PAST ANNUAL MEETINGS

• 2007 Annual Meeting
• 2006 Annual Meeting
• 2005 Annual Meeting
• 2004 Annual Meeting
• 2003 Annual Meeting
• 2002 Annual Meeting

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"

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

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"

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"

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"

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"

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. 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

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"

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.

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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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2005 Annual Meeting
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

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?"

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"

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"

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 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"

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"

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"

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"

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. 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"

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.

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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
  
  
• Interdisciplinary 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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2004 Annual Meeting
33rd Annual Meeting in Chicago, Illinois

Dr. Richard G. Stevenson III President Academy of Operative Dentistry

PRESIDENT'S MESSAGE

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"

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?

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"

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 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

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?"

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"

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"

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

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"

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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2003 Annual Meeting
Speakers

AOD Essayists for 2003 meeting in Chicago, Illinois
Educational Objectives

Dr. María López Howell President Academy of Operative Dentistry

President's Message

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"

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"

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"

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 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"

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"

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"

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"

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"

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. 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?"

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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2002 Annual Meeting
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