2012 kda annual meeting registration

8/2/2019 2012 KDA Annual Meeting Registration

1/10

Kansas Dental Association

Annal Meetin

June 7-9, 2012

Hotel at Old Town

Wichita, Kansas


2/10

Thrsday, Jne 7, 2012

9:00 am - 11:00 am Council and Committee Meetings

11:00 am 5:00 pm Exhibit Set Up

2:30 5:00 pm KDA Board of Delegates

5:00 6:30 pm Welcome Social in Exhibit Hall

Reistration InformationOnly one form per registrant; duplicate as necessary. Mastercard, Visa, and checks made pay-able to the Kansas Dental Association are accepted for payment. An entire ofce can send theirforms together and make one payment. A $40 late fee will be charged for EACH registrant afterMay 28, 2012 EXCEPT for dental spouses/guests and dental students. A $50 processing fee willbe charged for each on-site registration EXCEPT for dental spouses/guests and dental students.

Meetin Location

All programs and activities will be held at:

Hotel at Oldtown Conference Center830 East 1st StreetWichita, KS 67202www.hotelatoldtown.com

Hotel ReservationsRoom reservations for the meeting will be made by individual attendees directly with the Hotelat Oldtown reservations at (877) 265-3869. All reservations must be guaranteed with a majorcredit card. Reservations mst be received on or before 5:00 PM, Tesday, May 15, 2012.After this time, reservations will be based on a space-and-rate-available basis. The KDA does notreserve or put a hold on extra rooms. If any meeting attendee books a room outside the groupblock through a travel agency or discount site, please let a KDA Staff person know so we canhave it credited towards the KDAs block.

Dr. Gene McGill, Chair

Dr. Craig Herre, KDA President Elect

Dr. Rob Herwig

Dr. Greg Kilbane

Dr. Lucynda Raben

Dr. Nicole Rogers

Niki Gustafson, KDA Staff

Concil on Annal Session and Events Members

2


3/10


4/10

Corky Willhite, DDS has achieved Fellowship by

the Academy of General Dentistry and the Ameri-can Collee of Dentists. He is one of 50 Fellowsof over 6,000 American Academy of CosmeticDentistry members worldwide and has servedon their Board of Governors (currently AmericanBoard of Cosmetic Dentistry) and spent years asan Examiner for Accreditation. He is on the faculty

of the Center for Esthetic Excellence in Chicago and post-graduateesthetic programs at Eastman Dental Center and the University ofMinnesota. His private practice in suburban New Orleans, The SmileDesign Center, is limited to Cosmetic Dentistry.

Abot the Speakers

Dr. Kaneta R. Lott has helped to shape thesmiles of hundreds of children since 1984. Sheearned her Doctor of Dental Surgery fromEmory University and completed her residency at

Emory University and Scottish Rite Hospitals. Herpractice is in metropolitan Atlanta. A renownednational speaker and motivator, Dr. Lott lecturesnationally on Pediatric Dentistry and Dental

Traumatology. She is a consultant to the Georgia Board of Dentistryand the American Dental Association and has served as an Assist-ant Clinical Professor in the department of Pediatric Dentistry at TheMedical College of Georgia. Dr. Lott is also a fellow with the Ameri-can College of Dentists and The International College of Dentists.She is a member of numerous local, state, and national professionaland civic organizations.

Robert Marbach, BA, CDT is a Past Board ofDirectors at The Pankey Institute. He is Founderof Authentic Dental Lab in San Antonio, TX. Mr.Marbach is a Board Certied Dental Techni-cian currently working on his Masters in dentaltechnology and has over 25 years of dentalexperience. In 1999 Bob received his Techni-

cal Certicate of Completion from the PankeyInstitute. Mr. Marbach is a past member of the Advisory Board forThe Canadian Journal of Dental Technology. He is also a memberof the prestigious TEREC Group, a technical research consortium.Bob has lectured internationally for many years and his lecture hasreceived approval from the Academy of General Dentistry. He hasalso received his Fellowship in the Academy of Dental Facial Esthet-ics and received the National Association of Dental LaboratoriesInventors Award for developing and patenting the Shade Wand, ashade-taking light used by dentists worldwide. And, in 2011 he wasinducted into the American Society For Advanced Dental Esthetics.

Laney Kay, JD of Entertaining Training, LLC. is anationally known speaker and writer on technicaland regulatory topics and womens issues. Herexpertise is in taking very complex, and/or in-credibly boring, topics and making them both funand informative. She is a featured consultant withthe ADAs CELL Seminar Series and has taughtcourses at multiple Hinman and ADA meetings,

the TBSE, the Yankee Dental Congress, the Chicago MidwinterMeetin, the Pacic NW Dental Conference, the Texas Meetin, theSW Dental Conference, plus other national, state and district meet-ins, study clubs and in individual ofces all over the country.

4


5/10

TRANSITIONAL BONDINg: NON-TRADITIONAL DIRECT RESINRESTORATIONS FOR MAJOR OCCLuSAL & ESTHETIC CHANgES

- Corky Willhite, DDSLearn a practical technique using composite that offers many advantagesover traditional composite or porcelain restorations. Patientsincludingthose that need extensive changes for function and estheticslove conser-vative treatment, whether for nancial reasons or just because they dontwant their teeth drilled down. Requiring virtually no prep even for smilemake-overs and full mouth rehabilitation cases, long-lasting results can beexpected.

This course is very different than other resin courses. It is NOT about how tolayer the resins, tints and opaquers but covers additional information that willhelp any doctor master their Composite Bonding skills.

After attending this course, participants should know:

How to provide solutions for common problems (such as severe wear)Why porcelain isnt always the best optioneven in non-compliant patientsHow to build large composite restorations quickly and conservatively

Practical occlusal principles for maximizing longevity

COMPOSITE BONDINg: THE uLTIMATE ESTHETICSCOuRSE

- Corky Willhite, DDSComposite is the most versatile material available for making minor or majorchanges in dental appearance. With proper technique, its function and lon-evity rivals porcelain while providin benets other materials cant match.So why are so few dentists maximizing this potential? A dentists success withbasic operative restorations doesnt always translate into success with morecomplex freehand restorations and full resin veneers. This comprehensiveseminar will benet each attendee by sharin an oranized step-by-stepapproach that includes operative technique as well as vital diagnostic andmarketing skills to achieve Ultimate Esthetics with freehand compositerestorations.

After attending this course, participants should know:

Step-by-step procedure for individual tooth changes (Class IV, colorchange, etc.)

Verbal skills that will gain patient interest and increase patient acceptanceRelating occlusion and excellent function to cosmetic procedures to

enhance valuePolishin technique for an incredibly natural nish

TRIAgE DENTAL TRAuMA: CPR FOR PERMANENT ANDPRIMARY TEETH - Kaneta Lott, DDS

One child per classroom may experience a traumatic dental injury. Theprimary care dentist needs to act quickly and skillfully. Triage treatment

determines the prognosis.The program is designed to improve the participants ability to treat atraumatic dental injury and is designed for all attendees.

Each participant will receive:

Pre-packaged supply listListing of the necessary radiographsFull understandin of the healin processStep-by step evaluation approachLogical evaluation form that reviews: Extra and intra-oral soft tissues,

Facial and dental bones, Periodontia and tooth structuresListing of the necessary clinical tests

Specialist referral listTimetable for follow-up treatment

CHILDREN DESERVE THE BEST - Kaneta Lott, DDS

This course will explore the additional skills needed to provide dental care to

the pediatric patient. It will also improve the condence of the staff and im -prove their rapport with the parent. It is recommended for the entire dentalteam.

After attending this course, participants should be able to answer the followingquestions:

How does the parent stop nihttime bottle-feedin?How can you et rid of the pacier?What is the best way to introduce the child to the dental environment?At what ae should a child have their rst dental exam?Why do pediatric dentists do so many stainless steel crowns?When is pulp therapy necessary and effective?

What are the benets of bilateral and unilateral space maintainers?How do I take an impression and prevent the child from throwing up?

Friday, Jne 8 - 8:30 am - Noon - 3 CEu Friday, Jne 8 - 1:30 pm - 4:45 pm - 3 CEu

5


6/10

Make Yor RoomReservations NOW!

Hotel at Oldtown

(877) 265-3869

Room rates are $119 plus tax for a standard room.Reservations mst be made by 5:00 pm May 15, 2012.Mention you are with the Kansas Dental Association toget this rate.

Included in your room rate is a full breakfast, so nocontinental breakfast will be provided in the conference

center. However, coffee, tea and water will be available.

BLOOD, SPIT & FEARS: A PAINLESS OSHA uPDATE - Laney Kay, JD

Lets face itmost OSHA training courses are anything but fun. Join us for a class that will change

your mind forever. Its fast, its informative, its fun, and it satises your annual OSHA requirements.Well cover the newest infection control and HIPAA guidelines, new disease information, and otherrelevant regulations.

After attending this course, participants should be able to:

Understand the importance of standard precautions and the use of PPE in the dental ofceRecognize the importance of the CDCs infection control guidelines and training for the dental

health care workerRecognize the role of regulatory and risk management issues in dentistryIdentify strateies that can prevent occupational exposures to blood and body uids, ALL

without being put to sleep!

Satrday, Jne 9 - 9:00 am - Noon - 3 CEu

6


7/10

This detailed lecture and powerpoint presentation will discuss and illustratethe latest in CAD/CAM digital technology relating to you, your assistant,and your lab. Identify the basics of occlusion and how it relates to the suc-cess of anterior restorations and full mouth rehabilitation. Facin the estheticchallenges in your practice to decide today what type of restoration is bestfor your patient. View clinical secrets on preps, temps, impressions, cords,cements and why is shade selection difcult and how to et it riht the rsttime.

After attending this course, participants should be able to:

Understand the difference between intraoral scanners vs. conventionalimpressions

Identify the problems associated with color and lighting and how to im-prove our shade-taking ability

Trouble shoot impression techniques and materials to get perfectimpressions

Apply the communication tools needed to achieve optimal resultsbetween you and the lab

Understand the basics of occlusion in restoring anterior teeth.Know what questions to ask and tools required to achieve excellent

anterior estheticsSee the differences in

restorative productsavailable and how tochoose the best foryour patient

DENTISTRY ISNT EASY ... LEARN SECRETS FOR SuCCESS IN CONVENTIONAL/DIgITAL DENTISTRY AND PERFECTINg LABCOMMuNICATIONS - Robert Marbach, BA, CDT

Celebrate 140 Years of Kansas Dental Association

Please join us for an evening to celebrate the Kansas Dental Association and the 140 Years, 140Stories project. Over the past year, the KDA has traveled the near and far corners of the state,photographing member dentists. Weve focused on unique interests, hobbies, and distinct loca-

tions in which they practice. These photographs will be on display at the KDA Presidents CocktailReception and Dinner, when we will unveil our photos to the KDA Membership.

This compilation of photos will be arranged into a coffee table book later this year to be madeavailable to KDA members. Each dentists photograph in the book will be in black and white andeach are holding a number from 1 to 140 which corresponds to their page location in the book.These photographs and stories are an incredible array of passions and histories unique to eachdentist, while demonstrating the common energy and passion of our great state.

Please join us to celebrate the book during the Kansas Dental Associations Presidents CocktailReception and Dinner.

7


8/10

Welcome Social in Exhibit HallThrsday, Jne 7 4:00 to 5:30 pm / no charge ALL MEETING ATTENDEES

Come early and join your colleagues for wine and hor dourves in the Exhibit Hall Thursday afternoon. Show the exhibi-tors how much the KDA appreciates their ongoing support. We could not continue to host this meeting without them!Join the executive committee in welcoming new members into the Kansas Dental Association and let them know you

value their participation.

KDA Past Presidents BreakfastFriday, Jne 8 7:00 to 8:30 am FORMER KDA PRESIDENTS

The Past Presidents of the Kansas Dental Association will have their annual breakfast social on Friday mornin. Reserva-tions can be made by responding to an invitation sent by Dr. Nevin Waters to former KDA Presidents.

American College of DentistsSatrday, Jne 9 7:00 to 8:30 am MEMBERS OF THE AMERICAN COLLEgE OF DENTISTS

The American College of Dentists will have a breakfast and business meeting on Saturday morning.

Presidents Dinner Party & Cocktail ReceptionFriday, Jne 8 6:00 to 9:00 pm / $50 ALL MEETING ATTENDEES & GUESTS

The Presidents Dinner Party and Cocktail Reception is an annual gala honoring the outgoing KDA Presidents year ofservice to the association. Join your colleagues for an evening of friendship and commemoration and raise your glass toa successful year, as Dr. Hal Hales leadership term comes to an end. Two of your colleagues will also be honored for theircontributions to organized dentistry. Dr. Brett Roufs will be presented with the Dentist of the Year Award and Dr. MarkHerzog with the Dr. Harry M. Klenda Award for Outstanding Council/Committee Service Award. Plan to be a part of thisdistinguished celebration. Business attire is recommended for the evening and guests do not have to be registered forthe meeting to attend.

8


9/10

Special Events/Meals

qWelcome Reception in Exhibit Hall $ 0

qPast Presidents Breakfast (by invitation) Must be a KDA Past President$ 0

qKDA Presidents Dinner Party featuring 140 Stories Unveiling $ 50

qAmerican College of Dentist Breakfast $ 25

Payment Information Do not fax application unless paying by credit card.Reistration Fee $

KDA Presidents Dinner Party* $

*addi tiona l Dinner Par ty guests _ ___ at $50 each $

Total Payment De $

___ Check payable to Kansas Dental Association (Ck #__________ )

___ Credit Card Information (Visa/MasterCard only)

Name on Card:

Card #: Exp. Date:

Signature:

PLEASE PRINT. Use one form per reistrant. Each dentist, hyienist, assistant, ofce staff, student, spouse

or lab technician must register on a separate form. NO EXCEPTIONS. Duplicate as necessary. However,

one check or credit card number may be used to pay for the group of attendees. Please mark the box of

the courses you plan to attend, even if there is no fee.

All applications mst be made on this form. Retrn completedand sined application to:

Kansas Dental Association FAX: (785) 272-23015200 SW HntoonTopeka, Kansas 66604

If you have any questions, call the KDA ofce at (785) 272-7360

CANCELLATION DEADLINE/PENALTIES/REFUNDS: A $40 late fee willbe charged for EACH registrant after May 28, 2012 EXCEPT dentalspouses/guests and dental students. No refunds will be made afterMay 28, 2012 for any reason. Any cancellations prior to this date aresubject to a $50 handling fee PER REGISTRANT.

ON-SITE REGISTRATIONS: A $50 processing fee will be charged foreach on-site registration EXCEPT for dental spouses, guests anddental students.

MEALS/BREAKS: Thursdays Welcome Social, Fridays lunch, andbreaks in the Exhibit Hall are included in the registration fee. Break-fast will NOT be served either day but coffee, tea and water will beavailable.

Attendee Information

Last Name: First Name:

Degree: qDDSqDMD qRDH qCDAqOther________ ADA# (if applicable):

Mailin Address

Street or PO Box:

City: State: Zip:

Phone(daytime): Fax:

Email:

Reistration Cateory*There is no registration fee for attending the Presidents Dinner only, but the dinner cost of $50 will

apply and is l isted under Special Events/Meals to the right.

qKDA Member Dentist $ 325 qDental Spouse/GuestExhibit Hall Only-No Lectures $ 40

qNon Member Dentist $ 425 qDental Student $ 0

qRegistered Dental Hygienist $ 185 qBusiness Meeting / Presidents Dinner Only* $ 0

qDental Ofce Personnel/Lab Tech $ 115 qExhibitor/Sponsor to Attend CE Course $115

CE Prorams Please register for the courses you are planning to attend (one per time slot) for accurate event/room planning purposes. Friday Morning Programs 8:30 am Noon

qTransitional Bonding: Non-traditional Direct Resin Restorations for Major Occlusal and EstheticChanges - Corky Willhite, DDS

qTriae Dental Trauma: CPR For Permanent and Primary Teeth - Kaneta Lott, DDS

Friday Afternoon Programs 1:30 4:45 pmqComposite Bonding: The Ultimate Esthetics Course - Corky Willhite, DDS

qChildren Deserve the Best- Kaneta Lott, DDS

Saturday Morning Programs 9:00 am Noon

qDentistry Isnt Easy...Learn Secrets For Success in Conventional/Diital Dentistry and Perfectin LabCommunications- Robert Marbach, BA, CDT

qBlood, Spit & Fears: A Painless OSHA Update- Laney Kay, JD

Please attach the names of unregistered guests attending the dinner with you.

Although some events have no fee, please register ifattending for accurate event/meal planning purposes.

KDA Annal Meetin - Jne 7-9, 2012 Reistration Form

9


10/10

PrsrtdStd

U.S.Pos

tage

PAID

Topeka,KS

66604

PermitNo

.545

KANSASDENTALASSOCIATION

5200SWHuntoon,Topeka,KS66604

Tel:(785)272-736

0Fax:(785)272-2301

Website:www.ksdental.org

2012 kda annual meeting registration

Documents