2021 PREVIEW | REGISTER AT GULFCOASTDENTALCONFERENCE.ORG - Gulf Coast Dental Conference
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2021 PREVIEW | REGISTER AT GULFCOASTDENTALCONFERENCE.ORG JUNE 8-13, 2021 | PERDIDO BEACH RESORT | ORANGE BEACH, ALABAMA
Table of Contents
Registration Information............................... 3
A Regional Dental Conference Schedule at a Glance....................................... 3
Continuing Education that focuses on clinical growth and practice
success served with Alabama hospitality Continuing Education................................. 4-9
T
he Gulf Coast Dental Conference
ALDA Annual Session. ...................................10
– one of the southeast’s largest
dental meetings – will host its 2021
Exhibits .................................................................10
Meeting June 8-13 in person at Perdido
Beach Resort in Orange Beach, Alabama.
Special Events . ................................................. 11
ALDA President Lauren Moore and her
family invite you to join us for this exciting Frequently Asked Questions..................... 12
event. Dr. Moore states, “The 2021
GCDC will offer a unique mix of quality The Moore Family Conference at a Glance. .............................. 12
education and family fun, while following Lauren, Claire-Burton and Kate
all recommended safety protocols. The Registration Forms . ................................ 13-14
health and safety of our attendees, exhibitors and guests is our top priority.”
Hotel Registration. .......... Inside Back Cover
Enjoy over 75 hours of unsurpassed continuing education served with southern
hospitality as well as outdoor entertainment and family-fun outings. Networking
opportunities abound with a two-day modified Exhibit Show featuring Sponsors.......................................... Back Cover
commercial exhibits. We are thrilled to offer attendees and exhibitors valuable
ways to learn and connect during these unprecedented times.
D Y N A M I C • F U N • I N N O V AT I V E • I N S P I R AT I O N A L • R E L E V A N T
2021 GCDC Planning Council
GENERAL CHAIR ENTERTAINMENT SPEAKER HOST
Dr. Mark Summerford Dr. Melodie Jones CO-CHAIRS
Committee: Dr. Robert Gamotis Dr. Mark Dr. Stanley Jennifer Dr. Adolphus Dr. Deborah
PROGRAM CHAIR
Lakeshia Thomas Dr. Christa Spann Summerford Beard Doobrow Jackson Bishop
Dr. Stanley Beard
Heather Thornton
PHOTOGRAPHER
CORPORATE SPONSORS Mary Wallace
Dr. Matthew Litz
Jennifer Doobrow REGISTRATION
CO-CHAIRS 2020 GENERAL CHAIR
EXHIBITS
Dr. Keith Harvey Dr. Paul Diaz
Dr. Adolphus Jackson Dr. Stacey Dr. Melodie Dr. Keith Dr. Carter
Committee: Dr. Carter Thomas Gardner Jones Harvey Thomas
Dr. Bill Chesser Committee:
Bob Jones Jim and Melinda Phillips
HOSPITALITY
Dr. Deborah Bishop
Dr. Stacey Gardner Dr. Robert Dr. Christa Dr. Matthew Dr. Paul Diaz
Gamotis Spann Litz
Our Focus Is On You and Your Team! Social Media Contest
The GCDC focuses on clinical growth and practice success for: Visit the Social Media Booth and take your photo,
featuring the reason why you attend the GCDC. Upload
✓ General Dentists ✓ Dental Students ✓ Lab Technicians
to Facebook, Twitter or Instagram to be entered in the
✓ Specialists ✓ Hygienists ✓ Office Managers contest. Go to gulfcoastdentalconference.org for
✓ New Dentists ✓ Dental Assistants more information.
2Gulf Coast Dental Conference
Registration Schedule at a Glance
Thursday, June 6
Register Online at gulfcoastdentalconference.org. TUESDAY, JUNE 8
Early pre-registration is encouraged in order to receive 3:00 pm ALDA Annual Session: Executive Committee
4:30 pm ALDA Annual Session: Board of Trustees
lower registration fees and ticket prices. Name badges
and tickets for pre-registered attendees will be mailed
to the primary registrant (dentist) two weeks prior to the WEDNESDAY, JUNE 9
meeting. Registration packets (including name badges and 8:00 am - 3:30 pm Registration Bag Pick-Up/Help Desk Open
Noon Past Presidents’ Luncheon
tickets) can be picked up at the Registration Pick-Up Desk
8:30 - Noon CPR (4 CEUs)
onsite for all attendees who register after May 24. Online
9:00 am - Noon Leigh Covington, “Don’t Just Communicate, Connect with your Staff” (3 CEUs)
registration will remain open through the meeting. There 1:30 - 4:30 pm Olivia Wann, “OSHA Compliance and Infection Control during COVID-19
will be an onsite registration kiosk available to purchase and Beyond” and “Avoiding HIPAA Violations – Protect What You Collect!” (3 CEUs)
tickets or make changes to your registration. There will 3:30 pm ALDA Annual Session: House of Delegates/General Assembly
be no staffed onsite registration desk. A Help Desk will be 4:30 - 6:00 pm Dr. Britany Matin, “Wine and Wisdom: A Crash Course In Taking Digital
located on the lobby level of the resort for any help you Impressions” (1.5 CEUs)
may need. Name badges will be required for admittance to
all events and the Exhibit Show. Registration Pick-Up Desk THURSDAY, JUNE 10
and Help Desk hours are as follows: 8:00 am - 3:30 pm Registration Bag Pick-Up/Help Desk Open
June 9, 8:00 am - 3:30 pm June 11, 8:00 am - 3:30 pm 9:00 am ALDA Annual Session: Reference Committee
June 10, 8:00 am - 3:30 pm June 12, 8:00 am - 10:00 am 9:00 am - Noon Olivia Wann, “Practicing Dentistry During and After COVID-19:
Managing Compliance and Job Safety Now and in the Future” (3 CEUs)
In addition to the meeting registration fee, appropriate fees
9:00 am - 4:30 pm Eva Grayzel, “Beating the Odds: A Story NOT Silenced by Stage IV Oral Cancer”
for certain courses or activities will apply. There is no meeting
(6 CEUs)
registration fee for spouses, children or non-dentist guests. 9:00 am - 4:30 pm Dr. Terry Bennett, “Building a Practice for Treating Dental Sleep Apnea” (6 CEUs)
Before After 9:00 am - 4:30 pm Leigh Covington, “Leadership and You: How Your Behavioral Style Impacts
May 1 May 1 On-Site Leadership and Culture” (3 CEUs)
Noon - 4:30 pm Exhibit Show Open
A ADA Member Dentist* $329 $389 $429
4:30 - 6:00 pm Exhibit Show Beach Party (live music)
AA ALDA Member Dentist* $329 $389 $429
A1 Military Federal Dentist $329 $389 $429 FRIDAY, JUNE 11
7:30 am AGD Board of Directors Meeting
B ADA Non-Member Dentist* $749 $789 $889
8:00 am - 3:30 pm Registration Bag Pick-Up/Help Desk Open
C Retired ADA Member* $75 $90 $110 8:00 am - 2:00 pm Exhibit Show Open
8:00 am Exhibit Show “Muffins & Mimosas” Breakfast Open House
D Student/Resident $0 $0 $0
ASDA Member 9:00 am - Noon Drs. Fred and Alexandra Arnold, “Porcelain Veneers: A to Z” (3 CEUS)
9:00 am - Noon Dr. John Gammichia, “Bringing Sexy Back to the Posterior Composite” (3 CEUs)
E Dental Hygienist $75 $90 $110 9:00 am - 4:30 pm Dr. Robert Vogel, “State of the Art Topics and Techniques in Implant
F Dental Assistant $75 $90 $110 Dentistry: Increasing Precision, Productivity and Ideal Patient Care” (6 CEUs)
9:00 am - 4:30 pm Jamie Marboe, “Return on Hygiene: Uncover the Hidden Potential in your
G Office Staff $75 $90 $110 Hygiene Team” (6 CEUs)
H Lab Technician $75 $90 $110 1:30 - 4:30 pm Dr. John Gammichia, “Conservative Dentistry…Thinking Outside the Box” (3 CEUs)
1:30 - 4:30 pm Dr. Tom Paumier, “The Oral Health Systemic Health Connection: What’s
I Dentist Spouse $0 $0 $0 the Evidence” (3 CEUs)
J Non-Dentist Guest $0 $0 $0 6:00 - 7:30 pm New Dentist Pizza Party
8:00 - 9:30 pm Beach Bonfire and Ghost Crab Hunt (live music)
K Youth (ages 4-10) $0 $0 $0
Presented by the Council on the New Dentist
L Child (ages 0-3) $0 $0 $0
*ADA = American Dental Association SATURDAY, JUNE 12
7:00 am ACD Business Meeting
All ADA members from any state are eligible to register as Rate A.
ADA membership will be verified. 7:30 am ACD/ICD Joint Breakfast
7:30 - 9:00 am ProAssurance Dental Loss Prevention Seminar (1.5 CEUs)
Continuing Education 8:00 am
8:00 - 10:00 am
ICD Business Meeting
Registration Bag Pick-Up/Help Desk Open
Most courses qualify for continuing education credit accepted by 9:00 am - Noon Dr. Tom Paumier, “Antibiotic Prophylaxis for Prosthetic Joint, Cardiac, and
the Board of Dental Examiners of Alabama (BDEA). The number of Other Medical Conditions” Session 1
CE hours (CEUs) is noted following each course synopsis. “Antibiotic Stewardship and Appropriate Antibiotic Use for Odontogenic
Infections” Session 2 (3 CEUs)
Approved PACE Program Provider 9:00 am - Noon Terry Bennett, “Unmasking the Mystique of Craniofacial Pain and TMD” (3 CEUs)
FAGD/MAGD Credit 9:00 am - Noon Lisa McKinney, “Dental Office Theft, Embezzlement and Fraud” (3 CEUs)
Approval does not imply acceptance 9:00 - 11:00 am Alabama Medicaid Update (2 CEUs)
by a state or provincial board of 10:00 am - Noon Board of Dental Examiners “Alabama Dental Hygiene Program Instructor
dentistry or AGD endorsement Certification Training” (2 CEUs)
11:00 am Alabama Academy of Pediatric Dentists Business Meeting
2/1/2019 to 1/31/2021 1:00 - 3:00 pm Board of Dental Examiners “Dispensing and In-Office Sedation Laws, Permits,
Provider ID# 219230 and You” (2 CEUs)
2:00 pm ALDA Annual Session: House of Delegates
6:30 pm President’s Celebration featuring live music by The Sugar Shakers
9:40 pm Fireworks Show on the Beach
SUNDAY, JUNE 13
9:00 am ALDA Annual Session: Member Recognition Breakfast
332021 Preview
Wednesday, June 9
CPR OSHA COMPLIANCE & INFECTION CONTROL
CO N T I N U I N G E D U C AT I O N
Conducted by the Orange Beach Fire and Rescue Department
DURING COVID-19 AND BEYOND
Wednesday, June 9: 8:30 am - Noon
AVOIDING HIPAA VIOLATIONS – PROTECT
Event Code: CPR Fee: $85/$95/$110* per dentist or staff member
WHAT YOU COLLECT!
*Fee increases with late registration
This course is recommended for the entire dental team. Sponsored in part by Midmark and Modern Practice Solutions
Course Description Wednesday, June 9: 1:30 - 4:30 pm
This American Heart Association program consists of a lecture, hands-on
Event Code: INF Fee: $85/$95/$110* per dentist or staff member
practical skills and a written exam. Upon completion, participants will be able
to recognize and respond to cardiac and obstructed airway emergencies. This course is recommended for the entire dental team.
Certification is effective for two years. Wear casual clothing. *Fee increases with late registration
Educational Methods
About the Speaker
Lecture and Digital Presentation
Olivia Wann
4 CEUs Olivia Wann served as a dental assistant and office manager
before graduating magna cum laude from St. Joseph’s College
with a BS in Health Care Administration and with a Doctorate
DON’T JUST COMMUNICATE, CONNECT in Jurisprudence from Nashville School of Law. She was one of
WITH YOUR STAFF the contributing authors for the American Dental Association’s
publication, Managing the Regulatory Environment: Best
Wednesday, June 9: 9:00 am - Noon Practices. She has written articles for Dental Economics and other dental
journals.
Event Code: LC1 Fee: No Charge
Olivia has been a featured speaker at meetings of the American Dental
This course is recommended for the entire dental team.
Association and Hinman Dental Society, among others. She is a member of
the Tennessee Bar Association, the American Health Lawyers Association,
About the Speaker the National Academy of Elder Lawyer Attorneys, the Organization for Safety,
Leigh Covington Asepsis & Prevention, the Academy of Dental Management Consultants, and
Leigh Covington spent over ten years in the management levels past president of the Stewart County Chamber of Commerce.
of the restaurant and meeting planning industry, managing a
wide variety of people. She is a Certified Professional Behavioral Course Description
and Values Analyst and a Certified Trainer, Speaker, and Olivia has been serving the compliance needs of dental professionals since
Coach with the John Maxwell Team. Leigh works with clients in she founded Modern Practice Solutions in the year 2000. Olivia and her
leadership training and development through a series of assessments, where team provide onsite and online consulting, policy development, and training
participants learn to use their natural strengths in order to become a better in the areas of OSHA, Infection Control, HIPAA, chemical dependency,
leader, leverage their thinking in decision making, and ultimately succeed. recordkeeping, and human resources.
Leigh is very active in Workforce Development in Alabama, working with local
Learning Objectives
manufacturers to ensure they are getting the right people in their facilities so
they can be successful and continue to grow. Leigh has a Bachelor of Science 3 Preparation for OSHA’s Random Audits
from the University of Alabama and served as President of the National Capital 3 Understand the Required Documentation
Chapter of the Alumni Association. She is most recently an Executive Director 3 Transmission of Infectious Agents in Dental Settings
for the John Maxwell Team, is on the Advisory Committee for Sigma Kappa 3 Immunization of Dental Healthcare Personnel (DHCP)
at the University of Alabama, and just finished a year term as Chair of the 3 Exposure Risk Determination and Post-Exposure Management
Women’s Leadership Alliance through the Chamber of Commerce. 3 Hand Hygiene
3 PPE, Respiratory Hygiene, Cough Etiquette
3 Sharps Safety
Course Description
3 Dental Unit Waterline Quality
We are each wired with a very unique style of communicating with others 3 Sterilization & Disinfection of Patient Care Items
and you will have the opportunity to learn your communication style and the 3 Operatory Preparation (SOPs, Environmental Surfaces, Medical Waste)
styles around you. Once you have learned this, we will dig deeper into ways to 3 Review of pertinent aspects of OSHA BBP/Haz Com Standards
leverage your communication style to improve your ability to connect with and 3 Identification of and Response to Breaches in Infection Control
add value to others. 3 Policy & Program Development, Program Evaluation
3 Perform a HIPAA Risk Assessment
Educational Methods 3 Create Privacy and Security Policies
Lecture and Digital Presentation
3 Understand Cybersecurity
Educational Methods
3 CEUs
Lecture and Digital Presentation
3 CEUs
4Gulf Coast Dental Conference
Wednesday, June 9 Thursday, June 10
WINE AND WISDOM: A CRASH COURSE IN PRACTICING DENTISTRY DURING AND AFTER
CO N T I N U I N G E D U C AT I O N
TAKING DIGITAL IMPRESSIONS COVID-19: MANAGING COMPLIANCE AND JOB
Sponsored by Straumann
SAFETY NOW AND IN THE FUTURE
Thursday, June 10: 9:00 am – Noon
Wednesday, June 9: 4:30 – 6:00 pm
Event Code: WAN Fee: No Charge
Event Code: WAW Fee: No Charge
About the Speaker
This social hour and crash course includes 2 wine tickets. Limited availability,
register early. Dr. Olivia Wann
See bio on page 4.
This course is recommended for the entire dental team.
Course Description
About the Speaker What does dentistry look like after COVID? Our practices were
Dr. Britany Matin forever changed by the pandemic. We implemented additional
Dr. Britany Matin graduated from the University of Alabama personal protective equipment including face shields and respirators. We
at Birmingham in 2008 with a Bachelor of Science degree in added engineering controls such as HEPA filtration. All these changes were
Chemistry. During that time, she worked as a dental assistant made to promote safety both for our teams and the patients we serve. COVID
at a local periodontist’s office and fell in love with dentistry and brought other changes too. Many dental practices face staffing shortages
periodontal surgery. She followed her passion and received where dental hygienists and other team members opted not to return to work
dental training from the University of Alabama School of Dentistry, where she after the shutdown causing much stress in trying to fill positions. With all
graduated in 2012 with a Doctor of Dental Medicine degree. Following dental that said, we can turn the page to a new chapter of dentistry by rising to the
school, Dr. Matin received dual training in the field of Periodontics. She received challenge. This timely program addresses how dentists can transition back to
two postgraduate certificates in Periodontology, one from the School of Dentistry successful practice management through compliance with the latest guidelines
Department of Periodontology and one from the Birmingham Veterans Affairs and empowerment of the team.
Hospital, and completed her training in 2015. She also obtained a Masters in Educational Methods
Dentistry, which focused on the torque values of implants during dental implant
Lecture and Digital Presentation
placement. In 2015, Dr. Matin opened her own practice in Auburn. Dr. Matin
also serves as an Assistant Professor at the School of Dentistry Department of 3 CEUs
Periodontology, where she helps educate dental students and residents in the
post-graduate periodontal surgical clinic. Dr. Matin enjoys reading, photography, BEATING THE ODDS: A STORY NOT SILENCED BY
fishing, and being outdoors with her two sweet dogs. She also enjoys spending STAGE IV ORAL CANCER
time with her husband, who is a Periodontist/Prosthodontist, and she is a new
Thursday, June 10: 9:00 am – 4:30 pm
mother. Dr. Matin is passionate about dentistry, patient care, supporting the
Event Code: GRA Fee: No Charge
community, and improving the dental profession.
This course is recommended for the entire dental team and guests.
Course Description About the Speaker
Dr. Matin is passionate about advancing dentistry and working with the latest Eva Grayzel
technology. Enjoy a glass of wine and mingle with your colleagues as you get a Eva Grayzel told her story about surviving Stage IV oral cancer at
crash course in taking digital impressions. the 2003 National ADA conference on the main stage to 9,000
dentists. That’s when she knew she her story needed to be heard.
Learning Objectives
Since then, she has become the voice for oral cancer, speaking
3 Discuss the parts involved in taking a digital impression internationally at dental/medical and survivorship conferences
3 Review the process of the taking a digital impression on the patient perspective. She performed her story as a one-woman show Off-
3 Hands on experience and training on taking of digital impression Broadway.
3 Provide an overview of implant planing using a complete digital workflow Six-Step Screening, an oral cancer awareness campaign, is Eva’s way to give
back, raise awareness about the disease, and save lives. For the success of the
Educational Methods
campaign, Eva was awarded honorary membership to the American Academy of
Lecture, Digital Presentation and Hands-On Experience Oral Medicine.
Eva is the author of two award-winning children’s books to promote dialogue and
1.5 CEUs minimize fear around cancer. She is the creator of ‘My Story Legacy,’ a 12-page
guide to document personal stories, life values and wisdom.
https://www.sixstepscreening.org
Course Description
Eva Grayzel transports dental professionals into the oral cancer patient’s
experience sharing riveting details about her delayed diagnosis and finding the
strength to persevere through the devastating effects of radical surgery and
radiation motivating new thinking about oral cancer screenings and patient
education. Her compelling narrative humanizes oral cancer, inspiring audiences
professionally and personally.
Learning Objectives
3 Inspire new thinking about patient care
3 Integrate screenings with patient education.
3 Optimize screening techniques and develop a standard of care.
3 Understand long-term effects of radiation to the oral cavity
3 Protect yourself from liability in an oral cancer case
Educational Methods
Lecture and Digital Presentation
6 CEUs
5B2021 Preview
Thursday, June 10 Thursday, June 10
BUILDING A PRACTICE FOR TREATING LEADERSHIP AND YOU: HOW YOUR
CO N T I N U I N G E D U C AT I O N
DENTAL SLEEP APNEA BEHAVIORAL STYLE IMPACTS LEADERSHIP
Sponsored by The William B. Farrar Distinguished Lecture Fund AND CULTURE
Thursday, June 10: 9:00 am - 4:30 pm Thursday, June 10: 9:00 am - 4:30 pm
Event Code: TB1 Fee: No Charge Event Code: LC2 Fee: No Charge
This course is recommended for dentists. This course is recommended for the entire dental team.
About the Speaker
About the Speaker
Dr. Terry Bennett Leigh Covington
See bio on page 4.
Dr. Terry Bennett graduated from the University of Louisville School
of Dentistry in 1977. He is currently in his 42nd year of private
practice with the last 29 being in a practice limited to the treatment
of Temporomandibular Joint Dysfunction and Sleep Apnea.
Dr. Bennett is a member of several organizations and holds
certifications in many of them. He has been extremely active in the American Course Description
Academy of Craniofacial Pain (AACP), serving on the board of directors for This workshop will provide you with tools to address the leadership challenges
over a decade, in addition to serving as Program Chair for four years and you face daily in your job.
president for two years. He served as the AACP Institute Director of Education,
Learning Objectives
organizing and providing education associated with the treatment of TMD and
dental sleep medicine. Among his many certifications are: DABCP (Diplomate 3 Complete a DISC behavior assessment to learn your unique behavioral and
American Board of Craniofacial Pain); DABCDSM (Diplomate American Board communication styles.
of Craniofacial Dental Sleep Medicine); DABDSM (Diplomate American Board 3 Take a look at your strengths and weaknesses and how to approach possible
of Dental Sleep Medicine; and DAAPM (Diplomate American Academy of Pain change.
Management). Currently he divides his time between his private practice and 3 Develop the behaviors needed to effectively lead yourself and others.
lecturing for the AACP, dental schools and other organizations. 3 See what driving forces get you going every day.
Course Description Educational Methods
Dental Sleep Medicine is one of our profession’s fastest growing subspecialities Lecture and Digital Presentation
and is due largely to the new recently recognized modes of treatment we can
provide in our dental offices. The health of our patient populations will benefit 3 CEUs
tremendously as more dentists become involved in treating the dental sleep Friday, June 11
discipline. Dr. Bennett will present the skills necessary to begin looking at your
patients in a different manner and recognize many of the warning signs of PORCELAIN VENEERS: A TO Z
sleep disordered breathing problems.This presentation is applicable for those
dentists just beginning in dental sleep medicine (DSM) as well as those wanting Friday, June 11: 9:00 am - Noon
to expand their knowledge and increase their experience in providing oral
appliance therapy to more patients in their practice and communities. Event Code: FAA Fee: No Charge
This course is recommended for the entire dental team and guests.
Learning Objectives
3 Know how to effectively perform a TMD and upper airway evaluation About the Speakers
3 Understand the different types of dental sleep apnea devices and how to Drs. Fred and Alexandra Arnold
choose for their patients. Dr. J. Fred Arnold III earned his DMD degree from the University
3 Treatment Options for OSA of Kentucky in 1984 and completed a general practice
3 Managing side effects of oral appliance therapy residency through the United States Air Force in 1985. He is
3 How to determine appliance therapy success an Accredited Fellow of the American Academy of Cosmetic
3 Classification of sleep disorders Dentistry and has served as a contributing editor to the Journal
3 Physiology of normal sleep of Cosmetic Dentistry and as a board member of the American Board of
Cosmetic Dentistry.
Educational Methods
Dr. Alexandra H. Arnold earned her DMD degree from the University of
Lecture and Digital Presentation Kentucky in 2018 and completed a general practice residency at Augusta
University in 2019. She is actively working towards AACD accreditation and
6 CEUs supporting AACD’s Give Back A Smile Foundation. Together, they maintain a
private practice in Lexington, Kentucky.
Course Description
Do you feel confident achieving predictable esthetic and functional results with
porcelain veneers? This course is designed to take you through all the steps
we have used successfully from diagnosis, treatment planning, smile design,
treatment presentation, material selection, preparation, temporization, and
seating. The goal is for participants to leave excited about creating beautiful
smiles for their patients.
Educational Methods
Lecture and Digital Presentation
3 CEUs
6Gulf Coast Dental Conference
Friday, June 11
BRINGING SEXY BACK TO THE POSTERIOR STATE OF THE ART TOPICS & TECHNIQUES
CO N T I N U I N G E D U C AT I O N
COMPOSITE IN IMPLANT DENTISTRY: INCREASING
MORNING SESSION PRECISION, PRODUCTIVITY AND IDEAL
Friday, June 11: 9:00 am - Noon PATIENT CARE
Event Code: GA1 Fee: No Charge
Sponsored by Straumann
Friday, June 11: 9:00 am - 4:30 pm
CONSERVATIVE DENTISTRY... THINKING
Event Code: VOG Fee: No Charge
OUTSIDE THE BOX
This course is recommended for the entire dental team.
AFTERNOON SESSION
Friday, June 11: 1:30 - 4:30 pm About the Speaker
Event Code: GA2 Fee: No Charge Dr. Robert Vogel
Dr. Robert Vogel graduated Dental School from Columbia
These courses are recommended for the entire dental team. University in New York City before completing residency training
at Jackson Memorial Hospital, Mount Sinai Medical Center and
About the Speaker Miami Children’s Hospital in Miami, Florida. He maintains a full-
time private practice in Palm Beach Gardens, Florida, in implant
Dr. John Gammichia
prosthetics and reconstructive dentistry, working closely as a team member
Dr. John Gammichia is a 1995 graduate of the University of Florida
with several specialists providing implant-based comprehensive treatment,
College of Dentistry. He is a a full-time private practicing dentist
as well as conducting clinical trials and providing clinical advice to the dental
that prides himself on being conservative (almost to a fault). He is
attachment and implant field.
a graduate of the L.D. Pankey Institute and is a member of a Spear
Study Club. He is a courtesy faculty professor at the University of Dr. Vogel has developed and collaborated on the development of several
Florida College of Dentistry. prosthetic components and techniques currently in use in implant dentistry.
He lectures internationally on implant dentistry, focusing on simplification
Dr. Gammichia has spoken all over the country and written numerous articles
and predictability of implant prosthetics through ideal planning and team
regarding all aspects of dentistry. But mainly, he just loves being a dentist and
interaction. He has published numerous scientific articles in Implant Dentistry,
wants you to love it too!
is a Fellow of the International Team for Implantology, and serves on the Board
of Directors of the Academy of Osseointegration.
Course Descriptions and Learning Objectives
Morning Session Course Description
Whatever happened to the filling? The plain ole posterior composite, where did
This up to date scientifically based presentation covers cutting edge Topics,
it go? For the last ten years or so, it has been pushed aside by all the “en vogue”
Components and Techniques in Implant Prosthetics to immediately incorporate
dentistry; like CAD-CAM, digital impressions and everything implants. No one
into practice with confidence. A Realist private practice approach to digital
is talking about them so it almost seems like they are fading away.
workflows from Planning to Intra-oral Scanning and Fabrication of final
Dr. Gammichia is passionate about posterior composites and can’t wait to teach restoration. A systematic approach to Esthetic treatment of single teeth thru
the audience how to make a restored tooth look just like a work of art. This lecture fully edentulous patients will be presented emphasizing long-term biologic
will have movies, music and over 500 photos to keep the audience excited. and biomechanical stability, predictability and profitability with New options
for Screw Retained restorations and ideal restorative material selection. Also
This presentation can revolutionize some practices. Imagine “wowing” every discussed will be Fee Determination, Proper Insurance Codes and Patient
one of your restorative patients. Their excitement starts to rub off on you and Presentation Techniques. The Newest Components, Technologies and
the next thing you know you are excited about doing fillings. This lecture will introduction to the recently released BLX implant will be presented to simplify
bring instant gratification, teaching you things you can take back to your office decision making and expand immediacy.
and implement immediately.
Learning Objectives
A filling that looks just like a natural tooth…now doesn’t that sound sexy?
3 Confidence and Predictability with State-of-the-Art Implant Materials &
Afternoon Session Techniques.
Dr. Gammichia has been pushing the envelope of adhesion dentistry since 1995 3 Improve Practice Productivity, Profitabilty and Reduce Complications.
when he watched the original “bondodontist” Ray Bertolotti. This is real life and 3 Integrate Advanced Techniques into Private Practice with Simplification.
not everyone can afford an over $1200 treatment plan.So, if they can’t afford 3 Allow more patients to benefit from implant-based treatment through ideal
“ideal” dentistry what do you do? fee determination, presentation techniques and treatment options.
You will see before and after photos of cases that you never thought were
Educational Methods
possible and 5, 10 and 15-year post op photos that will blow your mind. There is
a movement to drill less on the cutting edge of this research. We are in a “caries Lecture and Digital Presentation
crisis” and Dr. Gammichia will educate his audience on what to do before you
cut on the tooth and the latest research on cariology.
6 CEUs
He is so excited about bringing this material to you…you are going to love it!
Educational Methods
Lecture and Digital Presentation
3 CEUs
7B2021 Preview
Friday, June 11
RETURN ON HYGIENE: UNCOVER THE THE ORAL HEALTH SYSTEMIC HEALTH
CO N T I N U I N G E D U C AT I O N
HIDDEN POTENTIAL IN YOUR HYGIENE TEAM CONNECTION: WHAT’S THE EVIDENCE
Friday, June 11: 9:00 am – 4:30 pm Friday, June 11: 1:30 – 4:30 pm
Event Code: MAR Fee: No Charge Event Code: TP1 Fee: No Charge
This course is recommended for the entire dental team. This course is recommended for the entire dental team.
About the Speaker About the Speaker
Dr. Jamie Marboe Dr. Tom Paumier
Jamie Marboe, RDH, BS’s personalized training solutions Dr. Paumier is a cum laude graduate of The Ohio State University
generate high-performing teams by giving them the resources College of Dentistry class of 1987 and completed a GPR at St.
for creating instant and long-lasting transformation. With Elizabeth Medical Center in Youngstown, Ohio. He has been in
hygiene as the practic backbone and implementation of private practice in Canton, Ohio since 1988. He is on the faculty
effective practice management systems, teams are re-energized of the Mercy Medical Center GPR in Canton and is a Fellow in
and receive the tools they need to truly work “smarter, not harder.” Jamie is the International and American College of Dentists. He was a member of the
a licensed hygienist, and has been a University clinical instructor, certified ADA and American Academy of Orthopedic Surgeons expert panels who wrote
Eaglesoft trainer and dental assistant. Audiences benefit from her passion for the Clinical Practice Guidelines and Appropriate Use Criteria for antibiotic
teaching and her wide range of knowledge due to her living and working “in the prophylaxis for prosthetic joint patients. He also was a co-author of the ADA
trenches” for nearly 40 years. When she is not flying cross-country to speak Clinical Practice Guideline for Appropriate Antibiotic Use for Odontogenic
or work with her private coaching clients, she works in private practice. She is Infections and was the 2019 recipient of the ADA Evidence Based Dentistry
a member of Dental Speakers Bureau, Dental Speaker Institute and Speaking Clinical Practice award. He was one of 6 dentists appointed to the ADA Dental
Consulting Network. Practice Recovery Task Force during the COVID-19 Pandemic. He is a past
Course Description president of the Ohio Dental Association.
Is your hygiene team the backbone of your practice or the weakest link?
Course Description
Whatever your answer, there’s room for improvement and growth in every
hygiene department. As one of the most overlooked and most important parts Nearly every week the mainstream media has articles which discuss the
of your practice success, your hygiene team needs positive leadership, systems connection between oral health and overall health. Patients and dentists alike are
and accountability to reach their full potential and deliver a strong return for confused about what is fact and what is speculation. A review of evidence based
patients, the providers themselves and your practice. This course is designed to methodology and how to critically evaluate the literature will be discussed. This
provide actionable steps and a plan to overcome the problems most dentists are course will present the latest evidence supported by credible scientific studies to
experiencing in their hygiene departments today…whether they are aware of those help dentists understand how oral health impacts general health and how systemic
problems or not. medical conditions impact oral health. An overview of the interrelationship
between periodontal disease and COVID-19, diabetes, cardiovascular health,
Learning Objectives stroke, cancer, pregnancy, respiratory diseases, rheumatoid arthritis, Alzheimer’s
3 Schedule - learn 4 critical factors in keeping your hygiene schedule full and disease and kidney disease will be discussed.
productive while reducing stress for your hygienists and business team
3 Perio Awareness – determine your practice’s perio potential and what Educational Methods
might hold you back from reaching it Lecture and Digital Presentation
3 Profitability - learn productivity principles that create healthy, long-term
hygiene profitability 3 CEUs
3 Restorative Co- Diagnosis – discover 3 easy, actionable leadership principles
you MUST implement to dramatically increase treatment enrolled in hygiene
3 Develop a personalized plan with actionable steps to implement right away
to empower your hygiene team to grow to the next level
3 Uncover specific ways to invest in your hygiene department that will create
a strong return for your patients, your providers and your practice
Educational Methods
Lecture and Digital Presentation
6 CEUs
Saturday, June 12
JUSTIFIABLE CRITICISM: HOW TO RESPOND TO PATIENT COMPLAINTS ABOUT COLLEAGUES
Presented by ProAssurance
Course Description and Learning Objectives
Saturday, June 12: 7:30 – 9:00 am One of the most difficult scenarios you will encounter in your daily practice is
Event Code PRO Fee: No Charge addressing a patient’s complaint or criticism regarding dentistry completed by a
colleague. Dental practitioners are not always prepared to handle these situations
This course is recommended for dentists. and you may struggle with knowing how to respond appropriately when a patient
presses you to comment on a colleague’s work product. This session will explore
About the Speaker
the issue of justifiable criticism from both an ethical and practical perspective. The
Paul Sauchelli, D.M.D., J.P. presentation will provide guidance on how to communicate an honest and objective
Dr. Sauchelli has over 20 years of experience practicing dentistry opinion to the patient while avoiding superfluous – and potentially inflammatory –
and law. He served as a Director in Ethics and Jurisprudence while statements.
an Associate Professor at Rutgers School of Dental Medicine.
Dr. Sauchelli also worked closely with dental professional liability Educational Methods
programs, third party administrators, and served as an expert Lecture and Digital Presentation
witness at DMDJD Consulting, LLC.
1.5 CEUs
8Gulf Coast Dental Conference
Saturday, June 12
ANTIBIOTIC PROPHYLAXIS FOR PROSTHETIC UNMASKING THE MYSTIQUE OF
CO N T I N U I N G E D U C AT I O N
JOINT, CARDIAC, AND OTHER MEDICAL CRANIOFACIAL PAIN AND TMD
CONDITIONS (SESSION 1) Sponsored by the William B Farrar Distinguished Lecture Fund
Saturday, June 12: 9:00 am - Noon
ANTIBIOTIC STEWARDSHIP AND
Event Code: TB2 Fee: No Charge
APPROPRIATE ANTIBIOTIC USE FOR This course is recommended for the entire dental team.
ODONTOGENIC INFECTIONS (SESSION 2) About the Speaker
Saturday, June 12: 9:00 am - Noon Dr. Terry Bennett
See bio on page 5
Event Code: TP2 Fee: No Charge
This course is recommended for the entire dental team.
About the Speaker
Course Description
Dr. Tom Paumier
This short presentation will unlock the mystery that surrounds TMD recognition
See bio on page 8
and treatment. The lecture will include visuals of normal and abnormal
joints and anatomical differences with CT and MRI scans. The progression
of TMD symptoms will be explained and will show that many patients with a
seemingly inconsequential TMD problem may progress to a locking jaw and/
or degenerative changes. Many different orthotics will be discussed and
Course Description
explanations will be provided to show the reason for their use. Night guards
Session 1: The topic of antibiotic prophylaxis, particularly related to patients will also be discussed, as many dentists want to treat TMD with these. The
with prosthetic joints has been controversial with multiple changes and reasoning behind not using this as treatment will also be discussed.
recommendations over the last 20 years. Are you confused about when it is
necessary to use antibiotic prophylaxis for patients with prosthetic joints, Learning Objectives
cardiac valve replacements, kidney dialysis, AV shunts, transplant patients and 3 Understand what a normal and abnormal joint looks like and functions.
other medical conditions? This course will make you confident you are treating 3 Be familiar with the orthotics used to treat TMD and how to select the
these patients appropriately. At the completion of the course you will: appropriate orthotic.
Understand oral bacteremia and the association with distant site infections.
3 Understand other methods for treating TMD other than orthotics
Understand how antibiotic prophylaxis affects oral bacteremia and distant site Educational Methods
infections. Lecture and Digital Presentation
U nderstand the biology and physiology of prosthetic joint infections and
infective endocarditis. 3 CEUs
U nderstand the current Clinical Practice Guidelines for antibiotic prophylaxis.
Understand the risks and benefits of antibiotic prophylaxis. DENTAL OFFICE THEFT, EMBEZZLEMENT AND
Session 2: Antibiotics have improved health outcomes since the discovery FRAUD
of penicillin and its widespread use during WW II. However, their overuse and Saturday, June 12: 9:00 am - Noon
misuse has now threatened their effectiveness and led to superbug infections
Event Code: MCK Fee: No Charge
that are untreatable. This course will provide antibiotic stewardship guidance
and cover the risks of inappropriate antibiotic use, including antibiotic This course is recommended for dentists and their spouses.
resistance. It will also review the latest ADA Clinical Practice Guidelines related
to when antibiotics are appropriate for patients with odontogenic infections. About the Speaker
Prescribing recommendations as well as when and why antibiotics are indicated Lisa McKinney
or not indicated will be covered. Lisa McKinney practiced in public accounting for nine years in
Educational Methods Birmingham and Memphis. She specialized in tax consulting
and planning with extensive client experience in the real estate
Lecture and Digital Presentation
industry and partnership tax. Ms. McKinney joined the University
3 CEUs of Alabama Culverhouse School of Accountancy as a full-
time faculty member in 2001 and has taught undergraduate level courses in
taxation and financial accounting for 17 years. Ms. McKinney is director of The
ALABAMA MEDICAID BILLING UPDATE 2020 Culverhouse School of Accountancy LIFT community outreach and experiential
Saturday, June 12: 9:00 - 11:00 am learning program. This initiative utilizes students to teach free computer,
financial, and career classes to adults, veterans, seniors, inmates, teens, and
Event Code: AMB Fee: No Charge
youth in underserved communities.
This course is recommended for the entire dental team.
Course Descriptions and Learning Objectives
Course Description
This course will discuss internal controls and fraud prevention in dental
A general billing update, an overview of Medicaid, and the latest Opioid
practices. We will review the procedures and principles that dental practices
prescribing information for Alabama will be discussed during this workshop and
should implement to protect the integrity of their financial information and their
question/answer session.
assets. Control procedures including segregation of duties, documentation,
3 New changes in Medicaid coverage 3 Requirement for treatment approval independent verification, and restriction of access will be covered.
3 Prior-authorization process 3 Documentation requirements
Educational Methods
Educational Methods Lecture and Digital Presentation
Lecture and Digital Presentation
2 CEUS
3 CEUs
92021 Preview
Saturday, June 12
ALABAMA DENTAL HYGIENE INSTRUCTOR DISPENSING AND IN-OFFICE SEDATION LAWS,
CERTIFICATION TRAINING PERMITS, AND YOU
Presented By The Board of Dental Examiners of Alabama Presented By The Board of Dental Examiners of Alabama
Saturday, June 12: 1:00 - 3:00 pm
Saturday, June 12: 10:00 am - Noon
To register contact Sonya Lankford: sonya@dentalboard.org
To register, contact Gina Latham: gina@dentalboard.org
About the Speaker
This course is recommended for dentists and student hygienists.
Blake Strickland
Course Description Blake Strickland began his public safety career in 1987 as an EMT
with the Jacksonville (AL) Fire Department.
Alabama dentists who wish to be certified as an Instructor in the Alabama
He has held a number of positions with various agencies from
Dental Hygiene Program are required to complete an in-person training course.
Police Officer to Deputy Chief of Police. Over 20 years of his
This course will cover the application requirements of the program, both for
service has been in the areas of investigations and training. He
the instructor and the student hygienist, the academic and clinical coursework,
has presented courses on crime scene investigation, internal affairs, use-of-
and the examination and licensing process. Certifications are valid for three
force tactics, tactical medicine, basic investigations, narcotics, and more. He has
years and the course is required upon renewal of current certifications. The
served as the state investigator for the Board of Dental Examiners of Alabama
application fee for certification is $75, to be paid by check or money order
since December 2015.
when the application is submitted to the Board. Application fee includes costs
of this course. Course Descriptions and Learning Objectives
At the conclusion of the presentation, the licensees, dental students, and/
Educational Methods
or clinic staff will have a working knowledge of all applicable state laws,
Lecture and Digital Presentation state administrative codes (Board rules), and federal laws pertaining to the
dispensing and administration of controlled substances. Specific areas of
2 CEUs the documentation will be covered in this presentation with an emphasis on
the clinical staff’s involvement. It is recognized that the licensee holds and is
responsible for his/her controlled substance permit and DEA registration. This
ALDA 152nd Annual Session Activities presentation strives to ensure successful collaboration between the licensee and
his/her staff. Licensees in attendance that may be considering applying for an
Tuesday 4:30 pm Board of Trustees OCS, PA, and/or GA permit from the Board will have a working knowledge of the
requirements to obtain one/all of these permits.
Wednesday 3:30 pm House of Delegates/ Educational Methods
Lecture and Digital Presentation
General Assembly
2 CEUs
Thursday 9:00 am House Reference
Exhibits
Committee Hearing Visit the 2021 Exhibit Show to source some of the most innovative
technology, products and services available to the dental industry.
Saturday 2:00 pm House of Delegates More than 80 commercial exhibits will be open Thursday afternoon and
(final meeting)/ Friday. Save your orders so you can take advantage of the Exhibitors’
promotions and meeting specials. Remember to support the
Election of Officers exhibitors who support our meeting.
Door prize drawings will be held both days for dentists and the entire
Sunday 9:00 am Member Recognition dental team. Complimentary keg beer, popcorn and lemonade all day in
Breakfast/General the Exhibit Hall!
Assembly Exhibit Show Schedule
Thursday Noon – 6:00 pm | Friday 8:00 am – 3:00 pm
Exhibit Show Events Mega Shopper Drawing for attendees who have
made purchases of $2,500 or more!
Exhibit Show Beach Party Friday, June 11 Attendees who make Exhibit Hall purchases of
Thursday, June 10: 4:30 – 6:00 pm Join our Exhibitors for a $2,500 or more will be entered into our “Mega Shopper” drawing!
party on the Beach Deck! Enjoy complimentary beer, wine, light Just tear off the bottom of the form provided by the Exhibitor
hors d’oeuvres and door prizes galore! Come relax, network and when you make your purchase! “Mega Shoppers” will be the only
take advantage of Exhibitor Specials! attendees eligible for this drawing!
“Muffins & Mimosas” Breakfast Open House Free 2022 GCDC Registration to Dentists spending
Friday, June 11: 8:00 – 9:00 am Join our Exhibitors for the $5,000 or more!
“Muffins & Mimosas” Breakfast Open House! Enjoy mimosas, a light
All dentists who spend a total of at least $5,000 with our Exhibitors
breakfast and door prizes galore! Start your day off right with this during the show will receive free GCDC registration in 2022. Simply
fun networking opportunity and take advantage of Exhibitor Open email your receipt to exhibits@aldaonline.org and receive a voucher
House Specials! for free 2022 registration!
Cash and gift prizes for dentists and dental team attendees during clinical breaks both days!
10Gulf Coast Dental Conference
ADA President Daniel J. Klemmedson, D.D.S., M.D.
A DA President Daniel Klemmedson, an
oral and maxillofacial surgeon in Tucson,
Arizona, will be our guest
trustee to the ADA Board of Trustees and
served in the ADA House of Delegates from
2004 to 2014. He is a past president of the
Dr. Klemmedson earned his dental degree
from the University of Southern California
(USC) School of Dentistry and his medical
for the Wednesday Arizona Dental Association, the Southern degree at the USC School of Medicine. In
afternoon House of Arizona Dental Society, the Western Society addition to maintaining a private practice
Delegates/ General of Oral and Maxillofacial Surgeons and the in Tucson, he is an attending oral and
Assembly. Arizona Society of Oral and Maxillofacial maxillofacial surgeon on the cleft palate and
From 2015 to 2019, Dr. Surgeons. During Dr. Klemmedson’s career, craniofacial team at Children’s Clinics.
Klemmedson served as he has received numerous awards for his
the Fourteenth District dedicated service.
Special Events BEACH BONFIRE
Presented by the Council on the New Dentist
EXHIBIT SHOW BEACH PARTY Sponsored by Patterson Dental Supply
Thursday, June 10: 4:30 - 6:00 pm Friday, June 11: 8:00 - 9:30 pm
Event Code: EXR Event Code: BON
Fee: No Charge but registration is required by June 8. Everyone Invited! Registration is required by June 8.
Join us for a bonfire party right on the beach! Enjoy
Let’s get this party started on the Beach Deck! Enjoy live
a glowing bonfire, live music, homemade s’mores, a
music, games and complimentary beer, wine and light hors
complimentary beer and soft drinks (while supplies
d’oeuvres. Plus... door prizes galore! Admission is free, but
last)! Bring beach chairs for the bonfire, and a flashlight,
pre-registration is required by June 8.
bucket and net for a ghost crab hunt!
Admission is free, but pre-registration is required by
June 8.
ALDA MEMBER RECOGNITION BREAKFAST
Sunday, June 13: 9:00 am
PRESIDENT’S CELEBRATION
Event Code: MRB Fee: $25
Join your colleagues for the Member Recognition Breakfast and MARDI GRAS CELEBRATION
Closing General Assembly.
In addition to presentations in recognition to members, the morning
Saturday, June 12
will include the installation of ALDA officers. Plus…several drawings
will be held during the buffet-style breakfast.
6:30 pm – Cocktails and Music; 7:00 pm – Dinner
Sponsored in part by ProAssurance and UBS
Event Code: PB1 Adult Fee: $45/ $50/$55
Event Code: PB 2 Youth Fee: $20/$23/$25 (ages 4-10)
Event Code: PB 3 Child Fee: No Charge (ages 0-3)
NEW DENTIST MEET & GREET PIZZA PARTY
Join us for an evening of fun on the beach honoring ALDA
Presented by The Council on the New Dentist
President Lauren Moore and her family.
Friday, June 11: 6:00 - 7:30 pm
Enjoy a seaside dinner buffet and dance the night away
Event Code: NEW Fee: No Charge
to live music by the Sugar Shakers of New Orleans! Wear
This event is designed for dentists who have graduated in the last 10 years.
your wildest Mardi Gras attire! Then step out to enjoy a
Join us for a meet and greet pizza party for all new dentists! Bring your family
or a friend and enjoy pizza, beer and exciting door prizes! Registration is free,
spectacular fireworks show! Complimentary keg beer.
but is required by June 3. Don’t miss this night of great food, dancing, fireworks
and fun!
Cash and gift prizes Thursday and Friday!
11
B2021 Preview
Frequently Asked Questions Conference At A Glance
Do you have questions or need registration assistance? Quick Reference Registration Codes for Ticketed Events
Call (888) 645-4544
Time Event Title Event Code Fee
What are the Benefits of Registration?
By registering before May 1, you receive the lowest registration WEDNESDAY, JUNE 9
fees and ticket prices. An asterisk (*) indicates the increased
9:00 am - Noon Leigh Covington LC1 No Charge
event fee if you register after May 1 (Mail in registration forms
must be postmarked by May 1). Early registration also ensures 8:30 am - Noon CPR CPR $85/95/110*
participation in limited ticket events. Online registration will be 1:30 - 4:30 pm Olivia Wann INF $85/95/110*
open throughout the meeting. A Help Desk will be located on
4:30 - 6:00 pm Wine And Wisdom WAW No Charge
the lobby level of the resort for any help you may need.
How Can I Register? THURSDAY, JUNE 10
Online Registration – Online registration will be available through
9:00 am - Noon Olivia Wann WAN No Charge
June 13. Visit gulfcoastdentalconference.org to register.
9:00 am - 4:30 pm Eva Grayzel GRA No Charge
When Will I Receive Badges and Tickets?
Name badges for pre-registered attendees will be mailed 9:00 am - 4:30 pm Terry Bennett TB1 No Charge
to the primary registrant (dentist) two weeks prior to the
9:00 am - 4:30 pm Leigh Covington LC2 No Charge
conference – please be sure to bring these materials with you
to the conference. All tickets are included on the name badge 4:30 - 6:00 pm Exhibit Show Beach Party EXR No Charge
via bar code. Registration packets will be distributed on-site for
FRIDAY, JUNE 11
all attendees who register after May 15. Name badges will be
required for admittance to all events and the Exhibit Hall. 8:00 - 9:00 am Exhibit Show Breakfast EXB No Charge
What Are the Registration/Check-In Hours On-Site? 9:00 am - Noon Fred and Alexandra Arnold FAA No Charge
Registration/ Check-In hours are as follows:
9:00 am - Noon John Gammichia JG1 No Charge
June 9, 8:00 am - 3:30 pm
9:00 am - 4:30 pm Robert Vogel VOG No Charge
June 10, 8:00 am - 3:30 pm
June 11, 8:00 am - 3:30 pm 9:00 am - 4:30 pm Jamie Marboe MAR No Charge
June 12, 8:00 - 10:00 am
1:30 - 4:30 pm John Gammichia JG2 No Charge
Meeting materials will be distributed at the recessed
1:30 - 4:30 pm Tom Paumier TP1 No Charge
registration desk located outside the lecture foyer.
6:00-7:30 pm New Dentist Pizza Party NEW No Charge
How Much Does It Cost to Attend Each Seminar?
Courses that appear in the brochure with a fee of no charge are 8:00 - 9:30 pm Beach Bonfire BON No Charge
covered by the general registration fee for dentists and dental
staff. There is no general registration fee for spouses, children SATURDAY, JUNE 12
or non-dentist guests. 7:30 - 9:00 am ProAssurance PRO No Charge
There are additional fees for some courses and events. These
9:00 - 11:00 am Alabama Medicaid AMB No Charge
fees are listed near the course or event title in this brochure and
on the “Conference At A Glance” shown to the right. 9:00 am - Noon Tom Paumier TP2 No Charge
How Do I Become an ADA Member So I Can Take 9:00 am - Noon Terry Bennett TB2 No Charge
Advantage of Reduced Registration Fees?
9:00 am - Noon Lisa McKinney MCK No Charge
A reduced registration fee is just one of the many advantages
of ADA and State Association membership. For membership 6:30 - 9:45 pm President’s Beach Party
information, please contact ALDA at (800) 489-2532 or email Adult PB1 $45/50/55*
membership@aldaonline.org.
Youth (ages 4-10) PB2 $20/23/25*
How Do I Know Which Courses Are Right for Me?
Recommendations on appropriate attendees are noted in the Child (ages 0-3) PB3 No Charge
brochure with each course description.
SUNDAY, JUNE 13
How Do I Record My CE hours?
Continuing education signature rosters will be distributed 9:00 - 10:30 am ALDA Member MRB $25*
during all CE sessions. CE certificates and other materials will be Recognition Breakfast
provided on-site. It is your responsibility to record CE hours and
keep the certificate as proper verification of your attendance for
your records. Most courses qualify for continuing education credit
accepted by the Board of Dental Examiners of Alabama. The
number of CE hours (CEUs) is noted following each course. Most
courses qualify for AGD PACE credit as well.
Register online at
gulfcoastdentalconference.org
12Registration Form For All Attendees
Complete one form for each dentist. Photocopy this form to accommodate additional registrants.
Be sure to complete the front and back of this form. Please print all information.
Before May 1 After May 1 After June 1
A ADA Member Dentist* $329 $389 $429
AA ALDA Member Dentist* $329 $389 $429
A1 Military/Federal Dentist $329 $389 $429
B ADA Non-Member Dentist* $749 $789 $889
C Retired ADA Member* $75 $90 $110
D Student ASDA Member*** $0 $0 $0
Dentist (Primary Registrant) E Dental Hygienist $75 $90 $110
Name___________________________________________________________________________ F Dental Assistant $75 $90 $110
Name for Badge_________________________________________________________________ G Office Staff $75 $90 $110
Year of Graduation_______________________________________________________________ H Lab Technician $75 $90 $110
Mailing Address__________________________________________________________________ I Dentist Spouse $0 $0 $0
City________________ State_________ Zip____________________________________________ J Non-Dentist Guest $0 $0 $0
Business Phone (_ )___________ K Youth (ages 4-10) $0 $0 $0
Fax (____________ )_______________________________________________________________ L Child (ages 0-3) $0 $0 $0
Email____________________________________________________________________________ *ADA = American Dental Association
All ADA members from any state are eligible to register as Rate A.
Card Holder’s Billing Address p Same as Above ADA membership will be verified.
p Other________________________________________________________________________ **ALDA = Alabama Dental Association
***ASDA = American Student Dental Association
City________________________________________ State____________ Zip________________
Method Of Payment
Checks must be made payable to the Alabama Dental Association. p Check Enclosed p Visa p Mastercard p American Express
Credit Card #__________________________________________________________________________________ Exp. Date ___________________________ Total Fees_____________________________
Signature________________________________________________________________________________________ Printed Name_____________________________________________________________
Signature indicates approval for charges to your account. Print name as it appears on card.
Mail registration forms to: Gulf Coast Dental Conference, 6840 Meadowridge Court, Alpharetta, GA 30005. Please do not mail your form to the ALDA Office.
Register online at gulfcoastdentalconference.org or by mail. Registration will not be accepted by phone or fax.
Continued on next page
Do You Have Questions Or Need Registration Assistance? Call (888) 645-4544
B
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