Nebraska · N FALL 2018 Editor’s Message Dr. Brian Penly 2 N ebraska Academy of General Dentistry | October 2018 N AGD Board of N Directors President/Co-Student Membership Chair:

October 2018 | Nebraska Academy of General Dentistry 1

NebraskaAcademy of General Dentistry

O c t o b e r 2 0 1 8

Quarterly Publication of the NAGD

INSIDE THIS ISSUE

Page

President’s Message . . . .1

Editor’s Message . . . . . . .2

NAGD Board of Directors . . . . . . . . . . .2

NAGD Fall Meeting & Mastertrack Info . . . . 4 & 5

Region 10 Trustee Report . . . . . . . . .7

Region 10 RD Report . . . .9

Antibiotics & the Modern Dental Practice Article . . . 10 & 11

2019 NAGD Annual Meeting & Mastertrack Weekend Info . . . . 12 & 13

Future NAGD CE/Mastertrack Dates . . . . .14

Minimal Sedation Renewal Course Recap & NAGD Offering a Minimal Sedation Renewal Course online . . . . . . . . .15

For more information visit www .NebraskaAGD .org

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General Dentistry•

Follow us on Twitter @NebraskaAGD

402 .438 .2321 info@nebraskaagd .org2244 Stockwell Street

Lincoln, NE 68502•

Dr. Matt Serbousek

FALL 2018

President’s Message

NF all is in the air,

winter is coming (GOT) and the

holiday grind is upon us . Pumpkin spice and happy harvest is on every sign you see and (as my wife is so thankful for) school routines and activities are back in full swing . You are in one of two camps, you either love the winter and enjoy spending time inside by the fire… or you despise winter and block all remnants of it from your mind until spring arrives! Love it or hate it, there is a natural beauty about the solemnness and crisp clean air of winter . But, it makes you wonder “why” people have different opinions, act and behave different toward something we can’t control?

We are all basically unique but we all have one thing in common and that thing is, curiosity .

It's an evolutionary trait that allowed us to continually ask “why” . Like my kids, ages 5 and 4, who continually ask why do you get to stay up late, or why can’t I have ice cream for supper . They are curious and wonder why there are rules and don’t know the full cost of repercussions . Like, if you drink energy drinks all day and don’t brush your teeth, you will end up in dentures . Just like curiosity killed the cat, humans figured out that if you walk too close to the cliff, you fall off . We learn from our own mistakes as well as the mistakes of others and we continually ask why things happen . Curiosity has spurred war, peace, a trip the moon, world and space exploration . The answers to some of those questions have given us fuel for our cars, smart phones, satellites that allow us to watch TV from almost anywhere in the world . It’s pretty amazing what we have been able to accomplish by asking why and having the curiosity to adapt and change .

This might all seem a little deep but it relates to each of us at our core as humans and as dentists . Dentists are

analytical people who like to solve problems and help other people in the process . We are inherent nerds who still get excited to look at the smear layer removed from dentin tubules under a scanning electron microscope . Curiosity has allowed us to change the way we practice . It has led to research that has produced better bonding protocols, stronger products and more esthetic materials we are able to use . A quote from Walt Disney sums it up pretty simply and accurately, “We keep moving forward, opening new doors, and doing new things, because we’re curious and curiosity keeps leading us down new paths .” Dentistry is continually changing from the hard work of many asking the questions about how we can make things better .

In closing, let this new season be a reason to remain curious not only in your career as a dentist but also in your life . There are so many things we can experience and only have one life to live . Learn a new hobby, try guitar, wood working, traveling or expand your mind with a good book . Enjoy the free time with your families, spend time exploring and traveling . If you have kids, take the time to teach them to be adventurous and to keep asking why .

N

FALL 2018

Editor’s Message

Dr. Brian Penly

2 Nebraska Academy of General Dentistry | October 2018

NNAGD Board of Directors President/Co-Student Membership Chair:Matt Serbousek, DDS308 .381 .0167mserbo@outlook .com

President-ElectSarah Donner, DDS, MAGD402 .474 .3445scvath@hotmail .com

Vice President/EditorBrian Penly, DDS402 .598 .1533penlydds@gmail .com

Immediate Past President/Membership Chair:Tom St . Germain, DDS, FAGD402 .330 .2243dr .tom .stgermain@gmail .com

Continuing Education Chair/Co-Mastertrack Chair: Burke Noel, DDS, MAGD402 .331 .0828r .burke .noel@gmail .com Treasurer: David Swanson, DDS308 .534 .3314drdave@mapleparkdental .com PACE Coordinator: Steve Wegner, DDS, MAGD, LLSR402 .498 .0400sdwegner@aol .com Legislative Chair: Bob Roesch DDS, MAGD, LLSR402 .727 .7331bkndooz@gmail .com

Co-MasterTrack Program Chair:William Kathrein, DDS, MAGD, LLSR402 .397 .5333billkathrein@gmail .com

Co-Mastertrack Program Chair:Cassandra Pietrok, MAGD402 .330 .2243cass@pacifichillsdental .com

Member at Large: Travis Antholz, DDS, MAGD402 .474-3445travisantholz@gmail .com

Co-Student Membership Chair:Patrick Wachter, DDS402 .659 .5212patrckwachter@creighton .edu

Member at Large:Brent Rising, DDS, FAGD701 .799 .6453Brent .rising@gmail .com

Member at Large:Meghan Hungerford, DDS402 .326 .1524meghandds@gmail .com

Region 10 Trustee:Kevin Low, DDS308 .874 .4132Lenny2351_69129@yahoo .com

Region 10 Regional Director:Chad Wagener, DDS, MAGD515 .964 .5482drwagener@aadsmiles .com

Executive DirectorJulie BergerOffice: 402 .438 .2321Cell: 402 .440 .8450julieberger50@gmail .com

T he fall session scheduled for October 12-14th with Dr . Josh Wren promises to be an important CE session . His learning objectives sync very well with the types of issues that confront those of us with a pediatric heavy practice on a daily basis .

Most interesting to me are the topics concerning “best materials” to use in different situations . Bioactive resin materials such as Activa have been recently inserted into the product mix, with a price point and functionality between GI and resin materials . In my office, I use Activa daily on pediatric patients, especially in adult teeth when the patient has a high caries risk . The hands-on gives instruction on all the topics of interest including anterior and posterior crowns (SSC and zirconia), frenectomies, Class II Activa restorations, ortho appliances, and more . If you haven’t signed up for this course, give Julie a call and make sure you catch Dr . Wren .

Also this month is a review of antibiotics in the dental practice from the perspective of endodontic emergencies . Like all of you, I read different periodicals and view stories all the time about antibiotic resistance . I felt compelled to look into it a little bit more and to see what guidance is available . My endodontist friends point me to publications from the AAE, which have been fairly steady in their message for the past 10+ years . My physician friends express concern about antibiotic usage in their own practices to the point where they are having very difficult conversations with patients about expectations and the cold reality of the future of antibiotics . I think that the time is right for dentistry to put some energy into reflecting on our role as prescribers and what we can do to help slow down antibiotic resistance . Please take minute to check out that article as you read through the publication .

Most of all, have a great fall!


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OCTOBER 12, 13 & 14, 2018“Pediatric Dental Pearls”

PEDO LECTURE

“Pediatric Dental Pearls”Friday, October 12, 2018 (8 hours AGD Pedo Lecture Credit)

This course is designed to give the participants a clear understanding and comfort level working with children while learning modern techniques and materials in all aspects of pediatric dentistry. There have been many changes in the materials used in pediatric dentistry over the past few years. By using specific cases from his office, Dr. Wren will review his choices of materials and methods for performing various pediatric dental procedures. While this presentation is case based, Dr. Wren will briefly review the science and literature behind the materials that he uses. At the conclusion of the course, the participant will know how to confidently treat the pediatric patient and get predictable treatment results.

Learning Objectives• Learn “modern day” behavior guidance methods• Understand emerging trends in caries control and treatment that is based on caries risk assessment• Understand the differences and treatment decisions of glass ionomer vs . bioactive vs . resin based composites• Learn when full coverage restorations are needed and how to perform these procedures (resin crowns vs . class III restorations in the anterior primary teeth, stainless steel crowns vs . large amalgams/resins)• Learn when/how to perform various pulp therapy procedures

2018 NAGD FALL MEETING

(indirect pulp therapy, therapeutic pulptotomies, pulpectomies) and the materials that are proven to be the most successful• Learn the ultimate painless local anesthetic technique when treating all primary teeth

HANDS-ON TRAINING

“Pedo/Ortho lecture and Ortho hands-on”Saturday & Sunday, October 13 & 14, 2018 If you attend the entire 3 days, you will receive 12 hours AGD Pedo Participation Credit and 12 hours AGD Ortho Participation Credit. While you only need 12 hours participation in ortho and 12 hours participation credit in pedo to fulfill the AGD Mastership requirements, 24 additional hours of participation credit (12 in pedo/12 in ortho) may be earned by presenting a clinical homework assignment after the course and presenting in March of 2019. There is an additional fee.

Learning Objectives for the Pediatric Hands-on Training • Learn how to prepare, crimp and seat stainless steel crowns• Learn how to prepare and seat anterior resin crowns• Learn how to prepare and seat anterior and posterior zirconia crowns• Learn how to use and implement Activa restorative composite in the class II restoration• Learn the indications for lingual and labial frenectomies • Learn the difference between a scalpel frenectomy and a laser frenectomy

ORTHO LECTURE

“Interceptive Orthodontics: From growth and development to treating common malocclusions”Learning Objectives for the Orthodontic lecture• Understand an abbreviated cephalometric analysis• Learn how to treat common malocclusions in the mixed dentition—posterior crossbites, anterior crossbities, transient crowding• Learn when to refer patients for an orthodontic evaluation• Learn when to look for what on your panoramic evaluations• Learn when to place what space maintainers when dealing with premature loss of primary teeth• Learn how to treat hypocalcified first permanent molars (should I extract, should I seal, should I restore with full coverage)

4 Nebraska Academy of General Dentistry | July 2018

Dr. Josh Wren received his Doctor of Dental Medicine degree from the University of Mississippi School of Dentistry in 2005. He then completed the Pediatric Dentistry residency program at the University of Kentucky in 2007, where he obtained his Specialty Certificate in Pediatric Dentistry. After residency, Dr. Wren established

Wren Pediatric Dentistry in Brandon, Mississippi. He is a diplomate of the American Board of Pediatric Dentistry and Mississippi representative to the Southeastern Society of Pediatric Dentistry. Dr. Wren is an online and live speaker for www.dentaltown.com and serves as the moderator of the pediatric dental forum. In 2013, he founded Pediatric Dental Seminars to educate practitioners on pediatric dental topics.


Learning Objective for the Hands-on Orthodontics Training • Learn how to fabricate the various space maintainers—band and loop, lower lingual arch, wire nance• Learn how to fabricate and quad helix for expansion• Learn how to fabricate a Nance button + Z-spring for anterior crossbite correction

GEN

ERAL

INFO

RMAT

ION

The AGD-Nebraska is designated as an Approved PACE Program Provider by the Academy of General Dentistry . The formal continuing education programs of this program provider are accepted by the AGD for Fellowship/Mastership and membership maintenance credit .

Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement . The current term of approval extends from 1/1/2018 to 12/31/2021 . Provider ID# 219313

Friday, October 12, 2018 Lecture will be held at Embassy Suites La Vista (12540 Westport Parkway, La Vista NE 68128, Phone: 402.331.7400)7:15 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration8 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course beginsNoon – 1 p.m. . . . . . . . . . . . . . . . . . . . . . . . Lunch hour1 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course resumes5 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Course adjourns** Coffee breaks and lunch will be provided

Hands-On CourseSaturday, October 13, 2018: 8 a.m. – 8 p.m. Sunday, October 14, 2018: 8 a.m. – 1 p.m. Limited Space Available. The hands on portion will be held at Patterson Dental Supply, 12008 Portal Road #102, La Vista NE 68128

Due to the popularity of the lecture and hands on course, we encourage you to register early and take advantage of the member discounts . Space is limited!!!

Name

Staff

Address

City State Zip

Phone

Email (required)

AGD# Non-member Yes

PAYMENT METHODCheck (made payable to the NAGD) Mail payment to: NAGD, 2244 Stockwell Street, Lincoln, NE 68502.

Amount: Credit card: Credit card type:

Credit card #

Exp. Date code on back

Credit Card Address (If different from above)

Credit Card City, State & Zip (If different from above)

Phone (If different from above)

Signature Date

2018 NAGD Fall Meeting“Pediatric Dental Pearls” October 12, 13 & 14, 2018A block of sleeping rooms have been reserved at the Embassy Suites for $134 until September 11, 2018. Ask for the “NE Academy of General Dentistry block” rate. To make reservations, call 402.331.7400.

Course Fees: AGD Dentists: Friday Lecture Only $ 350 (Register by 8-1-18 and receive a $50 member only discount)

Non-AGD Dentists: Friday Lecture Only . . . $ 600

AGD Dentists: Entire 3 day Event . . . . $1,850 (Register by 8-1-18 and receive a $200 member only discount) Includes materials, meals and handouts. Lodging not included.

Non-AGD Dentist: Entire 3 day Event . . . . $2,500 Includes materials, meals and handouts. Lodging not included.

Staff Member/Assistants/Hygienists (Friday only lecture) . . . . $ 100

Dental Students (Friday only lecture) . . . . $ 35

Lab Techs (Friday only lecture) . . . . $ 175

Total Amount Paid

Please mail registration form and payment to: NAGD, 2244 Stockwell Street Lincoln, NE 68502 . Registration can be taken over the phone with a credit card . Register by September 26th to avoid a $45 late fee! A $40 processing fee will be applied to all persons requesting a refund (lecture only) or $85 processing fee will be applied to all person requesting a refund (3 days) before September 26th . No refunds will be issued after that date . You will receive an email confirmation when your registration is processed.

Registration For

July 2018 | Nebraska Academy of General Dentistry 5


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N

I Just Flew in From Cleveland

And boy, are my arms tired .

That’s an old joke from a comedian by the name of Henny Youngman . I never really thought it was all that funny, but his audiences always seemed to laugh .

Not many of those “Golden Age” comedians are around anymore . Remember Milton Berle? Bob Hope? Abbot and Costello? Jack Benny? George Burns?

They’re all gone . They just got old, and unfortunately, the AGD has something in common with them . Our membership isn’t dead, but it is aging faster than we can replace the emeritus members .

That’s a little unsettling for someone like myself . I left clinical dentistry about a year ago, and I was surprised to find that there are MANY AGD members just like me . None of us wants to admit that we aren’t the spry young bucks (and does) that we once were . Gee, I can remember not long ago having a mustache that made me look like I could have starred in the disco version of “Brokeback Mountain .”

Think about the significance of an aging membership . Currently, emeritus members don’t pay dues . Combine that fact with the statistics that show that fewer recent dental school graduates are joining any form of a dental organization . Throw in the fact that there is always a certain amount of attrition in any professional fraternities, and you get the picture .

Yes, we’ve seen the recipe for fiscal concern, but thankfully the AGD has solid leaders that know that a good organization doesn’t need to panic as long as the problem is recognized early, and as long as there is a strategic plan designed to address that problem .

I will continue to monitor this situation, and keep you up to date regarding how the AGD deals with it .

Hey, anyone remember when “calling shotgun” meant sitting in the front seat of the ride? As a younger man, I used to call shotgun all the time .

Unfortunately for me, the cops still put me in the back seat…

FALL 2018

Region 10 Trustee

Kevin C. Low, DDS



N

I hope everyone had a great summer . If yours was as busy as mine, I'm sure it went way to fast . My summer started off in New Orleans at the annual scientific meeting . I had the privilege of watching our Region 10 new Fellows and

Masters receive recognition for all their hard work and dedication to providing better care for their patients . We got to enjoy some fine “Nawlins” food and even some of their festivities on Bourbon street . The Mastertrack programs being offered locally are really top-notch education, and camaraderie . I would highly encourage anyone who hasn't started this journey to consider it .

A good part of the summer around here was trying to stay dry . Julie talked about how they got 7 inches of rain . Well sorry Julie but we topped that…we got 11 inches of rain in a couple of hours . Many people had flooded basements and cars . I happen to be moving my son back from Chicago that night so it was really touch and go if we were going to make it home that evening . My next trip to Chicago will be in November for the House of Delegates meeting . I would encourage anyone who has ideas or suggestions to improve our AGD to contact me so I can be a voice for you . I am here to represent our interests and improve an already great organization .

FALL 2018

Region 10 Regional Director

Chad Wagener, DDS, MAGD


N

Antibiotics and the Modern Dental PracticeA new patient presents to your dental office with dental pain. Your staff fits them into the schedule. Your examination is focused and within a minute you know that the patient is suffering from symptomatic irreversible pulpitis (SIP) with normal apical tissues. The best emergency treatment is complete pulpal debridement with placement of calcium hydroxide, but you have other patients waiting for scheduled procedures. The expectation is for you to do something immediately to help.

A classic, but incorrect treatment path has been to provide an antibiotic to the patient and reschedule for NSRCT or EXT. There are a number of reasons that this has continued to occur in dentistry. Patients have traditionally come to believe antibiotics to be a “cure all” for ailments, and the dentist that doesn’t prescribe an antibiotic is not practicing correctly in their mind. Those patients will also lose trust in you for a diagnosis that will not complete treatment and may provide negative assessments of your skills to others via word or mouth or social media posting. There is a general misunderstanding in our profession about when and where we should be using antibiotics, despite multiple organizations, including the ADA, attempting to provide a more suitable knowledge base.

Now is the right time to address antibiotic issue because a crisis is here. Antibiotic resistance to Clostridium difficile (C. difficile) is classified by the CDC as an “Urgent” Hazard level1, with the potential to become a widespread threat. The Minnesota Department of Health found that between 2009-2015,

roughly 15% of community associated C-Diff infections were associated with a prescription from a dentist2. The same department surveyed Minnesota dentists and found that 36% prescribed antibiotic that were not according to correct protocol and that less that 50% has concerns about adverse effects that would influence their prescribing.

Yearly, two (2) million people in the United States acquire an antibiotic resistant bacterial infection and 23,000 die as a result. According to an April 2015 article from Pharmacy and Therapeutics3 in Nebraska, per 1000 patients, there are between 899-972 written antibiotic scripts across all professions. While I am not an expert in microbiology or infectious disease, this appears very excessive.

What can we do as a profession to ensure that we are good stewards of this important, life saving medication? I would propose that each individual make a commitment to annual updates regarding pharmacology, whether formal or self-study. There are a variety of resources available to us to make certain that we are keeping abreast of the latest developments, but often we pass these resources by because they do not relate directly to the skill-sets that improve our operative or surgical outcomes for patients.

One of the best publications available come from the American Association of Endodontists in their Winter 2012 “Colleagues For Excellence” publications4. My favorite lesson from this publication comes in the form of debunking myths for dental antibiotic use. The author states that we commonly

Brian Penly, DDS


ask ourselves “which antibiotic should we use in this situation?” when we should be asking “should we use an antibiotic at all”?

When the patient develops an intraradicular infection, the most common outcome is that the body’s host defenses will overcome the infectious process prior to it becoming an apical periodontal lesion, assuming that timely debridement and management of the pulp space has been achieved.

When the host defenses aren’t able to stop the infection from spreading to the apical tissues, resulting in either asymptomatic apical periodontitis of acute or chronic natures (i.e. gradual onset, little to no pain, some tenderness, parulis presence), antibiotics are not vital to resolving the problem. The focus as this point should be on debridement of the pulpal space and final obturation and sealing of the canals.

How about those times when the patient presents with acute apical abscess with rapid onset, pain, and localized swelling? Again, most cases are resolved with pulpal debridement, placement of calcium hydroxide, and possible I&D as needed. This is an area where we tend to start using antibiotics where we are urged by the experts to stop.

So when do you use the antibiotics for these cases? According to AAE, cases of acute apical abscess with fever, malaise, and diffuse fascial swelling, are candidates for systemic antibiotic therapy.

When an antibiotic is appropriate, we should review the appropriate antibiotic and attempt to use the solution that is the most narrow spectrum focused toward the correct pathogens. In most cases,

this is going to be Penicillin VK. Augmentin (amoxicillin/potassium clavulanate) should be reserved for unresolved infections and immunocompromised persons. Clindamycin use should be reserved for theses cases when penicillin allergies are present because of increased issues with C-diff.

One technique that I would like to learn is the use of intraosseous injection technique in combination with a steroid to provide more alternatives to treating emergency endodontic pain6. I personally have witnessed an intraosseous steroid injection that provided complete and lasting relief to a patient that presented with 10/10 intense, acute pain related to irreversible pulpitis. This ten-minute pain management technique allowed for proper scheduling of NSRCT and a successful outcome.

I would highly recommend reviewing available resources to review current guidelines, engaging medical providers in immunocompromised persons, and committing to reducing antibiotic usage.

Links/References:1 CDC Antibiotic Resistance

Threats in the United States, Retrieved from https://www.cdc.gov/drugresistance/threat-report-2013/pdf/ar-threats-2013-508.pdf#page=20

2 Study Links Dental Antibiotics to C Diff Cases, 2017, October. Retrieved from http://www.cidrap.umn.edu/news-perspective/2017/10/study-links-dental-antibiotics-c-diff-cases

3 C Lee Ventola (2015). The Antibiotic Resistance Crisis. P T. Apr; 40(4): 277–283 Retrieved https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378521/

4 Use and Abuse of Antibiotics, American Association of Endodontists, Colleague for Excellence, (2012, Winter) Retrieved from https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/07/ecfewinter12final.pdf

5 Antibiotic Stewardship – American Dental Association. Retrieved from https://www.ada.org/en/member-center/oral-health-topics/antibiotic-stewardship

6 Gallatin, E (2000) Pain reduction in untreated irreversible pulpitis using an intraosseous injection of Depo-Medrol, J Endod. 2000 Nov;26(11):633-8


JUNE 7-9, 2019

“The Role of the Doctor and Team in the Implant Practice”

D r. Steven L. Rasner earned his DMD at the University of Pennsylvania . He has pursued extensive CE, trained with many renowned

implant surgeons, and went on to earn a Mastership in the Academy of General Dentistry (1997) . Of the 4500 hours Dr . Rasner has achieved, close to 1,000 have been dedicated to oral surgical sciences . He has completed both the Misch International Implant Institute curriculum and the Pikos Institute continuum . Dr . Rasner has taught for twenty years in 40 American states and 5 countries . He has taught his courses, Atraumatic Extractions for the GP and The Bulletproof Guide to Implant Success, for several ADA components as well as multiple times at the national ADA Meeting . He has received numerous speaking awards and was recognized in Dentistry Today’s Top Clinical Educators list for the past eleven years . Dr . Rasner received a lifetime achievement award in 2011 from Excellence in Dentistry . He has authored 3 books and over 50 industry and journal publications .

LECTURE

“The Role of the Doctor and Team in the Implant Practice”Friday, June 7, 2019(8 hrs. of AGD Implant Lecture Credit)

Implants are really just one third of the triad for the most successful combination to skyrocket any practice in the country . Oral sedation and atraumatic extractions comprise the other cornerstones .

Learning Objectives • The Team: What’s in this for you? More than you think

• Establishing a relationship based practice: what role does the team have?

• The Art of Case Presentation: every step from the first phone call

for cuspids, maxillary molars, mandibular molars, and teeth adjacent to delicate crown and bridge . Recommended armamentarium, flap designs, bone grafting, and suturing techniques will be covered . Medical contraindications and potential complications will be considered . We will also cover a foolproof route to painless injections, and a powerful and predictable enteral sedation protocol that will allow you to treat even the most fearful patients .

Learning Objectives • Terminology of implant

and prosthetic parts

• Bone divisions

• Single root form implants

• Biology of osseous integration

• Sterilization vs . clean technique

• Flap or flapless

• Guided vs . direct vision/ freehand: when to use what

• Treating the esthetic zone

• Immediate or delayed placement

• Treatment planning the edentulous mandible or maxilla

• Bone grafting: understanding osteoconductive and osteoinductive; the five-wall socket; which grafting materials and membranes to use when

2019 NAGD ANNUAL MEETING & MASTERTRACK WEEKEND

• Earning more while seeing less patients

• The clinic’s role in the implant practice: the bar just got higher

• Why it is both necessary and ethical to get paid up front

• The best word of mouth program for attracting out of network patients

• Marketing do’s and don'ts for the oral sedation/ implant practice

• Becoming an integral part of your community

HANDS-ON TRAINING

Saturday & Sunday June 8 & 9, 2019

(If you attend the entire 3-day weekend, you will receive 24 hours AGD par-ticipation Implant credit. 24 additional hours of partici-pation credit may be earned by presenting a clinical homework assignment after the course and presenting in October of 2019. There is an additional fee.)

“The importance of the Atraumatic Extraction in Preparation for Implant Placement”The atraumatic extraction results in the most opportune conditions for implant placement . We will discuss approaches


“Hands-on Extractions, Grafting, and Implant Placement”A brief review of the Day 2 topics will be followed by hands on exercises on a variety of very lifelike models and possibly pig jaws .

Learning Objectives • Incision design

• Atraumatic Extractions of real teeth in models

• Bone grafting utilizing two different tack systems

• Implant placement in various modalities

• The four basic suturing techniques we need to know

The AGD-Nebraska is designated as an Approved PACE Program Provider by the Academy of General Dentistry . The formal continuing education programs of this program provider are accepted by the AGD for Fellowship/Mastership and membership maintenance credit . Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement . The current term of approval extends from 1/1/2018 to 12/31/2021 . Provider ID# 219313

Name

Staff

Address

City State Zip

Phone

Email (required)

AGD# Non-member Yes

PAYMENT METHODCheck (made payable to the NAGD) Mail payment to: NAGD, 2244 Stockwell Street, Lincoln, NE 68502.

Credit card: Credit card type: Amount:

Credit card #

Exp. Date code on back

Credit Card Address (If different from above)

Credit Card City, State & Zip (If different from above)

Phone (If different from above)

Signature Date

2019 NAGD Annual Meeting & Mastertrack Weekend

“The Role of the Doctor and Team in the Implant Practice” June 7, 8 & 9, 2019COURSE FEES: AGD Dentists: Friday Lecture Only . . . $ 350 (Register by April 1, 2019 and receive a $50 member only discount)

Non-AGD Dentists: Friday Lecture Only . . . $ 600 AGD Dentists: Entire 3 day Event . . . . $1,950 (Register by April 1, 2019 and receive a $200 member only discount) Includes materials, meals and handouts. Lodging not included.

Non-AGD Dentist: Entire 3 day Event . . . . $2,600 Includes materials, meals and handouts. Lodging not included.

Staff Member/Assistants/Hygienists (Friday Lecture Only) . . . $ 100 Dental Students (Friday Lecture Only) . . . $ 35 Lab Techs (Friday Lecture Only) . . . $ 175

Total Amount Paid A block of sleeping rooms have been reserved at the Embassy Suites for $139 until May 16, 2019. Ask for the Nebraska Academy of General Dentistry rate. To make reservations, call 402-474-1111.

Please mail registration form and payment to: NAGD, 2244 Stockwell Street Lincoln, NE 68502. Registration can be taken over the phone with a credit card. Register by May 14th to avoid a $45 late fee! A $40 processing fee will be applied to all persons requesting a refund (lecture only) or $85 processing fee will be applied to all person requesting a refund (3 days). No refunds will be issued after that date. You will receive an email confirmation when your registration is processed. Questions? Contact the NAGD Office at 402.438.2321 or email [email protected]

General Information Friday, June 7, 2019Lecture course will be held at Embassy Suites 1040 P Street, Lincoln, NE 68508 402 .474 .11117:15 a .m . . . . . . . . . . . . . . . . . . . . Registration/Breakfast7:45 a .m . . . . . . . . . . . . . . . . . . . . . . . . . . Course Begins11:45 a .m . – 1:15 p .m . . . . . . . . . Extended Lunch Hour . . . . . . . . . . . . . . . . . . . . . . . . . (A chance to visit the exhibits)1:15 p .m . . . . . . . . . . . . . . . . . . . . . . . .Course resumes5:15 p .m . . . . . . . . . . . . . . . . . . . . . . . Course adjourns** Breakfast, Coffee breaks and lunch will be provided

HANDS-ON COURSEHeld at Dental Designs Education Center

3580 Union Drive, Lincoln, NE

Saturday, June 8, 2019 – 8 a .m . to 8 p .m .

Sunday, June 9, 2019 – 8 a .m . to 1 p .m .

Due to the popularity of the lecture and hands on course, we encourage you to register early and take advantage of the member discounts. Space is limited!!!

Registration For


NebraskaFuture NAGD CE/Mastertrack Dates

Savethe

Dates

Visit our NAGD website at www.NebraskaAGD.org for more information on future courses. Or contact the NAGD Office at 402.438.2321 or [email protected]

October 12–14, 2018 • NAGD Fall MeetingDr. Josh Wren Friday lecture — Pediatric Dental Pearls / Weekend — Pedo/Ortho combinedEmbassy Suites, LaVista & Patterson Dental

June 7–9, 2019 • NAGD Annual MeetingDr. Steven Rasner Friday lecture — The Role of the Doctor & Team in the Implant PracticeEmbassy Suites, Lincoln & Dental Designs Education Center


Minimal Sedation Renewal Course

On Friday, August 17th, the NAGD, along with the Lincoln Distirct Dental Association, held the Minimal Sedation Review course at The Graduate Hotel in Lincoln. Dr. Ernie Luce was our featured speaker. Dr. Luce is from the San Antonio and is part-time faculty in the Department of General Dentistry at the dental school in San Antonio. He also is in private practice.

The course in Lincoln had over 70 dentists in attendance. On Saturday, August 8th, Dr. Luce also presented this course in North Platte and we had 11 doctors present.

The Nebraska AGD videotaped the program that day and will be offering an online Minimal Sedation Course. It will be available on our website by mid-October. Go to www.NebraskaAGD.org. Click on the CE/Events tab and scroll down to the Online CE.

For more information, contact the NAGD Office at 402-438-2321.

2244 Stockwell Street Lincoln, NE 68502

PRSRT STDUS POSTAGE

PAIDFIRESPRING

Documents

Nebraska · N FALL 2018 Editor’s Message Dr. Brian Penly 2 N ebraska Academy of General Dentistry | October 2018 N AGD Board of N Directors President/Co-Student Membership Chair: