SPEAKERSRenan BelliMichael BerglerVictor Grover Rene ClavijoRoland FrankenbergerDavid GerdolleRonald E. GoldsteinPetra GuessRonaldo HirataPaulo KanoMatthias KernMutlu ÖzcanJorge Perdigão

Richard PriceAlireza SadrNeimar SartoriNelson R.F.A. SilvaJunji TagamiFranklin TayDouglas A. TerryLeo TjäderhaneBart Van MeerbeekAntheunis VersluisPaul Weigl

IAAD President: Jean-François RouletIAAD President-Elect: Markus B. BlatzProgram Co-Chair: Sillas Duarte, JrProgram Co-Chair: Jin-Ho Phark

September 11–12, 2015Renaissance Orlando at SeaWorld, Florida

International Academy for Adhesive Dentistry (IAAD)

First Biennial Meeting on Adhesive Dentistry

Science Meets Practice

For more info, visit:

www.quintpub.com/iaadPresented by The Quintessence International Publishing Group

ADVANCE PROGRAM

Dear Colleagues,

With pride we invite you to join us for the First Biennial Meeting of the International Academy for Adhesive Dentistry (IAAD) on the topic “Science Meets Practice” at the Renaissance Orlando at SeaWorld, Florida. The IAAD was founded 2 years ago in Philadelphia by a group of enthusiastic dentists. Our goal is to promote adhesive technology and its clinical application, which can profoundly change the practice of dentistry.

We’ve gathered together the best leaders from around the world to show you what can be achieved using adhe-sive dentistry, such as unbelievable esthetics, longevity, and ease of application. In addition, we will take a careful look at the limitations of adhesive technology and discuss ways to overcome them. Because the main objective of the IAAD is to make the science of adhesion and its potential understandable for the practitioner, you will not be fed a lot of scientific facts but rather science translated into its clinical use, understandable to both you and your patients. We are committed to providing take-home messages that will be applicable in your dental office or university dental program, in order to promote delivery of the best treatment to patients.

Conveniently accessible for international and domestic travelers alike, Orlando is situated in the heart of Florida and at the center of numerous entertainment venues and attractions. The Renaissance Orlando is located directly adjacent to SeaWorld, putting you within reach of theme parks, the Space Center, beaches, museums, Old Town, the science center, and many more attractions. Our meeting will be the ideal place for you to gain continuing education credit and have a great time.

We look forward to seeing you in Orlando!

Jean-François Roulet, dds, dr med dent, phd Sillas Duarte, Jr, dds, ms, phd

IAAD President Program Co-chair

Markus B. Blatz, dmd, phd, dr med dent habil Jin-Ho Phark, dds, dr med dentIAAD President-Elect Program Co-chair

JEAN-FRANÇOIS ROULET MARKUS B. BLATZ SILLAS DUARTE, JR JIN-HO PHARK

— Call for Posters —A poster session will be held during the symposium to stimulate and recognize innovative research and clinical tech-niques in the field of adhesive dentistry. Those interested in presenting a poster about a clinical report as well as clini-cal or laboratory research are encouraged to apply. Posters will be selected for presentation during the symposium. The best poster presentations will be awarded prizes.

APPLICATION FOR ENTRYApplication for entry is made by submitting an abstract to the IAAD website [http://adhesivedentistry.org/iaad2015 / call-for-abstract]. The abstract should be a thorough yet concise description of the poster presentation (maximum 300 words). Enter your full name and postal/email address along with the title of the poster into the online submission form. Indicate any commercial support or conflict of interest at the end of the abstract, if applicable.

Entry Deadline: April 15, 2015

AWARDSThe winner in the Student Scientist category will receive the “Presidential IAAD Scientist Award,” US $1,000, and a certificate. The winner in the Junior Scientist category will receive the “Fusayama IAAD Scientist Award,” US $1,000, and a certificate.

The winners will be announced prior to the Closing Remarks on Saturday.

W E L C O M E

Friday, September 11, 2015LEARNING OBJECTIVES

The goal of the first day of the symposium is to explore the longevity of adhesive joints, which significantly impacts clinical success. Attendees will learn about the dental adhesive interface, its current limitations, and its influence on patient outcomes. Attendees will also learn how to save time without sacrificing performance.

TIME TITLE SPEAKER

7:00 am–8:00 am Registration and Complimentary Breakfast

8:00 am–8:10 am Opening Remarks Jean-François Roulet

SESSION I: LONGEVITY AND CLINICAL SUCCESS: ADHESION AT THE DENTAL INTERFACE BART VAN MEERBEEK, MODERATOR

8:10 am–8:45 am Building the Future of Adhesive Dentistry Ronald E. Goldstein

8:45 am–9:20 am Long-Term Stability of Bonded Interfaces Junji Tagami

9:20 am–9:55 am Preventing Bonding Degradation: The Future of Bonding to Dental Structures Franklin Tay

9:55 am–10:25 am Coffee Break with Exhibitors

SESSION II: LONGEVITY AND CLINICAL SUCCESS: ADHESION AT THE DENTAL INTERFACE BART VAN MEERBEEK, MODERATOR

10:25 am–11:00 am Nondestructive Evaluation of Bonded Interfaces Alireza Sadr

11:00 am–11:35 am Clinical Validation of Adhesive Systems: Myths and Facts Jorge Perdigão

11:35 am–12:10 pm Strategies to Improve the Durability of Dental Bonding Leo Tjäderhane

12:10 pm–12:30 pm Panel Discussion All morning speakers

12:30 pm–1:30 pm Lunch Break with Exhibitors

12:30 pm–1:30 pm Business Meeting

SESSION III: CLINICAL APPLICATION AND LIMITATIONS OF CURRENT ADHESIVE PROCEDURES SILLAS DUARTE, JR, MODERATOR

1:30 pm–2:05 pm Achieving the Ultimate Cure: Is 5 Seconds Enough? Richard Price

2:05 pm–2:40 pm Polymerization Shrinkage of Composite Resins Antheunis Versluis

2:40 pm–3:15 pm Are Bulk Fill Composites Clinically Reliable? Ronaldo Hirata

3:15 pm–3:45 pm Coffee Break with Exhibitors

SESSION IV: EXPANDING THE BOUNDARIES OF ADHESIVE PROCEDURES SILLAS DUARTE, JR, MODERATOR

3:45 pm–4:20 pm Challenges in Bonding to the Primary Dentition Douglas A. Terry

4:20 pm–4:55 pm Multidisciplinary Approach for Minimally Invasive Adhesive Rehabilitations Victor Grover Rene Clavijo

4:55 pm–5:15 pm Panel Discussion All afternoon speakers

5:15 pm–6:30 pm Poster Session (Categories: Research and Clinical; Junior and Senior)

6:30 pm–8:00 pm Welcome Reception

7:00 pm–7:30 pm Handover of Presidency and Offices (during Welcome Reception)

P R O G R A M S C H E D U L E

P R O G R A M S C H E D U L E

Saturday, September 12, 2015

LEARNING OBJECTIVESThe goal of this final day of the symposium is to explore how to push the limits of adhesion for better dentistry. Topics will include how to mimic nature and become minimally invasive for the benefit of the patient; how to implement adhesion in CAD/CAM technology to solve challenging cases; and the importance of soft tissue adhesion to facilitate successful implantology.

TIME TITLE SPEAKER

7:00 am–8:10 am Complimentary Breakfast

SESSION V: ADHESION SCIENCE MEETS PRACTICE MARKUS B. BLATZ, MODERATOR

8:10 am–8:45 am Digital Replication of Natural Dentition Paulo Kano

8:45 am–9:20 am Fatigue and Degradation of Ceramic and Composites Renan Belli

9:20 am–9:55 am Minimally Invasive Adhesive Rehabilitation David Gerdolle

9:55 am–10:25 am Coffee Break with Exhibitors

SESSION VI: ADHESION MEETS CAD/CAM TECHNOLOGY MARKUS B. BLATZ, MODERATOR

10:25 am–11:00 amDual-Curing or Heated Composites for Bonding Indirect Restorations: Long-Term Clinical Evidence Roland Frankenberger

11:00 am–11:35 am Adhesive Restoration of the Worn Dentition Petra Guess

11:35 am–12:10 pm Concepts for Adhesive Full-Mouth Reconstructions with CAD/CAM Jin-Ho Phark, Sillas Duarte, Jr, Neimar Sartori

12:10 pm–12:30 pm Panel Discussion All morning speakers

12:30 pm–1:30 pm Lunch Break with Exhibitors

SESSION VII: ADHESION MEETS PROSTHODONTICS JEAN-FRANÇOIS ROULET, MODERATOR

1:30 pm–2:05 pm Challenges in Bonding to Zirconia Mutlu Özcan

2:05 pm–2:40 pm Resin-Bonded Fixed Partial Dentures: The Ultimate Adhesive Challenge Matthias Kern

2:40 pm–3:15 pm Plasma-Activated Bonding Nelson R.F.A. Silva

3:15 pm–3:45 pm Coffee Break with Exhibitors

SESSION VIII: ADHESION MEETS IMPLANTOLOGY—SCIENCE MEETS PRACTICE JEAN-FRANÇOIS ROULET, MODERATOR

3:45 pm–4:20 pm A Recipe for Clinical Success with Implant Restorations Paul Weigl

4:20 pm–4:55 pm Adhesion and Implants: The Intersection of Science and Art Markus B. Blatz, Michael Bergler

4:55 pm–5:15 pm Panel Discussion All afternoon speakers

5:15 pm–5:25 pm Best Poster Prize Awards

5:25 pm–5:40 pm Transfer of Office, Closing Remarks

S P E A K E R S

Jean-François Roulet, DDS, Dr med dent, PhD, is the former chair and current professor of the Department of Restor-ative Dental Sciences at the University of Florida. Dr Rou-let has published more than 180 research papers as well as reviews, book chapters, and books. He is editor of The Journal of Adhesive Dentistry, Oral Health & Preventative Dentistry, and Prophylaxe Impuls. His areas of interest in-clude minimally invasive dentistry, dental materials (ie,

composites and ceramics), adhesive dentistry, esthetic dentistry, and appli-cation concepts in preventive dentistry.

Markus B. Blatz, DMD, PhD, Dr med dent habil, is professor of restorative dentistry and chairman of the Department of Preventive and Restorative Sciences at the University of Pennsylvania, where he also founded the Penn Dental Medicine CAD/CAM Ceramic Center. Dr Blatz is a board-certified diplomate of the German Society for Prosth-odontics and Dental Materials Science as well as a mem-ber of several professional organizations. Recently, Dr Blatz founded and became president-elect of IAAD. He is

an associate editor of Quintessence International and has published and lec-tured extensively on dental esthetics, restorative dentistry, and implantology.

Sillas Duarte, Jr, DDS, MS, PhD, is associate professor and chair of the University of Southern California Division of Restorative Sciences, where he is also director of the Ad-vanced Program in Operative Dentistry. Dr Duarte is editor-in-chief of Quintessence of Dental Technology and serves on the editorial boards of several other journals and has pub-lished nationally and internationally on esthetic and adhe-sive dentistry. His research focuses on bonding to dental

structures, composites, and ceramics.

Jin-Ho Phark, DDS, Dr med dent, is an assistant professor of clinical dentistry in the University of Southern California Division of Restorative Sciences, where he also serves as the director of the Dental Biomaterials Research Labora-tory and as the codirector of the Advanced Program in Operative and Esthetic Dentistry. He is an associate editor of Quintessence of Dental Technology. Dr Phark serves as reviewer for several journals and has lectured and pub-

lished nationally and internationally. His main research interest is in the field of biomaterials. He is the recipient of the IADR Arthur Frechette Award in Prosthodontics. 

Renan Belli, DMD, MSc, PhD, is an associate scientist at the Laboratory for Biomaterials Research at the Friedrich-Alexander University Erlangen-Nüremberg in Germany. His research focuses on the characterization and develop-ment of restoratives (ie, mainly resin composites and ce-ramics). He serves as the vice president of Fracto Forum International, which offers a platform for scientific ex-change in the area of dental fractography.

Michael Bergler, MDT, is internationally recognized in the area of esthetic ceramic restorations and CAD/CAM tech-nology. He is cofounder of the Penn Dental Medicine CAD/CAM Ceramic Center and recently received a faculty position in the Department of Preventive and Restorative Sciences at the University of Pennsylvania. He has pub-lished and lectured extensively on restorative materials and dental technology.

Victor Grover Rene Clavijo, DDS, MS, PhD, is a professor in the Advanced Program in Implantology and Restorative Dentistry at ImplantePerio Institute, São Paulo, Brazil. He is a member of the editorial scientific board for Dicas magazine. Dr Clavijo maintains a private practice limited to restorative esthetic dentistry.

Roland Frankenberger, DMD, PhD, is a fellow of the Inter-national College of Dentists, the Academy of Dental Mate-rials, and the Pierre Fauchard Academy. He has served as chair of the Department of Operative Dentistry and En-dodontics at the University of Marburg, Germany. He was editor-in-chief of the German version of Quintessence In-ternational. He has also served as president of the German Association for Conservative Dentistry, as senior editor for

Oral Biology and Dentistry, and as an editorial board member for various journals including The Journal of Adhesive Dentistry and the American Jour-nal of Dentistry.

David Gerdolle, DDS, MS, is currently involved in postgrad-uate dental teaching at the University of Paris and re-search programs on resin composites at the University of Nancy, France. Dr Gerdolle has lectured extensively, given hands-on courses, and performed live case demonstra-tions in the field of adhesive dentistry and indirect resto-rations. He has also authored and coauthored widely in scientific national and international journals. He main-

tains a private practice limited to conservative and minimally invasive dentistry.

Ronald E. Goldstein, DDS, is currently a clinical professor of oral rehabilitation at the Georgia Regents University School of Dentistry in Augusta, Georgia; an adjunct clini-cal professor of prosthodontics at Boston University Hen-ry M. Goldman School of Dental Medicine; and an adjunct professor of restorative dentistry at the University of Tex-as Health Science Center in San Antonio. Dr Goldstein has presented continuing education courses at more than 20

universities and lectured at over 700 dental meetings worldwide. He is a contributor to 10 published texts and author of Esthetics in Dentistry (PMPH, 1998) and Change Your Smile (Quintessence, 2009).

Petra Guess, DDS, Dr med dent, PhD, is an associate professor of prosthodontics at Albert-Ludwigs University, Freiburg, Germany. She is a board-certified prosthodontist of the German Society for Prosthodontics and Dental Materials Science. For 3 years, she was a visiting scientist in the Bio-materials and Biomimetics Department at New York University.

Ronaldo Hirata, DDS, MSC, PhD, currently serves as an as-sistant professor in the New York University Biomaterials and Biomimetics Department, conducting research on implant and restorative biomaterials. He is coordinator of several esthetic and restorative dentistry postgraduate programs in Brazil and lectures extensively on esthetic restorations. Dr Hirata has published papers in journals and more than 10 book chapters and is author of TIPS in

Esthetic Dentistry. He maintains a private practice limited to esthetic dentistry.

Paulo Kano, DDS, MSD, CDT, has held various academic posi-tions in São Paulo and Florianópolis, Brazil, and has been a dental technician since 1974. He has also maintained a private practice since 1988. He is the author of Challeng-ing Nature: Wax-Up Techniques in Aesthetics and Functional Occlusion (Quintessence, 2011), which has been translated into five languages.

Matthias Kern, DMD, PhD, FADM, is currently professor and chairman of the Department of Prosthodontics, Propae-deutics, and Dental Materials at Christian-Albrechts Uni-versity at Kiel in Germany. Dr Kern is a recipient of the GNYAP Schweitzer Research Award. He is president of the German Society for Prosthetic Dentistry.

S P E A K E R S

Mutlu Özcan, DDS, Dr med dent, PhD, is currently professor and research associate at the Clinical Dental Biomaterials Unit at the University Medical Center Groningen, The Netherlands, as well as professor and head of the Dental Materials Unit at the University of Zurich Dental School in Switzerland. She is an honorary secretary of the European Prosthodontic Association (EPA), and president of the IADR/Dental Materials Group. She has authored more

than 250 articles in peer-reviewed journals and has given over 400 presenta-tions at international scientific meetings. Her clinical expertise is on recon-structive dentistry with a particular emphasis on adhesive applications.

Jorge Perdigão, DMD, MS, PhD, is currently professor of op-erative dentistry at the University of Minnesota. He has delivered over 150 lectures worldwide and has published over 100 articles in international journals. He has written four book chapters on dental adhesion, including the lat-est edition of Sturdevant’s Art and Science of Operative Dentistry (Mosby, 2012). Dr Perdigão is associate editor of The Journal of Adhesive Dentistry and section editor of op-

erative dentistry in the Journal of Esthetic and Restorative Dentistry.

Richard Price, BDS, DDS, MS, FRCD(C), FDS (EDIN), PhD, runs the Advanced Restorative Elective for fourth-year dental stu-dents and works as a prosthodontist in the Faculty of Den-tistry practice at Dalhousie University in Halifax, Nova Sco-tia. He is the inventor of the MARC system for teaching effective light curing and is actively involved in research on dental resins and dental curing lights. He has made numerous CDE presentations and authored  more

than 80 peer-reviewed articles.

Alireza Sadr, DDS, PhD, is a junior associate professor of cariology and operative dentistry at Tokyo Medical and Dental University, where he is also faculty member and principal investigator at the Global Center of Excellence. He has developed a new technique for nondestructive optical evaluation of bonding interfaces. Dr Sadr has au-thored and coauthored 100 research publications and has been invited to speak at schools and conferences world-

wide. He has received several scientific awards, including three consecutive outstanding research prizes in adhesive dentistry.

Neimar Sartori, DDS, MS, PhD, is an assistant professor of clin ical dentistry in the University of Southern California Department of Preventive and Restorative Sciences. He is also assistant director of the Advanced Program in Opera-tive Dentistry. Dr Sartori serves as a reviewer for several journals and has published nationally and internationally on esthetic and adhesive dentistry. His research focuses on preventing bonding degradation of the adhesive interface

formed between dental structures and restorative materials.

Nelson R.F.A. Silva, DDS, MS, PhD, is a professor in the De-part ment of Restorative Dentistry at Federal University of Minas Gerais/School of Dentistry (UFMG/FO) in Belo Hori-zontale, Brazil. Dr Silva has published several articles and book chapters and is on the review boards of several jour-nals. His clinical and research fields of interest include translational research, laboratory and clinical aspects in the success of esthetic restorations using CAD/CAM and im-

plants, and the development of atmosphere pressure plasmas for dentistry.

Junji Tagami, DDS, PhD, is the chair of the Tokyo Medical and Dental University Department of Cariology and Operative Dentistry, where he previously served as dean of the Faculty of Dentistry as well as executive director and executive vice president. His primary research involves studies related to cariology and the adhesion of restorative materials to tooth substance and dental materials within the broad area of ad-hesive dentistry. His research has been published in more

than 300 international and national peer-reviewed journals.

Franklin Tay, BDSC, PhD, is a diplomate of the American Board of Endodontics and is professor and chair in the De-partment of Endodontics at Georgia Regents University. He also holds various teaching appointments in Hong Kong and China. Dr Tay is a fellow of the International Col-lege of Dentistry and the Academy of Dental Materials. He is an associate editor for the Journal of Endodontics and the Journal of Dentistry. His research interests include

biomineralization of collagen scaffolds, remineralization of resin-dentin bonds, and endodontic materials, among others. He has published more than 400 papers in peer-reviewed journals, and his research has been sup-ported by NIH grants.

Douglas A. Terry, DDS, is an assistant professor in the De-partment of General Practice and Dental Public Health at the University of Texas Health Science Center. He is an ac-credited member of the American Academy of Cosmetic Dentistry as well as US vice president of International Oral Design. Dr Terry is the founder and CEO of Design Tech-nique International and the Institute of Esthetic and Re-storative Dentistry. He has published over 230 articles on

esthetic and restorative dentistry and is the author of Esthetic and Restor-ative Dentistry: Material Selection and Technique (Quintessence, 2013) and Smile! Your Guide to Esthetic Dental Treatment (Quintessence, 2014). He has lectured nationally and internationally and maintains a private practice in Houston, Texas.

Leo Tjäderhane, DDS, PhD, is currently professor and head of the Department of Cariology, Restorative Dentistry, En-dontology, and Pedodontology at the Institute of Den-tistry at the University of Oulu in Finland. He has pub-lished articles in international peer-reviewed publications. Dr Tjäderhane is a recipient of the IADR William J. Gies Award. He is an editorial board member of the Journal of Endodontics, the International Endodontic Journal, and the

Journal of Dental Research. He is an active member of the European Society for Endodontology (ESE), where he is ESE Research Committee chairman and ESE Executive Board member.

Bart Van Meerbeek, DDS, PhD, is currently head of the BIO-MAT research group. His research includes studies related to the adhesion of restorative materials to tooth tissue, and more recently he has conducted research on dental zirconia, dentin remineralization, and pulp capping. His research has been published in more than 300 national and international peer-reviewed journals and has been honored with numerous awards including the IADR Young

Research Award. Dr Van Meerbeek was president of the Pan-European Fed-eration of the IADR and is currently secretary of the IADR Continental Euro-pean Division. He is coeditor-in-chief of The Journal of Adhesive Dentistry.

Antheunis Versluis, PhD, currently serves as a professor and director of Biomaterials Research in the Department of Bioscience Research at the University of Tennessee Health Science Center. His research involves the study of biomechanics applied to dentistry. His research applica-tions include shrinkage stress, interfacial stress, fracture, and fatigue. He has been invited to lecture internationally and has authored and coauthored numerous publications

in restorative dentistry, prosthodontics, endodontics, and orthodontics.

Paul Weigl, DDS, is an assistant professor, senior specialist, and director of preclinical studies in the Department of Prosthodontics at the Johann Wolfgang Goethe-University Frankfurt am Main in Germany, where he is also head of the Department of Postgraduate Education and director of the master’s program in oral implantology. Dr Weigl’s research focuses on prosthetics on implants.

G E N E R A L I N F O R M A T I O NREGISTRATIONYour registration fee includes admission to all symposium sessions and exhibits, daily coffee breaks and breakfast, and the symposium Welcome Reception on Friday, September 11. Take advantage of specially reduced fees by registering in advance.

REGISTRATION FEES BY JUNE 12, 2015 AFTER JUNE 12, 2015Dentist

IAAD Member $498 $598Nonmember $698 $798

TechnicianIAAD Member $315 $415Nonmember $515 $615

Student* $398 $398

Auxiliary/Office Staff**IAAD Member $315 $315Nonmember $515 $515

* Please submit verification of student status along with the registration form.

**Support staff only. Verification required upon request.

HOW TO REGISTERTo register, do one of the following:

• Mail your completed form, along with a check pay-able to Quintessence Publishing Co, Inc for the reg-istration fee, to the address indicated on the regis-tration form.

• Fax your completed registration form with your credit card information (Visa, MasterCard, American Express, and Discover are all accepted) to Quintes-sence Publishing at 630-736-3633.

—OR—• Register online at www.quintpub.com/iaad

On-site registration will be offered only if space is availabile and thus cannot be guaranteed. Early advance registration is strongly recommended. The deadline for registering for the symposium is August 28, 2015.

CANCELLATIONS/REFUNDSCancellations made in writing and received by Quintessence by August 27, 2015, will be refunded in full. For cancellations received on or after August 28 but before the start of the meeting, a cancellation fee of US $75 will be charged. No refunds will be made after the symposium begins on Sep-tember 11, 2015.

CONDUCT AT SYMPOSIUMIf an attendee engages in unacceptable behavior, sympo-sium organizers reserve the right to take any action they deem appropriate, including expelling offending persons from the symposium without further notice or refund.

LOST BADGESYour badge represents your admission ticket to all IAAD lec-tures. If you lose or misplace your badge, there will be a replacement charge of $300; there are no exceptions to this policy. You must wear your badge each time you wish to enter the lecture hall.

TECHNICAL EXHIBITSTechnical exhibits will be held on Friday and Saturday dur-ing the symposium in the Crystal Ballroom. All participants are invited to visit the exhibits to observe the latest develop-ments in dental products offered by leading manufacturers.

EXHIBIT HOURSFriday, September 11, 2015 7:00 am–6:30 pm

Saturday, September 12, 2015 7:00 am–4:30 pm

REGISTRATION DESKYour registration packet will await you at the symposium registration desk. The desk will be open from 1:00 pm to 5:00 pm on Thursday, September 10; from 7:00 am to 5:30 pm on Fri-day, September 11; and from 7:00 am to 5:30 pm on Saturday, September 12. Please note that on-site registration will be accepted only if space allows.

HOTEL RESERVATIONSHotel rooms have been blocked for symposium participants at the Renaissance Orlando at SeaWorld. Reservations at the special symposium rate will be accepted until the cut-off date, August 27, 2015, or until the room block is sold out, whichever comes first. Call the hotel reservation desk di-rectly at 407-351-5555 or 800-468-3571, or reserve online at

https://resweb.passkey.com/go/qui2015Be sure to indicate the name of the symposium to receive the special meeting rate.

CONTINUING EDUCATION CREDITSOne hour of continuing education (CE) credit is offered for every hour of program attendance. CE credit awarded for participation in a course may not apply toward licensing renewal in all states. It is the responsibility of each partici-pant to verify the requirements of his or her state licensing board. Meeting attendees are responsible for ensuring that their education credits are current and on file with their re-spective state board or other licensing/regulatory agency. Attendees of the symposium may receive up to 15.25 hours of CE credit. If you have any questions regarding CE credit, contact Stephanie Andropolis at sandropolis@quintbook.com.

R E G I S T R A T I O NMail or fax entire page to:

Quintessence Publishing Co, Inc.4350 Chandler Drive • Hanover Park, IL 60133Phone: 800-621-0387 (within US and Canada)

Phone: 630-736-3600 (outside US) • Fax: 630-736-3633Email: service@quintbook.com • Website: www.quintpub.com

To register additional participants, please photocopy this form.

Name (PLEASE PRINT) ______________________________________________________________________________

Address _________________________________________________________________________________________

City ________________________________________________________ State _____________ Zip _____________

Country _________________________________________________________________________________________

Email _________________________________________________ Fax ______________________________________

Please check one: ☐ General Dentist ☐ Other (please specify) ________________________________________________________

BY JUNE 12, 2015 AFTER JUNE 12, 2015 Dentist

IAAD Member ☐ $498 (R30) ☐ $598 (R40)Nonmember ☐ $698 (R10) ☐ $798 (R20)

TechnicianIAAD Member ☐ $315 (R60) ☐ $415 (R65)Nonmember ☐ $515 (R50) ☐ $615 (R55)

Student* ☐ $398 (R70) ☐ $398 (R70)

Auxiliary/Office Staff**IAAD Member ☐ $315 (R90) ☐ $315 (R90)Nonmember ☐ $515 (R80) ☐ $515 (R80)

*Please submit verification of student status along with the registration form. **Support staff only. Verification required upon request.

☐ Check enclosed (make payable to Quintessence Publishing Co, Inc). Requires signature below.

☐ Charge to: Visa, MasterCard, American Express, or Discover (Circle one)

Credit card no. _____________________________________________________________ Expires _______________

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HOTEL RESERVATIONS BY AUGUST 27, 2015Single/double rate: $159 per night

Call the hotel directly at 1-407-351-5555 ORreserve online at https://resweb.passkey.com/go/qui2015

The Renaissance Orlando at SeaWorld, selected as the official hotel for this symposium, is offering a special rate to symposium participants. To make your reservations, please call the hotel reservation desk directly or register online (see above). (If you call the hotel, be sure to indicate that name of the symposium [The First Biennial Meeting of the IAAD: Science Meets Practice] to receive the special meeting rate.)

Please note that the reservation cut-off date for the special meeting rate is August 27, 2015, or when the block is sold out, which-ever comes first. Therefore, it is recommended that you reserve your room as early as possible. The hotel requires either a credit card or a one-night deposit to confirm/guarantee your reservation. To change your reservation dates or to make a cancellation, please contact the hotel directly. Cancellations must be received 72 hours (3 days) prior to the arrival date in order to avoid a possible one night’s room and tax penalty on the credit card.