ANSWER SHEET • JAN/FEB 2024 The following CE courses will expire on February 28, 2027 DIMENSIONS CE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ZYGOMATIC IMPLANTS FOR PATIENTS WITH COMPLEX DENTAL CONDITIONS Course 2 (2 units): $22 CE Article Begins on Page 32 MAINTAINING THE BALANCE BETWEEN REMINERALIZATION AND DEMINERALIZATION Course 4 (2 units): $22 CE Article Begins on Page 42 ADDRESSING MEDICATION- RELATED OSTEONECROSIS OF THE JAW Course 3 (2 units): $22 CE Article Begins on Page 36 AN IN-DEPTH LOOK AT CLEIDOCRANIAL DYSPLASIA Course 1 (2 units): $22 CE Article Begins on Page 28 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. We would love to hear your thoughts on Dimensions’ CE. Please fill out the evaluation below. You can also email your feedback to [email protected]. Please take a few moments to evaluate this course using a scale of: Excellent = 5 to Poor = 1. Dimensions of Dental Hygiene is pleased to offer our Annual CE Study Club. Effective for 12 months from enrollment, Dimensions of Dental Hygiene’s Annual CE Study Club membership allows you to take as many courses as you’d like from Dimensions’ full CE library during the 12-month enrollment period. This program allows you to participate in CE activities in print or online. □Please enroll me in Dimensions’ Annual CE Study Club for $129 (payment information is found in Section 3). □Email address to create your account _________________________________________________________________________________________ □I’m already a Dimensions’ Annual CE Study Club member. Visit dimensionsofdentalhygiene.com to take the test online for immediate results! COURSE 1: Were the course objectives and educational methods appropriate? 5 4 3 2 1 Were the objectives accomplished? 5 4 3 2 1 Please rate the course content. 5 4 3 2 1 Rate the instructors’ effectiveness. 5 4 3 2 1 Was the overall administration of the course effective? 5 4 3 2 1 Please rate the authors’ grasp of the topic. 5 4 3 2 1 Were the references adequate? 5 4 3 2 1 Were your personal educational objectives met? 5 4 3 2 1 Would you take a CE course similar to this one in the future? □ Yes □ No Did any subject matter seem unclear? □ Yes □ No If yes, explain: Please estimate time spent to complete this course: COURSE 2: Were the course objectives and educational methods appropriate? 5 4 3 2 1 Were the objectives accomplished? 5 4 3 2 1 Please rate the course content. 5 4 3 2 1 Rate the instructors’ effectiveness. 5 4 3 2 1 Was the overall administration of the course effective? 5 4 3 2 1 Please rate the authors’ grasp of the topic. 5 4 3 2 1 Were the references adequate? 5 4 3 2 1 Were your personal educational objectives met? 5 4 3 2 1 Would you take a CE course similar to this one in the future? □ Yes □ No Did any subject matter seem unclear? □ Yes □ No If yes, explain: Please estimate time spent to complete this course: COURSE 3: Were the course objectives and educational methods appropriate? 5 4 3 2 1 Were the objectives accomplished? 5 4 3 2 1 Please rate the course content. 5 4 3 2 1 Rate the instructors’ effectiveness. 5 4 3 2 1 Was the overall administration of the course effective? 5 4 3 2 1 Please rate the authors’ grasp of the topic. 5 4 3 2 1 Were the references adequate? 5 4 3 2 1 Were your personal educational objectives met? 5 4 3 2 1 Would you take a CE course similar to this one in the future? □ Yes □ No Did any subject matter seem unclear? □ Yes □ No If yes, explain: Please estimate time spent to complete this course: COURSE 4: Were the course objectives and educational methods appropriate? 5 4 3 2 1 Were the objectives accomplished? 5 4 3 2 1 Please rate the course content. 5 4 3 2 1 Rate the instructors’ effectiveness. 5 4 3 2 1 Was the overall administration of the course effective? 5 4 3 2 1 Please rate the authors’ grasp of the topic. 5 4 3 2 1 Were the references adequate? 5 4 3 2 1 Were your personal educational objectives met? 5 4 3 2 1 Would you take a CE course similar to this one in the future? □ Yes □ No Did any subject matter seem unclear? □ Yes □ No If yes, explain: Please estimate time spent to complete this course: IF CHECK ENCLOSED, PLEASE SEAL ALL OPEN EDGES What additional continuing education topics would you like to see? ________________________________________________________________________________________________________________________________________ □ Payment of $22 is enclosed for one course, $44 for two courses, $66 for three courses, $88 for all four courses, or $129 for Annual CE Study Club enrollment. (Checks require three days for processing after receipt). Please make checks payable to Belmont Business Media. □ Charge my credit card $22 for one course, $44 for two courses, $66 for three courses, $88 for all four courses, or $129 for Annual CE Study Club enrollment. (Charges will appear on statement as Belmont Publications, Inc.) □ Amex □ Visa □ MasterCard □ Discover Cardholder’s Name (as printed on card): Cardholder’s Billing Address: City: State: Zip: Card #: Verification Number: Exp. Date: Signature: Send verification of participation for this course via (please provide contact information in Section 1): Mail Email Signature: Date: Name: Credential: License Number: Renewal Month: Address: City: State: Zip: Phone: Check: □ Home □ Office Email: Fax: AGD Membership Number (IF AGD FELLOWSHIP, MASTERSHIP OR MEMBERSHIP MAINTENANCE CREDIT IS REQUIRED): THREE WAYS TO RECEIVE CE CREDIT FOR TH ESE COURSES 1. Online: Submit your answers online by visiting dimensionsofdentalhygiene.com.* Submitting online allows instant access to verification of participation and easy recordkeeping. 2. Mail: Answer sheets can be mailed with credit card information or a check. CE courses paid by check require three days for processing after receipt. Mail to: Belmont Business Media, 3621 Harbor Blvd., Suite 265, Santa Ana, CA 92704.* 3. Fax: Answer sheets can be faxed with credit card information to Belmont Business Media; Fax: 714-825-1230.* *Users who successfully submit an online answer sheet do not need to mail or fax this form. There is only one answer per question. SECTION 1 □ YES, I WOULD LIKE TO RECEIVE Dimensions of Dental Hygiene FREE OF CHARGE □ No, I am not interested in a free subscription. SECTION 2 (optional) SECTION 3 SECTION 4
