland School of Dentistry. During her pediatric dental residency, she served as Co-Chief Resident. Her interests include caregiver and patient education, dental public health, and behavior management.  When not in the office she enjoys being Dean’s Faculty in the Pediatric Dental Department, serving on MSDA’s New Dentist Committee, and creating oral health educational materials for social media. Dr. Virden is also a member of the American Academy of Pediatric Dentistry, the Maryland Academy of Pediatric Dentistry, and the American Association of Women Dentists.


A Frederick native, Michael Virts has worn a lot of different hats over the years.  By far, his most important love and responsibility is his family.  They enjoy spending time together at the beach, camping, fishing, going on nature walks, day trips, and all sorts of other adventures.  He and his wife, Kristen, call Middletown their home.  Their two young boys, Jackson and Ryan, are active in a wide variety of activities, and Kristen amazes Michael every day balancing her roles as a busy mom, an oncology nurse working from home, and also as the Executive Director for the Frederick County Dental Society.  In addition to his roles as a husband, dad, son, and dentist, Michael is the founder of Middletown Valley Custom Woodworking, and is the Cubmaster of Family Scouting Pack 278 in Braddock Heights.  He is also a semi-professional musician and has played in live venues ranging from living rooms in Pennsylvania, to packed bars in Baltimore City, to huge private galas with 900 attendees.  Even as an older child, Michael used to have extreme anxiety about visiting the dentist, but finally overcame this fear with the help of his own dentist, Dr. Nils Olson.  Because of this, Michael became a pediatric dentist so children and their families can feel at ease about visiting the dentist.  Dr. Virts attended Frederick High School, spent his undergraduate years at Washington College on the Eastern Shore, and then earned his DDS and Specialty Certificate in Pediatric Dentistry from the University of Maryland, where he was the Class President for three years and then the Student Body President during his senior year.  He became recognized as a Diplomate of the American Board of Pediatric Dentistry ten years ago and maintains Fellow status within the American Academy of Pediatric Dentistry.  Dr. Virts is in the process of a second Board certification in Laser Surgery.  As medicine is deeply tied into pediatric dentistry, Michael maintains associate membership in the American Academy of Pediatrics and its Section on Oral Health.  Continued membership in the American Society for Dental Ethics and the Maryland Breastfeeding Coalition ensures he is practicing in the most current evidence-based and safe manner possible.  He is now privileged beyond words to be a part of Dr. David Hasson’s pediatric dental practice in Mt. Airy. Michael has always been dedicated to serving his community, both locally and abroad.  In addition to yearly participation in Give Kids a Smile Day, he helps with Dentistry from the Heart at Hagerstown Smiles, volunteers with the Johns Hopkins Craniofacial Clinic in Hagerstown, and has provided dental care for the students and families of Zaoksky Theological Seminary, about two hours north of Moscow, under the direction of Dr. John Kershner. 


Dr. Meetu Ralli Kohli is Clinical Associate Professor and Director for Continuing Education and International Visiting Scholar Program at the University of Pennsylvania, School of Dental Medicine, Endodontic department.  She is a member of the Dean’s advisory council. Dr. Kohli earned her B.D.S. degree from Government Dental College, Bangalore, India. She pursued her D.M.D. degree as well as specialty training in Endodontics at the University of Pennsylvania, USA. During the course of her training, she received the esteemed Louis I Grossman award, the Samuel R. Rossman scholarship and the Sherrill Ann Siegel award & scholarship for demonstrating excellence in patient care, clinical skills and research. She is a member of Dean’s Council, School of Dental Medicine, UPENN.  She is on the Scientific Advisory Board as a reviewer for Journal of Endodontics, International Endodontic Journal, Journal of American Dental Association, and Quintessence International. Dr. Kohli has published in national and international peer reviewed journals and has contributed in books on microsurgical retreatment. Her publications have been recognized as the best clinical research paper by JOE. She is the recommend speaker by the AAE for Microsurgery and Prognosis. She has served on the AAE’s Constitution and Bylaws committee and currently serves in the Research and Scientific Affairs Committee. She is a Diplomate of American Board of Endodontics. She is an examiner for the Indian Board of Endodontics. Dr. Kohli also maintains part-time private practices limited to Endodontics in Pennsylvania.


Dr. Fakhari received his B.S. degree in Chemistry with honors from Shiraz University in Iran, and his M.S. and Ph.D. in Chemistry from Johns Hopkins University. Pursuing his interest in patient care and oral health, he obtained his Doctor of Dental Surgery degree from the University of Maryland School of Dentistry. Dr. Fakhari won several awards including the International Student Clinician Research Award and the Dean’s Research Award. As a result of his passion for research, he co-authored a book chapter on antibacterial dental adhesives and composites. Dr. Fakhari then continued his advanced training in Endodontics at Temple University in Philadelphia, receiving extensive training in both complex surgical and non-surgical endodontic treatments. Currently, Dr. Fakhari is a practicing endodontist at Howard County. Outside of the office, he relishes spending time with his wife and children. He also enjoys watching or playing his favorite sport, soccer.

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P.O. Box 6181 | Columbia, MD  21045

(410) 635-0703