registration form general information - agdcst.agd.org/pdf/constituents/region10/march 2015... ·...

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Iowa AGD 3622 McLaughlin Drive Lincoln, NE 68516 General Information Friday, March 20,2015 Lecture course held at Hilton Garden Inn 8600 Northpark Drive, Johnston, IA 515.270.8890 7:15 a.m. ...................... Registration 7:45 a.m. ...................... Course Begins 11:45 – 1:15 p.m. .............. Extended Lunch Hour A chance to visit the exhibitors AND IAGD members will be honored! 1:15 p.m. . . . . . . . . . . . . . . . . . . . . . . Course resumes 4 p.m. . ........................ Exhibits close 5:15 p.m. . . . . . . . . . . . . . . . . . . . . . . Course adjourns * Coffee breaks and lunch will be provided. Immediately following the course, please join us for a cocktail reception from 5:15 – 6:15 p.m. is event is sponsored by McFadden Insurance Services, Inc. HANDS-ON COURSE Friday, March 20, 2015 • 6:30 – 9 p.m. Saturday, March 21, 2015 • 8 a.m. – 5p.m. Limited Space Available Held at Patterson Dental Supply, 955 SE 28th Street, Grimes, IA COURSE FEES AGD Dentists: Lecture Only ................. $ 350 (Register by January 6th and receive a $50 member only discount: $300) Non-AGD Dentists: Lecture Only ............ $ 650 AGD Dentists: 2 days (lecture & hands-on) . . . $1,850 (Register by January 6th and receive a $200 member only discount: $1,650) Includes materials and meals. Lodging not included Non-AGD Dentist: 2 days (lecture & hands-on) ........................ $2,500 Includes materials and meals. Lodging not included Staff Member/Assistants/Hygienists .......... $ 75 Dental Students ............................. $ 35 Lab Techs .................................. $ 125 Due to the popularity of the lecture and hands-on course, we encourage you to register early and take advantage of the HUGE member discounts. Space is limited. Register by March 2nd to avoid a $45 late fee! A block of sleeping rooms have been reserved at the Hilton Garden Inn for $109 until February 26, 2015. Ask for the Iowa AGD rate. To make reservations, call 515-270-8890. Registration Form Please mail registration form and payment to: IAGD, 3622 McLaughlin Drive, Lincoln, NE 68516. Or you can fax your registration with credit card to 402.438.2321. Registration can be taken over the phone with a credit card. Name Staff Address City State Zip Phone Fax Email (required) AGD# Non-member Yes PAYMENT METHOD Check (made payable to the IAGD) Credit card: Credit card type: Credit card # exp. Date code on back Credit Card Address (If different om above) Credit Card City, State & Zip (If different om above) Phone (If different om above) Signature Date PLEASE NOTE: A $40 processing fee will be applied to all persons requesting a refund. No refunds will be issued aſter March 2nd. You will receive an email confirmation only when your registration is processed. is course has been submitted to the IBDE for CE Credits and approval is pending. Questions? Contact the IAGD Office at 402.438.2321 or email [email protected] 2015 IAGD ANNUAL MEETING “Oral Surgery for the General Dentist: Easier and More Predictable” with Dr. Karl Koerner LECTURE COURSE Friday, March 20, 2015 7:45 a.m. – 5:15 p.m. Hilton Garden Inn 8600 Northpark Drive • Johnston, IA HANDS-ON COURSE Friday, March 20, 2015 6:30 – 9 p.m. Saturday, March 21, 2015 8 a.m. – 5p.m. Patterson Dental Supply 955 SE 28th Street Grimes, Iowa

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Page 1: Registration Form General Information - AGDcst.agd.org/pdf/constituents/Region10/march 2015... · impaction essentials (anatomy and step-by-step guidelines). COURSE OBJECTIVES As

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General InformationFriday, March 20,2015Lecture course held at Hilton Garden Inn 8600 Northpark Drive, Johnston, IA 515.270.88907:15 a.m. . . . . . . . . . . . . . . . . . . . . . . Registration7:45 a.m. . . . . . . . . . . . . . . . . . . . . . . Course Begins11:45 – 1:15 p.m. . . . . . . . . . . . . . . Extended Lunch Hour A chance to visit the exhibitors AND IAGD members will be honored!1:15 p.m. . . . . . . . . . . . . . . . . . . . . . . Course resumes4 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . Exhibits close5:15 p.m. . . . . . . . . . . . . . . . . . . . . . . Course adjourns* Coffee breaks and lunch will be provided.

Immediately following the course, please join us for a cocktail reception from 5:15 – 6:15 p.m. This event is sponsored by McFadden Insurance Services, Inc.

HANDS-ON COURSEFriday, March 20, 2015 • 6:30 – 9 p.m. Saturday, March 21, 2015 • 8 a.m. – 5p.m.Limited Space Available Held at Patterson Dental Supply, 955 SE 28th Street, Grimes, IA

COURSE FEESAGD Dentists: Lecture Only . . . . . . . . . . . . . . . . . $ 350 (Register by January 6th and receive a $50 member only discount: $300)Non-AGD Dentists: Lecture Only . . . . . . . . . . . . $ 650AGD Dentists: 2 days (lecture & hands-on) . . . $1,850 (Register by January 6th and receive a $200 member only discount: $1,650)Includes materials and meals. Lodging not includedNon-AGD Dentist: 2 days (lecture & hands-on) . . . . . . . . . . . . . . . . . . . . . . . . $2,500Includes materials and meals. Lodging not includedStaff Member/Assistants/Hygienists . . . . . . . . . . $ 75Dental Students . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 35Lab Techs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125Due to the popularity of the lecture and hands-on course, we encourage you to register early and take advantage of the HUGE member discounts. Space is limited. Register by March 2nd to avoid a $45 late fee!

A block of sleeping rooms have been reserved at the Hilton Garden Inn for $109 until February 26, 2015. Ask for the Iowa AGD rate. To make reservations, call 515-270-8890.

Registration FormPlease mail registration form and payment to: IAGD, 3622 McLaughlin Drive, Lincoln, NE 68516. Or you can fax your registration with credit card to 402.438.2321. Registration can be taken over the phone with a credit card.

Name

Staff

Address

City State Zip

Phone

Fax

Email (required)

AGD#

Non-member Yes

PAYMENT METHODCheck (made payable to the IAGD)

Credit card: Credit card type:

Credit card #

exp. Date code on back

Credit Card Address (If different from above)

Credit Card City, State & Zip (If different from above)

Phone (If different from above)

Signature

Date

PLEASE NOTE: A $40 processing fee will be applied to all persons requesting a refund. No refunds will be issued after March 2nd.

You will receive an email confirmation only when your registration is processed.

This course has been submitted to the IBDE for CE Credits and approval is pending.

Questions? Contact the IAGD Office at 402.438.2321 or email [email protected]

2015 IAGD ANNUAL MEETING

“Oral Surgery for the General Dentist: Easier and More

Predictable” with

Dr. Karl KoernerLECTURE COURSE

Friday, March 20, 2015 7:45 a.m. – 5:15 p.m.

Hilton Garden Inn 8600 Northpark Drive • Johnston, IA

HANDS-ON COURSEFriday, March 20, 2015

6:30 – 9 p.m.Saturday, March 21, 2015

8 a.m. – 5p.m.

Patterson Dental Supply955 SE 28th Street

Grimes, Iowa

Page 2: Registration Form General Information - AGDcst.agd.org/pdf/constituents/Region10/march 2015... · impaction essentials (anatomy and step-by-step guidelines). COURSE OBJECTIVES As

• incisional/excisional biopsies, • bisphosphonates, • other discussions as time permits.

COURSE OBJECTIVESIn addition to the course objectives on Friday, the dentist will also be able to:1. Control patient anxiety related to oral

surgery.2. Understand principles of mini-implant

placement — along with advantages and disadvantages of this modality.

3. Correctly perform I&Ds on the less-invasive abscesses.

4. Do easier third molar impactions.5. Perform oral surgery according to current

standards of care.

LECTURE“Oral Surgery for the General Dentist: Easier and More Predictable” Friday, March 20, 2015 7:45 a.m. to 5:15 p.m. (8 hrs AGD Oral Surgery Credit — IDBE pending fi nal approval)

Many extractions look easy but can soon become diffi cult, time consuming, and lead to complications. Th is course reviews the best techniques and instruments to remove “surgical” extractions easily and quickly while conserving bone. From that primary emphasis, Dr. Koerner branches to other related surgery subjects that use many of the same instruments and principles.Th ese include:

• Th e most common suturing techniques and materials,

• avoiding sinus problems, • predictable socket graft ing techniques

(without company hype), • ridge preparation for immediate dentures, • bleeding management during surgery, • a review of moderate third molar

impaction essentials (anatomy and step-by-step guidelines).

COURSE OBJECTIVESAs a result of attending this course, the dentist will be able to:

1. More easily do “surgical” or diffi cult extractions that frequently occur in general practice.

2. Be more profi cient at ridge preparation for immediate dentures.

3. Select appropriate socket graft ing cases and have the knowledge to do them successfully.

4. Prevent and/or manage bleeding problems that can occur during oral surgery.

5. Better understand patient selection and risks of third molar surgery.

6. Perform oral surgery according to current standards of care.

HANDS-ON TRAININGFriday evening, March 20 • 6:30 to 9 p.m. and Saturday, March 20 • 8 a.m. to 5 p.m.(10 hrs AGD Oral Surgery Credit —IDBE pending fi nal approval)

Th is workshop builds on the Friday lecture. It applies the surgical principles covered already — to use on life-like dentoform models.

Th e following procedures will be done on the models:• full-thickness mucoperiosteal fl aps (envelope

and triangular), • suturing (interrupted/surgeon’s knot, cross-

suture, continuous-lock), • surgical extractions (multiple root-tip

removals with several diff erent methods), • alveoplasty, • socket graft ing (bone graft and barrier

membrane)• moderate third molar impaction

(mesioangular),• excisional biopsy• incision and drainage,• mini-implant placement

Topics covered today that were not discussed in lecture include:• anxiety control for apprehensive surgery patients,• basics of using mini-implants for more

economical denture stabilization, • I&D in general practice, discussion of

antibiotic usage

Dr. Koerner has presented many didactic and participation oral surgery courses at international,

national, and regional meetings and at the state level for many dental associations and AGD groups. He is currently Director of Oral Surgery for Intermountain Dental Associates in Utah. In 2008-2009, he was Director of the Oral Surgery Department at the Scottsdale Center for Dental Education. Dr. Koerner is not an oral surgeon but learned oral surgery in the U.S. Army where he completed a general practice residency. For the last 15 years, his Utah practice has been limited to oral surgery. He is the author of many articles on oral surgery for the general dentist and has authored or co-authored four books in addition to making several DVDs on surgery with Dr. Gordon Christensen. Dr. Koerner is on Clinicians’ Report (formerly CRA) Board of Directors and editorial boards for the Academy of General Dentistry Journal, Dentistry Today’s peer reviewed articles, and Premium Practical Dentistry (PPD) in the UK. He is past president of the Utah Dental Association and Utah Academy of General Dentistry. In 2010 he received the National AGD’s Weclew award.

Th e AGD-Iowa is designated as an Approved PACE Program Provider by the Academy of General Dentistry. Th e formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry. Th e current term of approval extends from 6/1/2013 to 5/31/2017. ID# 219301

PACEFAGD/MAGD Approved6/1/2013 to 5/31/2017

SPEAKERDR. KARL R. KOERNER

Immediately following the lecture on Friday, please join us for a cocktail

reception from 5:15 to 6:15.

Th e cocktail reception is sponsored by McFadden Insurance Services, Inc.