melbourne 2017 - ada · • stand up lunch held in the exhibition – thursday 18th, friday 19th...

OzAccom mailing details

Please forward your completed form to:

OzAccom PTY LTD

PO Box 104, RBH Post Office,

Queensland 4029, Australia

Contact details

E | [email protected]

T | 1800 814 611 – Toll Free (within Australia)

T | +61 7 3854 1611

F | +61 7 3854 1507

MELBOURNE 2017Wednesday 17th – Sunday 21st May

Section A: Delegate contact details

The information submitted is reproduced in the Delegate Lists at Congress and used for all mailings. Please complete all fields, and ensure that the information is current and correct.

ADA Federal Membership Number (If Applicable):

Last Name: First Name: Title:

Organisation: Position:

Primary Postal Address:

Town/Suburb/City: State: Postcode:

Country: Primary Phone: Mobile:

Fax: Email:

Preferred Name on Name Badge:

Student Identification Number (If Applicable):

Dental 1st Year Graduate ADA Member (If Applicable) date of – Qualification: First registration in Australia:

Dental 2nd Year Graduate ADA Member (If Applicable) date of – Qualification: First registration in Australia:

Other National Dental Association (FDI Member) – Country/Membership Number (for Overseas Dentists):

Congress Registration Form

| Australian Dental Congress 2017

mailto:adc2017%40ozaccom.com.au?subject=

Section B: Registration – Congress Registration (In AUD Including GST)

What you need to know and acknowledge before you register:

• If you’re going to attend and participate in Congress and its exhibition you must register. No matter how many of you are coming along, each person must fill out their own registration form.

• When you register, register as the profession you hold i.e. if you’re a dentist, you must register as a dentist. That goes for partners or spouses with professional qualifications.

• If you’re an overseas dentist who is a financial member of your national dental association (FDI member) you will only need to pay the ADA member rate and supply proof of current membership.

• Students – you need to have a valid ID card at the time of Congress.

• If you're a 1st or 2nd year ADA graduate member, you must provide formal evidence of your date of qualification or first registration. To be eligible for the Dental 1st Year Graduate registration rate, the date of qualification must be within 18 months prior to the Congress date.

• Remember that the workshops and lunch and learn sessions are strictly subject to availability, so don’t miss out! Available to dentists only.

Categories Standard Price(From 11 March 2017)

Main Scientific Programme: Wednesday 17th May 2017 – Sunday 21st May 2017

Dentist – ADA Member AUD $1400

Dentist – ADA Retired Member AUD $560

Dentist – Non Member AUD $2870

Dental 2nd Year Graduate ADA Member AUD $1050

Dental 1st Year Graduate ADA Member AUD $855

Dental Undergraduate ADA Member AUD $425

Lay Persons Directly Associated with Dentistry AUD $1400

Dental Hygienists & Therapists Programme: Friday 19th May 2017 – Saturday 20th May 2017

Dental Hygienists, Oral Health Therapists and Dental Therapists AUD $880

Practice Managers Programme: Friday 19th May 2017 – Saturday 20th May 2017

Practice Managers AUD $550

Dental Prosthetists Programme: Friday 19th May 2017 – Saturday 20th May 2017

Dental Prosthetists AUD $550

Dental Assistants Programme: Friday 19th May 2017 – Saturday 20th May 2017

Dental Assistants AUD $550

Accompanying Persons Programme: Wednesday 17th May 2017 – Sunday 21st May 2017

Accompanying Person AUD $300

Please tick the following if applicable

Congress Local Organising Committee ADA Committee Member Honorary Life Member

Registration Category Subtotal (Section B)

AUD $


Congress Registration Entitlements

Main Scientific Programme: Wednesday 17th May 2017 – Sunday 21st May 2017

• Access to the Main Scientific Programme – Wednesday 17th - Sunday 21st

• Congress Name Badge, Lanyard & Pocket Programme

• Congress satchel

• Congress publications and related materials

• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th - Saturday 20th) and Congress Late Night (Saturday 20th)

• Morning and afternoon tea held in the exhibition – Thursday 18th, Friday 19th & Saturday 20th

• Stand up lunch held in the exhibition – Thursday 18th, Friday 19th & Saturday 20th

• Final morning tea held outside of the plenary session – Sunday 21st

• CPD Attendance Advice (provided electronically based on total session attendance)

Dental Hygienists and Therapists Programme: Friday 19th May 2017 – Saturday 20th May 2017

• Access to the Dental Hygienists and Therapists Programme – Friday 19th & Saturday 20th




• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th - Saturday 20th) and Congress Late Night (Saturday 20th)

• Morning and afternoon tea held outside your session room – Friday 19th & Saturday 20th

• Stand up lunch held in the exhibition – Friday 19th & Saturday 20th


Practice Managers Programme: Friday 19th May 2017 – Saturday 20th May 2017

• Access to the Practice Managers Programme – Friday 19th & Saturday 20th




• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th – Saturday 20th) and Congress Late Night

(Saturday 20th May)




Dental Prosthetists Programme: Friday 19th May 2017 – Saturday 20th May 2017

• Access to the Dental Prosthetists Programme – Friday 19th & Saturday 20th




• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th – Saturday 20th) and Congress Late Night (Saturday 20)




Dental Assistants Programme: Friday 19th May 2017 – Saturday 20th May 2017

• Access to the Dental Assistants Programme – Friday 19th & Saturday 20th




• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th – Saturday 20th) and Congress Late Night (Saturday 20th)



Accompanying Persons Programme: Wednesday 17th May 2017 – Sunday 21st May 2017

• Access to a dedicated Accompanying Persons lounge – Wednesday 17th - Sunday 21st

• Accompanying persons event – Thursday 18th




• Admission to Welcome Reception (Wednesday 17th), Exhibition (Thursday 18th – Saturday 20th) and Congress Late Night (Saturday 20th)

• Morning and afternoon tea held in the exhibition – Thursday 18th, Friday 19th & Saturday 20th

• Stand up lunch held in the exhibition – Thursday 18th, Friday 19th & Saturday 20th

• Final morning tea held outside of the plenary session – Sunday 21st


Section C: Workshop registration

Dentists Only. Strictly limited numbers available. Programme subject to change. You can only attend one Workshop.

Only on Wednesday 17th May 2017

Full day workshop Cost per person (incl. GST)

Review of relative analgesia – The forgotten art and treatment options

Presented by Dr Angelo Preketes, Dr Robert Turnbull and Dr Michael WalkerMaterials sponsored by Air Liquide

AUD $990

Adopting new digital technologies in practice

Presented by Dr Phillip Tan and Mr Lachlan Thompson Sponsored by Dental Axess

AUD $990

Soft tissue management for creating a framework for the perfect smile

Presented by Dr Michael Danesh-Meyer Sponsored by Dental Axess

AUD $990

Minimally invasive surgical techniques using Piezo ultrasonic devices

Presented by A/Prof Marcel Wainwright Sponsored by Acteon

AUD $990

Simplicity in the restoration of vital and non vital-teeth: workflows, protocols, new materials and techniques

Presented by Dr Simone GrandiniSponsored by Dentsply Sirona

AUD $990

Experience Clinical CAD/CAM: Imaging, Design and Delivery

Presented by Prof Dennis FasbinderSponsored by Dentsply Sirona

AUD $990

Half day workshop AM PM

Fibre reinforced composite resin bridges. A cost effective, aesthetic and conservative option

Presented by Prof Ian Meyers Sponsored by GC

AUD $550 AUD $550

The anterior aesthetic restoration using the “Controlled Layer Concept” with composites: A system for simplification and predictability

Presented by Dr Anthony Mak Sponsored by GC

AUD $550 AUD $550

Skulpting Skool 102: Direct anteriors using Grandio SO: A simplified approach

Presented by Dr Clarence Tam and Mr Gregor ConnellSponsored by VOCO

AUD $550 AUD $550

Section D: Lunch and Learn registration

Dentists Only. Strictly limited numbers available. Programme subject to change. You can only attend one Lunch and Learn session per day.

Thursday 18th May 2017 | 12.00 PM – 1.30 PM

Fundamental inner ergonomics for dentists | Presented by Dr Aniko Ball AUD $100

Oral Appliance Therapy for Snoring and Sleep Apnoea - the steps for incorporating this treatment into dental practice | Presented by Dr Harry Ball

AUD $100

Resistance and retention form revisited – Tooth preparation for fixed prosthodontics | Presented by Dr Graham Carmichael AUD $100

Periapical surgery | Presented by Dr Peter Case AUD $100


Thursday 18th May 2017 | 12.00 PM – 1.30 PM (cont.)

Tips for negotiating tricky root canals to patency | Presented by Dr Theo Chan AUD $100

Bracketing for success – The pop-off problem | Presented by Mr Gregor Connell | Sponsored by VOCO AUD $100

Soft tissue grafting around implants – Possibilities and limitations | Presented by Dr Mark Farmer AUD $100

Cements and fixed prosthodontics | Presented by Dr Mark Gervais AUD $100

Optimising your ClinCheck® Pro experience | Presented by Mrs Tanya Hill | Sponsored by Invisalign AUD $100

Do I really need to lose that tooth? Limits of periodontal treatment | Presented by Dr Alice Huynh AUD $100

Indications & patient experience with orthognathic surgery | Presented by Dr Amanda Leen AUD $100

Zirconia crowns for children | Presented by Dr James Lucas AUD $100

Impression tips & tricks for full dentures | Presented by Dr John Pearson AUD $100

Overview of orthognathic surgery – what our patients can expect | Presented by Dr Sophia Richardson AUD $100

Instrument sharpening | Presented by Dr Don Watkins AUD $100

Minimally invasive endodontic access | Presented by Dr Morgan Wu AUD $100

Tips and tricks with rubber dam | Presented by Dr Michael Wyatt AUD $100

Friday 19th May 2017 | 12.10 PM – 1.40 PM

Removable partial denture design – a refresher for the general dentist | Presented by Dr Jaafar Abduo AUD $100


Oral appliance therapy for snoring & sleep apnoea – The range of appliances, criteria for selection and dealing with side effects | Presented by Dr Harry Ball

AUD $100

Sleep medicine for dentists | Presented by Clinical A/Prof Ramesh Balasubramaniam AUD $100

Predictable impression techniques for indirect restorations and implant procedures | Presented by Dr Asheen Behari | Sponsored by 3M Oral Care

AUD $100

Are there limits to non-surgical periodontal treatment? What can we achieve? | Presented by Dr Suman Bellur AUD $100

Diagnosis and management of tooth resorption | Presented by Dr Ilya Belobrov AUD $100

New technologies in endodontics in search of better treatment outcomes | Presented by Dr Patrick Caldwell AUD $100



Will it stick? Where are we now with bonding and adhesive dentistry? | Presented by Dr Chee Chang AUD $100

Maintenance of implant restorations – From single teeth to full-arches | Presented by Dr John Cho AUD $100

Time is money – Streamlining and multipurpose materials | Presented by Mr Gregor Connell | Sponsored by VOCO AUD $100

Composite resin restorations – Planning to polishing | Presented by Dr Tennent Emerson | Sponsored by 3M Oral Care AUD $100


Cracked teeth – restore or extract? | Presented by Dr Daniel Felman AUD $100

Management of the open apex | Presented by Dr Sara Firouzabadi AUD $100


Posterior composites – How to get fast, easy, predictable and aesthetic outcomes | Presented by Dr Paul Gorgolis | 3M Oral Care

AUD $100

Cracked teeth | Presented by A/Prof Bill Kahler AUD $100


Friday 19th May 2017 | 12.10 PM – 1.40 PM (cont.)

Invisalign – It’s not as easy as it looks | Presented by Dr Igor Lavrin AUD $100


Oral cancer – I don’t want to miss a thing | Presented by Prof Michael McCullough AUD $100

Peri-implant maintenance: Instrumentation and techniques | Presented by Mrs Melosh Naicker AUD $100

Improving hygiene for the management of oral health | Presented by Dr Luan Ngo AUD $100

Management strategies for congenitally missing teeth | Presented by Dr Desmond Ong AUD $100

Resin-bonded bridges | Presented by Dr Nick Palfreyman AUD $100


Overview of orthognathic surgery – what our patients can expect | Presented by Dr Sophia Richardson AUD $100

Pulpal and periapical differential diagnosis | Presented by Dr Nigel Souter AUD $100

How the new restorative iTero Element feature will accelerate your practice | Presented by Mr Brett Swinney | Sponsored by Invisalign

AUD $100

Intra-oral scanning & CAD | Presented by Dr Phillip Tan AUD $100

Instrument sharpening | Presented by Dr Don Watkins AUD $100


Tips and tricks with rubber dam | Presented by Dr Michael Wyatt AUD $100

Saturday 20th May 2017 | 12.10 PM – 1.40 PM

Removable partial denture design – a refresher for the general dentist | Presented by Dr Jaafar Abduo AUD $100


Oral appliance therapy for snoring & sleep apnoea – the steps for incorporating this treatment into dental practice | Presented by Dr Harry Ball

AUD $100

Predictable impression techniques for indirect restorations and implant procedures | Presented by Dr Asheen Behari | Sponsored by Sponsored by 3M Oral Care

AUD $100

Are there limits to non-surgical periodontal treatment? What can we achieve? | Presented by Dr Suman Bellur AUD $100

New technologies in endodontics in search of better treatment outcomes | Presented by Dr Patrick Caldwell AUD $100



Will it stick? Where are we now with bonding and adhesive dentistry? | Presented by Dr Chee Chang AUD $100

Maintenance of implant restorations – From single teeth to full-arches | Presented by Dr John Cho AUD $100

Natural synthetics – Do they exist? | Presented by Mr Gregor Connell | Sponsored by VOCO AUD $100

Composite resin restorations – Planning to polishing | Presented by Dr Tennent Emerson | Sponsored by 3M Oral Care AUD $100


Cracked teeth – Restore or extract? | Presented by Dr Daniel Felman AUD $100


Posterior composites – How to get fast, easy, predictable and aesthetic outcomes | Presented by Dr Paul Gorgolis | 3M Oral Care

AUD $100


Saturday 20th May 2017 | 12.10 PM – 1.40 PM (cont.)

Nutrition and Oral Health: What is the role of dental practitioner? | Presented by Clinical A/Prof Matthew Hopcraft AUD $100

Do I really need to lose that tooth? Limits of periodontal treatment | Presented by Dr Alice Huynh AUD $100

Cracked teeth | Presented by A/Prof Bill Kahler AUD $100

Indications & patient experience with orthognathic surgery | Presented by Dr Amanda Leen AUD $100

Clinical protocols for patients on anti-coagulants and anti-osteolytic medications | Presented by Dr Bernard Lim AUD $100


A Style Italiano “tasting” session | Presented by Dr Jordi Manauta | Sponsored by 3M Oral Care AUD $100

Oral cancer – I don’t want to miss a thing | Presented by Prof Michael McCullough AUD $100

Post & core technique | Presented by Dr Praveen Nathaniel AUD $100

My tips when reviewing ClinCheck® Treatment Plan | Presented by Dr Jason Ng | Sponsored by Invisalign AUD $100

Improving hygiene for the management of oral health | Presented by Dr Luan Ngo AUD $100

Onlays Update | Presented by Dr Phillip Yeung AUD $100

Resin-bonded bridges | Presented by Dr Nick Palfreyman AUD $100


Corticotomies and orthodontic tooth movement | Presented by Dr Braydon Patterson AUD $100

Fractured endodontic files and instruments | Presented by Dr Mehdi Rahimi AUD $100

Pulpal and periapical differential diagnosis | Presented by Dr Nigel Souter AUD $100

Orofacial pain of non-odontogenic origin | Presented by Dr Jonothan Tversky AUD $100

Early treatment in orthodontics | Presented by Dr Margaret Wang AUD $100

Cantilevered implant restorations | Presented by Dr Simon Watson AUD $100


Workshops/Lunch & Learns Subtotal (Section C/D)

AUD $


Section E: Accommodation

Hotel Star Rating Walking Distance To Venue Room Type Event Room Rate* (Per Night Incl.GST)

Hilton South Wharf Internal link on level 1 of the hotel

Hilton King Guest RoomAUD $310

Hilton Twin Guest Room

Queen Hilton FamilyAUD $329

King Hilton Guest Plus

Crown Towers 450m Deluxe Room AUD $395

Crown Metropol 3 minutes Luxe Room AUD $280

Crown Promenade 500m Standard Room AUD $270

MSSA Whiteman Street 300m

1 Bedroom no balcony AUD $232

1 Bedroom AUD $250

2 Bedroom, 2 Bath AUD $380

3 Bedroom AUD $515

Crowne Plaza Melbourne 3 minutes Standard Room AUD $255

Holiday Inn on Flinders 7 minutes Standard Room AUD $245

Adina Executive North Bank 6 minutes 1 Bedroom AUD $329

MSSA MP Deluxe 650m

1 Bedroom AUD $250

2 Bedroom 1 Bath AUD $339



Travelodge Southbank 10-15 minutesSingle/Double

AUD $185Twin

Great Southern Hotel Melbourne 7 minutes Superior Courtyard AUD $120

Pensione Melbourne 6 minutes

Shoebox AUD $120

Double Room AUD $155

Twin Room AUD $229

Grand Hotel Melbourne 12 minutesDeluxe Studio AUD $229

Deluxe One Bedroom AUD $249

* Please note there are alternative online rates available

Please indicate your accommodation preference and requirements below:

Hotel Preference: 2nd Preference:

Room Type: Share with:

Arrival Date: ETA: Departure Date:

Section F: Accommodation Deposit Details

A deposit is required to secure and confirm your accommodation. This can be provided by either credit card or cheque, and will be equivalent to one night’s accommodation. If utilising your credit card, please complete the payment section J, by ticking the box marked credit card. In ticking this box the accommodation venue may charge the equivalent of one night’s accommodation to your credit card prior to arrival. (An imprint of your credit card will be required upon check in and your full account is to be settled with the hotel on departure. NB. No monies will be debited from your credit card by OzAccom Pty Ltd for accommodation.) Alternatively if you are paying the one night deposit by cheque, tick the cheque payment box and insert the accommodation deposit of one night where stated in section G and include this amount in the cheque total.

Accommodation Deposit (1 night deposit) Subtotal (Section E/F)

AUD $


Section H: Privacy

a) I consent for my name, position and address details to be used in delegate lists produced for the Congress. This will be supplied to organising bodies, specific sponsors and exhibitors.

Yes

No

b) I consent for my name, position and address details to be passed on to other organisations involved in organising a similar event or distributing material related to the subject matter of the Congress.

Yes

No

c) I consent that with reference to a) & b) this may also include my email address. Yes Yes, a) only

No Yes, B) only

Section I: Air Travel Requirements

Ozwings Travel, a division of OzAccom Pty Ltd, has been appointed to assist delegates with their travel needs. Ozwings is able to assist you with Domestic and International travel. By completing the below, an Ozwings consultant will contact you to discuss the flight options available for your intended travel. Alternatively please contact Ozwings on 1800 814 611. Travel Management fees apply. Keynote, International Speakers and relevant committee members will be contacted by the Congress Secretariat regarding their travel.

Departure Airport: Departure Date: Departure Time:

Return Airport: Return Date: Return Time:

Airline: Frequent Flyer No: Class of Travel:

Section J: Payment

Registration Category Subtotal Section B AUD $

Workshops/Lunch & Learns Subtotal Section C/D AUD $

Accommodation Deposit (1 night deposit) Subtotal Section E/F AUD $

TOTAL AUD $

Cheque Payments: (Payable to OzAccom Pty Ltd) Credit Card Payments: (Please provide details below)

MasterCard Visa Amex Diners Club

Credit Card Number: Expiry Date: CCV:

Cardholder’s Name: Cardholder’s Signature:

Section G: Special Needs/Dietary Requirements

If you have any special needs please specify. Every attempt will be made to meet your requirements; however this

may not be possible in every case.

Vegetarian Lactose intolerance Gluten Free

Allergy to Seafood Kosher Other

Vegan Halal


Section K: Booking Terms & Conditions

Note: The Name Badge is your official pass and must be clearly visible at all times to enter events and the exhibition. Your badge identifies your individual entitlements. The Congress Managers expect appropriate behaviour from attendees and reserve the right to revoke the badge of anyone behaving in an inappropriate manner.

Payment of fees

Just a reminder that your registration won’t be processed or confirmed until you’ve paid. You can make payment via Mastercard, VISA, American Express and Diners and all transactions will appear on your statement as Congress by OzAccom Pty Ltd.

If you’re paying by cheque, it must be drawn on an Australian bank and made payable to OzAccom Pty Ltd. You should mail it, along with a PDF of your delegate registration, no later than Friday 5th May 2017 to:

37th Australian Dental Congress registration, OzAccom + PO Box 104 RBH Post Office QLD 4029 Australia

Unfortunately payment can’t be accepted by direct bank transfer.

Acknowledgment

Your registration acknowledgment, which details your selected options, will include everything you need to know before you arrive at Congress, where you’ll receive your final programme and exhibition details. To keep up to date with the latest news and information in the meantime, go to www.adcmelbourne2017.com. You’ll also receive regular updates via e-newsletters, Facebook, Twitter, and YouTube.

The newsletter in particular will contain a wealth of important educational information and should be your first port of call for all the latest news about Congress.

Use of your image

By attending Congress you agree to allow your image to be used as part of event material created by the organisers including print articles, video/film and online formats.

Cancellation and refund policy

We understand that the best laid plans can go awry, so if you need to cancel your plans to attend Congress, the first thing you need to do is to let us know in writing.

Refunds for registration fees and social events

Cancelling before Friday 3rd March 2017 will attract a AUD$150 cancellation fee while doing so before Thursday 30th March 2017 will incur a 50% forfeiture of fees paid. After Friday 31st March 2017 refunds can’t be given.

Congress accommodation

All accommodation room rates are listed in Australian Dollars and are valid for the Congress only if booked through Ozaccom. Rates include GST, are quoted on a per room per night basis and are for the room only. Rates and all information are current at time of printing and may be subject to change without prior notification. Accommodation bookings made after 7th February 2017 may be subject to further terms & conditions and hotels may charge a credit card fee.

Cancellations within 7 days are subject to the hotels terms & conditions.

Note: Credit card details must be given at time of booking to guarantee reservation.

Deposit is non-refundable at Thursday 7th February 2017.

Insurance

Your registration fees do not include insurance of any kind so we strongly recommend that you take out an insurance policy at the same time as you register. Whichever policy you choose, it should cover for pretty much any eventuality including:

• Loss of fees/deposit through cancellation of your participation in the Congress, or through cancellation of the Congress

• Loss of international / domestic airfares through cancellation for any reason, tour monies through cancellation for any reason including airline or related services strikes within Australia (and elsewhere), or failure to utilise tours or pre-booked arrangements due to airline delay

• Force Majeure or any other reason

• Medical expenses (including sickness an accident cover), loss and damage to personal property, additional expenses and repatriation should travel arrangements have to be altered.

It’s important you purchase insurance in your country of origin. We don’t take any responsibility if you fail to arrange your own insurance.

I have read and agree to the 37th Australian Dental Congress registration terms and conditions. Yes No

I would like to receive my on-site 37th Australian Dental Congress information electronically and forgo printed versions. Yes No


http://www.adcmelbourne2017.com

Congress Secretariat:Australian Dental Association

Incorporated in the ACT ARBN 131 755 989

PO Box 520, St Leonards, NSW 1590 Australia

T | (61 2) 9906 4412

F | (61 2) 9906 4676


Congress Registration:OzAccom PTY LTD

PO Box 104, RBH Post Office, QLD 4029 Australia

T | (61 7) 3854 1611

F | (61 7) 3854 1507


mailto:adc2017%40ada.org.au?subject=

mailto:adc2017%40ozaccom.com.au?subject=

melbourne 2017 - ada · • stand up lunch held in the exhibition – thursday 18th, friday 19th...

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