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The course provides clinicians with a scaffold of treatment planning emanating from a complete dental examination.
There will be several patient problems presented relating to compromised teeth of varying etiologies. The presentation will include how they are diagnosed and ultimately treated, with some of the results of therapy extending many years. The course is in a lecture format utilizing the literature to assist in decision making.

1. To provide the participants with the various factors that are used to determine the best course of therapy for a compromised tooth.
2. To assist clinicians in assessing clinical factors, which are determined by a comprehensive examination in order that they will best advise their patient.
3. To discuss the techniques of examination that will assist in making a correct diagnosis.
4. To present varying dental situations with similar factors and providing knowledge to the participants to help determine the best therapy for the individual patient.

Paul continues to practice in Burlington, Vermont. Meanwhile he taught in the University of Vermont School of Dental Hygiene for twenty-seven years and began teaching at the Harvard School of Dental Medicine (HSDM) in 1994. In 2003 he began teaching half-time in the Department of Periodontology at TUSDM while continuing to teach part-time at HSDM. In September of 2010 he and Patty moved for a year to Barcelona, Spain, where Paul taught at the Universitat Internacional de Catalunya. Paul continues to teach part-time in the three schools as well as lecturing and giving workshops in many schools and for many dental organizations throughout the United States and in Europe and Asia.

In 2012, Paul received the Clinician of the Year award from the Massachusetts Dental Society and the Yankee Dental Congress (YDC) for his participation in lectures and workshops for the YDC. Paul and his partner in practice, Brian Shuman have a dental internship for high school and college students interested in dentistry. In 2016, Paul, Natalie Jeong, Daniel Coleman, and Robert Rudy published The Non-Surgical Control of Periodontal Diseases: A comprehensive Handbook, published by Springer of Germany. It is considered the top book in its field presenting the theory and techniques for the non-surgical control of periodontal diseases.

In 2018 St. Lawrence awarded an Alumni Certificate for the many students from St. Lawrence who participated in this internship. Paul continues to teach and do research. At this time in his life, dentistry is his hobby and passion and will continue to be that way for the foreseeable future.