continuing education - Connecticut State Dental Association

Transcription

2016 - 2017
CONTINUING
EDUCATION
PACKAGE PROGRAM
Don’t miss the opportunity to see some of the most sought-after
national dental meeting speakers right here in Connecticut!
Recent
Dental School
Graduates
are eligible for
a 30% discount!
See page 4 for details!
CO N N E C T I C U T S TAT E D E N TA L A S S O C I AT I O N
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Mark your calendar now. Registration begins June 8, 2016. CSDA.com
The Mission of the CSDA Council on Continuing Education is to provide for
the continuing professional education and advancement of dentists and
allied personnel to enhance their skills and provide the highest quality of
care for the public for which they serve.
2016/2017
The CSDA Continuing Education Council is proud to present its 2016-2017
CE Package Program. This series once again includes seven courses
featuring world-class speakers and registration for the 2017 CSDA Annual
Meeting when you select the all-inclusive Package. This is an unbeatable
value and includes lunch. You always have the option of selecting individual
courses but as you consider the line-up, keep in mind that the Package pays
for itself with just three courses!
There’s no better way to ensure that you are up-to-date on all the latest
trends and technological advances AND earn continuing education credits
for license renewal. Each course is worth 6 CE credits and is split into AM/
PM sessions allowing you more flexibility if in certain cases you are unable
to spend the full day. We look forward to another successful series and to
seeing you at our courses!
CSDA Council on Continuing Education
SAVE THE DATES!
CSDA’s 152nd Charter Oak Dental Meeting
May 10-12, 2017 | Mohegan Sun Resort Casino
2 0 1 6 - 2 0 1 7 PA C K A G E P R O G R A M S E R I E S
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OBTAINING YOUR CE CREDITS
For your convenience, the CSDA now offers a separate morning CE verification code worth 3 credits at
all of the Package Program courses. This will allow you to still get partial credit if you cannot stay until
the end of the program. If you do stay for the full day, you will need both the AM and PM codes to obtain
the full six (6) hours of credit.
Name badges are scanned at our programs for CE tracking
purposes. If you are a CSDA or ADA member, your attendance gets
uploaded to the “CE Tracking System” area of the ADA website. It is
up to each individual to obtain/keep record of the corresponding
verification code(s) in order to prove your attendance to any
professional/governing organization that may request your
continuing education records. The CSDA recommends that you
always keep your CE records in hard copy as a back-up and paper
CE Forms are always made available on-site. CE Forms can be
found on the table at the entryway to the lecture room.
Please remember: It is your responsibility to make note of the verification
code(s) in order to prove your attendance to any professional/governing
organization that may request your continuing education records.
Codes are not given out at any other time after the course is completed.
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REGISTER ONLINE AT CSDA.com
Or use the Registration Form provided at the end of this booklet (one form per person please).
2016/2017
CONTINUING EDUCATION
PACKAGE PROGRAM
ALL-INCLUSIVE PACKAGE PROGRAM - $750
This incredible value is available to CSDA member dentists only! Includes registration for all seven courses and the registration fee
for the 2017 CSDA ANNUAL MEETING! Or, we offer a Reserved Seating Package for $850. This package provides premium seating
at all seven courses within the Package Program.
Recent Dental School Graduates are eligible for a 30% discount! CSDA Members who graduated from dental school within the
last five years (Class of 2012 through the Class of 2016) are eligible for our Recent Grad discount of 30% off either the Complete
Package Program OR any Individual Course Registration. (Membership status will be verified.)
DEADLINE TO REGISTER FOR THE ENTIRE PACKAGE AT THE ABOVE MEMBERS ONLY PRICING IS WEDNESDAY, AUGUST 31st!
After this deadline, each package price increases by $100. See the Registration Form for complete pricing information.
If you are interested in single course registration, you’ll find the fees summarized on the Registration Form.
Courses are held at the
Aqua Turf Club
556 Mulberry Street, Plantsville, CT 06479
Visit us online at: CSDA.com | Reach us by phone at: (860) 378-1800
Contact person: Dawn Champagne
THE CSDA IS PROUD TO BE A RECOGNIZED ADA CERP PROVIDER.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of
continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply
acceptance of credit hours by boards of dentistry. The CSDA’s continuing education programs are also accepted by the Academy
of General Dentistry (AGD) for Fellowship and Mastership credit. The current term for both is 11/1/15 through 12/31/19.
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POLICIES
The CSDA Continuing Education Council reserves the right to cancel any course, limit the enrollment, modify the announced
course content, and/or change the location, time, date or Speaker as may be deemed necessary or advisable. (Please stay tuned to
monthly brochures and/or CDSA.com for the most updated information).
In the event of unusual circumstances, a continuing education course will proceed as long as the speaker and one moderator are
present. If a fall program is cancelled, a December date may be used, if possible. If a winter program is cancelled, a May or June
date may be used.
All course registrations must be received by the CSDA Central Office by 4:00 p.m. on the Friday immediately preceding the course
date. After this point, walk-in fees apply. Proper payment in full must accompany all registrations.
CANCELLATION POLICY: An individual who signs up for a single course (rather than the full Package) may request a refund from
the Central Office up to the Friday before the scheduled course. A $25 cancellation fee will be applied to cancellations received
by the deadline. All cancellation requests must be in writing. No other refunds will be given including partial refunds for missed
courses from Package registrations.
Cancellation Clause: It is the responsibility of each individual registered to confirm a scheduled meeting if there is the possibility
of a cancellation due to inclement weather. Registered attendees should check for e-mail updates as well as information on
the homepage of CSDA.com. If the CSDA cancels or postpones a course due to inclement weather or some other unexpected
emergency, those registered for that course only are entitled to a full refund if he/she is unable to attend the rescheduled date.
(Please note: Package Program members are excluded due to the tremendous value.)
Speakers do not necessarily represent the views of the ADA or CSDA.
Some courses are supported by corporate sponsorships and are advertised accordingly.
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SEPTEMBER 14, 2016
9:00 am - 4:30 pm
Gary DeWood, DDS, MS
Functional Esthetics: Breathing – Smiling - Chewing
Predictable dentistry is a combination of excellent diagnosis, a clear vision of an outcome that satisfies the requirements of the patient
and the dentist, exceptional clinical expertise to deliver the best stuff to the lab, and a technician who can deliver the best stuff to you.
When the wheels are all turning together it’s a thing of beauty and joy for everyone involved.
Learning Objectives:
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The importance of the airway in development, sleep, TMD, and bruxism
Simple evaluation techniques for airway every dentist should add to his or her examination process
Using facially generated treatment planning to visualize an esthetic outcome as step one in diagnosis and treatment planning
Analyzing and planning an occlusion for healthy, predictable, long-term function
Preparing teeth and communicating with the technician, the outcome you saw before you began
OCTOBER 5, 2016
9:00 am - 4:30 pm
Kirk Behrendt
Being All That We Can Be: Changing
Perspective to Change Reality (AM Session)
During this morning session, we will examine what it truly means to be all that we can be for our patients. See how some of the best
dental practices are tapping unused resources to deepen their connections with patients, increase their personal passion, optimize
their performance, increase their production and boost their profitability in the current economy. Without the proper focus it is easy to
experience burnout. See the new techniques and business model that complete clinician teams are using to truly be all they can be for
the people they serve.
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Diagnose the elements that make a successful practice and promote continual growth
See how to authentically inspire your team to stay “fully engaged” with patients
Examine the secrets of coaching your team to an inspired and winning season every year
The Top 10 Secrets to Make Your Practice Thrive (PM Session)
Some dentists and team members are working harder than ever for the same result. Bring your team to this inspirational lecture to see
ten powerful secrets you can incorporate to create more opportunities to produce more dentistry and reduce the amount of open chairs
in your office immediately.
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Learn the nine steps that will help you create more significant and POWER-full relationships with patients
Learn five ways to significantly reduce cancellations in your schedule
See how great practices are keeping case acceptance high in this economy
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NOVEMBER 9, 2016
9:00 am - 4:30 pm
Tieraona Low Dog, MD
The Fire Within: Nutrition and Lifestyle
Approaches for Chronic Inflammation (AM Session)
While acute inflammation is a vital and life-saving component of our body’s immune and healing response, there is a growing consensus
that persistent inflammation is a common pathway for the development of disorders ranging from heart disease to depression to cancer.
In this highly informative session, we will explore the relationship between inflammation, disease, and oral health; and more importantly,
discuss strategies for squelching the smoldering fire within.
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Describe the role of diet and lifestyle in persistent inflammation
Describe the concept of resolution biology and how this pertains to oral health
Identify eight integrative strategies for reducing chronic inflammation
Fortify Your Life (PM Session)
According to data from the CDC, nutrient shortfalls are more common than we realize for numerous vitamins and minerals. The potential
impact of poor nutrition and nutrient depletion can have serious consequences to human health, particularly for populations already
at risk such as women, children, and the poor. This lecture will update clinicians on key findings from the CDC and other government
surveys and will examine the potential consequences of nutrient shortfalls amongst diverse populations.
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Identify which dietary supplements have strong evidence of benefit
Locate resources for accurate, current information on quality, safety and benefit
Identify populations that are at risk for nutrient depletions and the consequences of these depletions
Information Technology Solutions and Services For Today’s Dental Practices.
Contact us to arrange a Complimentary Technology Assessment.
(203) 431-8324 • (860) 426-8221 • www.southridgetech.com
Southridge Technology helps dental practices integrate dental
technology with information technology to run an efficient, effective
and compliant practice. Our vast product offerings provide everything
needed to ensure a safe, secure and successful practice.
• 24/7/365 “World Class” Customer Support
• Technology Procurement
• Email Solutions
• Backup and Business Continuity
• System Monitoring and Virus Protection
• Project Management and Lifecycle Planning
A CSDA Affinity
Program Member
Technology support coupled with an understanding of a practice’s
compliance needs:
• HIPAA Compliance Specialists
• Practice Management Software
• Digital X-ray and 3D Imaging integration, installation and support
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JANUARY 11, 2017
9:00 am - 4:30 pm
Robert Fazio, DMD
Medicine, Dentistry and Drugs (AM Session)
This course satisfies the one-hour of required mandatory continuing education for CT dentists
for Prescribing Controlled Substances and Pain Management as well as Special Needs Patients.
The dentist is faced with an aging population with a myriad of medical problems and physician-prescribed medications. Medical
problems like diabetes mellitus, hypertension therapy, anticoagulant therapy, the drugs for a myriad of cardiovascular diseases,
pregnancy and the nursing mother, anxiety and depression directly affect dental treatment planning and prescriptions written by the
dentist. This course will provide the dentist with a framework for choosing antibiotics, analgesics, and local anesthetics within the
context of potential drug-drug interactions and disease-related complications of the medically compromised patient.
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Understand the correct antibiotic choices for a localized vs. a spreading infection
Fully understand the correct uses of antibiotic prophylaxis
Understand the medical diseases and drugs that complicate the delivery and success of dental therapy
Periodontitis and Peri-Implantitis: the Good, the Bad and the Ugly (PM Session)
What must we know chairside every day to successfully treat periodontitis in both the compliant and non-compliant patient? Do the
same principles apply to peri-implantitis? How do we treatment plan a choice between periodontally compromised teeth, crown and
bridge replacements or implants? Understand the “evidence-based data” in the dental literature compared to the “promotional dentistry”
of the manufacturers. Does the soft-tissue program in the dental office influence this decision? Which cases are the winners and losers?
What medical issues increase risk for dental failure? Learn specific protocols from curettes to toothbrushes, antibiotics to analgesics,
medical disease and drugs, to mouth rinses and toothpaste.
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Learn the clinical pearls that maximize success
Recognize and avoid the “high risk failure” cases
Improve dental treatment planning with evidence based data
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FEBRUARY 8, 2017
9:00 am - 4:30 pm
Dean Vafiadis, DDS
Computerized Dentistry for Private Practice:
Aesthetics, Implants and Occlusion (AM Session)
CAD/CAM technology has the advantage of reducing clinical chair-time and reducing laboratory costs. The accuracy of these techniques
has improved to the point where they are now comparable to conventional techniques. This presentation will review the current
technology which allows the fabrication of anterior incisors in one-visit protocol. In addition, these techniques can also be used to
fabricate implant restorations. Utilizing coded healing abutments or scan bodies without a fixture level impression can allow us to design
ideal abutments for implants. Digital acquisition impressions of implant and ceramic restorations will be demonstrated. Anterior and
posterior restorations using CAD/CAM technologies and impressions will be discussed.
At the conclusion of this lecture the participant will understand the advantages and disadvantages of:
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Fabrication of anterior aesthetic crowns and veneers
CAD/CAM generated and design abutments
CAD/CAM anterior restorations for implants
Utilizing CAD/CAM crowns for restoring OVD in FMR cases
FMR: Restoring the Worn Dentition and OVD:
Success Without the Stress (PM Session)
Since our dental school education, we were always told that “we could not open the bite”. Many clinicians avoided treating the “worn
dentition” while others had great success. This lecture will help de-mystify with practical methods of how to restore OVD position up
to 10 mm. The long-term success of these patients with these techniques has been documented and recorded both radiographically
and with photographs with up to 10-year results. Using sound prosthodontic principles and digital analysis, these OVD restorations can
become standard in our private practice. Anterior determinants and posterior determinants can show us the way through this “gray area”
of dentistry.
At the conclusion of this lecture the participant will understand the advantages and disadvantages of:
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Determining new working OVD position
Utilizing provisionals to confirm new OVD position
Anterior and posterior determinants for OVD
Classification of the full mouth rehabilitation patient techniques using CT scans of TMJ joint for OVD maintenance
Refer to pages 12 and 13 for
complete speaker biographies.
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MARCH 8, 2017
9:00 am - 4:30 pm
Darrell Cain
The Economy, Investments and Your
Financial Freedom (AM Session)
Attaining financial freedom and achieving individual financial goals takes more than just creating and implementing a good investment
strategy. It is of the utmost importance that your on-going planning incorporates the flexibility to adapt to changes in the economy. As
the economic and political environments change, and as new investment opportunities come online, you will need to consider being
positioned to incorporate them into your plan. This lecture analyzes our current economic climate, presents considerations on future
economic activity, and reviews investment strategies that may help you better achieve financial freedom. Attendees will walk away with
better knowledge of the financial markets, available asset classes, and investment solutions that can implemented.
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Determine how to minimize social security taxes, state and federal taxes
Identify the right way and the right time to acquire another office
Discover the rewards of bringing an associate or partner into the practice when the time is right
Wealth Accumulation and Tax Strategies for Dentists (PM Session)
The primary purpose of this lecture is to educate you so that you can determine where you stand on the path to financial freedom while
being able to recognize new opportunities as a dental business owner. The scope of this lecture will range from graduating dental school
to preparing your estate for your heirs. The Accumulation Phase consists of your practicing career, in which you spend approximately
30 years accumulating enough assets to retire financially free. The Preservation Phase starts prior to your retirement, encompassing
everything from the transitioning of your practice and your life as a working individual to making sure that your accumulated assets will
be able to sustain your lifestyle for at least 30 more years. Darrell will teach you: the proven math behind wealth accumulation, which
tax strategies will further your plan, the benefits of various investment environments, and how to maximize your cash flow. He will also
update you on the current pension laws, tax strategies for a dentist, and how to come up with the money to fund for your retirement.
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Set the foundation to define what your most advantageous pension plan is
Understand the math proving the advantage of tax-deferred growth
Explain how to find the balance between debt reduction and wealth accumulation
CALCULATE YOUR COSTS AND SAVOR THE SAVINGS
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• Flat rate payment processing
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A $25 VISA gift card is yours when you request-a-quote with us!
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A FREE SAVINGS ANALYSIS AWAITS YOU
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APRIL 5, 2017
9:00 am - 4:30 pm
Ron Kaminer, DDS
Crown and Bridge: The Complete Solution
For most general practitioners crown and bridge represents the bulk of day-to-day dentistry. This program will methodically and
systematically take the attendee on a journey to simplify and streamline fixed prosthetics. Through a thorough didactic, we will revisit old
concepts, modernize them, and show specific examples on how to apply all of this into clinical practice.
Learning Objectives/Topics Covered:
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A simple smart guide for smile design
Bur selection for optimal preparations
Build ups, posts, and more
Simplified tissue management for ideal impressions
Diode lasers and their place in crown and bridge
Shade selection made easy
Material choices for strength and esthetics
Temporization made easy
Rationale for cementation of current materials
Predictable tooth whitening
Scanning and milling
EXCITING HANDS-ON OPPORTUNITY DURING CSDA’S 2017 ANNUAL MEETING!
A follow-up hands-on workshop with Dr. Kaminer will be available to doctors who take this full-day lecture during CSDA’s 2017 Annual
Meeting at Mohegan Sun. There will be two offerings to choose from on Thursday, May 11 – one in the morning and one in the
afternoon. Each workshop will be limited to 35 participants.
A Streamlined Approach to Preparation, Temporization,
and Cementation of the Esthetic Patient
As a follow up to our lecture, we will review the key highlights of treating the esthetic patient. During this hands-on workshop, we will
build upon the concepts previously discussed and implement those concepts in a simulated esthetic case. We will perform preparations
on study models, temporize the case, seat a few restorations, and have a chance to work with some digital impression scanners. The
participant should expect to leave with an understanding of how to break down the esthetic case and feel comfortable with the
aforementioned exercises as he/she translates this into a live esthetic case. The participant will also gain knowledge of the differences in
digital impression scanners helping to make a decision if this technology is right for his/ her practice.
Thursday, May 11th – 9 am – 12 pm or 2 pm – 5 pm
The April CE Package Program lecture is a pre-requisite. Additional course fee will apply.
Registration for CSDA’s 152nd Annual Charter Oak Dental Meeting will open February 1, 2017.
SAVE THE DATES: May 10-12, 2017
CSDA’s 152nd Charter Oak Dental Meeting
Mohegan Sun Resort Casino
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ABOUT THE SPEAKERS
September 14th
Dr. Gary DeWood earned his D.D.S. from Case Western Reserve University in Cleveland in 1980.
He completed the University of Florida Facial Pain Center Curriculum from 1992 through 1995, and in
2004 he earned a Master of Science degree at The University of Toledo College of Medicine. He left
full-time private practice in 2003 to serve as Clinical Director at The Pankey Institute, a position he held
until 2008 when he joined Frank Spear in Seattle as president of The Seattle Institute. With the merger
of The Scottsdale Center and The Seattle Institute to form Spear Education, he relocated to Arizona
and today serves as Executive Vice-President and director of Curriculum for Spear. He maintains
a limited private restorative practice on the Spear campus, teaches in the Spear workshops, Spear
Online, and in the Spear Study Clubs.
October 5th
Kirk Behrendt is a dental practice coach, international speaker and author. Kirk has invested his
entire professional life studying the elite practices in dentistry and the leadership that guides them.
As the founder and CEO of ACT, his vision is driven by the commitment to provide highly personalized
care to dentists and their teams. By creating a talented team of experts, Kirk and his team continue
to positively impact the practice of dentistry one practice at a time. His personal mission is to use up
every ounce of his potential. Kirk lectures all over the world to help individuals take control of their
own lives. Dentistry Today recognized Kirk as one of the Leaders in Dental Consulting in 2011, 2012,
2013 and 2014.
November 9th
Dr. Tieraona Low Dog’s exploration of natural medicine and its role in modern health care
began more than 35 years ago as she studied midwifery, herbal medicine, massage therapy and
martial arts before earning her medical degree from the University of New Mexico School of Medicine.
She currently serves as the Fellowship Director for the Academy of Integrative Health and Medicine.
This two-year fellowship is the first integrative interdisciplinary program in the world committed to
training teams of medical doctors, dentists, pharmacists, nursing professionals, physician’s assistants,
dietitians, acupuncturists, naturopathic and chiropractic physicians in integrative health and medicine.
Dr. Low Dog is a founding member of the American Board of Physician Specialties American Board of
Integrative Medicine and the Academy of Women’s Health.
January 11th
Dr. Fazio is a graduate of Harvard College and the Harvard School of Dental Medicine with
additional fellowships in Periodontology and Oral Medicine. For 35 years he has been an Associate
Clinical Professor of Surgery at Yale Medical School and an Attending at the Yale New Haven Hospital,
New Haven Connecticut. His current book, co-authored with Leslie Fang M.D., is the 2015 Edition
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of “The Ultimate Cheat Sheets – The Practical Guide for Dentists”. It has been named by Gordon
Christensen’s CRA Newsletter: “Best Educational Product” for three consecutive years. He serves on the
Editorial Board for the Journals: Inside Dentistry and Compendium of Continuing Education in Dentistry.
Dentistry Today named Dr. Fazio one of the “Top 100 Clinicians in Continuing Education in Dentistry” for
nine consecutive years.
February 8th
Dr. Dean Vafiadis received his dental degree and Prosthodontic specialty training at New York
University College of Dentistry. He is currently the Director of the Full-Mouth Rehabilitation CE course at
NYU. He is an Associate Professor of Prosthodontics at NYU College of Dentistry. Dr. Vafiadis published
and lectured on various topics such as aesthetics, implant designs, computer restorations, ceramic
materials and occlusion. He is the founder of the New York Smile Institute. It is an educational center, full
service laboratory and learning facility as well as a private practice location for a multi-specialty practice
for Implant and Aesthetic Dentistry. Currently he is lecturing for the Continuing Education program at
NYUCD for Dental Districts in US, Europe and Asia. He maintains his private practice Valentino Building
near Rockefeller Center. Dr. Vafiadis’ primary professional mission is to educate, publish and invent new
technologies that will help change the dental profession and patient’s lives.
March 8th
Darrell Cain is the founding partner of Cain, Watters & Associates, a Dallas-area CPA/RIA firm providing
tax and accounting services, ongoing financial monitoring, investments solutions, practice valuations and
transition services, and estate planning. Mr. Cain received his BBA and MPA from Baylor University in Waco,
Texas. He is a member of the Texas Society of Certified Public Accountants and an Investment Advisor
Representative (IAR). Additionally, he is a Certified Valuation Analyst. For more than 30 years, he has spoken
to dental organizations, study clubs, associations, and investment symposiums across the country, as a
recognized leader in the field. Mr. Cain’s deep understanding of the critical issues that dentists face has
made him a sought after voice providing audiences with the answers and tools they need to move toward
practice and personal financial success.
April 5th
Dr. Ron Kaminer is a 1990 graduate from SUNY at Buffalo School of Dental Medicine. He maintains
two practices, one in Hewlett, NY and one in Oceanside, NY. Dr. Kaminer is an international expert in the
field of dental lasers and has lectured on lasers and minimally invasive dentistry both nationally and
internationally. He is the Director of the Masters of Laser training program in New York and is a clinical
instructor with the International College of Laser Education. He evaluates new dental materials for the
Catapult Group and sits on the advisory boards/is a clinical consultant for numerous dental manufacturers.
He has authored numerous articles on dental lasers and minimally invasive dentistry, is a frequent
contributor to Mentor magazine and is an associate editor for Dental Product Shopper. He is a member of
the Academy of Laser Dentistry, Academy of General Dentistry, International College of Facial Esthetic, and
American Dental Association.
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What You Should Know About
Allied Membership in the CSDA
What is Allied membership?
The CSDA has created a special membership category for
hygienists, assistants, administrative staff, lab owners and
technicians so they can join our association.
What are the special discounts available to Allied members?
Allied members can save up to $50 when attending CSDA events:

A $10 discount off the registration fee for individual CSDA Package
Program Series courses.

A free registration for the CSDA Annual Meeting (a $40 savings) if they
sign up prior to April 1st or $20 off their registration after the early bird
deadline.
What are the other benefits of Allied membership?
Allied members receive a complimentary subscription to The
Communicator, our quarterly news magazine. The CSDA
also offers more timely updates through our bi-weekly enewsletter.
How much are Allied membership dues?
At $35 the annual dues for Allied membership is incredibly inexpensive.
CONTACT CSDA’S MEMBERSHIP DEPARTMENT FOR
COMPLETE DETAILS AND TO REQUEST AN APPLICATION.
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CSDA MEMBER DENTISTS
SATISFY CONNECTICUT
MANDATORY CE ONLINE!
An alternative to the traditional classroom, online CE allows you the convenience
of completing some of your continuing education requirements anytime, anywhere!
The CSDA, in partnership with DrBicuspid.com, is pleased to offer several online
versions of some of the allowable mandatory CE topics for dentist license renewal
in Connecticut. There are currently nine CSDA courses to choose from and you are
encouraged to check out DrB’s entire library as a means of earning some of your
CE credit.
• CDC Infection Control Guideline: 2015 Update
Presented by Mary Govoni (satisfies Infection Control)
• Oral Care for the Stroke Survivor
Presented by Cindy Kleiman (satisfies Special Needs Patients)
• Risk Management for the Entire Dental Team
Presented by Dr. Michael Ragan (satisfies Risk Management)
• Are You Ready to Respond to an Emergency in Your Office?
Presented by Lou Brockett (satisfies Medical Emergencies)
• HIPAA Compliance: Are You and Your Patients Protected?
Presented by Mary Govoni (satisfies Record Keeping)
• Domestic Violence and the Dental Professional (2014)
Presented by Pam Wood (satisfies Domestic Violence)
• Treating Patients Who Have Autism: A Team Approach (2014)
Presented by Leslie Canham (satisfies Special Needs Patients)
• The Growing Supply of Dental Services and Access Disparities (2013)
Presented by Drs. Howard Bailit and John Mooney (satisfies Access to Care)
• Dealing with the Department of Public Health:
What to Do, When to Do It, and How to Do It (2013)
Presented by Attorney Craig Fontaine (satisfies Risk Management)
Pricing per course:
CSDA Members – $28 (50% savings!)
Non-CSDA Members – $56
Visit the “Online CE” page of CSDA.com to learn more about the available
courses which can also be used to satisfy elective credit. More courses
coming soon!
CE Requirements for CT Dentists:
The State of Connecticut mandates that licensed
dentists must earn a minimum of 25 hours of CE
credit every two years commencing on the first
date of license renewal. Of those 25 total hours,
one hour must be on the topic of “prescribing
controlled substances and pain management”
(effective 10/1/15). Four additional hours of
training must be in any of these ten topical areas:
infectious disease (including immune deficiency
syndrome and human immunodeficiency virus),
access to care, risk management, care of special
needs patients, domestic violence (including
sexual abuse), record keeping, cultural
competence, current topics in infection control
and patient safety, medical emergencies in the
dental office (including current training in CPR),
and common medications prescribed (what you
need to know before you treat). The remaining 20
hours can be any combination of elective credits
offered by approved providers in areas related to
the licensee’s practice and reflect the professional
needs of the licensee in order to meet the health
care needs of the licensee’s practice.
Internet-based, on-line and other distance
learning opportunities are acceptable.
C O N N E |C T835
I C UWest
T S TQueen
A T E DStreet
E N T A -L Southington,
A S S O C I A T ICT
O N06489
: P A |G E 860-378-1800
15
Connecticut State Dental Association
|
CSDA.com
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Details on all seven CE courses
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2016/2017 CE PACKAGE - REGISTRATION FORM
P L E A S E C O M P L E T E B O T H PA G E S O F T H I S R E G I S T R AT I O N F O R M .
O N LY O N E R E G I S T R A N T P E R F O R M .
Please check one of the following:

CSDA Member
CSDA Member/Recent Grad
ADA Member/Non-CSDA
Non-ADA Member
Auxiliary Staff
CSDA Allied Member
CSDA Retired Life Dentist
Register Online at CSDA.com
Or, register by mail.
Refer to page 4 for a detailed explanation of the
CSDA Member/Recent Grad 30% discount!
PROGRAM FEES
COMPLETE PACKAGE PROGRAM
(Includes 7 courses and the 2017 Annual Meeting registration fee.)

CSDA Member Dentist (Regular). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $750
CSDA Member (Reserved Seating). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $850
CSDA Member/Recent Grad. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $525
ADA Member/Non-CSDA Member. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,150
Non-ADA Member. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,650
After AUGUST 31, the above pricing increases by $100 so register early!
INDIVIDUAL COURSE REGISTRATION
(Please indicate your course selections on the next page.)

CSDA Member*
CSDA Member/Recent Grad*
ADA Member/Non-CSDA Member*
Non-ADA Member*
Auxiliary of CSDA Member Dentist**
CSDA Allied Member**
CSDA Retired Life Dentist**
$275
$193
$420
$520
$85
$75
$55
x
x
x
x
x
x
x
_______
_______
_______
_______
_______
_______
_______
=
=
=
=
=
=
=
$ ____________
$ ____________
$ ____________
$ ____________
$ ____________
$ ____________
$ ____________
Please note: If you do not pre-register, at-the-door pricing for categories marked with a * will incur an additional
$25 fee and those marked with a ** incur an additional $10 fee. Space cannot be guaranteed so early registration is
strongly encouraged.
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COURSE SELECTIONS
REGISTER ME FOR: _________ individual courses as indicated below.
Course: 
No. 1 - September 14, 2016

No. 5 - February 8, 2017

No. 2 - October 5, 2016

No. 6 - March 8, 2017

No. 3 - November 9, 2016

No. 7 - April 5, 2017

No. 4 - January 11, 2017
REGISTRANT INFORMATION
___________________________________________________________________________________________________________________________________
NAME (APPLICANT)
____________________________________________________________
___________________________________________________________________
ADA NUMBER (IF APPLICABLE)
AGD NUMBER (IF APPLICABLE)
___________________________________________________________________________________________________________________________________
PRACTICE (BUSINESS NAME)
___________________________________________________________________________________________________________________________________
ADDRESS
___________________________________________________________________________________________________________________________________
CITY / STATE / ZIP CODE
___________________________________________________________________________________________________________________________________
PHONE
___________________________________________________________________________________________________________________________________
EMAIL
To receive a confirmation and other important course information, you must provide your email address.
METHOD OF PAYMENT
Amount $ ___________________

____________________________________________________________
_____________________
Check Made Payable to CSDA
CREDIT CARD NUMBER
EXP. DATE
MasterCard
______________________________________________________________________________________
Visa
BILLING ADDRESS
American Express
______________________________________________________________________________________
SIGNATURE
Mail your completed
registration form
and payment to:
835 West Queen Street
Southington, CT 06489
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DIRECTIONS TO
Aqua Turf Club, 556 Mulberry Street, Plantsville, CT 06479
From Waterbury: Exit 28, then right to Route 322. Take left onto Old Turnpike Road. At first stop sign, take right
onto Mulberry Street. Aqua Turf is 1/2 mile on the right.
From Hartford: Exit 29. Proceed straight through light onto Mulberry Street. Aqua Turf is 1/2 mile on the right.
From New Haven: Take 691 West to Exit 4. Take a right. At second light, take a right onto South End Road. Follow
until Mulberry Street is on left. Aqua Turf is 1/4 mile on the left.
2017 CSDA ANNUAL MEETING
Don’t forget, the 2016-2017 Package Program includes registration for the CSDA 152nd Charter Oak Dental
Meeting, May 10 - 12, 2017 at Mohegan Sun Resort Casino. You must register by April 1, 2017 in order to take
advantage of the waived registration fee. After that date, fees will apply.
COURSE HANDOUTS
You will receive an e-mail from the CSDA approximately two weeks before the scheduled course confirming
your registration with the corresponding handout attached. It will be sent a second time the Monday before and
will also be accessible within CSDA’s CE mobile app. Not all courses will have handouts. If you wish to have these
materials to reference during the course, please be sure to download and print them in advance. These materials
will not be printed for distribution on-site.
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PA G E 1 9
PRESORTED
STANDARD
U.S. POSTAGE
PAID
HARTFORD, CT
PERMIT # 3344
835 West Queen Street
Southington, CT 06489
Mark your calendar now. Registration begins June 8, 2016.
See inside for complete details!
CONTINUING
EDUCATION
PACKAGE PROGRAM
2016/2017
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