Download craniofacial pain mini-residenc 2016-2017

CRANIOFACIAL PAIN MINI-RESIDENCY
2016-2017
PROGRAM CLASS 12
LECTURES, HANDS-ON WORKSHOPS, CASE REVIEWS, CASE PRESENTATIONS
LEARN FROM THE
EXPERTS AT AACP!
Gain the knowledge and
clinical skills required to
assess, differentially
diagnose, and effectively
treat the majority of
craniofacial pain patients
seen in dental practice
today. Simultaneously make
progress toward fulfilling
AACP Fellowship and AGD
Mastership requirements.
SESSION 1 | SEP 8-10, 2016
Craniofacial Pain Disorders, History, Examination, Diagnosis, & Treatment Planning
SESSION 2 | NOV 10-12, 2016
Treatment & Management of the Patient with a Craniofacial Pain Disorder
SESSION 3 | FEB 16-18, 2017
Physical Medicine Modalities, Electro-Diagnostic Modalities, Intraoral Orthotics in the
Management of the Craniofacial Pain Patient
SESSION 4 | APR 20-22, 2017
Orthodontics for Phase-II Finishing, Sleep Disorders, Phase-II Prosthodontic Case
Finishing & Integration of Current Concepts in Craniofacial Pain in the Dental Practice
Approximately 96 CE Credits (56 lecture, 40 participation) are Available in this 4-Session
Craniofacial Pain Mini-Residency Program
AMERICAN AIRLINES TRAINING & CONFERENCE CENTER FORTWORTH, TX
LIMITED ENROLLMENT | REGISTER NOW CALL 800.322.8651 or FAX
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
Dear Colleagues,
I would like to invite you to join us as a
participant in the American Academy of
Craniofacial Pain Institute Mini-Residency
Program. This unique educational experience
affords you the opportunity to participate in
the finest program available dealing with craniofacial pain, temporomandibular disorders, and sleep dentistry.
This exceptional four-part program combines pre-study-classroom
lecture as well as hands and on participation to cover the area of
craniofacial pain, temporomandibular disorders, and sleep dentistry
in their entirety. The program is ideal for those doctors wishing to
achieve fellowship in the American Academy of Craniofacial Pain.
Fellowship in the Academy sets the doctor apart from the general
dental population who treat craniofacial pain as part of a general
dental practice or who limit their practice to this discipline.
The greatest benefit that you will receive is the training to help a
suffering patient population, many of whom have been experiencing
pain for years and have thought their quest for relief to be hopeless.
Many of these suffering people have seen a multitude of healthcare providers, with no relief forthcoming.
In addition, the areas of craniofacial pain/temporomandibular disorders and sleep dentistry afford an excellent and lucrative income
center to an existing practice, affording you access to a multitude of
patients seeking relief for their problems.
If you are striving for exceptionalism as a practitioner, then this
exceptional program is for you. Whether you simply wish to integrate these concepts into an already successful general dental
practice or whether your desire is to ultimately focus your practice
entirely to this discipline, this program will fulfill your needs.
Achieving fellowship in the Academy demonstrates that the doctor
has completed exhaustive training, demonstrated extensive experience, and has been thoroughly tested and evaluated by a testing
body. This provides professionals in the health-care community, as
well as patients, a means of selecting you as the professional they
wish to refer to or seek care from. In addition, for those doctors who
are on the Academy of General Dentistry mastership track, this program offers a combination of both lecture and participation that are
required for the fulfillment of those requirements.
I urge you to carefully evaluate this brochure, which outlines the programs and the curriculum. In addition, read the testimonials of past
participants and visit the members section of the Academy website,
www.aacfp.org, and click on “Institute” to see firsthand in both photographic and video format the content and tenor of this excellent program. If you are not a member of the academy, I urge you to become
one. You will realize significant savings on your registration fee as well
as receive exceptional benefits that membership provides. Contact
our Executive Office at 800.322.8651 for details.
The program is designed for both the neophyte in this area who
wishes to pursue exceptional educational experience to provide
himself or herself with a broad base of knowledge and for the
experienced practitioner helping himself or herself to categorize and
systematize his or her approach to the treatment of patients.
I am confident that you will find your continuing education investment dollar well spent and know that the education that you will
receive far exceeds the expenditure of time and money involved.
“The AACP Mini-Residency is structured to offer a great
deal of didactic and practical learning material. It was
instrumental in elevating both my understanding and diag-
nostic skill, which my TMD patients are benefiting from now.
In terms of both value and experience, it is truly one of the
best courses available!” - Dr. Roger Cheung | BC, Canada
“Wow! This program is by far the most complete and
detailed approach toward a very complex (and often confusing)
part of dentistry. Allowing time to pass between sessions gives
the attendees a chance to study, learn, absorb, and apply much
of what they are learning. The level of expertise the presenters have is at once impressive and inspirational. The attitude
of these presenters is one of the helpful mentoring, and no attendee could feel anything other than a truly open and encouraging attitude from them.
2
Terry R. Bennett, DMD
AACP Past President
In 40 years of dentistry, and participating in every CE program of
national repute, without a doubt this mini-residency provided the
most ‘bang for the buck.’
I would strongly encourage anyone practicing dentistry in the
year 2010 to take up the challenge of becoming better informed,
and more able to treat and help the myriad of patients suffering
with TMD and the associated ills.
I know everyone will be pleased (as I have been) to have made
the decision to attend the program.”
- Dr. Michael Folck | Virginia Beach, VA
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
“My experience with the mini-residency program offered
by the AACP Institute went well beyond my expectations.
Instead of receiving cookbook treatment modalities, I was
presented with a philosophy of total patient care that will
positively affect my practice and my patients for the remainder of my dental career. The instruction was top-notch and
the hands-on aspect of the course was not matched by any
other program I’ve seen.” - Dr. Rob Herron | Columbus, KS
DISTINGUISHED FACULTY
PROGRAM BENEFITS
Terry R. Bennett, DMD
Enrollment is limited to ensure quality instruction, with priority registration given to
dentists who register to attend the entire 4-session program.
Passing grades on all 4 exams offered with this program satisfy AACP
Fellowship written exam requirements; case presentation and review prepares
qualified candidates for the oral portion of the AACP Fellowship exam.
Curriculum and session content is evidence-based and 100% approved and
endorsed by the American Academy of Craniofacial Pain, resulting in a superior
learning experience.
Teaching/Learning Methodologies
Lecture and participation is included in every session, with emphasis on
clinically relevant knowledge and skills.
Case review and case presentation experiences encourage development of a
logical framework you can use to approach patients (and complete oral case
defenses required for tier advancement in AACP and other organizations).
Stand-alone sessions enable you to enroll in the entire mini-residency program
or attend individual sessions based on your schedule and personal interests.
End-of-Session Exams
Fellowship in the AACP is available to AACP members only. Dentists wishing to test
for Fellowship in the AACP will take four individual written examinations. The examination covering Session 1 will be given the evening prior to the start of Session
2, the Session 2 examination will be given the evening prior to the start of Session
3, the Session 3 exam will be given the evening prior to the start of Session 4, and
Session 4 testing may be completed by mail utilizing a designated proctor prior
to the AACP Summer Symposium or completed the day prior to the start of this
summer meeting. Participation in the examination portion of the Craniofacial Pain
Mini-Residency program is optional and at the discretion of each participant.
Continuing Education Credits
Approximately 96 CE credits (56 lecture, 40 participation) are available to participants in this 4-session Craniofacial Pain Mini-Residency program.
AACP is an ADA
CERP-Recognized
Continuing Education Recognition Program
Provider, January
1993 to December 2017. ADA CERP is a service of the
American Dental Association to assist dental professionals in
identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses
or instructors, nor does it imply acceptance of credit hours by
boards of dentistry.
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
AGD Approved PACE Program
Provider (#211843)
FAGD/MAGD Credit June 1,
2011 to May 31, 2019
AACP Past President
Diplomate: American Board of Craniofacial Pain
American Board of Dental Sleep Medicine
Academy of Pain Medicine
Fellow:
American Academy of Craniofacial Pain
Cameron A. Kuehne, DMD
Diplomate: American Board of Craniofacial Pain
American Board of Dental Sleep Medicine
Fellow:
American Academy of Craniofacial Pain
Edmund A. Lipskis, DDS, MS
Diplomate: A merican Board of Craniofacial Pain
Fellow:
American
Academy of Craniofacial Pain
International Association for Orthodontics
American Association of Functional Orthodontics
Jeffrey S. McCarty, DDS
AACP President
Diplomate: A merican Board of Craniofacial Pain
American Academy of Pain Management
Fellow:
American Academy of Craniofacial Pain
Gerald J. Murphy, BS, DDS
AACP Past President
Diplomate: American Board of Craniofacial Pain
American Academy of Pain Management
Fellow:
American
Academy of Craniofacial Pain
Wesley E. Shankland, II, DDS, MS
AACP Past President
Diplomate: American Board of CraniofacialPain
Fellow:
American Academy of Craniofacial Pain
H. Clifton Simmons III, DDS
AACP Past President
Diplomate: American Board of Craniofacial Pain
American Board of Orofacial Pain
American Academy of Pain Management
Fellow:
American Academy of Craniofacial Pain
Robert L. Talley, DDS
AACP Past President
Diplomate: American Board of Craniofacial Pain
American Board of Dental Sleep Medicine
Fellow:
American
Academy of Craniofacial Pain
Larry L. Tilley, DDS
AACP Past President
Diplomate: American Board of Craniofacial Pain
American Board of Dental Sleep Medicine
Fellow:
American
Academy of Craniofacial Pain
3
OBJECTIVES
SESSION 1
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
Craniofacial Pain Disorders, History, Examination, Diagnosis,
& Treatment Planning
SEPTEMBER 8-10, 2016
22 APPROXIMATE CE CREDIT HOURS
16 Lecture credits plus 6 participation credits
Upon completion of Session 1, participants should be able to:
1.
Recognize the most commonly occurring
craniofacial pain disorders.
2. Complete a comprehensive history and
examination of the craniofacial pain patient.
3. Understand the more commonly used
diagnostic tests and when to implement them.
4.
Make a provisional diagnosis based on
patient complaints.
By the end of Session 1, participants should also have
acquired, improved, and/or updated their knowledge
of and ability to understand the clinical relevance of
head-and-neck anatomy, recognize and diagnose
dental-alveolar pains, and develop a treatment plan for
the craniofacial pain patient.
DAY 1:
– Session and Course Overview
– B asic Head, Neck, & TMJ Anatomy as it Relates to
Physical Examination
– Comprehensive History
– Examination – Physical Evaluation
– Muscle Identification & Palpation Workshop
– Question & Answer Session
DAY 2:
– Plain Film & CT Imaging
– Joint Vibration Analysis (JVA)
– Magnetic Resonance Imaging (MRI)
– Temporomandibular Disorders
– Craniofacial & Neuropathic Pain Syndromes
“As an orthodontist, this mini-residency gave me a thorough understanding of the anatomy, physiology, and function of the masticatory
complex and the many modalities available in treatment. It was one of
the most intense and informative courses that I have ever completed.”
- Ken Dillehay | Wichita, KS
– Question & Answer Session
DAY 3:
– R ange-of-Motion Evaluation, Cranial Nerve
Evaluation, & Otologic Evaluation Workshop
– Actual Patient History, Examination, & Consultation
“I am constantly going to courses and trying to do a better job.
There were many cases that I just could not understand why my
treatment was not working. This course brought it all together and
gave me other tools to use - that work.”
– Treatment Planning
- Dr. Greg Sanchez | Albuquerque, NM
– Question & Answer Session
4
– P atient Consultation, Insurance Coding (CPT & ICD
codes), Informed Consent, & Narrative Reports
– Case Planning for Session 2
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
SESSION 2
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
Treatment and Management of the Patient with a Craniofacial
Pain Disorder
NOVEMBER 10-12, 2016
24 APPROXIMATE CE CREDIT HOURS
16 Lecture credits plus 8 participation credits
DAY 1:
– Welcome and Session Overview
– Case reports and Discussion
– H
ead and Neck Anatomy as it Related to TMD, Muscle
Disorders, and Craniofacial Pain Disorders
– Anatomy Lab with Dissected Specimens
OBJECTIVES
– Overview of Muscle Disorders
Upon completion of Session 2, participants should be able to:
1. Treat and manage the myofacial pain-
disorder patient.
2. Treat and manage patients with intra-articular
pathology of the TMJ.
3. Treat and manage craniofacial pain syndromes.
4.
Evaluate the necessity for pharmacologic
Management of the craniofacial pain patient.
By the end of Session 2, participants should also have
acquired the ability to deliver trigger point injections,
deliver intra-articular injections and manipulate the
TMJ to reduce a non-reducing disc displacement. They
should also understand what medications patients
may present with and how these medications may
adversely affect pain patterns; appreciate when, why
and what medications to prescribe; appreciate the role
of osteocavitation lesions in craniofacial pain disorders;
understand trigeminal neuralgia and atypical facial pain.
– M
yofascial Pain Disorders: Introduction to Spray
and Stretch
DAY 2:
– Introduction to Trigger Point Injections
– Trigger Point Injection Workshop
– The NTI Appliance
– Pathology/Disease Process of TM Joints
– TM Joint Injection Techniques
– N
on Reducing Disc Displacement Reduction Technique
and Temporary Appliance Fabrication
– Common Craniofacial Pain Disorders
– C
raniofacial Pain Disorder Diagnostic and Therapeutic
Injections Workshop
– Factors Which Affect Pain Perception
DAY 3:
– P harmological Management of the Craniofacial
Pain Patient
– Temporary Splint Fabrication
– U ndiagnosed Orofacial Pain Caused by Ischemic
Bone Diseases
– T rigeminal Neuralgia: Typical, Atypical and Atypical
Facial Pain
– D
iscussion of Case Presentation and Overview of
Session 3
– Testing and Review
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
5
SESSION 3
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
Physical Medicine Modalities, Electro - Diagnostic Modalities,
Intraoral Orthotics in the Management of the Craniofacial
Pain Patient
FEBRUARY 16-18, 2017
23 APPROXIMATE CE CREDIT HOURS
15 Lecture credits plus 8 participation credits
DAY 1:
– Welcome and Session Overview
– Case Review and Discussion
– Electrotherapy & Electrophysics Concepts
OBJECTIVES
– A pplication of High-Voltage and Transcutaneous
Electrical Nerve Stimulation (TENS)
Upon completion of Session 3, participants should be able to:
1. Prescribe the physical medicine modalities
– O
verview of Microcurrent, Inferential Stimulation and
Laser Therapy
– Management of the Craniofacial Pain Patient
that best Complement and enhance the
treatment objectives.
2. Apply electro-diagnostic instrumentation
in the evaluation of the craniofacial pain patient.
3. Understand the different intraoral
orthotics, (eg. types, designs, fabrications
and management.)
4. Be able to fabricate the different orthotics
in their office and be able to know which
orthotics to use for each patient.
– Introduction to Neuromuscular Recording Devices
By the end of Session 3, participants should also have
acquired, improved and /or updated their knowledge of
and the ability to administer physical medicine modalities
and understand which treatment is best for their patient.
Participants should also be able to secure a rest position
bite registration for orthotic fabrication and be able to
fabricate in office the many different types of orthotics
necessary for patient treatment. Each person should be
able to organize and prepare a proper case presentation.
– PRS Demonstration and Fabrication Workshop
– C
omputerized Mandibular Scanning, Electromyography
and Ultra-Low Frequency TENS
– TMJoint Vibratography and Sonography
– Neuromuscular Philosophy and Practice
DAY 2:
– Muscle Disorders Encountered with TMD
– Appliances for Muscle Disorders
– Pain Release Splint
– Rest Position Appliance
– Taking a Rest Position Bite Relationship Workshop
– RPA Demonstration and Fabrication Workshop
DAY 3:
– Disc Interference Disorders with TMD
– Orthotics for Disc Interference Disorders
– A nterior Deprogrammer Demonstration and Appliance
Fabrication Workshop
– D
emonstration/Workshop Appliance Fabrication, Both
Direct and Indirect Methods of Fabrication
– Demonstration/Workshop Occlusal Registration
– Summing it up/Questions and Answers
6
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
SESSION 4
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
Orthodontics for Phase-II Finishing, Sleep Disorders, Phase II
Prosthodontic Case Finishing and Integration of Current
Concepts in Craniofacial Pain in the Dental Practice.
APRIL 20-22, 2017
27.75 APPROXIMATE CE CREDIT HOURS
15.5 Lecture credits plus 10.25 participation credits
DAY 1:
– Case Presentations
– Occlusion/Orthodontics/Malocclusion Philosophies
– Growth & Development of the Craniofacial Complex
– Orthodontic Diagnosis & Cephalometric Analysis
– Cephalometric Workshop
– Orthodontic Treatment Timing
– Orthodontics for the Extra-Capsular Patient
– Arc-Length Analysis Workshop
– Orthodontics for the Repositioned Patient
OBJECTIVES
– Protocol if TMD Problems Return During/After
Upon completion of Session 4, participants should be able to:
– Orthodontic Treatment
1.Determine the best orthodontic approach for
phase-II finishing.
2. Evaluate the craniofacial pain patient for
obstructive Sleep apnea (OSA).
3. Determine if oral appliance therapy for OSA
is indicated and, if so, the type of appliance
to prescribe.
– Orthodontic Treatment to Help the Airway
DAY 2:
– Introduction to the History of Sleep Medicine/Dentistry
– The Nature of Sleep
– Sleep Disorders
– Pediatric Development & OSA
4.
Create a predictable thought process to transition a Phase 1 TMD patient to Phase II stability.
5.
Determine the best prosthodontics finishing
position and determine how to best restore the
patient to that Position. Also the use of current
materials and techniques to accomplish this.
6.
Have the management skills to integrate
craniofacial pain into the general dental practice.
– Obstructive Sleep Apnea
By the end of Session 4, participants should also have
acquired, improved, and/or updated their knowledge of
and ability to use cephalometric analysis in orthodontic
care of the extracapsular and intracapsular TMD patient
plus orthodontic care to improve the airway, understand
growth and development of the craniofacial complex,
determine the timing for orthodontic treatment to correct
craniofacial development problems, use diagnostic
instrumentation for OSA, and appreciate what types of
prosthodontics therapies might be best to restore the
TMD patient to desired height and position to maintain
the proper joint position and occlusion.
– Problem Solving & Discussion
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
– Parasomnias
– Oral Appliance Fabrication Workshop
– Examination/Diagnosis
– Treatment Options
– Oral Sleep Appliances: Selection & Treatment Procedures
– Ambulatory Sleep-Study Workshop
DAY 3:
– Occlusion/prosthodontics/Malocclusion Philosophies
– Managing the Airway in Prosthodontic Rehabilitation
– U se of Orthotics to transition the Phase I patient to
Phase II– Diagnosis and Treatment Planning Principles
– Intergration of Current Concepts in Craniofacial
Pain into the Dental Practice
– R esidency Wrap up, Group Discussion and
Problem Solving
7
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
REGISTRATION INFORMATION
HURRY! Enrollment is limited and offered on a firstcome, first-served basis.
TUITION
Entire 4-Session Program:
HOW TO REGISTER
Register online at www.aacfp.org or complete the registration
form and submit via:
EMAIL [email protected]
FAX
MAIL AACP
12100 Sunset Hills Road | Suite 130
Reston, Virginia 20190
$13,600* (Non-Member doctors)
$3,500 (AACP-Member Doctors)
$4,215*
(Non-Member doctors)
*Join AACP and save. To request a membership application, call the AACP Executive
Office at: 800.322.8651.
Enrollment is limited; participants who register for the entire
4-session mini-residency will receive priority. Please do not make
hotel and travel arrangements until you receive confirmation from
the AACP Institute that your registration has been accepted.
COURSE LOCATION
American Airlines Training
& Conference Center
Fort Worth, Texas
SESSION 1 | SEP 8-10, 2016
REGISTRATION DEADLINE
Register early. Registrations will be accepted
on a first-come, first-served basis. Payment
of tuition in full is required to guarantee
your space.
Craniofacial Pain Disorders, History, Examination, Diagnosis, & Treatment Planning
SESSION 2 | NOV 10-12, 2016
Treatment & Management of the Patient with a Craniofacial Pain Disorder
HOTEL ACCOMMODATIONS
SESSION 3 | FEB 16-18, 2017
Physical Medicine Modalities, Electro-Diagnostic Modalities, Intraoral Orthotics in the
Management of the Craniofacial Pain Patient
Orthodontics for Phase-II Finishing, Sleep Disorders, Phase-II Prosthodontic Case
Finishing & Integration of Current Concepts in Craniofacial Pain in the Dental Practice
Approximately 96 CE Credits (56 lecture, 40 participation) are Available in this
4-Session Craniofacial Pain Mini-Residency Program
(AACP-Member Doctors)
Individual Sessions
703.435.4390
SESSION 4 | APR 20-22, 2017
$10,740 For reservations, call the American Airlines
Training & Conference Center at:
800.777.6464 – OR – 817.956.6030
$195
(facility use & overnight guest room)
$98
(facility use only; no guest room)
Rate includes continental breakfast and all-day break
service, plus lunch and dinner buffets. FREE shuttle service
between the AAT&CC and Dallas/Fort Worth International
Airport is also provided.
“Multiple sessions, with time in between them, allows for learning in layers. This helped me to gradually incorporate
into my practice what was being taught. There is so much more to treating TMD symptoms than just making a splint.
This is a new growth center within my practice and is of great value to my patients. Time and money well spent!”
- Dr. Kristin Morris | Cedar Rapids, IA
8
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
AMERICAN AIRLINES TRAINING CENTER
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
RATES
GUEST-ROOM CHARGES
PACKAGE RATE (with guest room):
Craniofacial Pain Mini-Residency program participants will
pay their own account upon departure. When reservations
are made, a deposit equal to the package or room rate and
tax for the night will be required. An individual’s deposit is
refundable to the individual if the American Airlines Training
& Conference Center receives notice of an individual’s
cancellation at least 24 hours prior to scheduled arrival.
$195 (plus tax) per person/per day, including overnight
accommodations; round-trip shuttle transportation from
DFW international airport to the AATCC; and continental
breakfast; all-day break service; lunch and dinner buffets;
and unlimited use of the facilities.
The above room rate is inclusive of guest-service fees
and service charges applicable to guest rooms and group
functions. Lunch and dinner buffets plus gratuities for bell
staff and housekeeping; in-room coffee; and unlimited
use of the fitness center, heated swimming pool, tennis,
basketball, and volleyball facilities are included.
Day Rate (without guest room):
$98 (plus tax) per person/per day, including round-trip
shuttle transportation from DFW International Airport to
the AATCC; and continental breakfast; all-day break
service; and lunch and dinner buffets, excluding
overnight accommodations.
The “day rate” is applicable to participants in the
Craniofacial Pain Mini-Residency program who do not
require overnight accommodations. Continental breakfast,
all-day break service, and lunch and dinner buffets are
included; taxes and service charges are not included.
CHECK-IN, CHECK-OUT POLICIES
Guest accommodations will be available at 3:00 PM on
arrival day and reserved until 11:00 AM on departure day.
American Airlines Training & Conference Center would
appreciate receiving flight arrival times, if available. Any
participant wishing special consideration for late checkout
should inquire at the front desk on the day of departure.
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
Upon check-in, each guest will be required to present
a valid credit card, on which an amount of sufficient
pre-authorization can be obtained to cover the package
or room rate, tax charges, and guest fees for the length of
the guest’s stay plus the anticipated use of the American
Airlines Training & Conference Center’s ancillary services.
Each guest’s home/business address and e-mail address
will also be required.
TRANSPORTATION
Complimentary shuttle transportation is available to and
from the American Airlines Training & Conference Center
and Dallas/Fort Worth International Airport. Complete
instructions for calling from the airport will be sent to
Craniofacial Pain Mini-Residency-registered attendees.
If you take a taxi, be sure to tell the driver you wish to go
to the American Airlines Training & Conference Center
(at Highway 360 and 183) in Fort Worth. If you request
“American Airlines Center,” you may find yourself in Dallas
at a sporting event or concert.
QUESTIONS?
Call the American Airlines Center 817.956.1000
9
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
REGISTRATION
LOCATION AND IMPORTANT DATES
Register online at www.aacfp.org or complete the registration
form and submit via:
EMAIL [email protected]
FAX
All sessions in this limited-enrollment program will be held
at the American Airlines Training & Conference Center
at Dallas/Fort Worth International Airport.
703.435.4390
SESSION 1 | SEP 8-10, 2016
MAIL AACP
12100 Sunset Hills Road | Suite 130
Reston, Virginia 20190
Craniofacial Pain Disorders, History, Examination, Diagnosis,
& Treatment Planning
SESSION 2 | NOV 10-12, 2016
HURRY! Enrollment is limited and offered on a first-come,
first-served basis.
Treatment & Management of the Patient with a Craniofacial
Pain Disorder
FORMS OF PAYMENT
SESSION 3 | FEB 16-18, 2017
VISA, Mastercard and Check (in US funds, drawn on a US bank)
NOTE: Tuition payment must be received by the AACP to reserve
your space in this limited-enrollment mini-residency program!
Physical Medicine Modalities, Electro-Diagnostic Modalities, Intraoral
Orthotics in the Management of the Craniofacial Pain Patient
JOIN AND SAVE
Tuition savings is one of many benefits of being an AACP member.
To qualify, simply submit a completed AACP membership application (with processing fee) with your Craniofacial Pain Mini-Residency program registration. To request your membership application,
call AACP at 800.322.8651.
SESSION 4 | APR 20-22, 2017
Orthodontics for Phase-II Finishing, Sleep Disorders, Phase-II
Prosthodontic Case Finishing & Integration of Current Concepts in
Craniofacial Pain in the Dental Practice
TUITION
PROGRAM
MEMBER
NON-MEMBER
Entire 4-Session
Mini-Residency
$10,740
$13,600
AMOUNT DUE WITH REGISTRATION
Save $1,000 with a 1 time tuition payment of: $9,740 (AACP Members)
– OR – $12,600 (Non-Members)
OR Make the first of 3 equal installments of: $3,580 (AACP Members)
$4,533.33 (Non-Members)
Individual Sessions
$3,500
$4,215
TUITION DUE IN FULL WITH REGISTRATION
CANCELLATION POLICY: Refunds will be made only if your space is filled. Refund requests (less 10% of TOTAL cost of the program) must be submitted in
writing or email at least 30 days prior to the program start date. Due to non-refundable commitments, we cannot offer refunds after this date.
AMERICAN ACADEMY OF
CRANIOFACIAL PAIN
Leading the TMD and Dental
Sleep Community
www.aacfp.org
VISION:
The American Academy of Craniofacial Pain will continue to be the organization promoting advancement
of knowledge in Craniofacial Pain, Temporomandibular Disorders, and Dental Sleep Medicine by providing
a common ground for clinical practice and research to professionals for the benefit of the public.
MISSION:
The American Academy of Craniofacial Pain is committed to the relief of craniofacial pain, temporomandibular disorders and
dental sleep related disorders and supporting the advancement of education, research and dissemination of knowledge and
skills in these areas.
“Leading the TMD and Dental Sleep Community” is more than a slogan. It is our guiding rule! To ensure that
our members are heard, since 1985 the AACP has been actively involved with:
Research organizations, such as the National Institutes of Health (NIH) and the National Institute of Dental & Craniofacial
Research (NIDCR). Professional and political organizations, including the American Dental Association (ADA), state and local
dental associations, licensing boards and the Food & Drug Administration (FDA). Ongoing clinical research that elevates
professional standards of diagnostic testing, treatment protocols and outcome effectiveness.
10
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
AACP INSTITUTE | CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM CLASS 12
CRANIOFACIAL PAIN MINI-RESIDENCY PROGRAM
LIMITED ENROLLMENT. REGISTER NOW! Enrollment is limited. Participants who register for the entire 4-session mini-residency
will receive priority. Please do not make hotel and travel arrangements until you have received confirmation from the AACP Institute that
your registration has been accepted.
TO REGISTER: ONLINE go to www.aacfp.org — OR complete the registration form and email to [email protected],
FAX to 703.435.4390, or MAIL to AACP, 12100 Sunset Hills Rd, Suite 130, Reston, VA 20190. Full payment is required to
guarantee your space in this course. Since enrollment is limited, we recommend that you do not make your travel arrangements or hotel
reservations until you receive confirmation from the AACP Institute that your registration is confirmed. Instructions for providing occlusal
models and bite registrations for each of your appliances will be furnished to you at that time.
PROGRAM
MEMBER
NON-MEMBER
Entire 4-Session
Mini-Residency
$10,740
$13,600
AMOUNT DUE WITH REGISTRATION
Save $1,000 with a 1 time tuition payment of: $9,740 (AACP Members)
– OR – $12,600 (Non-Members)
OR Make the first of 3 equal installments of: $3,580 (AACP Members)
$4,533.33 (Non-Members)
$3,500
Individual Sessions
$4,215
TUITION DUE IN FULL WITH REGISTRATION
*Join AACP and save! To request a membership application call 800.322.8651 or visit our website at www.aacfp.org
PART 1: REGISTRANT’S INFORMATION - PLEASE PRINT CLEARLY
Name
Street Address
CityStateZIPCountry
PhoneFax
E-mail
PART 2: REGISTRATION DETAILS
MEMBERSHIP STATUS
TUITION AMOUNT
(please check one)
p AACP Member
p Non-Member
(from chart above)
p Entire 4-Session Mini-Residency
p Session 1: September 8-10, 2016
p Session 3: February 16-18, 2017
p Session 4: April 20-22, 2017
p Session 2: November 10-12, 2016
NOTE:
$ ___________________
CANCELLATION POLICY
Refunds will be made only if your space is filled. Refund requests (less 10% of TOTAL cost of the program) must be submitted in writing
or email at least 30 days prior to the program start date. Due to non-refundable commitments, we cannot offer refunds after this date.
PLEASE initial at the left to confirm that you have read, understand, and agree to the AACP cancellation policy. Your regisitration will not
be accepted WITHOUT this acknowlegdement.
PART 3: PAYMENT OPTIONS
p Enclosed is my check (in US dollars, drawn on a US bank) payable to AACP in the amount of $___________
p Please charge $___________ to my
p VISA
p Mastercard
Cardholder Name (exactly as it appears on the card)
Card Number
Expiration Date
REGISTER NOW CALL 800.322.8651 OR FA X 703.435.4390
Billing Address (if different from above)
Cardholder’s Signature
11
AACP INSTITUTE
“What can be said
about any activities
that affirms our hopes
for the future? The
value of such fine
education is truly a
bargain. I am excited
that I am experiencing
this at my 30th year
of practice.”
- Dr. Paul F. Mitsch | Augusta, KS
PROGRAM INFORMATION
308.384.5100
REGISTRATON INFORMATION
800.322.8651
TO REGISTER ONLINE GO TO:
www.aacfp.org
OR COMPLETE REGISTRATION FORM AND
SEND VIA:
EMAIL [email protected]
FAX
703.435.4390
OR MAIL A ACP
12100 Sunset Hills Road
Suite 130
Reston, VA 20190
CRANIOFACIAL PAIN MINI-RESIDENCY
2016-2017 PROGRAM CLASS 12
SESSION 1 | SEP 8-10, 2016
Craniofacial Pain Disorders, History, Examination, Diagnosis, & Treatment Planning
SESSION 2 | NOV 10-12, 2016
Treatment & Management of the Patient with a Craniofacial Pain Disorder
SESSION 3 | FEB 16-18, 2017
Physical Medicine Modalities, Electro-Diagnostic Modalities, Intraoral Orthotics in
the Management of the Craniofacial Pain Patient
SESSION 4 | APR 20-22, 2017
Orthodontics for Phase-II Finishing, Sleep Disorders, Phase-II Prosthodontic Case
Finishing & Integration of Current Concepts in Craniofacial Pain in the Dental Practice
REGISTER TODAY! ENROLLMENT IS LIMITED
Participants who register for the entire 4-session mini-residency will receive priority. Please
do not make hotel and travel arrangements until you receive confirmation from the AACP
Institute that your registration has been accepted. There will be approximately 96 CE
credits (56 lecture, 40 participation) available to participants in this 4-session Craniofacial
Pain Mini-Residency program.
Course dates, locations, and registration information are available online at:
www.aacfp.org or call the AACP Institute at 800.322.8651.