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

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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

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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 medical 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. Alastair Nicoll, CDA’s president for 2015–16, chose to pursue a Tricia Abe career in dentistry. There was the appeal of running your own business, which he saw as a nice BSc, MSc counterbalance to the clinical aspect. There was the realization that “an interested individual could Ms. Abe is actually gain a good understanding of the entire field” before focussing on its most interesting CDA writer/ areas. But the most appealing part, according to Dr. Nicoll, is “the fact that the relatively small size editor. of a dental practice allows you to have autonomy.” “Plus, I always enjoyed gadgets and it seemed to me that the dental office was full of toys,” he adds with a smile. But he didn’t always want to be a dentist. Detour ahead His first choice was medicine. Born in Aberdeen, Scotland, Dr. Nicoll’s family moved throughout his childhood to follow the work of his father, who was a municipal architect. By the time he completed high school, his family had moved from Scotland, to Germany, to Switzerland, and then back to Scotland again. He had his pick of post-secondary schools and was accepted at the University of Edinburgh Medical School.

By the end of his third year in medical school, he realized that his heart just wasn’t in it. Besides the monotony he envisioned as a general practitioner in the health service, he “wanted to do other stuff. And I didn’t have the patience to spend the time in the residence system to practise medicine.”

Dentists have He withdrew from the program and decided to work for a living, turning his always worked somewhat in student job as a long-distance bus driver into his full-time occupation to help isolation and we need to break stabilize the finances of his young family. “My longest run was Bournemouth, on the south coast of England—about a 9-hour drive from Edinburgh. And I down some of the barriers. did the run to London a lot,” he recalls.

On those long journeys, his mind turned to applying to dental school. He was accepted to the school of oral and dental sciences at the University of Bristol, located in the city on the west coast of England. He loved it, excelled in his studies and graduated with honours in 1984. Soon after, he entered the National Health Service’s (NHS) General Dentistry Service, a system that provides everyone in the UK with access to dental care for a portion of the total treatment cost. He also performed routine surgeries in the oral surgery department of the local hospital, on a part-time basis.

But he didn’t see his future with the NHS. He wasn’t as busy as he wanted to be and didn’t like the way patient care could be influenced by the system’s financial structures. “I was looking for a practice environment where I could essentially do what is the optimal treatment for the patient, and the NHS system imposed significant limitations,” he explains.

8 | Volume 2 Issue 3 CDA at Work

The allure of the Canadian North Professional It was a Canadian connection that sparked the inspiration to move his career overseas. A Canadian friend had a conversation with Dr. Nicoll about Milestones his work at an outreach clinic in Frobisher Bay (as Iqaluit was then known). His friend was leaving the next day, anticipating a travel time of 6 hours. Dr. 1984: Dental degree from University of Bristol Nicoll remembers thinking “That’s interesting, you’re going to drive for 6 hours to go to an outreach clinic? In the UK, that’s incomprehensible—you’d 1988–89: Treasurer, NWT Dental Association be in a different country! And he said, ‘No, I’m flying for 6 hours.’ And this 1991–96: Chair, Board of Directors, Elkford gave me an incredible sense of adventure.” Diagnostic and Treatment Centre Drawn to the idea of working in a remote environment and treating a patient 1993: Secretary/Treasurer, Kootenay Dental Society group with tremendous needs, Dr. Nicoll began looking for dentistry positions in the Northwest Territories. He found an opportunity in Yellowknife and, like 1994–95: President, Kootenay Dental Society other UK-trained dentists he would meet there, practised as part of a tight- knit dental community. He also ran one-week outreach clinics in First Nations 1999–2000: Council Member, College of Dental Surgeons of British Columbia communities in the Mackenzie Valley and, because of his hospital experience in the UK, did some surgery lists at the local hospital. His time in the North 2002: Board Member, British Columbia Dental also marked the start of his involvement in organized dentistry, as secretary/ Association (BCDA) treasurer with the NWT Dental Association. 2007–08: President, BCDA Setting up shop 2009: Elected to the CDA Board of Directors After 3 years in Yellowknife Dr. Nicoll and his wife Marilyn, whom he met while working there, decided it was time to look for something new. A 2010: Recipient of BCDA President’s Award colleague offered him a part-time associate position at his practice in Elkford, British Columbia, a remote mountain community created in the 1970s to provide a home for miners drawn to the re-emerging coal industry in BC’s East Kootenay Region. Dr. Nicoll accepted, hopeful that the practice could be developed into a full-time position. Very quickly it did, and within a couple of years he bought the practice.

Even though Dr. Nicoll and family moved to Fernie, BC, a few years ago, he still practices as the sole dentist in Elkford, providing a full range of dental services to the town’s roughly 3000 residents. “You’re forced to learn how to do things well, where in a big city you might end up sending people to a specialist,” Dr. Nicoll says. “But in Elkford, access to specialists is difficult; patients tend to resist it.”

He also works at the Elk Valley Hospital in Fernie, where he operates a couple of times a month. “Most dentists are no longer able to do that,” Dr. Nicoll says of his role on the hospital medical staff. “It keeps me in close contact with medical colleagues.” Growing influence His involvement in organized dentistry continued on a steady trajectory with the move to Elkford. He became involved in his local dental society, the Kootenay Dental Society, where he served as secretary/treasurer and then president. Within a couple of years, he was recruited to become a representative of the Kootenay Dental Society on the Council of the College of Dental Surgeons of British Columbia. He was there at a critical time, when the Council was contemplating shedding its member service division and creating the British Columbia Dental

British Columbia Photographs: Brand Canada Library CDA at Work

Capturing the Moments...

① Dr. Alastair Nicoll at the 2014 FDI Congress in New Delhi, India.

❶ ② Alastair and wife Marilyn There’s strength in Ottawa.

③ Dr. Nicoll introduces ❸ CDA Oasis at its official in numbers. ❷ launch in 2014.

④ Alastair on the slopes in A-dec is honored that we have been selected as dental’s top scenic Fernie, BC. choice for decades. But of all the facts we can share, the most ⑤ (L. to r.) With CDA past- important is helping doctors perform better dentistry—today presidents Drs. Gary MacDonald and Peter Doig and far into the future. and current CDA president- ➍ elect, Dr. Randall Croutze. #1 choice of dentists in the U.S. and Canada—more than ➎ the next three competitors combined.

#1 A-dec’s industrywide ranking for reliability, Association (BCDA). A few years after his one-year of what can be achieved (p. 28). “Dentists have always service and value. stint at the Council, he was encouraged to become worked somewhat in isolation and we need to break a member of the BCDA Board of Directors and down some of the barriers. We need to educate others 62 Townie Choice Awards® , since their inception ultimately served as its president in 2007-08. in the health care sectors about dental problems so there’s less turf protection and more collaborative in 2003, have recognized A-dec products as He admires some of his mentors from that time, health care,” he says. “We know health care only works “Best in Class.” Dr. Don Lauriente, former director of member when you have an interdisciplinary approach." services at the College, and Dr. Jim Gray, retired 85% of the dental schools across the U.S. and BCDA director of member services, not only for their passion and vision but also for their “common sense The path not taken Canada are equipped with A-dec. Worldwide, more and practical approach to problems.” Outside of dentistry, Dr. Nicoll spends his time fixing schools and government facilities select A-dec than up their home in Fernie (“a typical dilapidated old any other brand. miner’s cottage”) and keeping up with his 5 children, Looking ahead some who live close to home and others farther His insights into some of the issues facing dentistry afield in England and Australia. Together, we’ll only get better. Call 1.800.547.1883 or are rooted in his personal experiences. On the issue of attracting more dentists to remote communities, He is also an avid skier, spending about 40 days each visit a-dec.com to learn more. he looks beyond the traditional fee-for-service year on the slopes. His love for the sport stretches model. “I believe the Ontario Dental Association has back to the time he spent as a ski patroller in Saas-Fee, a per diem funded system that uses itinerant dentists Switzerland. Before dental school, he even considered in small communities—marry that to some sort of a career in the ski industry. “I had 2 pathways that collaborative practice model and then I think that’s would allow me to make skiing a part of my life—I it,” he says. “There has to be some way of managing could become involved in skiing as an industry or I the overhead, helping dentists in locations where the could take a career pathway structured to give me overhead is likely to be so high that the net incomes enough time, and the ability to live in a ski area,” he are very poor.” says. “That’s another part of why I chose dentistry.”

On the need for better coordination between It’s another illustration of the pragmatism that dentistry and medicine, he holds up the University of continues to guide his decisions, and hints at the

Manitoba initiative to educate non-dental health care approach he’ll use—not doubt to great success— Based on research by Strategic Data Marketing. providers about oral-systemic health as an example during his year as CDA president. a Dental product categories include chairs, delivery systems, lights, and cabinetry.

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A-dec_TheresStrengthInNumbers_RevB_CDAEssentials.indd 1 4/14/15 10:54 AM Plan to Attend! The ADA annual meeting will return to Washington, D.C. in 2015

Registration opens May 20, 2015 For more information, visit ADA.org/meeting CDA at Work ADVOCACY TOOLS TO IMPROVE SENIORS' ORAL HEALTH

Canada’s population “Seniors have specific oral health needs. Poor is aging at a rapid oral health can dramatically affect a senior’s quality of life,” says Dr. Mitch Taillon, chair of pace. Statistics Canada CDA’s Access to Care Working Group. “This is predicts that by 2016 especially true of those seniors who require the number of seniors greater care. Oral pain and oral infections could exceed that of can influence the ability to eat, communicate children in the country. and sleep, leaving these seniors vulnerable to many other general health issues.” Well aware of the Seniors Advocacy Tool Kit Federal Advocacy demographic changes The tool kit includes: CDA’s efforts to raise awareness about facing our society,  the issue among political leaders are A how-to guide and checklist for conducting political meetings CDA has been bearing fruit. The Association has provided actively advocating background information on the matter to  A sample leave-behind briefing document for improved oral key Members of Parliament (MPs), some of  A draft opinion editorial on oral health in health care for seniors whom then reached out to former Minister LTC for newspapers  A draft letter to a Member of Parliament living in long-term of Veteran Affairs Julian Fantino. In letters  A meeting feedback form care (LTC) facilities, sent to the minister, the MPs urged him to adopt CDA’s recommended standards to address the needs for LTC when entering into contractual of current and future agreements with care providers. CDA has residents. also reached out to the new minister, the hosted in February, was the ratification Hon. Erin O’Toole, and will continue to of a consensus statement on oral health reinforce this message. standards of care for LTC facilities (p. 14). CDA will be communicating with the The oral health of seniors in living in LTC 29 organizations that participated in the facilities will be further discussed during event to seek their endorsement of the CDA’s upcoming Days on the Hill event in discussed consensus statement. May 2015, where representatives from the profession will meet with MPs to advocate The Canadian Medical Association (CMA) for initiatives and policy changes to improve has also reached out to CDA with regard the oral health of Canadians. to its forthcoming national strategy on care for seniors. CDA participated in several Seniors Advocacy Tool Kit discussions with various stakeholders and Dr. Mitch Taillon CDA doesn’t limit its advocacy efforts to the submitted four standards of care to CMA Chair of the CDA federal level. To help support dentists and that should be implemented in LTC facilities, Access to Care dental organizations in their provincial and namely: Working Group regional advocacy efforts, the CDA Access  An oral health screening upon admission to Care Working Group has also developed  An annual examination by a dentist a comprehensive seniors advocacy tool kit  A daily mouth care plan that can be used when advocating for oral health care standards in LTC facilities.  Suitable infrastructure to support the appropriate delivery of needed dental Interdisciplinary Collaboration care. a A key item on the agenda at the Canadian Oral Health Roundtable, which CDA

Volume 2 Issue 3 | 13 CDA at Work

Interprofessional collaboration guides CANADIAN ORAL HEALTH ROUNDTABLE "The considerable unmet needs in oral • A draft statement on standards of oral Recognizing the need health care challenge us to find effective health care in LTC facilities was circulated ways to improve oral health outcomes in to 2015 COHR participants for review. for a multidisciplinary Canada,” said Dr. Gary MacDonald, CDA past- approach to president, in his opening address. “There is a • CDA created the COHR Clearinghouse improving the oral need for groups of organizations, like those (oralhealthroundtable.ca), a website health of Canadians, attending today, to join forces to advocate that compiles information on Canadian for improved access to care on behalf of the oral health programs and initiatives in representatives from vulnerable.” the public, academic and private 29 organizations sectors. gathered in One year later Advocating for seniors and Ottawa for the The goal of this year’s Roundtable was 2015 Canadian Oral to build on the work started at the 2014 children meeting (known as the National Oral Facilitated discussions in February centred Health Roundtable Health Symposium). Since that inaugural on the draft consensus statement outlining (COHR) hosted event, notable progress has been made minimum oral care requirements for all by CDA on on initiatives related to community water residents of LTC facilities. Dr. Martin Chartier, fluoridation (CWF), oral health care standards acting chief dental officer at the Public February 26. in long-term care (LTC) facilities, and oral Health Agency of Canada, addressed the health education for children: participants, noting that patients in LTC are • 27 organizations endorsed a consensus at a greater risk for root decay and gum statement on the safety and efficacy of disease because of factors such as limited water fluoridation in preventing caries, access to care, xerostomia, loss of mobility which can be used by municipalities to and dexterity, and reduced financial support their position on CWF in the face capacity. of persistent opposition.

14 | Volume 2 Issue 3 CDA at Work

❶

CANADIAN ORAL HEALTH ROUNDTABLE ❷ Participants also considered how to improve the oral health of children by raising oral health awareness among children, parents, physicians, other health care professionals, and the public. Attendees also underscored the importance of encouraging dentists to treat infants in order to establish more children in a dental home by age 1. ❸ To change oral health behaviours, and ideally health outcomes, some ➍ participants felt that more than ➊ Anne Lyddiatt, educational initiatives are needed. Patients for Patient Safety Others concluded that any interventions Canada implemented to improve oral health ➋ Dr. Anne Rowan-Legg, should be chosen based on evidence Canadian Paediatric of their effectiveness and incorporate a Society common risk factor approach. ➌ Dr. Martin Chartier, Public Health Agency Continued interprofessional of Canada collaboration, potentially supported ➍ by the formation of a COHR working Dr. David Baird, British Columbia Dental group, is a critical component of future Association COHR initiatives. The next Roundtable ➎ meeting is scheduled to take place in ➎ Dr. Cindy Forbes, April 2016. a Canadian Medical Photographs: Teckles Photo Inc. Association

Volume 2 Issue 3 | 15

CDA at Work

CDA Spotlight DENTAL CLAIMS AND BENEFITS

Why was this working group on dental consent to mean they can find out whatever Has your office Qbenefits created? information they want on a patient’s experienced an audit For a number of reasons. Dental benefits chart; we’re saying no, you can’t—you can by an insurance carrier weren’t much of an issue about 10 years ago; verify what was done on that day for the dentists were doing the work, submitting procedure that has been claimed by the that left you feeling claims to insurance companies, insurance patient. companies were paying the claims and uncertain about the There are also some issues associated with everyone seemed pretty happy. process? Does your electronic funds transfers, or EFTs, which front office staff find it But then competition among insurance were introduced by insurance carriers as carriers increased and, naturally, they looked another cost-cutting measure. I think EFTs challenging to deal with for ways to cut costs. Initially cost-cutting are a good thing and they will be beneficial electronic fund transfers measures focused on pharmacy but now for the profession over the long term. But the attention has turned to dentistry, which right now, I think they’ve been introduced when accepting represents the second largest expense for in a way that’s caused problems for assignment of benefits? insurance carriers. And this is starting to many dentists across the country, such as create problems. So CDA identified a need burdening them with extra paperwork and A newly formed CDA to deal with these issues and established the costs. working group held working group. Can you elaborate on what you think is its first meeting in Who is on the working group? Qwrong with audits? February 2015 to look Q There are 4 of us: Dr. Timothy Gould from The problem with audits is that they can into these and other Vancouver, a periodontist and co-director be very intrusive. They are not conducted challenges associated of member services at the British Columbia in a standardized way and sometimes they Dental Association; Dr. Gurminder (Mintoo) put the dentist in a precarious position. For with the management Basahti, a general dentist from Alberta; example, an auditor can go into a dentist’s of dental claims and Mr. Alex Glazduri, director of membership office and request a patient’s chart. The services and marketing at the Ontario Dental dentist might provide the whole chart— benefits. Association; and myself as chair. I’m a general not knowing that it may contain personal dentist in Antigonish, a small town in Nova health information about the patient that Scotia. So we end up with some broad an insurance carrier has no right to see. So a geographic representation and people who dentist might unwittingly violate a patient’s We spoke with Dr. Paul bring a wide range of expertise to the group. right to protect their personal information. Cameron, CDA board member from Nova Scotia What sorts of benefits issues are dentists QWhat does the working group hope to and chair of the CDA Qexperiencing? accomplish in the short term? Working Group on Dental One of the problems we’ve been hearing We’ve tried to identify the main issues Benefits, to find out what’s about is that some insurance companies affecting dentists and prioritize them. on the group’s agenda. are very aggressive in their audits. We’ve Our top 3 priorities are to work with the heard about auditors who were quite dental benefit industry to develop an unreasonable in what they’re asking from understanding of best practices for an audit; dentists for the sake of the audits. Some of work with carriers to help them roll out EFTs the insurance companies interpret patient in a way that doesn’t unnecessarily burden

We’ve tried to identify the main issues affecting Dr. Paul Cameron dentists and prioritize them.

Volume 2 Issue 3 | 17 Where are you going to go? • To stay current on dental news and research ? • To view short videos of clinical cases ? • To listen to podcasts on relevant professional issues ? • To explore clinical questions or challenging cases ? • To share stories and experiences with colleagues ? • To easily access clinical content through Oasis Help and JCDA.ca ? Your new ‘on-the-go, one-stop’ solution.

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dentists; and work with the dental benefit industry to develop a CDA position statement on dental benefits that outlines some core principles we can all agree on.

Why are dental benefit issues important to Qyou?

It’s an issue that hits home with every dentist in Canada. One of the lines that hit me hardest in the terms of reference for the Working Group on Dental Benefits was “…to ensure the sustainability of dental benefits.” We have to work towards this goal. Dental benefits are a very expensive issue for a lot of insurance carriers, and if dental benefits aren’t sustainable there’s no reason for insurance carriers to keep them going. And that would be detrimental to all dentists Members of the CDA Working Group on Dental Benefits and their patients. We know we can’t solve all Back row (L. to r.) Dr. Benoit Soucy, CDA director of clinical and scientific affairs; Geoff the problems out there, but we’re certainly going Valentine, CDA manager of health informatics services; Monique Bouchard, CDA coordinator, education; Dr. Paul Cameron, CDA Board of Directors. to try to manage the issues and help dentists as a Front row (L. to r.) Dr. Timothy Gould, co-director of member services, British Columbia best as we can. Dental Association; Dr. Gurminder (Mintoo) Basahti, dentist from Westlock, Alberta; Alex Glazduri, director of membership services and marketing, Ontario Dental Association.

Delve into the Root of the Matter

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*Versus a manual toothbrush 1 Delaurenti M, et al. An Evaluation of Two Toothbrushes on Plaque and Gingivitis. Journal of Dental Research. 2012, 91(Special Issue B):522. 2 Data on file, 2010

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This general concept is supported by CDA, the Canadian Academy of Pediatric Dentistry, the "When should a American Dental Association, the American Academy of Pediatric Dentistry, the Canadian Pediatric child first see a Society and the American Academy of Pediatrics and academics. On a personal level, I have taught this principle to every dental student that has graduated from the University of Toronto these past dentist?” is a question 20+ years. Yet just the other day I was looking at one dentist’s website saying that parents should that, as a pediatric bring their children for the first visit to the dentist at age 3 or 4! dentist, I get asked a Such mixed messages can make it hard for parents to know that they should bring their infants to lot. My resounding the dentist by age 1 to help prevent the potentially serious impact of early childhood caries (ECC). According to a recent report by the Canadian Institute for Health Information, hospital outpatient answer is always, dental surgery for ECC constituted 31% of all day surgery for children age 1 to 4, making it the “Within 6 months of leading cause of day surgery for children in this age group.1 eruption of the first The consequences of untreated ECC cannot be ignored. Pain, difficulty eating and sleeping, speech tooth or by age 1—or problems and poor self-esteem can occur. Untreated ECC can also affect growth and the ability to concentrate and function. The quality of life of the youngest, and often most vulnerable, members as I like to say ‘first of our society can be seriously compromised. And yet, this condition is preventable. First tooth, first tooth, first birthday, birthday, first visit—the age 1 dental visit is a best practice we can all support and adopt. first visit.’ ” So what are some of the barriers or myths regarding the first dental visit?

Infants are disruptive and too difficult to control and examine. 2 Infants have unique needs. They can be fidgety, Before age 1 is too early for preoccupied, shy, and sometimes frightened. a first visit to the dentist. With a little preparation and a few distractions, examining infants can be fun for you, the parents The first visit is mostly devoted to and the child. 1 a thorough developmental and Here are some easy ways to create a positive dental history, a caries risk assessment experience: and providing anticipatory guidance – Your examination room is a playground. to the parents. In essence, you are With new people, shining lights, and establishing a dental home for interesting gadgets, there are plenty of the child and parents. It is an ways to distract and entertain infants occasion to educate parents while you examine them. and share tips and advice on optimal oral health care – Have realistic expectations. Most babies won’t have the for children. A child’s first visit patience to keep their mouth open for longer than a few to the dentist should be minutes or even seconds. seen by the public and the – Be efficient! Have a parent or caregiver cuddle the child profession as an important during the examination using a knee-to-knee position. milestone to celebrate. For Ask your staff to entertain the child when they are getting many children, a delayed impatient. first dental visit is too – Make it fun. Keep toys or child-friendly distractions handy. late to prevent the ravages of ECC.

Volume 2 Issue 3 | 21 CDA at Work

3 You need special equipment or setup for babies. While infants may have unique chairside needs, they do not require unique equipment or instruments in the examination room. That said, you may want to make minor adjustments to your office to welcome your new little patients. Toys and books in the waiting room will occupy infants as they wait for their appointment. Consider adding changing tables in the washrooms and an extra chair in the examination room for parents. Have the parent hold the child as much as possible to avoid separation anxiety.

Parents delay the first visit because insurance carriers don’t reimburse it. 4 Most PDAs have incorporated code 00011 into their fee guides, the description which reads: “Oral assessment for patients up to the age of three years inclusive. Assessment to include: familial dental history; dietary/feedings practices; oral habits; oral hygiene; fluoride exposure. Anticipatory guidance with parent/guardian”

While using this code for first visit invoicing purposes can streamline the claims submission process, it unfortunately does not guarantee reimbursement under parents’ dental plans.

First visit by age 1 is just a passing trend. 5 A first visit to the dentist within 6 months of eruption of the first tooth or by age 1 is here to stay. Primary care providers across the health care spectrum recognize oral health as an important part of overall health. An investment in infant and children’s oral health is key to lifelong health. Ideally, children should see a dentist within the first year and regularly thereafter, just like regular examinations with their pediatrician or family doctor. a

Reference

1. Canadian Institute for Health Information. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Want to encourage Anesthesia. 2013. parents to start thinking about their child’s oral health and to schedule their first visit? CDA has produced a handy, printable poster for your Dr. Paul Andrews dental office, available at cda-adc.ca/posters Dr. Andrews of Toronto is a pediatric dentist, the director of the graduate clinical program in pediatric dentistry at the University of Toronto, and a member of CDA’s Access to Care Working Group.

22 | Volume 2 Issue 3

COME EARLY. STAY LATE. Before you plan your trip to the Conference, we suggest you come early and stay late. As the oldest city in North America, we have a rich history to see and learn about. Match this with unique dining experiences, spectacular vistas and views, outstanding culture and music for every taste. With exciting activities on and off the ocean and around us some of the friendliest people you will ever meet, you won’t be disappointed with your time here. And, if you have more time on your hands, SMILES AWAY FROM ORDINARY take a road trip and head west. Our beautiful province has so much to offer. The hardest part will be deciding what to do. COME FOR THE CONTINUING EDUCATION...STAY FOR THE PARTY! IN AND AROUND ST. JOHN’S PLUS CLOSING CONCERT WITH THE ALAN DOYLE BAND COLOURFUL DINING COLOURFUL ADVENTURES In and around St. John’s, you can choose from a variety of Take a boat trip and watch the whales frolic and play and dining experiences that are superb. Whether you’re looking see the world’s largest puffin sanctuary. Get up close and for sophistication or urban chic, we have award winning go sea kayaking or ziplining. Take a hike along the coastline restaurants like Raymonds, Mallard Cottage and Aqua to and breathe in our fresh sea air. With several golf courses name a few. If you want to sample some traditional favourites, nearby, enjoy a day on the green. See what mood you are just walk down Water or Duckworth Street and tempt your in then make a plan. tastebuds. You won’t be disappointed. If you’re looking for a rural twist, within an hour outside the city you can COLOURFUL CULTURE dine with the whales with a fabulous Lighthouse Picnic. Our culture is a thread that is woven in the fabric of our Your options are wide open. community. With the most bars per capita on George Street, CE SPEAKERS INCLUDE you can pop into any local bar or pub and find live music to COLOURFUL VIEWS suit any taste. O’Reilly’s bar is one of the best pubs in DR. LEE ANN BRADY DR. JEFF OKESON LISA PHILP So many things to see, so little time. If you like breathtaking Canada—you should find out why. Art galleries and festivals, DR. JOHN MOLINARI DR. GARY DEWOOD DR. ROB RODA vistas and landscapes, keep your eyes open. Spectacular drama and poetry. It’s all here for you to take in. views available free of charge from Signal Hill, Quidi Vidi Village and Petty Harbour. Stand on the most easterly COLOURFUL HISTORY point in North America where the sun rises first at Cape If you’re a history buff, St. John’s will be a delight—the oldest Spear. Great scenery is a given from the colourful houses city in North America with a story you will be eager to hear to the historic properties in and around the city. about. The Rooms is a must see as well as provincial and national historic sites. We have many museums and galleries for you to visit—the hardest part will be finding the time to do it all. PLAN AHEAD There are many places to learn more about our beautiful city and province to help you plan your time here. One thing is for sure—you will need to come early and stay late to make the most of your trip. To plan your visit and learn more about what you can do in and around St. John’s visit www.destinationstjohns.com To learn more about what to do in Newfoundland and Labrador visit www.newfoundlandandlabrador.com

nlda.net/cda.html

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NLDA_2pgspread_v1.indd 2 15-03-31 1:40 PM News and Events

The Royal Canadian Dental Corps: FORENSIC ODONTOLOGY

Canada’s military dental services have looked after the oral health needs of Canada’s troops in both World Wars, Korea, Afghanistan, and served on many other peacemaking, peacekeeping, humanitarian The RCDC also continues to support the forensic anthropologists of the Canadian and forensic operations. In the lead-up to the 100th anniversary of the Armed Forces’ Directorate of History Royal Canadian Dental Corps (RCDC) in May 2015, this is the final and Heritage in identifying remains of article in a series that has brought to light the history of the RCDC Canadian military personnel uncovered on the battlefields of WWI and WWII. over the last century, celebrating the heritage, accomplishments and This work supports Canada’s Geneva dedication of the dental services personnel of the Canadian Armed Convention requirement to support the identification of fallen Canadian soldiers, Forces. sailors and aviators of past wars and Through its capabilities in forensic recent conflicts. odontology, the RCDC supports The Dental Corps maintains the Canadian the Government of Canada in its Forces Forensic Odontology Response humanitarian and disaster-relief efforts. Team (CF FORT), an established group of In response to the Swissair Flight 111 crash 12 Dental Officers and Dental Technicians near Peggy’s Cove, Nova Scotia, in 1998, on high readiness status that assist the the provincial coroner asked the federal RCMP or police in other jurisdictions government to deploy a Disaster Victim (in Canada or abroad) in DVI operations, Identification (DVI) team. Forty-five when called upon to do so. Additional RCDC personnel assisted with dental Dental Officers and Dental Technicians identifications, supporting the work of are trained and ready to augment the the coroner and the RCMP DVI team. CF FORT team, as needed. After analyzing over 2000 radiographs Developing and sustaining this capacity and 313 post-mortem specimens, in a relatively small organization requires RCDC personnel aided in 102 of the ongoing collaboration with a number 149 completed identifications. of Canadian institutions. The RCDC There have been several other occasions has greatly benefitted from, and relied is honoured when the RCMP sought RCDC’s forensic significantly on, its collaboration with to publish a regular series odontology capability to support their Dr. David Sweet, director of the Bureau of of articles, leading up DVI missions: the Haiti earthquake in Legal Dentistry at the University of British to the celebration of 2010, the Resolute Bay First Air 6560 plane Columbia, and the training provided RCDC's 100th anniversary. crash in 2011, and a terrorist incident in by his team of experienced forensic North Africa in 2013. In addition, RCDC practitioners. The military-tailored course personnel were put on stand-by status in created by Dr. Sweet has been provided 2011, following the tsunami in Japan and to the RCDC for a number of years. 10 0 earthquake in New Zealand. In June 2013, participation in the course RCDC also continues to support the forensic anthropologists of the Canadian Armed Forces’ Directorate of History and Heritage in identifying remains of Canadian military personnel uncovered on the battlefields of WWI and WWII.

26 | Volume 2 Issue 3 News and Events

expanded to include individuals from some of Canada’s NATO and ABCA (American, British, Canadian, Australian [and New Zealand]) partners. The training provided by Dr. Sweet’s team supports the long-standing and recently ratified common DVI doctrine within NATO and ABCA, fitting the principle of “training together to deploy together.” a

➊ CDA is playing a central role in commemorating the 100th anniversary of the RCDC in May 2015, reflecting CDA’s role in establishing a military ➋ dental service in Canada and the close partnership between CDA and RCDC since that time.

➊ Maj Ellen Sim (l.) discusses the DVI mission with then CAF Surgeon General, Commodore Hans Jung, during his visit to Op HESTIA, Haiti. ➋ Maj Tony MacIsaac (l.) and Capt Richard Groves ➌ performing on-site post-mortem charting for Op PERSISTENCE, CFB Shearwater, Nova Scotia. ➌ CF FORT DVI team members during a break in training, Canadian Police College, Ottawa. ➍ LCol Dwayne Lemon (l.) and Maj Sophie Toupin analyze records in support of the identification of a fallen Canadian WWI soldier.

➍

May 13, 2015, marks the 100th anniversary of Canadian military dental services. RCDC centennial celebrations were launched in February 2015 and will feature a number of events in Ottawa, generously organized and sponsored by CDA. Another highlight will be an exhibition by the Canadian War Museum in Ottawa, 100 Years of Canadian Military Dental Service. The exhibition is open to the public from10 0 May 13 to November 11, 2015. Details for all events YEARS marking the RCDC centennial are available at cda-adc.ca/en/about/forces

Volume 2 Issue 3 | 27 News and Events UNIVERSITY OF MANITOBA RECOGNIZED for its Oral-Systemic Health Curriculum

The University of Manitoba was awarded the 2015 expressed interest in implementing the curriculum within their schools, and mostly William J. Gies Award for Outstanding Innovation by their medical schools. The curriculum will an Academic Dental Institution—a first for a Canadian be available online in the spring of 2015 at oralhealthed.com for practising professionals dental school—in recognition of its oral health curriculum and students to use, says Ms. Hein. “Each for non-dental health care professionals. course comes in hard copy and in an electronic format. We are also aiming to put The Oral-Systemic Health Education out 5 more courses in 2015.” for Non-Dental Healthcare Providers curriculum launched by the university’s Dr. Iacopino is thrilled with the project’s International Centre for Oral-Systemic success: “Receiving this award is the best Health (ICOSH) is the first of its kind— validation that oral health and oral care comprehensive, evidence-based, peer- should be front and centre in primary health reviewed, and interprofessionally-vetted. care. The curriculum has been supplemented “We are creating a new, effective health with continuing development programming care delivery model that is focused on that includes informal meetings with collaborative, interprofessional, patient- physicians in northern and underserved centred care,” explains Casey Hein, ICOSH communities all the way to formal full-day director of education. interprofessional symposia with active participation and hands-on experiences—it The objective of the curriculum is to all validates that within this culture and provide a bridge between different health care system, people are interested to health care professions, and ultimately to incorporate new concepts to improve public improve patients’ oral health. “As more health.” non-dental health care providers are The American Dental Education exposed to the curriculum, Association’s ADEAGies we would expect patients Foundations honours “individuals to see a positive change in and organizations that exemplify the way their oral-systemic To learn more the highest standards in oral health concerns are managed,” explains about the health and dental education, research and Dr. Anthony M. Iacopino, dean of the curriculum, visit leadership.” The 2015 awards were presented College of dentistry. “For populations umanitoba.ca/ in March 2015 in conjunction with the with limited access to oral health icosh association’s annual session. a care services due to socioeconomic or geographic barriers, this means individuals will soon be able to receive an effective oral health screening and referral from their family Watch an interview with doctor or other primary care provider.” Dr. Iacopino and Professor Casey Hein at oasisdiscussions. This vision seems to resonate with many, as ca/2015/01/09/umb several North American universities have

We are creating a new, effective health care delivery model that is focused on collaborative, interprofessional, patient-centred care.

28 | Volume 2 Issue 3 A new wave in instrument washing and sterilization

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Dr. Marcia Boyd with Governor General David Johnston at her investiture ceremony on February 13, 2015.

Dr. Marcia Boyd Named MEMBER OF THE ORDER OF CANADA Dr. Boyd’s appointment was for “her American Associations for Dental Research Dr. Marcia Boyd, contributions to the field of dentistry and for and was the first Canadian woman to serve her stewardship of the profession.” as president of the American College of CM, DDS, MA, Dentists. Currently, she is a senior associate at LLD (Hon), FACD, In its official press release, the Governor ROI Corporation. General’s office noted: “Marcia Ann Boyd was appointed has helped to change the face of dentistry. “I feel extremely honoured to be joining the as a Member of the A highly regarded teacher and academic ranks of such distinguished and outstanding Order of Canada administrator with the faculty of dentistry Canadians,” says Dr. Boyd. “I feel very at the University of British Columbia, she fortunate that I chose dentistry for my life in May 2014. has long been committed to improving career. It has been challenging yet always standards of education and practice. As the rewarding, in every way. I promise myself first woman to hold several leadership roles to continue to fulfill my personal motto: within her profession, she strengthened the seek knowledge, conquer fear, do justice,” accreditation and certification processes for she adds. a dentistry in Canada, and helped pave the way for women in the field.”

Dr. Boyd served as dean of the faculty of dentistry at UBC and is well known for her Photo Credit: MCpl Vincent Carbonneau, Rideau Hall accomplishments in dental education, The Order of Canada recognizes citizens from ©Her Majesty The Queen in Right of Canada represented both nationally and internationally. She was all sectors of society for outstanding achievement, by the Office of the Secretary to the Governor General the founding president of the Education dedication to the community and service to (OSGG), 2015. the nation. Reproduced with permission of the OSGG, 2015. Research Group of the International and

Volume 2 Issue 3 | 31 Your banking should be as personalized as your patient care.

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Schulich Dentistry Names Dr. Richard Bohay Your banking should be as Interim Director personalized as your patient care. Dr. Richard Bohay has been appointed interim director of Schulich Dentistry at Western University. Dr. Bohay is an associate Dr. Richard Bohay professor in oral medicine and radiology in dentistry David Marks Named and in the department DIAC President of epidemiology and The Dental Industry Association of biostatistics. He is also the Canada (DIAC) has named David Marks assistant director, academic as its new president. Mr. Marks will affairs, in dentistry. He holds serve as acting president until May 7, an appointment at London 2015, when his two-year term as DIAC Health Sciences Centre president officially begins. and maintains a part-time Mr. Marks is the director of marketing private practice in oral and for Henry Schein Canada, where he David Marks maxillofacial radiology. oversees the company’s marketing Dr. Bohay will serve as programs. He also started his own interim director until company, Confi-Dent, in 1992. The December 31, 2016. a company initially focused on infection control supplies but soon developed into a full service dental supply Specialized banking company. a advice for your practice. Your expert advice helps your patients stay healthy. NDEB Elects Dr. Mary Ann Wiseman TD Business Banking Specialists work with you to help keep your business just as healthy with banking as President solutions and specialized banking advice. And because we’re open earlier, open later and even on Sundays,* you can get the advice you need, on your time. In October 2014, the National the health of Canadians,” said Dental Societies. She is also Because a healthy practice deserves specialized care. Dental Examining Board of Dr. Wiseman. “I’m looking a Fellow of the Academy of Canada (NDEB) elected forward to working with General Dentistry. Dr. Mary Ann Wiseman of Board Members, the Executive NDEB (ndeb.ca) establishes Dr. Mary Ann Moncton, New Brunswick as Director and Registrar, and and maintains national Wiseman its new president for a two- senior management to standards for the practise of Visit tdcanadatrust.com/dentists year term. advance its mandate.” dentistry in Canada though or call 1-888-679-4808 “I’m proud to lead an Dr. Wiseman has previously an internationally-recognized organization that plays such an served as president of both the system of examinations. a important role in supporting Moncton and New Brunswick

*Individual branch hours vary. 400 branches are open Sundays. ® The TD logo and other trade-marks are the property of The Toronto-Dominion Bank. Volume 2 Issue 3 | 33

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lthough Dr. Fernanda Almeida and her father come from different professional backgrounds—she is a dentist and he is an ear, nose and throat doctor—they have both devoted their careers to helping patients with obstructive sleep apnea (OSA). “My dad practised in Brazil and did a lot of OSA surgeries in the 80’s, the main treatment at the time for snoring and sleep apnea,” says Dr. Almeida. “But as he followed his patients, he saw that the surgery Dr. Fernanda Almeida A didn’t work over the long term.”

Volume 2 Issue 3 | 35 Issues and People

The inaugural ORANGE (Oral Appliance Network on Global Effectiveness) network meeting in 2012. Dr. Almeida credits her father's influence on her career path.

Dr. Almeida was in dental school when her father encouraged her to pursue dental sleep medicine; it was the start of a lifelong interest in the treatment of sleep-related treatment for OSA is an oral appliance—dental orthotics, breathing disorders. “He saw a dentist give a talk about tongue retaining devices, mandibular advancement treatment for sleep apnea and told me, ‘You need to do appliances (MAA) or mandibular advancement devices this because my patients need help.’” She is now a leader (MAD). According to the Canadian Thoracic Society and the in her field—a renowned researcher; assistant professor American Academy of Sleep Medicine, oral appliances are in the University of British Columbia (UBC) department recommended as the first treatment for patients who snore of oral health sciences; and a member of the UBC Sleep (without apnea) or who have mild to moderate OSA. Oral Team, a multidisciplinary group dedicated to researching appliances are also an option for patients with severe OSA respiratory sleep disorders. She also practises at her dental who find it difficult to stick with CPAP therapy. sleep medicine clinic in Vancouver and is one of 16 Canadian “When we compare the main treatment for sleep apnea, dentists with Diplomate status granted by the American which is the CPAP, to an oral appliance, the CPAP is more Board of Dental Sleep Medicine. effective in the reduction of the apneas over the short term,” explains Dr. Almeida. “But new studies on severe cases of An alternative to the OSA are showing that the long-term effectiveness of CPAP gold standard treatment and an oral appliance is about the same because patients are 2, 3 Obstructive sleep apnea is a disorder that may affect more likely to use the oral appliance throughout the night.” over 1 in 4 Canadian adults, but is self-reported by only Although oral appliances don’t work for all patients, Dr. 3% of Canadians.1 The gold standard for OSA treatment Almeida says that roughly two-thirds of patients benefit is continuous positive airway pressure (CPAP), but the therapeutically from them.4 In her experience, she finds treatment does not work for everyone. Dr. Almeida explains, medical professionals are “still very skeptical about oral “CPAP is the most effective treatment, short term. But appliances for treating OSA, in regards to treatment compliance is an issue. We know that many patients find the outcomes. It’s an area where there is still a lack of extensive mask or the treatment, in general, uncomfortable. evidence on the treatment’s long-term effectiveness, which They might take the mask off in the middle considers both efficacy and adherence to treatment.” of the night or they only use it a few times a week. Good adherence to CPAP is often described as 5 days/week, 70% of the For more information on the dentist’s role in the management night, and following this criteria about 40–60% of the patients using CPAP are of snoring and OSA, refer to the College of Dental Surgeons of thought to exhibit good adherence.” British Columbia document, “Obstructive Sleep Apnea, The Role of Dentists in the Treatment of Snoring and Obstructive Sleep For patients who are unable Apnea with Oral Appliances.”6 to tolerate CPAP or use it inconsistently, an alternative cdsbc.org/obstructive-sleep-apnea

36 | Volume 2 Issue 3 Issues and People

There’s a need for more recognition of the problems Generating evidence associated with OSA and easier access to treatment, she adds. To help close the evidence gap, Dr. Almeida is co-leading “It cannot be done by a few specialists,” says Dr. Almeida. a multinational initiative for evaluating the long-term “Helping people get the treatment they need has to come effectiveness of oral appliance therapy in OSA patients. from the entire dental community.” a Formed in 2012, the network called ORANGE (Oral Appliance Network on Global Effectiveness) also aims to assess the long-term health outcomes of oral appliance therapy, in References relation to cardiovascular disease.5 The network involves 1. Government of Canada. What is the impact of sleep apnea on Canadians? Ottawa: Public Health Agency sixteen researchers in medicine or dentistry from nine of Canada; 2010 [accessed 2015 Jan 19]. Available: http://www.phac-aspc.gc.ca/cd-mc/sleepapnea- countries. “Everyone was doing their own small studies. So apneesommeil/ff-rr-2009-eng.php 2. Phillips CL, Grunstein RR, Darendeliler MA, Mihailidou AS, Srinivasan VK, Yee BJ, et al. Health outcomes of we brought everyone together and said, ‘Can we as a group, continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: standardize the data we are collecting and follow patients for a randomized controlled trial. Am J Respir Crit Care Med. 2013;187(8):879-87. a long period of time?’” Collectively, the network hopes to 3. Anandam A, Patil M, Akinnusi M, Jaoude P, El-Solh AA. Cardiovascular mortality in obstructive sleep follow at least 1,000 patients over five years. Her goal, like the apnoea treated with continuous positive airway pressure or oral appliance: an observational study. ORANGE network itself, depends on collaboration between Respirology. 2013;18(8):1184-90. 4. Holley AB, Lettieri CJ, Shah AA. Efficacy of an adjustable oral appliance and comparison with continuous the dental and medical communities. “My role is to generate positive airway pressure for the treatment of obstructive sleep apnea syndrome. Chest. 2011;140(6): enough evidence on the effectiveness of oral appliances so 1511-6. that physicians will recommend them to their patients.” 5. Almedia FR, Vanderveken OM, Cistulli PA, Fleury B, Gagnadoux F, et al. ORal Appliance Network on Global Effectiveness (ORANGE): Start-up and design description. J Dent Sleep Med.2014;1(1):17-20. In another study, Dr. Almeida and Dr. Nelly Huynh, in 6. College of Dental Surgeons of British Columbia. Obstructive sleep apnea: the role of dentists in the collaboration with researchers from UBC, the University treatment of snoring and obstructive sleep apnea with oral appliances. [accessed 2015 Jan 19]. Available: of Montreal and Laval University, are evaluating how oral http://www.cdsbc.org/standards-and-guidelines/ appliance therapy stacks up against CPAP for long-term The views expressed are those of the author and do not necessarily reflect the opinions or official policies of the treatment effectiveness. Their CIHR-funded study will use a Canadian Dental Association. randomized controlled trial to assess patient adherence to treatment (objectively measured rather than self-reported), treatment efficacy, patient preference, sleepiness and quality of life. For doctors and dentists, the study results will offer new insights into the potential benefits and drawbacks of New Horizons In Dentistry treatment options for their patients with sleep apnea. Expand your practice nd Bo rt with Orthodontics e b o R • Grow Your Income

The role of dentists r

D • Enhance Patient Care Although dentists don’t diagnose sleep apnea, they have an • Personal Case Study important role to play in supporting their patients. “Dentists • Combine Business With Pleasure can identify patients at risk of sleep apnea and refer them ald Don CSW & Functional ac to their family physicians. Qualified dentists can also fit oral M Orthodontic Program n a l appliances for patients with a prescription from their family A

. Major emphasis on orthodontics,

r doctor,” says Dr. Almeida. “Physicians have to be involved D invisalign, practice management and because sleep apnea is a health-related problem that comes the new implant anchorage system hand-in-hand with hypertension, atrial fibrillation, with & cosmetic rehabilitation. diabetes. Physicians can also refer the patient to a sleep • Our Regular 10 Full Program specialist.” Sessions Available in South Beach, Miami. • Special Advanced Sessions Available in our Unique Locations 1 at the Carribean, A2 at Mexico and 2 at Ski Resorts.

For complete Course Description and to Reserve Your Place, Call 1-877-20-ORTHO or visit www.cswfop.com Volume 2 Issue 3 | 37 Deep down you need a better light.

Which types of filling materials do you use? Research shows that 69% of dentists placing bulk fill restorations are not confident of polymerization deep in the cavity.1 3M ESPE took this as a challenge. The new 3M™ ESPE™ Elipar™ DeepCure-S LED Curing Special Light delivers a cure you can trust. Introductory Pricing until • A predictable, reliable cure, even at the June 30, 2015! bottom of the proximal box • Significantly better depth of cure even when perfect light positioning is difficult Elipar™ Light curing matters. Learn more at: www.3MESPE.com DeepCure-S LED Curing Light For more information: 1-888-363-3685

06487_EliparDeepCureAd_JCDA_EN_FINAL2.indd 1 2015-04-21 9:01 AM Supporting Your Practice Oasis Discussions

Effrat Habsha, DDS, Dip. Prostho, MSc, FRCD(C), is in private practice in Toronto at Prosthodontic Associates (buildyoursmile.com). She is staff prosthodontist at Mount Sinai Hospital and currently instructs graduate prosthodontic residents at the University of Toronto. We asked Dr. Habsha to walk through the process of using digital impressions for those unfamiliar with the technology.

An Introduction to Digital Impressions

Digital impressions are used to capture a preparation without using impression material. The scanned image is saved to the cloud. Digital impressions can be used in a number of applications: a single-unit crown, multi-unit restorations, conventional dentistry, implant-based dentistry, ➊ orthodontics and diagnostic casts.

What are the benefits of digital impressions? How is a digital impression created? FOR DENTISTS: Digital impressions can enhance a clinician’s The system uses a large, touch screen monitor on abilities, as fine details of the preparation(s) can be visualized a mobile cart (➊). This enables the clinician to on a large screen. view and rotate the 3D model and assess the

FOR PATIENTS: Patients are not required to endure a mouthful of impression material. The digital process is less messy, tasteless and is more comfortable for patients. Ultimately, patient complaints about impressions should This article is intended as a conversation opener and be reduced. Patients may also view the clinician’s use of we want to hear from you on this topic! Send us your technology favourably. questions or share your experiences with digital impressions FOR A DENTAL PRACTICE: It is possible to provide systems. Do you have a digital impressions unit at your patients with same-day restorations, in certain situations. practice? If so, what the pros and cons of using that system? Additionally, part of the process can be delegated to a What do your patients think of it? Send your feedback to dental assistant (in Ontario, Level II dental assistants) freeing [email protected] or call 1-855-716-2747. the dentist to perform other tasks. This results in overall efficiencies and increased productivity for the practice. Visit Oasis Discussions to watch a video interview with Dr. Habsha. The 15-minute video includes Using the 3M™True Definition Scanner as an example, some a clinical case presentation of a crown preparation using elements of creating and working with digital impressions a digital workflow with model fabrication. are outlined in this article. oasisdiscussions.ca/2015/01/15/di-3

Volume 2 Issue 3 | 39 Supporting Your Practice

➋ ➌ ➍

➎ ➏

➊ The 3M™ True Definition clinical preparation. It essentially acts like a impression files into STL files. The STL files Scanner system. virtual loupe. can be downloaded directly from the cloud ➋ A light dusting of powder by any dental laboratory that accepts this file on the preparation, as A slim, ergonomically designed lightweight type and the desired restoration is fabricated. well as on the adjacent wand is used to capture 3D data in a video Alternatively, the STL files can be sent to teeth. sequence. The user scans images of the teeth other trusted workflow connection systems ➌ The scan is reviewed to while moving the wand. including (but not limited to): chairside mills, ensure the image has Biomet 3i, Straumann and Invisalign for been properly captured. How does this fit into the overall orthodontic cases. ➍ The scan is reviewed for workflow? inter-occlusal clearance. The lab fabricates the restoration via CAD/ ➎ The lab designs the crown There are 2 workflow options: a digital, model- CAM workflows ➎( ). based on a prescription. free workflow as well as a digital workflow which incorporates a physical model. The ➏ Fabrication of SLA model If the use of a physical model is preferred, with crown to allow fine- initial steps are the same for both. a model and die can be fabricated at the tuning of the restoration. same time as the CAD/CAM fabrication of the The preparation is isolated and dried and a prosthesis (➏). light dusting of powder is applied (➋). (Note: not all systems require the use of powder.) How can dentists learn more about The scanner captures the digital impression of digital technologies? the intraoral preparation. At Prosthodontic Associates, we have a continuing education centre called PACE The clinician reviews the 3D image on the (www.paceeducation.ca) where hands-on and screen to confirm that the preparation has online courses are offered in various topics, been captured accurately with the required including digital technologies in dentistry. ➌ details ( ). The digital impression file also Clinicians are also welcome to email me includes an impression of the adjacent teeth, directly at [email protected] with the opposing arch and the teeth in occlusion any queries or comments. a to ensure adequate occlusal clearance (➍).

Once the image meets the clinician’s approval, The views expressed are those of the author and do not necessarily reflect the opinions the information is sent to a digital hub (in or official policies of the Canadian Dental Association. this example, the 3M Connection Center). The author did not receive any compensation from the manufacturer. This hub stores and converts the digital

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JPFGM 12697 Pfizer_Injectables Ad 15 04 02 E.indd 1 15-04-02 2:29 PM Classifieds Visit jcda ca CDSPI Funds Performance ESSENTIALfor more DENTAL classified KNOWLEDGE ads Guaranteed access to Canada’s largest audience of dentists Published by Period ending February 28, 2015 The Canadian Dental Association CDSPI Funds can be used in your Canadian Dentists’ Investment Program RSP, TFSA, RIF, Investment Account, RESP and IPP. jadc DES CONNAISSANCES Canadian Growth Funds MER 1 YEAR 3 YEARS 5 YEARS 10 YEARS DENTAIRES INDISPENSABLES

Aggressive Equity Fund (Fiera Capital) 1.00% 16.1% 13.9% 11.6% 7.1% Publié par l’Association dentaire canadienne Canadian Equity Fund (Trimark) 1.50% -1.9% 10.3% 7.7% 4.7% CLASSIFIEDS Common Stock Fund (Fiera Capital) 0.99% 14.2% 8.8% 6.4% 6.4% Positions Available The office is a group practice with high new Dividend Fund (PH&N)† 1.20% 10.0% 10.9% 9.3% 5.9% † Orders and Enquiries to: patient flow, is professionally managed, and High Income Fund (Fiera Capital) 1.45% 5.1% 10.2% 10.5% n/a ALBERTA - Calgary: Busy general practice †† the facility is state-of-the-art and beautiful. TSX Composite Index Fund (BlackRock®) 0.67% 9.5% 8.8% 7.8% 6.9% John Reid, ext. 23 in Calgary requires full-time associate dentist. International Growth Funds The staff are well-trained and the office [email protected] Digital office. Some extended hours expected. atmosphere is friendly and fun, but with a Emerging Markets Fund (Brandes) 1.77% 8.5% 5.9% 5.0% 7.5% New grads welcome. Confidentiality assured. European Fund (Trimark)† 1.45% 9.9% 22.2% 16.1% 6.6% c/o Keith Communications Inc., strong work ethic. Proficiency in mini implants Inquire at: [email protected] or fax: Global Fund (Trimark) 1.50% 16.7% 19.1% 14.5% 6.0% 1464 Cornwall Road, Unit 8, 2nd Floor and interest in a long-term position would be † (403) 398-0518. D10789 Global Growth Fund (Capital Intl) 1.77% 16.8% 20.3% 15.1% 7.7% Oakville, ON L6J 7W5 an asset. Position is available in late 2015. Visit Global Real Estate Fund (Invesco)† 1.75% 28.3% 15.0% 15.2% n/a ALBERTA - Calgary: EXCELLENT OPPOR- DeerValleyDentalCare.com. Please send resume International Equity Fund (CC&L) 1.30% 10.9% 17.4% 11.6% 3.3% Tel: 1-800-661-5004 TUNITY FOR A FT ASSOCIATE at our fast-paced, to: [email protected]. D10918 Pacific Basin Fund (CI) 1.77% 17.1% 13.0% 8.1% 4.8% 905-849-7777 †† fully-digital NW general family practice. This S&P 500 Index Fund (BlackRock®) 0.67% 28.9% 26.3% 18.8% 7.0% Placement of ads by telephone not accepted. ALBERTA - Drumheller: Dental associate † position is to take over for a retiring associate. US Large Cap Fund (Capital Intl) 1.46% 23.2% 22.9% 15.4% n/a required for very busy and growing family Send all box number replies to: The position has an active patient base of 2000 US Small Cap Fund (Trimark) 1.25% 21.5% 22.6% 20.9% 9.6% practice in a small town setting. We are Box...JCDA patients, producing +$75,000/month on a Income Funds looking for a self-motivated, friendly individual Bond and Mortgage Fund (Fiera Capital) 0.99% 2.3% 1.7% 1.9% 2.7% 1464 Cornwall Road, Unit 8, 2nd Floor schedule of 4 days/week. Interested candidates with a strong work ethic, great patient rapport Bond Fund (PH&N)† 0.65% 10.0% 4.8% 5.4% 5.5% Oakville, ON L6J 7W5 must be patient-focused, approachable & and exceptional skills to join our team. We are Fixed Income Fund (MFS)† 0.97% 8.9% 4.3% 4.9% 4.6% The names and addresses of advertisers using fun, have excellent communication skills & a a very busy 5 operatory, 2 dentist family Cash and Equivalent Fund box numbers are held in strict confidence. great rapport with children. Aptitude for oral Money Market Fund (Fiera Capital) 0.67% 0.5% 0.5% 0.4% 1.4% surgery is a great asset. Extremely flexible practice located in the beautiful Drumheller Growth and Income Funds start date for candidate. Please email CV to: Valley. No evenings or weekends and future Balanced Fund (PH&N) 1.20% 14.3% 11.4% 8.4% 5.4% Display Advertising Rates [email protected]. Only a buy-in opportunity for the right candidate Balanced Value Fund (MFS)† 0.95% 15.1% 13.6% 9.4% 6.1% 1 page ...... 2500 1/3 page ...... 900 will be considered. Please email questions or select few will be contacted. D10819 Corporate Class Funds 2/3 page ...... 1650 1/4 page ...... 820 resumes in confidence to: greentreedental@ † Canadian Bond Fund Corporate Class (CI) 1.10% 8.8% 4.5% 5.1% n/a 1/2 page ...... 1420 1/8 page ...... 420 ALBERTA - Calgary: Full-time associate shaw.ca and check out our website at Canadian Equity Fund Corporate Class (CI)† 1.65% 14.0% 13.4% 10.2% n/a required for Beacon Smiles Dental. We have greentreedental.ca. D10907 † Corporate Bond Fund Corporate Class (CI) 1.25% 6.2% 7.1% 7.4% n/a a beautiful family dental practice located in † Income and Growth Fund Corporate Class (CI) 1.45% 12.0% 11.6% 9.8% n/a Regular Classified Rates NW Calgary and are looking for an individual ALBERTA - Edmonton: General practice Short-Term Fund Corporate Class (CI)† 0.75% 0.4% 0.6% 0.6% n/a that is team oriented, has a positive and in northeast Edmonton seeking a full-time MANAGED RISK PORTFOLIOS (WRAP FUNDS) $250 for the first 50 words or fewer, associate to begin in late June. We are seeking each additonal word $1.50. fun attitude, and a great patient rapport. If Index Fund Portfolios a positive individual dedicated to practising † you have outstanding clinical and relationship Aggressive Index Portfolio (BlackRock®) 0.85% 15.8% 13.1% 10.4% 6.7% For colour add $250 excellence with compassion and honesty. † skills, and are seeking a caring and Conservative Index Portfolio (BlackRock®) 0.85% 14.3% 8.8% 8.3% 5.8% Ours is a bright and welcoming office with Moderate Index Portfolio (BlackRock®)† 0.85% 15.0% 11.0% 9.4% 6.3% All advertisements must be prepaid. professional work environment, then we look forward to hearing from you. This is a an opportunity to use most all of your clinical Income/Equity Fund Portfolios 10% DISCOUNT TO CDA MEMBERS Aggressive Growth Portfolio (CI)† 1.65% 13.4% 15.8% 11.7% 6.2% great opportunity to join a progressive dental skills. If you are interested in seeking a position * Ads are published in the language of submission. Balanced Portfolio (CI)† 1.65% 12.4% 12.1% 9.7% 6.4% group who values continuing education and a in a progressive practice please call. We can Conservative Growth Portfolio (CI)† 1.65% 12.1% 13.0% 10.3% 6.2% collaborative learning environment. Position be reached at [email protected] or call Income Portfolio (CI)† 1.65% 9.9% 8.7% 8.1% 6.1% Visit jcda ca is available immediately. Please reply to: Marilyn during regular office hours at: (780) † Income Plus Portfolio (CI) 1.65% 10.8% 9.8% 8.6% 6.0% ESSENTIAL DENTAL KNOWLEDGE [email protected]. D10892 478-2797 for further details. D10885 Moderate Growth Portfolio (CI)† 1.65% 12.2% 14.1% 10.9% 6.2% for more classified ads Published by The Canadian Dental Association ALBERTA - Calgary: Profitable opportunity ALBERTA - Edson: General practice seeking Figures indicate annual compound rate of return. All fees have been deducted. a full-time associate dentist in a long-standing As a result, performance results may differ from those published by the fund managers. for high producer. Existing associate of 10 years Figures are historical rates based on past performance and are not necessarily indicative of future performance. jadc with an annual production into 6 figures is practice of over 30 years with a friendly, long- MERs are subject to applicable taxes. BlackRock is a registered trade-mark of BlackRock, Inc. DES CONNAISSANCES retiring, creating a rare opportunity for a dentist term staff and construction already begun on † Returns shown are for the underlying funds in which CDSPI funds invest. DENTAIRES INDISPENSABLES †† Returns shown are the total net returns for the funds which track the indices. Publié par to walk in and be successful from day one. our brand new building! Our office can offer a l’Association dentaire canadienne To speak with a representative, call CDSPI toll-free at 1-800-561-9401. For online fund data or more recent performance figures, visit www.cdspi.com/invest. Volume 2 Issue 3 | 43

Issue3_CDAessentials_2015_classifieds_EN_cda.indd 43 2015-04-14 9:48:56 AM Classifieds Visit jcda ca ESSENTIALfor more DENTAL classified KNOWLEDGE ads Guaranteed access to Canada’s largest audience of dentists

Published by The Canadian Dental Association jadc DES CONNAISSANCES DENTAIRES INDISPENSABLES

Publié par l’AssociationCLASSIFIEDS dentaire canadienne Positions Available The office is a group practice with high new Orders and Enquiries to: patient flow, is professionally managed, and ALBERTA - Calgary: Busy general practice the facility is state-of-the-art and beautiful. John Reid, ext. 23 in Calgary requires full-time associate dentist. The staff are well-trained and the office [email protected] Digital office. Some extended hours expected. atmosphere is friendly and fun, but with a New grads welcome. Confidentiality assured. c/o Keith Communications Inc., strong work ethic. Proficiency in mini implants Inquire at: [email protected] or fax: 1464 Cornwall Road, Unit 8, 2nd Floor and interest in a long-term position would be (403) 398-0518. D10789 Oakville, ON L6J 7W5 an asset. Position is available in late 2015. Visit ALBERTA - Calgary: EXCELLENT OPPOR- DeerValleyDentalCare.com. Please send resume Tel: 1-800-661-5004 TUNITY FOR A FT ASSOCIATE at our fast-paced, to: [email protected]. D10918 905-849-7777 fully-digital NW general family practice. This Placement of ads by telephone not accepted. ALBERTA - Drumheller: Dental associate position is to take over for a retiring associate. required for very busy and growing family Send all box number replies to: The position has an active patient base of 2000 practice in a small town setting. We are Box...JCDA patients, producing +$75,000/month on a looking for a self-motivated, friendly individual 1464 Cornwall Road, Unit 8, 2nd Floor schedule of 4 days/week. Interested candidates with a strong work ethic, great patient rapport Oakville, ON L6J 7W5 must be patient-focused, approachable & and exceptional skills to join our team. We are The names and addresses of advertisers using fun, have excellent communication skills & a box numbers are held in strict confidence. great rapport with children. Aptitude for oral a very busy 5 operatory, 2 dentist family surgery is a great asset. Extremely flexible practice located in the beautiful Drumheller start date for candidate. Please email CV to: Valley. No evenings or weekends and future Display Advertising Rates [email protected]. Only a buy-in opportunity for the right candidate 1 page ...... 2500 1/3 page ...... 900 will be considered. Please email questions or select few will be contacted. D10819 2/3 page ...... 1650 1/4 page ...... 820 resumes in confidence to: greentreedental@ 1/2 page ...... 1420 1/8 page ...... 420 ALBERTA - Calgary: Full-time associate shaw.ca and check out our website at required for Beacon Smiles Dental. We have greentreedental.ca. D10907 a beautiful family dental practice located in Regular Classified Rates NW Calgary and are looking for an individual ALBERTA - Edmonton: General practice that is team oriented, has a positive and in northeast Edmonton seeking a full-time $250 for the first 50 words or fewer, associate to begin in late June. We are seeking each additonal word $1.50. fun attitude, and a great patient rapport. If you have outstanding clinical and relationship a positive individual dedicated to practising For colour add $250 skills, and are seeking a caring and excellence with compassion and honesty. Ours is a bright and welcoming office with All advertisements must be prepaid. professional work environment, then we look forward to hearing from you. This is a an opportunity to use most all of your clinical 10% DISCOUNT TO CDA MEMBERS great opportunity to join a progressive dental skills. If you are interested in seeking a position * Ads are published in the language of submission. group who values continuing education and a in a progressive practice please call. We can collaborative learning environment. Position be reached at [email protected] or call Visit jcda ca is available immediately. Please reply to: Marilyn during regular office hours at: (780) ESSENTIAL DENTAL KNOWLEDGE [email protected]. D10892 478-2797 for further details. D10885 for more classified ads Published by The Canadian Dental Association ALBERTA - Calgary: Profitable opportunity ALBERTA - Edson: General practice seeking for high producer. Existing associate of 10 years a full-time associate dentist in a long-standing jadc with an annual production into 6 figures is practice of over 30 years with a friendly, long- DES CONNAISSANCES DENTAIRES INDISPENSABLES retiring, creating a rare opportunity for a dentist term staff and construction already begun on

Publié par to walk in and be successful from day one. our brand new building! Our office can offer a l’Association dentaire canadienne

VolumeVolume 2 Issue 3 | 43

Issue3_CDAessentials_2015_classifieds_EN_cda.indd 43 2015-04-14 9:48:56 AM Classifieds Classifieds

strong patient base with great patient retention practice. Current associate is moving from area. leave and continue on as a full-time associate. ONTARIO - Muskoka: Are you partnering with a very supportive dental, No more lease payments; be your own landlord. to build your practice. The position is available Strong part-time position has been developed Mentorship is available. To send resumes, professionally fulfilled? Are you practicing medical and specialist referral network in our Convenient access, close to schools, shopping, and immediately, and the ideal candidate should with patient load to assume. The dedicated contact Dr. Roger Armstrong; phone: (867) 873- dentistry in fertile soil and at the level you desire? community. We are seeking a personable, newly-constructed SkyTrain. Contact: (604) 989- have a standard of high quality treatment, staff, hours, space, and an excellent new patient 2450 (office), (867) 445-8687 (cell), fax: (867) Fantastic career and lifestyle opportunity! Don’t energetic, ambitious, caring individual who 0384 or email: Coquitlamdentistoffice@gmail. great patient rapport and excellent work ethic. flow is available for a motivated and clinically 873-5032 (office), or email: DrRogerArmstrong@ hope any longer. Come share your passion and wishes to be part of a large dynamic team and com. D10873 Regular hours are Monday to Friday from strong dentist to build upon into a busy full- gsdental.ca. D10854 enthusiasm for dentistry with a connected, like- further its reputation. The candidate must be BRITISH COLUMBIA - Vancouver: 7:30 AM to 4:30 PM, no evenings or weekends time practice. Our focus is on continuing minded, highly-trained team! We are looking eligible for licensure to practice as a specialist required. Our office is located in the foothills, in education and quality patient care. Enjoy the NUNAVUT: Nunavut Innovative Health for an associate who enjoys people and loves in oral and maxillofacial surgery in Ontario, Busy practice in Vancouver. Excellent gross. the friendly town of Edson Alberta, 2 hours west advantages of mentorship, camaraderie, and an Solutions is seeking motivated dentists to dentistry. Our thriving, modern, high-tech including Fellowship in the Royal College Low overhead. Well-established patient base of Edmonton and only 1.5 hours to beautiful enviable work environment. Buy-in opportunity provide care to communities throughout family practice requires a GP who is confident of Dentists of Canada (RCDC). Our diverse with strong new patient flow. 3 fully-equipped Jasper. New grads are welcome! Please send a possible. Please email CV in confidence to the Kivalliq and Baffin Regions of Nunavut. with professional goals while enjoying a lifestyle university community has many amenities and operatories and 1 more plumbed & ready to copy of your resume to Edson Family Dentistry [email protected]. D10769 Trip duration is four weeks or longer; desired by many. If you are growth-minded provides an excellent environment in which to go. Digital radiography, Panorex, Biolase laser, by fax at: (780) 723-2402 or by email at: come and interview us and help us move to the digital scanner, state-of-the-art sterilization BRITISH COLUMBIA - Cranbrook: all expenses are covered. We can provide raise a family. Its high living standards and easy [email protected]. D10581 next level. Future buy-in opportunity. Please centre and laboratory. Potential for growth is Full-time associate needed immediately. Live an assistant or bring your own! Remuneration access to recreational and cultural activities is fee-for-service; more information can leave a detailed message about yourself, your make it a top community in Southwestern outstanding. Contact: VancouverDentalforSale@ ALBERTA - Jasper: Full-time associate and work in a year-round recreational paradise, experience and your desires. Phone: (705) 789- Ontario. Forward CV and inquiries to gmail.com. D10826 required for a well-established practice in Cranbrook, BC. Rather than plan vacations you be found at: www.nihs.ca. Phone: (416) 6070. D10521 [email protected]. D10805 Jasper, Alberta. Fantastic career and lifestyle can plan your evenings and weekends. Our 778-9982, email: [email protected], ONTARIO - Greater Toronto Area: website: www.nihs.ca. D10850 opportunity. Looking for an associate who is recent associate laments leaving the area and ONTARIO - Ottawa: Full-time associate SASKATCHEWAN - Regina: Part- Practice wanted! Altima Dental Canada seeks to caring, conscientious and proficient to take over a full patient base. Our digital office is strong required for well-established modern purchase practices within 1 hour of the Greater OMAN - Muscat: American Dental Center time or almost full-time associate needed from partner who is retiring. If you seek a great on team dynamics, continuing education and Ottawa group practice. Start date July 2015. Toronto Area. Thinking about selling? Contact us - Muscat, the beachfront capital of Oman for established busy family practice. Hours lifestyle and a full schedule send resume to: patient care. Enjoy available hospital privileges, Please send resume to: Carlingwooddental about our exciting purchase incentives. For more seeking quality-oriented, skilled general flexible. Potential full-time in the near future. [email protected]. D10870 a cooperative dental community, city amenities @rogers.com. D10846 Please contact Lydia: (306) 352-9966. Email: information visit our website at www.altima.ca or and a small-town lifestyle. Future buy-in dentist to join our multidisciplinary team [email protected]. D10744 email us at [email protected]. D9501 ALBERTA - Lethbridge: Full-time/part- possible. New grads welcome! Please respond providing premium care in a state-of-the- ONTARIO - Rockland: 20 minutes east time associate. An excellent opportunity to to: [email protected]. D10875 art facility. Tax-free income, compensation of Ottawa. Very busy recently expanded SASKATCHEWAN - Regina: Full-time/ work in a modern, digital family practice. Our based on % of production. Send CV to: dental clinic seeking dentist for long term, part-time associate. An excellent opportunity office has an established patient base and a BRITISH COLUMBIA - Trail: Bay Avenue [email protected]. D10917 full-time position. Multidisciplinary practice to work in a modern, digital general practice. great team of professionals. The 6-operatory Dental is seeking a conscientious F/T associate with the latest high tech equipment (2D & 3D The dedicated staff, hours, space, and excellent to practise family dentistry in a patient-focused ONTARIO - 26 Locations: Experienced office contains digital x-rays, Itero, Biolase, x-ray). Mentoring available. Above average new patient flow is available for a motivated environment. We are a recently renovated Associate required for our well-established, Velscope and the STA wand. Experience in the remuneration. Tel: (613)446-3368 Fax: (613) and clinically strong dentist. Our focus is on six-operatory clinic (M-F) with enthusiastic, areas of implants, orthodontics, and surgery busy practices. Enjoy a small town or a large 446-5006 Email: [email protected]. quality patient care. Please email cover letter committed staff and loyal patients. Trail has a city atmosphere. For more information visit www.laurierdentalclinic.ca. D10529 would be an asset. Please email cover letter and and resume to [email protected]. D10895 resume in confidence to: [email protected]. D10578 stable economic base, and is located in beautiful our website at www.altima.ca or email us at ONTARIO - West of Toronto: PART- West Kootenay region of BC. Candidates with [email protected]. D9513 ALBERTA - Lloydminster: Associate at least one year experience please inquire by TIME ASSOCIATE. Busy, fully booked from day Offices & Practices or locum, full- or part-time, required for busy email to: [email protected]. D10919 ONTARIO - Exeter: Busy family dental one. An opportunity to practice dentistry in BRITISH COLUMBIA - Okanagan: practice. State-of-the-art, newly remodeled practice looking for an associate dentist. Three a well-established office that thrives from a General solo family practice, 3 ops with room clinic. Well-established, growing practice in a BRITISH COLUMBIA - Victoria: Full- days a week with potential for five days. Ideal value-based & positive environment. Modern to expand for fourth op. Modern and new in growing city. Paid on PRODUCTION! New grads and part-time associates required to start candidate will have great communication technologies, exposure to implants, cosmetics, beautiful Okanagan. Located in a high traffic area, immediately in our busy, well-established welcome, mentoring available. Please email: skills. Please email your CV or questions. Email: Cerec technology and the ability to refer 30-35 new patients / month. Please contact: restorative/preventative practice. We are from within to our many specialists. Email: [email protected]. D10905 [email protected]. D10868 [email protected]. D10575 located in the beautiful West shore of Victoria, [email protected]. D10861 BRITISH COLUMBIA - Greater ALBERTA - Red Deer: Excellent one of the fastest-growing communities on ONTARIO - Kingston: Great living SOUTHWESTERN ONTARIO: OMFS Vancouver: Rare Greater Vancouver, B.C. associate opportunity in Red Deer, Alberta. Vancouver Island. Replies/resumes to: dawn@ with lakes, restaurants, festivals and history; Associateship. A well established group practice opportunity: family home and fully-equipped 3-5 days per week in our very busy family westshoredental.com. D10912 kingstoncanada.com. Great work in a custom practice. No weekends. We are fully digital, in Southwestern Ontario is seeking an Oral clinic combo on one desirable property. Live office, 8 to 4 M-W, 8 to 6 Thur., excellent paperless charting, Cerec. Visit our website NORTHWEST TERRITORIES - and Maxillofacial Surgeon for associateship upstairs in a spacious 3-bedroom home, staff, quality patients. This opportunity will at: HouseDental.ca. Please email resume to: Yellowknife: Full-time associate dentist leading to partnership. Our full scope modern work downstairs in a professionally-equipped be of particular interest to dentists who place [email protected]. D10594 needed for Great Slave Dental Clinic in surgicentre and hospital based practice 3-operatory dental clinic, with room for Yellowknife. The current associate dentist implants as we have a denture clinic on-site. For provides dentoalveolar, implant, orthognathic, expansion. Well-established, busy practice (since ALBERTA - Red Deer: Associate desired is taking maternity leave in July 2015. The more information please see www.smilemdc. reconstructive, TMJ and trauma surgery under 1969) in dynamic West Coquitlam. Excellent staff to join dynamic, modern and established family successful applicant will cover the maternity com. Inquiries to: [email protected]. D10931 deep sedation or general anesthesia. We enjoy with a full-time hygienist, CDA and receptionist.

44 | Volume 22 IssueIssue 33 Volume 2 Issue 3 | 45

Issue3_CDAessentials_2015_classifieds_EN_cda.indd 44 2015-04-14 9:48:56 AM Issue3_CDAessentials_2015_classifieds_EN_cda.indd 45 2015-04-14 9:48:56 AM Cllassifiedsassifieds

ONTARIO - Muskoka: Are you partnering with a very supportive dental, No more lease payments; be your own landlord. professionally fulfilled? Are you practicing medical and specialist referral network in our Convenient access, close to schools, shopping, and dentistry in fertile soil and at the level you desire? community. We are seeking a personable, newly-constructed SkyTrain. Contact: (604) 989- Fantastic career and lifestyle opportunity! Don’t energetic, ambitious, caring individual who 0384 or email: Coquitlamdentistoffice@gmail. hope any longer. Come share your passion and wishes to be part of a large dynamic team and com. D10873 enthusiasm for dentistry with a connected, like- further its reputation. The candidate must be BRITISH COLUMBIA - Vancouver: minded, highly-trained team! We are looking eligible for licensure to practice as a specialist for an associate who enjoys people and loves in oral and maxillofacial surgery in Ontario, Busy practice in Vancouver. Excellent gross. dentistry. Our thriving, modern, high-tech including Fellowship in the Royal College Low overhead. Well-established patient base family practice requires a GP who is confident of Dentists of Canada (RCDC). Our diverse with strong new patient flow. 3 fully-equipped with professional goals while enjoying a lifestyle university community has many amenities and operatories and 1 more plumbed & ready to desired by many. If you are growth-minded provides an excellent environment in which to go. Digital radiography, Panorex, Biolase laser, come and interview us and help us move to the raise a family. Its high living standards and easy digital scanner, state-of-the-art sterilization next level. Future buy-in opportunity. Please access to recreational and cultural activities centre and laboratory. Potential for growth is leave a detailed message about yourself, your make it a top community in Southwestern outstanding. Contact: VancouverDentalforSale@ experience and your desires. Phone: (705) 789- Ontario. Forward CV and inquiries to gmail.com. D10826 6070. D10521 [email protected]. D10805 ONTARIO - Greater Toronto Area: ONTARIO - Ottawa: Full-time associate SASKATCHEWAN - Regina: Part- Practice wanted! Altima Dental Canada seeks to required for well-established modern time or almost full-time associate needed purchase practices within 1 hour of the Greater Ottawa group practice. Start date July 2015. for established busy family practice. Hours Toronto Area. Thinking about selling? Contact us Please send resume to: Carlingwooddental flexible. Potential full-time in the near future. about our exciting purchase incentives. For more @rogers.com. D10846 Please contact Lydia: (306) 352-9966. Email: information visit our website at www.altima.ca or [email protected]. D10744 email us at [email protected]. D9501 ONTARIO - Rockland: 20 minutes east of Ottawa. Very busy recently expanded SASKATCHEWAN - Regina: Full-time/ dental clinic seeking dentist for long term, part-time associate. An excellent opportunity full-time position. Multidisciplinary practice to work in a modern, digital general practice. Advertisers’ Index with the latest high tech equipment (2D & 3D The dedicated staff, hours, space, and excellent x-ray). Mentoring available. Above average new patient flow is available for a motivated 3M ESPE...... 38 remuneration. Tel: (613)446-3368 Fax: (613) and clinically strong dentist. Our focus is on Adec...... 11 446-5006 Email: [email protected]. quality patient care. Please email cover letter American Dental www.laurierdentalclinic.ca. D10529 and resume to [email protected]. D10895 Association...... 12 ONTARIO - West of Toronto: PART- Bisco Dental Products...... 23 TIME ASSOCIATE. Busy, fully booked from day Offices & Practices CDSPI ...... 16 one. An opportunity to practice dentistry in BRITISH COLUMBIA - Okanagan: CDSPI Funds ...... 42 a well-established office that thrives from a General solo family practice, 3 ops with room Comprehensive Straight Wire. . 37 value-based & positive environment. Modern to expand for fourth op. Modern and new in Dentsply...... 34 technologies, exposure to implants, cosmetics, beautiful Okanagan. Located in a high traffic area, CDA/NLDA Cerec technology and the ability to refer 30-35 new patients / month. Please contact: National Conference. . . .24-25 from within to our many specialists. Email: [email protected]. D10575 Ivoclar Vivadent...... 6 [email protected]. D10861 BRITISH COLUMBIA - Greater Kuraray America Inc...... 47 SOUTHWESTERN ONTARIO: OMFS Vancouver: Rare Greater Vancouver, B.C. Pfizer Canada...... 41 Associateship. A well established group practice opportunity: family home and fully-equipped Philips Electronics...... 20, 30 in Southwestern Ontario is seeking an Oral clinic combo on one desirable property. Live Procter & Gamble...... 2 upstairs in a spacious 3-bedroom home, and Maxillofacial Surgeon for associateship SciCan...... 29 leading to partnership. Our full scope modern work downstairs in a professionally-equipped TD Bank Financial ...... 32 surgicentre and hospital based practice 3-operatory dental clinic, with room for provides dentoalveolar, implant, orthognathic, expansion. Well-established, busy practice (since VOCO...... 48 reconstructive, TMJ and trauma surgery under 1969) in dynamic West Coquitlam. Excellent staff Wiley-Blackwell...... 19 deep sedation or general anesthesia. We enjoy with a full-time hygienist, CDA and receptionist.

VolumeVolume 2 Issue 3 | 45

Issue3_CDAessentials_2015_classifieds_EN_cda.indd 45 2015-04-14 9:48:56 AM Obituaries REMEMBERING DENTISTRY LEADERS

DR. MICHELE WILLIAMS

Dr. Michele Williams, a leader in oral cancer research, passed involved with the International Society of Oral Oncology and away on January 8, 2015. the Multinational Association of Supportive Cancer Care, and served as the Canadian lead for the OraStem study, an A loved and respected figure at the University of British international project investigating orofacial complications Columbia (UBC), Dr. Williams was a clinical professor in the from cancer therapy using stem cell transplantation. division of oral medical and biological sciences and a past director of geriatric dentistry. She was also interim head Dr. Williams’ devotion to oncology patients and passion of the department of dentistry at the Vancouver General for oral cancer research did not go unnoticed. The BC Oral Hospital and maintained an active clinical practice as an Cancer Prevention Program, which she co-founded with oral medicine specialist. Dr. Miriam Rosin, was presented with the CDA Oral Health Promotion Award in 2010, in recognition of the tremendous Dr. Williams always had a keen interest in cancer care and impact of its clinical and research programs and outreach research. Before studying dentistry and specializing in oral initiatives. Dr. Williams also received the CDSBC Award of medicine, she practised oncology nursing for 10 years. She Merit for her significant contribution to the College. was determined to improve the outcomes of those fighting cancer and served as oral medicine leader at the BC Cancer To honour Dr. Williams' outstanding contribution to the Agency, with the BC Oral Cancer Prevention Program, and at profession, UBC has established the Dr. Michele Williams the Leukemia/Bone Marrow Transplant Program of BC. Memorial Award, which will recognize students who Dr. Williams was instrumental in the development of the demonstrate excellence in oral medicine. College of Dental Surgeons of British Columbia’s (CDSBC) clinical practice guidelines on oral cancer screening Not only was Dr. Williams an accomplished dentist, and early diagnosis of oral researcher, teacher and mentor, she was also a remarkable malignancies—one of the first athlete. She and her twin sister Lesley (an orthodontist in guidelines to be developed by South Surrey, BC) were both named to the Canadian field the College. hockey team at age 16 and competed around the world. The twins both were awarded 5 Varsity Big Blocks in athletics “Michele’s professionalism at UBC. Michele never lost her interest in sports was grounded in her ‘patient- and lived an active life. Combining work and pleasure, first’ philosophy and her she co-captained her Ride to Conquer Cancer cycling team, excellent patient care and BETTER OUTCOMES, for 4 consecutive years, and was hoping communication skills,” to do so again this year. “This ride was her pledge to all of remembers Dr. Denise Laronde, the amazing patients she had the privilege of caring for a long-time colleague and and to the incredible team of dedicated professionals with friend. “I learned a great deal whom she worked,” says her sister. Lesley will be riding from Michele, and I believe on Michele’s team this year and will proudly wear her twin’s the most important thing I jersey. learned was how to talk with patients about their disease and The 2015 BC Ride to Conquer Cancer, a two-day cycling management.” journey from Vancouver to Seattle, will take place on August 29–30. At the time of publication, Dr. Michele Dr. Williams also wanted to Williams was the 2015 top fundraiser in BC, with over $60,000 Dr. Michele Williams (front) advance the state of knowledge collected. Those who wish to donate in her memory can do with her twin sister, Lesley. in oral cancer. She was actively so at conquercancer.ca a

46 | Volume 2 Issue 3 2015-04-jcda-english.indd 1 4/8/2015 11:49:16 AM

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