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Dr. Alastair Nicoll of Elkford, British Columbia

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Dr. Alastair Nicoll of Elkford, British Columbia 2015 • Volume 2 • Issue 3 First Dental Visit CDA National Conference Digital Impressions Barriers and Myths See You in St. John's, Newfoundland An Introduction for Dentists P. 2 1 P. 2 4 P. 3 9 CDA's New President, 2015–16 Dr. Alastair Nicoll of Elkford, British Columbia Page 8 PM40064661 CASE STUDY 12 Practice downtime has decreased. ISSUE Although our team performed scaling and root planing, our practice lacked a standard patient communication system. We had too many patients who needed therapy, but didn’t see the value. SOLUTION The Crest® + Oral-B® system helped us with consistent communication. It was easy to implement, helped standardize care, and engaged our patients to take ownership of their oral health. RESULTS Patients showed better perio scores and less bleeding during their appointments. Our hygiene team is empowered because more patients are accepting treatment, downtime in the schedule has decreased, and home care has improved. Dr. Charles Blumenfeld Hon. B.Sc., D.D.S. Dr. Charles Blumenfeld has not been compensated to appear in this ad. Find out how our programs are paying off for other practices at www.HealthyPracticeNow.ca We mean business . CDA_may15_Case12Charles_FP_e_FA_R1.indd 1 2015-01-16 12:28 PM 2015 • Volume 2 • Issue 3 Director, Knowledge Networks Dr. John P. O’Keefe CDA MISSION STATEMENT Managing Editor The Canadian Dental Association (CDA) is the national voice for dentistry Sean McNamara dedicated to the promotion of optimal oral health, an essential component of Project Manager, CDA Oasis general health, and to the advancement and leadership of a unified profession. Chiraz Guessaier, PhD Writer/Editor is the official print publication of CDA, providing dialogue Tricia Abe between the national association and the dental community. It is dedicated to Geneviève C. Gagnon keeping dentists informed about news, issues and clinically relevant information. Coordinator, Publications Rachel Galipeau Coordinator, Electronic Media CDA BOARD OF DIRECTORS Ray Heath Graphic Designer President Dr. Richard Holden Janet Cadeau-Simpson Dr. Alastair Nicoll Prince Edward Island CDA Essentials Contact: President-Elect Dr. Robert Huff Rachel Galipeau Dr. Randall Croutze Alberta [email protected] Call CDA for information and assistance toll-free (Canada) at: 1-800-267-6354 Dr. Alexander Mutchmor Vice-President Outside Canada: 613-523-1770 Dr. Larry Levin Manitoba CDA Fax: 613-523-7736 CDA email: [email protected] Dr. James Armstrong Dr. Mitch Taillon British Columbia Saskatchewan Advertising: All matters pertaining to advertising Dr. Linda Blakey Dr. James Tennant should be directed to: Newfoundland/Labrador NWT/Nunavut/Yukon Keith Communications Inc. 1464 Cornwall Rd, Unit 8, 2nd Floor Oakville, ON L6J 7W5 Dr. Paul Cameron Dr. Daniel Violette • Tel.: 905-849-7777 Nova Scotia New Brunswick • Toll-free: 1-800-661-5004 Display or web advertising: Peter Greenhough, ext. 18 Editorial Disclaimer [email protected] All statements of opinion and supposed fact are published on the authority of the author who submits them and do not necessarily express the views of the Canadian Dental Association (CDA). Publication of Classified advertising: an advertisement does not necessarily imply that CDA agrees with or supports the claims therein. The John Reid, ext. 23 director reserves the right to edit all copy submitted to CDA Essentials. Furthermore, CDA is not responsible [email protected] for typographical errors, grammatical errors, misspelled words or syntax that is unclear, or for errors in translations. CDA Essentials is published by the Canadian Dental Association in both official languages. cda-adc.ca Publications Mail Agreement No. 40064661. Return undeliverable Canadian addresses to: Facebook Twitter Canadian Dental Association at 1815 Alta Vista Drive, Ottawa, ON K1G 3Y6. Postage paid at Ottawa, ON. jcdaoasis.ca Notice of change of address should be sent to CDA: [email protected] Mydentalhealth @Mydentalhealth ISSN 2292-7360 (Print) Blogger Oasis Discussions @JCDATweets ISSN 2292-7379 (Online) Facebook FacebookEmailTwitter Twitter @jcdaoasis JCDAOASIS © Canadian Dental Association 2015 YouTube Blogger Blogger Volume 2 IssueEmail 3 | Email 3 YouTube YouTube The Royal Canadian Dental Corps: Forensic Odontology Page 26 Dr. Alastair Nicoll: Carving His Own Path Page 8 CDA at Work News and Events 7 Medical-Dental Interface: Bridging the Divide 26 The Royal Canadian Dental Corps: Forensic Odontology 8 Dr. Alastair Nicoll: Carving His Own Path 28 University of Manitoba Recognized for its Oral-Systemic Health Curriculum 13 Advocacy Tools to Improve Seniors' Oral Health 31 Dr. Marcia Boyd Named Member of the Order of Canada 14 Interprofessional Collaboration Guides Canadian Oral Health Roundtable 33 Schulich Dentistry Names Dr. Richard Bohay Interim Director 17 CDA Spotlight: Dental Claims and Benefits 33 David Marks Named DIAC President 21 “They’re Too Fidgety!” and Other 33 NDEB Elects Dr. Mary Ann Wiseman Misconceptions About the First Dental Visit as President 4 | Volume 2 Issue 3 CONTENTS An Introduction to Digital Impressions Page 39 2015 Canadian Oral Health Roundtable Page 14 Oral Appliance Therapy for Sleep Apnea Page 35 Issues and People Classifieds 35 BC Dentist Leads Global Study Of Oral 43 Positions Available, Offices and Practices, Appliance Therapy for Sleep Apnea Advertising Index Supporting Obituaries Your Practice 46 Remembering Dentistry Leaders: Dr. Michele Williams 39 An Introduction to Digital Impressions Volume 2 Issue 3 | 5 INTRODUCING Variolink® Esthetic The esthetic adhesive cement “Esthetic Cementation made Simple!” NTED TE A P ® The adhesive cement for exceptional R IvocerinO L T IG I A esthetics and user-friendly application… H T INIT • Exceptional handling and easy clean-up • Amine-free for long-term shade stability • Reliable bond strength results with a universal, easy to use bonding system Try Variolink Esthetic today for FREE! Visit www.ivoclarvivadent.us/variolink 100% CUSTOMER SATISFACTION GUARANTEED! ivoclarvivadent.com Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. © 2014 Ivoclar Vivadent, Inc. Ivoclar Vivadent and Variolink are registered trademarks of Ivoclar Vivadent, Inc. 7679- ADA.indd 1 15-03-25 2:30 PM CDA AT WORK From the President Medical-Dental Interface: Bridging the Divide ears ago as a young dental stu- Let me illustrate with an example: a dentist is faced dent, when textbooks were still our with the elective extraction of a tooth for a patient main source of information, I re- on blood thinners. The anticoagulant is warfarin member a book titled “The medical and the patient reports a recent thrombosis. With- management of the dental patient” out fulsome discussion, the patient’s physician Yand around then I was in a used bookstore and may not know that retaining the tooth is a viable found a similar text, written for ear, nose and throat option or that the dentist is quite comfortable residents called, “The medical management of the obtaining hemostasis with an INR of 2 and apply- surgical patient.” This got me thinking about the ing local measures. Instead, a decision might be relationship we have with our colleagues in other made to reduce the INR, thus placing the patient areas of health care. in jeopardy of another thrombosis. It is a well-established principle that responsibility Much is being written about the links between for the medical management of a surgical patient oral and general health and we hear phrases like rests with the surgeon; when we as dentists take “putting the mouth back in the body.” We also an instrument and cut tissue, be that mucosa with hear of the difficulty that some of our colleagues a blade or tooth with a bur, we are performing encounter securing sufficient operating room surgery. Only the surgeon, or in our case the time to ensure the health needs of our patients dentist, can weigh the benefits of a procedure are being met. That causes me to ask if we need against its risks, and one of those risks is to the to look at ourselves and examine if we are doing medical well-being of the patient. We must weigh all that we should to put dentistry back into the these considerations together with the patient and health professions. only then can we obtain true informed consent. To most I am stating the obvious, but I worry This may be an opportune time for a call to action. when reading clinical articles or listening to Let’s take time to increase our engagement with CE presentations, about the suggestion that our medical colleagues. For those who are en- medical management decisions should be gaged in any hospital work, attend the medical delegated to another practitioner. staff meetings. Consider participating in a med- ical CE event, particularly if the subject may have Please do not misunderstand—of course an impact on the medical management of our we must consult with a patient’s phys- patients (I attended a lecture on the use of bis- icians when they present with complex phosphonates in osteoporosis a little while ago). medical issues; we often need to modify Offer to give a presentation to a physician group; proposed treatments based on these con- many frontline physicians are presented with den- sultations and may need to co-manage the tal issues on a daily basis and would appreciate a medical dimension of their care. However, refresher on subjects like tooth fracture, infection the emphasis is on managing this aspect of dental origin or even intra-oral local anesthesia. of care collaboratively and not abdicating the responsibility. We all know that health care is delivered most ef- fectively using a team approach. So let’s work to make the team more inclusive and the interface between medicine and dentistry seamless. Alastair Nicoll, bds hons [email protected] Volume 2 Issue 3 | 7 CDA AT WORK ALASTAIR NICOLL Carving His Own Path There are many reasons why Dr.
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