Program - Toronto Academy of Dentistry
Transcription
Program - Toronto Academy of Dentistry
METRO TORONTO CONVENTION CENTRE, SOUTH BUILDING FRIDAY NOVEMBER 12, 2010 Program 73RD ANNUAL WINTER CLINIC INVITATION On behalf of the Toronto Academy of Dentistry, we invite you to attend the 73rd Winter Clinic on November 12, 2010 at the Metro Toronto Convention Centre – South Building. The Winter Clinic is the largest one-day comprehensive dental meeting in North America. You and your team will have the opportunity to partake in a world class clinical program and meet with exhibitors from across the dental industry. The clinical program covers a broad spectrum of topics that include: periodontal disease and the immune system, oral cancer screening, maximizing your income, posture, pain and productivity in dentistry, ethics and cosmetic dentistry, panoramic radiography, employment law, the science of shade matching, and smart financial and investment planning just to mention a few. Bring the whole team and share the knowledge. This year’s Winter Clinic exhibit floor will be larger than ever... providing the perfect opportunity to explore what’s new in dental products and services. You will also have an opportunity to take advantage of special offers exclusively at Winter Clinic. The Silent Auction will return this year better than ever! See page 3 for details on how to win great prizes simply by walking the exhibit floor. End the day on the exhibit floor to mingle with friends old and new and to find out if you have won a Silent Auction prize. When you support the Winter Clinic, you are supporting the 4 Toronto Component Societies and our strongly supportive community of dental suppliers. We would also like to acknowledge and thank the Winter Clinic committee for their strong commitment to this annual event and also the ODA, the ADTO, the ODHA, the ODAA and DIAC for their continued support. See you on the 12th of November for a full day of learning, camaraderie, and fellowship. Dr. Bob Greenbaum Chair, Winter Clinic 2010 Dr. Anthony Liscio President, Toronto Academy of Dentistry 2010-2011 Board of Directors WHO WE ARE As early as 1890 Toronto dentists had formed as a group called the Toronto Dental Society. This organization would reinvent themselves in 1906 to “form a society on a basis more suited to the demands of a profession of busy men in the most progressive city in a progressive country”. This group continued to thrive over the years and would subsequently become the Toronto Academy of Dentistry on May 8, 1922. They shared office space and staff with the RCDS and the annual fee for membership was $5.00. What was once called Clinic Night was formally changed to Winter Clinic for the meeting on December 8, 1937. The Academy had in fact been holding spring and winter clinics for many years before this, attracting several hundred dentists to each meeting. As an ODA member who practices in Toronto and belongs to: North Toronto Dental Society, Toronto East Dental Society, Toronto Central Dental Society, or the West Toronto Dental Society you are automatically a member of the Toronto Academy of Dentistry and part of this long heritage. The Toronto Academy of Dentistry draws from the four Toronto component societies for its Board members and Committee members. The Toronto Academy of Dentistry is the four Toronto component societies and all that it does is on behalf of these societies. President Dr. Anthony Liscio Past President Dr. Sam Salama President-Elect Dr. Bob Greenbaum Secretary Dr. Paul Okorofsky Treasurer Dr. Doug Jones Toronto Central Dr. Michael Bulger Toronto East Dr. Allan Goodman Dr. Sheryl Lipton North Toronto Dr. Nelly Himell Dr. Phil Novack West Toronto Dr. Jack Fingrut Dr. Janice Mummery 2010 Winter Clinic Committee Chair: Dr. Bob Greenbaum Group Clinics: Dr. Barry Chapnick Dr. Brian Chapnick Dr. Norm Kapitain Dr. Anthony Liscio Exhibits: Dr. Aldo Boccia Mr. David Lind Marketing: Dr. Brian Chapnick Dr. Shayne Lipton Dr. Ron Richardson Dr. Phil Shedletsky |2| Silent Auction: Dr. John Jenkins Audiovisual: Dr. Mark Librach Dr. Terry Shapero Photography: Dr. Warren Hing Dental Industry: Ms. Dianne Doner www.tordent.com GENERAL INFORMATION Registration / Sessions / Exhibits Location All clinical presentations and exhibits will take place at the Metro Toronto Convention Centre (SOUTH BUILDING), 222 Bremner Blvd., Toronto, ON. • Registration: Level 600 • Sessions: Level 700 • Exhibits/Food Service: Level 800 Meeting Date / Times Friday, November 12, 2010 • Sessions: 8:30am – 4:30pm (times may vary, check individual listings) • Exhibits: 10:00am – 6:00pm • Silent Auction: 10:00am – 5:00pm • Box Lunch: 11:30am – 2:00pm • Cocktail Reception: 4:30pm – 6:00pm (one drink ticket per registration/Cash Bar) • Trip Draw: 6:00pm (must be present to win) Toronto Academy of Dentistry Booth The Toronto Academy of Dentistry booth will be located at the back of the exhibit floor. Come by and say hello to our Board of Directors and Committee Members. NEW Job Fair Board The Job Fair will be located close to the Toronto Academy of Dentistry Booth. Dental professionals can post staffing notices on the Job Fair Board. Silent Auction All registrants will receive Winter Clinic Bucks with their registration package. Additional Winter Clinic Bucks may be obtained from exhibitors and at games throughout the exhibit floor. Registrants will bid by signing the Bid Sheet in each participating exhibitor’s booth. At the end of the day, the highest bidder will win the Silent Auction item, pick it up from the exhibitor’s booth and pay with the appropriate amount of Winter Clinic Bucks. Photography Contest See page 18 for the Entry Form to submit your photograph(s) in one of five categories….Ontario, Nature, Action, People or Cell Phone Pics. The contest is being sponsored by Henry Schein and prizes will be awarded in each of the five categories. All photographs submitted will be displayed and winners announced at the Winter Clinic. Children’s Policy Babies/Infants in arms (non-ambulatory are permitted in meeting rooms and on the exhibit floor provided they are not disruptive. Strollers may be used on the exhibit floor but are not permitted in the meeting rooms. If you do use a stroller on the exhibit floor, you do so at your own risk. Neither the Toronto Academy of Dentistry nor the Metro Toronto Convention Centre will be responsible for accidents that occur due to the use of strollers. Room 802A will be made available for the convenience of nursing mothers and as a change area. Complimentary Box Lunch This year, we are offering a Complimentary Box Lunch to all registered attendees. Box lunch tickets will be attached to badges (one per registration). These box lunches may be picked up between 11:30am and 2:00pm from one of 10 stations located throughout the Exhibit Floor. Official Disclaimer The Toronto Academy of Dentistry does not endorse speaker content nor products presented at the Winter Clinic. Any references by speakers to products, equipment and techniques, refers to their beliefs and not those of the Toronto Academy of Dentistry. Information on speakers is correct at time of printing. Please check our website at www.tordent.com for any changes or additions which may occur. Hotels & Tourism THE TORONTO ACADEMY OF DENTISTRY DOES NOT CONTACT WITH HOUSING BUREAUS/TRAVEL AGENCIES TO MAKE HOTEL RESERVATIONS RELATED TO THE WINTER CLINIC. The following hotels are holding blocks of rooms at discounted group rates for the Toronto Academy of Toronto’s Winter Clinic. Rooms should be booked directly with your selected hotel. Be sure to inform hotel staff that you are attending the Toronto Academy of Dentistry’s Winter Clinic in order to qualify for negotiated discounted rates. Rooms are guaranteed until the specified cut-off date and are based on availability. Where available, hotel websites can be accessed directly from the Toronto Academy of Dentistry’s Winter Clinic website: www.tordent.com. Official 2010 Winter Clinic Hotels: InterContinental Toronto Centre and The Fairmont Royal York Speaker Handouts To reduce waste, speakers have been asked to allow us to post their handouts on the Toronto Academy of Dentistry website for you to access and print. InterContinental Toronto Centre 225 Front Street West, Toronto, ON M5V 2X3 | Tel: (416) 597-1400 Single/Double Room: $215.00 + tax Online Booking: https://resweb.passkey.com/go/ ODA2010 Map to InterContinental Toronto Centre Beginning October 15, 2010 and until March 31, 2011, you can visit the Winter Clinic at the Toronto Academy of Dentistry website www.tordent.com and download a pdf of the handout(s) of your choice. As always, not all speakers will have agreed to provide a handout. CDs and Online MP3 Downloads Content Management Corp. will be audio recording many of the presentations at the Winter Clinic. To purchase audio recordings, please visit the CMC Sales Booth located in the Main Registration Area, Level 600 of the Metro Toronto Convention Centre, South Building. Audio CDs may be purchased one hour after the presentation. Orders for Audio CDs or Online MP3 Downloads may be placed at the meeting or after the meeting by calling 905.889.6555 x222, faxing 905.889.6566, emailing dorad@cmcgc. com or through the Toronto Academy of Dentistry Live Learning Centre website: www.softconference.com/TAD. The Fairmont Royal York 100 Front Street West, Toronto, ON M5J 1E3 | Tel: (416) 368-2511 Fairmont Room: $199.00 + tax Online Booking: https://resweb.passkey.com/go/ ontdental Map to The Fairmont Royal York Toronto Vibrant neighbourhoods, thriving arts, entertainment and shopping, a feast of diversity and culture with a world of tastes. Tease your senses and explore your options…then come and experience Toronto. Let the staff a the Concierge Desk (Level 600, next to Registration Area) assist you in recommending or booking an experience for you. To view and book all that the city has to offer, visit their website at www.mytorontomeeting.com www.tordent.com |3| REGISTRATION INFORMATION REGISTRATION FORM AVAILABLE ON PAGE 24 Primary Contact The person named as Primary Contact on the Registration Form will be the payer of the registration(s). Confirmation, badges, badge-holders, workshop tickets and box lunch tickets will be mailed to the Primary Contact. Register before midnight on Friday, October 15, 2010, after which date registration fees increase. Registration Categories • Everyone must register in their professional category. Practitioners cannot register under the “Guest” category • All Ontario dentists and dental students registering must be a current ODA member • All other dentists and dental students who are from outside Ontario must register in the Out-of-Province/Country category. Dentists registering in this category must have a practice address outside of Ontario • Complementary registration is extended to: 50-Year/Honorary ODA Member Dentists, Active Members of the Canadian Armed Forces Dental Unit (irrespective of local affiliation), and ODA Member Dental Students Guest Category Guests must be registered by a paid registrant in a professional category and listed as a guest in the space provided on their registration form. The registrant must verify that the guest is not a dentist, dental hygienist, dental assistant, dental technologist, or dental personnel. Registration Fee Includes Unless otherwise indicated, all participants for the Winter Clinic are entitled to: • Access to general lectures of the meeting • Access to the exhibit floor • One Box Lunch per person • 1 drink ticket, 1 draw ticket, Winter Clinic Bucks How to Pre-register • Register one to four persons per form (photocopy the form for any additional registrations) • Each form must include its own means of payment (credit card or cheque) • Do not send duplicate registrations • Registration Forms must be received before midnight on Friday, October 15, 2010 to be eligible for the early registration fee • Registration forms received after Friday, October 15, 2010 will be processed as late registrations and the higher fee will apply • Late registration badges should be picked up on-site – they will not be mailed • Register for the appropriate ticketed hands-on workshops Register Online • Log onto the TAD website (after August 15, 2010) at www.tordent.com and follow the instructions to the Winter Clinic online registration • Online registration closes at midnight on Wednesday, November 10, 2010 Register by Fax • Complete the enclosed form (including credit card information) and fax it to 1.514.798.1943 • Print a fax confirmation from your machine to verify your transmission has been successful Register by Mail Complete the enclosed form and mail it to: TAD 2010 Winter Clinic c/o Showcare 4200 boul St-Laurent, Ste. 1000 Montreal, QC H2W 2R2 Tel: 905.968.3033 Photographer: Please note that for media and promotional purposes, there will be a professional photographer present throughout the 2010 Annual Winter Clinic. If you do not wish to be photographed, please inform Michelle Holden either via email at [email protected] or at 416-967-1178. Confirmation of Receipt of Your Registration Form • A confirmation will be sent to you by e-mail, fax or mail within 48 hours of receipt of your registration form • Call 905.968.3033 if you do not receive a confirmation within one week after registration • If the information on your confirmation is not accurate, follow the instructions on the confirmation form to correct it immediately Mailing of Badges, Badge-Holders, Workshop Tickets and Box Lunch Tickets Badges, badge-holders, workshop tickets and Box Lunch Tickets will be mailed between October 1, 2010 and October 21, 2010 for registrations received by October 15, 2010. Badges, etc. for registrations received after October 15 must be picked up on-site. Out of Canada documents will not be mailed – they must be picked up on-site. Cancellation Policy (Registration and Workshop Ticket Fees) • All cancellations will be subject to a $35 administration fee per registrant • A $45 administration charge will apply if the badge has been mailed out and subsequently returned • No refunds will be issued for cancellations received after midnight on Friday, October 29, 2010 • All refunds will be processed by Friday, December 31, 2010 • Fax or email cancellations letters to: TAD 2010 Winter Clinic c/o Showcare email: [email protected] Fax: 1.514.798.1943 Badges, workshop tickets and box lunch tickets must be returned by MAIL in order for refunds to be processed. Mail to: TAD 2010 Winter Clinic c/o Showcare 4200 boul St-Laurent, Ste. 1000 Montreal, QC H2W 2R2 Tel: 905.968.3033 Substitutions Request for substitutions must be in writing and received by Friday, October 29, 2010. Fax or email requests for substitutions to: TAD 2010 Winter Clinic c/o Showcare Email: [email protected] Fax: 1.514.798.1943 Please do not mail requests for substitutions. IMPORTANT – Register Early Register early – take advantage of lower registration fees and have your badge, badge-holder, workshop tickets and box lunch tickets mailed to you… no waiting in line. The early registration (lower fee) deadline is midnight on Friday, October 15, 2010. On-site Registration Desk Location and Hours Metro Toronto Convention Centre, South Building, Level 600, 222 Bremner Blvd., Toronto, ON • Open from 7:00am – 4:00pm |4| www.tordent.com WINTER CLINIC 2010 | SPEAKER SCHEDULE R Repeated C Continued & New Topic TICKETED WORKSHOP Metro Toronto Convention Centre – SOUTH BUILDING Friday November 12, 2010 Presenter Time Room # Bader (Periodontics) pg 6 8:30am – 11:30am & 1:30pm – 3:30pm 716B Barnett (Endodontics) pg 6 1:30pm – 4:30pm 703 Blair/Henderson/Chong Yen/Rosenthal (Practice Management) pg 7 8:30am – 11:30am 714B Caruso (Health/Wellness) pg 7 8:30am – 11:30am & 1:30pm – 4:30pm 701B Faith/Letkemann /Matsui/Rajczak (Ethics) pg 8 8:30am – 11:30am 712 Fletcher/Hoffman/Shapiro (Practice Management) pg 9 8:30am – 11:30am 707 Perschbacher/Summerfield/Svirsky (Multi) pg 9 8:30am – 11:30am 715A Groves/Sim (Canadian Forces) pg 10 8:30am – 11:30am 709 Invisalign Essentials 1 pg 15 8:00am – 12:00noon C 1:30pm – 5:00pm 717AB Invisalign Essentials 2 pg 15 8:00am – 12:00noon C 1:30pm – 5:00pm 713A Kessler (Restorative) pg 10 8:30am – 11:30am & 1:30pm – 4:30pm 718B Lai (Periodontics) pg 11 1:30pm – 4:30pm 713B Melamed (Magic) pg 11 8:30am – 11:30am R 1:30pm – 4:30pm 714A Mendelson (Restorative) pg 12 8:30am – 11:30am 713B Mendelson (Restorative) pg 12 1:30pm – 4:30pm 706 Nanda (Orthodontics) pg 12 8:30am – 11:30am & 1:30pm – 4:30pm 715B Odiatu/Odiatu (Wellness) pg 13 8:30am – 11:30am & 1:30pm – 4:30m 701A Okamoto/Parubets/Whiteman (Financial) pg 13 1:30pm – 4:30pm 714B Pillersdorf (Yoga) pg 11 1:30pm – 4:30pm 711 Steinberg (Health) pg 11 8:30am – 11:30am C 1:30pm – 4:30pm 716A Sweeney (Practice Management) pg 14 8:30am – 11:30am C 1:30pm – 4:30pm 718A Werb (Preventive) pg 14 1:30pm – 4:30pm 709 Note: This year’s Winter Clinic Final Program will NOT be mailed out; rather, you will receive a copy of it by way of email blast. The Final Program WILL be available onsite as well as on the Toronto Academy of Dentistry’s website at www.tordent.com. www.tordent.com |5| Friday November 12 | Sessions | AM - Periodontal Disease Pathogenesis… the Role of the Immune System and Inflammatory Suppression 8:30am – 11:30am PM - A Review of Contemporary Periodontal Management and Adjunctive Oral Cancer Screening 1:30pm – 3:30pm PM – Biology and Technology for Successful Endodontics 1:30pm – 4:30pm Frederic Barnett, DMD Room 703 SPONSORED BY: Sybron Endo Session Chair: Dr. Shayne Lipton Herbert I. Bader, DDS, FACD, FICD Room 716B SPONSORED BY: Zila, Inc. AM Session Chair: Dr. Gerry Pearson PM Session Chair: Dr. Scott Posen AM – Periodontal Disease Pathogenesis… the Role of the Immune System and Inflammatory Suppression This session will address the current views on the etiology and pathogenesis of periodontal diseases, the development of the critical inflammatory burden as mediated by the immune mechanism and contemporary paradigms for management, including DNA-PC laboratory testing for pathogenic distribution and load. PM – A Review of Contemporary Periodontal Management and Adjunctive Oral Cancer Screening The advances in our understanding of the nature of periodontal disease and its intimate relationship to systemic changes have altered the way we look at, recognize and treat these disease entities. The shifting paradigm of diagnosis and inflammatory suppression provides the clinician with a better understanding of targeted therapy and disease control. New approaches to management include reconstructive techniques, laser therapy and more specific antimicrobials based on the causative organisms. New tests for pathogen distribution, HPV presence, etc. will be discussed as well. This session will review the treatment of the exposed pulp on immature teeth. Pulp capping and pulpotomy will be discussed for the treatment of vital teeth and apexification and revascularization will be reviewed for non-vital teeth with apical periodontitis. The use of intracanal antibiotics will also be presented. Additionally, for conventional endodontic treatment, contemporary access preparations with the use of ultrasonics will be presented for the purpose of locating hidden anatomy on molar teeth. Dr. Frederic Barnett received his DMD degree in 1978 and his Certificate in Endodontics in 1981, both from the University of Pennsylvania, School of Dental Medicine. He received his Board Certification in Endodontics in 1986, has served as the Director of Postdoctoral Endodontics at the University of Pennsylvania, and is currently the Vice-Chairman of Dental Medicine and Chairman and Program Director of the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia. Learning Objectives: • Familiarization with our current understanding of the pathogenesis of periodontal disease • Use of clinical laboratory testing • Adjunctive oral cancer screening • Gain an overview of current surgical approaches Dr. Herbert Bader is a graduate of New York University Dental School, and Harvard School of Dental Medicine postdoctoral program in periodontology. He has lectured throughout the United States and Canada for a number of years on the subjects of inflammatory suppression, diagnosis and adjunctive oral cancer screening. He holds the position of Lecturer in Periodontology at the Harvard School of Dental Medicine and is widely published in the literature. As an actively practicing periodontist he maintains busy practices in Plymouth and Cape Cod, Massachusetts. Speaker Handouts: Beginning October 15, 2010 and until March 31, 2011, you can visit the Winter Clinic at www.tordent.com and download a PDF of the handout(s) of your choice. As always, not all speakers will have agreed to provide a handout. |6| www.tordent.com | Sessions | Friday November 12 AM - Maximizing “Take Home” Money 8:30am – 11:30am AM - Posture, Pain and Productivity in Dentistry 8:30am – 11:30am PM - Fitness and Function in Dentistry: Exercising Your Options 1:30pm – 4:30pm Timothy J. Caruso, PT, MBA, MS, Cert. MDT, CEAS Jim Blair Room 701B Bill Henderson SPONSORED BY: Posture Perfect Solutions Ltd. and SurgiTel/General Scientific Corporation AM Session Chair: Ms.Terri Strawn PM Session Chair: Dr. Andrew Syriopoulos AM - Posture, Pain and Productivity in Dentistry David Chong Yen, CFP, CA David Rosenthal Room 714B SPONSORED BY: Tier Three Brokerage Ltd. Session Chair: Dr. Doug Jones Since 2006 family members of dentists are permitted to be shareholders of dentistry professional corporations. Now, almost half of all dentists in Ontario have professional corporations. These speakers joined together for Winter Clinic 2008 to speak with dentists about buying and selling dental practices. Now they have reunited for this special event to provide updated and important information on business and valuations, tax and accounting, and legal matters affecting dentistry professional corporations and how to maximize your ‘take home’ money. All dentists will benefit from this program, whether as principal, associate, sole proprietor, dentists with existing corporations and buyers and sellers. Jim Blair and Bill Henderson are senior partners in Tier Three Brokerage Ltd., a firm that specializes in the appraisal and sale of dental practices. Their practice appraisals are relied on by the major Canadian banks, while their innovative practice sale and transition plans have earned accolades from many dentist clients. David Chong Yen advises dentists on tax, estate and financial planning, valuations and accounting. Mr. Chong Yen has been a speaker at various dental schools and associations across Ontario and has published numerous tax articles for the dental community. David Rosenthal is a senior lawyer whose practice is devoted to corporate, commercial and business law, with special emphasis on advising and consulting for the dental profession. Mr. Rosenthal publishes articles regularly and lectures frequently regarding legal matters affecting dentists. www.tordent.com Posture is a key ingredient in the dental profession. Good and bad posture can positively and negatively impact the bottom line. Over time, stress can lead to a reduction in productivity and the body’s ability to heal itself. Lost work time and diminished work life are serious threats to personal and professional achievement. This program presents a hands-on approach to solving the problems that dental professionals face in the work place everyday…posture, productivity, career satisfaction and the bottom line. If you are someone who carries the weight of your clinic on your back, we need to talk! PM - Fitness and Function in Dentistry: Exercising Your Options For years dental professionals have been constrained by the limitations of their own work environment and the negative effect on their bodies. The concept of caring for our most important instrument, our body, is invaluable and often ignored. Is exercise a regular part of your life? How do you care for your most important instrument? Does fitness affect function? Choosing from among the endless number of exercise and workout routines available to the average dental professional can be time consuming, expensive and even frustrating. With so many exercise options to choose from, how can you possibly pick a good fit? This seminar is designed for the busy dental professional. We will present the benefits of regular exercise and how they relate specifically to dentistry. We will discuss the unique musculoskeletal needs of the dental professional and how fitness can impact function in the operatory. Can you, the busy dental professional, best match your musculoskeletal needs with a regular exercise routine? Is time a problem for you? Is commitment to a regular routine difficult for you? Are you a busy dental professional with no time? Are you someone living with pain and unsure where to start? This seminar will present some reliable exercise routines as well as some alternative approaches to getting a little regular exercise into your life. If you find yourself taking a rest every time you get the urge to exercise, this seminar is for you! Timothy J. Caruso is a practicing Physical Therapist who has focused his professional expertise in the area of manual therapy and orthopedics, specifically neuromusculoskeletal disorders. He is qualified in mechanical diagnosis and therapy from the McKenzie Institute USA and continues in private practice in treatment of spinal disorders. He continues with direct patient care at Shriner’s Hospital for Children in Chicago and Community Physical Therapy, a private physical therapy practice. He is a Certified Ergonomics Assessment Specialist and chairs the Ergonomics Committee at Shriner’s Hospital for Children in Chicago. |7| Friday November 12 | Sessions | AM - Ethics and Cosmetic Dentistry: What Every Dentist Needs to Know! 8:30am – 11:30am Room 712 PRESENTED BY: American College of Dentists, Ontario Section Cary D. Letkemann Karen Faith BSc, DDS BSW, Med, MSc, - Moderator RSW Rollin M. Matsui BSc, DDS, LLB Emmanuel J. Rajczak DDS, Cert. Prosth. Cosmetic dentistry is a major component of dental practice today. This panel presentation will discuss the ethical issues related to the provision and promotion of this dental service from the dentist’s perspective, the ethics / patient perspective and the legal perspective. How ought dentists reconcile the ethical tension that exists between one’s duty to heal and prevent disease with interventions that have less to do with health promotion and more to do with beauty? How do dentists manage the conflict of interest that can arise between the obligation to treat disease/promote health and the profit orientation of private practice? Does the ethical principle of patient autonomy outweigh other ethical principles like beneficence and non-maleficence? Learn why ethical consideration should be given to “what ought to be done, why ought it be done and how ought this be done” (quote from Dr. B. Secker) when providing cosmetically based treatments. What are possible adverse consequences both professionally and legally when ethical consideration is not given? Where cosmetic dentistry is being considered: should dentists use veneers or crowns instead of orthodontic treatment? Should CAD/CAM restorations be used instead of “conventional” crowns? Should posterior amalgams be replaced with tooth coloured restorations? When should anterior teeth be extracted and replaced with implant supported prostheses instead of receiving endodontic/periodontic/restorative therapy? What are reasonable fees for cosmetic dentistry? When should specialists be providing the services rather than a general dentist? These and other “real life” ethical challenges facing dentists everyday in the clinical practice of cosmetic dentistry will be discussed. Karen Faith is a Bioethicist, Consultant and Educator as well as a former Director of the Ethics Centre at Sunnybrook Health Science Centre. She is a member of the Joint Centre for Bioethics and an Adjunct Lecturer for the Factor-Inwentash Faculty of Social Work at the University of Toronto. She addresses inter-professional groups on topics pertaining to moral distress and the ethical challenges we face in healthcare. Karen continues her work in Clinical ethics education as an Organizing Board Member for the Clinical Ethics Summer Institute. Session Chair: Dr. Ken Hirshenfield Dr. Cary Letkemann has been a Fellow of the American College of Dentists since 1998 and currently serves as Vice President of the Ontario Section. He is the Past President of the Hamilton Academy of Dentistry, Canadian Academy of Restorative Dentistry and Prosthodontics as well as the International Dental Study Club. Dr. Letkemann also has Fellowships in the International College of Dentists, the Academy of Dentistry International and the Pierre Fauchad Academy and maintains a private general practice in Ancaster, Ontario. Dr. Rollin Matsui received his DDS dental degree from the Faculty of Dentistry, University of Toronto in 1979 and his LL.B. law degree from Osgoode Hall Law School, York University in 1991. He is a fellow of the American College of Legal Medicine, a member of Omicron Kappa Upsilon, Honour Dental Society and holds the following fellowships: F.A.C.D., F.I.C.D., F.P.F.A. and F.A.D.I. He was an elected RCDSO. Councillor from 19831986 and served on the College’s Complaints Committee and Discipline Committee. He provides dental-legal lectures for dentists as well as dental students at the Faculty of Dentistry, University of Toronto. He is the Oral Health Journal Editorial Board Member for Ethics and Jurisprudence. He maintains a full-time law practice in Richmond Hill and a part-time dental practice in Toronto, Ontario. In his law practice, he primarily acts for dentists in complaint and professional misconduct related matters and provides legal advice regarding business agreements involving dentists in various working relationships. Dr. Emmanuel Rajczak is primarily a full-time prosthodontist whose principal practice emphasis is in the field of crown and bridge prosthodontics, occlusion, temporomandibular joint therapy and implant prosthodontics, and his lectures are concerned mainly with the how to-do-it aspect of complex restorative dentistry. He is also mentor to a Hamilton based study club where he instructs primarily in the diagnosis and treatment planning of complex restorative cases. Dr. Rajczak has lectured to graduate students at the University of Toronto, Temple University and to continuing dental education students at the University of Buffalo, the University of Nebraska, Marquette University and Baylor University as well as to dental groups in Canada, the United States and Europe. |8| www.tordent.com | Sessions | Friday November 12 Deborah Fletcher Johanna Hoffman Melissa Summerfield – Moderator Nancy M. Shapiro AM - HR Best Practices and Employment Law: The Essentials Made Simple 8:30am – 11:30am Susanne Perschbacher Dmitri Svirsky DDS, MSc, FRCD (C) DMD, CAGS, FACP, Oral and Maxillofacial FRCD (C) Radiology AM - Panoramic Radiography: Shedding Light on the Shadows (Perschbacher) Digital Prosthodontics...An Overview (Svirsky) 8:30am – 11:30am Room 707 Room 715A PRESENTED BY: Canadian Dental Protective Association SPONSORED BY: Oral Health Session Chair: Dr. Jack Wasserman Session Chair: Ms. Melissa Summerfield This session will cover: hiring – what you can and can’t ask; how to hire effectively; employees vs. independent contractors – the difference and what it means to you; employment contracts; progressive discipline; performance management systems and reviews; implementing workplace changes; medical leaves; terminations – obligations, structuring packages and documentation; letters of reference; and conducting termination meetings. This program is designed to arm dental professionals with the HR and legal essentials of hiring, performance management and termination. It is a jam-packed session of information you cannot afford to miss! Panoramic Radiography: Shedding Light on the Shadows (Perschbacher) Deborah Fletcher is an experienced Human Resources Specialist who has worked as a consultant with corporate clients to assess and assist organizations in developing their performance management systems, employee attraction and retention program strategies, and training and development programs. Digital Prosthodontics…An Overview (Svirsky) Johanna Hoffman is President and CEO of Oomph Group Inc. She has more than 20 years experience working with and managing professional and creative service firms. As Oomph CEO, Johanna has spearheaded the development of an innovative curriculum of practice management workshops for professionals. Nancy Shapiro is a partner at Koskie Minsky LLP with a practice devoted exclusively to employment law. She has a full-service employment practice including assisting employers with: hiring, termination, discipline, disability, constructive dismissal, and management, including the preparation and negotiation of employment contracts and the preparation of employment manuals. Nancy has practiced in employment law since her call to the bar in 1998. www.tordent.com Panoramic radiographs are complicated images depicting the anatomy of the maxillofacial region as complex superimposed shadows. Dental practitioners may frequently feel frustrated determining which shadows should be a concern and which ones are normal. Errors in image acquisition often exacerbate this challenge. This short review will help participants become more comfortable interpreting panoramic radiographs. Panoramic anatomy will be demystified and through a case-based approach, panoramic artifacts, common variations of normal and pathology will be presented. The digital world has arrived in dentistry. New technologies are being developed and aggressively promoted for daily application in clinical dentistry from diagnosis to treatment. Some of these technologies are designed for use in prosthodontics. This presentation will give an overview of digital impressioning and CAD/CAM manufacturing as it applies to prosthodontics. Dr. Susanne Perschbacher received her DDS at the University of Western Ontario and completed her specialty training and MSc in Oral and Maxillofacial Radiology at the University of Toronto. She is a Fellow of the Royal College of Dentists of Canada and a Diplomate of the American Board of Oral and Maxillofacial Radiology. Dr. Perschbacher is an Assistant Professor in the Department of Radiology, University of Toronto, where she teaches in the undergraduate and postgraduate program. She also works in a private radiology practice in Toronto and is a member of the editorial board of Oral Health magazine. Dr. Dmitri Svirsky is a Diplomate of the American Board of Prosthodontics and Fellow of the Royal College of Dentists of Canada. He completed his training and has taught at the Boston University School of Dental Medicine, Post-Graduate Program in Prosthodontics. Dr. Svirsky’s private practice in Toronto is limited to conventional and implant Prosthodontics. |9| Friday November 12 | Sessions | AM - Canadian Disaster Victim Identification Response to the Haiti Earthquake 8:30am – 11:30am AM - All-Ceramic Restorations, Minus the Sales Hype 8:30am – 11:30am PM – Bonded Ceramic Restorations – Procedures, Indications and Limitations 1:30pm – 4:30pm Room 709 Richard Groves, CD, Ellen Sim, BSc(H), BSc, DMD DDS, MSc, FRCD (C) James C. Kessler, BS, DDS PRESENTED BY: Canadian Forces Dental Unit Room 718B SPONSORED BY: 3M ESPE and West Toronto Dental Society Session Chair: Dr. Sheldon Cooper AM Session Chair: Dr. Bonnie Chandler PM Session Chair: Dr. Michael Bulger The January 2010 earthquake in Haiti devastated the country resulting in numerous casualties. Canada deployed Disaster Victim Identification (DVI) teams, led by the RCMP, to identify Canadian decedents and allow the repatriation of their remains. This session will provide an overview of DVI in Canada, the experiences of the military forensic odontologists attached to the DVI teams including case studies and the challenges experienced with obtaining ante-mortem records. Learning Objectives: • How dental professionals, with some extra training, can participate in Disaster Victim Identification • How to respond when asked for dental records required for identification purposes AM – All-Ceramic Restorations, Minus the Sales Hype In restorative dentistry there are traditional materials with which most of us are very familiar. At the same time there is a barrage of information to sort through as we decide whether to incorporate unfamiliar new technologies and materials into our practices. In this presentation the various all-ceramic restorative options will be reviewed in detail and suggested indications and limitations for these materials will be presented. We will also discuss why these materials fail and how we can treatment plan, accomplish preparations and design occlusion to avoid failure. Learning Objectives: • To understand the physical properties for the various all-ceramic materials • Which all-ceramic systems are most likely to succeed in given situations Major Richard Groves enrolled in the Canadian Forces in 1975 and graduated from the University of Saskatchewan College of Dentistry in 1990. He has served at numerous military bases in Canada, with operational tours to Alert, Northwest Territories, the United Nations Forces in Cyprus, and the military response to the crash of SwissAir 111 in Nova Scotia. For the past three years he has been the forensic odontology advisor to the Director of Dental Services. Major Ellen Sim enrolled in the Canadian Forces in 1988. She graduated from Dentistry at Dalhousie University in 1992 and has served at many locations within Canada. She has completed operational missions in Afghanistan and Haiti. She specialized in periodontics at the University of Manitoba in 2009 and is currently the Canadian Forces Atlantic Regional Periodontist located at Canadian Forces Base Halifax. • Which all-ceramic restorations must be bonded and how critical it is to their survival PM - Bonded Ceramic Restorations-Procedures, Indications and Limitations With traditional fixed prosthodontic restorations we have a clear vision of preparation design and cementation procedures. However, with the selection of bonded ceramic materials and resin cements available today, it is difficult for the practitioner to keep up with this basic information for every system. In this presentation we will examine what ceramic materials are available for bonded restorations as well as what advantages they may offer. We will discuss the preparation details critical for anterior and posterior bonded ceramic restorations, including CAD/CAM produced restorations. We will also review veneer provisionalization techniques, as well as bonding techniques and resin cement materials available. Learning Objectives: • The properties of the materials used for bonded ceramic restorations • The indications and limitations of the various ceramic materials • The preparation designs for anterior and posterior bonded ceramic restorations • The bonding techniques for the various available resin cements Dr. James Kessler is a 1977 graduate of the University of Oklahoma College of Dentistry. During his career he has spent fourteen years in dental education at the University of Oklahoma and the Medical University of South Carolina as well as 20 years in private practice in Tulsa Oklahoma. Recently, Dr. Kessler was the Chair of the Division of Restorative Dentistry at the Oklahoma University College of Dentistry. In October 2010 Jim moved to Key Biscayne, Florida to become the Chair of the Department of Education at the Pankey Institute for Advanced Dental Education. | 10 | www.tordent.com | Sessions | Friday November 12 PM - Novel Management of the Periodontal Patient: Surgery and Beyond 1:30pm – 4:30pm PM - Yoga Sutra for Dentistry 1:30pm – 4:30pm Paulette Pillersdorf, DDS Jim Yuan Lai, BSc, DMD, MSc (Perio) Room 711 Room 713B Session Chair: Ms. Heidi Linton SPONSORED BY: Johnson & Johnson Session Chair: Dr. Phil Novack Most patients who have periodontitis respond to routine management, which can include scaling and root planning and periodontal flap surgery. In general, 80% of patients will respond to routine therapy, but the problem remains: what do we do about those who do not respond? Are there any new developments available on the horizon where more patients will respond to treatment and that treatment might be less invasive, or more predictable, or both? This session will review the administration and side effects of both systemic and locally administered antimicrobial (LAAs) medications, identify the need for adjunctive topical therapies and identify new trends in non-surgical periodontal therapy. Dr. Jim Yuan Lai is Head and Graduate Director of Periodontology at the University of Toronto, Faculty of Dentistry. He is a Fellow of the Royal College of Dentists of Canada and Diplomate of the American Board of Periodontology. Abracadabra - A Dental Magic Seminar! 8:30am – 11:30am Repeated 1:30pm – 4:30pm Louis Melamed, BA Dental professionals are at great risk for repetitive strain injury due to sustained postures that we assume every working day. The purpose of this presentation is to introduce participants to a few strategies to “undo” the injuries that are perpetuated through incorrect or poor positioning. Dental professionals are constantly working under stressful conditions. Correct breathing patterns to decrease stress will also be taught to participants. Learning Objectives: • Identify dysfunctional breathing patterns and learn to perform correct abdominal and diaphragmatic breathing • Identify incorrect or poor positioning while working and an introduction to more correct postures • Use of yoga stretches to strengthen and increase flexibility in the spine, shoulder, girdle and upper extremities Dr. Paulette Pillersdorf graduated from the University of Toronto Dental Hygiene program in 1974, George Brown College Expanded Duties Dental Hygiene in 1978, and University of Toronto Dentistry in 1985. She started teaching fitness in 1995 when she received her ACE (American Council on Exercise) Certification. Dr. Pillersdorf has been a student of Yoga since 2000 and graduated from Downward Dog Yoga Teachers Training Program in Toronto. She maintains a practice in Unionville, Ontario. Room 714A Optimal Aging for Women- Living to 100! 8:30am – 11:30am continuous 1:30pm – 4:30pm SPONSORED BY: Toronto Central Dental Society AM Session Chair: Dr. Ron Richardson PM Session Chair: Dr. Paul Okorofsky Barbara J. Steinberg, DDS This is a hands-on lecture for any kind of dental practice that has a relaxed and friendly atmosphere. Dentists and their team are invited to learn quick and easy magic tricks that are dental-related. Each trick is designed to add a little high touch to the high tech business of dentistry by using magic to educate, entertain and reduce patient anxiety. The tricks can be performed for children or adults at chairside, during patient consultations or at dental health presentations in the community. Everyone attending the lecture leaves with a detailed outline on how to perform the magic using props found in any dental office and a few secret gimmicks provided by Loudini. You’ll learn several impromptu magic tricks using everyday dental props, including cotton rolls, rinse cups, the dental chair, paper bibs, the rubber dam and more. In addition, you will learn how to make a dental instrument disappear, float objects in the air, make water in a rinse cup disappear, and make basic balloon animals quickly and painlessly. Louis Melamed (aka The Great Loudini) has been recognized as the most original magician by the International Brotherhood of Magicians three of the past four years. He is also in the Guiness Book of World Records. For more than 15 years The Great Loudini has spoken at dental meetings and coached thousands of dental professionals on how to use the art of magic to reduce patient, anxiety enhance patient compliance and promote the dental practice in a fun and memorable way. www.tordent.com Room 716A SPONSORED BY: Philips Sonicare AM Session Chair: Dr. Sheryl Lipton PM Session Chair: Dr. Janice Mummery At least 75% of healthcare costs are spent on treating diseases such as heart disease, diabetes, breast cancer, prostate cancer, and obesity. Many of these diseases are largely preventable and even reversible by simple choices that we make in our lifestyle – what we eat, how we respond to stress, whether or not we smoke cigarettes, how much exercise we get, the quality of our relationships and social support – and at times these lifestyle choices can be seen as powerful as drugs and surgery! When it comes to aging gracefully – we want it all! We want to feel good, look good, and most of all live a long healthy life. This informative and entertaining session will look at some of today’s major health concerns and will offer suggestions and recommendations to help achieve a long healthy life. Learning Objectives: • Major health concerns: heart disease, cancer, obestity, etc. • Impact of stress, sex, sleep on health • Role of relationships and social support as we age • Lifestyle choices to promote good health and longevity Dr. Barbara Steinberg is Clinical Professor of Surgery at Drexel University College of Medicine, as well as Adjunct Associate Professor of Oral Medicine at the University of Pennsylvania School of Dental Medicine. She is a Diplomate of the American Board of Oral Medicine. Dr. Steinberg specializes in the treatment of medically compromised patients. For the last 7 years Dr. Steinberg has been named by Dentistry Today “One of the Top Clinicians in Continuing Education”. | 11 | Friday November 12 | Sessions | AM - Lecture Colour is Light and Light is Colour! Shade Science and Colour Communication 8:30am – 11:30am PM - Workshop Common Shade Matching Failures: Causes, Solutions and Prevention (maximum 20 people) 1:30pm – 4:30pm AM - Self Ligating Brackets and Smart Archwires 8:30am – 11:30am PM – Aesthetic Based Treatment of Various Orthodontic Problems 1:30pm – 4:30pm Martin R. Mendelson, DDS SPONSORED BY: Cerum Ortho Ravindra Nanda, DDS, MDAS, PhD Room 715B AM Session Chair: Dr. Nick Sanci PM Session Chair: Dr. Shervin Abbaszadeh AM – Lecture – Room 713B PM – Workshop – Room 706 TICKETED EVENT: Capacity 20 / Fee $50 Limited Attendance AM – Self Ligating Brackets and Smart Archwires WORKSHOP SPONSORED BY: Vident, A VIDA Company AM Session Chair: Dr. Bhavana Sawhney PM Session Chair: Dr. Tim Milligan AM - Lecture – Colour is Light and Light is Colour! Shade Science and Colour Communication Regardless of the material selected, the only area in dentistry that even an untrained eye can identify as questionable with a tooth is the shade. What are the 3 factors that will determine predictable success in shade selection and color communication? Understanding color, understanding what influences our perception of color and utilizing this knowledge for predictable step-by-step shade taking. Unlike almost every other aspect of clinical and laboratory practice, many of us are using a non-evidence based approach to shade selection and color communication. Mastering and understanding this science is the key component to the predictable success of your direct and indirect restorations. We will explore step-by-step shade taking using the Vita 3D-Master® Shadeguide, Bleachedguide and predictable electronic shade selection and verification using the Vita Easyshade® Compact. PM - Workshop – Common Shade Matching Failures: Causes, Solutions and Prevention This presentation will discuss different types of self ligating brackets and differences between the active and passive brackets. Role of friction will be discussed. Application for pre-caliberated smart wires to correct various types of malocclusions will be shown with presentation of patient treatment histories. PM – Aesthetic Based Treatment of Various Orthodontic Problems Smile dynamics plays a major role in diagnosis and treatment of various orthodontic problems. This presentation will discuss the application of smart wires to correct gummy smiles, negative smiles, open bites and canted occlusal planes. Step by step appliance design will be presented. Dr. Ravindra Nanda is UConn Alumni Endowed Chair and Professor and Head of the Department of Craniofacial Sciences and Chair of division of Orthodontics, University of Connecticut, Farmington, Connecticut. He has done extensive research during the last forty years in the areas of cleft lip and palate, orthopedic forces and on long-term growth with orthognathic surgery in adolescents. In recent years, his major thrust has been in development of orthodontic wires, clinical orthodontic trials and application of biomechanics in a busy orthodontic practice. The number one cause of lab remakes is shade. Shade is also the only area in dentistry that will immediately alert the patient’s untrained eye that something is very wrong with their new restoration. We all need to understand the four elements in shade selection and colour communication – you will learn what these are and how to implement them immediately in your practice. This well organized, evidence based approach to shade selection and colour communication will reduce your stress and remakes due to shade. Learning Objectives: • What influences our perception of colour • The common shade taking errors common in practice today Job Fair Board: • The three modalities necessary for predictable shade selection • How to take predictable shades with modern evidence based shade selection instrumentation The Job Fair will be located close to the Toronto Academy of Dentistry Booth where dental professionals can post staffing notices. Dr. Martin Mendelson is the Director of Professional Development for Vident, an adjunct clinical faculty member of Nova Southeastern University and Volunteer Faculty at the University of California School of Dentistry. Dr. Mendelson serves on the ADA Standards Committee for CAD/CAM in Dentistry and serves on the Board of Directors for the National Association of Dental Laboratories’ Foundation for Dental Laboratory Technology. Dr. Mendelson is a member of the ADA, NADL, National Speaker’s Association and the Crown Council. | 12 | www.tordent.com | Sessions | Friday November 12 AM - The Body - Mouth Link: Diet, Exercise and Inflammation PM - 7 Habits of a Healthy Dental Practice 8:30am – 11:30am and 1:30pm – 4:30pm Room 701A SPONSORED BY: GlaxoSmithKline Kary Odiatu, BPE, BEd Uche Odiatu, BA, DMD Debbie Okamoto, CFP AM Session Chair: Dr. Allan Goodman PM Session Chair: Ms. Susan Stokes Evan Parubets, CFP, CIM, FMA, FSCI Renata Whiteman PM – Tax Attacks - Fighting Tax Erosion of Wealth with Smart Financial and Investment Planning 1:30pm – 4:30pm AM - The Body - Mouth Link: Diet, Exercise and Inflammation It’s the Inflammation Age. How does this influence you as a clinician? To give the best care, we must recognize the global connections that are woven throughout the human body. We need to know poor eating habits and a sedentary life support inflammation across the entire body – the oral cavity included. Attend this inspirational session and put out THE FIRE! Learning Objectives: • Understand why certain patients do not respond to your hygiene programs • Discover how visceral fat acts like an organ causing havoc throughout the body Room 714B PRESENTED BY: CDSPI Advisory Services Inc. Session Chair: Dr. Jack Fingrut Death and taxes may be inevitable – but there are many ways to reduce the sting of the latter. When taxes threaten to erode your savings you can fight back. Learning how to invest tax efficiently is especially important, since holding on to even a bit more of your money can make a big difference for long-term financial success. Learning Objectives: • Identify 7 Key foods and lifestyle habits that contribute to inflammation and disease • How to spot the enemy: where tax strikes • Implement a new dimension to your treatment planning • Techniques for reducing the severity of taxes – from income splitting to tax shelters • Develop an easy 1 minute script to educate and motivate patients PM - 7 Habits of a Healthy Dental Practice In this session you will learn the top 7 traits of healthy people and you will receive tools to promote positive change in your office and for your patients. Find out how you can develop a “fitness mindset” – and learn some daily disciplined habits that will transform every aspect of your life. Learning Objectives: • Simple ways to thwart taxes that you may be overlooking • Tax-advantageous investment products, from basic RRSPs to complex trusts • Business structures that can lessen tax • Ways to reduce taxes for your heirs Certified Financial Planners Debbie Okamoto and Evan Parubets – as well as Professional Insurance Advisor Renata Whiteman – are licensed advisors at CDSPI Advisory Services Inc. (CDSPI is the administrator of the Canadian Dentists’ Investment Program and the Canadian Dentists’ Insurance Program.) These experts, non-commissioned advisors provide investment and insurance planning advice exclusively to dentists, their family members and staff. • DEVELOP a more wellness focused practice and get active together! • GET INSPIRED to take your personal health to the next level • MOTIVATE your patients to improve their self care by your example • DISCOVER the power of super foods to fuel a productive day • LEARN little known breathing strategies to manage stress at work Dr. Uche Odiatu and Mrs. Kary Odiatu are the authors of The Miracle of Health ©2009 and Fit for the LOVE of It ©2002, veteran media guests of 300 radio/television shows & NSCA Certified Personal Trainers. Dr. Odiatu BA, DMD is a practicing dentist, a lifelong athlete, a Certified Holistic Lifestyle Coach and a professional member of the American College of Sports Medicine. Kary Odiatu BPE, B.Ed. is a Registered Nutritional Counsellor, a Ms Fitness Universe competitor and mom of 3. This energetic couple has lectured at the top dental conferences in North America and have been featured in Flex, Muscle & Fitness and Oxygen. www.tordent.com | 13 | Early Registration: The early registration (lower fee) deadline is midnight on Friday, October 15, 2010. Friday November 12 | Sessions | Teamwork Strategies: From Sabotage to Support PM - Prevention Update: Translating the Latest Evidence into Practice 1:30pm – 4:30pm 8:30am – 11:30am continuous 1:30pm – 4:30pm Sara Werb, MS Ed, DDS, Dip. (Paedo), FRCD (C) Char Sweeney, CDPMA Room 709 Room 718A SPONSORED BY: 3M ESPE SPONSORED BY: Toronto East Dental Society in Memory of Dr. Mark Goodman Session Chair: Dr. Elliott Schwartz AM Session Chair: Dr. Gary Fortinsky PM Session Chair: Dr. Sam Salama A thriving dental practice is one in which the dentist, staff and patients understand the qualities necessary for success. With each person on your team having unique behavioral styles and talent, how do you prevent office competition and rivalry? This program is packed with information that is useful, practical and easy to implement, and offers concrete solutions to the daily stumbling blocks that all practices face. Learning Objectives: In recent years, our understanding of both the cause and progression of caries has changed and with that so has our management of the disease. Research shows that it is more effective to treat caries as a disease, not just the lesion. This lecture will review evidence-based practices to diagnose and treat caries. Participants will gain an understanding of oral evaluation techniques, advanced diagnostic tools and the latest prevention techniques to promote a successful practice. • The doctor’s role as the leader and business owner • How to motivate employees and identify what they really want • How to eliminate “inner” and “outer” circles • Clarify and meet the staff’s expectations • Create commitment to the practice philosophy and each other • Motivate patients to keep appointments, return for continuing care and keep their financial agreements Dr. Sara Werb received her DDS from the University of Toronto, and her Masters in Education from Canisius College in Buffalo, NY. Dr. Werb then received her Diploma in Paediatric Dentistry from Jacobi Medical Centre in Bronx, NY. She has her own private practice in Toronto, is a Dental Consultant for Bloorview Macmillan Rehab Centre, a Pre-Clinical Instructor in undergraduate Paediatric Dentistry at the University of Toronto and is Dental Director for the non-profit organization Pediatrician for Central America’s Children. Char Sweeney began her career in dentistry in 1979 as a chair side Dental Assistant. She attended Ferris State University and the University of Alaska and received her degree in Allied Health Science Dental Technology. She returned to private practice as a business assistant, and eventually, a practice administrator. She was an independent practice management consultant prior to joining Linda L. Miles & Associates in 1992. Char’s experience and enthusiasm for dentistry, as well as her love of people, enable her to offer concrete solutions to the daily stumbling blocks all practices encounter. She has worked in both the business and clinical aspect of dentistry and understands the unique challenges that both areas face. Her goal is to help clients create a sound business plan and assist everyone in reaching their true potential. Note: This year’s Winter Clinic Final Program will NOT be mailed out; rather, you will receive a copy of it by way of email blast. The Final Program WILL be available onsite as well as on the Toronto Academy of Dentistry’s website at www.tordent.com. | 14 | www.tordent.com INVISALIGN® CLEAR ESSENTIALS WORKSHOPS Invisalign® is an aesthetic orthodontic technique that corrects malocclusion using a series of custom-made, nearly invisible, removable aligners. University-based and private clinical studies have proven its effectiveness, attracting dentists nationwide to integrate the Invisalign® method into their specialty and family practices. Invisalign® Clear Essentials is the educational opportunity that allows them to achieve this goal successfully. Dental schools throughout the US and Canada have successfully integrated Invisalign® into their curricula, with the technique currently taught in 38 Orthodontic programs and 11 pre-doctoral programs. Many professional organizations and societies also offer their members the Invisalign® Clear Essentials I course. These courses are presented by faculty on Align Technology’s Speaker’s Bureau, which includes clinical experts in the method and renowned lecturers in the dental community. INVISALIGN: CLEAR ESSENTIALS I INVISALIGN: CLEAR ESSENTIALS II Ticketed Workshop $2,080 Ticketed Workshop $525 8:00am – 12:00 pm continuous 1:30pm – 5:00pm 8:00am – 12:00 pm continuous 1:30pm – 5:00pm Room 717AB Room 713A This one day course is designed specifically for the general practitioner and team members that wish to incorporate the Invisalign® system into their practice. This case based training provides participants with the clinical and operational confidence to successfully treat a range of highly predictable cases. A lecture and workshop designed for GPs who currently offer Invisalign in their practice. Advanced topics and techniques using Invisalign are discussed to help dentists effectively select and treat more complex malocclusions. We recommend that participants have experience submitting and finishing Invisalign cases prior to attending Invisalign: Clear Essentials II. In addition to providing your entire team with essential clinical, operational and marketing skills, the course presents a full range of support resources specifically designed to meet the needs of the non-orthodontic practice. Tuition covers the doctor and up to 4 team members for the full-day course. Attendees must be Invisalign trained. Doctors are encouraged to bring cases to Invisalign: Clear Essentials II – the orthodontic instructor will select some cases to discuss during part of the course and be available for Q&A following the course. Note: Online registration is not available for these Workshops. Please refer to Registration Form on page 16 for details. www.tordent.com | 15 | INVISALIGN® CLEAR ESSENTIALS I REGISTRATION FORM | GET CERTIFIED AT WINTER CLINIC! 1-day Limited attendance program in conjunction with Winter Clinic November 12, 2010 | 8:00 am - 12 noon continuous 1:30 pm - 5:00 pm | Room 717AB | 16 | www.tordent.com INVISALIGN® CLEAR ESSENTIALS II | REGISTRATION FORM 1-day Limited attendance program in conjunction with Winter Clinic November 12, 2010 | 8:00 am - 12 noon continuous 1:30 pm - 5:00 pm | Room 713A www.tordent.com | 17 | rd 73 Annual Winter Clinic PHOTOGRAPHY CONTEST SPONSORED BY: HENRY SCHEIN The categories are as follows: ONTARIO NATURE ACTION PEOPLE CELL PHONE PICS Contest Rules: 1. All registrants of the Winter Clinic (Dentists, Hygienists, Assistants, Receptionists, Technologists and Exhibitors) are eligible to enter. 2. Only three photographs per person allowed. Entries may be digital or conventional (digital and conventional pictures will be judged separately). 3. Maximum size of the image is 11”x 14”. All images must be mounted on white mat board only. 4. Maximum size of the mat board (16” x 20”). 5. No frames or glass will be accepted. 6. A soft copy must be included with all Digital Picture entries. 7. Entries may be mailed or brought in person to: The Toronto Academy of Dentistry 207-970 Lawrence Ave. West Toronto ON M6A 3B6 Must arrive no later than Friday, October 15, 2010 8. Winners will be announced and prizes will be awarded at 12:00pm on the exhibit floor. All decisions made by the judges are final. 9. All Entries may be picked up after 6:00pm from the display area on the exhibit floor or at the Academy office th after November 15 , 2010. 10. Name, address and phone number of photographer must be printed on the back of each photo. 11. Category and title to be included with this information. ENTRY FORM This form must be included with each entry. I hereby allow the Toronto Academy of Dentistry to show my photograph(s) on their website, at Winter Clinic or in future Winter Clinic Publications. Signature: Category: PLEASE PRINT: NAME PHONE | 18 | EMAIL www.tordent.com WINTER CLINIC 2010 | EXHIBITORS (AS OF AUGUST 18, 2010) 3M ESPE A ABELDent Inc. ACTEON North America (Satelec & Sopro companies) A-dec Inc. AIS Solutions Alliance H. Inc. Association of Dental Technologists of Ontario Aurum Classic Dental Laboratories/ Space Maintainers B Baluke Dental Studios Belmont / Takara Company Canada Ltd. Benson Medical Industries Inc. BioHorizons Canada Biomet 3i Bisco Dental Products Canada BMO Bank of Montreal Brasseler USA C Carestream Health Canada Co./ Kodak Dental Systems CDSPI Cerum Ortho Organizers/Cerum Dental Supplies CIT Finance Ltd. Clinical Research Dental Supplies & Services Inc. Colgate-Palmolive Canada Inc. Consult-Pro IDHC Marketing Inc. Crest Oral-B D De Luca Dental Laboratories Delma Medical (Canada) Ltd. Dental Industry Association of Canada Dentalcard DentalEZ Group DentNet Dentsply Canada Ltd. Dentsply Tulsa Dental Specialties Desante Financial Digital Doc, LLC Discus Dental, LLC E Elsevier Canada Exan Mercedes Software F Flight Dental Systems G GC America Inc Germiphene Corporation GlaxoSmithKline Consumer Healthcare Global Microscopes – Newfields H Hands-On Gloves Inc. HANSAmed Limited Health Smart Financial Services Henry Schein Hu-Friedy Mfg. Co., LLC. I Image Dental Laboratory Invisalign K KaVo Dental K-Dental Inc. Kerr Corporation Kerr TotalCare L Live DDM - The Doctor Company Inc. M M and M Sales and Consulting Maggas Medical Inc. MaxiDent McNulty Group MCS Handpiece Repair Medical Mart Supplies Ltd. Meyers Norris Penny LLP Midmark Corporation Modular & Custom Cabinets (MCC) N National Dental Inc. Nine Miles of Smiles Nobel Biocare O Obtura Spartan Endodontics Ocean Pacific Ontario Dental Assistants Association Ontario Dental Association Ontario Dental Hygienists Association OptiMicro Technologies Inc. - DentalWare Oral Science Oravital Inc. Orthodent Ltd. P Patient News Patterson Dental Canada Inc. PDT - Paradise Dental Technologies Periowave Dental Technologies Philips Sonicare Posture Perfect Solutions Ltd. Premier Dental Products Pro-Art Dental Laboratory Professional Practice Sales Ltd. Professional Sales Associates, Inc. www.tordent.com | 19 | Q Q-Optics / The Surgical Room Inc. R RBC Healthcare Professionals Rescue 7 Inc. ROI Corporation Rotsaert Dental Laboratory Services Inc. Rumley & Chaggares, Chartered Accountants / Smith Rogers Financial S Sable Industries Inc. Safeguard Business Systems SciCan Ltd. Scotiabank SDI (North America) Inc. Septodont, Inc. Shaw Lab Group Sinclair Dental Co. Ltd. Smile Bright Spectara St. John Ambulance - Toronto Branch Straumann Canada Limited Sulcabrush Inc. Sunstar Canada SybronEndo Sybron Implant Solutions Synca Marketing Inc. T Tax Matters For Dentists Tier Three Brokerage Ltd. Toronto Academy of Dentistry Transitions Group North America Treasure Tower World Tri Hawk/Xenopus Inc. U Ultralight Optics University of Toronto Faculty of Dentistry V Vident, a VITA Company Z Zila TORONTO ACADEMY OF DENTISTRY SERVICE AWARD RECIPIENT | 2010 Bernie Teitelbaum, B.Comm Bernie Teitelbaum holds a Bachelor of Commerce degree (1971) from the University of Toronto and has more than 33 years of experience in the dental industry in a wide variety of executive and management functions ranging from finance and operations to sales and marketing. For the past 12 years he has served as the Executive Director of the Dental Industry Association of Canada (DIAC) and is responsible for moving the Association’s programs forward from conception to completion. He is also the Association’s spokesperson and watchdog on Market Ethics. Bernie is involved in all of the Association’s programs including membership, regulatory affairs, market research, business and employee development, industry relations and conventions. Prior to joining DIAC, Bernie was Director of Sales and Marketing for the Dentsply division of Dentsply Canada Ltd., Sales Manager of the Laboratory Products division of Dentsply Canada Ltd., Treasurer and Controller of Dentsply Canada Ltd., and Assistant Controller of Denco, division of McGaw Supply Limited. Bernie had the honour of participating in a panel discussion on the Grey Market with Drs. Cal Torneck, John O’Keefe, Paul Santerre and Arthur Conn at the 2008 Winter Clinic. He has also conducted Grey Market Clinics at the 2009 Pacific Dental Conference, the 2010 Les Journees Dentaires Convention and several study groups. Bernie has published articles on the Grey Market in both Oral health as well as the Journal of the Canadian Dental Association. PAST SERVICE AWARD RECIPIENTS Mr. Arthur Zwingenberger 2009 Ms. Melissa Summerfield 2008 Ms. Eva Young 2007 Mr. Michel Hart 2006 Ms. Erla Kay 2005 Mr. Ken Croney 2004 Mr. John Paterson 2003 Mrs. Raisyl Wagman 2002 Mr. John Gillies 2001 Mr. Stewart Cannon 2000 | 20 | www.tordent.com PAST PRESIDENTS Year 1891-1892 1892-1893 1893-1894 1894-1895 1895-1896 1896-1897 1897-1898 1898-1899 1899-1900 1900-1901 1901-1902 1902-1903 1903-1904 1904-1905 1905-1906 1906-1907 1907-1908 1908-1909 1909-1910 1910-1911 1911-1912 1912-1913 1913-1914 1914-1945 1915-1916 1916-1917 1917-1918 1918-1919 1919-1920 1920-1921 1921-1922 1922-1923 1923-1924 1924-1925 1925-1926 1926-1927 1927-1928 1928-1929 1929-1930 1930-1931 1931-1932 1932-1933 1933-1934 1934-1935 1935-1936 1936-1937 1937-1938 1938-1939 1939-1940 1940-1941 1941-1942 1942-1943 1943-1944 1944-1945 1945-1946 1946-1947 1947-1948 1948-1949 1949-1950 Year N. Pearson * J.B. Willmott* N. P earson* W.H. Wunder* G.S. Martin* H.E. Eaton * J.J. McDonagh* J.E. Wilkinson* J.B. Willmott* A.E. Webster* F.D. Price * W.E. Willmott* G.S. Martin* C.E. Pearson* W.G.L. Spaulding* J.B. Willmott* R.G. McLaughin* A.J. McDonagh* H.E. Eaton * A.E. Webster* A.D.A. Mason* C.A. Kennedy* W.E. Willmott* G.W. Grieve* F.C. Husband* E.F. Arnold * W.B.T. Amy* J.E. Rhind * R.D. Thornton* W.H. Coon * H.A. McKim* R. Gordon McLean* J.A. Bothwell* Arthur Day * W.G.L. Spaulding* H.G. Robb * R.S. Woolatt* W.B.T. Amy* T.E.C. Butler* E.C. Veitch * J.W. McDonald* Thomas R. Marshall* Edmund A. Grant* Frank Martin* William J. Kerr* Stanley S. Crouch* Harvey W. Reid* Harold Hoag* Wm.G. Trelford* Edmund T. Guest* Stewart A. MacGregor* Lloyd M. Grose* Charles McLean* Harold Skilling* Harold Swales* H. Colton Bliss* F. Harold Shepard* Joseph H. Johnson* Edgar A. White* 1951-1952 1952-1953 1953-1954 1954-1955 1955-1956 1956-1957 1957-1958 1958-1959 1959-1960 1960-1961 1961-1962 1962-1963 1963-1964 1964-1965 1965-1966 1966-1967 1967-1968 1968-1969 1969-1970 1970-1971 1971-1972 1972-1973 1973-1974 1974-1975 1975-1976 1976-1977 1977-1978 1978-1979 1979-1980 1980-1981 1981-1982 1982-1983 1983-1984 1984-1985 1985-1986 1986-1987 1987-1988 1988-1989 1989-1990 1990-1991 1991-1992 1992-1993 1993-1994 1994-1995 1995-1996 1996-1997 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 Mark G. Boyes* J.Gordon Chalmers* Elmer J. Henderson* W. James Smith* J. Bevan King* Harvey Milburn* Robert W. Marshall William A. Weir* James A. Bigelow* Vernon A. Herron* Arthur E. Histrop* John H. Mullett Robert M. Grainger J.E. Carson McGowan Murray Cornish* Morley G. Hardy Gordon M. Marshall Bert J. Levin George C. Stirling* Wilfred J. McColeman* Miet A. Kamienski* Don M. McKee* Bernard N. Crystal William S. MacKenzie Robert S. McKegney Ronald S. Anco Murray Wagman Gordon Perlmutter Robert H. Pick Leonard Shapira Ronald Martin Ronald Traub Arthur J. Breglia James T. Hing* Alexander J. Puskas Stewart L. Sigesmund Donald A. Stewart* Barry A. Chapnick Aldo Boccia Wayne H. Pulver Gerald Weisberg Godfrey B. Beber Kenneth L. Hershenfield Peter T. Tonisson Flavio Turchet John Jenkins Gerald E. Pearson Gene C. Cervini David F. Hanmer Brian Chapnick Ron Richardson Phil Shedletsky Warren Hing Shayne D. Lipton Timothy Milligan Edward S. Philips Flavio Turchet Jack W. Wasserman Samer Salama * Deceased www.tordent.com | 21 | TORONTO ACADEMY OF DENTISTRY HONOURARY LIFE MEMBERSHIP | 2010 Donald Garth Woodside CM, DDS, MSC, FRCD(C), PHD, FRCS, FDS, FDSRCS(ED)(AD HOM) Dr. Donald G. Woodside received his DDS from Dalhousie University, Halifax, Canada, where he was awarded the Gold Medal in Dentistry; and he received his M.Sc. in Orthodontics from the University of Toronto. From 1962-1993 he was Professor and Head of the Orthodontic Department, Faculty of Dentistry, University of Toronto, where he is currently Professor Emeritus in the Discipline of Orthodontics. His published work ranges through the areas of both human and experimental mandibular growth and the clinical use of functional appliances. He was the 1987 co-recipient of the S.I.D.O. Award for the most outstanding article in international orthodontic literature during the previous two years. Dr. Woodside has been the recipient of many international awards in orthodontics and an invited honorary lecturer throughout the world. He has been both Mershon and Salzmann honorary lecturer for the American Association of Orthodontics. In 1989 he received an honorary doctorate from the Karolinska Institute in Sweden, and in 1990 he received the Ketcham Award from the American Association of Orthodontists. In 1991 he was the Sheldon Friel Memorial Lecturer for the European Orthodontic Congress. In 1994 he received a Fellowship in Dental Surgery-by-Election from the Faculty of Dental Surgery, Royal College of Dental Surgeons of England, and he is a recipient of the Canadian Dental Association Distinguished Service Award. In 2005, Dr. Woodside was awarded a Fellowship in Dental Surgery ad hominem of the Royal College of Surgeons of Edinburgh, as part of the 500th Anniversary Celebrations of the founding of the College. Dr. Woodside was also elected to Honorary Membership in the World Federation of Orthodontics during its meeting in Paris in September 2005. Dr. Woodside is a Fellow in the Royal College of Dentists of Canada, a Diplomate of the American Board of Orthodontics and a Fellow in the American College of Dentists. He is also an honorary member of the Italian Orthodontic Society, the British Society for the Study of Orthodontics, the Dutch Society of Orthodontists, the South African Society of Orthodontists, the Taiwan Association of Orthodontists and the Ontario Association of Orthodontists. In 1996 he was named a Member of the Order of Canada which is the highest civilian honour awarded by the Government of Canada. In 2003 he was awarded the Queen’s Jubilee Medal. In addition to his research and teaching, Dr. Woodside maintained a private orthodontic practice in Toronto until recently. | 22 | www.tordent.com THE HONOURARY LIFE MEMBERS OF THE ACADEMY Year Year Albert E. Webster* DDS, MD, MDS 1932 AHerbert Mercer * DDS 1980 Walter Earl Willmott * DDS 1933 Marjorie Jackson * DDS, FRCD(C) (Hon), FICD 1981 Harold Clark * DDS 1934 Harry Jolley * MBE, DDS, FACD, FICD 1981 Andrew J. McDonagh * DDS 1935 Lloyd M. Grose * DDS, FICD 1982 Charles Nelson Johnson * DDS, MDS, FACD, LLD 1936 Miet Kamienski * DDS, FICD 1983 William Cecil Trotter * BA, DDS 1938 Kenneth I. Levinson * DDS, FICD, FAGD, Major 1984 Charles E. Pearson * DDS 1939 Harvey Milburn * DDS 1985 George W. Grieve * DDS 1940 Elliott Siegel * CM, MD, DDS 1986 Harold Keith Box * DDS, PhD, FACD 1942 Arthur Wood * CM, DDS, FRCD (C), FACD 1987 Robert Gordon McLean * DDS, FACD 1946 William J. Spence * DDS, MSD, FICD, FACD 1988 William Glen Trelford * DDS 1946 Charles H.M.I. Williams * DDS, BScD, FAAP, FRCD (C) DSc (McGill) 1989 Arnold D.A. Mason * DDS, FACD 1947 Kenneth Pownall * DDS, FRCD (C) (Hon), FACD, FICD 1990 W.B.T. Amy * DDS, FICD 1947 William G. McIntosh DDS, MScD, FRCD (C), AOCA, FACD, FICD, LLD, DSc 1991 Harry S. Thomson * DMD, FACD 1949 William S. MacKenzie * DDS, FICD 1991 Harvey W. Reid * DDS, FACD, FDS, FCS (Eng) 1951 Sarah Ann MacKenzie * 1991 Edgar W. Paul * DDS 1953 Gordon Perlmutter DDS, FICD, FAGD 1992 John A. Bothwell * DDS 1955 Gordon M. Marshall DDS, FADI, FICD 1993 Frank Martin * DDS, FICD 1957 John E. Speck DDS, Dip. Perio., FRCD (C) 1994 Thomas Robert Marshall * DDS, FACD 1958 John H. Mullett DDS 1995 Roy G. Ellis * DDS, MScD, FDS, RCS (Eng) 1960 Gilbert Chapnick DDS, FICD 1996 Percy G. Anderson * DDS, MICD, FACD 1961 Marvin D. Klotz DDS, MSc, FRCD (C) 1997 Don W. Gullett * DDS, FICD, FACD, FRCS (Eng) (Hon) 1963 Donald M. McKee * DDS, LDS 1997 G. Vernon Fisk * DDS, FICD, FRCD, FACD 1967 Donald A. Stewart * DDS, FICD, FADI 1998 Irvin H. Ante Sr. * DDS 1967 Roderick L. Moran * DDS, FRCD (C), O.ONT 1999 R. Sidney Woollatt * DDS 1968 Donald Rife * DDS, FPFA, FADI, FICD 2000 Harold R. Skilling * DDS, FICD 1969 Barry A. Chapnic BA, DDS, Dip. Endo, FICD, FADI, FACD 2001 Joseph H. Johnson * DDS 1970 Irving Siegel BSc, DDS, FICD, MFICD, FACD, FADI 2002 Steward A. MacGregor * DDS, LLD 1971 Gary E. Pitkin DDS 2003 George C. Hare * DDS, FRCD (C), FACD, FICD 1972 Gordon Nikiforuk DDS, MSc, FICD 2004 Jack Kreutzer DDS, BScD, FACD, FRCD (C) (Hon) 1973 Norman Levine BA, DDS, Dip. Paed., MScD, FRCD (C) 2005 Murray Cornish DDS, FICD 1974 Wesley J. Dunn DDS, FACD (C) (Hon), FADI (Hon), FICD (Hon) 2006 Edgar A. White * DDS, MICD 1975 Jack Dale BA, DDS, FAAAS, FACD, FRCD(C), FADI, FICD 2007 Mark G. Boyes * DDS, FICD 1977 Calvin D. Torneck DDS, MSc, FRCD (C) 2008 Mark Zimmerman * DDS, FICD 1977 Barry J. Sessle DDS, BDS, MDS, BSc, PhD, DSc(HC), FRSC 2009 John A. Sherman * DDS, FICD, FACD 1979 Donald G. Woodside DDS, BSc, MSc, FRCD (C) 2010 Edmund T. Guest * DDS, FACD 1980 * Deceased www.tordent.com | 23 | First Name | 24 | Dentist ODA Member 50-Year/ ODA Member /TAD Honourary Life Member Dental Student ODA Member Dentist Out-of-Province/Country Dental Student Out-of Province Country Guest (Non-practitioner) Must register with a practitioner Dental Hygienist ODHA Member Dental Hygienist ODHA Non-member Dental Hygienist Student Dental Assistant, Office Manager, Receptionist ODAA Member Dental Assistant, Office Manager, Receptionist ODAA Non-member Dental Assistant Student Dental Technologist Dental Technologist Student All Active Canadian Armed Forces should register in their Professional Category and use the Winter Clinic 2010 Code provided by the Unit Commander. First Name $390 FREE FREE $470 $170 $180 $205 $270 $120 $180 $245 $120 $240 $120 FREE FREE After midnight Oct. 15, 2010 $320 FREE FREE $400 $100 $110 $135 $200 $50 $110 $175 $50 $170 $50 Before midnight Oct. 15, 2010 ** See Above Invisalign Essentials 1 Invisalign Essentials 2 Note 1 Note 1 Note 1--- see pages 16 and 17 to register for the Invisalign Workshops Mendelson – Shade Code A1 LIMITED ATTENDANCE WORKSHOPS $525 $2,080 $50 Professional membership must be current prior to registering, otherwise non-member fees will apply. A B C D E F G H I J K L M N Last Name REGISTRATION CATEGORY Dr./Mr./ Mrs./Ms. List All Registrants (including First Registrant above – to a maximum of four (4) registrations) Please photocopy this page for additional registrations Dr. / Mr. / Mrs. / Ms. Last Name FIRST REGISTRATION (Primary contact – or Single Registrant) Registration Fee Code GRAND TOTAL Fee WORKSHOPS Total Fax: Bus. Phone: Register Online at www.tordent.com (after August 15, 2010 until November 10,2010) OR Fax to: 514.798.1943 OR Mail to: TAD 2010 Winter Clinic c/o Showcare 4200 Boul. St-Laurent, Ste. 1000. Montreal, QC H2W 2R2 Telephone: 905.968.3033 Email: [email protected] All fees are in Canadian dollars and include 13% HST PAYMENT MUST ACCOMPANY EACH REGISTRATION FORM Confirmation, badges, badge holders and tickets will be sent to primary contact. Cell: Postal/Zip Code: Prov./State Email: City: Suite: Office Address: Practice Name: Signature: Expiry Date: Card Number: Name of Card Holder as it appears on card: I wish to pay the above total by: MasterCard VISA Cheque #_________________________________ Cheques Payable to: Toronto Academy of Dentistry Registration Code * * ODA Unique I.D. #/ ODAA/ODHA Member # /Canadian Armed Forces Winter Clinic Code WINTER CLINIC 2010 | REGISTRATION FORM PLEASE PRINT CLEARLY www.tordent.com