ICOI Winter Symposium - enflyer.com Orlando Broch final... · ICOI Winter Symposium ... Encino, CA Dr. Muna Soltan:General Dentist, private practice, Riverside, CA Dr. Marius Steigmann:Adjunct,

The Hyatt Regency Grand Cypress Resort

Orlando, FloridaOrlando, Florida

ICOI Winter Symposium

SPONSORED BY:

International Congress of Oral Implantologists (ICOI)Association of Dental Implant Auxiliaries (ADIA)

January 25-27, 2007Pre-Symposium Courses: Thursday Morning, January 25, 2007

General Session Begins at 1:30 pm

ICOI Winter Symposium

Mission Statement

2 ICOI Winter Symposium

Upon completion of this program, participants will be able to:

Understand the treatment of adolescents/children with dental implants; understand thecomplexities of treating the atrophic maxilla; appreciate the diagnostic and treatmentdevelopment value of interactive computed tomography (CT), from identifying existing anatomyto planning bone regeneration, implant placement, as well as designing the final prosthesis;evaluate the current concepts in bone regeneration and soft tissue management; identify idealsituations for immediate implant placement and/or immediate implant loading; and recognize thekey factors in the management of all of these conditions for maximum esthetic success.

For a complete description of all course objectives, please refer to our website underOrlando Symposium.

Dear Colleagues,

Treatment of the atrophic maxilla is one of the biggest challenges in the field ofimplant dentistry. Rehabilitative concerns include hard and soft tissue sitedevelopment, specificity in timing of implant and prosthesis placement, all withconsideration of producing an esthetic result. This conference will analyze the multi-faceted treatment options and state-of-the-art tools available today to augment bothour surgical and prosthetic outcomes. Attendees will develop an understanding of thescience behind ”the latest innovations in esthetics, bone regeneration techniques and3-D planning.”

With the scope of implant dentistry broadening into orthodontics, treatment foryounger individuals is becoming more prevalent. A session of the conference will bededicated to a consensus forum to create guidelines and give participants anappreciation of adolescent /child care with dental implants.

It is our honor to have an international panel of highly acclaimed speakers, all with anobjective of presenting ground-breaking techniques, rooted in science. Using a diverseset of approaches, their collective goal will be to facilitate achieving implant surgical,prosthetic, and esthetic success.

With over 60 exhibitors, we invite you to immerse yourself in the magic of Orlandoand see what the future of implant dentistry holds!

Sincerely,

Dr. Scott Ganz, Dr. Robert Kakos, Dr. Jack Krauser and Dr. Natalie Wong

Scientific Committee

All images courtesy of the Orlando/Orange County Convention & Visitors Bureau, Inc.

Mission Statement

The Faculty

Orlando, Florida • January 25-27, 2007 3

Dr. Christopher Amenedo: Oral andMaxillofacial Surgeon, Faculty, Dept. ofDentistry, Montefiore Medical Center,Bronx, NY

Mr. Renzo Casellini, MDT: Swiss QualityDental Ceramics, Los Angeles, CA

Dr. Robert J. Cronin: Professor,Department of Prosthodontics, Universityof Texas at San Antonio, TX

Dr. Scott Ganz: MaxillofacialProsthodontist, private practice, Fort Lee, NJ

Dr. David Garber: Periodontist,Prosthodontist, private practice, Atlanta, GA

Dr. Arun Garg: Clinical Professor ofSurgery, School of Medicine, Miami, FL,private practice, Aventura, FL

Dr. Jack A. Hahn: Private practice,Cincinnati, OH

Dr. Jack Krauser: Periodontist, privatepractice, Boca Raton, FL

Dr. Richard Kraut: Chairman and Directorof Oral Maxillofacial Surgery, MontefioreMedical Center, Department of Dentistry,Bronx, NY

Dr. Omer Kutay: Prosthodontist, Professorin Dept. of Prosthodontics, Division ofComplete Dentures at University ofIstanbul, Turkey

Dr. Ziv Mazor: Private practice, RáAnanan, Israel

Dr. Hee-Moon Kyung: Professor, ChairDepartment of Orthodontics, College ofDentistry, Kyungpook National University,Korea

Dr. Carl E. Misch: Prosthodontist, Directorof the Misch International ImplantInstitute, private practice, Birmingham, MI

The Faculty

Dr. Craig Misch: Prosthodontist, Oral andMaxillofacial Surgeon, private practice,Sarasota, FL

Dr. Ady Palti: General Dentist, privatepractice, Kraichtal, Germany

Dr. Michael A. Pikos: Oral andMaxillofacial Surgeon, Director of MAPSeminars, private practice, Palm Harbor, FL

Dr. W. Eugene Roberts: Orthodontist,Head of Orthodontics Division of Dept. of Oral Facial Development, Director ofGraduate Orthodontics Program atIndiana University School of Dentistry,private practice, Indianapolis, IN

Dr. Henry Salama: Periodontist,Prosthodontist, private practice, Atlanta, GA

Dr. Michael D. Smilanich: GeneralDentist, private practice, River Falls, WI

Dr. Dennis Smiler: Oral MaxillofacialSurgeon, private practice, Encino, CA

Dr. Muna Soltan: General Dentist,private practice, Riverside, CA

Dr. Marius Steigmann: Adjunct,Professor of Oral and MaxillofacialSurgery, Boston University, privatepractice, Neckargemund, Germany

Dr. Tomaso Vercellotti: Specializing inPeriodontology and Implantology, privatepractice, Genova, Italy,

Dr. Hom-Lay Wang: Periodontist,Professor and Director of GraduatePeriodontics, University of Michigan, Ann Arbor, MI

Pre-Symposium Courses


8:00 am to 12:30 pmCourse Fee: $675 for Doctors, $295 for Team Members (10% donated to IDREF)

Dr. Arun K. Garg*Block Grafting Tissue Bank Bone for Ridge Width and Height

Allografts have been used for years as viable alternatives to autogenous grafts. Theyeliminate many of the disadvantages associated with autogenous grafts, including morbidity,limited volume and dimension of bone, IV sedation, and harvesting time. This half-daycomprehensive program will be covering how allogeneic tissues from a tissue bank and in a block configuration are acquired, processed, and clinically utilized to maximize outcomes /benefits, step-by-step techniques to increase ridge height and width predictably, instrumen-tation, and associated fees. Learn these exciting techniques which are changing the way implant dentistry and related bone grafting is currently being performed and willincreasingly be practiced and performed in the near future. This program will be conductedwith lectures, and a Hands-on Workshop on a take home model. Additionally, this programwill serve as a certification program for Puros Block graft training.

* Dr. Arun Garg: Private Practice, Aventura, FL

8:00 am to 12:00 pm Course Fee: $50 (Includes Continental breakfast)

Dr. Ady Palti, Dr. Barry Bartee and Dr. Robert Horowitz*New Standards for Bone Regeneration before Implant Placement

The loss of alveolar bone volume can prevent or delay the placement of dental implants orrequire extra procedures to regain the tissues necessary for ideal implant placement. Forexample, if no site preservation/augmentation is performed when a tooth is extracted, thesocket will collapse which can lead to the need for a bone grafting procedure. Newtechniques and surgical materials have advantages for grafting depending on the types ofdefects being treated. Recent clinical studies and patient concerns about the safety ofmaterials have put additional importance on assessing surgical techniques and bone graftingoptions. A variety of materials currently used for bone grafting at the time of extraction willbe demonstrated with clinical, radiographic and histological results. Critical analysis willshow their predictability and efficacy for bone formation in this crucial area.

* Dr. Ady Palti: Private Practice, Kraichtal, GermanyDr. Barry Bartee: Private Practice, Lubbock, TXDr. Robert Horowitz: Periodontist, Private Practice, Scarsdale, NY



8:00 am to 12:30 pm Course Fee: $325

Dr. Donald Callan*Surgical Solutions for Restorative Problems

Restorative dentistry depends on adequate hard and soft tissuesupport for esthetics, function and longevity of any restoration.When teeth are lost, the socket is not replaced with bone, resulting in a hard and soft tissuedefect. Hard and soft tissue regeneration procedures are to correct these defects to provideproper alveolar ridge form, width and height. The improved alveolar bone support willenhance the esthetics, function, longevity, and the predictability for existing or future fixed,removable prostheses and dental implants. The bone regeneration procedures, in all areas,will also increase the amount of surface area for supporting removable prostheses.

In the past, hard and soft grafting procedures were complex, time consuming and costly for the dentist thus, limiting the profit margin for the practice. With today’s simple surgicalprocedures, better grafting materials, and improved implant designs the modern daydentists are now meeting and providing the requests and needs of all patients. Today,implant procedures and bone grafting are routine as basic restorative dentistry. In this age of cosmetic dentistry, patients are defining restorative procedures and implant success as an esthetic tooth replacement, natural function, reasonable longevity, and a healthyenvironment that can be maintained with routine oral hygiene.

The purpose of this program is to acquaint the clinician with various grafting materials and techniques for the enhancement esthetics and function of conventional and implantdentistry through tissue regeneration procedures for the general practice.

* Dr. Donald Callan: Periodontist, Private Practice, Little Rock, AR

8:00 am to 12:30 pm Course Fee: $395 (10% donated to IDREF)

Dr. James R. McAnally and Mr. Tom Briley, CDT*

The 7 Keys that Put More and Larger Sized Implant Cases into any Practice and PredictableProsthetics for Complex Cases Resulting from Implant Specific Marketing

This course reveals the 7 keys that every practice wishing to attract the largest and mostcomplex implant cases must have in order to enjoy the routine generation of these cases.These critical keys increase case numbers, case size and the success rate of cases moving totreatment while minimizing wasted time and resources in the practice’s marketing systems.Employing these keys result in the more routine attraction of patients requiring complexwhole-mouth prosthetics therefore the prosthetic portion of the course will illustrate newand novel ways to maximize the clinician’s time efficiency, to reduce operator stress and tolower costs associated with whole mouth implant prosthetics resulting from successfulimplant specific marketing.

* Dr. James R. McAnally: Clinical Dentist, Private Practice, Seattle, WAMr. Tom Briley, CDT: President of Universal Dental Laboratory, Malden, MA

Continued on next page.

THURSDAY, JANUARY 25, 2007



8:00 a.m. to 1:00 p.m. Course Fee: $275

Dr. Dennis Smiler and Dr. Robert Kakos*Antral Membrane Balloon Elevation: Sinus and Socket-Lift for the Non-Surgical Clinician

This workshop presents the Antral Membrane Balloon Elevation technique for sinus andsocket-lift graft surgery. The AMBE is an office surgical procedure that can be utilized by thenon-surgical specialist for site development in preparation for implants. The AMBE techniqueis reviewed in detail. The basic concepts of flap design, sinus membrane elevation, bonegraft materials, and simultaneous implant site preparation are explained. The courseobjectives are to provide the clinician with knowledge and understanding of the surgicalrequirements for Antral Membrane Balloon Elevation. The workshop presentation by Dr.Smiler and Dr. Kakos will be a combination of lecture material, hand-outs, videos of selectedprocedures and hands-on model surgery.

* Dr. Dennis Smiler: Oral Surgeon, Private Practice, Encino, CADr. Robert Kakos: Oral Surgeon, Private Practice, Roswell, GA

Pre-Symposium Courses (Continued)

ICOI World Congress XXVand 10th Annual IPS SymposiumAugust 22-25, 2007 ~ San Francisco, California

Phot

oCr

edit:

Lew

isSo

mm

er,S

anFr

anci

sco

Conv

entio

nan

dVi

sitor

sBu

reau


ICOI Membership

JOIN THE ICOI AND RECEIVE 50% OFF THE ORLANDO TUITION!*

ICOI is the world’s largest continuing dental implant education provider.We are committed to meeting the individual “clinical” needs of all ICOI members whetherthey place, restore, fabricate or assist. We provide practical training for the total implantteam whether you are a specialist, generalist, auxiliary or laboratory technician.

To get to know us, we are offering 50% off the Orlando registration when youjoin! Contact Membership Director, Jenifer Berg at (888) 449-4264 for moreinformation, or visit our web site at www.icoi.org

* Discount applies for Practitioners only

FULL NAME _______________________________________ DEGREE(S) ____________________

PRACTICE / BUSINESS NAME ______________________________________________________

STREET_________________________________________________________________________

CITY __________________________ STATE______ ZIP_________COUNTRY________________

PHONE ( ) ___________________________ FAX ( )__________________________

E-MAIL___________________________________ WEB ADDRESS ________________________

GENERALIST/ SPECIALIST: _________________________________________________________

IMPLANT INVOLVEMENT: ■■ Surgery ■■ Prosthetics

■■ Dentist: $350 ■■ Laboratory Technician: $150 ■■ Auxiliary Team Member: $50

Partner rates available. Please call (888) 449-4264 for additional rates.

METHOD OF PAYMENT You may also fax your membership form to (973) 783-1175

CHECKS: Please make checks payable to the ICOI in US funds and mail to the ICOI at:

248 Lorraine Ave., 3rd floor • Upper Montclair, NJ 07043 • USA(888) 449-4264 • (800) 442-0525

CREDIT CARD: ■■ MasterCard ■■ Visa ■■ American Express

Card Number ___________________________________________________________________

Exp. Date_____________________________ Billing Zip Code ___________________________

Signature_______________________________________________________________________

ICOI MEMBERSHIP APPLICATION

ICOI Membership

Scientific Session


THURSDAY, JANUARY 25, 2007 • AFTERNOON SESSION

Adolescent / Child Care with Implants – A Consensus Conference

1:15 pm to 1:30 pm WELCOME - Dr. Carl Misch

1:30 pm to 2:15 pm Dr. Carl Misch: Maxillary Anterior Single Tooth Replacement

in Adolescents

2:15 pm to 3:00 pm Dr. Robert Cronin: Dental Implant Placement and Restoration in

Growing Patients: When, Where, and How?

3:00 pm to 3:45 pm BREAK WITH EXHIBITORS

3:45 pm to 4:30 pm Dr. W. Eugene Roberts: Orthodontic Implants in the Adolescent

4:30 pm to 5:15 pm Dr. Hee-Moon Kyung: The Variable Use of the Microimplant for

Adolescent Orthodontic Patients

5:15 pm to 5:30 pm QUESTIONS AND ANSWERS

5:30 pm to 7:00 pm TABLETOP PRESENTATIONS ANDWELCOME RECEPTION - Exhibition Hall

FRIDAY, JANUARY 26, 2007 • MORNING SESSION

New 3-D Technologies

8:30 am to 9:15 am Dr. Scott Ganz: It’s Not the Scan, It’s the Plan™-

Linking Diagnostics with Surgical and Restorative Outcomes

9:15 am to 10:00 am Dr. Michael Pikos: Esthetic Zone Reconstruction: Synergy

of Interactive CT/Hard & Soft Tissue Grafting

10:00 am to 10:45 am BREAK WITH EXHIBITORS

10:45 am to 11:30 am Dr. Jack Krauser: Introduction to Guided Surgery:

Surgical Advantages and Prosthetic Options

11:30 am to 12:15 pm Dr. Ady Palti: New Technologies in Oral Implantology: Immediate

Loading for Perfect Aesthetics

12:15 pm to 12:25 pm Dr. Kenneth Judy: ICOI's International Multi-Lingual Website

12:25 pm to 1:30 pm LUNCH WITH EXHIBITORS

FRIDAY, JANUARY 26, 2007 • AFTERNOON SESSION

Implant Treatment of Atrophic Maxilla

1:30 pm to 2:15 pm Drs. Dennis Smiler and Muna Soltan: Cell-Based Strategies for

Bone Regeneration: Bone Marrow Aspirate

2:15 pm to 3:00 pm Dr. Arun Garg: Review of Graft Materials and Their Clinical Indications

Scientific Session


3:00 pm to 3:45 pm Dr. Tomaso Vercellotti: Differential Implant Site Preparation


4:15 pm to 5:00 pm Drs. Richard Kraut and Christopher Amenedo: Restoration

of the Edentulous Maxilla: Case Presentations

5:00 pm to 5:45 pm Dr. Ziv Mazor: Sinus Augmentation: State-of-the-Art Techniques

and Grafting Materials


6:30 pm to 7:30 pm AWARDS CEREMONY - Grand Ballroom

SATURDAY, JANUARY 27, 2007 • MORNING SESSION

Implant Esthetic Considerations

8:00 am to 8:45 am Dr. Omer Kutay: Success Factors for Implant Supported

Removable Dentures

8:45 am to 9:30 am Drs. David Garber and Henry Salama: Immediate, Functional

and Esthetic Replacement of Missing Anterior Teeth

9:30 am to 10:15 am Renzo Casellini, MDT: Solutions for Implant Restorations: Treatment

Planning and New Technologies Guarantee Implant Success

10:15 am to 10:45 am BREAK WITH EXHIBITORS

10:45 am to 11:30 am Dr. Michael D. Smilanich: How to Minimize the Problems of Bruxism,

Parafunction and Lost Vertical Dimension in the Implant Patient

11:30 am to 12:15 pm Dr. Marius Steigmann: Soft Tissue Shaping for Esthetic Needs

12:15 pm to 1:30 pm LUNCH WITH EXHIBITORS

SATURDAY, JANUARY 27, 2007 • AFTERNOON SESSION

Immediate Load and Consensus Review

1:30 pm to 2:15 pm Dr. Jack Hahn: Immediate Extraction Replacement and Immediate

Provisionalization: Put the ‘WOW’ into Implant Dentistry

2:15 pm to 3:00 pm Dr. Hom-Lay Wang: Immediate Implant Loading: Functional vs.

Non-Functional/Flap vs. Flapless


3:45 pm to 4:30 pm Dr. Craig Misch: Immediate Loading of Implants in Reconstructed

Bone

4:30 pm to 5:00 pm Dr. Carl Misch: Consensus Conference Review, “Adolescent/ Child

Care with Implants”


Auxiliary Program


MISSION STATEMENT

This ADIA Symposium is aimed at enhancing the understanding of the responsibilities ofeach member of the implant team and providing information essential to auxiliaries workingwith dental implant patients. A major goal is to evaluate the interaction of implant patientsand team members and review methods the team can apply to help guide patients throughimplant therapy and its various components. The program will address all aspects ofimplantology including treatment planning, surgical and prosthetic procedures casepresentation, answers to commonly asked questions, financial arrangements, medical /dental insurance as well as motivation and marketing.

For a complete description of all course objectives, please refer to our websiteunder Orlando Symposium.

OBJECTIVES

Upon completion of this two-day program participants will be able to:

• Develop an appreciation for the role of dental implants in the maintenance of oral health • Discuss the different options related to choosing implant size• Identify potential medical & medicinal complications related to implant dentistry• Develop a knowledge base related to treatment planning implant cases• Understand the causative factors of bone loss around implants• Describe important techniques for effective case presentation• Understand surgical and prosthetic components utilized in implant dentistry• Understand how to discuss treatment fees and present financial options• Review the techniques and skills involved in implant maintenance• Develop techniques for good intra/inter office communication and documentation• Understand the laboratory procedures involved in implant therapy• Evaluate basic computer skills to conduct Evidence Based Research• Identify the hands on application of various technologies from practice management to

diagnostic and therapeutic instruments/equipment• Understand keys to successfully implementing patient financing• Understand setting revenue and activity goals• Review questions to ask when choosing a patient financing company

Auxiliary Program


THURSDAY, JANUARY 25, 2007

1:00 pm to 5:00 pm - Christine UhenImplant Coordinator Training Program: Attracting new patients; Marketing; OfficeBrochures; Customized Informational Packets; Pre-Treatment Planning; Presenting Fees;Payment Options; Documentation, Record Keeping & Consent Forms; Appointment Sched-uling; Inventory Control; Inter/Intra Office Communications; Laboratory Communications

All attendees will receive the ADIA’s handbook “The ADIA’s Guide to SimplifyingImplant Dentistry”. Attendance is limited.

FRIDAY, JANUARY 26, 2007

8:00 am to 8:45 am REGISTRATION

8:45 am to 9:00 am OPENING COMMENTS & INTRODUCTIONS - Dr. Kenneth Judy

9:00 am to 9:45 am Dr. Natalie WongTreatment Planning and Indications for Narrow Diameter Implants

9:45 am to 10:30 am Mark Marinbach, CDTEnhancing Relationships with Your Laboratory

10:30 am to 11:00 am BREAK

11:00 am to 12:30 pm Heidi Dubois-Robinson & Corrine WoodworthThe Periodontal Link to Implant Dentistry

12:30 pm to 2:30 pm LUNCH AND LEARNLinda MeeuwenbergIncreasing Practice Effectiveness & Profitability

2:30 pm to 4:00 pm Dr. Sam Strong & Stephanie StrongBuilding a Strong Implant Team

4:00 pm to 4:45 pm Michael Hill & Roger Giannico (Unicorn Financial)Capitalizing Patient Financing to Grow Your Implant Practice

4:45 pm to 5:00 pm CLOSING COMMENTS & QUESTIONS


Auxiliary Program


SATURDAY, JANUARY 27, 2007

Certification Programs are conducted simultaneously in 3 different roomsPlease Choose One Program

9:00 am to 5:00 pm - Edie Shuman-GibsonDental Hygiene Implant Certification Program (DHICP)Rationale for dental implants; Classification and Definitions of Dental Implants; Contra-indications; Implant/tissue interfaces; Assessment, Diagnosis, and Treatment Planning;Implant Surgical & Prosthodontic Procedures; Maintenance and Evaluation Procedures;Management of implant complications and failures.

9:00 am to 5:00 pm - Karen YoungPractice Management Implant Certification Program (PMICP)Terminology and definitions; Case Presentation & Handling Objections; Commonly askedquestions and appropriate responses; Fee presentation; Financial options and arrangements;Risk management, documentation and record keeping; Practice Plans and Marketing;Referrals; Intra/inter-office communications.

9:00 am to 5:00 pm - Kathi CarlsonDental Assisting Implant Certification Program (DAICP) Classification and Definitions of Dental Implants; Indications & Contraindications; Bio-mechanics & Biomaterials; Client evaluation, assessment and selection; Treatment planning,site selection, and implant selection; Implant complications and failures; Surgical Templates &Stents; Pharmacology & Sedation; Surgical preparation and infection control; Surgicalprocedures; Sinus lifts, bone grafts, tissue regeneration; Prosthetic Procedures; Provisionalprostheses & fabrication of temporaries; Impressions; Laboratory considerations

1:00 pm to 2:00 pm - LUNCH FOR ALL CERTIFICATION PROGRAMS

Auxiliary Program (Continued)


General Information

TABLETOP CLINIC PRESENTATIONS

THURSDAY, JANUARY 25, 2007 5:30 PM TO 7:00 PM

A perfect way to get involved with an ICOI meeting is through participation in our TabletopClinic Presentations /Competition. It affords presenters the opportunity to interact withcolleagues in a social, yet instructive manner.

Tabletop Presentations will be held on Thursday, January 25, 2007 during the WelcomeReception in the Exhibition Hall. Tabletop Clinic Presentations should only last five to sevenminutes and are repeated as new observers gather. These presentations will be judged withthe winners receiving awards and Main Podium consideration for future meetings.

REMEMBER, ALL FELLOWS, MASTERS AND DIPLOMATES WHO CONDUCT TABLETOP CLINIC PRESENTATIONS HELP TO FULFILL THEIR FIVE-YEAR MAINTENANCE REQUIREMENT.

Those parties interested in conducting a Tabletop Clinic Presentation must contact Dr. Avi Schetritt to request an application.

Dr. Avi Schetritt • 2226 West Atlantic Avenue, Suite W • Delray Beach, FL 33445E-Mail: [email protected]: (561) 330-3840

Requests for applications must be submitted by January 9, 2007 for consideration.Those received after this deadline will be carried over to the next ICOI meeting.

HOTEL INFORMATION

We are proud to be holding the ICOI Winter Symposium at the Hyatt Regency GrandCypress Resort. Located at the entrance to Walt Disney World, the Hyatt offers a wide rangeof services, swimming, a 45-hole Jack Nicklaus designed golf course, a chip-and putt course,horseback riding, shopping and numerous restaurants.

Hotel reservations can be made by calling the hotel directly: (407) 239-1234.

Be sure to indicate the ICOI Winter Symposium to ensure the special discount rate of $229for single or double occupancy. Rates include a resort fee but not local tax. You may also fax the hotel at (407) 239-3837.

Reservations must be made by December 26, 2006 to guarantee availability.

General Information


ACCREDITATION

This program is authorized for 22 hours of Mastership and Fellowshipmaintenance credits by the Academy of General Dentistry. Credit is awardedand based on actual number of courses attended. A form for thispurpose will be included in your registration packet.

The ICOI is an ADA CERP recognized provider.

ACCOMPANYING PERSONS

Orlando is the home of Walt Disney World, Epcot Center and Universal Studios, to name a fewtourist attractions. Your spouse or companion will find plenty to occupy his/her time and, of course,Orlando is the nation’s playground for the young so plan to bring your children.

Should your accompanying person elect to attend the symposium, a charge of $125.00 will coverthe following:

• Admission to the Welcome Cocktail Reception on Thursday evening • Admission to the Scientific Sessions and Exhibits • Breakfast, Lunch and Coffee Breaks for two days

SOCIAL SCHEDULE

WELCOME COCKTAIL RECEPTION • THURSDAY, JANUARY 25, 2007 • 5:30 PM TO 7:00 PM

Our Welcome Cocktail Reception in the Exhibition Hall follows the afternoon session of thesymposium and allows for delegates to relax with drinks and hors d’oeurves, commiserate withcolleagues, take advantage of product discounts being offered at the meeting by our exhibitors andto experience and discuss presentations made by our Tabletop Clinic participants.

DIPLOMATE/MASTERSHIP/FELLOWSHIP AWARDS RECEPTION • FRIDAY, JANUARY 26, 20076:30 PM TO 7:30 PM

Plan to attend this reception as we salute our advanced credentialed members. Dress code is business attire.

The cost for this reception is $25 per person. Please indicate on the registration form the numberof guests in your party. Those receiving credentials and one guest are gratis.


General InformationGeneral Information (Continued)

$500 $600 $650 $750

$250 $300

$250 $300

$225 $275 $300 $350

$300 $350 $375 $425

$150 $200 $225 $275

NAME (Please Print) _______________________________________________________________________________

STREET __________________________________________________ CITY __________________________________

STATE ______________________________ ZIP__________________ COUNTRY _____________________________

PHONE ( ) __________________________________ FAX ( ) __________________________________

E-MAIL _________________________________________________________________________________________

REGISTRATION FEES

SCIENTIFIC SESSION:

PRACTITIONER $ __________DISCOUNTED RATES:

Members Receiving Diplo/Master/Fellow Awards $ __________New Members:* You must join the ICOI to get this one- $ __________time only rate. Call 1-888-449-ICOI. Not valid if re-instated.

LABORATORY TECHNICIAN $ __________

FULL-TIME FACULTY (must submit verification $ __________of full-time status with registration)

FULL-TIME STUDENT (must submit verification $ __________of full-time status with registration)

* New member rate includes scientific session only.It does not include pre-symposium courses, Thursday reception, staff and accompanying persons, or awards ceremony

PRE-SYMPOSIUM COURSES: Thursday, January, 25th (Morning Session) $ __________

■■ Dr. Arun Garg: $675 (Doctors), $295 (Team Members) ■■ Drs. Palti, Bartee and Horowitz: $50

■■ Dr. Donald Callan: $325 ■■ Dr. James R. McAnally and Mr. Tom Briley: $395

■■ Drs. Dennis Smiler and Robert Kakos: $275

AUXILIARY SESSION: Member - $250 Non-Member - $350 ADIA Fellows - $225 $ __________

■■ I will be attending the Implant Coordinator Training Program on Thursday, January 25th

■■ DHICP ■■ PMICP ■■ DAICP Name _______________________________________________

ACCOMPANYING PERSON /GUEST: $125 Name __________________________________________ $ __________

DIPLOMATE/MASTERSHIP/FELLOWSHIP AWARDS CEREMONY: Friday, January 26th $ __________

Credentialed recipients and one (1) guest are gratis. ___ additional guests x $25 per person (non-refundable)

TOTAL AMOUNT USD: $ __________Cancellation & Refund Policy: 100% of the registration fee will be refunded if requested by 12/22 and 50% if requested after 12/23

METHOD OF PAYMENT You may also fax your registration form to (973) 783-1175

CHECKS: Please make checks payable to the ICOI in US funds and mail to:

ICOI • 248 Lorraine Ave., 3rd fl. • Upper Montclair, NJ 07043 • USA • (973) 783-6300 • 1-800-442-0525

CREDIT CARD: ■■ Mastercard ■■ Visa ■■ American Express

Card Number_________________________________________________________ Exp. Date _______________

Signature __________________________________________________ Billing Zip Code ___________________

AMOUNT USDICOI MemberBefore 12/10 After 12/10

Non-MemberBefore 12/10 After 12/10

ICOI WINTER SYMPOSIUM • Orlando, Florida • January 25-27, 2007

Registration FormRegistration Form

Pre-Registration ends Jan. 17. Registration after this date will be available on-site only at an additional charge of $100.

REGISTER BY DEC. 10TH & SAVE

248

Lorr

aine

Ave

nue,

3rd

Flo

or

Upp

er M

ontc

lair,

NJ

0704

3

Non

-Pro

fit O

rgan

izat

ion

US

POST

AGE

PAID

Ruth

erfo

rd, N

JPe

rmit

#52

INTE

RN

ATI

ON

AL

CO

NG

RES

SO

F O

RA

L IM

PLA

NTO

LOG

ISTS

Documents

ICOI Winter Symposium - enflyer.com Orlando Broch final... · ICOI Winter Symposium ... Encino, CA Dr. Muna Soltan:General Dentist, private practice, Riverside, CA Dr. Marius Steigmann:Adjunct,