ICOI ASEAN CONGRESS

MELAKAMALAYSIA

April 5-7, 2018 | Hatten Hotel Melaka

“Where History Meets Future”

www.icoimelaka2018.com

Block the dates in your calendar!! Come and join us from April 5-7, 2018 at “The Historic state” of Melaka in Malaysia to attend the ICOI ASEAN Congress jointly organized by ICOI and Melaka-Manipal Medical College (Manipal University), Malaysia.

This historic city centre has been listed as a UNESCO World Heritage Site since 2008 and showcases the true heritage and culture of Malaysia to all its visitors.

Since its inception, every step of the ICOI ASEAN Congress preparations has been meticulously planned to provide our Congress participants with an enriching and fulfilling experience. We have invited world renowned keynote speakers from all around the world as well as ASEAN countries to provide a useful insight into the practices of Oral Implantology across the world.

The pre-conference workshops as well as the trade fair have been designed to suit the needs of Oral Implantologists all around the world. Congress participants who fulfil the ICOI requirements can receive their Fellowship, Mastership and Diplomate certifications in the Credentialing ceremony conducted during the Congress.

The ASEAN Congress will be a perfect platform for you to meet and interact with Oral Implantologists from different corners of the world, hone you’re surgical and prosthetic knowledge and skills in the field of Implant Dentistry while simultaneously experiencing our rich Malaysian heritage.

Melaka city is well connected by roads to Malaysia’s capital city of Kuala Lumpur and the Kuala Lumpur International airports. So, register now and join us in this exciting journey of continued education in Implant Dentistry.

We eagerly look forward to seeing each and every one of you at the Congress!!

Regards,

Prof Dr. Abdul Rashid Hj. Ismail Ambassador (ICOI), MalaysiaDean, Faculty of Dentistry, Melaka-Manipal Medical College, Malaysia

ICOI ASEAN CONGRESSJoin us in Melaka, Malaysia on April 5-7, 2018

For more info and registration: www.icoimelaka2018.com

At the end of this Congress, the participants will be able to:

• Understand current trends and modifications to the conventional surgical and prosthetic implant-based treatment practices

• Apply the updated theoretical knowledge to the effective clinical practice of Implant Dentistry

• Practice advancements in Implant Dentistry using minimal risk techniques

• Critically appraise new ideas and advancements in the field of Implant Dentistry

Established in 1972, the International Congress of Oral Implantologists (ICOI) is the world’s largest dental implant organization and world’s largest provider of continuing dental implant education.

Staying true to this commitment of the ICOI, the mission of this ICOI ASEAN Congress is to provide the best of knowledge updates and most importantly, scientifically proven and clinically relevant advancements in the clinical practice of Implant Dentistry.

This mission will enable all participating Implantologists to obtain valuable insights into the current trends in clinical practice around the globe, straight from the stalwarts of Oral Implantology, our key note faculty.

The pre-conference workshops are designed to enable the participants to experience first-hand, the various advancements in this growing field of Dentistry.

The ICOI ASEAN Congress will enrich the attendees on the future directions of Implant Dentistry, set in a historic background of Melaka, Malaysia.

MISSION

OBJECTIVES

For more info and registration: www.icoimelaka2018.com

MAIN PODIUM FACULTY

YOUNG IMPLANTOLOGISTS

Dr. M. Thomas Abraham Oral & Maxillofacial Surgeon Port Klang, Malaysia

Dr. Ramesh Chowdhary Prosthodontist Bengaluru, India

Dr. Ferdinand Dino Kasim General Practitioner Jakarta, Indonesia

Dr. Jaibin George General Practitioner Cochin, India

Dr. Georges Khoury Oral & Maxillofacial Surgeon Paris, France

Prof. Tarun Kumar Periodontist, Prof. Bapuji Dental College & Hospital Davangere, India

Dr. Samuel Lee Periodontist San Diego, California, USA

Dr. Asmita Bhekare Prosthodontist New York, NY

Assoc. Prof. Dr. Vijendra Pal Singh Periodontist, Prof. Manipal University Melaka, Malaysia

Dr. Wan Johan Ariff Wan Daud General Practitioner Selangor, Malaysia

Dr. Dean Licenblat General Practitioner Sydney, Australia

Dr. Christian Makary Oral & Maxillofacial Surgeon Prof. Saint Joseph University Beirut, Lebanon

Assoc. Prof. Dr. Sowmya Nettem Periodontist, Prof. Manipal Medical College Melaka, Malaysia

Dr. Alvaro Ordonez General Practitioner Miami, Florida

Dr. Ady Palti General Practitioner Baden Baden, Germany

Prof. Dong-Seok Sohn Oral & Maxillofacial Surgeon Daegu, Korea

Dr. Loke Weiqiang Prof. National University of Singapore Singapore

Dr. Febel Huda Prosthodontist Cochin, India

Dr. Stuti Muchhala General Practitioner New York, NY

Dr. Preetham Prasad Nittla Prosthodontist Chennai, India

For more info and registration: www.icoimelaka2018.com

Thursday, April 5, 2018 | Morning SessionPRE-CONGRESS COURSE

For more info and registration: www.icoimelaka2018.com

Fee: RM500 ($125 USD) (10% will be donated to IDREF) AGD Code: 690 Hands-On Workshop, Attendance is Limited.

DR. LOKE WEIQIANGPredictable Implant Placement: Perio-Prosthodontic Considerations and Factors Contributing to a Successful Implant Restoration

This course caters to both aspiring and advanced dental implantologists who have a desire to incorporate sound surgical techniques to optimize treatment strategy in their practice, thus ensuring successful patient outcome and satisfaction.

COURSE OBJECTIVES:

• Understand the basics and foundations of implant selection in different scenarios

• Be exposed to techniques that achieve optimal results in the shortest time period

• Gain hands-on practice with a focus on suturing techniques, graft containment and stability for immediate implant placement in molar sites

Thursday, April 5, 2018 | Afternoon Session12:45 pm to 1:00 pm Opening Comments

1:00 pm to 1:30 pm Assoc. Prof. Dr. Vijendra Pal Singh: Bone Augmentation for Dental Implants - Current Concepts and Clinical Application

1:30 pm to 2:00 pm Dr. Wan Johan Ariff Wan Daud: The Zirconia - Ceramic Steel: Clinical Esthetic & Function Outcome

2:00 pm to 2:30 pm Dr. Febel Huda: Does Vertical Dimension Influence the Surgical and Prosthetic Treatment Planning in Implant Dentistry

2:30 pm to 3:00 pm Dr. Preetham Prasad Nittla: Space Wars: A New Hope - Complex Implant Rehabilitations Simplified

3:00 pm to 3:45 pm Break with Exhibitors

3:45 pm to 4:15 pm Dr. Stuti Muchhala: Strategic Management of Esthetically Failed Implants

4:15 pm to 4:45 pm Dr. Asmita Bhekare: Various Treatment Options for Extremely Atrophic Ridges

5:00 pm to 6:30 pm Tabletop & Poster Presentations and Welcome Reception

Friday, April 6, 2018 | Morning Session7:30 am to 9:00 am Dr. Sam Lee:

Avoiding Common Pitfalls in Implant/Bone Grafting

9:00 am to 10:00 am Dr. Jaibin George: Full Arch Solutions

10:00 am to 10:30 am Break with Exhibitors

10:30 am to 12:00 pm Dr. Ady Palti: Title

YOUNG IMPLANTOLOGISTS PROGRAM

SCIENTIFIC PROGRAM

For more info and registration: www.icoimelaka2018.com

Friday, April 6, 2018 | Afternoon Session12:00 pm to 1:00 pm Lunch with Exhibitors1:00 pm to 2:00 pm Prof. Dong-Seok Sohn: Paradigm Shift on Sinus

Augmentation: Risk Free Maxillary Sinus Augmentation 2:00 pm to 3:00 pm Dr. Ferdinand Dino Kasim: Optimizing Mother Nature to

Overcome Challenges in the Daily Dental Implant Practice3:00 pm to 3:30 pm Break with Exhibitors 3:30 pm to 4:30 pm Dr. Ramesh Chowdhary: Prosthodontically Driven Implant

Restoration - Advancements and Acceptance4:30 pm to 5:30 pm Dr. Georges Khoury: Bone Augmentation of Atrophic

Maxillary: Combining Segmental Vertical Osteotomies and Allogenic Bone

7:00 pm to 8:00 pm Awards Ceremony8:00 pm to 11:00 pm Gala Dinner

Saturday, April 7, 2018 | Morning Session8:00 am to 9:00 am Dr. M. Thomas Abraham: Prosthetic Rehabilitation with

Osseointegrated Implants in Reconstructed Facial Bones9:00 am to 10:00 am Assoc. Prof. Dr. Sowmya Nettem: Dental Implants to

Peridontium “Will You Accept Me?” 10:00 am to 10:30 am Break with Exhibitors 10:30 am to 12:00 pm Dr. Christian Makary: Maxillary Sinus Grafting: A Recipe

for Success

Saturday, April 7, 2018 | Afternoon Session12:00 pm to 1:00 pm Lunch with Exhibitors1:00 pm to 2:00 pm Dr. Alvaro Ordonez: Dynamic Guided Surgery:

Periprosthetic Integration with Current Digital Technologies in Partially and Fully Edentulous Patients

2:00 pm to 3:00 pm Dr. Dean Licenblat: Zirconia Implants: Friend or Foe?3:00 pm to 3:45 pm Break with Exhibitors 3:45 pm to 4:45 pm Dr. Loke Weiqiang: The Wonderful World of Dental

Implantology4:45 pm to 5:45 pm Prof. Tarun Kumar: Paradigm Shift in the Management of

the Atropic Posterior Maxilla- Newer Trends, Technology and Bioengineering

For more info and registration: www.icoimelaka2018.com

GENERAL INFORMATIONHOTEL INFORMATIONOur host hotel, Hatten Hotel Melaka, is located close to the city center with its cheerful nightlife, and mere minutes from the acclaimed UNESCO World Heritage site. With over 700 rooms, Hatten Hotel offers comfort, style and convenience. Rates start at RM 250.00+ For reservations call +606 286 9696. Don’t forget to mention that you are a delegate to the ICOI Congress.

TABLETOP AND POSTER PRESENTATIONSWhy not plan to present a Tabletop and/or Poster presentation? A “proven training ground” for future and current Main Podium speakers, the very popular Tabletop and Poster competition will be held in tandem with our Welcome Reception in the Exhibit Hall on Thursday from 5:00 to 6:30 pm. All attendees |are welcome to participate. Don’t delay. Completed applications must be submitted by February 2, 2018 to Dr. Prashanti Eachempati, the Chair for this competition at prashanti.eachempati@manipal.edu.my. Please visit our event website for the guidelines and application.

Also join us for our Welcome Reception on Thursday from 5:00 to 6:30 pm and our Awards Ceremony on Friday from 7:00 to 8:00 pm followed by our Gala Dinner. For a nominal fee, Accompanying Persons are welcome to attend our social programs.

Please visit www.icoimelaka2018.com for additional information.

For more info and registration: www.icoimelaka2018.com

ACCREDITATIONICOI designates the Scientific Program for 19.5 continuing education credits.

All Scientific Session presentations are lecture format and qualify for AGD Subject Code 690 Implant.

ICOI is an ADA CERP Recognized Provider. 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. Concerns or complaints about CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

ICOI is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from April 1, 2018 to March 31, 2021. Provider ID# 217378.

REGISTRATION FORM

ICOI ID# Family Name (Surname) - Please print or type First Name - Please print or type

Street Address

City State/Province Zip Code Country

Phone E-Mail AGD#

REGISTRATION FEES

METHOD OF PAYMENT

One form per registrant please.

GALA DINNER: Friday, April 6th Number of people at $55 each: ________ $ _______________

ACCOMPANYING PERSONS: Number of people at $150 each:________ $ ________________Admittance to scientific session not included.

PRE-CONGRESS COURSES: Thursday, April 5th - Please visit www.icoimelaka2018.com for details.

Practitioner: r $395 r $495 ICOI Member r $545 r $645 Non-member

Laboratory Technician: r $295 r $350 ICOI Member r $400 r $450 Non-member

Full-Time Faculty: r $295 r $350 ICOI Member (must submit faculty credentials with registration) r $400 r $450 Non-member

Full-Time Student: r $225 r $250 ICOI Member

(must submit full-time status with registration) r $275 r $325 Non-member

On or Before 2/1/2018

After

2/1/2018SCIENTIFIC SESSION:

TOTAL AMOUNT USD: $_______________THREE WAYS TO REGISTER:1. Online at www.icoi.org2. Credit Card: Complete information at left & fax to 973-783-1175 (US)

3. Mail (make checks payable in US funds to ICOI): 55 Lane Road, Suite 305, Fairfield, NJ 07004 ph: (973) 783-6300

CANCELLATION POLICY: 50% of registration fee will be refunded if requested on or before March 1, 2018. Cancellations after this date are non-refundable. Anyone requesting a refund must complete a Refund Request Form. Please contact the central office via email at icoi@dentalimplants.com.

CREDIT CARD:

r MasterCard r Visa r Amex

Card Number: _______________________________

Billing Zip: ___________________________________

CVV No:_______________ Exp Date: ____________

* All on-site payments must be made by credit card or in cash (USD)

ICOI ASEAN Congress | April 5-7, 2018 | Melaka, Malaysia

Registration includes scientific session only. It does not include Pre-Congress Courses, Gala Dinner or Accompanying Persons.

CONNECT WITH US ON SOCIAL MEDIASocial media makes it easy for you to stay connected to the information you need. With so many events being held each year and exciting benefits for our members, connecting with us will keep you up-to-date on all that is happening at the ICOI. Another advantage of our online community is being able to communicate with colleagues and people you may meet at our events. Follow us on Twitter and like our Facebook page so you can receive regular updates, stay connected and stay informed.

Like us on Facebookwww.facebook.com/icoiimplants

Follow us on Twitter@ICOIimplants

Stay Connected to ICOI and Stay Informed!

For more info and registration: www.icoimelaka2018.com

For more information, call us at 800-442-0525, email membership@icoi.org or visit our website at www.icoi.org

Patient’s Name:___________________________________________

_________

State law requires that you be given certain information and that we obtain your

consent prior to beginning any treatment. What you are being asked to sign is a

confirmation that we have discussed the nature and purpose of the treatment, the

known risks associated with the treatment, and the feasible treatment alternatives;

that you have been given the opportunity to ask questions; that all your questions

have been answered in a satisfactory manner; and that all the spaces in these

forms were filled in prior to your signing it.

1) I hereby authorize and request the performance of dental services and prosthodontic procedures for the

above named patient from Dr.(s)____________________________________

, or staff and further authorize the

performance of whatever procedure(s) in the judgment of the above named doctor may deem necessary.

I also authorize the administration of such anesthetics or analgesics that the doctor may deem advisable.

I further authorize any oral surgical procedure(s) that may be necessary during my treatment.

I further consent to the taking of photographs, films or other materials showing the condition of my

mouth or my treatments for the purpose of documentation, my education, or the showing to the public

at large or other display of such photographs, films or other materials including dental records, x-rays if

necessary for dental, scientific and educational purposes. (All rights to remuneration, royalty or other

compensation to the patient, his heirs or assigns or myself are hereby waived.)

A credit check may be obtained to help establish a credit history. Further, if I fail to pay my balance

in full for treatment rendered, I will be liable for any additional legal fees, collection costs and interest

incurred in collecting the balance due.

2) I authorize the fabrication of the prosthesis that has been prescribed by the following Dr.(s) ______________

that has been indicated by the diagnostic studies and/or evaluations already performed to utilize with my

implant(s) and treat any other dental needs.

3) Alternatives to the implant prosthesis(es) have been explained to me, including their risks. I have tried or

considered these alternative treatment methods and their risks, as listed on the “Request for Prosthetic

Treatment” page, but I desire the implant prosthesis(es) used to help secure and/or replace my missing

teeth which is also listed on that same page.

4) I am aware that the practice of dentistry and dental surgery is not an exact science and I acknowledge

that no guarantees have been made to me concerning the success of my implant prosthesis(es) and the

associated treatment and procedures. I am aware that the implant prosthesis(es) may fail, which may

require further corrective actions and possible removal of said prosthesis(es).

5) As with any dental prosthesis(es), there are possible complications of which I have been made aware.

These complications include but are not limited to the following: risk of improper fitting bridge work;

risk of improper occlusion; disease develops due to improper home care or other reasons; loss of per-

manent teeth; loss of the prosthesis(es) and/or implant(s) if systemic disease develops, and wear or break-

age of the implant component parts and/or prosthesis(es), and risk to the chewing surface material(s).

This material(s) has tooth like hardness. However, just as with natural teeth, they run the risk of fracture

or breakage. If damage to the material(s) occurs it may need to be repaired. The amount of damage to

the prosthesis(es) will determine whether or not it may be repaired or remade. The cost to repair will vary

ACKNOWLEDGEMENT OF RECEIPT OF INFORMATION

AND CONSENT BY PATIENT FOR

PROSTHETIC TREATMENT

Rev. 4/17

ICOI members receive these forms gratis. For information on the world’s largest implant society,

call 800-442-0525, fax: 973-783-1175, e-mail: icoi@dentalimplants.com or visit www.icoi.org

PROSTHODONTIC IMPLANT COMMUNICATION Laboratory: _______________________________________________ Patient: __________________________________________________

Address: _________________________________________________ Shade:____________________ Male Female

Phone:_______________________ Reg.#: ____________________ Date Sent: _________________ Date Needed: _________________

CASE DESIGN - DRAW YOUR CASE DESIGN BELOW

IMPLANTSIMPLANT/

TOOTH SITE

IMPLANTLENGTH

IMPLANTDIAMETER

HEALINGABUTMENTHEIGHT

� � � � � � � � � � � �

RESTORATION PLANNEDScrew-Retained BridgeFixed Single Unit Fixed Bridge

Rigid Bar OverdentureResilient Bar OverdentureTissue Supported Prosthesis

NOTE OPPOSING ARCH:NaturalArtificial:

Fixed Removable

Restored in: Porcelain Composite Acrylic

Implant Manufacturer: ______________________________________ Implant Name: ____________________________________________

Surgeon’s Name: _________________________________________ Phone: __________________________________________________

PRE-SURGICAL FORM©

Rev. 4/17

ICOI members receive these forms gratis. For information on the world’s largest implant society,

call 800-442-0525, fax: 973-783-1175, e-mail: icoi@dentalimplants.com or visit www.icoi.org

Local, National & International Symposia

Implant Dentistry Research and Education Foundation (IDREF)

Implant Dentistry Journal

Mentoring & Support for Young Implantologists

Complimentary Consent and Prosthetic Forms

ICOI’s Digital Glossary of Implant Dentistry

Interactive 3D Animations

Customized Patient Education Videos

ICOI MEMBERSHIP BENEFITS ENRICH YOUR IMPLANT EDUCATION