2009 Annual Meeting - February 25-27, 2009

38th Annual Meeting in Chicago, Illinois
WEDNESDAY, FEBRUARY 25, 2009

2009 Program PDF

William "Rusty" Morris President

PRESIDENT'S MESSAGE

Please allow me to extend to each of you, members and guests, a heartfelt welcome to the Academy of Operative Dentistry's 38th Annual Meeting at the Fairmont Hotel in Chicago February 25-27, 2009. I hope that you all share the excitement that I experience every year that I come to this meeting.

It is an honor and privilege to serve as President. This position would be impossible if not for the selfless and undying dedication of Secretary Dr. Rich Stevenson III, Assistant Secretary Dr. Greg Smith and his wife Perky, and our Treasurer Dr. Joel Wagoner, who together make the strong backbone of this organization. Thank you!! I would also like to thank the members of the Executive Council and all our Committees for their many valued contributions of time and talent to the Academy. I must also acknowledge Dr. Mike Cochran, editor, and Dr. Tim Carlson, managing editor, without whom we would not have our esteemed journal of Operative Dentistry. On behalf of the entire Academy I would like to congratulate our 2009 Hollenback Memorial Prize winner, Dr. Jim Summitt. Jim represents the best of everything to which the Hollenback prize aspires. Congratulations as well to Dr. Warren Johnson who is the winner of the Academy of Operative Dentistry's ' of Excellence. Through his exhaustive work with numerous study clubs, Warren promotes the best in operative dentistry.

With regard to this year's scientific session, I think we are in great hands. Dr. Fred Eichmiller has an outstanding scientific program with a new twist in the interactive presentation Friday morning. Dr. Bill Robbins has assembled a variety of table clinics and for the first time we will have four limited attendance "hands-on" sessions on the topics of direct and indirect gold, implants, and esthetics. The Academy strives to have interesting and innovative programs and appreciates your critical and constructive input. It is our intent to foster the science and art of operative dentistry by integrating the tried and true with new advances and ideas.

Welcome everyone to the 2009 Annual Meeting of the Academy of Operative Dentistry. I hope you enjoy this chance to meet other colleagues and that you find the meeting exciting and informative.

Sincerely,

William "Rusty" Morris, D.D.S.
President

Scientific Session Highlights

February 26, 2009: Thursday, AM

Dr. Richard Stevenson (Tucker Lecturer) - Challenges Educators Face in Preparing Professionals in the 21st century.
Dr. Wenyuan Shi - Probiotic Approaches to Oral and Systemic Diseases
Dr. Adrian Lussi (Buonocore Lecture) - Dental Erosion: Diagnosis, Risk Factors Prevention and Therapy

Thursday, PM

Dr. Carlos Eduardo - Dental Lasers
Drs. Margherita Fontana & Mathilde Peters - Caries Risk Assessment in Practice
Dr. John Cranham - Anterior Aesthetics

February 27, 2009: Friday, AM
(three speaker interactive panel)

Dr. Ana Jewett - Pulpal Reactions to Dental Materials

Dr. John Witworth - Endodontists or Root Canal Therapists? Could We Manage Our Troubled Pulps Better?

Dr. Tom Hilton - Direct and Indirect Pulp Capping.

Friday, PM

Table Clinics
Hands-on Breakout Sessions
Conservative Cast Gold, Direct Gold, Implants and Anterior Aesthetics.

Critique - Member Survey on Annual Program

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2008 Annual Meeting - February 20-22, 2008

37th Annual Meeting in Chicago, Illinois

THURSDAY, FEBRUARY 21, 2008
Dr. Frank. U. Perry President

PRESIDENT'S MESSAGE

Please let me extend a warm welcome to those of you attending the 37th Annual Meeting of the Academy of Operative Dentistry in my home town, the great city of Chicago. As one of the highlights of my professional career, I consider it an honor and a privilege serving as President of this esteemed Academy.

This meeting is the result if year-round efforts of numerous individuals. Our program includes many outstanding and world renowned clinicians. This is a testament to the planning of our President-elect and Scientific Sessions committee chair, Dr. Rusty Morris. Dr Fred Eichmiller, our Vice-Precident, has also put together an interesting variety of table clinics.

In every President's Welcome, the names of several persons repeatedly appear, This year is no exception. Though seemingly effortless Dr. Joel Wagoner, Treasurer, Dr. Greg Smith, Secretary, and Dr. Rich Stevenson, Assistant Secretary, work hard too maintain the exceptionally effective program. Dr. Smith would be the first to mention that his wife, Perky, helps him sustain his continuous level of commitment to the Academy.

The Academy is seeing new and better ways to provide an interesting and thought-provoking program for its members. This year, the Excutive Council has made a number of changes in venue and format. Constructive and innovative ideas communicated via critiques from attendees of previous resulted in these changes. That is why the input of all members is greatly appreciated, for this is how the Academy will continue to flourish.

In recent years, the Academy has been brainstorming and searching for ways to foster new membership and encourage attendance at our Annual Meeting. It is the hope that more individuals become active participants in our organization and avail themselves of our outstanding programs. Congraduations to Dr. Tilly Peters, the recipient of the 2008 Hollenback Prize, and Dr. William A. Gregory, the winner of the Academy of Operative Dentistry's Award of Excellence. As clinicians, teachers, and mentors, these two individuals have had a tremendous impact on many of our members.

Again, I would like to thank the Academy for the privilege of serving as President.

Sincerely,

Frank Perry, D.D.S, M.Ed.
President

Speakers

DR. TERRY DONOVAN 8:30 A.M. - 9:30 A.M.
Chapel Hill, North Carolina

The Richard V. Tucker Lecture of Excellence
"Factors related to the Longevity of the Tooth/Restoration Complex"

Dentists and patients have an awesome number of options for the restoration of decayed and damaged teeth. Patients want to know the answer to two important questions before choosing and option for their specific problem. Those questions are "How much does it cost?" and "How long will it last?" While the approximate cost of any restorative service is relatively simple to estimate, the honest answer to the 2nd question is , "It depends". It depends on the complex interaction of a number of variables related to the material chosen, the patient and dentist factors, and factors related to the specific tooth (or teeth) to be restored. The presentation will sort out the relative importance of each of these factors to help the dentist determine a realistic prognosis for proposed patient treatment.

Lecture Objectives:

After viewing this presentation, participants will understand
1. the relationship between physical properties of materials and their clinical performance

2. the relative prognosis for various posterior restorative materials,

3. the relative importance of dentists and patient factors in the longevity of restorations, and

4. the importance of the words "preservation of tooth structure" to the longevity of the tooth/restoration complex.

DR. MARCOS VARGAS 9:30 A.M. - 10:30 A.M.
Iowa City, Iowa

"Imperceptible Anterior Direct Resin Composite Restoration"

Patient demands for esthetic and conservative dentistry and emphasized a need to produce imperceptible anterior restorations. Resin composite materials with expanded shades, various opacities and improved handling have the potential to produce functional, long-lasting, personally rewarding, cost effective, predictable, and highly esthetic direct anterior restoration in daily practice. This lecture will describe the optical properties of resin composites and discuss how they measure up to those of dentin and enamel. A comprehensive description of shade selection, cavity preparation design, resin composite manipulation, contouring, surface characterization, and polishing will be provided; as well as the techniques employed to achieve natural looking imperceptible restoration by layering of enamel and dentin-like resin.

Lecture Objectives:

1. Understand the optical properties of enamel and dentin

2. Understand the optical properties of resin composite materials and how they relate to those of enamel and dentin.

3. Obtain a proper shade selection for direct resin composite restoration.

4. Know the layering technique as a means to obtain imperceptible direct resin composite restoration.
5. Reproduce contours and surface characterization in an anterior resin composite restoration.

DR. JACK FERRACANE 10:55 A.M. - 11:45 A.M.
Portland, Oregon

The Buonocore Memorial Lecture
Dr. Ferracane will present the 27th M.G. Buonocore Memorial Lecture entitled

"Placing Dental Composites - A Stressful Experience"

The setting of dental composites is accompanied by significant polymerization contraction that results in the generation of stresses within the material and at the tooth-restoration interface. These stresses can have deleterious effect on marginal integrity if they exceed the adhesive strength of the restorative, as well as on the properties of the composite. It has been determined that several factors affect these stresses, including the polymerization rate of the composites , its formulation (filler and monomer composition), and the constraints imposed by the geometry of cavity preparation. Many strategies have been developed to reduce the effect of these stresses. Changes in the formulation of the composite has included experimentation with non-bonded particles, stress relieving additives, modified catalyst compositions and alternative monomer systems. Modifications to the placement techniques have included the use of incremental curing, altered light activation schemes, and resilient liners. The result is that stress generation in dental composites continue to mandate a precise and careful placement technique to ensure successful clinical outcomes.

Lecture Objectives:

1. Identify the origins and outcomes of polymerization contraction stresses in dental composites.

2. Explain the compositional and placement factors that affect the magnitude of contraction stresses in composites.

3. Describe strategies in formulation and placement of dental composites to reduce contraction stresses..

DR. MATHILDE "TILLY" PETERS 12:15 NOON - 1:30 P.M.
The Hollenback Prize
Ann Arbour, Michigan

The winner of the 2008 Hollenback Memorial Prize is Dr. Mathilde "Tilly" Peters, Professor and Director of International Clinical Research, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Anne Arbor, MI. Dr. Peters is an international figure in operative dentistry, whose extensive high-quality research and related academic activities have made many, varied contributions to new knowledge and understanding in the field. In addition too being an international authority on biomechanical aspects of restoration, restored teeth, and operative procedures., Dr. Peters is a champion of minimally interventive techniques in operative dentistry, with special emphasis on the optimum selection and application of modern restorative systems. As a new dental graduate, Tilly Peters remained in Nijmegen to join the faculty of the Department of Pediatric Dentistry and later the Department of Cariology and Endontology, of the University of Nijmegen School of Dentistry in the Netherlands. On completion of her Ph.D, Dr. Peters became Director of the School's Biomechanics Group. During the next 13 years she spent a considerable amount of time in the USA working on collaborative research projects, first a the University of Michigan and later of University of Minnesota. Then followed period of three years as Professor and Chair of Restorative Dentistry, Faculty of Dentistry University of Adelaide, South Australia, prior to taking up her present position at the University of Michigan.

Dr. Peters have been the recipient of many research grant and wards, lectured widely on the international stage, including many countries in Europe, Asia and South America and published on many occasions in most of the journals relevant to dentistry and related dentals materials scene. She currently leads an international clinical research network spanning collaborations on five continents,. With such a high profile, Dr. Peters, the new chairman of the Academy's Research Committee, brings great credit to the Academy and operative dentistry in general.

Given the potent combination of expertise and interest in biomechanics and minimally invasive dentistry , Dr. Peters is at the forefront of new innovations and concepts of operative dentistry. For her leadership, achievement and inspiration to others, Dr. Tilly Peters is a most worthy and meritous winner of the 2008 Hollenback Memorial Prize. The Academy salutes ad applauds the exemplary contributions Dr. Peters has made the advancement of operative dentistry as she joins the illustrious group of the Hollenback Prize winners.

DR. NIGEL PITTS 1:55 P.M. - 2:40 P.M.
University of Dundee, Scotland, UK

"Modern Management of the Caries Lesion"

Dental caries remains a global, dynamic disease process which still represents a considerable burden for many, while providing a continuing challenge for the dental professional.. paradoxically, although our scientific understanding of this process has improved in recent decades, this knowledge of cariology and its clinical application is often fragmented. Dental systems are often build upon outmoded treatment philosophies which do not support preventative practice. This presentation aims to summarize the evolving international evidence base around dental caries, explaining the importance of coherent terminology, the ICDAS Foundation, and outline some of the particular challenges with lesion detection (objective determination of whether or not disease is present), lesion assessment (characterization and monitoring of a lesion, once detected) and clinical decision making o support rational caries management and long-term caries control.

Lecture Objectives:

Attendees will be able to understand:

1. the evolving international evidence base around dental caries;

2. the modern rationale for caries management and control.

3. particular challenges associated with caries detection;

4. particular challenges associated with caries assessment;

5. particular challenges associated with clinical decision making.

DR. NASSER BARGHI 2:45 P.M. - 3:35 P.M.
San Antonio, Texas

"Veneers: Failures and Successes"

Longitudinal observation of porcelain veneers reveal an overwhelming success if the basic principles of bonding and minimal invasive procedures for the preservation of enamel are followed. The empirical features of bonded ceramic restoration have been replaced by well-researched scientific findings. New technologies and products have been developed based on these findings that enable us too provide our patients with more esthetically pleasing and functionally lasting restorations. This lecture, in the light of current evidence, is an in-depth look at concepts and products developed during the last 25 years to enhance the durability of porcelain veneers.

Lecture Objectives:

After attending this lecture, participants will understand the:

1. durability of bonded ceramic veneers to enamel v.s that of bonded to dentin;

2. selection of porcelain for ceramic veneers;

3. critical steps involved in surface treatment of porcelain prior to boding and

4. criteria for selection of luring resin for bonding ceramic veneers.

DR. MARC B. COOPER 3:45 P.M. - 4:30 P.M.
Ashland, Oregon

"Communicating Excellence"

No matter how accomplished you are as a clinician, if you can't effectively communicate with your patients you can't deliver the level of dentistry you know is possible. This presentation will be highly interactive, working directly with participants to enable them to communicate excellence an move the patients to choice .

Learning Objectives:

1. Educate and train participants in technology of communication that has the patients listen and the dentists speak excellence.

2. Coach participants in speaking powerfully to patients so that they are empowered to make the right choice for themselves.

FRIDAY, FEBRUARY 22, 2008

DR. GORDON CHRISTENSEN 8:30 A.M. - 10:30 A.M.
Provo, Utah

"Major Shifts in Clinical Dentistry and Changes in Dental Ethics"

This presentation includes a discussion of several major changing concepts of the profession as they appear in 2008 with predictions for the future in in each area. Additionally, a concise observation of positive and and negative changes in dental ethics will be included.

Lecture objectives: At the completion of this presentation, attendees will be able to:

1. describe the influence of the change from "need" to "want" dentistry;

2. discuss significance of the relationship of periodontal disease to systemic health;

3. describe the state of digital radiography in dentistry;

4. discuss significance and use of small diameter implants;

5. describe the characteristics of minimally invasive dentistry

6. discuss accomplishing endodontic therapy vs. tooth removal and endontic therapy;

7. compare gutta perch endodontic filling materials with Resilon and other "sealing" endodontic filling materials;

8. discuss the current state and future of CAD/CAM in dentistry;

9. discuss the influence and future of "off shore" dental laboratories;

10. compare "plastic orthodontics" with conventional orthodontic therapy;

11. discuss the restoration of adult dental caries;

12 describe new preventative concepts;

13. compare amalgam with resin-based composite is class II locations; and

14. discuss the apparent degeneration of ethics and in dentistry and potential remedies to this situation.

DR. STEVE SCHMITT 11:00A.M. - 12:00 NOON
San Antonio, Texas

"Virtual Dentistry"

Dental treatment in the 21st century has advanced to a high level of predictability, in many ways become the "golden Age of Dentistry." New techniques not only repair dental disease but also create beautiful and pleasing smiles. Unfortunately, the challenge for any dentist is to be able to understand what is wrong and to determine the proper course of treatment. Advances in digital imaging, computer aided design, Internet communications, digital manufacturing and new materials have made and ideal opportunity to simplify the diagnostic process, improve outcomes and once again make the practicing general dentist of the restorative team.

Lecture Objectives:
1. To understand how cone beam computers tomopgraphy works.

2. To understand how image data from multiple scanner types can be joined in virtual space and how jaw motion can be recorded and reproduced digitally.

4. To understand the process of imaging and restoring all the teeth and supporting structures using digital techniques.

DR. WILLIAM A. GREGORY
The Award of Excellence
Ann Arbour, Michigan

It is a great honor for the Academy of Operative Dentistry to present its 2008 Award of Excellence to Dr. William A. Gregory. For over 52 years, Dr. Gregory has been a true ambassador for excellence in operative dentistry. After growing up in a dental family, Bill Gregory attended the University of Michigan receiving his DDS degree in 1953. He practiced in the US navy during the Korean War and then returned to practice with his father in 1955. He maintained his private practice through 1981. Then he went back to school and earned and advanced degree in restorative dentistry (1983) at the University of Michigan, prior to adding another 24 years of service to our profession following his second love: the teaching of operative dentistry.

Beloved by his patients and well known as an extremely gifted practitioner, Bill has twice set an extraordinary example. First, for more than 25 years in his high-quality practice and then second, returning to his Alma Mater to teach new generations of dentists. He shared his professional excellence and and his high ethical values to the benefit of many patients and dentists.

He cites an important part of his interest in DE was the Detroit Clinic Club, one of the earliest dental study clubs in the USA. Bill became a role model and mentor with a gift to especially help those needed it the most. As evidenced by numerous Teacher of the Year Awards, he was one of the most appreciated instructors in the clinic - this is true for students, patients and colleagues alike. In addition to his teaching, Bill also published many peer-reviewed articles, contributed to two books, and lectured on Operative Dentistry/Dental Caries topics both in the US and overseas in Britain, Greece and Belgium. As one of the founders of the Dental Advisor in 1983, Bill brought the outcome of independent product evaluation to the general dentist, setting an important example of translational research long before this term became mainstream.

On humanitarian trips to Central and South America, Bill combined his expertise as a long-time practitioner, his teacher's qualifications and his interest in other cultures to reach out to professionals in those countries. With his unassuming, admirable attitude, Bill had a enormous impact on our profession. Through his unique personality and dedication, his integrity and striving for excellence, Bill instilled the very same in colleagues and students. Today, there are thousands of dentists providing better quality of care as a result of his influence.

Dr. Bill Gregory's entire career has been enlightened by the exemplary selfless service to our profession and to the field of operative dentistry. He has established a legacy of service and excellence. It is no coincidence that so many of his longtime friends are also members of this esteemed Academy. We all feel very fortunate to know him - our lives, professional and personal, are enriched by his presence. The Academy of Operative Dentistry is honored to present this distinguished award to Bill for his dedication to our profession.

DR. RICHARD G. STEVENSON
Stand-By Clinician
Los Angeles, California

The Academy is grateful to Dr. Stevenson III who is serving as stand-by clinician this year. In the event that another essayist cannot be present, Dr. Stevenson III will present an essay entitled:

"Attitude changes in dental school students: A comparison of generations"

Dental education has experiences major changes in the last 20 years which greatly affect the training and expiernces of today'sdental students. New educational models must function with less support however, in a much more complicated dental world than ever before. Dental students have also changed dramatically, and the personality profile of today's student is amazingly different than the previous generation of learners. How can excellence survive in this new environment? Dr. Stevenson III's presentation will highlight the current dental school milieu and discuss some functioning teaching innovations, which address these challenges.

Learning Objectives:

1. Understand the major trends in the changing dental patient population

2. Understand the differences in dental students, comparing the last two generations.

3. Understand the faculty shortage in dental education and what the future holds for the entire dental educational system.

4. Understand what types of innovative teaching systems may improve the quality of the dental student learner of today and beyond.

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February 21-23, 2007
36th Annual Meeting in Chicago, Illinois

Dr. Susanne T. Grennell President

PRESIDENT'S MESSAGE

A very warm welcome to all of you attending the 36th Annual Meeting of the Academy of Operative Dentistry. By being here each one of you expresses your love of dentistry and your desire to attain excellence in our profession. This is not only an opportunity to expand our knowledge, it is an opportunity for fellowship.

I hope you enjoy every aspect of this meeting to the fullest and plan on keeping the commitment of these few days in your schedule each year. Also consider sharing this world-class program by bringing along a colleague next year.

We have an outstanding essay program thanks to efforts of President-elect, Dr. Frank Perry and the invaluable support of the newly-reorganized and very active Scientific Sessions Committee. Academy Vice president, Dr. Rusty Morris has also put together a well rounded series of excellent table clinics.

This year the Academy is pleased to honor Dr. Guide Vanherle with the Hollenback Memorial Prize.

Dr. Vanherle has not only made outstanding contributions in dentistry in the areas of research and academics, but he is also extremely active in our European Section and has served as it's President. Congratulations to our recipient of the Award of Excellence, Dr. Tom Berry, who holds the profession's greatest respect as teacher, administrator, and practitioner, and also has generously donated his time and expertise for many years as our President, and as Assistant Secretary for our Academy.

It is the permanent officers of this Academy who secure its traditions and insure its smooth and flowing function. Many thanks to Dr. Berry for his past efforts and to Dr. Rich Stevenson as the current Assistant Secretary. Utmost thanks and appreciation go to Dr. Greg Smith, and Dr. Joel Wagoner, who not only hold down their responsibilities as Secretary and Treasurer, but along with Mrs. Perky Smith are the backbone in the organization of this meeting. There would be no Academy without their continuous year-long dedication.

Many thanks to all the Officers, Councilors, and Committee Members for their support, and thank you all for allowing me the privilege of serving as your President this year.

Sincerely,
Susanne T. Grennell, D.D.S.
President

Speakers

THURSDAY, FEBRUARY 22, 2007

DR. DAVID A. ISEN 8:30 A.M. - 9:30 A.M.
Toronto, Ontario, Canada

"Advanced Local Anesthesia Maximizing Effectiveness"

Over the past century, local anesthetics and their delivery systems have evolved and improved significantly. Despite these advances, our ability to anesthetize our patients it not 100%. In fact, in the mandible, the success rate for complete anesthetic block of the inferior alveolar never is only around 80%. This can create painful dental visits for our patients creating anxiety for them and for the operator. Missed appointments due to this patient anxiety or re booked sessions due to incomplete anesthesia can be costly for the office not to mention highly traumatic for our patients.

This essay will explore the reasons and remedies for incomplete local anesthesia. A discussion of the anatomical and pharmacological reasons for failed anesthesia will be given. Techniques beyond the standard inferior alveolar never block and standard needle and syringe will also be presented.

Lecture Objectives:

Understand the reason for incomplete local anesthesia and the remedies for incomplete local anesthesia. Review Articaine: myths and facts, the Gow-Gates Mandibular Block, intraosseous anesthesia and PDL injections.

DR. ERIC A. RINDLER 9:30 A.M. - 10:30 A.M.
San Antonio, Texas

"Esthetic Periodontal Surgery"

The goal of this lecture is to create an understanding of how the Periodontist can aid the restorative dentist. The lecture will focus on the diagnosis, treatment steps and realistic outcomes in treating gingival recession, exposed crown margins, biologic width impingements, the gummy smile and uneven gingival margins. The clinical procedures covered will include the sub-epithelial connective tissue graft, esthetic crown lengthening and functional crown lengthening.

Lecture Objectives:

Understand the diagnosis of anterior esthetic problems in order to predict outcomes of therapy.

Learn the techniques for root coverage procedures.

Understand how to treat the gummy smile.

Understand the process and procedures of esthetic- and functional crown lengthening.

PROFESSOR DR. TIM F. WATSON 11:00 A.M. - 11:50 A.M.
The Buonocore Memorial Lecture
Kings College London Dental Institute, Guys Hospital, London, England

Dr. Watson will present the 26th M.G. Buonocore Memorial Lecture entitled:

"Operative Dentistry and the Abuse of Dental Hard Tissues"

Most dentists pay little heed to what is actually happening at the end of their turbine bur as they prepare a cavity within a tooth. There are many factors which influence how well our new (and not so new) adhesive materials work. Many of these factors relate to the methods used to make the cavity preparation.

We have been microscopically examining tooth cutting interactions for over 20 years using a variety of microscopic techniques; in particular, video-rate confocal microscopy. This has given a unique insight into how many of the procedures that we take for granted are achieved in clinical practice, by showing microscopic video images of the cutting as it occurs within he tooth.

Cutting techniques with high and low torque hand pieces, dry and wet air-abrasive applications and laser cutting have all been imaged microscopically. The influence of these preparation modalities on the enamel and dentin is profound; especially when the remaining tooth surface is to be used as a bonding surface for adhesive materials.

Lecture Objectives:

Understand enamel structure and its influence on cutting procedures.

Realize the differences in substrate damage arising from different cutting procedures.

Appreciate the interaction between cutting techniques and adhesive materials.

APPRECIATION TO THE L.D. CAULK COMPANY:

The L.D. Caulk Company has chosen our Academy to present an Annual Memorial Lecture for the purpose of expressing appreciation and paying tribute to the late Dr. Michael G. Buonocore for his valuable research achievements. This generous support allows speaker selection on a global basis. We are grateful to Professor Watson for accepting the invitation to present this lecture and the L.D. Caulk Company for making it possible.

PROFESSOR DR. GUIDO VANHERLE 12:00 Noon - 1:15 P.M.
The Hollenback Prize
Leuven, Belgium

The 2007 Hollenback Memorial Prize is to be awarded to Professor Dr. Guido Vanherle for his exceptional contributions to operative dentistry. These contributions span clinical practice, teaching, research and leadership.

Notwithstanding his recent presidency of the European Federation of Conservative Dentistry, subsequent to having been President of the Academy of Operative Dentistry European Section, Guido Vanherle is best known for having created and led the world-renowned operative dentistry and dental materials science research team based at the School of Dentistry, Catholic University of Leuven, Belgium.

This research team continues to be central to developing new knowledge and understanding in the related fields of tooth colored restoratives and related adhesive systems.

Indeed, many of the papers which have resulted in real change in operative dentistry over the last quarter century have come from the Vanherle research team, with Guido Vanherle as a principal author.

From his time as a medical- and subsequently as dental student at the University of Leuven, Guido Vanherle quickly rose through the ranks to hold full professorial appointments in operative dentistry and dental materials en route to being Head of the Clinical Department of Operative Dentistry and subsequently President of the Clinic of Dentistry and Stomatology Academic Hospital, University of Leuven.

Without exceptional individuals such as Guido Vanherle, operative dentistry would lack the vibrance and enormous potential it currently enjoys in the dynamic, ever-changing world of new materials, procedures and concepts. Guido Vanherle is therefore a most worthy winner of the 2007 Hollenback Memorial Prize. The Academy is most pleased to recognize and honor the exceptional work and lifetime achievements of Dr. Guido Vanherle. This year's Hollenback Memorial Prize winner is truly world-class, let alone an exemplary member of the international dental community.

PROFESSOR DR. MARCO FERRARI 1:40 P.M. - 2:40 P.M.
Livorno, Italy

"The Role of Posts and Techniques for Restoring Endodontically Treated Teeth"

In the last 15 years, adhesive dentistry has changed both dental therapy and the habits of practitioners deeply. Thanks to improvements in bonding materials and techniques it is now possible to make esthetic restorations while reducing biological costs.

During this presentation an overview of adhesive-luting procedures and fiber posts available will be shown. It will be explained why fiber posts are more often indicated than any metallic posts for restoring endodontically treated teeth. Bonding into root canal treated teeth and the use of fiber posts will be presented. Also, bonding to fiber post surfaces will be illustrated. The clinical procedures and materials available for building up endodontically treated teeth will be evaluated and presented. Clinical indications for selecting cases in which to place or not to place posts will be considered. Finally, long-term results of clinical case successes and failures of fiber posts will be shown.

Lecture Objectives:

Understand dental material technology that can be used for building up endodontically treated teeth.

Understand the role of fiber posts in core build-ups for root canal treated teeth.

DR. HENRY GREMILLION 2:40 P.M. - 3:40 P.M.
University of Florida, Gainesville, Florida

"The Anatomy of Occlusion: Multiple Inter(faces)"

Physiologic occlusal function is a key component in the stability of the masticatory system. The dynamic nature of this system requires a thorough assessment of the occlusal relationships as they relate to sign and symptom development and maintenance. A casual relationship between mechanical stresses such as those associated with bruxism and TMD has been suggested. As forces enter the masticatory system at the occlusal interfaces, they are dissipated through many other interfaces such as the hard and soft tissue structures, the musculature, and the TMJ complexes. This program will provide current information on the effects of these mechanical stresses on the various components of the masticatory system. Management of these forces will be discussed.

Lecture Objectives:

Review anatomical relationships to understand masticatory system orthopedics; enhance recognition of the destructive effects of maladaptive occlusal relationships; and conceptualize management of mechanical stresses in the masticatory system via reversible approaches to occlusal orthosis therapy.

FRIDAY, FEBRUARY 23, 2007

DR. MARKUS BLATZ 8:30 A.M. - 9:30 A.M.
Baton Rouge, Louisiana

"The Resin-Ceramic Interface: Solutions to Clinical Challenges"

Exciting advancements in resin bonding techniques, all-ceramics materials, and CAD/CAM technology provide the dentist with an array of tools to meet the challenges of esthetic and minimally invasive dentistry. However, the rapidly increasing application of these tools, especially high-strength ceramic materials (e.g. aluminum-oxide and zirconium-oxide ceramics) raises questions about proper material selection, clinical use, cementation, and resin-bonding methods. Research on this topic is surprisingly minimal and clinical applications remain major challenges. Scientific evidence on the resin-ceramic interfaces and guidelines for long-term success of indirect ceramic restorations will be presented.

Lecture Objectives:

Understand the guidelines for long-term success with resin-bonded indirect ceramic restorations.

Understand the scientific evidence regarding the resin-ceramic material interfaces.

DR. MITCHELL J. GARDINER 9:30 A.M. - 10:30 A.M.
Shrewsbury, New Jersey

"Your Dental Records are your Best Defense in a Malpractice Lawsuit"

Clinical dental records have proven to be the single most powerful tool in helping dentists to defend themselves during malpractice lawsuits. Dentists who practice within accepted standards of dental care must realize that their documentation needs to meet those same standards. This presentation will help the clinician realize the importance of acceptable documentation for malpractice risk management, as well as for good practice management.

Lecture Objectives:

Achieve a better understanding of what is required in documentation of patients records to make them meet acceptable standards of dental care records.

Analyze actual malpractice cases, and understand how clinical documentation helped or hindered the dentist in court.

DR. FRED A. RUEGGEBERG 11:00 A.M. - 12:00 Noon
Augusta, Georgia

"A Clinician's Guide to Light Curing"

The number and type of light curing units available in today's market is staggering. The only information a clinician has to evaluate possible effectiveness of lights is from the marketing claims. This presentation will provide the dentist with a clear background of the differences among the major types of light-curing units available and specifically focus on contemporary LED lights. Guidelines will be provided for the evaluation of a light with respect to its clinical performance as well as its periodic maintenance. The program is designed to give clinicians the tools (concepts as well as simple in-office tests) with which to evaluate marketing claims as well as to validly determine the optimal curing conditions for their current light system.

Lecture Objectives:

Identify the differences among QTH, PAC and LED lights and understand why some are able to cure only certain products; learn if LED lights are good enough to replace QTH units; and know if a PAC light is more powerful than an LED.

Describe differences in the generations of LED lights, if LED light creates heat and indicate methods for reducing potential damage. Indicate features to look for when selecting a new light and methods used to determine exposure duration. Know how to compare the performance of a new light to an old one and what is the "best, and least expensive light to buy."

DR. THOMAS G. BERRY 11:00 A.M. - 12:00 Noon
The Award of Excellence
Denver, Colorado

It is indeed a great honor for the Academy of Operative Dentistry to present the Award of Excellence this year to Dr. Thomas G. Berry.

Tom continues to have an incredibly productive life as a teacher, scholar, practicing dentist and colleague and has served the Academy of Operative Dentistry in many roles in which he has been an essential part of our history together. He graduated from the University of Missouri-Kansas City in 1961 and served two years in the United States Air Force Dental Corps. Following that, he returned to Kansas City and opened a private practice. Soon thereafter he was offered the opportunity to begin his teaching career with an appointment at UMKC in the Department of Fixed Prosthodontics.

In 1970 he accepted a position at the University of Kentucky College of Dentistry and he spent the next 9 years there teaching in Restorative Dentistry until he was named Associate Dean for Academic and Student Affairs at the University of Colorado School of Dentistry in Denver. In addition to administrative duties, Tom was involved teaching both operative dentistry and fixed prosthodontics at CU. In 1988 he joined the faculty of the University of Texas - San Antonio Dental School as Chair of the Department of Restorative Dentistry where he was responsible for operative dentistry, fixed prosthodontics and esthetic dentistry curricula. After 12 years Tom retired from the School of Dentistry at Texas - San Antonio and returned to Denver Colorado where he began teaching anew in the Department of Restorative Dentistry at the University of Colorado.

Tom's career not only involves teaching excellence to his students in the classroom, laboratory and clinic, but also in publishing appropriate materials to contribute new knowledge to the art and science of dentistry. He has published a total of over 100 abstracts, articles and textbook chapters and presented numerous invited papers at national and international meetings. He has lectured at numerous sites inside and outside the United States.

Tom has served our profession in may roles, not only as a committeeman and officer in our own Academy, having served as President in 1995-96, but also as Chair and Co-chair of the Section of Academic Deans of the American Dental Education Association, Chair of the Operative Dentistry Section of ADEA, and as a committeeman/consultant on the American Dental Association's National Board of Dental Examiners Test Construction Committee. He further has served on the University Relations Committee of the American Academy of Cosmetics Dentistry and for ten years as Assistant Secretary of the Academy of Operative Dentistry after completing his term as our President.

Tom's illustrious and distinguished career continues as he works full-time at the University of Colorado and continues to serve on committees of our own Academy. Tom is one of those leaders to whom we are all so grateful for his service and guidance and without whom this Academy and our profession would not be what they are today. It is therefore an honor for the Academy of Operative Dentistry to present this year's Award of Excellence to Dr. Thomas G. Berry.

DR. MARCOS A. VARGAS
Stand-By-Speaker
Iowa City, Iowa

The Academy is grateful to Dr. Vargas who is serving as stand-by clinician this year. In the event that another essayist cannot be present, Dr. Vargas will present an essay entitled:

"Imperceptible Anterior Direct Resin Composite Restorations"

Patient demands for esthetic dentistry have emphasized the need to produce imperceptible anterior restorations. Resin composite materials with expanded shades, various opacities and improved handling have the potential to produce functional, long lasting, rewarding and cost effective highly esthetic direct anterior restorations. This lecture will describe the optical properties of resin composites and how they measure up to those of dentin and enamel. A comprehensive description of shade selection, cavity preparation, material manipulation and blending principles will be provided as well as surface characterization and polishing techniques to achieve natural imperceptible restorations by layering enamel and dentin-like resins.

Lecture Objectives:

Understand the optical properties of enamel and dentin and how they relate to the optical properties of resin composite materials. Understand how to obtain proper shade selection for direct resin composite restorations and how to achieve a layering technique as a means to create imperceptible direct resin composite restorations.

Understand how to reproduce contour and surface characterizations in anterior restorations.

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February 22-24, 2006
35th Annual Meeting in Chicago, Illinois

Dr. W. Frank Caughman President

PRESIDENT'S MESSAGE

Dr. W. Frank Caughman

I extend my heartfelt welcome to both members and guests in attendance at this 35th Annual Meeting of the Academy of Operative Dentistry. From the time I was introduced to this Academy in 1983 by Dr. Larry Clark, I have looked forward to our annual meeting with great anticipation. The 3 days in Chicago are a time to strengthen ones desire for excellence by establishing or renewing friendships, and learning from some of the best clinicians in dentistry. I encourage all members to reach out to the new inductees and guests so that they may fully appreciate the uniqueness of our organization.

It is a great honor for me to serve as President of this most prestigious Academy, but I should make it clear that most of the work is done by the other officers, Executive Councilors, and Committee Members. Special thanks to our Secretary, Dr. Greg Smith, and Treasurer, Dr. Joel Wagoner, for their tireless efforts on behalf of our Academy. President-elect, Dr. Susanne Grennell has done an outstanding job assembling this year's collection of world-renown clinician-educators for our Essay Program. Academy Vice-president, Dr. Frank Perry, has put together a diverse Table Clinic Program of practical and informative topics. The Academy is indeed fortunate to have its future in the hands of two such exceptional individuals.

Please join me in congratulating Dr. Bill Douglas, winner of the 2006 Hollenback Memorial Prize, and Dr. Joel M. Wagoner, winner of the Academy of Operative Dentistry's Award of Excellence. We are pleased to bestow these honors on two individuals who have done so much for Operative Dentistry. Again it has been one of the principal highlights of my career to serve this Academy as its President, and I look forward to our continued drive for excellence.

Sincerely,

W. Frank Caughman
President

Speakers

THURSDAY, FEBRUARY 23, 2006

DR. GREGGORY KINZER and DR. VINCENT KOKICH, JR. 8:30 A.M. - 10:30 A.M.
Seattle and Tacoma, Washington

"Interdisciplinary Management of Anterior Esthetic Dilemmas"

Dr. Greggory Kinzer Dr. Vincent Kokich, Jr.
In recent years, television and movies have promoted the importance of dental and facial esthetics. This has resulted in a heightened level of perception among our adult patients when considering smile esthetics. Since these patients often present with missing and/or worn teeth, it is necessary to use an interdisciplinary approach when formulating the most appropriate treatment plan. It is also important to consider the patient's perception of certain anterior dental esthetic discrepancies since it is often different than the restorative dentist's view. Drs. Kinzer and Kokich will address these questions as well as evaluate the threshold levels at which many common anterior esthetic discrepancies become noticeable by the dental profession and the lay person.

Lecture Objectives:

Describe the threshold level at which many common esthetic abnormalities become detectable by the dentist and by the lay person, since these may not be the same thresholds.

Identify minor crown length discrepancies.

Identify when it is important to pay attention to tooth proportion when positioning teeth for future restorative treatment.

DR. JACQUES E. NOR 11:00 A.M. - 11:50 A.M.
The Buonocore Memorial Lecture
Ann Arbor, Michigan

Dr. Nor will present
the 25th M.G. Buonocore Memorial Lecture entitled:
"Tooth Tissue Engineering and Molecular Biology in Restorative Dentistry"

Dr. Jacques E. Nor A noticeable change in the paradigms of dental research has been observed over the last few years. Molecular biology has been used to understand pulp responses to dental treatment. And, tissue engineering is allowing us to project a future in which enamel will be used to restore enamel lesions, and dentin will replace dentin lost during the carious processes.

We have recently demonstrated that adhesive resins induce programmed cell death (apoptosis) of odontoblasts. Adhesives also increase the synthesis of growth factors by dental pulp cells that can lead to increases in pulp vascularization and edema. This work has utilized cell and molecular biology techniques, and has helped us to better understand the indications and limitations of the total-etch-and-bond technique.

Tissue engineering has been successfully used to "make new teeth" by research groups in the USA and abroad. A recent publication described the isolation of stem cells from the dental pulp, and suggested their potential use to regenerate dentin and the periodontium. As these achievements make their way into the clinic, the practice of contemporary restorative dentistry will require an increased understanding of molecular biology and tissue engineering.

Lecture Objectives:

Create an understanding of molecular biology and of pulp responses to dental materials

Understand tissue engineering in the regeneration of tooth structure.

APPRECIATION TO THE L.D. CAULK COMPANY:

The L.D. Caulk Company has chosen our Academy to present an Annual Memorial Lecture for the purpose of expressing appreciation and paying tribute to the late Dr. Michael G. Buonocore for his valuable research achievements. This generous support allows speaker selection on a global basis. We are grateful to Dr. Nor for accepting the invitation to present this lecture and the L.D. Caulk Company for making it possible.

DR. WILLIAM H. DOUGLAS 12:00 Noon - 1:20 P.M.
The Hollenback Prize
Minneapolis, Minnesota

Dr. William H. Douglas The 2006 Hollenback Memorial Prize is to be awarded to Dr. William H. Douglas. Dr. Douglas completed B.S., M.S., and Ph.D. degrees, majoring in chemistry, at Queen's University, Belfast, before studying dentistry at Guy's Hospital, University of London. Following a period as Assistant lecturer at Queen's, Belfast, and subsequently Lecturer in Dental Materials at the School of Dentistry, Cardiff, Wales, Dr. Douglas crossed the Atlantic to become Director of the Biomaterials program at the School of Dentistry, University of Minnesota. Dr. Douglas has remained at the University of Minnesota as the first recipient of the Harvey L. Anderson Endowed Research Professor in Dental Biomaterials, founded in 1986.

The abiding passion in Dr. Douglas' illustrious career has been clinically-simulated laboratory research, leading to the development of his Center's world-renowned artificial mouth. Work in this field led Dr. Douglas into other areas, notably form, function and strength of the restored crown, salivary lubricity and, most recently, biometrics. As Academic Director of the Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), Dr. Douglas is an international figure in his field of special interest and expertise, with numerous important contributions to new knowledge and understanding being included amongst his many, exceptional achievements.

In addition to his excellence in research, previously recognized by the International Association for Dental Research Wilmer Sounder Award, Dr. Douglas is an outstanding, inspirational teacher and presenter of continuing education courses both home and abroad. His curriculum vitae includes details of several prestigious educational awards.

Dr. Douglas remains a great and most effective champion of research of immediate clinical relevance. The Academy of Operative Dentistry is proud and most pleased to recognize Dr. Douglas' sustained commitment and world-class contributions to the modern practice of dentistry with the awarding of the 2006 Hollenback Memorial Prize.

DR. GERARD J. CHICHE 1:30 P.M. - 2:30 P.M.
New Orleans, Louisiana

"Long-Distance Communication: Setting High Esthetic Standards for the Dental Team"

Dr. Gerard J. Chiche Esthetic predictability is based on a comprehensive use by the dental ceramist and the clinicians of a myriad of esthetic principles. With the routine use of contemporary all-ceramic materials, a successful team approach must be based on a step-by-step approach to set high esthetic standards and to address challenging esthetic dilemmas.

This discussion will present a methodological approach devised to resolve esthetic deficiencies and guide the dental team during esthetic treatment. Topics include: shade communication, ceramic material selection for veneers and all-ceramic crowns, esthetic design, preview strategies and esthetic analysis.

Lecture Objectives:
Participants will learn to -

set a methodical approach to an objective esthetic analysis;
evaluate the potential obstacles to optimum esthetic results;
establish a prognosis for esthetic success.
identify the key factors for treatment planning of anterior restorations;
establish selection criteria for optimum gingival design for best esthetic results.

DR. VAN HAYWOOD 2:30 P.M. - 3:30 P.M.
Augusta, Georgia

"White Teeth or Little White Lies"

Dr. Van B. Haywood Tooth bleaching has enjoyed immense popularity among patients and dentists since the advent of Nightguard Vital bleaching in 1989. These are a number of new options for lightening teeth that have emerged or resurged since tray bleaching became popular. However, some claims of whitening exceed that supported by research or clinical experience. This presentation will explore in-office NGVB, and OTC techniques for bleaching, and discuss what claims are scientifically-supported and what are "marketing" claims.

Lecture Objectives:

Understand what is known about bleaching from a research perspective.

Be aware of claims that may be market positioning and not be supported adequately by science.

Make intelligent choices between the different types of bleaching to better inform patients of their options.

FRIDAY, FEBRUARY 24, 2006

DR. JEFFREY P. OKESON 8:30 A.M. - 9:30 A.M.
Lexington, Kentucky

"Occlusion, Temporomandibular Disorders and Restorative Dentistry"

Dr. Jeffrey P. Okeson Our understanding of temporomandibular disorders has greatly expanded in recent years. Although our knowledge is still not complete, we are now able to manage our patient's pain problems far better than ever before. We have learned that some TM disorder patients may benefit from occlusal therapy and others do not. It is the primary responsibility of the clinician to be able to identify those patients who can benefit from occlusal therapies from those who will not. This presentation will discuss the confusion and controversy regarding the role of occlusion in TMD and provide prospectives regarding the use of occlusal therapy in the management of TMD.

You will learn: five etiologic factors that may lead to TMD; how occlusion may influence TMD, and how to select TMD patients who will likely respond to occlusal therapy.

DR. JAMES R. DUNN 9:30 A.M. - 10:30 A.M.
Loma Linda University, California

"Digital Dental Photography"

Dr. James R. Dunn Digital imaging is the accepted standard in dentistry, however the quality of the image is still a concern. Historically, 35mm slide images were recognized for high image quality and reasonable camera costs. Many digital dental images are not equivalent to slide images; showing poor resolution, inadequate lighting, distorted perspective, and incorrect color. Rapid changes in digital technology create a dilemma for the dentist. What is "good enough" to capture high quality digital images and practical to purchase and use? This lecture will offer guidelines for selection of currently available digital cameras based on how the dentist will use the images, the "quality" of the image, and cost.

You will learn: what digital camera system can I purchase for the quality of image I want; what imaging accessories do I need; how do I capture, manipulate and manage digital images and what computer hardware and software do I need.

DR. W. BRUCE HOWERTON, JR. 11:00 A.M. - 12:00 Noon
Raleigh, North Carolina

"Three-Dimensional Imaging in Dentistry"

Dr. W. Bruce Howerton, Jr. Dr. Howerton is leveraging the creation of high quality images from Cone Beam CT systems and the effective delivery of those images to dental professionals via the Web and CD media. The integration of these two technologies is providing the dental community with a new way of viewing patient information. Dentists and patients benefit through communication of images and radiographic interpretations between specialists and general dentists by incorporating a team approach. Implant dentistry requires integration of Oral and Maxillofacial Radiology as an integral part of treatment planning.

Topics to be addressed include a review of 2-D and 3-D imaging, three-dimensional basics, X,Y and Z planes and Multiplanar Reconstructed images, comparison of panoramic images with three-dimensional imaging, and delivery of three-dimensional imaging on the Web.

You will learn: pitfalls of two-dimensional imaging, and basic physics and advantages of using Cone Beam technology; three-dimensional imaging nomenclature and image positioning using Cone Beam technology, benefits of Cone Beam technology, and you will experience how Cone Beam images are distributed over the Web and how it aids in communication between dental professionals. Dr. Howerton will present a special program at 4:15PM on Friday.

See below for details.

Special Limited Attendance Clinic:
SIMPLANT PRESENTATION by Dr. Bruce Howerton 4:15 P.M. - 5:00 P.M.
(Pre-registration and ticket required)

With increasing success in placing dental implants due to better biocompatibility of materials and techniques, patients are increasingly accepting implants to restore edentulous regions. Although panoramic images provide information they are not enough when quality and quantity of hard tissue is in question. Using three-dimensional DICOM data, as described in a previous presentation, Materialise has produced a software called SIMPLANT which converts the DICOM data into a format for implant placement, planning and production of a surgical guided prosthesis. Basic principles and demonstration of the software will be provided.

You will learn about this new technology today, in this presentation, as it will become commonplace tomorrow.

DR. JOEL M. WAGONER
The Award of Excellence
Chapel Hill, North Carolina

Dr. Joel M. Wagoner It is indeed a great honor for the Academy of Operative Dentistry to present the Award of Excellence to Dr. Joel M. Wagoner. Joel is the unanimous choice of the Executive Council for 2006 for he truly exemplifies Excellence in his professional, family and civic life. A loving husband and father and an outstanding clinician, Joel's life is one of faithful love, illustrious service and professional merit. We are proud he is our 2006 winner!

Born and raised in North Carolina, Joel attended and graduated from Duke University. He then completed his dental degree at the University of North Carolina at Chapel Hill with academic prowess, was tapped for membership in the scholastic honorary Omicron Kappa Upsilon and listed in Who's Who Among Students in American Colleges and Universities. Following a tour of duty in the U.S. Army Dental Corps., Joel entered the private practice of dentistry in Beckley, West Virginia. During his years in private practice, Joel has been a staunch supporter of organized dentistry and truly a leader in dental and civic enterprise. He served as a President of the New River Dental Society, and the Executive Council of the West Virginia Dental Association. He served as an instructor in the West Virginia Institute of Technology's School of Dental Hygiene and as a Clinical Assistant Professor at the West Virginia University School of Dentistry for many years. He was a member of the dental staff of Raleigh General Hospital in Beckley. Joel also served as President of the Beckley Rotary Club, and a member in the Raleigh County Health Council. During the 1980's Joel served as Pack Committee Chair, and Cubmaster of Cub Scout Pack 80 in Beckley. He later served on the Board of Directors of the Beckley Community Concert Association and was Virginia Episcopal School Parent's Association President for two terms. Always active in his church, Joel served St. Stephens Episcopal Church in Beckley as a choir member for 25 years, and also served as a Sunday School teacher, a vestryman, and as Junior and Senior Warden of the Parish.

Joel's professional love is dentistry. Since moving his practice to Chapel Hill, Joel has been actively involved in dental study club work and in teaching at the UNC dental school. An avid study club member, he has been a member of the George M. Hollenback Operative Dentistry Seminar since 1977, serving as it's President for a term of 8 years. He has presented table clinics before our Academy and the American Academy of Restorative Dentistry. He was selected as the clinician by Hygienic Corporation for their Dental Rubber Dam training videotape. He served as guest lecturer and mentor at the U.S. Navy Operative Dental Study Club in 1993. Joel was one of the first in our profession to complete the certification program of the American Board of Operative Dentistry. He has been a member of our Academy since 1975, serving as it's President in 1996, a member of the Executive Council for many years, and a Trustee of the Founder's Fund since 1991. In 1997 Joel was elected Treasurer of our Academy and has served with distinction, faithfully, in that role ever since. His dedication to excellence has led to memberships in the American Academy of Restorative Dentistry and the American and International Colleges of Dentists. Joel honors us with his membership in our Academy, and we are thrilled to honor him this year.

DR. MITCHELL J. GARDINER
Stand-By Clinician
Shrewsbury, New Jersey

The Academy is grateful to Dr. Gardiner who is serving as stand-by clinician this year. In the event that another essayist cannot be present, Dr. Gardiner will present an essay entitled:

"Your Dental Records Are Your Best Defense In A Malpractice Lawsuit"

Dr. Mitchell J. Gardiner As a restorative dentist practicing operative dentistry, you are a primary target for a dental malpractice action. This lecture, presented by Dr. Gardiner will focus on how your clinical dental records can be the most important single defense that is used in court on your behalf. Using New Jersey State Board of Dentistry and various other State Boards as guidelines you will know what is required in your dental records. You will have the rare opportunity to review actual dental malpractice cases that have been heard in court, analyzing the reasons why malpractice cases were won and lost.

Lecture objectives:

Evaluate ones own clinical dental records for standards of care.
Learn ways to improve clinical records.

Table Clinic Program 2:15 P.M. - 4:30 P.M.

Dental Management of Post Head and Neck Radiation Patients
Dr. Kathryn L. Aasen
Alexandria, Virginia

Soft Drinks and Your Teeth - An In-Depth Examination
Dr. Poonam Jain
Alton, Illinois

Arresting Subsurface Enamel Lesions: A Home Care Approach
Dr. Maria Teresa Pulido
Iowa City, Iowa

Caries Detection with Diagnodent
Dr. Det Smith
Bethesda, Maryland

The Use of a Natural Tooth as a Pontic for the Fabrication of a Resin Bonded Bridge - Clinical Cases
Dr. Carlos E. Chavez
Glendora, California

Microtensile Bond Strength of a Self-Etching Bonding Agent to Affected Dentin
Dr. Hanan Omar
Toronto, Ontario, Canada

Retentive Features of Resin-Retained Fixed Partial Dentures
Dr. Maria - Paz U. Smith
Rockville, Maryland

The In-vivo Effect of a Bioactive Base Material on the Remineralization of Affected Dentin
Dr. Eduardo Bresciani
Ann Arbor, Michigan

Glass Ionomer Sealants: Clinically "lost" - Still Providing Fissure Protection!
Dr. Ana Luiza Viera
Ann Arbor, Michigan

Clinical and Molecular Analysis of Sealed Dentin Caries
Dr. Tijen Lacin
Ann Arbor, Michigan

Esthetic Dentistry and Laboratory Communication, Keys for Success
Dr. Raed Ajlouni
Dallas, Texas

Techniques for Crown and Bridge Repair
Dr. Howard Strassler
Baltimore, Maryland

Smile Analysis for Restoration Using All-Ceramic Restorations
Dr. John R. Calamia
Massapequa, New York

Porcelain Repair Demystified
Dr. Stephen Sterlitz
Clarksburg, Maryland

Trends in the Teaching of Posterior Composites
Dr. Chris Lynch
Wilton, Cork, Ireland

Direct Gold Success, Where Composite and Amalgam failed: 30 year Case Report
Dr. David Newitter
West Simsbury, Connecticut

Considerations in Post Selection and Cementation
Dr. Richard Trushkowsky
Staten Island, New York

Ultrasonic Tooth Preparation
Dr. Gilberto Henostroza
Lima, Peru

Resin Composite Reinforcement of Undermined Enamel
Dr. Qasem D. Alomari
Safat, Kuwait

Open Face Sandwich Amalgam-Glass Ionomer Restorations
Dr. Howard W. Roberts
Buffalo Grove, Illinois

Gingival mask for Power Bleaching
Dr. Richard Walker
New Orleans, Louisiana

Functionally Generated Path Technique
Dr. Karyn E. Young-Carignan
San Antonio, Texas

Combined Chemical / Restorative Treatment of a Severely Discolored Maxillary Central incisor
Dr. Arne Gruspe
San Antonio, Texas

Stresses Due to Different Cavity Preparation Depths and Base Placement
Drs. Satish C. Khera and Nicole Grosland, Mr. Tom McDonald, Ms. Sadaf Kashef, and Ms. Jessica Lawrence
Iowa City, Iowa

Immediate Implant Provisionalization
Dr. Nancy Motyka
San Antonio, Texas

The Dual-Arch Closed-Mouth Impression Technique: A Comparison of Five Tray Types
Dr. Bruce G. Green
Bethesda, Maryland

New Posterior Matrix Systems, A Critical Review
Dr. Jeff B. Jorden
San Antonio, Texas

The Use of Segmental Waxing for Provisional Fabrication
Dr. Robert K. Van DeVelde
Helotes, Texas

Custom Matrix Band Adaptation: Alternatives to the Preshaped Wedge
Dr. James Tynecki
Rockville, Maryland

The Sectional Matrix System for Proximal Contacts: The New Generation:
Dr. Haeoh Choe
San Antonio, Texas

The Custom Resin Matrix
Dr. David M. Jones
San Antonio, Texas

2005 Student Winner
Dr. Julianne Prettyman
Chapel Hill, North Carolina

Student Clinician Winner 2006
To Be Announced

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This meeting has been dedicated to Dr. Ralph J. Werner

February 23-25, 2005
The Fairmont Hotel
Chicago, Illinois

The following is a list of the International speakers that have committed to present at next years annual meeting in Chicago.

Newton Fahl (Brazil) 2 hour presentation. Dr Fahl is world renowned clinician who is known for his ability to create life-like anterior restorations utilizing light-cured composites. This presentation will include live demonstrations of his techniques that are both educational and entertaining.

Michael Miller (editor of Reality) Dr Miller will give a presentation on dental products that are of general interest to restorative dentists. His lecture will include Reality's most current findings from both laboratory and clinical trials.

Tom McDonald (Private Practice Athens Ga) Dr McDonald is a nationally known clinical lecturer who will share some occlusal guidelines that can be utilized when treatment planning and restoring anterior restorations.

Dennis Fastbinder (University of Michigan) Dr Fastbinder is a master clinician, and one of the most knowledgeable people in the use of clinical CAD-CAM systems. He will present this new and sometimes controversial technology in an honest, ethical, evidence based way.

Kevin Frazier (Medical College of Georgia) Dr Frazier will give a timely and practical lecture on the effects of various in-office and at-home procedures on resin-based and ceramic restorative material. A slight modification in the office routine and proper home care can add years to the longevity of these restorations.

Jeff Rouse (Private Practice San Antonio TX) Dr. Rouse will present an evidence-based and clinically relevant approach to enamel bonded porcelain veneers. He will discuss diagnosis, and the entire clinical technique including preparation, provisionalization, and insertion.

Franklin Tay (Hong Kong) Dr Tay will be honored this year as the prestigious Bounocore Lecturer. He is world renowned for his work on dentin bonding, and during his presentation he will present much of his clinically relevant work.

34th Annual Meeting in Chicago, Illinois
Dr. Richard S. Kloehn President

PRESIDENT'S MESSAGE

Dr. Richard S. Kloehn

Welcome to the 34th Annual Meeting of the Academy of Operative Dentistry

To new members, I extend a very special welcome. I hope that this outing in Chicago, with its good fellowship and stimulating education, will be an event that you will anticipate and attend annually.

I would like to acknowledge Dr. Gregory Smith and Dr. Joel Wagoner for their tireless dedication, which is so deeply appreciated. The amount of time, effort and guidance Dr. Smith and Dr. Wagoner put into the Academy is extraordinary. They steer the Academy in an always-upward direction, continually furthering the excellence of operative dentistry. I would like to thank Mrs. Perky Smith too for all of her efforts on behalf of the Academy.

President-elect, Dr. Frank Caughman has assembled an excellent Scientific Essay Program with outstanding, world-class speakers. Dr. Susanne Grennell, the Academy Vice-president has put together a comprehensive array of table Clinic programs. The Academy is in superb hands with these two people guiding us on to what is new in dentistry.

Please congratulate Dr. Stephen Bayne, the winner of the 2005 Hollenback Memorial Prize and Dr. James B. Summitt, the winner of the Academy of Operative Dentistry Award of Excellence. Both of these gentlemen so richly deserve these awards to honor their accomplishments and contributions to operative dentistry.

Thank you to the officers, councilors and committee members who enable the Academy to realize its goal of promoting excellence in dentistry. Members of the Academy are esteemed, dedicated professionals from all parts of the world and I hope to see our membership continue to flourish as this prestigious Academy maintains its position at the forefront of dentistry. It has truly been an honor to serve as your President.

Sincerely,

Richard S. Kloehn, D.D.S.
President

Speakers

THURSDAY, FEBRUARY 24, 2005

DR. MICHAEL MILLER 8:30 A.M. - 9:30 A.M.
Houston, Texas

"Dual-Cure Materials - Have We Been Misled?"

Dr. Dr Michael Miller Dual-cure materials have captured a large segment of the resin cement and core material categories. Their popularity is based on their presumed ability to be at least partially polymerized using light curing technology combined with the security of the self-cure mechanism for the deeper sections of the restoration. What more could a clinician want? However, recent evidence suggests that the dual-cure mechanism is wishful thinking and does not, in fact, exist. This presentation will cover the facts and fiction concerning dual-cure materials and recommend alternative, much simpler methods of placing indirect restorations and core build-ups using light-cured-only products.

Lecture Objectives:

Cover the differences between light-cured, dual cure, and self cure materials.

Demonstrate innovative methods of testing for depth of cure and cement hardness.

Provide evidence for questioning the effacacy of dual-cure materials

Suggest alternative methods and materials that perform more effectively using light-cured-only products.

DR. DENNIS FASTBINDER 9:30 A.M. - 10:30 A.M.
Ann Arbor, Michigan

"Chairside CAD/CAM Ceramic Restorations: the CEREC 3D System"

Dr. Dennis Fastbinder The implementation of technology for dental practice is a process of discovery, education, and practice. A significant technology is Computer Assisted Design/Computer Assisted Machining (CAD/CAM). The CEREC 3D System (Sirona Dental) is a unique application of CAD/CAM that provides for the fabrication of ceramic or composite restorations in a single appointment. The capability of the system will be presented with the clinical technique utilizing clinical cases. Relevant laboratory and clinical research evidence will be provided relative to clinical performance.

Lecture Objectives:

Provide information on the computergraphic design technique for the chairside fabrication of ceramic restorations using the CEREC 3D system.

Provide research evidence In answer to questions relative to CAD/CAD restorations such as fit, adaptation, occlusion and post-operative sensitivity.

Provide research evidence on the clinical performance of CAD/CAM restorations.

DR. FRANKLIN TAY 11:00 A.M. - 11:50 A.M.
The Buonocore Memorial Lecture
Hong Kong, Peoples Republic of China

Dr. Franklin Tay will present
the 24th M.G. Buonocore Memorial Lecture entitled:

"Reducing Steps In Dentin Bonding - What Have We Really Gained"

Dr. Franklin Tay The classic concept of 3-step bonding to dental hard tissues has evolved to create more user-friendly, simplified systems. These comprise the 2-step etch-and-rinse, 2-step self-etch and the 1-step self-etch adhesives. Both simplified etch-and-rinse and self-etch adhesives carry some characteristics that are relevant to their reduced efficacy in providing long-lasting bonds. The increase in hydrophilicity of these adhesives renders them permeable to fluid movement and denies their ability to hermetically seal vital dentin. The inclusion of water with acidic resin monomers in the simplified self-etch adhesives, in particular the single bottle type, 1-step self-etch adhesives, can result in hydrolysis of the acidic resin monomers that limit the shelf lives of these adhesives. Marketing of simplified dentin adhesives represents an innovative response to clinicians' desire for efficiency. However, endeavors in optimizing speed and efficiency should be accomplished without tradeoffs in product quality and reliability. The potential deterioration in bond integrity of simplified adhesives can be seen by the loss of marginal integrity and the disappearance of hybrid layers. Dentin contains endogenous matrix metalloproteinases (MMPs) responsible for degradation of resin-dentin bonds. Degradation processes are likely expedited by intrinsic permeability associated with simplified adhesive systems. It is prudent for designers of future dentin adhesives to appreciate that there is a preventive aspect of adhesive dentistry that has probably been overlooked. Clearly, more work is required to establish the relationship between dentin MMPS and their natural inhibitors, and the use of synthetic inhibitors in prolonging the longevity of resin-dentin bonds.

Lecture Objectives:

Classify 3-step, 2-step etch-and-rinse, 2-step self-etch and 1-step self-etch adhesives.

Discuss hydrophilicity of these adhesives.

Discuss the potential deterioration of bond integrity of simplified adhesives.

Discuss the potentials for prolonging the longevity of resin-dentin bonds.

The L.D. Caulk Company has chosen our Academy to present an Annual Memorial Lecture for the purpose of expressing appreciation and paying tribute to late Dr. Michael G. Buonocore for his valuable research achievements. This generous support allows speaker selection on a global basis. We are grateful to Dr. Tay for accepting the invitation to present this lecture. and the L.D. Caulk Company for making it possible.

DR. STEPHEN C. BAYNE 12:00 Noon - 1:20 P.M.
The Hollenback Prize
Chapel Hill, North Carolina

Dr. Stephen C. Bayne Dr. Stephen C. Bayne is Professor and Section Head of Biomaterials in the Department of Operative Dentistry at the University of North Carolina, School of Dentistry. Dr. Bayne's international distinction is in the filed of dental biomaterials and clinical research, with special emphasis on operative dentistry. His work in dentistry, spanning over a period of more than twenty years, has had a profound impact on the understanding, knowledge and clinical application of, in particular, modern restorative systems. Dr. Stephen Bayne has been innovative, meticulous and, most importantly, inspirational in his research. Concurrent with his success in both laboratory and clinical research, Dr. Bayne has held a succession of important leadership positions of ever increasing significance, including Chair, Biomaterials Section, American Dental Education Association; President of the Academy of Dental Materials; President of the Dental Materials Group of the International Association for Dental Research; President, American Association for Dental Research and, most recently, Vice President of the IADR which he will lead as President in 2006. Such distinction is rare, but richly deserved for outstanding qualities in research leadership.

Notwithstanding his research eminence, Dr. Bayne is a teacher of the highest calibre with many awards of excellence, notably the University of North Carolina's 2004 Professor of Excellence Teaching Award. International standing in research at the level achieved by Stephen Bayne is rare and most worthy of singular recognition.

The Academy of Operative Dentistry is most pleased to provide this recognition with the award of its prestigious Hollenback Memorial Prize. With this award, Stephen Bayne joins the elite group of individuals who individually and collectively have expanded the frontiers of operative dentistry.

DR. JEFF ROUSE 1:40 P.M. - 2:40 P.M.
San Antonio, Texas

"The Science and Art of Ultraconservative, Full-Porcelain Laminate Veneers"

Dr. Jeff Rouse One significant challenge in dentistry is to integrate restorations with the natural dentition. In order to achieve a seamless result, the clinical preparation and laboratory phases must be performed in concert. The use of ultraconservative (0.03mm) laminate veneers is a restorative modality that permits the development of a functional, esthetic outcome while preserving natural tooth structure. The traditional interproximal preparation, which calls for a finish line at or just into the contact point, can have serious limitations. An alternative preparation, the full veneer preparation, addresses these shortcomings by allowing the technician space to make alterations in tooth shape, size, shade and position. This presentation will highlight the preparation decision-making involved with ultra-thin full porcelain laminate veneers.

Lecture objectives: Present: reasons for failure of porcelain veneers, make recommendations for correction of failures; give preparation principles for ultraconservative porcelain veneers, their indications and contraindications and preparation techniques.

DR. KEVIN B. FRAZIER 2:40 P.M. - 3:40 P.M.
Medical College of Georgia,
Augusta, Georgia

"Maintenance Considerations for Esthetic Restorations"

Dr. Kevin B. Frazier Esthetic dental procedures are an essential part of the restorative services that dentists have to offer. The patient and the hygienist can have a significant influence on the appearance and durability of esthetic restorations. This presentation provides practical information regarding the effects of various in-office and at-home procedures on resin-based and ceramic restorative materials. Information for patient education will also be described. Modifications in the office routine and home care will preserve the integrity of esthetic restorations increasing the value of the service that we provide.

Lecture objectives: summarize the effects of scaling, polishing and other procedures on esthetic restorations, discuss the effects of oral rinses and home care products, and list the different topical fluorides and their effects on esthetic restorations.

FRIDAY, FEBRUARY 25, 2005

DR. NEWTON FAHL 8:30 A.M. - 10:30 A.M.
Curitiba, Brazil

"Mastering Anterior Composite Restorations"

Dr. Newton Fahl This lecture will focus on introducing a philosophy of how to conservatively, effectively and artistically perform esthetic direct anterior composite restorations. Aspects related to the diagnosis, treatment planning and execution of such restorations will be thoroughly addressed. A step-by-step procedural approach to solving day-to-day anterior direct restorative challenges will be presented. The necessary armamentarium, form instruments to restorative materials for the predictable and stress-free realization of such restorations will be introduced.

Lecture objectives:

Apply smile design concepts to the esthetic and functional rehabilitation of the anterior dentition.

Describe how a multidisciplinary approach involving orthodontic and periodontal procedures can enhance anterior esthetics.

Demonstrate clinical techniques to produce long lasting esthetic composite resin restorations.

DR. TOM MCDONALD 11:00 A.M. - 12:00 Noon
Athens, Georgia

"Functional Considerations in Esthetic Dentistry"

Dr. Tom McDonald Recently esthetic dentistry seems to have taken precedence over principle-centered, comprehensive restorative care. Dr. McDonald will discuss functional principles that define the parameters of esthetics and affect the stability of restorative treatment. A step-by-step patient evaluation and treatment planning system for precise, comprehensive, functional restorative treatment and "tool box" for esthetic diagnosis and treatment will be presented. Clinical cases will demonstrate the use of provisional restorations to test function and esthetics and transmit this information to the dental laboratory.
Lecture objectives:

List the three functional principles that define the parameters of diagnosis and treatment in restorative practice.

Understand how these functional principles affect the size, shape, and position of our restorations.

Understand how accurate provisional restorations can be used to test functional and esthetic principles.

Understand the steps used to convert clinical information to the final laboratory product.

DR. JAMES B. SUMMITT
The Award of Excellence
San Antonio, Texas

Dr. James B. Summitt Dr. Summitt received his DDS degree from the University of Tennessee, in 1971. He completed a 2-year General Dentistry Residency at Wilford Hall Medical Center and received his MS degree from the University of Texas Dental Branch in Houston. In 1984, after 3 years of teaching in the general dentistry graduate program, he became Chairman of the Department of General Dentistry and Director of the 2-year General Dentistry Residency at Wilford Hall. In 1988 he became Director of Dental Services at Wilford Hall. He retired from the Air Force in 1989 and joined the Department of Restorative Dentistry at the University of Texas Health Science Center at San Antonio. In 1991 he was named Head of the Division of Operative Dentistry there and subsequently was named Chairman of the Department. Dr. Summitt is actively involved in research in the areas of current restorative dentistry techniques and materials, including adhesive systems and resin composites, and has published over 130 articles and abstracts.

He serves on the editorial boards of Operative Dentistry, The American Journal of Dentistry and the Journal of Evidence-Based Practice. He is the lead author of a textbook, Fundamentals of Operative Dentistry-A Contemporary Approach. He is a diplomate of both the Federal Services Board of General Dentistry and the American Board of General Dentistry and is past president of the American Board of General Dentistry. He is a Fellow in the International College of Dentists and a Master in the Academy of General Dentistry.

During his many years of teaching, Jim has received numerous awards. He has been honored with several teaching awards from dental students including being selected many times as an assistant marshal for graduation ceremonies. In 1993 he was awarded the most prestigious award at the Health Sciences Center, at San Antonio: The Presidential Award for Teaching Excellence.

Dr. Jim Summitt has served as a teacher, colleague, mentor, role model, and friend to many members of our Academy. It is therefore an honor for the Academy to present the Award of Excellence in 2005 to our friend and consummate teacher, Dr. Jim Summitt.

DR. VAN B. HAYWOOD
Stand-By Clinician
Augusta, Georgia

The Academy is grateful to Dr. Haywood who is serving as stand-by clinician this year. In the event that another essayist cannot be present, Dr. Haywood will present an essay entitled:

"White Teeth or Little White Lies"

Dr. Van B. Haywood Tooth bleaching has enjoyed immense popularity among patients and dentists since the advent of Nightguard Vital bleaching in 1989. There are a number of new options for lightening teeth that have emerged or resurged since tray bleaching became popular. However, some claims of whitening exceed that supported by research or clinical experience. This presentation will explore in-office NGVB, and OTC techniques for bleaching, and discuss what claims are scientifically-supported and what are "marketing" claims.

Lecture objectives:

Understand what is known about bleaching from a research perspective.

Be aware of claims that may be market positioning and not be supported adequately by science.
Make intelligent choices between the different types of bleaching to better inform patients of their options.

Table Clinic Program 2:15 P.M. - 4:45 P.M.

Optimizing Interdisciplinary Collaboration Through Shared Digital Technology
Dr. Richard D. Roblee
Fayetteville, Arkansas

A Comparison of Enamel and Dentin Margin Microleakage Between Concept II and Targis Inlays
Drs. Brian Kenyon and Dan Frederickson
San Francisco, California

Who Defines the Quality of Your Restorations, You or the Matrix Band?
Dr. David Newitter
West Simsbury, Connecticut

Smart Prep System: The MI-Endpoint for Caries Removal?
Drs. Warren Wagner and Anthony Klemptner
Ann Arbor, Michigan

Subtraction Radiography - A Useful Tool to Measure Caries Progression Drs. Preetha Panrose Kanjirath and Mathilde Peters
Ann Arbor, Michigan

In-Office Bleaching - How Effective are the Various Products?
Dr. Bruce Matis
Indianapolis, Indiana

Xylitol - The Silver Bullet for Cavity Fighters
Dr. John Shaner
Omaha, Nebraska

Chairside Tooth Replacement Using Pre-fabricated Fiber Reinforced Composite Framework Techniques
Dr. Jonathan C. Meiers
Burlington, Connecticut

Clinical Evaluation of Single-Visit Anterior Bonded Fiber Reinforced Composite Bridges
Dr. Howard E. Strassler
Baltimore, Maryland

Non-Linear Analysis with Six Degrees of Freedom Looks at Functional Occlusion
Dr. Ronald G. Presswood
Houston, Texas

Resin Composite Stapling of Cracked Teeth
Dr. Satish Khera
Iowa City, Iowa

Disposable Impression Trays Versus Custom Trays
Dr. Steven P. Hernandez
Bethesda, Maryland

Conservative, Predictable Porcelain Veneers
Dr. Michael Goldfogel
Englewood, Colorado

Exploring Effects of Heat and Light on Direct Composite Polymerization
Dr. Richard D. Trushkowsky
Staten Island, New York

Digital Photography and Digital Imaging, What Dental Practioners Should Know
Dr. Raed Ajlouni
Dallas, Texas

A New Test System for Measuring Concurrently Fatigue and Microleakage
Drs. Reza B. Kazemi, L.D. Reid and J.C. Meiers
Vernon, Connecticut

Resin Composites for Bleached Teeth: Shades and Opacity
Dr. Marcos A. Vargas
Iowa City, Iowa

Post Removal Techniques to Facilitate Operative Dentistry
Drs. Alfred Khallouif and Jon M. Dossett
Lackland Air Force Base, Texas

Silanating Agents: Sticking it All Together
Drs. Sheryl L. Kane and Jon M. Dossett
Lackland Air Force Base, Texas

Microleakage Assessment of Composite Repair Techniques
Drs. Joseph Krobock and Jon M. Dossett
Schertz, Texas

Golden Proportion Dentistry - New Uses, New Tools
Drs. Mark Henderson and Jon M. Dossett
Lackland Air Force Base, Texas

Effects of Microcurrent Stimulation on Auricular and Digital Acupuncture points on Xerostomic Patients
Drs. Young K. Sung, and Jon M. Dossett
San Antonio, Texas

New Concepts for the Clinical Applications of the Rubber Dam (or, I Love Being a "Dam" dentist)
Drs. Leo R. Shockley and Jon M. Dossett
Lackland Air Force Base, Texas

Objective Measurement of Shade Change of Tooth Bleaching Materials
Dr. John Calamia
Massapequa, New York

Dental Wear: Etiology, Management and Esthetics Restorations
Dr. Charuphan Oonsombat, Bangkok, Thailand; and Drs. Raed Ajlouni and Gerald E. Denehy
Iowa City, Iowa

Effectiveness of Composite Surface Sealers
Drs. Paulo Henrique Peratti D'Alpino, N.R. Svizero, J.C. Pereira, K Miyake, D.H. Pahsley and F.A. Rueggeberg
San Paulo, Brazil

A Hands-On Presentation of Heat Generation During Resin Composite Finishing and Polishing
Drs. Sibel Antonson and Donald E. Antonson
Ft. Lauderdale, Florida

Rampant Caries Control Program: A new Approach in Dental Education
Drs. Sandra Guzman-Armstrong, Marcelo Hernandez and Deborah Cobb
Iowa City, Iowa

nterdisciplinary Approach to Esthetics: A Case Report
Drs. Yang Seung and Joseph Rusz
Rockville, Maryland

Fabrication of Surveyed PFM Crown to Fit an Existing RPD
Drs. Andrew Avillo and Joseph Rusz
Washington D.C.

Intraoral Repair of a Six-Unit Bridge with Composite Resin
Dr. Carlos E. Chavez
Glendora, California

Multiple Uses of Flowable Composite Resin
James E. Newman
Orting, Washington

Student Clinician Winner
To Be Announced

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33rd Annual Meeting in Chicago, Illinois
Dr. Richard G. Stevenson III President Academy of Operative Dentistry

PRESIDENT'S MESSAGE

Dr. Richard G. Stevenson

I am pleased to welcome members, new and old, and their guests to the 33rd Annual Meeting of the Academy of Operative Dentistry.

As my tenure draws to a close, I must take a moment to reflect upon the incredible experience of having been the President of this esteemed Academy and the honor I have had in serving this wonderful group of professionals. I cannot express how grateful I am for the guidance of our Secretary, Dr. Greg Smith, and Treasurer, Dr. Joel Wagoner, who are both so dedicated to our Academy and its members. Their extraordinary efforts have kept our Academy at the forefront of professional organizations. They have helped me and numerous past presidents accomplish our duties with relative ease by their constant attention to the myriad of details in the operation of an organization of this stature.

We are excited about what we have in store for our members at this year's meeting. We hope each of you will find some small gem of knowledge to take away from the programs and activities we have planned.

President-Elect, Dr. Dick Kloehn has done an outstanding job assembling this year's Essay Program featuring some well-known world-class speakers. Academy Vice-President, Dr. Frank Caughman, has skillfully assembled a wide variety of practical and informative topics for our Table Clinics. Please join me in commending both Dr. Kloehn and Dr. Caughman for their efforts, perseverance and keen sense of what will be of interest in putting together this year's exceptional Scientific Program.

We also have our annual Companions' Program as a treat for our supportive spouses and companions who are joining us this year. As is customary, the President's spouse - namely, my wife Victoria Stevenson - has enjoyed selecting this year's activities, working closely with the folks at Accenting Chicago to put together two fun-filled days that will surely have something for everyone.

A highlight of each year's meeting is the presentation of awards. I am pleased to announce that this year's recipient of the Award of Excellence is Dr. Norm Ferguson whose passion for excellence is legendary. It is with great pleasure that we honor him and acknowledge his accomplishments that have set the high standards toward which we can all continue to aspire. I am also pleased to announce the selection of Dr. Ivar Mjör as the recipient of this year's Hollenback Memorial Prize, which recognizes outstanding contributions in the advancement of Research in Operative Dentistry. We are pleased to bestow these honors on two such deserving individuals, and are fortunate and proud to have Dr. Ferguson and Dr. Mjör as long-standing members of our Academy.

I have had a terrific time serving as President of the Academy of Operative Dentistry. I hope, during my brief time at the helm, I have been able to make a positive footprint in the always ascending path of this exemplary group. It has been an honor to have serve as your President, and I look forward to many more years of association with all of you.

Sincerely,

Richard G. Stevenson III, D.D.S.
President

Speakers

THURSDAY, FEBRUARY 19, 2004

Dr. Debra Gander 8:30-9:30 A.M.
University of Colorado, School of Dentistry
Denver, Colorado

"Panoramic Radiography - Enhancing your Interpretation Skills"

Dr. Debra Gander The panoramic radiograph is unique to dentistry and widely used, yet few dentists feel completely confident in interpreting this radiograph. Difficulty in panoramic interpretation is often due to the particularities of this unique radiograph. Another challenge, while viewing panoramic radiographs, is observing structures outside of the dentition. Looking beyond the dentition on a panoramic radiograph is essential in detecting unusual findings such as carotid atheromas, calcification of the stylohyoid ligament, or mucous retention cysts of the maxillary sinus.

This presentation focuses on improving your interpretation skills of panoramic radiographs. A viewing strategy for anatomic structures visible on panoramic radiographs is provided. Special emphasis is placed on the unique features of the panoramic radiograph that often interfere with interpretation. Additionally, pointers on achieving the best panoramic image quality will be discussed.

Dr. J. William Robbins 9:30-10:30 A.M.
San Antonio, Texas

"Biological Width" - Why?

Dr. J. William Robbins The concept of "Biological Width" has been discussed and debated for decades. Despite the body of information surrounding this subject, there continues to be a great deal of confusion among practitioners. Why do different patients' tissues respond in dissimilar ways to similar treatments? How close is 2.04mm to reality? These issues will be discussed to develop a biologically based approach to the clinical management of the perio-restorative interface.




Dr. Reinhard Hickel 11:00-11:50 A.M.
The Buonocore Memorial Lecture
Ludwig-Maximilians-University of Munich
Munich, Germany
Dr. Reinhard Hickel will present the 23rd M.G.
Buonocore Memorial Lecture entitled:

"Classification and Clinical results of Filling Materials"

Dr. Reinhard Hickel In the last decade more new filling materials and new groups of materials were introduced than ever before in dental history. On one side this is a big advantage for the dentist to have the possibility of selecting amongst numerous materials. However, on the other side it is difficult to know the indications or advantages and disadvantages of the numerous materials e.g. compomers, packable and flowable composites, ormocers, etc. Brands in these groups of different materials behave differently in long term clinical trials in comparison to amalgam.

When comparing Kaplan-Meier-Curves of specific products with a 2 parameter fit, differences can be shown especially between direct and indirect restorations.

In general, adhesive restorations in posterior teeth can be recommended in small and medium sized cavities. Only in large cavities without enamel contacts (e.g. onlays) is wear still a problem. GIC should not be used in stress bearing areas.

Dr. Ivar A. Mjör 12:00-1:20 P.M.
The Hollenback Prize
University of Florida, College of Dentisty
Gainesville, Florida

Dr. Ivar A. Mjör Dr. Ivar Mjör is a most worthy winner of the 2004 George M. Hollenback Memorial Prize. He is a highly respected international opinion leader in the field of operative dentistry, having made a truly remarkable contribution to existing knowledge and understanding in the field. Dr. Mjör has achieved this primarily through his 330 articles and book chapters, the eight textbooks he has authored or edited, and his countless other contributions to existing literature.

As a native of Norway who completed his primary dental degree at Dundee Dental School, University of St. Andrews, and subsequently went on to obtain a MSD degree in Pedodontics and a MS degree in Anatomy from the University of Alabama, followed by a Dr. odont degree from the University of Oslo, Dr. Mjör is uniquely qualified in the field of operative dentistry. Notwithstanding such distinction, Dr. Mjör is the holder of eight honorary degrees.

Following a distinguished career in Norway, including appointments as Professor of Dentistry and Chairman of the Department of Anatomy in the Dental Faculty, University of Oslo and Director of NIOM, the Scandinavian Institute of Dental Materials, where he was also Head of the Institute's Biological/Clinical Division, Dr. Mjör has for the past 11 years been Professor of Operative Dentistry and the Academy 100 Eminent Scholar at the University of Florida. Dr. Mjör achievements in this position, as in all his previous posts, has been outstanding.

Amongst a galaxy of other prestigious positions and awards, Dr. Mjör has been president of the Norwegian Dental Association and the International Association for Dental Research. He is, in addition, an honorary member of a number of national dental associations, and has held several prestigious editorial positions, including Editor-in-Chief of Acta Odontologica Scandinavia over a period of 15 years.

As a widely acknowledged international authority on pulp-dentin biology, the biological, physical and clinical properties of dental materials, cariology and modern concepts in operative dentistry, Dr. Mjör has, and continues to make an enormous contribution to the pursuit of excellence in operative and restorative dentistry. As a colleague who commands global respect for his many, varied achievements and continuing research, Dr. Ivar Mjör richly deserves the acclaim of the Academy as the winner of the 2004 George M. Hollenback Memorial Prize.

Dr. John Osborne 1:40-2:30 P.M.
Evergreen, Colorado

Mercury and Other Illusions of Life

Dr. John Osborne All of us have illusions with little consequence, but when health care is involved the results can be grave.

Mercury has been cited as the most dangerous material on earth and linked to a myriad of diseases. It has been a part of the earth since the beginning of time and does have biological consequences when in excess, but medical studies indicate that the amount of Hg released from dental amalgam will not cause toxicity.

This presentation will discuss mercury: its many forms, toxicity, hygiene, and the medical/psychological profiles of those claiming to be poisoned by dental amalgams.

Whether one uses amalgam or elects other materials is not the issue, but the science of mercury is critical for us as a profession.

Dr. Werner Geursten 2:30-3:20 P.M.
University of Washington, School of Dentistry
Seattle, Washington

"Restorative Resins: Can These Wonderful Materials Generate Adverse Effects?"

Dr. Werner Geursten The application of resin-modified restorative materials increased dramatically during the past decade. Resins are now used for cavity bases, restorations, adhesive cementation, preventive restorations, etc. Amazingly, very little concern exists in the profession and among patients about potential unwanted effects, which may be associated with this group of oral biomaterials. This is not due to an abundant body of evidence indicating that resins do not cause side effects. By contrast, much less biological data is available about resins compared to amalgam.

The subject of this presentation will be to discuss our present knowledge about unwanted local and/or systemic effects of resins and their individual components. These issues will be offered under the perspective to minimize potential damage and to develop biocompatible materials in the future.

FRIDAY, FEBRUARY 20, 2004

Dr. Henry Gremillion 8:30-10:30 A.M.
University of Florida, College of Dentistry
Gainesville, FL

"Diagnostic Dilemmas: The Many Faces of Orofacial Pain"

Dr. Henry Gremillion Differential diagnoses of orofacial pain are an extremely challenging aspect of dental practice. The complexity of the neural network involving the craniocervical area establishes an environment for much diagnostic confusion. Additionally, a number of conditions exist which share common symptoms or may mimic odontogenic pain. Appropriate treatment and/or referral is dependent upon accurate identification of these diseases, syndromes, or clinical conditions.

This presentation will seek to clarify these issues for the General Dentist. The program will provide a review of current basic concepts of pain mechanisms, pathways, and referral patterns in the head and neck. Discussion will include clinical characteristics and management considerations of pain of non-odontogenic origin such as: disorders of salivary glands, neurologic sources, anatomic structures, and craniofacial pain of musculoskeletal origin. A protocol for systematic evaluation of the masticatory and cervical regions including vascular and neural structures will be presented. Utilization of various diagnostic anesthetic procedures and consideration of pre-emptive anesthesia/analgesia will be emphasized.

Dr. Gordon D. Douglass 11:00 A.M.-12:00 Noon
San Francisco, California

"Occlusion: The Foundation of Patient Care"

Dr. Gordon D. Douglass Successful comprehensive patient care is predicated on a successful management of all aspects of the stomatognathic system. Fundamental to that success is a recognition that occlusion is a functional outcome of, and an input to, all of the structures of the system. Essential, therefore, to successful comprehensive patient care is a functionally-based diagnosis that addresses the patient's biological, psychological, and social needs and resources.

Since a patient's oral health "whole" is more than the sum of its parts, an important first step in the management of a patient's comprehensive care is comprehensive diagnosis. This presentation will center on the present and future importance of a functionally-based comprehensive diagnosis. In addition, the reasoning behind and the application of a new comprehensive diagnosis classification founded on the physiologic or non-physiologic condition of the system will be presented.

Dr. Norman C. Ferguson
The Award of Excellence
Vancouver, BC, Canada

Dr. Norman C. Ferguson It is an honor to present the Academy of Operative Dentistry 2004 Award of Excellence to Dr. Norman C. Ferguson.

Dr. Ferguson graduated from the North Pacific College in Portland Oregon in 1944, and practiced dentistry for nearly sixty years. In addition Norm is the longest serving clinical associate professor in the University of British Columbia's Faculty of Dentistry. Although he is most known for his expertise in gold foil restorations and cast gold restorations, he has also completed extensive clinical research concerning the treatment of the diastema in your patients, and discovery of a unique movement of the maxilla on the mandible known as the "Ferguson Rock".

Norm has received many honors for his dedication to dentistry. He has fellowships in the Royal College of Dentists of Canada, the American College of Dentists, the International College of Dentists, and the Academy of Dentistry International. He is a member of the American Academy of Restorative Dentistry, the Academy of Operative Dentistry, the Canadian Academy of Restorative Dentistry and Prosthodontics, and the American Academy of Gold Foil Operators, serving as president in 1983. Norm continues to amaze people who engage him in a "casual" conversation by his depth and breadth of knowledge on subjects ranging from Latin to the History of Dentistry and Humanity. He is a truly remarkable person, and continues to be an inspiration to us all.

Dr. Kevin B. Frazier Stand-By Clinician
Augusta, Georgia

The Academy is grateful to Dr. Frazier who is serving as stand-by clinician this year. In the event that another essayist cannot be present, Dr. Frazier will present an essay entitled:

"Maintenance Considerations for Esthetic Restorations"

Dr. Kevin B. Frazier Esthetic dental procedures are an essential part of the range of restorative services that dental practitioners have to offer patients. The patient and the hygienist can have a significant influence on the appearance and durability of esthetic restorations. This presentation provides practical information regarding the effects of various in-office and at-home procedures on resin-based and ceramic restorative materials. Information for effective patient education will also be described.

Simple modifications in the office routine and proper home care will preserve the beauty and integrity of esthetic restorations thereby increasing the value of the service that we provide for our patients.

Table Clinic Program 2:15-4:45 P.M.

Dr. Michael Goldfogel - Greenwood village, Colorado
Direct Bonding or Indirect Veneers: Which Restoration Corrects Specific Esthetic Cases?

Dr. John R. Calamia - Massapequa, New York
Etched Porcelain Veneer Restorations: A Twenty Year Retrospective

Drs. Amer Abu-Hanna and Ivar A. Mjör - Gainesville, Florida
Composite Resin Reinforcement of Undermined Enamel

Drs. Margaret A. Wilson, Vicky Deligeorgi, and Nairn Wilson - Stockport, United Kingdom
What material would dentists prefer for a cuspal coverage restoration in a molar tooth?

Drs. Juliana Branco Da Costa, Sandra Guzman-Armstrong, and Jon Ryder - Iowa City, Iowa
Cerec Restoration using paradigm material: A Case Report

Dr. John D. McLaren - Ann Arbor, Michigan
The Effect of Post Type and Length on the Fracture Resistance of Endodontically Treated Teeth

Dr. David W. Murray - Lackland Air Force Base, Texas
Dentinal Hypersensitivity / Use of Desensitizing Toothpastes

Dr. Belinda Waldo - Birmingham, Alabama
Liquid Sugars - How much are we drinking?

Dr. Eric Baugh - Lackland Air Force Base, Texas
Local Anesthetics: Allergies to and Toxic Reactions

Dr. Roger E. Pradelli - Lackland Air Force Base, Texas
Techniques of Intraosseous Local Anesthesia

Drs. Preetha Panose Kanjirath, Mathilde C. Peters, and John B. Valentine - Ann Arbor, Michigan

Literature Review of Herpes Lesions and Treatment Modalities

Dr. James Hamilton - Ann Arbor, Michigan
Consistency and Trend of DIAGNOdent Measurements of Incipient Carious Lesions Over an 18 month Period

Dr. Trent Payne - Lackland Air Force Base, Texas
Provisional Restorative Materials

Dr. Charles I. McLaren - Ann Arbor, Michigan
Time-dependent Fluoride Uptake into Dentin from a Resin-modified Glass Ionomer

Dr. Richard S. Callan - Augusta, Georgia
Curing Composites: Methodologies and Rationale

Drs. Akira Suzaki, Akira Senda, Norihiro Arimoto, and Mitsuyoshi Yamada - Nagoya, Japan
Efficacy of Various Clinical Caries Diagnoses

Drs. Vicky Deligeorgi, Nairn Wilson, and Margaret Wilson - Manchester, United Kingdom
A Study of the Distribution of Stresses in Teeth Prepared for Different Types and Forms of Extra Coronal Restoration

Drs. Daniel Frederickson, Mark S. Hagge, Brian J. Kenyon, and Walter C. Daniels - San Francisco, California
Comparison of Gingival Margin Microleakage on Direct and Indirect Composite Restorations Placed in Homologous Pairs of Teeth

Drs. Mariella Gottardi, Martha G. Brackett, and Van. B. Haywood - Victoria, Brazil
Number of In-office Bleaching Visits to Achieve Patient Satisfaction

Drs. Martha G. Brackett, Mariella Gottardi, and Van B. Haywood - Augusta, Georgia
Sensitivity Incidence and Treatment Options with In-office Bleach

Drs. Raed Ajilouni and Gerald E. Denehy - Dallas, Texas
Non-Carious Cervical Lesions: Etiology, Diagnosis and Management

Dr. Poonam Jain - Alton Illinois
Diagnosis of Recurrent Decay Under Posterior Composite Restorations

Dr. Carlos Carrillo - Ann Arbor, Michigan
LED: Lights: Are They Here to Stay?

Dr. Louis De La Garza - Lackland Air Force Base, Texas
A Simple and Easy Way to Provisionalize

Dr. Richard J. Eckert - Lackland Air Force Base, Texas
Custom Dowel & Core Fabrication Technique

Dr. David Newitter - West Simsbury, Connecticut
Divergent Post & Core Method for Coronally Compromised Molars

Drs. Charuphan Oonsombat, Khaldoun Ajlouni, Raed Ajlouni, and Gerald Denehy - Iowa City, Iowa
Predictively Restoring Endodontically Treated Teeth

Dr. Richard McClure - Lakeland Air Force Base, Texas
Indirect Provisionals: The Lost Art

Dr. William W. Morgan - Valley Glen, California
Making a Custom Cast Dowel Core to Fit an Existing Crown

Dr. Alan H. Ripps - New Orleans, Louisiana
Use of a Headcam Videocamera to Produce Videos for Operative Dentistry Education

Drs. Daniel C.N. Chan and Kevin B. Frazier - Augusta, Georgia
Technology Transfer in Dental Education - Rapid Prototyping

Drs. Howard Strassler and James Kaim - Baltimore, Maryland

Innovative Teaching of Operative Dentistry with Bi-layer Caries Tooth and Radiographs

Dr. Jeff Ladine - Lackland Air Force Base, Texas
Update on Light Curing Systems

Student Clinician Winner
To be Announced

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Speakers

AOD Essayists for 2003 meeting in Chicago, Illinois
Educational Objectives

Dr. María López Howell President Academy of Operative Dentistry

President's Message

Dr. Maria Lopez Howell

I extend the warmest welcome to both members and guests as we convene for the 32nd meeting of the Academy of Operative Dentistry. To those of you who are new to the Academy, this meeting is more than a gathering of those pursuing excellence in an area of personal interest. It was evident at the first meeting I attended fifteen years ago, that this annual February meeting is an anticipated reunion, an event to reconnect with esteemed colleagues and mentors. I encourage all members to reach out to your guests and new members and extend the fellowship that is unique to this organization.

Please join me in enthusiastically supporting the successful efforts of president-elect Richard Stevenson for directing a superb scientific essay program, and to Vice-president, Richard Kloehn for organizing a comprehensive table Clinic Program. Their efforts follow a tradition of promoting excellence in Operative Dentistry.

Please seek out and congratulate Dr. John Osborne and Dr. Larry Clark as they have distinguished themselves among this esteemed group. We recognize their passionate spirit and award their service to both dentistry and the Academy during this meeting.

A special thank-you goes to Mrs. Sarah Eggleston for her assistance in coordinating the Companion's Program this year. The wife of the president has customarily organized this activity. She was quick to volunteer her help and I remain grateful.

To Dr. Joel Wagoner, and Dr. Greg and Mrs. Perky Smith, I offer a collective and sincere thank-you from the Academy. We are grateful for your year-round volunteer service, which secures the future of this Academy.

I challenge those of you who have interest, to seek an avenue of service to the Academy, for it is a privilege. Speak with an Executive Council member on involvement.

It has been an honor to serve as your President. Gracias.

Sincerely
María López Howell, D.D.S.
President

THURSDAY, FEBRUARY 27, 2003

Dr. Sascha Jovanovic 8:30-9:30 AM

"Biological and Clinical Requirements for Achieving Optimal Implant Esthetics"

Dr. Sascha Jovanovic What every conservative Restorative Dentist needs to know about the requirements for Esthetic Implant Dentistry. How do tissues react to implants? What is considered adequate support for Esthetics?

By attending this presentation you can expect to learn:

* How to diagnose the need for periodontal plastic surgery prior to implant placement,

* How to know if implant supported restorations will satisfy your patient's esthetic expectations,

* How to avoid soft tissue defects through augmentation procedures and when these procedures are indicated.

Dr. Jimmy Eubanks 9:30-10:30 AM

"Combining Esthetics and Occlusion for Longevity"

Dr. Jimmy Eubanks The number one reason people go to the dentist today is to improve their smile. Patients want to look great and today's dentists can deliver results that mimic nature. A natural result does not happen by accident. It happens because the dentist has educated themselves about the rules, tools and strategies of esthetics. They have also mastered the use of advanced materials and developed their artistic skills to a high level. However, delivering superior esthetics alone is not enough to insure long term success. It takes being able to deliver restorations that function comfortably over a long period of time. Longevity of esthetic restorations is the expected result of our patients. An understanding of occlusal principles and knowledge of how to manage the forces that exist in each patient achieve predictable longevity.

By attending this presentation you can expect to learn:

How to use micro-esthetic principles to improve the appearance of your cases,

How to know if anterior teeth may be lengthened without fear of breakage,

How to be certain you have created occlusal stability and how to monitor stability over time.

Dr. Bart Van Meerbeek 11:00-11:50 AM The Buonocore Memorial Lecture

"Bonding to Tooth Tissue Current Status and Challenges of the Future"

Dr. Bart Van Meerbeek By attending this presentation you can expect to learn:

Why leakage phenomena remain the major factor that shortens the clinical longevity of boned resin composite restorations,

The facts about the current thinking related to maintenance and repair restorations using resin composite restorative materials,

What the present-day composite resin restorations performance is in research: laboratory and clinical studies.

Dr. John Osborne 12:00-1:20 PM The Hollenback Prize

Dr. John Osborne Dr. John Osborne is a pioneer in the clinical research of dental materials. He was cited by our own journal, Operative Dentistry, as one of 25 authors in this century whose "whole body of literature is a classic in Operative Dentistry". While Dr. Osborne is best known for his enduring clinical trials on dental amalgam, his clinical studies extend into the broad scope of materials available to our profession. The range is from luting agents, to composite resins, to glass ionomers and encompasses the spectrum of materials in between thee classes. His efforts in clinical and laboratory investigations also include materials which, due in-part to his findings, never found a way to the market place as they did not meet the gold standard for our profession.

Dr. Osborne's research led to broader resources for general practitioners and an evolution in the fundamental processes for development of better dental restorations. In addition, Dr. Osborne's innovative ideas were the inspiration for publications in the areas of minimal intervention restorations; a revision of extension for prevention, and Operative Dentistry education. The fruits of his labor have served to upgrade the dental profession and have offered us the ability to offer our patients a continually improved standard of dental health care.

It is with great pride that the Academy of Operative Dentistry has selected Dr. Osborne for this award, and it is an honor for us now to present this 2003 Hollenback Memorial Prize to him in recognition of his determined and passionate spirit in service to both the profession of dentistry and to the Academy.

Dr. K. William "Buddy" Mopper 1:40-2:45 PM

"The Efficacy of Veneering with Direct Bonding"

Dr. K. William 'Buddy' Mopper The direct use of composite resins to veneer anterior teeth is often avoided due to the perceived complexity and unpredictability of the materials and techniques available. The selection of specific materials for successful bonding is important. A predictable method for providing optimal anterior esthetics with the use of composite resins will be presented. Long term (15 year) clinical cases will be shown.

By attending this presentation you can expect to learn:

How to choose appropriate composite materials for optimal esthetics,
How to cover dark teeth with composite to obtain natural esthetics,
How to contour and finish direct bonding resins in an efficient manner,
How to create composite restorations which will remain durable over time.

Dr. Shane White 2:45-3:50 PM

"Enamel and the DEJ: Structure, Function and Why We Need to Preserve it"

Dr. Shane White A new model of enamel microstructure exists. It is critical for the practitioner today to understand this different model. The link between genetics and teeth and conservation of the DEJ will be presented and how this is relevant to clinical dentistry and restoration longevity.

By attending this presentation you can expect to learn:

* How to design restorations based on enamel and dentin microstructure,
* How genetics plays a significant role in the way teeth are analyzed for restorations,
* How to create restorations which have the potential for lasting longer.

FRIDAY, FEBRUARY 28, 2003

Dr. Richard D. Tucker 8:30-9:30 AM

"Conservative Cast and Direct Gold Restorations"

Dr. Richard D. Tucker Cast and Direct Gold restorations are often considered difficult and potentially unaesthetic. With predictable time tested techniques, it is possible to overcome these concerns clinically. This presentation will cover several simple techniques to place cast and direct gold restorations while maintaining esthetics.

By attending this presentation you can expect to learn:

How to conserve tooth structure and maintain esthetics with cast gold restorations,
How to increase resistance form thought the use of integral pins,
How to use direct filling gold for pit and fissure caries in an efficient manner.

Dr. Edward McLaren 9:30-10:30 AM

"Ceramic Systems: Material Considerations and Selection Criteria"

Dr. Edward McLaren The new millennium has brought many advances in dental ceramics. Microstructural differences between ceramic systems, and critical material and processing issues that affects fracture potential will be discussed. Clinical and laboratory guidelines along with esthetic enhancements for the use of these ceramics for crowns and fixed partial dentures will be detailed in length. This presentation will cover specific clinical indications and contraindications for the use of these new systems, specifically for veneer, crown, and fixed partial denture clinical indications.

By attending this presentation you can expect to learn:

How to select the best ceramic for individual cases,
How the newer ceramic materials may be utilized predictably,
How to select the appropriate restoration type for selected cases.

Dr. Bruce W. Small 11:00-11:45 AM

"Putting It All Together"

Dr. Bruce W. Small Not too many years ago it was much easier for the operative and restorative dentist to decide what material to place as well as where and how in a patient's mouth. Today, in 2003, it is quite a different matter. With a plethora of new materials, placement techniques, adjunctive procedures (periodontal, orthodontic, and surgical), and a better understanding of occlusion, restorative decisions can be more difficult and confusing. Combine that with an ever-increasing patient demand for esthetics, and dentistry can become very frustrating.

Using refereed literature and 30 years of clinical experience, Dr. Small presents an evidenced based protocol for restorative dentistry including classic cast gold dental techniques as well as newer methods, all within a sound occlusal framework.

By attending this presentation you can expect to learn:

How to combine different materials in order to maximize both esthetics and longevity,
How material changes have affected the way we diagnose and treat cases,
How to use knowledge of occlusion in our favor to better treat patients conservatively.

Dr. Lawrence L. Clark 12:00-2:00 PM The award of Excellence

Dr. Lawrence L. Clark Dr. Clark received his D.D.S. from the University of Maryland School of Dentistry in 1961 and his M.S. in Operative Dentistry from the University of Texas Health Science Center in Houston in 1969. During his distinguished career in the United States Air force, Dr. Clark directed the Air Force general Practice Residency Program, served as consultant to the Surgeon General and retired in 1980 as a Colonel. He then embarked upon a second and equally distinguished carer in dental academics, beginning at the University of Mississippi School of Dentistry, serving there as Professor and Director of the General Practice Residency Program. He was also Coordinator of Mississippi's elective course in Direct Gold; another indicator of his commitment to this admirable discipline.

In 1985, Dr. Clark joined the faculty at the University of Florida college of Dentistry directing their Advanced Education in General Dentistry Program. Soon he was teaching Operative Dentistry throughout the College curriculum. It was through this effort that he won, again, the admiration and love of his students. At his retirement from Florida, Larry was selected by the graduating class for very special honors, indeed; a testament to his expertise exceptional ability as a teacher and his uncompromising standards of ethical behavior.

Equally important to Larry's background of many presentations and publications is his history with this Academy. He served tirelessly for many years as Editor of The Condenser, and also served admirably as our President in 1985. Dr. Clarks vocation is DENTISTRY! His calling is MENTORING! Throughout his military and academic careers he has counseled, encouraged and taught; always the ideal teacher. He repeatedly received "Teacher of the Year" awards, at both Mississippi and Florida. It is significant that so many of his former students still keep in touch and continue to seek his advice both in clinical care and in the ethical treatment of patients. It is an honor for the Academy to present the Award of Excellence in 2003 to this optimum dentist, an esteemed professional and incomparable teacher.

Dr. Bill Robbins Stand-By Clinician

"Biologic Width - Why?"

Dr. Bill Robbins The concept of biologic width has been discussed and debated for decades. Despite the body of information surrounding this subject, there continues to be a great deal of confusion among practitioners. Why do different patients respond in dissimilar ways to similar treatments? How close is 2.04 mm to reality? These issues will be discussed in order to develop a biologically based approach to the clinical management of the perio-restorative interface.

By attending this presentation you can expect to learn:

How to use biologic width parameters to better design anterior restorations

How to diagnose the need for different types of periodontal surgeries and other treatment options prior to restoration placement

How to create predictably esthetic restorations in a variety of patients

Please don't miss this fantastic opportunity for education, information exchange and fun. See you in Chicago in February! For more meeting information, please contact Dr Gregory Smith, PO Box 14996, Gainesville, FL 32604-2996; fax (352) 371-4882.

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Speakers

Thursday February 21, 2002
Essay Program
Imperial Ballroom, Lower Level B-2

Dr. Ronald C. House President Academy of Operative Dentistry

PRESIDENT'S MESSGE

Please let me extend a warm welcome to our 31st gathering of the Academy of Operative Dentistry. Dr. Maria Lopez-Howell has crafted a superb essay program which includes a wonderful lineup of table clinics under the watchful eyes of Dr. Richard Stevenson, our Vice-president and Table Clinic chairman this year. This program will once again, provide two days of a rich, intense immersion in Operative Dentistry. Special thanks are ALWAYS in order for our devoted Secretary, Dr. Greg Smith and our Treasurer, Dr. Joel Wagoner both of whom do so much on a year-round basis to insure our Academy's future and an always successful Annual Meeting. Thanks also to the remainder of the Executive Council and to our committees. I want to extend thanks especially this year to Dr. Susanne Grennell for her dedication to our "renewed" website and to Dr. Peter Tiolo and his Special Projects group whose hard work is now being published in our journal Operative Dentistry as "Recommendations for Clinical Practice".

It has been an honor for me to serve as your President this year. I look forward to seeing all of you in the years to come.

Sincerely,
Ronald C. House, D.D.S., President

Drs. Tomas Seif and Carlos Boveda Caracas, Venezuela

"The Restorative-Endondontic Approach: A Winning Philosophy"

Operative Dentistry has always been a part of interdisciplinary dentistry, but, the endodontic perspective of the tooth to be restored can be forgotten. The pulpal and periapical status of the vital and non-vital tooth and the conditions and stability of the abutment teeth in fixed restorations are extremely important variables that must be considered preoperatively if a successful treatment outcome is expected.

This presentation demonstrates a contemporary treatment philosophy behind a teamwork approach where the endodontist and restorative dentist share their perspectives as both take advantage of the newest techniques and technologies in their fields. This multimedia lecture presents the endodontist and the restorative dentist simultaneously sharing their diagnostic and treatment approaches with different case scenarios.

DR. W. FRANK CAUGHMAN Medical College of Georgia, School of Dentistry, Augusta, GA

"Shedding New Light on Composite Polymerization"

Can the way I cure composite resin affect the longevity of my restorations? Can I cure a composite in only three seconds? Can I use a dual-cured resin cement instead of a chemically-cured one in clinical situations where light initiation is impossible? Can the curing method I utilize affect my patient's post-operative sensitivity? Can I really place the newer composites in bulk? What's the difference between a plasma-arc (PAC) light, a lesser and my conventional quartz-tungsten-halogen (QTH) composite curing light?

This presentation will answer these questions and address other issues by exploring current concepts and products. It will provide an in-depth look at various curing lights available today, and provide the clinician with an appropriate clinical protocol for their effective use.

DR. ROBERT CRONIN San Antonio, Texas

"Implant Use in Growing Patients"

Dr. Cronin will review the use of dental implants in the growing patient and make recommendations for their use. Growing patients often require restoration of edentulous areas. Congenital partial anodontia and traumatic tooth loss are frequently encountered in pediatric patients. Less frequently patients require rehabilitation after surgery. Historically patients have been treated with removable prostheses before skeletal and dental maturation; however, residual alveolar resorption, periodontal complications, or increased caries rates are common secondary to wearing a removable prosthesis. In the last 10 years, with the increased predictability of root-form dental implants there has been new interest in the potential of dental implant use in the growing patient; but the use of dental implants for prosthetic support creates concerns not seen in the adult. Increasing parental requests for implant use are now heard. These pressures to treat must be weighed against a lack of long-term studies to support the use of dental implants in the child. Clinicians need knowledge of growth and development and research to make sound treatment decisions.

DR. BART JOHNSON Seattle, Washington

"Tips and Tricks for Successful Local Anesthesia"

Dr. Johnson will offer tips that can serve the dentist on a daily basis. He will present common pitfalls in the administration of local anesthesia, and tricks for how to avoid or correct them. Topics include: why 25g needles are better than 27g; when to use 25g vs. 30g needles; what to do if or when a block is missed; differences in vasoconstrictive agents, and when to use or not use them. Techniques will be presented for managing "hot" teeth that don't want to get numb; and complications such as hematoma and fast catecholamine uptake, etc. The use of panoramic radiographs to help guide blocks will be discussed along with maximizing benefits of topical anesthesia, handling the "I can't get numb" patient and the "I'm allergic to "canines" patient, and when to give up and stop trying! Dr. Johnson will also discuss the following: why long acting anesthetics are contraindicated for infiltrative anesthesia; diphenhydramine anesthesia; how to quickly write an anesthesia record, and different techniques such as Gow-gates, Akinosi, the Wand, V2 division blocks, myelohyoid blocks, mental nerve blocks, and intraosseous injections.

DR. JOHN KOIS Tacoma, Washington

"Managing the Restorative Periodontal Interface: New Paradigms for Predictable Results"

Clinical excellence commensurate with patient satisfaction are the essential keys for a successful practice. For our restorative patients this may simply mean "no red gum", the absence of "blackholes" and teeth that do not appear too long or too short.

Unfortunately, the average guidelines for intracrevicular tooth preparation may be inappropriate for an individual patient and create unexpected problems which compromise our results. Predictable clinical applications for tooth preparation, tissue management, ridge management and the minimizing of surgical defects following tooth extraction will be described in this inclusive lecture presentation.

A very detailed approach to the surgical and orthodontic support necessary for altering gingival appearance while creating access to sound tooth structure will provide clinicians with a predictable solution to our restorative dilemmas.

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The Buonocore Memorial Lecture

DR. LARS BJORNDAL Copenhagen, Denmark
Dr. Bjorndahl will present the 21st M.G. Buonocore Memorial Lecture entitled:

"Dentin Caries: Progression and Clinical Management"

This presentation is designed to present a contemporary analysis of the subject of dentin caries. A Number of questions, important to the clinician's understanding of this infectious disease need to be answered: What is the nature of the intial dentinal reactions subjacent to the enamel lesion? When will dentin caries spread along the dentinoenamel junction? Progressing stages of pulp-dentin reactions will be summarized in relation to caries with different lesion activity.

Finally, the concept and clinical management of "deep caries lesions" Will be presented using a stepwise excavation approach. This Scientific presentation will provide critical knowledge essential to the contemporary clinician's ability to diagnose and manage caries in dentin and will provide information important to his/her analysis of caries in clinical situations.

The L.D. Caulk Company has chosen our Academy to present an Annual Memorial Lecture for the tribute to the late Dr. Michael G. Buonocore for his valuable research achievements. This generous support allows speaker selection on a global basis. We are grateful to Dr. Bjorndal for accepting the invitation to present this lecture and to the L.D. Caulk Company for making it possible.

The Hollenback Prize

DR. NAIRN H.F. WILSON Manchester, England

The 2002 Hollenback Memorial Prize is awarded to Dr. Nairn H.F. Wilson. Dr. Wilson is a graduate of the University of Edinburgh where he served as a Lecture prior to moving to the University Dental Hospital of Manchester, England where he was awarded the title of Professor of Restorative Dentistry in 1986. He served as Dean and Clinical Director from 1992-1995, Dean of the Faculty of Dental Surgery, Royal College of Surgeons of Edinburgh until 1998; and Pro-Vice Chancellor of the University of Manchester from 1997-1999, then President of the General Dental Council of the UK Statutory Regulatory Body for Dentistry since 1999. He is presently Head of the Guy's, King's and St. Thomas' Dental Institute in London. He holds visiting professorships in a number of Dental Schools in the U.S. and Canada, and presently serves as President of the European Section of our Academy of Operative Dentistry.

Dr. Wilson's principal research, for which he is awarded the Hollenback Prize, is in the field of tooth colored restorative materials. His Master's research thesis was completed in 1979 and his Ph.D. in 1985. He is best know for his continuing involvement in the clinical testing of dental materials, having been principal investigator for various international multi-center studies and a contributor to expertise in clinical trial methodology. Dr. Wilson has made many, varied contributions to the dental literature. In addition to some 200 original research reports in peer-reviewed journals, he has made contributions to several text-books, and published a large number of review articles, written reports and abstracts of presentations to meetings around the world. Through his publications and related endeavors in fundamental and applied research, Dr. Wilson has become an international figure in the field of Restorative Dentistry with a firm focus on Operative Dentistry and its application in enhancing quality dental practice. The most prestigious position Nairn has held, is his current Presidency of the UK General Dental Council. This is the top administrative position in dentistry in the United Kingdom. He is also now, Head (Dean) of the joint London dental schools. It is a high honor for the Academy of Operative Dentistry to present the 2002 Hollenback Memorial Prize to Dr. Nairn H.F. Wilson.

The Award of Excellence

DR.JOHN W. REINHARDT Lincoln, Nebraska

Dr. Reinhardt holds a D.D.S. degree from Loyola University, an MS from the University of Iowa and an MPH from Harvard University. He presently serves the University of Nebraska College of Dentistry as Dean. Dr. Reinhardt earned the first Certificate from the American Board of Operative Dentistry. He has had an illustrious academic career. Following active duty for two years in the U.S. Army Dental Corps, Dr. Reinhardt was appointed to the faculty at the University of Iowa College of Dentistry. He progressed to the rank of Professor and in 1988 became Department Head of Operative Dentistry there. John has made major contributions to the scientific literature. He has authored approximately 50 scientific articles and as many research abstracts, written a number of textbook chapters and won grant funding for scientific study. He has taught extensively at the undergraduate level and mentored many graduate students through their graduate program in operative dentistry. His service to the profession is exhaustive including consultantships to the National Institutes of Health, American Dental Association, U.S. Navy, American Dental Education Association, CODE, OKY, IADR and our own Academy, to name a few. Dr. Reinhardt's career exemplifies a commitment to service, to excellence in education and to excellence in research. It is with pride that the Academy presents him with the Award of Excellence for 2002.

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