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November 14, 2008
The 25th Annual James P. Hollers Memorial Lectureship
Interdisciplinary Management of Anterior Esthetic Dilemmas:
When, Why, and How?

Vincent G. Kokich, D.D.S., M.S.D.
OVERVIEW
Orthodontists, periodontists, surgeons, and restorative dentists often have pre-determined goals regarding the esthetic relationship of teeth. But these goals may differ from the esthetic goals of the patient. A recent study, completed at the University of Washington, shows that lay persons may not notice certain problems that dentists and orthodontists strongly believe should be resolved.
Therefore, problems such as midline discrepancy, unequal crown length, incisal plane asymmetry, “gummy” smile, altered incisal inclination, “black” triangles, and crown width discrepancies may not need correction. Is there a threshold level, where these discrepancies are noticed by both lay persons and dentists? Are there discrepancies that are not noticed by either dentists or nondentists and should remain untreated? If these problems are to be treated, what are the roles of the orthodontist, periodontist, and restorative dentist? How, where, and when should tooth position be altered to accommodate for future restorative dentistry?

This presentation will use many clinical examples to: (1) identify the six major problems in anterior tooth position that produce esthetic discrepancies; (2) provide threshold levels that determine which problems should or should not be treated; (3) illustrate the method of treating each of these esthetic dilemmas (orthodontic, periodontal, surgical, or restorative); and (4) describe the interaction that is necessary among clinicians to establish the ideal result for even the most difficult esthetic discrepancies.

OBJECTIVES
After attending this course, participants will learn how to treat:
Midline discrepancies
•threshold level for correction of midline deviation
•keys to solving midline problems
•relationship of axial inclination and midline discrepancies
•method for assessing midline deviation
•restoration of mediolateral inclination problems

Incisal plane asymmetries
•threshold level for correction of incisal plane asymmetries
•3 possible solutions (orthodontics, jaw surgery, restoration)
•4 criteria to differentiate the appropriate solution
Crown width discrepancies
•threshold level for correction of crown width problems
•learn where to position peg-shaped laterals for ideal restoration

Unequal crown length
•threshold level for correction of crown length problems
•3 possible solutions - gingivectomy, orthodontic intrusion and restoration, or
orthodontic extrusion and equilibration
•learn the 4 criteria to determine the correct treatment choice

“ Gummy Smile”
•method for evaluating gingiva to lip relationship
•threshold level for correction of gingiva to lip relationship problems
•3 treatment options (jaw surgery, periodontal surgery, intrusion)
•5 criteria to determine when each solution is appropriate

“ Black spaces”
•threshold level for correction of open gingival embrasures
•3 causes - tooth shape, tooth position, periodontal defects
•learn how “black spaces” can be corrected

PRESENTER
Vincent G. Kokich, D.D.S., M.S.D.,
obtained his dental degree from the University of Washington’s School of Dentistry in 1971, followed by his MS and Certificate in Orthodontics in 1974. He is a Professor in the Department of Orthodontics at the University of Washington in Seattle. He also maintains a private orthodontic practice in Tacoma, Washington. He has published 20 book chapters, 80 scientific articles, and 48 review articles. He has given over 800 presentations throughout North and South America, Europe, Africa, Australia, and Asia. He was awarded the Sicher Research Award by the American Association of Orthodontists, and has also received the Strang Award (1994), the Schluger Award (2000), the ICO Award (2001) the Dewel Award (2002), the AAED President’s Award for Teaching Excellence (2004), the 2005 Association Trends Bronze Award for Education Programs, and the 2005 Distinguished
Alumnus Award from the University of Washington School of Dentistry.

Dr. Kokich has also presented several distinguished lectures including The J.A. Salzmann, The J.V. Mershon, and The E.H. Angle Lectures for the American Association of Orthodontists, The Arthur Thornton Taylor Lecture for the Australian Association of Orthodontists, The McIntyre Lecture for the Canadian Association of Orthodontists, The IOS Oration for the Indian Orthodontic Society, The President’s Lecture for the Pacific Coast Society of Orthodontists, and the World Champion Lecture for the World Federation of Orthodontists.

TIME
Check-in and Beverage Service: 7:30 AM
Exhibit Hall Opens at 7:30 AM
Program: Friday, 9:00 AM - 5:00 PM

LOCATION
Norris Conference Centers Balcones Heights
Crossroads Mall (next to Target)
4522 Fredericksburg Road
San Antonio, Texas 78201
ph: 210.738.0040
fax: 210.738.0042
www.norriscenters.com

TUITION
Individual: $180.00
Individual: $180.00 - 20% = $144.00
Individual: $180.00 - 15% = $153.00
Don’t forget to order your copy of “ A Man of Works: The Life of James Porter Hollers” = $35.00
CREDIT (Course Code: 126402A) AGD Code: 780 Hours: 7

Two Step Savings
Register before September 16, 2008 to receive a 20% discount.
Register before October 16, 2008 to receive a 15% discount.


While you’re here you can stay at the…
Springhill Suites by Marriott San Antonio Crossroads
3636 NW Loop 410
San Antonio, Texas 78201
ph: 210.737.6086
fax: 210.737.6170
http://www.marriott.com/hotels/travel/satnl-springhill-suites-san-antonio-medical-center-crossroads/
Rates:
Single/Double: $85
The cut off date is October 13, 2008
For special rates, Indicate The University of Texas Health Science Center at San AntonioCDE room block.
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To register, please complete the registration form.
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Last revised: July 26, 06by JS
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