2025 Table Clinic & Case of the Year Application - International Association for Orthodontics

2025 Table Clinic – Case of the Year Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I Will Present a Table Clinic (if no leave the following three fields empty)(Required)

Yes

Title of Clinic

25 Word Summary

Any special audio-visual needs?

I Will Present a Case Display (if no leave the following seven fields empty)

Yes

Title of Case

Diagnosis

Treatment Plan

Treatment Time

Results

Complications

Any special audio-visual needs?