Saturday, April 9, 2016 Course Code (16-CE-003)**Please make additional copies for each person registering

Registration Deadline: Friday, April 1, 2016

Dentist - $225 Team Member - $55 RDH DA LT Other ____________

Email ______________________________________@ _______________________________

First Name ______________________ Last Name ____________________________ Jr. / Sr.

Preferred Name _______________________________________________________________

Male Female Self-identify _________________________________________________

I am an alumnus/alumna of UNC School of Dentistry: DDS RDH DA Post Doc

Employer: ____________________________________________________________________

Mailing Address _______________________________________________________________

City _____________________________________ State ________ Zip _________________

County in NC _________________________________________________________________

Daytime Phone (_____) ______________________ Fax (______) ______________________

Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at: www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: __________________________________________

I have special needs, please contact me.

CDE ID#_______________ Date Received _______________

ADA Statement: The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran’s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call 919-537-3400 no later than Friday, April 1, 2016 or attach a note to your registration form.

Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution.

The University of North Carolina School of Dentistry cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures.

** By providing my information, I consent to receive communications via mail, email, fax, and phone from the University of North Carolina Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

Cancellations and Refunds: A registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 1, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The cancellation request must include: the name of the activity, name of the person registered, name of the person requesting the cancellation, and the reason for the cancellation. No refunds will be issued after Friday, April 1, 2016. The UNC School of Dentistry Continuing Dental Education Program cannot be responsible for the refund of any part of the registration fee as a result of emergencies, unforeseen circumstances, or events beyond its control after the cancellation date. Payments made by credit card will be refunded by credit card.

The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will fully refund registration fees but is not responsible for any related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, rental car or travel agencies.

Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 1, 2016.

Registration Made Easy:Be sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration. Upon completion, you may either:

Register by mail: Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:

Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register on-line: Direct your web-browser to:

www.dentistry.unc.edu/ce/cde

Questions?Call: 919-537-3400 or E-mail us at: CDE@dentistry.unc.edu

Sponsored by the University of North CarolinaDepartment of Continuing Dental Educationand the Pankey Study Club of North Carolina.

APRIL 9, 2016 • location: UNC SCHOOL OF DENTISTRY

Dr. Johnson Hagood

10TH ANNUAL L. D. PANKEY LECTURE: 10TH ANNUAL L. D. PANKEY LECTURE:

This continuing education program is presented by

the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education program. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE’s term of recognition is May 1, 2015 through June 30, 2019. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

Conflict of Interest: In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity.

As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses.

Registration Fee & Credit:The registration fee is $225 for dentists and $55 for team members. UNC Continuing Dental Education designates this activity for up to 4 hours of CDE credit.

The registration fee includes course materials, CE credit and all meals listed in the agenda. All registrations must be received by Friday, April 1, 2016.

UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

Speaker Information: M. Johnson Hagood, DDS graduated from the University of North Carolina Chapel Hill, School of Dentistry in 1991. Dr. Hagood lectures nationally on the subject of Occlusion, Splint Therapy, Esthetics, Dental Photography and Comprehensive Dentistry in Private Practice.

Dr. Hagood is a Fellow, Academy of General Dentistry, Accredited Member, American Academy of Cosmetic Dentistry. Past President, Florida Academy of Cosmetic Dentistry. Visiting Faculty, Spear Education and visiting faculty, The L.D. Pankey Institute.

He is a member of the American Equilibration Society, Spear Study Club of Vero Beach, Pankey Study Club of Chapel Hill, Piper Study Club, Past President of Virginia Beach Dental Study Club and Co-Founder of Bob Barkley Study Club, Washington, D.C.

Time & Location:The program will be held at the UNC School of Dentistry. Registration will begin at 7:30am. The program will be held from 8:00am - 12:30pm, Saturday, April 9, 2016. The UNC School of Dentistry is located at the corner of Manning Drive and South Columbia Street.

** A continental breakfast will be provided with your paid registration.

Agenda:7:30 – 8:00am Registration & Continental Breakfast

8:00 – 10:00amDr. Johnson HagoodUtilization of Composite for Treating Complex Restorative Cases

10:00 – 10:30am Break

10:30 – 12:30pm Dr. Johnson Hagood Continues

12:15 – 12:30pm Q&A

Activity Description:Boost your ability to provide more comprehensive and beautiful dentistry and increase profitability at a time when many patients need more options. Advances in techniques and materials have made composite dentistry the treatment of choice in an increasing percentage of clinical situations. Learn how mastering some new concepts using composite will dramatically change your ability to help patients choose comprehensive dentistry over repair dentistry, conservatively restore teeth to natural beauty, function, and durability and even solve large-scale restorative cases including those requiring increased vertical dimension.

Educational Objectives: At the completion of this activity, participants should be able to:

• Identify how the “Trial Smile” will dramatically increase not only the number of patients who will accept esthetically-driven comprehensive cases but also increase their value for choosing you.

• Describe how simple Smile Design really can be and how to applythese principles to every situation.

• Define why composite is the best choice of material in more clinicalsituations then ever when considering esthetics, conservation, andstrength and long-term durability.

• Describe and discuss the advanced techniques in bonding, materialselection, marginal blending, repairs, prep design, layering, blocking outdark teeth, obtaining excellent interproximal contacts, diastema closure,and more.

• Recognize why Transitional Bondingis the best way to help patientsobtain comprehensive dentistry.

This continuing education program is presented by

the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education program. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE’s term of recognition is May 1, 2015 through June 30, 2019. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

Conflict of Interest: In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity.

As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses.

Registration Fee & Credit:The registration fee is $225 for dentists and $55 for team members. UNC Continuing Dental Education designates this activity for up to 4 hours of CDE credit.

The registration fee includes course materials, CE credit and all meals listed in the agenda. All registrations must be received by Friday, April 1, 2016.

UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

Speaker Information: M. Johnson Hagood, DDS graduated from the University of North Carolina Chapel Hill, School of Dentistry in 1991. Dr. Hagood lectures nationally on the subject of Occlusion, Splint Therapy, Esthetics, Dental Photography and Comprehensive Dentistry in Private Practice.

Dr. Hagood is a Fellow, Academy of General Dentistry, Accredited Member, American Academy of Cosmetic Dentistry. Past President, Florida Academy of Cosmetic Dentistry. Visiting Faculty, Spear Education and visiting faculty, The L.D. Pankey Institute.

He is a member of the American Equilibration Society, Spear Study Club of Vero Beach, Pankey Study Club of Chapel Hill, Piper Study Club, Past President of Virginia Beach Dental Study Club and Co-Founder of Bob Barkley Study Club, Washington, D.C.

Time & Location:The program will be held at the UNC School of Dentistry. Registration will begin at 7:30am. The program will be held from 8:00am - 12:30pm, Saturday, April 9, 2016. The UNC School of Dentistry is located at the corner of Manning Drive and South Columbia Street.

** A continental breakfast will be provided with your paid registration.

Agenda:7:30 – 8:00am Registration & Continental Breakfast

8:00 – 10:00amDr. Johnson HagoodUtilization of Composite for Treating Complex Restorative Cases

10:00 – 10:30am Break

10:30 – 12:30pm Dr. Johnson Hagood Continues

12:15 – 12:30pm Q&A

Activity Description:Boost your ability to provide more comprehensive and beautiful dentistry and increase profitability at a time when many patients need more options. Advances in techniques and materials have made composite dentistry the treatment of choice in an increasing percentage of clinical situations. Learn how mastering some new concepts using composite will dramatically change your ability to help patients choose comprehensive dentistry over repair dentistry, conservatively restore teeth to natural beauty, function, and durability and even solve large-scale restorative cases including those requiring increased vertical dimension.

Educational Objectives: At the completion of this activity, participants should be able to:

• Identify how the “Trail Smile” will dramatically increase not only the number of patients who will accept esthetically-driven comprehensive cases but also increase their value for choosing you.

• Describe how simple Smile Design really can be and how to apply these principles to every situation.

• Define why composite is the best choice of material in more clinical situations then ever when considering esthetics, conservation, and strength and long-term durability.

• Describe and discuss the advanced techniques in bonding, material selection, marginal blending, repairs, prep design, layering, blocking out dark teeth, obtaining excellent interproximal contacts, diastema closure, and more.

• Recognize why Transitional Bonding is the best way to help patients obtain comprehensive dentistry.

This continuing education program is presented by

the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education program. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE’s term of recognition is May 1, 2015 through June 30, 2019. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

Conflict of Interest: In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity.

As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses.

Registration Fee & Credit:The registration fee is $225 for dentists and $55 for team members. UNC Continuing Dental Education designates this activity for up to 4 hours of CDE credit.

The registration fee includes course materials, CE credit and all meals listed in the agenda. All registrations must be received by Friday, April 1, 2016.

UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

Speaker Information: M. Johnson Hagood, DDS graduated from the University of North Carolina Chapel Hill, School of Dentistry in 1991. Dr. Hagood lectures nationally on the subject of Occlusion, Splint Therapy, Esthetics, Dental Photography and Comprehensive Dentistry in Private Practice.

Dr. Hagood is a Fellow, Academy of General Dentistry, Accredited Member, American Academy of Cosmetic Dentistry. Past President, Florida Academy of Cosmetic Dentistry. Visiting Faculty, Spear Education and visiting faculty, The L.D. Pankey Institute.

He is a member of the American Equilibration Society, Spear Study Club of Vero Beach, Pankey Study Club of Chapel Hill, Piper Study Club, Past President of Virginia Beach Dental Study Club and Co-Founder of Bob Barkley Study Club, Washington, D.C.

Time & Location:The program will be held at the UNC School of Dentistry. Registration will begin at 7:30am. The program will be held from 8:00am - 12:30pm, Saturday, April 9, 2016. The UNC School of Dentistry is located at the corner of Manning Drive and South Columbia Street.

** A continental breakfast will be provided with your paid registration.

Agenda:7:30 – 8:00am Registration & Continental Breakfast

8:00 – 10:00amDr. Johnson HagoodUtilization of Composite for Treating Complex Restorative Cases

10:00 – 10:30am Break

10:30 – 12:30pm Dr. Johnson Hagood Continues

12:15 – 12:30pm Q&A

Activity Description:Boost your ability to provide more comprehensive and beautiful dentistry and increase profitability at a time when many patients need more options. Advances in techniques and materials have made composite dentistry the treatment of choice in an increasing percentage of clinical situations. Learn how mastering some new concepts using composite will dramatically change your ability to help patients choose comprehensive dentistry over repair dentistry, conservatively restore teeth to natural beauty, function, and durability and even solve large-scale restorative cases including those requiring increased vertical dimension.

Educational Objectives: At the completion of this activity, participants should be able to:

• Identify how the “Trail Smile” will dramatically increase not only the number of patients who will accept esthetically-driven comprehensive cases but also increase their value for choosing you.

• Describe how simple Smile Design really can be and how to apply these principles to every situation.

• Define why composite is the best choice of material in more clinical situations then ever when considering esthetics, conservation, and strength and long-term durability.

• Describe and discuss the advanced techniques in bonding, material selection, marginal blending, repairs, prep design, layering, blocking out dark teeth, obtaining excellent interproximal contacts, diastema closure, and more.

• Recognize why Transitional Bonding is the best way to help patients obtain comprehensive dentistry.

Saturday, April 9, 2016 Course Code (16-CE-003)**Please make additional copies for each person registering

Registration Deadline: Friday, April 1, 2016

Dentist - $225 Team Member - $55 RDH DA LT Other ____________

Email ______________________________________@ _______________________________

First Name ______________________ Last Name ____________________________ Jr. / Sr.

Preferred Name _______________________________________________________________

Male Female Self-identify _________________________________________________

I am an alumnus/alumna of UNC School of Dentistry: DDS RDH DA Post Doc

Employer: ____________________________________________________________________

Mailing Address _______________________________________________________________

City _____________________________________ State ________ Zip _________________

County in NC _________________________________________________________________

Daytime Phone (_____) ______________________ Fax (______) ______________________

Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at: www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: __________________________________________

I have special needs, please contact me.

CDE ID#_______________ Date Received _______________

ADA Statement: The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran’s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call 919-537-3400 no later than Friday, April 1, 2016 or attach a note to your registration form.

Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution.

The University of North Carolina School of Dentistry cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures.

** By providing my information, I consent to receive communications via mail, email, fax, and phone from the University of North Carolina Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

Cancellations and Refunds: A registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 1, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The cancellation request must include: the name of the activity, name of the person registered, name of the person requesting the cancellation, and the reason for the cancellation. No refunds will be issued after Friday, April 1, 2016. The UNC School of Dentistry Continuing Dental Education Program cannot be responsible for the refund of any part of the registration fee as a result of emergencies, unforeseen circumstances, or events beyond its control after the cancellation date. Payments made by credit card will be refunded by credit card.

The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will fully refund registration fees but is not responsible for any related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, rental car or travel agencies.

Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 1, 2016.

Registration Made Easy:Be sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration. Upon completion, you may either:

Register by mail: Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:

Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register on-line: Direct your web-browser to:

www.dentistry.unc.edu/ce/cde

Questions?Call: 919-537-3400 or E-mail us at: CDE@dentistry.unc.edu

Sponsored by the University of North CarolinaDepartment of Continuing Dental Educationand the Pankey Study Club of North Carolina.

APRIL 9, 2016 • location: UNC SCHOOL OF DENTISTRY

Dr. Johnson Hagood

10TH ANNUAL L. D. PANKEY LECTURE: 10TH ANNUAL L. D. PANKEY LECTURE:

Saturday, April 9, 2016 Course Code (16-CE-003)**Please make additional copies for each person registering

Registration Deadline: Friday, April 1, 2016

Dentist - $225 Team Member - $55 RDH DA LT Other ____________

Email ______________________________________@ _______________________________

First Name ______________________ Last Name ____________________________ Jr. / Sr.

Preferred Name _______________________________________________________________

Male Female Self-identify _________________________________________________

I am an alumnus/alumna of UNC School of Dentistry: DDS RDH DA Post Doc

Employer: ____________________________________________________________________

Mailing Address _______________________________________________________________

City _____________________________________ State ________ Zip _________________

County in NC _________________________________________________________________

Daytime Phone (_____) ______________________ Fax (______) ______________________

Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at: www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: __________________________________________

I have special needs, please contact me.

CDE ID#_______________ Date Received _______________

ADA Statement: The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran’s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call 919-537-3400 no later than Friday, April 1, 2016 or attach a note to your registration form.

Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution.

The University of North Carolina School of Dentistry cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures.

** By providing my information, I consent to receive communications via mail, email, fax, and phone from the University of North Carolina Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

Cancellations and Refunds: A registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 1, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The cancellation request must include: the name of the activity, name of the person registered, name of the person requesting the cancellation, and the reason for the cancellation. No refunds will be issued after Friday, April 1, 2016. The UNC School of Dentistry Continuing Dental Education Program cannot be responsible for the refund of any part of the registration fee as a result of emergencies, unforeseen circumstances, or events beyond its control after the cancellation date. Payments made by credit card will be refunded by credit card.

The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will fully refund registration fees but is not responsible for any related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, rental car or travel agencies.

Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 1, 2016.

Registration Made Easy:Be sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration. Upon completion, you may either:

Register by mail: Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:

Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register on-line: Direct your web-browser to:

www.dentistry.unc.edu/ce/cde

Questions?Call: 919-537-3400 or E-mail us at: CDE@dentistry.unc.edu

Sponsored by the University of North CarolinaDepartment of Continuing Dental Educationand the Pankey Study Club of North Carolina.

APRIL 9, 2016 • location: UNC SCHOOL OF DENTISTRY

Dr. Johnson Hagood

10TH ANNUAL L. D. PANKEY LECTURE: 10TH ANNUAL L. D. PANKEY LECTURE: