Supplement to Implant Dentistry vol. 26 no. 1 World News INTERNATIONAL CONGRESS OF ORAL IMPLANTOLOGISTS FEBRUARY 2017 ICOI CONTINUES ASIAN PIVOT SINGAPORE CONGRESS SUCCESS INSIDE THIS ICOI’s commitment to our Asian colleagues begins to ramp ISSUE up with a signature Singapore Congress. After the October ICOI Autumn congress, we attended the New Congress in Singapore 1, 3-6 Delhi WCOI Congress in November. In 2017, we 27th Annual will visit China and support NYU/ICOI Implant the Tokyo Congress Symposium 8-9 next summer. 7th Annual Columbia The Welcome Reception on Dr. Ady Palti, President ICOI Europe with colleagues in Singapore. University/ICOI Thursday, October 27, 2016 Dental Implant Symposium 10-11 was the setting for the popular Tabletop & Poster Nano-apatite/collagen Composites in Rat Competition presented by the following delegates: Cranial Bone Defects; Dr. Chaitanya Joshi ICOI at the Greater New Dr. Nur Affendi et al. (New York, USA) (Nashik, India) POSTER: Don’t Waste York Dental Meeting 12 POSTER: A Surgical Technique to Enhance When it is Best: Extracted Teeth as an ICD at the Greater New Coronal Contour of Alveolar Ridge; Dr. Min-Ki Allograft; Dr. Wajahat Khan (Toronto, York Dental Meeting 12 Bang (Busan, Korea) POSTER: A Case Report of Canada) POSTER: Strategic Tool Esthetic Full Mouth Rehabilitation Using Digital Planning in Implant Dentistry; Dr. Hyun- ADIA News 13 Dentistry; Dr. Liang-Wei Chen (Taichung, Min Kim (Incheon, Republic of Korea) Taiwan) POSTER: d-PTFE Membrane POSTER: Displacement of Dental ICOI NEW Implant Glossary 13 Application Case Reports; Dr. Hazlina Ghani et Implants into the Focal Osteoporotic Bone al. (New York, USA) POSTER: 3D and 2D Marrow Defect; Dr. Miyako Morita ICOI Europe 14-15 Technology for Maxillary Sinus Augmentation (Kitakyushu, Japan) POSTER: A Simulation; Dr. Lincoln Harris (Bargara, Mathematical Method for Predictable India 16 Australia) Let Nature Provide: Socket Shields and Tissue Position with Implant Abutment; Camaroon 16 Ortho Extrusion; Drs. Koji Ikeda, Wataru Dr. Wei Ming Huang (Kaohsiung, Taiwan) Hatakeyama, Hisatomo Kondo (Morioka, Japan) Australia 16 POSTER: Bone Regeneration Using Pressed Continued on page 3. Spain 17

Taiwan 17

IDREF 2016 Contributors 18-19

IDREF 2016 Grant Recipients 19

ICOI World Congress XXXV in Vancouver, Canada 19 A busy first day at the Singapore Congress with registration in the morning and Welcome Reception in the evening.

Published by the ICOI: World Headquarters, 55 Lane Road, Suite 305, Fairfield, New Jersey 07004 • www.icoi.org • (973) 783-6300 Histology of bone Coronal core harvested after 5 months of healing following ridge preservation using Zcore™ 0.25-1.0 mm MORE SPACE particle size H&E staining FOR VITAL BONE Magnification x4 88% to 95% void space: The hyper-porosity of Zcore’s porcine cancellous

matrix, and inter-particle space facilitated by rough particle morphology, Apical

reduce bulk density of the graft, allowing greater empty space for new Vital bone ingrowth into the bone growth.* inter-particle space of Zcore™

Magnification x20

Magnification x40

Zcore™ is an osteoconductive, porous, anorganic bone mineral with a carbonate apatite structure derived from porcine cancellous bone.

Case and histology courtesy of *0.25 mm - 1.0 mm particle size = 88% void space, 1.0 mm - 2.0 mm = 95% void space 1. Li ST, Chen HC, Yuen D. Gustavo Avila-Ortîz, DDS, MS, PhD Isolation and Characterization of a Porous Carbonate Apatite From Porcine Cancellous Bone. Science, Technology, University of Iowa College of Dentistry, Innovation, Aug. 2014: 1-13. Department of Periodontics

porcine xenograft particulate

osteogenics.com | 888.796.1923 ICOI Autumn Congress in Singapore Continued from front page. POSTER: Changing an Implant-supported Overdenture to Implant with Fixed Bridge & RPD; Dr. Wen Sheng Cheng (Kaohsiung City, Taiwan) Piezolift Technique; Dr. Omkar Shetye (Goa, India) POSTER: Unilateral Zygomatic Implant for Management of Class II Maxillary Defect for Fixed Prosthetic Rehabilitation; Dr. Andrew Thorpe (Mackay, Australia) POSTER: Latex Barriers in Place of Primary Closure; Dr. Wendy Wang et al. (New York, USA) POSTER: Clinical Implication of Soft Tissue Augmentation Prior to Hard Tissue Augmentation; and Dr. Michael Zaninovich (Perth, Australia) POSTER: Immediate Implant Placement and Non-Functional Loading for the Replacement of a Maxillary Central Incisor. (From left to right) Drs. Yoji Nishikawa, Ady Palti and Senichi Suzuki The proud winners of the competition were: in Singapore. First Place: Dr. Michael Zaninovich (Perth, Australia) On Friday, October 28, 2016, the ICOI Autumn Congress at the POSTER: Immediate Implant Placement and Non-Functional Raffles City Convention Centre in Singapore with delegates from Loading for the Replacement of a Maxillary Central Incisor over 30 countries began with Dr. Andrea Agnini, “The Role of Second Place: Dr. Lincoln Harris (Bargara, Australia) New Technology in Everyday Patient’s Care”, Dr. Howard Let Nature Provide: Socket Shields and Ortho Extrusion Gluckman, “Partial Extraction Therapies, Techniques to Prevent Ridge Collapse”, Dr. Hyunjong Kim “Clinical Availability for Tied for Third Place: Implant Surgery Using Dental Fluoroscope” and finishing up the Dr. Nur Affendi et al. (New York, USA) POSTER: A Surgical morning session was Dr. Loke Weiqiang “Incorporating Digital Technique to Enhance Coronal Contour of Alveolar Ridge Solutions for Implant-Based Reconstructions: Understanding the Drs. Koji Ikeda, Wataru Hatakeyama, Hisatomo Kondo Advantages and Limitations”. After lunch the lectures continued (Morioka, Japan) POSTER: Bone Regeneration Using with Dr. Thomas Giblin “Incorporating Digital Dentistry into the Pressed Nano-apatite/collagen Composites in Rat Cranial Modern Implant Practice” and Prof. Dong-Seok Sohn “Simplified Bone Defects Ridge and Sinus Augmentation using Piezoelectric Bone Surgery and Sticky Bone in Implant Dentistry”. Dr. Gerard Scortecci started things off on Saturday morning with his lecture “How Far Can We Go Today with Digital Oral Implantology?”, followed by Dr. Lawrence Lau “Guided Implantology Using CEREC/CBCT Integration”, Dr. Konstantinos Valavanis “The Marginal Migration Concept: A Surgical-Prosthetic Approach to Enhance the Perimplant Tissues” and Dr. Teruaki Homma “Future Implant Prosthetic Protocol- Using Intra Oral Scan for Implant Restoration” finished out the morning. The afternoon session began with Dr. First Place Winner, Second Place Winner, Henry Ho “Tissue Stability - A Balance of Biology and Dr. Michael Zaninovich Dr. Lincoln Harris Technology”, Dr. Ady Palti “Narrow Ridge Implant Solutions: The Ultimate Concept”, Mr. Livio Yoshinaga “Digital Workflow in Dentistry – DSD and SKYN Concept – Designing and Delivering High End Aesthetic Restorations” and Dr. Wendy Wang finished out the day with her lecture “Safety Zone Revisited - A Paradigm Shift in Treatment Planning”. Substantial participation came from Australia, Japan, Malaysia, Singapore, Korea, Taiwan and Thailand. The delegates were extremely pleased with the program designed Third Place Winner, Third Place Winner, by Dr. Ady Palti from Baden Baden, Germany, President of Dr. Nur Affendi Dr. Koji Ikeda ICOI Europe.

Continued on next page.

ICOI WORLD NEWS • February 2017 3 ICOI Autumn Congress in Singapore Continued from previous page.

Again an Awards Ceremony was held before the Gala Dinner. 19 Diplomates, 6 Masters and 66 Fellowships were pronounced. ICOI President, Dr. Gerard Scortecci officiated with Dr. Kenneth Judy and Dr. Ady Palti. RECEIVING THEIR FELLOWSHIP CERTIFICATES WERE THE FOLLOWING: Dr. Tatsuhiro Akune – Nagoya City, Japan Dr. Maria Avis – Bondi Junction, NSW, Australia Dr. Thirupathi Reddy Banda – Butterworth, Penang, Malaysia Dr. Pradeep Kumar Bholla – Butterworth, Penang, Malaysia Dr. Po-Ching Chen – Taipei City, Taiwan ROC Dr. James Chien – Maryborough, QLD, Australia Dr. Grace Chin – Hsinchu City, Taiwan ROC Dr. Chye Kiat Eric Chionh – Singapore Dr. Soon Tsing Chong – Kolombong, Kota Kinabalu, Sabah, Malaysia Dr. Daniel Wen Chien Choong – Kota Kinabalu, Sabah, Malaysia Dr. Oliver Cvekus – Mosman, Australia Dr. Amruta Dash – Bangalore, India Dr. Peter Dayman – Potts Point, Australia Dr. Kurt Dean – Maroubra, NSW, Australia Dr. Lois WJ Ding – Selangor, Malaysia Dr. Wannapa Dusitsoonthornkul – Mueangpichit, Thailand Dr. Salama S. El Soukkary – Doha, Qatar Dr. Jamal Elrouiny – Albaha, Saudi Arabia Dr. Hideaki Ema – Chuou City, Japan Dr. Howard L. Gluckman – Cape Town, ICOI Fellowship recipients in Singapore. South Africa Dr. Sarun Gosonjitboun – Huai Khwang, Thailand Dr. Rajendra Prasad Jasthi – Coolangatta, Dr. Daishi Kikuta – Tokyo, Japan Dr. Mirna Hakim – Jakarta, Indonesia Queensland, Australia Dr. Tachakorn Kuntiyaratana – Muang, Dr. Lincoln Harris – Bargara, QLD, Dr. Duangporn Jirawathanapirom – Bangkok, Thailand Australia Thailand Dr. Harunobu Kurosawa – Tokyo, Japan Dr. Ryoji Hirate – Matsudo City, Japan Dr. Navin Kander – Sydney, Australia Dr. Tomohiko Kutsuna – Tsu-city, Japan Dr. Jae-Man Hong – Chatswood, NSW, Dr. Michio Kato – Yokohama City, Japan Dr. Lawrence Lau – Sylvania Waters, Australia Dr. Navinder Kaur – Shah Alam, Selangar, NSW, Australia Dr. Yuta Ichikawa – Setagaya-ku, Japan Malaysia Dr. Le Na Lau – Kota Kemuning, Shah Dr. Morio Imai – Tougane-city, Japan Dr. Jeremy Boon Kee Khoo – Kota Kinabalu, Alam, Malaysia Malaysia

4 ICOI WORLD NEWS • February 2017 Dr. Ying Shian Lin – Taichung City, Taiwan ROC Dr. Leh Min Ling – Bandar Bukit Puchong/ Selanger, Malaysia Dr. Kamaraj Loganathan – Butterworth, Penang, Malaysia Dr. Senthil Kumar M.S – Coimbatore, India Dr. Boon Siew Ng – Shah Alam, Selangor, Malaysia Dr. Inn Wo Ng – Shah Alam, Selangor, Malaysia Dr. Chanika Owatsakul – Mueang, Thailand Dr. Nikunj Patel – Shah Alam, Selanger, Malaysia ICOI Mastership recipients in Singapore. Dr. Adelina Petrova – Markham, ON, Canada Dr. Ake Puapunsawat – Prawet, Thailand Dr. Chakravarthy Ramasamy – Buraidah, Saudi Arabia Dr. Tom Shao – Palm Beach, Australia Dr. Omkar Anand Shetye – Goa, India Dr. Charles P. Sia – Cebu, Philippines Dr. Devinder Singh – Kajang, Malaysia Dr. Techanit Sirirat – Mueng, Thailand Dr. Mohamed Hassanin Soliman – Doha, Qatar Dr. Eli Sweiry – Virginia Beach, VA Dr. Ikumi Tanimoto – Takamatsushi, Japan Dr. Andrew Thorpe – Mackay, QLD, ICOI Diplomate recipients in Singapore. Australia Dr. Johnny Tien – Lake Stevens, WA, United Dr. Lawrence Lau – Sylvania Waters, NSW, Dr. Tse – Jung Ho – New Taipei City, States Australia Taiwan ROC Dr. Masatoshi Tokunaga – Katsushika-ku, Dr. Omkar Anand Shetye – Goa, India Dr. Liang-Lin Hu – Tainan City, Taiwan Japan Dr. Andrew Thorpe – Mackay, QLD, Australia ROC Dr. Toshiko Toyoda – Sakurai-city, Japan Dr. Alfred Tsang – Wahroonga, NSW, Australia Dr. Nur Hafizah Kamar Affendi – Sungai Dr. Alfred Tsang – Wahroonga, NSW, Buloh Selangor, Malaysia Australia Dr. Seita Kitamura – Kochi City, Japan Dr. Lap Tak Wong – Perth, WA, Australia Proudly obtaining the highest award that Dr. Miyako Morita – Kitakyushu, Fukuoka, Dr. Kunihiko Yamada – Kawagoe City, ICOI offers were these DIPLOMATES Japan Japan WHO ARE SHOWN WITH THEIR Dr. Jagdeep Sekhon – Fivedock, NSW, Dr. Koji Yamamoto – Ama City, Japan MEDALLIONS: Australia Dr. Tai-Jung Yeh – Taipei City, Taiwan Dr. Hazlina Abdul Ghani – New York, NY Dr. Vijendra Pal Singh – Melaka, Malaysia ROC Dr. Abby Abraham – Chennai, India Dr. Andrew Thorpe – Mackay, QLD, Dr. Po-Ching Chen – Taipei City,Taiwan Australia PRESENTED WITH THEIR ROC Dr. Sekar Vigneswaran – Chennai, Tamil CERTIFICATES AND MEDALLIONS Dr. Yung-Chang Chen – Taichung, Taiwan Nadu, India WERE OUR NEWEST MASTERS: ROC Dr. Tai-Jung Yeh – Taipei City, Taiwan Dr. Howard L. Gluckman – Cape Town, South Dr. Maria Avis – Bondi Juction, NSW, ROC Africa Australia Dr. Hui Zhai – Shenzhen, Peoples Republic Dr. Lincoln Harris – Bargara, QLD, Dr. Peter Dayman – Potts Point, Australia of China Australia Continued on next page.

ICOI WORLD NEWS • February 2017 5 ICOI Autumn Congress in Singapore Continued from previous page.

Delegates further enjoyed a “Gala Evening” on Friday, October 28th - dinner music, mild music, dancing, revelry, etc. Emphasis on camaraderie, family…the joy of the ICOI.

ICOI delegates and guests enjoying the Gala Dinner on Friday evening at the Raffles City Convention Centre in Singapore.

An ICOI Board Meeting was held with Japanese Leaders during the Singapore Congress with (from left to right, bottom row) Executive Director Betty Lukacs, Dr. Kenneth Judy and Dr. Ady Palti.

6 ICOI WORLD NEWS • February 2017

27th Annual NYU/ICOI Implant Symposium

On Saturday, November 5, 2016, a joint implant symposium was presented at NYU with the ICOI as its partner. The sponsors were the Ashman Department of Periodontology and Implant Dentistry and the ICOI. The program and speakers were introduced by Dr. Peter M. Loomer and Dr. Kenneth W.M. Judy. The speakers were Dr. Stephen Chu, “Maximizing the Aesthetic Result: The Scope of the Problem”; Dr. Ady Palti, “Full Arch Aesthetics in the Daily Practice: A Step-by-Step Approach to Achieving Long-Term Success”; Dr. Joseph Kan, “Inter-Implant Papilla Management in the Esthetic Zone”; Dr. Guido Sarnachiaro, “Managing Implants Placed into Postextraction Sockets with Dentoalveolar Defects”; Dr. Homa Zadeh, “Immediate versus Delayed Implant Placement: Biological, Surgical and Practical Considerations”; Dr. Fabio Scutella, “Influence of the Restorative Abutment Morphology Over the Peri-Implant Soft Tissue”; and Dr. Richard Kraut, “Bone Morphogenic Protein Grafts as a Basics for Implant Solutions”. Over 250 delegates participated from over 20 countries, filling the Septodont Lecture Hall. As usual, an ICOI Awards Ceremony for Advanced Credentials followed the scientific program. 16 Diplomates were presented, 2 Masterships were presented, and 53 Fellowships were awarded.

RECEIVING THEIR FELLOWSHIP Dr. Timothy Brosnan – Broomall, PA Dr. Carlos Diaz-Maurino – Madrid, Spain CERTIFICATES WERE THE Dr. Giuseppe Cicero – New York, NY Dr. Edward Dominguez – Union, NJ FOLLOWING: Dr. Joseph Como – Hempstead, NY Dr. Michelle Epshteyn – Union, NJ Dr. Alaa AlQutub – Boston, MA Dr. Hoa Huynh Dao – Brampton, ON- Dr. Chinedu Ezeji-Okoye – Calgary, AB, Dr. Vidyadharan Arun – New York, NY Canada Canada Dr. Guiseppe Bianco – Rome, Italy Dr. Randall Davis – Manalapan, NJ Dr. Armando Fernandez – New York, NY Dr. Amma Afrakom Boateng – New York, NY Dr. Roque de Oliveira – Portugal Dr. Miguel Figueroa – Danbury, CT

ICOI Fellowship Recipients at the 27th Annual NYU/ICOI Implant Symposium. Congratulations to Dr. Sang-Choon Cho.

8 ICOI WORLD NEWS • February 2017 Dr. Samuel First – Merrick, NY Dr. Yiska Furman – Fair Lawn, NJ Dr. Kemi Gerfen – Danbury, CT Dr. Assaad Germanos – Laval, QC, Canada Dr. Alessandro Grisa – New York, NY Dr. Arshin Hotchandani – New York, NY Dr. Richard Howes – Livermore, CA Dr. Yu Huang – Green Brook, NJ Dr. Jaime Jimenez – New York, NY Dr. Vernon Koo – Woodbridge, ON, Canada Dr. Andrew Kung – Plano, TX Dr. Shu-Wei Kuo – New York, NY Dr. Kyanduhkta Kalantari, a late Fellowship ICOI Mastership Recipients at NYU. (left to right, Dr. Daeseop Lee – New York, NY presentation. back row) Drs. Ady Palti, Kenneth Judy and Sang- Dr. Drew Markham – Huntsville, ON, Choon Cho. Canada Dr. Ehsan Mossavi – Roseville, CA Dr. Mazen Natour – New York, NY Dr. Lana Nguyen – Glen Mills, PA Dr. Nelson Nogueira – Penafiel, Portugal Dr. Dheeraj Pamidimukkala – Portland, ME Dr. Matthew Parker – Glendale, AZ Dr. Eirini Paroutoglou – New York, NY Dr. Alex Parshin – Staten Island, NY Dr. Nuno Pereira – Vila Nova de Gaia, Portugal ICOI Diplomate Recipients at NYU, ICOI’s highest award. Dr. Leena Ponnapalli – Doral, FL Dr. Amelie Prevost – L’Assomption, QC, Canada PRESENTED WITH THEIR Dr. Guillaume Choucroun – New York, Dr. Daniela Marie Punzalan – San CERTIFICATES AND MEDALLIONS NY Antonio, TX WERE OUR NEWEST MASTERS: Dr. Roque B. de Oliveira – Portugal Dr. Brian Redditt – Brook Park, OH Dr. Al-Mabrouk Emhemed Kernaf – Dr. Salvatore Florio – Piazza, Armerina, Italy Dr. George Schmidt – Cedar Knolls, NJ East Elmhurst, NY Prof. Jaime Jimenez – New York, NY Dr. Jeffrey Scolnick – New York, NY Dr. Rupinder Mann – Harrisburg, PA Dr. Ahmad Kutkut – Lexington, KY Dr. Alejandra Seguel – New York, NY Dr. Ana Sofia Lopes – New York, NY Dr. Kate Shusterman – Philadelphia, PA Proudly obtaining the highest Dr. Mazen Natour – New York, NY Dr. Raj Sinha – Somerset, NJ award that ICOI offers were these Dr. Thomas Pellech – New York, NY Dr. Selina Somji – New York, NY DIPLOMATES WHO ARE SHOWN Dr. Jeffrey Scolnick – New York, NY Dr. Delsaz Sultan – Oak Brook, IL WITH THEIR MEDALLIONS: Dr. Ye Shi – New York, NY Dr. Huzefa Talib – New York, NY Dr. Abdullah S. Alodadi – Hackensack, Dr. Huzefa Talib – New York, NY Dr. Benjamin Taylor – Louisville, KY NJ Dr. Omid D. Termechi – Cedarhurst, Dr. Maria Trusca – Toronto, ON, Canada Dr. Guiseppe Bianco – Rome, Italy NY Dr. Che-wei Yeh – New York, NY Dr. Lara Ceballos – New York, NY Dr. Wendy Chia-Wei Wang – New York, NY

The delegates were generous in the praise for a spectacular program, as well as an efficient presentation of awards. Dr. Sang-Choon Cho and Dr. Kenneth Judy worked so as not to delay delegates late on a Saturday evening. Dr. Judy thanked Drs. Cho, Loomer and Mr. Kendall Beacham for their enthusiastic support and participation. Next year we will meet again on November 11, 2017. Dr. Takanori Suzuki acted as our “official” photographer. We express our gratitude to him as all photographs are presented here in this newsletter.

ICOI WORLD NEWS • February 2017 9 7th Annual Columbia University/ICOI Dental Implant Symposium On Saturday December 10, 2016 the Annual ICOI/CDM program took place at The Columbia University Medical Center in New York. “Practical Techniques and Emerging Trends in Implantology” was designed and moderated by Dr. Dennis Tarnow. Over 350 people attended and two auditoriums had to be used. Opening comments were made by Dr. Kenneth Judy, Dr. Dennis Tarnow and Dr. Christian Stohler. Eight speakers presented their material. Dr. Gary Greenstein: Utilization of d-PTFE Barriers for Post- Extraction Bone Regeneration in Preparation for Dental Implants; Dr. Alessandro Pozzi: Digital Minimal Invasiveness: Biologic Integration & Esthetics; Dr. Edward P. Allen: Minimally Invasive Soft Tissue ICOI Diplomate Recipient. Grafting for Treatment of Deficiencies around Implants; Dr. Stephen Chu: Immediate Implant Therapy with Teeth and Pontics in the Esthetic Zone; Dr. Carlos Aparicio Magallon: Achieving patient specific therapy through “The Zygoma Anatomy-Guided Approach” (ZAGA) and specific implant design. The Zygomatic Success Code (ZSC); Dr. Abdelsalam Elaskary: Implant Related Gingival Recession: Etiology, Classifications and Innovative Treatment Protocol; Dr. Hom-Lay Wang: Current Status in Horizontal and Vertical Bone Augmentation; Dr. John Kois: Predictable Single Tooth Peri-implant Esthetics: Five Diagnostic Keys. An ICOI Advanced Credentials presentation followed the symposium. The following doctors received 14 diplomates, 1 Mastership and 44 Fellows: RECEIVING THEIR FELLOWSHIP PRESENTED WITH HIS CERTIFICATE AND CERTIFICATES WERE THE FOLLOWING: MEDALLION WAS OUR NEWEST MASTER: Dr. Ezzat Abdoun – Front Royal, VA Dr. David G. Nill – Fairfield, CT Dr. Toshitaka Abe – Shinyukuku, Tokyo, Japan Proudly obtaining the highest award that Dr. Mostafa M. Aboulkhair – Fairfax, VA ICOI offers were these DIPLOMATES WHO Dr. Elo C. Adibe – Monroe Township, NJ Dr. Majdi Aladmawy – Boston, MA RECEIVED THEIR MEDALLIONS: Dr. Toshitaka Abe – Dr. Shikhah Alajmi – Conshohocken, PA Shinyukuku, Tokyo, Japan Dr. Kiyonori Arai – Dr. Hina Ali – Richmond, VA Osaka City, Osaka-Fu, Japan Dr. Michael Bleyzer – Dr. Lauren Andreolas – Sarasota, FL Pomona, NY Dr. Barry I. Cohen – ICOI Master Recipient. Dr. Michael Bleyzer – Pomona, NY Drexel Hill, PA Dr. Bruce D. Haber – Dr. LaDerrick D. Bullock – Marlton, NJ New York, NY Dr. Kenichiro Hayashi – Dr. Nabeel Cajee – Stockton, CA Yokohama-shi, Kanagawa-ken, Japan Dr. Shinji Igami – Dr. Alan S. Chien – Brooklyn, NY Ichinomiya City, Aichi-ken, Japan Dr. Hiroaki Inazawa – Dr. Samantha Cho – Vernon Hills, IL Hirado-shi, Nagasaki, Japan Dr. Ikuro Kato – Dr. Bing Dai – Farmington, CT Okazaki City, Aichi-Ken Japan Dr. Hideto Masuda – Dr. Anthony Do – McKinney, TX Toyonaka City, Japan Dr. Yasuteru Nagai – Dr. Ashley M. Dubois – Destin, FL Amagasaki City, Hyogo-ken, Japan Dr. Shinichiro Nakamura – Dr. Jyoti Farwaha – Nashville, TN Kadoma City, Osaka-fu, Japan Dr. Takehito Nakamura – Dr. Alec Ganci – Port Washington, NY Sodegaura City, Chiba Ken, Japan Dr. Takuya Saito – Dr. Michael Hoge – Alexandria, VA Isesaki City, Gunma-Ken, Japan Dr. Hiroaki Togashi – Dr. Shinji Igami – Ichinomiya City, Aichi-ken, Japan Kashima, Saga-Ken, Japan Dr. Hiroaki Inazawa – Hirado-shi, Nagasaki, Japan Dr. Parul Jain – Atlanta, GA Dr. Amit Kalavadiya – Quakertown, PA Dr. David Keller – Vancouver, WA Dr. Crystal Kim – Orlando, FL Dr. Matthew Kim – Stamford, CT Dr. Seunghyun Lee – Shelton, CT Dr. Hideto Masuda – Toyonaka City, Japan Dr. Shahrad Mavandadi – Brantford, ON, Canada Dr. Andrew Moshman – Brooklyn, NY ICOI Fellowship Recipients.

10 ICOI WORLD NEWS • February 2017 ICOI Fellowship Recipients Continued. ICOI Diplomate Recipients.

Additional ICOI Diplomate Recipients at the 7th Annual Columbia University/ICOI Dental Implant Symposium.

ICOI WORLD NEWS • February 2017 11 ICOI at the Greater New York Dental Meeting

The Greater New York Dental Meeting this year hosted over 50,000 attendees for multiple days November 25th – 30th. The GNYDM organized an Implant Expo and the educational material was presented by the ICOI and the AAID, just as last year. We are extremely grateful to Drs. James Doundoulakis and Ian Lerner who again helped us put this program together and will be doing the same next year. ICOI educators at the GNYDM were: Dr. Louie Al-Faraje from San Diego, CA, USA, Dr. Nabil Barakat from Beirut, Lebanon, Dr. Jack Hahn from Cincinnati, OH, USA, Dr. Samuel Lee from Buena Park, CA, USA, Dr. Ady Palti from Baden Baden, Germany, Dr. Guido Sarnachiaro from New York, NY, USA, Dr. Michael Sonick from Fairfield, CT, USA, and Dr. Mario Vilardi from Fishkill, NY, USA. Any income that was generated from the workshops/seminars was given to the GNYDM to use for poster presentation awards. This year the winners were: First Place: Mr. Avrekh Ariy; Second Place: Dr. Selina Somji; Third Place: Drs. Eirini Paroutoglou and Stephen Chi.

1st place Mr. Avrekh Ariy from Columbia University 2nd place winner Dr. Selina Somji 3rd place winner Dr. Eirini Paroutoglou from (center), flanked by Dr. Ken Judy (left) and Dr. Jim from NYU (right). NYU (center) with Dr. Ken Judy (left) and Dr. Jim Doundoulakis (right). Doundoulakis (right).

ICD at the Greater New York Dental Meeting The International College of Dentists held a special induction ceremony at the GNYDM. ICOI members who received Fellowship (FICD) were, Dr. Ramiro Alfaro Arellano, Dr. Bruce Haber, Dr. Thomas Magnani, Dr. Sang-Choon Cho, Dr. Stuart Froum, Dr. Scott Ganz, Dr. Scott McFarlane, Dr. Avi Schetritt, Dr. Ron Bulard, and Dr. Luis Grisolia. Additionally, five doctors from Cuba were recognized and received their fellowships. This was especially appropriate since a Cuban dentist was one of two of the original ICD founders years ago. This year Dra. Estela De Los Angeles Gispert Abreu was especially noted. She has served as the President of the Cuban Society of Stomatology since 2007.

Recipients of ICD Fellowship at the GNYDM November 27th.

12 ICOI WORLD NEWS • February 2017 ADIA NEWS Great news!! The ADIA has launched its new website (www.adiaonline.org). This is one of many steps the ADIA has taken over the last few months in fulfilling its mission to provide ADIA members with the most up to date dental implant education. The new website has a clean, bold look and includes a new classified section. This section will allow ADIA and ICOI members to post available positions and for ADIA members looking for new career opportunities to post their bios. The new website will also have a literature review section with links to recent articles of interest to dental implant auxiliaries. The new ADIA website is a true resource for all its members. Additionally, the ADIA program for future meetings will feature some exciting new changes. The auxiliaries will start the meeting with their doctors in the main auditorium on Thursday afternoon. Thus the entire dental team can start the meeting together and benefit from the main podium speakers. Friday mornings there will be an ADIA breakfast that will kick off a day of world renowned podium speakers. On Saturday, auxiliaries can attend one of four advanced certification courses. Advanced certification courses are available for assistants, hygienists, practice managers and implant coordinators. These full day courses provide education focused on the specific knowledge and skills necessary to become an integral and indispensable part of the dental implant team. The newly introduced ADIA table clinic presentations will take place alongside the ICOI table clinic and poster presentations. These 8-10 minute presentations will allow auxiliaries to share their clinical knowledge/experiences with their peers and doctors as well as promote the team approach to implant dentistry. We personally invite you to bring your entire dental team to the next ICOI meeting and let them experience the ADIA program. We promise you that your team will return to the office energized with a wealth of new information. Dr. Avi Schetritt, ADIA Executive Director

ICOI NEW IMPLANT GLOSSARY ICOI has created a new glossary of implant dentistry that is digital and can be accessed online by visiting www.icoi.org. This glossary has been created by the efforts of many and is free to all. Not just ICOI members. It is now being translated into several languages. We will greatly insure wide translation by utilizing IDREF connections to engage interested parties, for further translation now that we have gone live. A glossary committee will be created and it will evaluate any corrections or additions that any interested party might suggest. It will therefore be a “living document”, but one that is also copyrighted. It would be remiss if we did not thank Drs. Jalbout, Taborian, Ganz, Palti and many others who have made this document come to fruition.

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ICOI WORLD NEWS • February 2017 13 ICOI World News_ZDS_FTx_half_DEC_r2.indd 1 12/22/16 9:57 AM AroundThe World

EUROPE ICOI Further Extends Their European Presence

The ICOI was founded in 1972 and its primary mission has The ICOI will keep all existing relations with local partner societies. always been to globally educate all implant team members. However, other doctors interested in becoming ICOI members However, the ICOI has supported research world wide by without belonging to a local society can DIRECTLY join ICOI issuing grants through our Implant Dentistry Research & Europe and their local country Chapter. Education Foundation (IDREF). After 45 years of international The ICOI is also the FDI partner in research and education in activities and delivering implant education in more than 100 the implant field for the next four years. Our first project Countries, we decided to act on the individual needs of every concerns research of PERIIMPLANTITIS, classification and special geographical region and especially the EMEA (Europe, treatment protocols. Middle East, Africa) area. For the first time in 45 years the ICOI created a multilingual ICOI Europe Activities web site for the the most heterogenous Continent on our globe. The languages that are currently translated are Arabic, Chinese, ICOI Europe activities will be able to expand implant education at English, Farsi, French, German, Hebrew, Italian, Japanese, the highest level in each country and support local doctors to achieve Korean, Polish, Portuguese, Russian, Spanish, Thai and credentials in their country. Vietnamese. ICOI Fellow, Master and Diplomate credentials are offered to At www.icoi.org , www.icoieu.org , www.icoiap.org you can our EMEA members .The diplomate status has a European title find all information regarding ICOI activities worldwide. “EXPERT in ORAL IMPLANTOLOGY of ICOI EUROPE.” This is also an ICOI European trademark. This was necessary to adapt to the different needs and problems related to implant dentistry education, and regulations, country by country, to coordinate and guide all these activities. The ICOI nominated Dr. Ady Palti to be the Director of ICOI Europe. He is also our Co-chairman for Advanced Credentialing and Continuing Education programs.

Participants at the ICOI/DGOI Curriculum in Baden Baden, Germany December 2-3, 2016. Last weekend of a successful Implant Curriculum.

14 ICOI WORLD NEWS • February 2017 The First Europe Meeting ICOI Europe Leaders and

The First Europe Meeting will be held June 8-10, 2017 in Cracow, Educators Poland. We will also host a Consensus Conference on “Standards of We are very proud to have a fantastic groupe of leaders and Care for the Edentulous Mandible” to describe solutions for this special unique educators in the EMEA region. We can deliver a area that have long term success and predictable results. Hope to see you unique start for you in your implant office. there. We hope to help our local members creating successful meetings and Study Clubs in their areas. Our Clinical Educators are most superb in their field. The ICOI Deutschland and EMEA Curriculum is a unique Advantages for ICOI and combination of teachings by well advanced clinicians and “ICOI Europe” Members researchers in the dental community. • Prof. Fouad Khoury & team, Olsberg We would like our members to become leaders in their individual • Prof. Axel Buman & team, Berlin countries. • Drs. Elmar Frank & team, Besigheim We will deliver to each ICOI member every year 60 FREE dental/ implant animations for Patient Education (dentalmaster.com). • Dr Roland Török & team, Nürnberg This will give every member the possibility to explain and demonstrate • Dr. Howie Gluckman, South Africa multiple implant procedures. • Prof. Ady Palti & team, Baden Baden Our European members will get “ORALE IMPLANTOLOGIE” as a clinical Journal with case presentions and step by step description This is only a partial list of our leaders and educators. of implant procedures in the daily implant practice and of course our The ICOI will deliver in the future multiple curricula in Implant Dentistry journal (with its Impact Factor). different areas in the world upon request of local members. We also are delivering Implant Curricula for every level of the entire team. Join us and be a member of the most Basic Curriculum from ICOI educators for future implantologists. 16 energetic, dynamic global implant society days of implant education with hands on and live surgeries in different in the world. locations. This basic education will currently be delivered in German/ English or other languages upon request. The next level will be training for Prosthetic Masters, 4 weekends of Digital and Prosthetic Education including TMD and occlusion aspects, for doctors who want to focus on prosthetic restorations and obtain the ICOI Master credential certificate. The third level of education will be the Advanced Curriculum for future Diplomates/ Experts in Oral Implatology. These Curricula in combination with our local Study Clubs, meetings & symposia will deliver the most complete implant education a doctor and his team needs for a successful implant practice. WE TAKE YOU TO THE TOP! We will implement Young Implantologists in New ICOI Europe members, (Left to right) Dr. Rexa Ivan Camara from Slovakia, Matthias our programs worldwide so we can support Matthes, Dentegris, Dr. Ady Palti, Dr. Jan Palti, Dr. Bianca Toeroek & Dr. Roland Torok from talented speakers in cooperation with different Nuernberg, ICOI Deutschland, Dr. Rouxinol Jorge Dos Santos from Portugal and Prof. Tavares societies or study clubs. Vitor from Portugal.

ICOI WORLD NEWS • February 2017 15 AroundThe World

INDIA Thank You From Dr. Verma, New Delhi AAID President, Dr. Shankar Iyar (From left to right) Betty Lukacs, Prof. Mahesh Verma (left) Dear Dr. Scortecci, (left) and ICOI Co-chairman, Dr. Natalie Wong and Dr. presenting Dr. Kenneth Judy It was wonderful having you over during Dr. Kenneth Judy (right). Kenneth Judy. (right) an award on the 10th World Congress for Oral dance floor. Implantology & AAID Global Conference 2016. It was sheer privilege for us to involve ICOI as partner organization for 10th WCOI meeting. I was delighted to meet you and Dr. Ken Judy during the meeting. I thank you both profusely for the honor granted to me. My gratitude to the entire ICOI leadership for their contribution towards the success of 10th World Congress for Oral Implantology & AAID Global Conference 2016. I look forward to be working with you in all your future endeavors. Best regards, Prof. Mahesh Verma

ICOI also presented Prof. Mahesh Verma with an Honorary Diplomate, an extremely rare honor. ICOI award recipients at the 10th World Congress for Oral Implantology 2016 in India.

CAMAROON AUSTRALIA

Dr. Agbor Michael Ashu, implant trained by Dr. Chris Ogunsalu in Jamaica where he obtained his Fellowship and Mastership in the ICOI, has been appointed Dean of Faculty at the Universite de Montagnes, Cameroon, Africa. The International Postgraduate Medical College Dr. Barry Phelan receiving his ICOI in Jamaica is proud of its alumnus. Fellowship from Dr. Ady Palti at the ASID implant curriculum, level 3 in Sydney, Australia.

16 ICOI WORLD NEWS • February 2017 SPAIN Dr. Antonio Coppel From SEI Brings a Group of Fellow Recipients to New York City

(From left to right) Drs. Jose Antonio Blanco Rueda, Jennifer Gutierrez Otero, Pedro Consuegra Diez, Juan Delgado Martinez, Roberto Lopez Piriz, Antonio Coppel, Sara Pizarro Solis, Rene Horvilleur, Isabel Gonzalez Bueso, Ady Palti and Ana Adell-Perez.

TAIWAN

ICOI Taiwanese doctors attending an Asia-Pacific renewal seminar with (center) Dr. Yu-Hua Chu presiding.

ICOI WORLD NEWS • February 2017 17 Itemsof Interest IDREF 2016 CONTRIBUTORS ICOI’s Implant Dentistry Research and Education Foundation (IDREF) was established in 1993 in order to substantially advance the science and quality of practice of implant dentistry and to foster high standards of research and education for all dental professionals. Through IDREF the ICOI raises needed funds to support these goals.

Dr. Lazaro Acosta Dr. Jason D. Conforti Dr. Donald L. Ingalls Dr. Clara Macias Dr. Billie Adams Dr. Mark A. Craig Dr. Andrew Ingel Dr. G. David MacKenzie Dr. Florentino Afonso Dr. Randall Davis Dr. Steve R. Irwin Dr. William L. Maffett Dr. Omair Ahmed Dr. Christian A. de Werth Dr. Brian E. Jackson Dr. Robert J. Mailloux Dr. Stephen Akseizer Dr. Joseph G. DeFrancesco Dr. John F. Jamnik Dr. David L. Maisey Dr. Todd J. Amus Dr. Ronald Anthony Delmanto Dr. Jedidiah Janisse Dr. Chuck Majors, III Dr. Paul E. Anderson, Jr. Dr. Stephen DeMarco Dr. Kenneth W.M. Judy Dr. Stephen T.E. Malfair Dr. Glen M. Applebaum Dr. Timothy Devitt Dr. Salim Kamani Dr. Shibly D. Malouf, Jr. Dr. Karen Arakelian Dr. David Domaas Dr. Herbert M. Kanter Dr. Peter Maragos Dr. John K. Argeros Dr. Michael J. Doucet Dr. Paul M. Kaput Mr. Georgios Margaritis Dr. Robin D. Ashford Dr. Gary E. Drake Dr. Gregg L. Kassan Dr. Jane F. Martone Dr. Khurrum Masood Ashraf Dr. Matthew J. Drbohlav Dr. David W. Kelliny Dr. Venu Maturi Dr. Kaya Aygen Dr. Mark F. DuVernois Dr. William Kenner, V Dr. David V. Mazza Dr. Stephen N. Bakios Dr. Nasser Emami Dr. Karl Kim Dr. Tommy McGee Dr. Peter Balogh Dr. Steven Feldman Dr. Istvan Kinizsi Dr. Matthew S. Menasco Dr. Robert W. Berstecher Dr. Edward A. Fletcher Dr. Elizabeth D. Kilpatrick-Fox Dr. Craig R. Merrihew Dr. Lion Berzin Dr. Roy V. Forbes Dr. Michael Gregory Kirsch Dr. Charles P. Michael Dr. Jake Bessie Dr. Barton H. Foutz Dr. John S. Kitzmiller, III Dr. Jack O. Mills Dr. George A. Betancourt Dr. Kevin T. Fox Dr. Kurt W. Kline Dr. Ted E. Mioduski III Dr. Deepak K. Bhagat Dr. Adam A. Francois Dr. Rick L. Kline Dr. Hideki Miyatani Dr. Rahim Bhanji Dr. Barry R. Franzen Dr. Mark Alan Kochman Dr. Pio Z. Modi Dr. Girish Bharadwaj Dr. William James Friedel Dr. Karl Koerner Dr. Stan Montee Dr. David A. Blaustein Dr. Michael F. Fuller Dr. Richard A. Kolen Dr. J. Peyton Moore Dr. Joseph G. Bonkowski, Jr. Dr. Matthew D. Geddes Dr. John P. Krueger Dr. Daniel T. Morof Dr. Mark S. Bowman Dr. Larry E. Gilman Dr. Keith E. Krueger Dr. Mercedes Mota-Martinez Dr. Tab A. Boyle Mr. John R. Godair Dr. Devin H. Kuller Dr. David A. Mugford Dr. Michael R. Breault Dr. Andrew M. Goldsmith Dr. Franklin Alan Landers Dr. Rudra Deep Mukherjee Dr. Mark S. Briskin Dr. Philip D. Gole Dr. Rudolph L. Lantelme Dr. K. Michael Murphy Dr. John L. Burkman Dr. Steven C. Graham Dr. Wai Lau Dr. Kunwar Nagpal Dr. Ronald C.D. Butler Dr. Jordan K. Grant Dr. Chinh N. Le Dr. Amin K.F. Nanji Dr. Louis H. Cadena Dr. Kevan Green Dr. David Q. Le Dr. Guy Nash Dr. Joao Carames Dr. Scott Green Dr. Raul Ledesma Dr. Kamal Nasser Dr. Patrick A. Carr Dr. Bradley A. Gregory Dr. Todd Leiker Dr. Matt Nehl Dr. Randle T. Carr Dr. Yelena V. Gutnichenko Dr. Guy Levi Dr. James S. Nicholson Dr. Hillary Caruso Dr. Michael Hagley Dr. Howard Libstug Dr. Yoji Nishikawa Dr. Martin Charland Dr. Stewart Hamilton Dr. Scott D. Lingle Dr. John R. Nosti Dr. Susan M. Chialastri Dr. Benjamin Hanson Dr. Jeffrey D. Litman Dr. Adamo E. Notarantonio Dr. Walter C. Chitwood, Jr. Dr. Sean Healy Dr. Miguel A. Lopez, Jr. Dr. Gregory Olsen Dr. Sang-Choon Cho Dr. Robert D. Heine Dr. Robert Losier Dr. Colin P. Osborne, III Dr. Kirk Christianson Dr. Andrew Heinola Dr. John J. Lovoi, Jr. Dr. David O’Sullivan Dr. Allen Chumbler Dr. Emma A. Hernandez Dr. Jason M. Luchtefeld Dr. Jon C. Packman Dr. Louis F. Clarizio Dr. Bradley W. Hester Ms. Betty Lukacs Dr. Augustine W. Paik Dr. Barry I. Cohen Dr. Timothy Higgins Dr. Darwin F. Lum Dr. Steven Y. Park Dr. Walter E. Colon Dr. Gregg M. Hyde Dr. Keith T. Macdonald Dr. Grace Evangeline Parkins

18 ICOI WORLD NEWS • February 2017 Dr. Peter A. Patsavas Dr. Gerald Samuel Rudick Dr. Krystyna Sosnowski Dr. Gretel L. Viera Dr. Morton L. Perel Dr. Gennaro F. Russo Dr. Timothy M. Spears Dr. Anthony J. Visconti, III Dr. Thach V. Pham Dr. John Russo Dr. Jason L. Stanczyk Dr. Keith J. Von Boeckmann Dr. Marianne D. Pinto Dr. Michael P. Ryan Dr. Frederick Stange Dr. Scott A.S. Wagnild Dr. Joey M. Pitts Dr. Rumen RS Sabov Dr. Taylor Martin Starr Dr. William H. Wall, III Dr. Diana A. Ponoran Dr. Victor J. Salvador Dr. Daniel L. Steinke Dr. Richard E. Warner Dr. Alisha Brooke Porter Dr. Charles S.J. Samborski Dr. Colton J. Street Dr. Mark A. Weglos Dr. Lloyd Alfred Pragasam Dr. Farshid Sanavi Dr. Michael J. Stronczek Dr. Saul Weiner Dr. Kenol Pyram Dr. Carlos E. Sanchez Dr. Samuel M. Strong Dr. Arthur W. Weiss Dr. Akram E. Rafla Dr. Raphael D. Santore Dr. Vaughn Suite Dr. Murray J. White Dr. Helen E. Ragsdale Dr. Guido Sarnachiaro Dr. Emmanouil Michael Dr. Christopher P. Whynott Dr. Andrew R. Rahn Dr. Christy W. Savas Symeonidis, II Dr. Bradley L. Winn Dr. Christopher Rautenstrauch Dr. Robert G. Saylor Dr. Jozsef Szocs Dr. Jeffrey S. Wittmus Dr. Jennifer A. Reed Dr. Paul Schafer Dr. Frances Y. Tang Dr. Stefan H. Wittner Dr. Joseph A. Renner Dr. Wendy Auslen Schopf Dr. Larry W. Tilger Dr. Thomas Wright, Jr. Dr. Charles M. Repa Dr. Gerard Scortecci Dr. Darryl B. Tkachyk Dr. Gregory J. Wych Dr. Marlene A. Reynolds-Cox Dr. Jag Shergill Dr. Edmund F. Tobias Dr. Paul R. Yeager Dr. Marco Rinaldi Dr. Zdan R. Shulakewych Dr. Jeffrey T. Tomamichel Dr. Jack Zazzaro Dr. James L. Robbins Dr. Nicholas D. Shumaker Dr. Rodolfo R. Trigueros Dr. Michael Zgoba Dr. Christopher Roberts Dr. Dennis C. Simmons Dr. Margaret E. Tukara Dr. Raymond Zhu Dr. Richard L. Robinette Dr. Frank T. Sindoni Dr. Kristoffer J. Tumilowicz Glidewell Laboratories Dr. Matthew H. Robson Dr. Harchand Singh Dr. Steven R. Untrauer Implandent LTD Dr. Christine M. Root Dr. Bilal M. Smaily Dr. Norberto Velazquez Salvin Dental Specialties Inc. Dr. Gary M. Ross Dr. Michael Arden Sohl Dr. Michael C. Verber Dr. Richard D. Rowntree Dr. Erik Solberg Dr. Tomaso Vercellotti

IDREF 2016 • NYU College of Dentistry • Federal Fluminense University • Saint Joseph University • Tokyo Medical & Dental University Center GRANT • Universidad Francisco Marroquín • FDI World Dental Foundation RECIPIENTS • Implantology Institute, Lisbon Institute

ICOI WORLD CONGRESS XXXV IN VANCOUVER CANADA THE VANCOUVER CONGRESS WILL HONOR THE LATE DR. CARL E. MISCH

Now is the time to register for ICOI’s World Congress XXXV which will be held in beautiful Vancouver, Canada at the Vancouver Convention Centre. The dates are August 17-19, 2017. Plan to spend time in Canada this summer as you obtain necessary continuing education credits with fascinating and topical presentations from our international faculty. Please visit our website, www.icoi.org for full details. Don’t miss this event! It will be ICOI’s 45th anniversary!!!

ICOI WORLD NEWS • February 2017 19 ICOI WORLD CONGRESS XXXV “Achieving Long Term Clinical Success” Vancouver Canada

August 17-19, 2017  Vancouver Convention Centre Pre-Congress Courses & Young Implantologists Program on Thursday, August 17 th

For more information contact the ICOI Central Office at (973)783-6300 or visit our website at www.icoi.org

ICOI is designated as an Approved PACE Program Provider by the Academy of General Dentistry. ICOI is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental The formal continuing education programs of this program provider are accepted by AGD for Fellowship, professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse Mastership and membership maintenance credit. Approval does not imply acceptance by a state or individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or provincial board of dentistry or AGD endorsement. The current term of approval extends from April 1, complaints about CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp. 2014 to March 31, 2018. Provider ID# 217378.