A New Vision of Dental Diagnosis and Treatment Planning

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1 THE ROY B. HARRELL 61ST ANNUAL DENTAL SEMINAR DAY: Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning Featuring: J. William Robbins, DDS, MA FRIDAY, NOVEMBER 20, 2015 LOCATION: The William and Ida Friday Center for Continuing Education Sponsored by the University of North Carolina Department of Continuing Dental Education

2 Activity Description With the increased emphasis on interdisciplinary treatment in recent years, the deficiencies associated with traditional methods of diagnosis and treatment planning have become more evident and problematic. Historically, the treatment plan was primarily dictated by information provided by study casts which were mounted on a sophisticated articulator in centric relation. At that time in history, the primary tools available for treating the complex restorative patient were functional crown lengthening surgery and increasing the vertical dimension of occlusion. The treatment plan was simply based on restorative space, anterior tooth coupling and resistance and retention form of the final preparations, with no focus on placing the teeth in the correct position in the face. Practitioners did not have access to advanced periodontal, orthodontic, orthognathic surgery and plastic surgery tools that are currently available. With the advent and common usage of these new treatment modalities, the historical method of diagnosis and treatment planning is no longer adequately serving our profession. It is the purpose of this activity to provide a systematic approach to diagnosis and treatment planning the complex interdisciplinary dental patient with a common language that may be used by the orthodontist, periodontist, and oral and maxillofacial surgeon, as well as the restorative dentist. The four Global diagnoses which dictate all interdisciplinary treatment planning will be defined. A set of questions will then be presented which will aid the interdisciplinary team in the diagnosis and treatment planning of the complex dental patient. Educational Objectives At the completion of this activity, participants should be able to: 1. Describe 4 Global Diagnoses 2. Describe the 5 CORE Questions with their corresponding treatment options 3. Complete a Global diagnosis form which will lead to a comprehensive diagnosis 4. Communicate with the interdisciplinary team maximize their effects ADA STATEMENT The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call no later than Wednesday, November 11, 2015 or attach a note to your registration form. 61st Annual Dental Brochure.indd 2 About the Speaker J. William (Bill) Robbins, DDS, MA, maintains a full-time private practice and is Clinical Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio Dental School. He graduated from the University of Tennessee Dental School in l973. He completed a rotating internship at the Veterans Administration Hospital in Leavenworth, Kansas and a 2-year General Practice Residency at the V.A. Hospital in San Diego, California. Dr. Robbins has published over 80 articles, abstracts, and chapters on a wide range of dental subjects and has lectured in the United States, Canada, Mexico, South America, Europe, Middle East and Africa. He coauthored a textbook, Fundamentals of Operative Dentistry A Contemporary Approach, which is published by Quintessence, and is in its 4th edition. He has won several awards including the Presidential Teaching Award at the University Of Texas Health Science Center, the 2002 Texas Dentist of the Year Award, the 2003 Honorary Thaddeus V. Weclew Fellowship Award from the Academy of General Dentistry, the 2010 Saul Schluger Award given by the Seattle Study Club and the Southwest Academy of Restorative Dentistry 2015 President s Award. He is a diplomat of the Federal Services Board of General Dentistry and the American Board of General Dentistry. He is past president of the American Board of General Dentistry, the Academy of Operative Dentistry, the Southwest Academy of Restorative Dentistry, and is immediate past president of the American Academy of Restorative Dentistry. He is a member of several organizations including the American College of Dentists, the International College of Dentists, the American Dental Association, the American Academy of Restorative Dentistry, the Southwest Academy of Restorative Dentistry, the Academy of General Dentistry, and the Academy of Operative Dentistry. GLOBAL DIAGNOSES * Diagnoses Short or Hyperactive Maxillary Lip Altered Passive Eruption Dentoalveolar Extrusion Skeletal Deficiency Combination Schedule 8:30-9:00 am 9:00-10:30 am The UNC School of Dentistry Registration and Continental fast Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning designates this activity for up to 6.0 HOURS of continuing education credits. 10:30-10:45 am 10:45-12:15 pm 12:15-1:15 pm Lunch 1:15-2:45 pm 2:45-3:00 pm 3:00-4:30 pm Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. This continuing education program is presented by The UNC School of Dentistry is an ADA CERP Recognized Provider. the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education Department. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE s term of recognition is May 1, 2015 through June 30, ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at Conflict of Interest In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity. As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses. Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Wednesday, November 11, Registration and Fees: The registration fee is $265 for dentists and $165 for team members and includes course materials, CE credit and all meals included in the agenda. All registrations must be received by Friday, November 13, UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs. 8/27/2015 9:22:41 AM

3 Activity Description With the increased emphasis on interdisciplinary treatment in recent years, the deficiencies associated with traditional methods of diagnosis and treatment planning have become more evident and problematic. Historically, the treatment plan was primarily dictated by information provided by study casts which were mounted on a sophisticated articulator in centric relation. At that time in history, the primary tools available for treating the complex restorative patient were functional crown lengthening surgery and increasing the vertical dimension of occlusion. The treatment plan was simply based on restorative space, anterior tooth coupling and resistance and retention form of the final preparations, with no focus on placing the teeth in the correct position in the face. Practitioners did not have access to advanced periodontal, orthodontic, orthognathic surgery and plastic surgery tools that are currently available. With the advent and common usage of these new treatment modalities, the historical method of diagnosis and treatment planning is no longer adequately serving our profession. It is the purpose of this activity to provide a systematic approach to diagnosis and treatment planning the complex interdisciplinary dental patient with a common language that may be used by the orthodontist, periodontist, and oral and maxillofacial surgeon, as well as the restorative dentist. The four Global diagnoses which dictate all interdisciplinary treatment planning will be defined. A set of questions will then be presented which will aid the interdisciplinary team in the diagnosis and treatment planning of the complex dental patient. Educational Objectives At the completion of this activity, participants should be able to: 1. Describe 4 Global Diagnoses 2. Describe the 5 CORE Questions with their corresponding treatment options 3. Complete a Global diagnosis form which will lead to a comprehensive diagnosis 4. Communicate with the interdisciplinary team maximize their effects ADA STATEMENT The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call no later than Wednesday, November 11, 2015 or attach a note to your registration form. 61st Annual Dental Brochure.indd 2 About the Speaker J. William (Bill) Robbins, DDS, MA, maintains a full-time private practice and is Clinical Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio Dental School. He graduated from the University of Tennessee Dental School in l973. He completed a rotating internship at the Veterans Administration Hospital in Leavenworth, Kansas and a 2-year General Practice Residency at the V.A. Hospital in San Diego, California. Dr. Robbins has published over 80 articles, abstracts, and chapters on a wide range of dental subjects and has lectured in the United States, Canada, Mexico, South America, Europe, Middle East and Africa. He coauthored a textbook, Fundamentals of Operative Dentistry A Contemporary Approach, which is published by Quintessence, and is in its 4th edition. He has won several awards including the Presidential Teaching Award at the University Of Texas Health Science Center, the 2002 Texas Dentist of the Year Award, the 2003 Honorary Thaddeus V. Weclew Fellowship Award from the Academy of General Dentistry, the 2010 Saul Schluger Award given by the Seattle Study Club and the Southwest Academy of Restorative Dentistry 2015 President s Award. He is a diplomat of the Federal Services Board of General Dentistry and the American Board of General Dentistry. He is past president of the American Board of General Dentistry, the Academy of Operative Dentistry, the Southwest Academy of Restorative Dentistry, and is immediate past president of the American Academy of Restorative Dentistry. He is a member of several organizations including the American College of Dentists, the International College of Dentists, the American Dental Association, the American Academy of Restorative Dentistry, the Southwest Academy of Restorative Dentistry, the Academy of General Dentistry, and the Academy of Operative Dentistry. GLOBAL DIAGNOSES * Diagnoses Short or Hyperactive Maxillary Lip Altered Passive Eruption Dentoalveolar Extrusion Skeletal Deficiency Combination Schedule 8:30-9:00 am 9:00-10:30 am The UNC School of Dentistry Registration and Continental fast Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning designates this activity for up to 6.0 HOURS of continuing education credits. 10:30-10:45 am 10:45-12:15 pm 12:15-1:15 pm Lunch 1:15-2:45 pm 2:45-3:00 pm 3:00-4:30 pm Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. This continuing education program is presented by The UNC School of Dentistry is an ADA CERP Recognized Provider. the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education Department. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE s term of recognition is May 1, 2015 through June 30, ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at Conflict of Interest In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity. As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses. Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Wednesday, November 11, Registration and Fees: The registration fee is $265 for dentists and $165 for team members and includes course materials, CE credit and all meals included in the agenda. All registrations must be received by Friday, November 13, UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs. 8/27/2015 9:22:41 AM

4 Activity Description With the increased emphasis on interdisciplinary treatment in recent years, the deficiencies associated with traditional methods of diagnosis and treatment planning have become more evident and problematic. Historically, the treatment plan was primarily dictated by information provided by study casts which were mounted on a sophisticated articulator in centric relation. At that time in history, the primary tools available for treating the complex restorative patient were functional crown lengthening surgery and increasing the vertical dimension of occlusion. The treatment plan was simply based on restorative space, anterior tooth coupling and resistance and retention form of the final preparations, with no focus on placing the teeth in the correct position in the face. Practitioners did not have access to advanced periodontal, orthodontic, orthognathic surgery and plastic surgery tools that are currently available. With the advent and common usage of these new treatment modalities, the historical method of diagnosis and treatment planning is no longer adequately serving our profession. It is the purpose of this activity to provide a systematic approach to diagnosis and treatment planning the complex interdisciplinary dental patient with a common language that may be used by the orthodontist, periodontist, and oral and maxillofacial surgeon, as well as the restorative dentist. The four Global diagnoses which dictate all interdisciplinary treatment planning will be defined. A set of questions will then be presented which will aid the interdisciplinary team in the diagnosis and treatment planning of the complex dental patient. Educational Objectives At the completion of this activity, participants should be able to: 1. Describe 4 Global Diagnoses 2. Describe the 5 CORE Questions with their corresponding treatment options 3. Complete a Global diagnosis form which will lead to a comprehensive diagnosis 4. Communicate with the interdisciplinary team maximize their effects ADA STATEMENT The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call no later than Wednesday, November 11, 2015 or attach a note to your registration form. 61st Annual Dental Brochure.indd 2 About the Speaker J. William (Bill) Robbins, DDS, MA, maintains a full-time private practice and is Clinical Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio Dental School. He graduated from the University of Tennessee Dental School in l973. He completed a rotating internship at the Veterans Administration Hospital in Leavenworth, Kansas and a 2-year General Practice Residency at the V.A. Hospital in San Diego, California. Dr. Robbins has published over 80 articles, abstracts, and chapters on a wide range of dental subjects and has lectured in the United States, Canada, Mexico, South America, Europe, Middle East and Africa. He coauthored a textbook, Fundamentals of Operative Dentistry A Contemporary Approach, which is published by Quintessence, and is in its 4th edition. He has won several awards including the Presidential Teaching Award at the University Of Texas Health Science Center, the 2002 Texas Dentist of the Year Award, the 2003 Honorary Thaddeus V. Weclew Fellowship Award from the Academy of General Dentistry, the 2010 Saul Schluger Award given by the Seattle Study Club and the Southwest Academy of Restorative Dentistry 2015 President s Award. He is a diplomat of the Federal Services Board of General Dentistry and the American Board of General Dentistry. He is past president of the American Board of General Dentistry, the Academy of Operative Dentistry, the Southwest Academy of Restorative Dentistry, and is immediate past president of the American Academy of Restorative Dentistry. He is a member of several organizations including the American College of Dentists, the International College of Dentists, the American Dental Association, the American Academy of Restorative Dentistry, the Southwest Academy of Restorative Dentistry, the Academy of General Dentistry, and the Academy of Operative Dentistry. GLOBAL DIAGNOSES * Diagnoses Short or Hyperactive Maxillary Lip Altered Passive Eruption Dentoalveolar Extrusion Skeletal Deficiency Combination Schedule 8:30-9:00 am 9:00-10:30 am The UNC School of Dentistry Registration and Continental fast Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning designates this activity for up to 6.0 HOURS of continuing education credits. 10:30-10:45 am 10:45-12:15 pm 12:15-1:15 pm Lunch 1:15-2:45 pm 2:45-3:00 pm 3:00-4:30 pm Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. This continuing education program is presented by The UNC School of Dentistry is an ADA CERP Recognized Provider. the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education Department. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE s term of recognition is May 1, 2015 through June 30, ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at Conflict of Interest In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity. As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses. Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Wednesday, November 11, Registration and Fees: The registration fee is $265 for dentists and $165 for team members and includes course materials, CE credit and all meals included in the agenda. All registrations must be received by Friday, November 13, UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs. 8/27/2015 9:22:41 AM

5 Activity Description With the increased emphasis on interdisciplinary treatment in recent years, the deficiencies associated with traditional methods of diagnosis and treatment planning have become more evident and problematic. Historically, the treatment plan was primarily dictated by information provided by study casts which were mounted on a sophisticated articulator in centric relation. At that time in history, the primary tools available for treating the complex restorative patient were functional crown lengthening surgery and increasing the vertical dimension of occlusion. The treatment plan was simply based on restorative space, anterior tooth coupling and resistance and retention form of the final preparations, with no focus on placing the teeth in the correct position in the face. Practitioners did not have access to advanced periodontal, orthodontic, orthognathic surgery and plastic surgery tools that are currently available. With the advent and common usage of these new treatment modalities, the historical method of diagnosis and treatment planning is no longer adequately serving our profession. It is the purpose of this activity to provide a systematic approach to diagnosis and treatment planning the complex interdisciplinary dental patient with a common language that may be used by the orthodontist, periodontist, and oral and maxillofacial surgeon, as well as the restorative dentist. The four Global diagnoses which dictate all interdisciplinary treatment planning will be defined. A set of questions will then be presented which will aid the interdisciplinary team in the diagnosis and treatment planning of the complex dental patient. Educational Objectives At the completion of this activity, participants should be able to: 1. Describe 4 Global Diagnoses 2. Describe the 5 CORE Questions with their corresponding treatment options 3. Complete a Global diagnosis form which will lead to a comprehensive diagnosis 4. Communicate with the interdisciplinary team maximize their effects ADA STATEMENT The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veteran s status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education activity, please call no later than Wednesday, November 11, 2015 or attach a note to your registration form. 61st Annual Dental Brochure.indd 2 About the Speaker J. William (Bill) Robbins, DDS, MA, maintains a full-time private practice and is Clinical Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio Dental School. He graduated from the University of Tennessee Dental School in l973. He completed a rotating internship at the Veterans Administration Hospital in Leavenworth, Kansas and a 2-year General Practice Residency at the V.A. Hospital in San Diego, California. Dr. Robbins has published over 80 articles, abstracts, and chapters on a wide range of dental subjects and has lectured in the United States, Canada, Mexico, South America, Europe, Middle East and Africa. He coauthored a textbook, Fundamentals of Operative Dentistry A Contemporary Approach, which is published by Quintessence, and is in its 4th edition. He has won several awards including the Presidential Teaching Award at the University Of Texas Health Science Center, the 2002 Texas Dentist of the Year Award, the 2003 Honorary Thaddeus V. Weclew Fellowship Award from the Academy of General Dentistry, the 2010 Saul Schluger Award given by the Seattle Study Club and the Southwest Academy of Restorative Dentistry 2015 President s Award. He is a diplomat of the Federal Services Board of General Dentistry and the American Board of General Dentistry. He is past president of the American Board of General Dentistry, the Academy of Operative Dentistry, the Southwest Academy of Restorative Dentistry, and is immediate past president of the American Academy of Restorative Dentistry. He is a member of several organizations including the American College of Dentists, the International College of Dentists, the American Dental Association, the American Academy of Restorative Dentistry, the Southwest Academy of Restorative Dentistry, the Academy of General Dentistry, and the Academy of Operative Dentistry. GLOBAL DIAGNOSES * Diagnoses Short or Hyperactive Maxillary Lip Altered Passive Eruption Dentoalveolar Extrusion Skeletal Deficiency Combination Schedule 8:30-9:00 am 9:00-10:30 am The UNC School of Dentistry Registration and Continental fast Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning designates this activity for up to 6.0 HOURS of continuing education credits. 10:30-10:45 am 10:45-12:15 pm 12:15-1:15 pm Lunch 1:15-2:45 pm 2:45-3:00 pm 3:00-4:30 pm Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. This continuing education program is presented by The UNC School of Dentistry is an ADA CERP Recognized Provider. the University of North Carolina at Chapel Hill School of Dentistry and the Continuing Dental Education Department. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDE s term of recognition is May 1, 2015 through June 30, ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at Conflict of Interest In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity. As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses. Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Wednesday, November 11, Registration and Fees: The registration fee is $265 for dentists and $165 for team members and includes course materials, CE credit and all meals included in the agenda. All registrations must be received by Friday, November 13, UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs. 8/27/2015 9:22:41 AM

6 Register by mail: Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to: Attention: Registration UNC Continuing Dental Education Campus Box #7450 Chapel Hill, NC Register On-line: Direct your web-browser to Questions? Call: or us at Cancellations and Refunds A registration refund, less a $50 fee, will be issued for cancellations received by Friday, November 13, Cancellations must be received in writing either by fax or to cancellation request must include: the name of the activity, name of the person registered, name of the person requesting the cancellation, and the reason for the cancellation. No refunds will be issued after Friday, November 13, The UNC School of Dentistry Continuing Dental Education Program cannot be responsible for the refund of any part of the registration fee as a result of emergencies, unforeseen circumstances, or events beyond its control after the cancellation date. The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will fully refund registration fees but is not responsible for any related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, rental car or travel agencies.

7 REGISTRATION THE ROY B. HARRELL 61ST ANNUAL DENTAL SEMINAR DAY: Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning Friday, November 20, 2015 Course Code (16 CE 001) **Please make additional copies for each person registering** Registration Deadline: November 13, 2015 (Space is limited) Dentists $265 Specialty Team Members $165 RDH $165 Other $165 First Name Last Name Jr./Sr. Preferred Name Male Female Self-identify I am an alumnus/alumna of UNC School of Dentistry: DDS RDH DA Post Doc Employer Mailing Address City State Zip County in NC Daytime Phone ( ) Fax ( ) Register On-line with a Credit Card at Date Received (office use only) I have special dietary needs, please explain: I have special needs, please contact me. The University of North Carolina School of Dentistry cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures. By providing my information, I consent to receive communication via mail, , fax, and phone from the University of North Carolina Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

8 Continuing Dental Education Campus Box 7450 Chapel Hill NP ORG US Postage PAID Chapel Hill, NC Permit # Advancing Knowledge in Dentistry THE ROY B. HARRELL 61ST ANNUAL DENTAL SEMINAR DAY: Global Diagnosis A New Vision of Dental Diagnosis and Treatment Planning

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