2014 3Rivers Dental Conference Registration Form PRSRT STD U.S. POSTAGE PAID PITTSBURGH, PA PERMIT NO. 867 Registration Nemacolin Woodlands Resort 1001 Lafayette Drive, Farmington, PA 15437 November 6 & 7, 2014 (Thursday & Friday) Activities, Entertainment and Special Meetings Thursday, November 6, 2014 7am-8am: Registration/Exhibit Hall Visitations One Registrant Per Form – Please Photocopy for any additional Name: *Vendor specials* ____________________________________________________________ 8am-3pm: Dr. Gordon Christensen lecture (Dentists) Shirley Branam lecture (Staff) Address: ____________________________________________________________ City: _______________________________________State: _______ Zip: ________ *Lunch included in Vendor Hall* Phone: ____________________________________________________________ E-mail: ____________________________________________________________ 3pm-4pm: DSWP Annual Meeting, all members invited Please circle: 4pm-5pm: Cocktail party, complimentary for Dentists Open bar and hors d’oeuvres DENTIST HYGIENIST ASSISTANT/EFDA FRONT DESK/OFF MGR SPOUSE Thursday Only Before 9/15/14 (Spouse/guest: $35/person) After 9/15/14 ADA Member Dentist $300 ______ $350 ______ Non-Member Dentist $350 ______ $400 ______ Staff $150 ______ $175 ______ Spouse of Member $-0- ______ Spouse of Non-Member $50 ______ Cocktail Party - Comp to Dentists ($35/guest) ______ Friday, November 7, 2014 Friday Only ADA Member Dentist Non-Member Dentist Staff Spouse of Member Spouse of Non-Member President’s Dinner (cash bar) $300 ______ $350 ______ $350 ______ $400 ______ $150 ______ $175 ______ $-0- ______ $50 ______ $80/person ______ Payment may be made via check or credit card Make checks payable to: Odontological Society of Western PA Credit Card # ____________________________________ Exp. Date ___________ Name on card ________________________________________________________ Please indicate: MC/Visa/AMEX/Discover Mail completed form with payment to: Dental Society of Western Pennsylvania, 900 Cedar Avenue, Pittsburgh, PA 15212 Phone: 412-321-5810 Fax: 412-321-7719 e-mail: [email protected] 8am-9am: Past President’s Breakfast 9am-4pm: Dr. William Dickerson lecture (Dentists) Stacy McCauley lecture (Staff) 6:30pm-10pm: Dental Society of Western Pennsylvania 900 Cedar Avenue Pittsburgh, PA 15212 *Limited seating for all lectures. *Students please call DSWP at 412-321-5810 if interested in attending. Registration/Exhibit Hall Visitations *Lunch included in Vendor Hall* 2- Day ADA Member Dentist $450 ______ $575 ______ Non-Member Dentist $550 ______ $675 ______ Staff $250 ______ $300 ______ Spouse of Member $-0- ______ Spouse of Non-Member $50 ______ Cocktail Party - Comp to Dentists ($35/guest) ______ President’s Dinner (cash bar) $80/person ______ 8am-9am: President’s Dinner “A Polish Feast” Honoring Dr. and Mrs. Dennis Zabelsky Entertainment by Pat Septak $80/person (cash bar) *All attendees welcome!* *Dietary restrictions contact DSWP - 412-321-5810 Only at Nemacolin $15/person/day Lady Luck Casino vouchers + free drink, free daily tour of Hardy Family Fine Art Collection, Woodland Spa, exclusive retail stores, fine dining, many activities including golf, Orvis Fly Fishing, off-road driving, wall climbing, zip lines, safari tour…shuttle service to all! www.nemacolin.com. 15% off activities and shopping (with resort card provided at check-in) RESERVE YOUR ROOM NOW Rooms are being held starting at $149/night until September 21, 2014. Reservations: Call 1-800-422-2736 x1 or 724-329-8555 and mention 3Rivers Dental Conference. Speakers THURSDAY, NOVEMBER 6, 2014 Gordon J. Christensen, DDS, MSD, PhD THURSDAY, NOVEMBER 6, 2014 FRIDAY, NOVEMBER 7, 2014 FRIDAY, NOVEMBER 7, 2014 Shirley Branam, RDH, MBA William G. Dickerson, DDS, FAACD, LVIM Stacy McCauley, RDH, MS 8am – 11:30am/12:30pm – 3pm 9am – 12 Noon/1pm – 4pm 9am – 12 Noon/1pm – 4pm “Managing Dentinal Hypersensitivity” “Things They Didn’t Tell You in Dental School: Things You Need to Know to Provide the Best Care for Your Patients” “Does Hygiene Have Your Back? How to Increase Calibration between Doctor and Hygienist for Stellar Co-Diagnosis and Enrollment” This lecture will explore the amazing world of dentistry that most dentists are unfamiliar with: A world where you can have a major impact on patients’ overall health and well-being. You will discover simple mistakes that most dentists make daily that can cause cranio-mandibular disorders in your patients, leading to a lifetime of pain. You will leave this lecture realizing that, as a general dentist, you are in charge of the treatment and you are the quarterback of the dental team. You will leave this lecture being more excited about the profession you have chosen since the day you graduated from dental school. High producing/high standard of care practices don’t leave anything up to “guesswork.” Successful practices have mastered dentist/hygienist calibration by creating and adhering to standard of care documents that map out clinical expectations and parameters. 8am – 11:30am/12:30pm – 3pm “New Aspects of Dentistry” This fast-moving course includes the areas of dentistry with the most activity and change in any given year. It is easily understood and has numerous summaries that help attendees to interpret the ongoing advancements in the profession. The course encourages audience participation and questions and answers and is presented in an enjoyable and humorous manner. The hottest aspects in dentistry will be included in the program depending on the interests of the attendees, the popularity of topics at the time of your program, and the time available. A few of the possible topics include lasers, CAD/CAM, esthetic dentistry, implant dentistry, endodontics, periodontics, preventive dentistry, oral surgery, operative dentistry, and prosthodontics. This class is suitable for Dentists. Dentinal hypersensitivity is an episodic condition that is increasing in prevalence. Surprisingly, a majority of patients do not actively seek treatment to desensitize their teeth, instead adopting coping behaviors, such as avoidance of cold foods and drinking through straws. The objective of this course is to provide the dental health professional with a continuous care strategy for identifying and meeting the treatment needs of patients suffering from hypersensitive dentin. “Radiographic Techniques from Analog to Digital” This course will provide practical information on intraoral radiography techniques. The basic principles will be discussed, including hands-on application of these principles to digital radiography. This class is suitable for Staff. 6 credits 6 credits Gordon J. Christensen is Founder and Director of Practical Clinical Courses (PCC) and Chief Executive Officer of Clinicians Report Foundation (CR) in Provo, Utah. Dr. Christensen has presented over 45,000 hours of continuing education throughout the world and has published many articles and books. Early in his career, Gordon helped initiate the University of Kentucky and University of Colorado dental schools and taught at the University of Washington. Gordon is a practicing prosthodontist in Provo, Utah. He is a member of numerous professional organizations, including Diplomate of the American Board of Prosthodontics, a Fellow and Diplomate in the International Congress of Oral Implantologists, a Fellow in the Academy of Osseointegration, American College of Dentists, International College of Dentists, American College of Prosthodontists, Academy of General Dentistry (Hon), Royal College of Surgeons of England, and an Associate Fellow in the American Academy of Implant Dentistry. Shirley Branam is the Central Clinical Educator for DENTSPLY Professional. She received her BS in Dental Hygiene from the University of Michigan and MBA in Health Care Management from the University of Phoenix. Shirley’s background includes over 20 years in clinical and educational experience in the dental assisting and dental hygiene professions. While a member of the University Of Michigan School Of Dentistry, she held various appointments including hygiene faculty member, staff hygienist in the Graduate Prosthodontic Clinic, and research coordinator assistant. Her areas of expertise include clinical dental hygiene, biomaterials, implants, local anesthesia, and nitrous oxide sedation. She currently lectures, national and internationally, for DENTSPLY Professional covering topics on ultrasonic instrumentation, anesthesia, caries risk assessment and implant maintenance. This class is suitable for Dentists. 6 credits William G. Dickerson is founder of Las Vegas Institute for Advanced Dental Studies (LVI Global), providing an educational forum for advancing our profession. For the past 20 years, LVI has led the way in continuing education becoming the world's premier post graduate educational center in dentistry. Dr. Dickerson has authored many books, published over 500 articles, and lectured in every state and most western countries. Bill was instrumental as a pioneer in the aesthetic revolution as well as igniting the profession’s interest in the physiologically-based neuromuscular dentistry. From aesthetic dentistry to scientifically-based occlusal approaches, Bill has led the way developing many aesthetic and occlusal techniques, products and procedures that enhance comprehensive restorative procedures. Doctors with highly trained, highly calibrated, highly empowered and highly respected hygienists have surpassed the financial storm with flying colors, while less-calibrated practices struggle to stay afloat. Utilizing her unique experience as a seasoned educator, clinician and practice coach, Stacy McCauley’s presentations offer a high-energy, workshop environment where attendees learn the skills necessary to implement calibration strategies in their practices. Through case studies and small group interaction, attendees will learn how to take their Hygiene department from “Woeful” to “Wow!” “The Perfect Handoff: Communication Strategies for Stellar Co-Diagnosis and Enrollment” Would you like more case acceptance and increased patient satisfaction, less stress and a greater collaborative team spirit? Thriving practices have mastered the art of the handoff. Achieving a high level of co-diagnosis starts with seamless communication between everyone in the office. We will cover the principles of high impact communication, including: how patients listen and learn, factors that influence patient decision making, verbal and non-verbal communication techniques, and proxemics. Through real-time interactivity, attendees will start to master the skills of high impact communication to take their practice’s perio co-diagnosis skill and effectiveness through the roof. For continued learning back in the practice, attendees are welcome to videotape their simulated handoff practice sessions. This class is suitable for Staff. 6 credits With the heart of a coach and teacher, Stacy McCauley maintains her "cutting edge" on all things dental. Clients and audiences laud her as a gifted communications facilitator, impactful international speaker, high productivity practice coach and insightful writer. An Adjunct Assistant Professor at UNC Chapel Hill, where she also received her Master’s Degree, Stacy brings over 20 years of dental industry experience including clinician, corporate dental business, and most recently as a lead coach and speaker with Inspired Hygiene, a national consulting firm in Charlotte, NC. She is committed to empowering dental teams to blow open the doors of what’s possible in their practice.