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Registration Made EasyBe sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration.Upon completion, you may either:

Register by Mail:Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register On-line:Direct your web-browser to www.dentistry.unc.edu/ce/cde

Questions? Call 919-537-3400 or E-mail us at CDE@dentistry.unc.edu

Conflict of InterestIn 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.

Cancellations and RefundsA registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 15, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The 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, April 15, 2016. 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 activity 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.Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 8, 2016.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

This continuing education program is presented by the University of North Carolina at Chapel Hill School of Dentistry and the Department of Dental Ecology. 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, 2019. 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 www.ada.org/cerp.

Sponsored by theUniversity of North Carolina School of Dentistry

Department of Dental Ecology

20th AnnualDental Hygiene Lecture:

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFeaturing Anna Pattison, rdh, ms

Friday, April 22, 2016LOCATION: The William and Ida Friday Center

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM MANAGEMENT

Saturday, April 23, 2016LOCATION: UNC School of Dentistry

20th

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Registration - Please make additional copies for each person registering.

20th Annual Dental Hygiene Lecture:ADVANCED PERIODONTAL

INSTRUMENTATION:NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFriday, April 22, 2016 Course Code #16-DE-005

DDS $295 RDH $195

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM

MANAGEMENT

Saturday, April 23, 2016 Course Code #16-DE-006

DDS $349 RDH $249

SATURDAY ONLY - DISCOUNTED RATE TO ATTEND BOTH: DDS $619 RDH $419

Email _______________________________________ @ ________________________________________All registrants must provide a unique e-mail address (Robert.jones@gmail.com) in order to access credit history and be entered into our database. Generic office email addresses that are shared by many individuals (finance@dentistoffice.com) cannot be used.

First Name ______________________________ MI___ 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 (_____) _______________________________

Emergency Contact ____________________________ Phone Number ____________________________Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: ____________________________________________

I have special needs, please contact me.

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 919-537-3400 no later than Friday, April 8, 2016 or attach a note to your registration form.

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.

By providing my information, I consent to receive communications via mail, email, 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.

Dental Hygiene Lecture2.indd 1 2/6/2016 10:56:19 AM

Activity DescriptionJoin us for a special event... the celebration of the 20th year of the Dental Hygiene Lecture at the University of North Carolina Chapel Hill School of Dentistry. In addition to offering participants a cutting-edge CE activity taught by an internationally renowned speaker, Anna Pattison, we will have another special guest... ADHA President, Jill Rethman. Mark your calendars and plan to attend the event on April 22nd in beautiful Chapel Hill!In recent years significant developments in hand and powered instrumentation as well as new high tech devices and products have changed the way we practice clinical dental hygiene. This full day activity will provide participants with detailed information on the latest recommendations for nonsurgical periodontal therapy including ways to combat persistent biofilm and inflammation. Anna Pattison will discuss the possibilities and the limitations of achieving success with non-surgical periodontal therapy. Topics include hand instruments and ultrasonic devices, subgingival air polishing, perioscopy, irrigation, adjunctive therapies for gingivitis and periodontitis including anti-inflammatory and antioxidant products. Participants will leave with cutting edge, evidence based information that can be implemented on Monday morning!

Educational ObjectivesAt the completion of this activity, participants should be able to:• Identify common problems with periodontal disease recognition• Describe new operator positions, grasps, fulcrums and techniques for calculus detection

and removal• Describe the most effective ultrasonic devices, tips and techniques• Define the newest hand instruments to access deep residual calculus• Discuss subgingival air polishing for biofilm removal• Describe the use of irrigation, local delivery antibiotics, anti-inflammatory, antioxidant

and other adjunctive therapies

AcknowledgmentThis activity is sponsored in part by unrestricted educational grants from Hu-Friedy Mfg. Co. and Proctor and Gamble.

Time and LocationThe program will be held at the William and Ida Friday Center for Continuing Education. Registration will begin at 8:00am. The program will be held from 8:30am – 5:00pm. The Friday Center is located on Friday Center Drive just off Highway 54 on the east side of Chapel Hill. Lunch will be provided with your paid registration.

Registration Fee and Credit:The registration fee is $295 for dentists and $195 for dental hygienists and includes a continental breakfast and a buffet lunch.. The UNC School of Dentistry designates this activity up to 6 hours of continuing education credit.

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES AND INSTRUMENTS ADVANCED INSTRUMENTATION CLINICAL WORKSHOP: BIOFILM MANAGEMENT

SpeakersAnna Pattison received her BS degree in Dental Hygiene from the University of Southern California and her MS in Dental Hygiene from Columbia University. She was an Associate Professor at USC for over forty years, has served as Chair of the Department of Dental Hygiene and is an internationally recognized speaker on Advanced Periodontal Instrumentation. She is co-author of Periodontal Instrumentation and has contributed to the last seven editions of Glickman’s and Carranza’s Clinical Periodontology. She is the former Editor-in-Chief of Dimensions of Dental Hygiene and is currently the Co-Director of the Pattison Institute which offers online videos, lectures and hands on workshops in the U.S. and abroad.

In 2005, she received the Pfizer-ADHA Excellence in Dental Hygiene Award and the USC School of Dentistry Alumnus of the Year Award. In 2006 she received the California Society of Periodontists Award and in 2010 she was inducted into the USC School of Dentistry Hall of Fame.

We are honored to have ADHA President Jill Rethman provide greetings on this special occasion of our 20th anniversary of the Annual Dental Hygiene Lecture. Jill is a graduate of The Ohio State University. She is currently the 2015-16 President of the American Dental Hygienists’ Association and also the Editor- in- Chief of Dimensions of Dental Hygiene. Jill is a visiting Clinical Instructor at the University of Pittsburgh, School of Dental Medicine, Department of Dental Hygiene, and an Adjunct Professor at The Ohio State University School of Dental Hygiene.

Activity DescriptionAlthough the ultrasonic instrument was originally introduced as a device for removing gross su-pragingival calculus of tooth surfaces, it has emerged as an evidence-based approach to manag-ing subgingival periodontal disease. Several events have occurred to elicit this response, such as:

• Recent emphasis on periodontal care for all patients, especially with nonsurgical modalities

• Evidence-based research demonstrating effectiveness with ultrasonics

• Equipment enhancements with emphasis on tip size for anatomical negotiation in tandem with patient comfort

• Increased physical fatigue and ailments by dental providers who have been using traditional instrumentation

• Consideration for time efficiency

The hands-on workshop will update the dental clinician with the versatility of using ultrasonic instrumentation in periodontal root planing and supportive maintenance procedures.

This course is designed for dentists and dental hygienists.

Educational ObjectivesAt the completion of this activity, participants should be able to:

• Describe the current literature justifying the use of power driven instrumentation

• Describe the indications and contraindications for power driven instruments, including safety precautions

• Select the necessary instruments commercially available to achieve effective results

• Implement techniques to enhance patient comfort

• Incorporate power driven instruments into the periodontal component of the practice

Registration Fee and Credit:The registration fee is $349 for dentists and $249 for dental hygienists and includes a continental breakfast. The UNC School of Dentistry designates this activity up to 6 hours of continuing education credit. A discount is available if you attend both courses.

Time and LocationThe program will be held at the UNC School of Dentistry on Manning Drive. Registration will begin at 8:30am. The hands-on workshop will be held from 9:00am – 4:30pm. Continental breakfast and lunch will be provided with your paid registration.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.

SpeakersShannon Mitchell is a Clinical Associate Professor and Director of Dental Hygiene at the UNC School of Dentistry. She received a BS degree from Old Dominion University and a MS in Dental Auxiliary Teacher Education from UNC. She teaches and directs courses in the BSDH curriculum, the MS Dental Hygiene Education program and the predoctoral curriculum, serving as course director for the pre-scaling course for first year DDS students. She serves on the editorial review board of the Journal of Dental Hygiene. Shannon has received many teaching excellence awards as well as a Presidential Citation from the American Dental Education Association in 2000. She currently serves as President of the National Supreme Chapter of Sigma Phi Alpha. Shannon speaks nationally on the development of critical thinking skills and on advanced instrumentation. Jennifer Brame is a Clinical Associate Professor at the UNC School of Dentistry. She earned a BS degree in Dental Hygiene and a MS Degree in Dental Hygiene Education from UNC. Jennifer has served as director of first and second year dental hygiene clinical courses and the courses in Periodontology and Dental Practice Management . She also directs courses in the MS program in Dental Hygiene Education including the Educational Concepts and Clinical Management courses. Jennifer serves on the editorial review board of the Journal of Dental Hygiene. She has published in several peer reviewed journals and she speaks nationally in the areas of ultrasonic and advanced instrumentation. She is a member of Sigma Phi Alpha, the American Dental Education Association and the American Dental Hygienists’ Association.

Agenda8:00 - 8:30 am Registration and Exhibits8:30 - 10:00 am Advanced Periodontal Instrumentation: New Therapies, Technologies and Instruments - Anna Pattison10:00 - 10:30 am Break and Exhibits10:30 - 12:00 pm Presentation Continues - Anna Pattison12:00 - 1:30 pm Lunch1:30 - 3:00 pm Presentation Continues - Anna Pattison3:00 - 3:15 pm Break and Exhibits3:15 - 4:45 pm Presentation Continues - Anna Pattison4:45 - 5:00 pm Questions & Answers

Agenda8:30 – 9:00 am Registration9:00 - 10:30 am Tooth Morphology/Biofilm Management

10:30 - 10:45 am Morning Break

10:45 - 12:15 pm New Technologies: Subgingival Air Polishing

12:15 - 1:15 pm Lunch

1:15 - 2:45 pm Advanced Fulcruming and Advanced Instrumentation

2:45 - 3:00 pm Afternoon Break

3:00 - 4:30 pm Ultrasonic Scalers

Shannon Mitchell, RDH, MS

Jennifer Brame, RDH, BS, MS

Anna Pattison, RDH, MS

Jill Rethman, RDH, BA

Dental Hygiene Lecture2.indd 2 2/8/2016 2:11:25 PM

Activity DescriptionJoin us for a special event... the celebration of the 20th year of the Dental Hygiene Lecture at the University of North Carolina Chapel Hill School of Dentistry. In addition to offering participants a cutting-edge CE activity taught by an internationally renowned speaker, Anna Pattison, we will have another special guest... ADHA President, Jill Rethman. Mark your calendars and plan to attend the event on April 22nd in beautiful Chapel Hill!

In recent years significant developments in hand and powered instrumentation as well as new high tech devices and products have changed the way we practice clinical dental hygiene. This full day activity will provide participants with detailed information on the latest recommendations for nonsurgical periodontal therapy including ways to combat persistent biofilm and inflammation. Anna Pattison will discuss the possibilities and the limitations of achieving success with non-surgical periodontal therapy. Topics include hand instruments and ultrasonic devices, subgingival air polishing, perioscopy, irrigation, adjunctive therapies for gingivitis and periodontitis including anti-inflammatory and antioxidant products. Participants will leave with cutting edge, evidence based information that can be implemented on Monday morning!

Educational ObjectivesAt the completion of this activity, participants should be able to:

• Identify common problems with periodontal disease recognition

• Describe new operator positions, grasps, fulcrums and techniques for calculus detection and removal

• Describe the most effective ultrasonic devices, tips and techniques

• Define the newest hand instruments to access deep residual calculus

• Discuss subgingival air polishing for biofilm removal

• Describe the use of irrigation, local delivery antibiotics, anti-inflammatory, antioxidant and other adjunctive therapies

Time and LocationThe program will be held at the William and Ida Friday Center for Continuing Education. Registration will begin at 8:00am. The program will be held from 8:30am – 5:00pm. The Friday Center is located on Friday Center Drive just off Highway 54 on the east side of Chapel Hill. Lunch will be provided with your paid registration.

Registration Fee and Credit:The registration fee is $295 for dentists and $195 for dental hygienists and includes a continental breakfast and a buffet lunch.. The UNC School of Dentistry designates this activity up to 6 hours of continuing education credit.

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES AND INSTRUMENTS ADVANCED INSTRUMENTATION CLINICAL WORKSHOP: BIOFILM MANAGEMENT

SpeakersAnna Pattison received her BS degree in Dental Hygiene from the University of Southern California and her MS in Dental Hygiene from Columbia University. She was an Associate Professor at USC for over forty years, has served as Chair of the Department of Dental Hygiene and is an internationally recognized speaker on Advanced Periodontal Instrumentation. She is co-author of Periodontal Instrumentation and has contributed to the last seven editions of Glickman’s and Carranza’s Clinical Periodontology. She is the former Editor-in-Chief of Dimensions of Dental Hygiene and is currently the Co-Director of the Pattison Institute which offers online videos, lectures and hands on workshops in the U.S. and abroad.

In 2005, she received the Pfizer-ADHA Excellence in Dental Hygiene Award and the USC School of Dentistry Alumnus of the Year Award. In 2006 she received the California Society of Periodontists Award and in 2010 she was inducted into the USC School of Dentistry Hall of Fame.

We are honored to have ADHA President Jill Rethman provide greetings on this special occasion of our 20th anniversary of the Annual Dental Hygiene Lecture. Jill is a graduate of The Ohio State University. She is currently the 2015-16 President of the American Dental Hygienists’ Association and also the Editor- in- Chief of Dimensions of Dental Hygiene. Jill is a visiting Clinical Instructor at the University of Pittsburgh, School of Dental Medicine, Department of Dental Hygiene, and an Adjunct Professor at The Ohio State University School of Dental Hygiene.

Activity DescriptionAlthough the ultrasonic instrument was originally introduced as a device for removing gross su-pragingival calculus of tooth surfaces, it has emerged as an evidence-based approach to manag-ing subgingival periodontal disease. Several events have occurred to elicit this response, such as:

• Recent emphasis on periodontal care for all patients, especially with nonsurgical modalities

• Evidence-based research demonstrating effectiveness with ultrasonics

• Equipment enhancements with emphasis on tip size for anatomical negotiation in tandem with patient comfort

• Increased physical fatigue and ailments by dental providers who have been using traditional instrumentation

• Consideration for time efficiency

The hands-on workshop will update the dental clinician with the versatility of using ultrasonic instrumentation in periodontal root planing and supportive maintenance procedures.

This course is designed for dentists and dental hygienists.

Educational ObjectivesAt the completion of this activity, participants should be able to:

• Describe the current literature justifying the use of power driven instrumentation

• Describe the indications and contraindications for power driven instruments, including safety precautions

• Select the necessary instruments commercially available to achieve effective results

• Implement techniques to enhance patient comfort

• Incorporate power driven instruments into the periodontal component of the practice

Registration Fee and Credit:The registration fee is $349 for dentists and $249 for dental hygienists and includes a continental breakfast. The UNC School of Dentistry designates this activity up to 6 hours of continuing education credit. A discount is available if you attend both courses.

Time and LocationThe program will be held at the UNC School of Dentistry on Manning Drive. Registration will begin at 8:30am. The hands-on workshop will be held from 9:00am – 4:30pm. Continental breakfast and lunch will be provided with your paid registration.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.

SpeakersShannon Mitchell is a Clinical Associate Professor and Director of Dental Hygiene at the UNC School of Dentistry. She received a BS degree from Old Dominion University and a MS in Dental Auxiliary Teacher Education from UNC. She teaches and directs courses in the BSDH curriculum, the MS Dental Hygiene Education program and the predoctoral curriculum, serving as course director for the pre-scaling course for first year DDS students. She serves on the editorial review board of the Journal of Dental Hygiene. Shannon has received many teaching excellence awards as well as a Presidential Citation from the American Dental Education Association in 2000. She currently serves as President of the National Supreme Chapter of Sigma Phi Alpha. Shannon speaks nationally on the development of critical thinking skills and on advanced instrumentation. Jennifer Brame is a Clinical Associate Professor at the UNC School of Dentistry. She earned a BS degree in Dental Hygiene and a MS Degree in Dental Hygiene Education from UNC. Jennifer has served as director of first and second year dental hygiene clinical courses and the courses in Periodontology and Dental Practice Management . She also directs courses in the MS program in Dental Hygiene Education including the Educational Concepts and Clinical Management courses. Jennifer serves on the editorial review board of the Journal of Dental Hygiene. She has published in several peer reviewed journals and she speaks nationally in the areas of ultrasonic and advanced instrumentation. She is a member of Sigma Phi Alpha, the American Dental Education Association and the American Dental Hygienists’ Association.

Agenda8:00 - 8:30 am Registration and Exhibits8:30 - 10:00 am Advanced Periodontal Instrumentation: New Therapies, Technologies and Instruments - Anna Pattison10:00 - 10:30 am Break and Exhibits10:30 - 12:00 pm Presentation Continues - Anna Pattison12:00 - 1:30 pm Lunch1:30 - 3:00 pm Presentation Continues - Anna Pattison3:00 - 3:15 pm Break and Exhibits3:15 - 4:45 pm Presentation Continues - Anna Pattison4:45 - 5:00 pm Questions & Answers

Agenda8:30 – 9:00 am Registration9:00 - 10:30 am Tooth Morphology/Biofilm Management

10:30 - 10:45 am Morning Break

10:45 - 12:15 pm New Technologies: Subgingival Air Polishing

12:15 - 1:15 pm Lunch

1:15 - 2:45 pm Advanced Fulcruming and Advanced Instrumentation

2:45 - 3:00 pm Afternoon Break

3:00 - 4:30 pm Ultrasonic Scalers

Shannon Mitchell, RDH, MS

Jennifer Brame, RDH, BS, MS

Anna Pattison, RDH, MS

Jill Rethman, RDH, BA

Dental Hygiene Lecture2.indd 2 2/6/2016 10:56:20 AM

NP

ORG

US

Post

age

PAID

C

hape

l Hill

, NC

Perm

it #

177

Co

nti

nu

ing

Den

tal E

du

cati

on

Cam

pu

s B

ox 7

450

Ch

apel

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275

99-7

450

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w.d

enti

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u/c

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dva

nci

ng

Kn

ow

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enti

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Registration Made EasyBe sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration.Upon completion, you may either:

Register by Mail:Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register On-line:Direct your web-browser to www.dentistry.unc.edu/ce/cde

Questions? Call 919-537-3400 or E-mail us at CDE@dentistry.unc.edu

Conflict of InterestIn 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.

Cancellations and RefundsA registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 15, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The 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, April 15, 2016. 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 activity 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.Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 8, 2016.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

This continuing education program is presented by the University of North Carolina at Chapel Hill School of Dentistry and the Department of Dental Ecology. 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, 2019. 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 www.ada.org/cerp.

Sponsored by theUniversity of North Carolina School of Dentistry

Department of Dental Ecology

20th AnnualDental Hygiene Lecture:

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFeaturing Anna Pattison, rdh, ms

Friday, April 22, 2016LOCATION: The William and Ida Friday Center

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM MANAGEMENT

Saturday, April 23, 2016LOCATION: UNC School of Dentistry

20th

Ann

ual D

enta

l Hyg

iene

Lec

ture

:A

DVA

NC

ED P

ERIO

DO

NTA

L IN

STRU

MEN

TATI

ON

:N

EW T

HER

API

ES, T

ECH

NO

LOG

IES

AN

D IN

STRU

MEN

TS

Frid

ay, A

pril

22, 2

016

AD

VAN

CED

INST

RUM

ENTA

TIO

NC

LIN

ICA

L W

ORK

SHO

P:BI

OFI

LM M

AN

AG

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Satu

rday

, Apr

il 23

, 201

6

Registration - Please make additional copies for each person registering.

20th Annual Dental Hygiene Lecture:ADVANCED PERIODONTAL

INSTRUMENTATION:NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFriday, April 22, 2016 Course Code #16-DE-005

DDS $295 RDH $195

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM

MANAGEMENT

Saturday, April 23, 2016 Course Code #16-DE-006

DDS $349 RDH $249

SATURDAY ONLY - DISCOUNTED RATE TO ATTEND BOTH: DDS $619 RDH $419

Email _______________________________________ @ ________________________________________All registrants must provide a unique e-mail address (Robert.jones@gmail.com) in order to access credit history and be entered into our database. Generic office email addresses that are shared by many individuals (finance@dentistoffice.com) cannot be used.

First Name ______________________________ MI___ 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 (_____) _______________________________

Emergency Contact ____________________________ Phone Number ____________________________Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: ____________________________________________

I have special needs, please contact me.

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 919-537-3400 no later than Friday, April 8, 2016 or attach a note to your registration form.

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.

By providing my information, I consent to receive communications via mail, email, 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.

Dental Hygiene Lecture2.indd 1 2/6/2016 10:56:19 AM

NP

ORG

US

Post

age

PAID

C

hape

l Hill

, NC

Perm

it #

177

Co

nti

nu

ing

Den

tal E

du

cati

on

Cam

pu

s B

ox 7

450

Ch

apel

Hill

275

99-7

450

ww

w.d

enti

stry

.un

c.ed

u/c

e/cd

eA

dva

nci

ng

Kn

ow

led

ge

in D

enti

stry

Registration Made EasyBe sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration.Upon completion, you may either:

Register by Mail:Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register On-line:Direct your web-browser to www.dentistry.unc.edu/ce/cde

Questions? Call 919-537-3400 or E-mail us at CDE@dentistry.unc.edu

Conflict of InterestIn 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.

Cancellations and RefundsA registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 15, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The 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, April 15, 2016. 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 activity 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.Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 8, 2016.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

This continuing education program is presented by the University of North Carolina at Chapel Hill School of Dentistry and the Department of Dental Ecology. 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, 2019. 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 www.ada.org/cerp.

Sponsored by theUniversity of North Carolina School of Dentistry

Department of Dental Ecology

20th AnnualDental Hygiene Lecture:

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFeaturing Anna Pattison, rdh, ms

Friday, April 22, 2016LOCATION: The William and Ida Friday Center

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM MANAGEMENT

Saturday, April 23, 2016LOCATION: UNC School of Dentistry

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Registration - Please make additional copies for each person registering.

20th Annual Dental Hygiene Lecture:ADVANCED PERIODONTAL

INSTRUMENTATION:NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFriday, April 22, 2016 Course Code #16-DE-005

DDS $295 RDH $195

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM

MANAGEMENT

Saturday, April 23, 2016 Course Code #16-DE-006

DDS $349 RDH $249

SATURDAY ONLY - DISCOUNTED RATE TO ATTEND BOTH: DDS $619 RDH $419

Email _______________________________________ @ ________________________________________All registrants must provide a unique e-mail address (Robert.jones@gmail.com) in order to access credit history and be entered into our database. Generic office email addresses that are shared by many individuals (finance@dentistoffice.com) cannot be used.

First Name ______________________________ MI___ 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 (_____) _______________________________

Emergency Contact ____________________________ Phone Number ____________________________Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: ____________________________________________

I have special needs, please contact me.

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 919-537-3400 no later than Friday, April 8, 2016 or attach a note to your registration form.

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.

By providing my information, I consent to receive communications via mail, email, 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.

Dental Hygiene Lecture2.indd 1 2/6/2016 10:56:19 AM

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Registration Made EasyBe sure to fill out all applicable information on the registration form. Please make additional copies for each individual registration.Upon completion, you may either:

Register by Mail:Send the completed registration form with a check or money order made payable to the UNC School of Dentistry to:Attention: RegistrationUNC Continuing Dental EducationCampus Box 7450Chapel Hill, NC 27599-7450

Register On-line:Direct your web-browser to www.dentistry.unc.edu/ce/cde

Questions? Call 919-537-3400 or E-mail us at CDE@dentistry.unc.edu

Conflict of InterestIn 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.

Cancellations and RefundsA registration refund, less a $50 fee, will be issued for cancellations received by Friday, April 15, 2016. Cancellations must be received in writing either by fax 919-537-3098 or email to cde@dentistry.unc.edu. The 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, April 15, 2016. 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 activity 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.Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, April 8, 2016.

The UNC School of Dentistry is an ADA CERP Recognized Provider.

This continuing education program is presented by the University of North Carolina at Chapel Hill School of Dentistry and the Department of Dental Ecology. 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, 2019. 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 www.ada.org/cerp.

Sponsored by theUniversity of North Carolina School of Dentistry

Department of Dental Ecology

20th AnnualDental Hygiene Lecture:

ADVANCED PERIODONTAL INSTRUMENTATION: NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFeaturing Anna Pattison, rdh, ms

Friday, April 22, 2016LOCATION: The William and Ida Friday Center

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM MANAGEMENT

Saturday, April 23, 2016LOCATION: UNC School of Dentistry

20th

Ann

ual D

enta

l Hyg

iene

Lec

ture

:A

DVA

NC

ED P

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DO

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Registration - Please make additional copies for each person registering.

20th Annual Dental Hygiene Lecture:ADVANCED PERIODONTAL

INSTRUMENTATION:NEW THERAPIES, TECHNOLOGIES

AND INSTRUMENTSFriday, April 22, 2016 Course Code #16-DE-005

DDS $295 RDH $195

ADVANCED INSTRUMENTATIONCLINICAL WORKSHOP: BIOFILM

MANAGEMENT

Saturday, April 23, 2016 Course Code #16-DE-006

DDS $349 RDH $249

SATURDAY ONLY - DISCOUNTED RATE TO ATTEND BOTH: DDS $619 RDH $419

Email _______________________________________ @ ________________________________________All registrants must provide a unique e-mail address (Robert.jones@gmail.com) in order to access credit history and be entered into our database. Generic office email addresses that are shared by many individuals (finance@dentistoffice.com) cannot be used.

First Name ______________________________ MI___ 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 (_____) _______________________________

Emergency Contact ____________________________ Phone Number ____________________________Please make checks payable to the UNC School of Dentistry.

Register On-line with a Credit Card at www.dentistry.unc.edu/cde/courses

I have special dietary needs, please explain: ____________________________________________

I have special needs, please contact me.

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 919-537-3400 no later than Friday, April 8, 2016 or attach a note to your registration form.

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.

By providing my information, I consent to receive communications via mail, email, 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.

Dental Hygiene Lecture2.indd 1 2/6/2016 10:56:19 AM