2016 adavb convention registration form

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2016 ADAVB Convention Melbourne Convention and Exhibition Centre Victorian Dental Show by website | convention.adavb.org FREE entry to Victorian Dental Show Proudly supported by FRIDAY 17 – SATURDAY 18 • JUNE 2016 12 CPD Hours 1 Convention Place, South Wharf, Victoria 1 DAY REGISTRATION AVAILABLE

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Page 1: 2016 ADAVB Convention Registration Form

2016 ADAVB Convention

Melbourne Convention and Exhibition Centre

Victorian Dental Show by

website | convention.adavb.org

FREE entry to Victorian

Dental Show

CONVENTION SUPPORTERS

Proudly supported by

F R I DAY 1 7 – S AT U R DAY 1 8 • J U N E 2 0 1 6

1 2 C P D H o u r s

1 Convention Place, South Whar f, Victoria

1 DAY REGISTRATION

AVAILABLE

Page 2: 2016 ADAVB Convention Registration Form

Dentists ProgramFriday 17 June

BOQ Specialist Lecture

"Are dentists missing in action? Can you diagnose problems of the healthcare system by looking in the mouth?"

Ĭ Dr Norman Swan

Challenges and changes in endodontics, from science to practice Ĭ Professor Benjamín Briseño

Indications and limitations of clear aligner and myofunctional orthodontic treatment

Ĭ Dr Mithran Goonewardene

Optimising glass ionomer use Ĭ Professor Ian Meyers

The ultimate conservative dentistry - from direct to indirect Ĭ Dr Paulo Monteiro

Anthony Roseman Memorial Lecture

Risk based regulation Ĭ Dr Marie Bismark

Understanding post-extraction changes to enhance implant outcomes

Ĭ Dr Stephen Chen

How are you going to get him/her to do that? Behavioural management for the child and the parent

Ĭ Dr Susan Hinckfuss

Toothformers: more than meets the eye. Techniques for biomimicry Ĭ Dr Clarence Tam

6 CPD HOURS

http://convention.adavb.org/program/streams/dentists

Concurrent sessionPlenary session

Page 3: 2016 ADAVB Convention Registration Form

Dentists ProgramSaturday 18 June

Botulinum toxin and dermal fillers Ĭ Associate Professor Gregory Goodman

Updates on the medication-related osteonecrosis of the jaw (MRONJ)

Ĭ Professor Alastair Goss

Challenges and changes in endodontics - performing an ergonomic root canal treatment

Ĭ Professor Benjamín Briseño

Periodontal medicine: a new frontier for periodontology

Ĭ Professor Mark Bartold

The ultimate indirect conservative dentistry - simple and predictable

Ĭ Dr Paulo Monteiro

Anterior aesthetic implants Ĭ Dr David Dunn

Increasing predictability in occlusal rehabilitation of the worn dentition

Ĭ Dr Clarence Tam

Leading the team: the dentist’s challenge

Ĭ Associate Professor Nicky Kilpatrick

Digital workflow for implants Ĭ Dr Philip Tan

Implications of advanced prosthodontic management of the ageing population/patient

Ĭ Dr Brian Fitzpatrick

Panel discussion

Pitfalls and risks of laboratory-driven treatment plan

Ĭ Facilitator: Dr David Dunn Ĭ Panellists: Dr Gordon Burt, Dr Mithran Goonewardene, Mr Russell Young

eviDent Project

The oral cancer risk test Ĭ Professor Michael McCullough

Treatment and diagnosis of sleep disordered breathing

Ĭ Dr Michael Stubbs

Assessing and managing the gingival curtain around natural teeth and dental implants

Ĭ Dr Stephen Cottrell

Panel discussion

Bringing the clinical themes together – explore strategies that work to address challenges Ĭ Facilitator: Dr John Boucher Ĭ Panellists: Professor Benjamín Briseño, Dr Paulo Monteiro and Dr Clarence Tam

6 CPD HOURS Concurrent sessionPlenary session

Page 4: 2016 ADAVB Convention Registration Form

Workshops

Morphological considerations for the selection of instruments and materials for an efficient preparation and obturation of the root canal system

Ĭ Presenter: Professor Benjamín Briseño

How to simplify composite resins restorations - Style Italiano technique Ĭ Presenter: Dr Paulo Monteiro

Members Forum & Farewell DrinksFREE to all ADAVB Members Saturday 18 June 5:00 pm - 5:45 pm

You are invited to attend the Members Forum & Farewell Drinks on Saturday 18 June following the convention. Come along to meet and catch up with other members to share ideas unwind after the convention. http://convention.adavb.org/program/member-forum-farewell-drinks

A collaboration with

eviDent Foundation Fundraiser Dinner Friday 17 June Venue: River's Edge 7:00 pm

Don’t miss this important date! Come along, meet researchers, practitioners and supporters like you.

Enjoy a night out in the knowledge that you are contributing to an improvement in the health of our community. http://convention.adavb.org/program/evident-dinner

http://convention.adavb.org/program/pre-convention-workshops Limited: 30 for each workshop

6 CPD HOURS

6 CPD HOURS

Other Events

Thursday 16 June Venue: Melbourne Dental School 9:00 am – 5:00 pm

FREE

Page 5: 2016 ADAVB Convention Registration Form

Practice Managers ProgramFriday 17 June

http://convention.adavb.org/program/streams/practice-managers

BOQ Specialist Lecture

"Are dentists missing in action? Can you diagnose problems of the healthcare system by looking in the mouth?"Joint session with the Dentists Program (Melbourne Room 1)

Ĭ Dr Norman Swan

Top 10 hits from the HR Hotline

Ĭ Mr Mark Werman

Hack attacks and slack attitudes - are your systems secure?

Ĭ Mr Garry Pearson

Could I have some privacy? A comprehensive look at privacy in your practice

Ĭ Ms Sharon McMillan and Ms Teresa Davine

Adversity, challenges and change - building a resilient, happy workplace

Ĭ Ms Helen Rimington

Your opportunity for a first impression only happens once

Ĭ Ms Clare Maxfield

Plenary session

Page 6: 2016 ADAVB Convention Registration Form

Importance of your role for compliance - what are your responsibilities?

Ĭ Dr Ben Keith

Giving the right advice to patients and the public. How much advice can a dental assistant give?

Ĭ Dr Elizabeth Milford

What makes the perfect smile? Ĭ Dr Philip Tan

Infection control - are you doing enough? Ĭ Ms Amanda Brown

Techniques to support your clinician more effectively

Ĭ Mrs Suzanne Dellas Fatone

Sterilisation – determining which processes work for your practice

Ĭ Ms Amanda Brown

Building rapport with patients Ĭ Ms Kathy Metaxas

Dental Assistants Program Saturday 18 June

http://convention.adavb.org/program/streams/dental-assistants

Prizes drawn at every session

Plenary session

Page 7: 2016 ADAVB Convention Registration Form

Fissure sealants - an opportunity for minimum intervention

Ĭ Professor Ian Meyers

Exploring opportunities - leadership and teamwork in the dental profession

Ĭ Associate Professor Nicky Kilpatrick

Being the best - comprehensive infection control practice

Ĭ Ms Amanda Brown

Integrated patient care - working with allied health practitioners

Ĭ Dr Warren Shnider

Dental trauma - it all happened so quickly

Ĭ Associate Professor Phillippe Zimet

What's that?! An opportunity to revisit common oral pathology

Ĭ Professor Michael McCullough

Opportunities for success. Creating a beautiful restoration for a fractured incisor.

Ĭ Dr Terry Wong

Joint Dental Hygienists and Dental & Oral Health Therapists ProgramSaturday 18 June

A collaboration with

http://convention.adavb.org/program/streams/hygienists-oral-health-therapists

6 CPD HOURS

Plenary session

Page 8: 2016 ADAVB Convention Registration Form

REGISTRATION FORM AND TAX INVOICE

Cheque (made payable to ADAVB Inc) Card type: Visa Mastercard American Express (Diner Club Not Accepted)

Card number Expiry date /

I, (name on card) hereby authorise ADAVB to debit my credit card.

Total amount $ Cardholder's signature

FULL PAYMENT MUST ACCOMPANY YOUR REGISTRATION, SEND TO: Australian Dental Association Victorian Branch – Level 3, 10 Yarra Street, South Yarra 3141 / PO BOX 9015, South Yarra 3141 or fax (03) 8825 4644. By completing this registration form, you have read and understood all the terms and conditions (see http://convention.adavb.org for information) stipulated herein and agree to both the cancellation policy and privacy statement. Make a copy of this registration form and maintain it for your records. ADAVB ABN 80 263 088 594, ARBN 152 948 680 & Reg’d Assoc No. A0022649E.

2016 ADAVB Convention - Friday 17 & Saturday 18 June

Title First name Surname

ADAVB or ADA Interstate Membership No Non Member Your Profession _______ (e.g 1, 2 or 3)

Address

Suburb State Postcode Country

Phone Mobile

Email Special dietary requirement(s)

(Important: Your confirmation and reminder will be sent to this email)

CATEGORIES 1 Day Only Full Rate Quantity Amount• Prices quoted are per

person in Australian dollars, inclusive of Goods and Services Tax (GST).

• A separate fee applies tothepre-Conventionworkshop as it is not included in the standardregistrationfee.

• Full-timestudentsmustattachproofof their status (e.g. photocopy of student ID)

• Bycompletingthisform,delegatesareautomaticallyregistered for the ADIAExhibitionandas such your details willbemadeavailableto ADIA.

• If you do not wish for ADIA to disclose your details to the exhibitors on the delegatelist,tickhere

Convention Workshops (16 June)

ADA Member : Professor Benjamin Briseno (1) $850 $

ADA Member : Dr Paulo Monteiro (2) $850 $

Non-ADA Member Convention Workshop ( 1 or 2) $1,100 $

Dentists Program (17 & 18 June)Please circle one

17 or 18

ADA Member $500 $1,000 $

Non-ADA Member $850 $1,700 $

Recent Graduate ADA Member (1st - 5th year) $330 $660 $

Recent Graduate Non-ADA Member (1st - 5th year) $480 $960 $

Dental Student / Retired Member $165 $330 $

Practice Managers Program (17 June) $400 $

Joint Dental Hygienists and Dental & Oral Health Therapists Program (18 June)

Member Dental Hygienists and Dental & Oral Health Therapists $550 $

Non-Member Dental Hygienists and Dental & Oral Health Therapists $750 $

Student $95 $

Dental Assistants Program (18 June) $250 $

eviDent Fundraiser Dinner (17 June) $160 per ticket $

Table of 10 seats $1,500 per table $

ADAVB Members Forum/Farewell Drinks (18 June) - DENTISTS ONLY FREE – Please tick the box if you wish to attend TOTAL PAYMENT $

Professions: 1. Dentist 2. Dentist Specialist 3. Dental Student/Retired 4. Dental & Oral Health Therapist 5. Hygienist 6. Dental Assistant 7. Practice Manager

PAYMENT DETAILS

REGISTER TO:

[email protected]

Fax: (03) 8825 4644

Post: PO BOX 9015

South Yarra VIC 3141

QUERIES:

[email protected]

Phone: (03) 8825 4600

Complete the form below or register online : http://convention.adavb.org/registration - One registration form per delegate. Please make copies if more than one.

Accommodation : LimitednightsattheSouthWharfHiltonHotelfor$265(withbreaksfast).Ifyouwishtomakeabooking,pleasecalltheCPDuniton(03)88254600.