May 16 - 19, 2019

Thursday, May 16, 2019

​* Denotes program NOT approved by NC State Board of Dental Examiners for CEU.

Morning Sessions


Dr. Marco Brandis
Title: A New Generation of Hybrid Denture  - Part 2 (Lecture)
Time: 8:30am - 11:30am
Location:
CE Hours: 3 Hours
Audience: Dentists/Lab

Course Description:        
An effective viable hygienic solution for the edentulous patient. This course will discuss the good, the bad and the ugly of the current hybrid denture protocol.  It also provides both the rationale and fabrication technique for the next generation of immediate loading hybrid denture. The course will show the versatility of the system providing different techniques to extend the longevity and maintainability.​

Course Objectives:
Participant should be able to:
  • recognize the need for a new generation of hybrid dentures that fills the need for a long-lasting and more hygienic prosthesis for edentulous patients
  • comprehend the rationale for why edentulous patients need a more affordable prosthetic solution
  • be able to explain and describe the techniques for converting an existing denture into a Conus prosthesis
  • appreciate the versatility and practicability of a system that utilizes different techniques that extend the longevity and maintainability of this unique prosthesis
  • understand the importance of utilizing immediate loading with this unique prosthesis.
Bio:
Dr. Marco Brindis is a professor at the Prosthodontics Department at Louisiana State University, where he also maintains an intramural restorative practice devoted to esthetics and implants with an interdisciplinary approach. He earned a D.D.S from the Universidad Intercontinental in Mexico City in 1998. He did a Preceptorship in Dental Implants at the Universidad Intercontinental in 1999 and a Preceptorship in Dental Implants at the Dental School at the UT Health Science Center in San Antonio in 2002.  He completed a surgical Implant Fellowship at the Biotechnology Institute in Vitoria Spain in 2003. He got his Certificate in Prosthodontics at LSU School of Dentistry in the Department of Prosthodontics in 2007. He then completed the Esthetic and Occlusion courses at the Pankey Institute in 2007. Dr. Brindis is very passionate in the field of interdisciplinary dentistry for full mouth reconstruction, esthetics and implant dentistry.  He is involved in the development of new implant protocols to treat the edentulous patient.  He has lectured nationally and internationally. He is a member of several organizations including the American Academy of Restorative Dentistry, Academy of Osseointegration, American Dental Association, American College of Prosthodontist and the Pierre Fauchard Academy.
 
​Dr. Jamison Spencer
Title: All TMJ Patients are NUTS, right?:  How to Evaluate, Diagnosis and Treat the Most Common TMJ Problems (Lecture)   
​Time: 8:30am - 11:30am
Location:
CE Hours: 3 hours 
Audience: Dentist
 
Course Description:      
TMJ disorders are one of those area where almost every dentist feels uncomfortable.  In dental school we didn’t get much classroom information, and little or no clinical experience.  Our treatments in practice are often hit and miss, without clarity on why sometimes we hit, and other times we miss.  In this lecture Dr. Spencer will review the relevant anatomy and discuss simple examination, diagnosis and treatment techniques that will allow you to STUN your next TMJD patients with your understanding of their issues, and allow you to help many more people.
 
Course Objectives:
At the conclusion of this course, the participants will be able to
  • Review and remember the relevant anatomy of the head and neck
  • Understand principles of examination and evaluation for TMD
  • Have a straight-forward way to diagnose the most common TM disorders
  • Understand the treatments for the most common TM disorders
Bio:
Dr. Jamison Spencer is the director of the Center for Sleep Apnea and TMJ in Boise, Idaho, and Taylorsville, Utah, and the director of Dental Sleep Medicine for Lane and Associates Family Dentistry in Raleigh, North Carolina.  Dr. Spencer is the Past-President of the American Academy of Craniofacial Pain (AACP), a Diplomate of the American Board of Craniofacial Pain, a Diplomate of the American Board of Dental Sleep Medicine, a Diplomate of the American Board of Craniofacial Dental Sleep Medicine and has a Masters in Craniofacial Pain from Tufts University.  He taught head and neck anatomy at Boise State University and is adjunct faculty at UOP and UNC Dental Schools.  Dr. Spencer lectures locally, nationally and internationally on TMD, dental sleep medicine and head and neck anatomy.

Dr. Spencer lives in Ogden, UT with his wife of 26 years Jennifer and their 6 children.   

 
​​Dr. Jack Griffin
Title: Let's Grow Tooth... Excellent Clinical Dentistry Using Bioactive/Regenerative Materials, Part 1 (Lecture)
Time: 8:30am – 11:30am
Location: 
CE Hours: 3 Hours
Audience: Dentist, Hygienist, DA


 
Course Description:      
Ever had a patient say “Doc, that tooth was never a problem until you fixed it”? Let’s stop the madness. Wouldn’t it be wonderful if we could make the tooth grow? With newer regenerative/bioactive materials we can stimulate dentin healing and self-repair in our direct and indirect restorations all while reducing sensitivity. We will learn indications for newer liners, bases, cements, and restorative materials that encourage dentin repair, lessen sensitivity, and promote a healthier oral environment. We will apply these newer materials in our direct composite restorations while exploring matrix systems for predictable, tight, well contoured contacts. We will also consider regenerative materials when doing dentin replacement and cementation of durable esthetic indirect restorations like lithium disilicate and zirconia. We will learn how to do it right the first time and to make the practice more enjoyable and efficient.

​​Course Objectives:
  • The latest in regenerative materials such as dentin liners for dentin sealing, pulp capping, and thermal insulation for increased comfort and restoration success.
  • The latest in regenerative materials such as dentin liners for dentin sealing, pulp capping, and thermal insulation for increased comfort and restoration success.
  • Efficient direct composite placement – preparation, bonding, matrix selection, bulk fill and bioactive materials for long term oral health.
Bio:
Dr. Griffin is one of a hand-full of dentists awarded by his peers Diplomat status with the American Board of Aesthetic Dentistry (ABAD), accreditation with the American Academy of Cosmetic Dentistry (AACD), and Mastership in the Academy of General Dentistry (AGD).

Dr. Griffin runs a practice in St Louis County where he and his staff have maintained a 50-55% overhead since 1988. His Smile Center emphasizes cosmetics while doing all phases of general dentistry.  Dr. Griffin’s unique educational philosophy focuses on improving clinical and financial outcomes while making practice more fun and rewarding. His course topics include office efficiency, digital photography, current bonding and cementation techniques, great everyday esthetics and CAD/CAM dentistry.

Dr. Griffin has been the MasterTrack/CE chair for the Missouri AGD, a member and clinical evaluator for Catapult Education, the dental industry’s premier speaker’s bureau, and is a clinical director for the Pacific Esthetic Continuum (PAC). He has also been a clinical evaluator for Reality Esthetics and served on the Council for Scientific Affairs for the Greater St Louis Dental Society.

 
​​Dr. Jane Soxman, DDS
Title: Clinical Techniques in Pediatrics (Lecture)
Time: 8:30am – 11:30am
Location: 
CE Hours: 3 Hours
Audience: Dentist/DA


Course Description:      
Learn basic pediatric procedures that include non-invasive treatment and pulp therapy for primary molars. Full coverage stainless steel and esthetic crowns for primary molars, extraction of primary dentition and local anesthesia techniques are also presented. A review of the dental literature and step-by-step instruction will decrease chair time and heighten your confidence when treating pediatric patients.

​​Course Objectives:
  • Learn indications and technique for Interim Therapeutic Restoration and  Silver Diamine Fluoride
  • Perform vital pulp therapy in primary molars with appropriate indications and medicaments long with full coverage restorations for primary molars
  • Insure optimal clinical skills for administering local anesthesia to the pediatric patient
  • Improve extraction technique for primary teeth. 
Bio:
Dr. Soxman is a diplomate of the American Board of Pediatric Dentistry, a Fellow in both the American College of Dentists and American Academy of Pediatric Dentists, and a column contributor, manuscript reviewer and pediatrics advisor for the journal, General Dentistry. She is a seminar instructor for two general practice residency programs, editor of the Handbook of Clinical Techniques in Pediatric Dentistry and lead author for Anomalies of the Developing Dentition. Lectures incorporate thirty-five years of practice experience and evidence-based recommendations. A conversational style, fact-filled lectures and numerous publications have earned her recognition as a leader in continuing education. 
 
​​Dr. Joyce Bassett
Title: Cutting Edge Technology with Digital Design and Real World Cosmetic Dentistry; Faults, Failures, and Fixes (Lecture)
Time: 8:30am – 11:30am
Location: 
CE Hours: 3 Hours
Audience: Dentist/Lab

 
Course Description:      
Failures in dentistry are frequently blamed on materials, but in reality, many times operator error is the culprit. This innovative and fast paced course will focus on aesthetics that are BUILT TO LAST. Clear, concise and systemized techniques will be presented to treat every aspect from simple to complex cases involving veneers, crowns and implant restorations. These protocols will increase profitability by preventing failures that occur day-to-day in your office. Cutting edge preparation techniques that will simplify difficult space management cases will be
presented, along with how to handle shade challenges and when preparation modifications may be necessary. You will understand how to integrate flowable composite on the provisional and communicate the final patient approved shapes. State of the art digital smile design linking 3D prosthetic planning with fundamental principles and real-time communication that decreases dentist chair time and ceramist re-work. She will show you how to turn a complicated camera into a point and shoot device and master digital photography. A clinical update on adhesive technology and ceramics will be presented so the team knows what systems to use and their limitations along with specific verbiage to control patient expectations. She will clear the confusion of products and techniques ranging from incremental layering to bulk fill technology in the posterior. Dimensions of color and anatomic stratification of anterior composite to attain a polychromatic imperceptible result will be shown. The relationship of form and function precludes treating anterior teeth as cosmetic challenges alone. Aesthetic and functional parameters of incisor position and morphology, dental facial treatment planning, determination of vertical dimension, and bite force management will be presented as
components that allow comprehensive restorative treatment. Occlusal guidance must be understood so the final designs of the restoration can accommodate the intra-oral forces assuring longevity and predictability of the prosthesis. The cases presented have been published in national peer reviewed journals. There is something for everyone to learn! You will leave the course with the proven step-by-step approach from simple to difficult clinical situations.

​​Course Objectives:
  • Integrate sound occlusal principles to create synergy between form and function.
  • Own the knowledge and ability to confidently prepare a difficult space management case.
  • Identify which adhesives and restorative materials work the best for maximum predictability and learn matricing techniques and bulkfill technology for mastering posterior composite.
  • Learn how to achieve a predictable anterior composite restoration following the stratification of opacities to achieve life like undetectable restorations. 
Bio:
Dr. Bassett ​ practices comprehensive restorative and aesthetic dentistry in Scottsdale, Ariz. She is an Accredited Fellow of the American Academy of Cosmetic Dentistry and President 2015-2016. She is an Associate member of the American Academy of Esthetic Dentistry, a KOIS Clinical Instructor, an active member in the Academy of Fixed Prosthodontics and a Fellow in the AGD. Dr. Bassett is adjunct faculty where she has taught the aesthetic continuum at the Arizona School of Dentistry. She is a member of the Catapult Group speakers bureau and evaluates new dental materials for them. She was voted top 5 female CE educators, an international lecturer, published author and is a member of the editorial board of several peer-reviewed publications. The cases presented in her lecturers are all published in peer review journals (http://www.drbassett.com/publications.html ​) She is a recipient of the Lucy Hobbs award for Clinical Expertise, Volunteer Dentist of the Year award for Arizona CASS dental clinic and has received the Give Back a Smile volunteer service award twice. 
 
​Dan Romance
Title: A Proven Way to Pay Less Taxes (Lecture)
Sponsored by Tax Saving Professionals
Time: 8:30am - 11:30am
Location:
CE Hours: 3 Hours (does meet criteria for NCSBDE CE requirement)
Audience: Dentist/Office Staff
Course Description:      
Attendees of this lecture will learn that they are entitled to numerous deductions in the Tax Code that they may not be utilizing.  Taking more deductions with proper documentation will allow them to pay less taxes, remain compliant and retain more of their income.

​​Course Objectives:
Attendees will learn:
  • It's your right as a tax payer to pay the legal minimum in taxes
  • How what you can do is different from what your CPA is doing
  • Proper documentation keeps you safe and compliant
  • Nothing in life costs more than taxes
  • Scorecard Strategies and Advanced Strategies
  • How to cut their taxes by 35%-50%
  • No extra work for your CPA 
Bio:
A veteran Tax Saving Consultant at Tax Saving Professionals, Dan Romance has provided valuable tax saving advice to clients since 2008. Dan has a wide and diverse client base, although he’s developed a very successful niche in the dental industry, serving both small and large dental practices across the country. A graduate of McNeese State University with a Bachelor of Science in Business Administration, Dan’s earlier career track includes extensive experience in the specialty retail arena with affiliations with two of the nation’s largest retail chains.
 
​Dr. John Flucke
Title: Soft Tissue Lasers – Science & Substance (Lecture)
Time: 8:30am - 11:30am
Location:
CE Hours: 3 Hours
Audience: Dentist
 
Course Description:      
Learn the science behind soft tissue lasers, while also gaining valuable hands-on experience with devices from several different manufacturers. The hands-on exercise will give you the confidence to pick up a laser and treat patients the first day back in your office. Tips and tricks to make your laser usage easier will be discussed and demonstrated.

​​Course Objectives:
  • Understanding the science of laser usage
  • Identify parameters and proper settings for laser procedures
  • Identify patients needing laser treatment
  • Gain confidence to provide laser treatments in your office 
Bio:
Dr. John Flucke has a private practice in Lee's Summit, Missouri, serves as Technology Editor for Dental Products Report, as well as Chief Dental Editor where he writes, edits and makes videos of products featured in his "Technology Evangelist" columns.
Having one of the most popular dental blogs on the internet, Dr. Flucke features daily updates on technology in healthcare. He also lectures extensively on all aspects of clinical dentistry and leading-edge technology, across the US and abroad.
Dr. Flucke is a consultant for the development of dental products by manufacturers and is past president of the Greater Kansas City Dental Society, as well as having served as the Missouri State Peer Review Chairman.

 

Afternoon Sessions

Dr. Marco Brandis
Title: A New Generation of Hybrid Denture - Part 2 (Lecture)
Time: 1:30pm - 4:30pm
Location:
CE Hours: 3 Hours
Audience: Dentist/Lab

Course Description:        
An effective viable hygienic solution for the edentulous patient. This course will discuss the good, the bad and the ugly of the current hybrid denture protocol.  It also provides both the rationale and fabrication technique for the next generation of immediate loading hybrid denture. The course will show the versatility of the system providing different techniques to extend the longevity and maintainability.​

Course Objectives:
Participant should be able to:
  • Recognize the need for a new generation of hybrid dentures that fills the need for a long-lasting and more hygienic prosthesis for edentulous patients.
  • Comprehend the rationale for why edentulous patients need a more affordable prosthetic solution.
  • Be able to explain and describe the techniques for converting an existing denture into a Conus prosthesis.
  • Appreciate the versatility and practicability of a system that utilizes different techniques that extend the longevity and maintainability of this unique prosthesis.
  • Understand the importance of utilizing immediate loading with this unique prosthesis.
Bio:
Dr. Marco Brindis is a professor at the Prosthodontics Department at Louisiana State University, where he also maintains an intramural restorative practice devoted to esthetics and implants with an interdisciplinary approach. He earned a D.D.S from the Universidad Intercontinental in Mexico City in 1998. He did a Preceptorship in Dental Implants at the Universidad Intercontinental in 1999 and a Preceptorship in Dental Implants at the Dental School at the UT Health Science Center in San Antonio in 2002.  He completed a surgical Implant Fellowship at the Biotechnology Institute in Vitoria Spain in 2003. He got his Certificate in Prosthodontics at LSU School of Dentistry in the Department of Prosthodontics in 2007. He then completed the Esthetic and Occlusion courses at the Pankey Institute in 2007. Dr. Brindis is very passionate in the field of interdisciplinary dentistry for full mouth reconstruction, esthetics and implant dentistry.  He is involved in the development of new implant protocols to treat the edentulous patient.  He has lectured nationally and internationally. He is a member of several organizations including the American Academy of Restorative Dentistry, Academy of Osseointegration, American Dental Association, American College of Prosthodontist and the Pierre Fauchard Academy.
 
​Dr. Jamison Spencer
Title: Obstructive Sleep Apnea:  Looking Beyond the Teeth and Saving Lives! (Lecture)
Time: 1:30pm - 4:30pm
Location:
CE Hours: 3 Hours
Audience: Dentist/DA

Course Description:      
Dentists are uniquely positioned among healthcare providers to easily evaluate for signs of obstructive sleep apnea.  Oral appliance therapy performed by a qualified dentist can also be an effective treatment, literally saving lives.  In this lecture Dr. Spencer will review the basics of normal sleep, snoring and obstructive sleep apnea in adults and children.  You will most likely be thinking that YOU and everyone you know must have sleep apnea before he is through!  Don’t worry though, he will also cover diagnosis and treatment of obstructive sleep apnea, including the dentist’s role and appliance selection.  If you or someone close to you may have sleep apnea (like your patients) you owe it to yourself and them to take this course and potentially change, or literally save, their lives.
 
Course Objectives:
At the conclusion of this course, the participants will be able to
  • Understand normal sleep and how to improve sleep
  • Understand how obstructive sleep apnea affects adults and children
  • Become familiar with the dental aspects of screening for OSA
  • Recognize how to choose the best oral appliance for your specific patient
  • Understand how to avoid problems and minimize side effects of oral appliance therapy.
Bio:
Dr. Jamison Spencer is the director of the Center for Sleep Apnea and TMJ in Boise, Idaho, and Taylorsville, Utah, and the director of Dental Sleep Medicine for Lane and Associates Family Dentistry in Raleigh, North Carolina.  Dr. Spencer is the Past-President of the American Academy of Craniofacial Pain (AACP), a Diplomate of the American Board of Craniofacial Pain, a Diplomate of the American Board of Dental Sleep Medicine, a Diplomate of the American Board of Craniofacial Dental Sleep Medicine and has a Masters in Craniofacial Pain from Tufts University.  He taught head and neck anatomy at Boise State University and is adjunct faculty at UOP and UNC Dental Schools.  Dr. Spencer lectures locally, nationally and internationally on TMD, dental sleep medicine and head and neck anatomy.
Dr. Spencer lives in Ogden, UT with his wife of 26 years Jennifer and their 6 children.   

 
​​Dr. Jack Griffin
Title: Let's Grow Tooth... Excellent Clinical Dentistry Using Bioactive/Regenerative Materials, Part 2 of 2
Time: 1:30pm – 4:30pm
Location: 
CE Hours: 3 Hours
Audience: Dentist/DA/Hygienist
Course Description:      
Ever had a patient say “Doc, that tooth was never a problem until you fixed it”? Let’s stop the madness. Wouldn’t it be wonderful if we could make the tooth grow? With newer regenerative/bioactive materials we can stimulate dentin healing and self-repair in our direct and indirect restorations all while reducing sensitivity. We will learn indications for newer liners, bases, cements, and restorative materials that encourage dentin repair, lessen sensitivity, and promote a healthier oral environment. We will apply these newer materials in our direct composite restorations while exploring matrix systems for predictable, tight, well contoured contacts. We will also consider regenerative materials when doing dentin replacement and cementation of durable esthetic indirect restorations like lithium disilicate and zirconia. We will learn how to do it right the first time and to make the practice more enjoyable and efficient.

​​Course Objectives:
  • The latest in regenerative materials such as dentin liners for dentin sealing, pulp capping, and thermal insulation for increased comfort and restoration success.
  • The latest in regenerative materials such as dentin liners for dentin sealing, pulp capping, and thermal insulation for increased comfort and restoration success.
  • Efficient direct composite placement – preparation, bonding, matrix selection, bulk fill and bioactive materials for long term oral health.
Bio:
Dr. Griffin is one of a hand-full of dentists awarded by his peers Diplomat status with the American Board of Aesthetic Dentistry (ABAD), accreditation with the American Academy of Cosmetic Dentistry (AACD), and Mastership in the Academy of General Dentistry (AGD).

Dr. Griffin runs a practice in St Louis County where he and his staff have maintained a 50-55% overhead since 1988. His Smile Center emphasizes cosmetics while doing all phases of general dentistry.  Dr. Griffin’s unique educational philosophy focuses on improving clinical and financial outcomes while making practice more fun and rewarding. His course topics include office efficiency, digital photography, current bonding and cementation techniques, great everyday esthetics and CAD/CAM dentistry.

Dr. Griffin has been the MasterTrack/CE chair for the Missouri AGD, a member and clinical evaluator for Catapult Education, the dental industry’s premier speaker’s bureau, and is a clinical director for the Pacific Esthetic Continuum (PAC). He has also been a clinical evaluator for Reality Esthetics and served on the Council for Scientific Affairs for the Greater St Louis Dental Society.

 
​​Dr. Jane Soxman, DDS
Title: Hands-On Workshop - Simplified Clinical Techniques for Primary Molars & Chair-Side Space Maintainers (limited to 25 participants) 
Time: 1:30pm – 4:30pm
Location: 
CE Hours: 3 Hours
Audience: Dentist/DA
 
​Course Objectives:
​This hands-on workshop will discuss indications, medicaments and pulpotomy procedure for primary molars along with the various indications and appliances for space maintenance.
  • Perform vital pulp therapy for primary molars with appropriate indications and medicaments
  • Restore primary molars with both stainless steel and esthetic primary molar crowns
  • Fabricate chair-side space maintainers.
Bio:
Dr. Soxman is a diplomate of the American Board of Pediatric Dentistry, a Fellow in both the American College of Dentists and American Academy of Pediatric Dentists, and a column contributor, manuscript reviewer and pediatrics advisor for the journal, General Dentistry. She is a seminar instructor for two general practice residency programs, editor of the Handbook of Clinical Techniques in Pediatric Dentistry and lead author for Anomalies of the Developing Dentition. Lectures incorporate thirty-five years of practice experience and evidence-based recommendations. A conversational style, fact-filled lectures and numerous publications have earned her recognition as a leader in continuing education. 
Dr. Joyce Bassett
Title: Aesthetics Built to Last: The Synergy of Esthetics and Function in All Ceramic and Composite Applications (Lecutre) 
Time: 1:30pm - 4:30pm
Location:
CE Hours: 3 hours 
Audience: Dentist/DA

Course Description:        
Failures in dentistry are frequently blamed on materials, but in reality, many times we, the dentist are the culprit. We treat the anterior teeth as cosmetic challenges, and we forget to look at the relationship of form and function. We will simplify occlusion by applying a few basic principles so we can find and create a predictable bite to support the joint and the muscles. Whether we are restoring a single tooth with composite or a full mouth aesthetic case with porcelain, you will apply what you learn in this course. Comprehensive restorative treatment planning must include recognition of the patient's incisor position and morphology, their dento-facial requirements, and a determination of an appropriate vertical
dimension. Additionally, to ensure restoration longevity, functional assessments of bite force management; envelope development, occlusal guidance and parafunctional forces must be understood and identified so the final restoration design will predictably accommodate the intra-oral forces. Without an understanding of the science and symptoms of malocclusion, we as dentists will continue to treat our patients to their existing pathologic conditions. Achieving aesthetically exquisite anterior restorations requires additional knowledge of smile design, material selection, and preparation techniques. This presentation will explore frequently seen problems that occur during restorative treatment. Clear, reproducible bites and systemized techniques will be presented to treat every aspect and ensure aesthetics that are BUILT TO LAST..​

Course Objectives:
Participant should be able to:
  • recognize the need for a new generation of hybrid dentures that fills the need for a long-lasting and more hygienic prosthesis for edentulous patients
  • comprehend the rationale for why edentulous patients need a more affordable prosthetic solution
  • be able to explain and describe the techniques for converting an existing denture into a Conus prosthesis
  • appreciate the versatility and practicability of a system that utilizes different techniques that extend the longevity and maintainability of this unique prosthesis
  • understand the importance of utilizing immediate loading with this unique prosthesis.
Bio:
Dr. Bassett ​practices comprehensive restorative and aesthetic dentistry in Scottsdale, Ariz. She is an Accredited Fellow of the American Academy of Cosmetic Dentistry and President 2015-2016. She is an Associate member of the American Academy of Esthetic Dentistry, a KOIS Clinical Instructor, an active member in the Academy of Fixed Prosthodontics and a Fellow in the AGD. Dr. Bassett is adjunct faculty where she has taught the aesthetic continuum at the Arizona School of Dentistry. She is a member of the Catapult Group speakers bureau and evaluates new dental materials for them. She was voted top 5 female CE educators, an international lecturer, published author and is a member of the editorial board of several peer-reviewed publications. The cases presented in her lecturers are all published in peer review journals (http://www.drbassett.com/publications.html ​). She is a recipient of the Lucy Hobbs award for Clinical Expertise, Volunteer Dentist of the Year award for Arizona CASS dental clinic and has received the Give Back a Smile volunteer service award twice.