7th World Symposium on Denturism - Denturist Association of Canada

Transcription

SUMMER/ÉTÉ 2011
The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada
D e n t u r o l o g i e c a n a d a
7th World
Symposium on
Denturism
Darwin, Australia | Darwin Convention Centre
PM #40065075
Return undeliverable Canadian addresses to: [email protected]
August 23-26, 2011
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1st Vice President
Paul Hrynchuk, DD
Phone: (204) 669-0888
Fax: (204) 669-0971
e-mail: [email protected]
2nd Vice President
Daniel Robichaud, DD
Phone: (506) 382-1106
Fax: (506) 855-9941
Vice President - Administration
Benoit Talbot, d.d.
365, boul. Greber #304
Gatineau, QC J8T 5R3
Phone: (819) 561-2121
Fax: 819-561-9831
email: [email protected]
Vice President - Finance
Maria Green, RD
Phone: (604) 521-6424
Email: [email protected]
Past President
David L. Hicks, DD
209-1700 Corydon Avenue
Winnipeg, MB R3N 0K1
Phone: (204) 487-7237
Fax: (204) 487-3969
email: [email protected]
Denturist College Programs
National Office /
Chief Administrative Officer
Lynne Alfreds
PO Box 45521
2397 King George Blvd.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
Denturist Program
George Brown College of Applied Arts and Technology
PO Box 1015, Toronto ON M5T 2T9
Tel: (416) 415-5000 Ext. 3038 or 1-800-265-2002 Ext. 4580
Fax: (416) 415-4794
Attention: Gina Lampracos-Gionnas
E-mail: [email protected]
Département de Denturologie
Collège Edouard-Montpetit
945, chemin de Chambly, Longueuil QC J4H 3M6
Tel: (450) 679-2630 Fax:(450) 679-5570
Attention: Patrice Deshamps, d.d.
Denturist Technology
Vancouver Community College, City Centre
250 W. Pender Street, Vancouver BC V6B 1S9
Tel: (604) 443-8501 Fax: (604) 443-8588
Attention: Dr. Keith Milton
Denturist Technology
Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7686 Fax: (780) 491-3149
Attention: Maureen Symmes
Denturist Association of British Columbia
C312-9801 King George Blvd.
Surrey, BC V3T 5H5
Attn: Lynne Alfreds, Executive Secretary
Tel: (604) 582-6823 Fax: (604) 582-0317
Website: www.denturist.bc.ca
The New Brunswick Denturists Society
La Société des denturologistes du N-B.
288 West Boulevard St. Pierre
PO Box 5566 Caraquet, NB E1W 1B7
Attn: Claudette Boudreau, Exec. Sec.
Tel: (506) 727-7411 Fax: (506) 727-6728
Denturist Association of Alberta
4920 – 45th Avenue, Sylvan Lake AB T4S 1J9
Attention: Don Tower, President
Telephone: (403) 887-6272
Fax: (403) 887-6271
Denturist Society of Nova Scotia
3951 South River Road
Antigonish, NS B2G 2H6
Tel: (902) 863-3131
Attn: Diane Carrigan - Weir, President
[email protected]
The Denturist Society of Saskatchewan
32 River Street East, Moose Jaw, SK S6H 0A8
Attn: Lynn Halstead, President
Tel: 306-693-4161
Denturist Association of
Newfoundland Labrador
323 Freshwater Road
St. John’s, NL A1C 2W5
Attn: Steve Browne, DD, President
Tel: (709) 722-7900
E-mail:[email protected]
Denturist Association of Manitoba
PO Box 70006, 1–1660 Kenaston Boulevard
Winnipeg, MB R3P 0X6
Attn: Kelli Wagner, Administrator
Tel: (204) 897-1087 Fax: (204) 488-2872
Website: www.denturistmb.org
The Denturist Association of Ontario
5780 Timberlea Blvd., Suite 106
Mississauga, ON L4W 4W8
Attn: Susan Tobin, Chief Administrative Officer
Tel: (800) 284-7311 Tel: (905) 238-6090
Fax: (905) 238-7090
Website: www.denturistassociation.ca
L’Association des denturologistes du Québec
8150, boul. Métropolitain Est, Bureau 230
Anjou, QC HIK 1A1
Atten: Kristiane Coulombe,
Responsable Service aux membres
Tel: (514) 252-0270 Fax: (514) 252-0392
Website: www.adq-qc.com
Continuing Education Programs
President
Michael Vout, DD
Phone: (613) 966-7363
Fax: (613) 966-1663
Members and Provincial Offices
Executive 2010-2012
Denturist Association of Canada
L’Association des Denturologistes du Canada
Denturist Society of Prince Edward Island
191 Pope Road, Unit A
Summerside, PE C1N 5C6
Tel: (902) 436-3235
Attn: Lisa MacKintosh, President
[email protected]
Yukon Denturist Association
#1-106 Main Street
Whitehorse, YT Y1A 2A7
Attn: Peter Allen, DD, President
Tel: (867) 668-6818 Fax: (867) 668-6811
Denturist Association of Northwest Territories
Box 1506, Yellowknife, NT X1A 2P2
Attn: George Gelb
Tel: (867) 766-3666 Tel: (867) 669-0103
E-mail: “George Gelb” [email protected]
Honorary Members
Austin J. Carbone, BSc, BEd, DD
The Honourable Mr. Justice Robert M. Hall
International Denturist Education Centre (IDEC)
George Brown College of Applied Arts and Technology
PO Box 1015, Toronto, ON M5T 2T9
Tel: (416) 415-5000 Ext. 4793 or 1-800-265-2002 Ext. 4793 Fax: (416) 415-4117
Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7683 Fax: (780) 491-3149
Attention: Doreen Dunkley
Accreditation: The following Canadian schools of Denturism are accredited by the Denturist Association of Canada:
George Brown College of Applied Arts & Technology, Toronto, Ontario
Northern Alberta Institute of Technology, Edmonton, Alberta
Vancouver Community College, City Centre, Vancouver, British Columbia
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advertising contact the Denturist Association of
Canada National Office.
contents
The challenge of this publication is to provide
an overview of denturism, nationally and
internationally, and a forum for thought and
discussion. Any person who has opinions,
stories, photographs, drawings, ideas,
research or other information to support this
goal is requested to contact the Editor to
have the material considered for publication.
Statements of opinion and supposed fact
published herein do not necessarily express
the views of the Publisher, its Officers, Directors
or members of the Editorial Board and do not
imply endorsement of any product or service.
The Editorial Board reserves the right to edit
all copy submitted for publication.
Summer / ÉTÉ 2011
Features
2011 DAC/NBDS Conference review............................18
A look back at the conference held in
Moncton, New Brunswick this past May.
Dignity with a smile.....................................................22
A summary of the FDCAC Report
on Frail Elders.
ADPA Conference &
7th World Symposium on Denturism............................25
Darwin Convention Centre, Stokes Hill Road,
Darwin, Northern Territory, August 23-26, 2011.
©2011 Craig Kelman & Associates Ltd.
All rights reserved. The contents of this
publication may not be reproduced by any
means, in whole or in part, without prior
written consent from the publisher.
18
ISSN: 1480-2023
Editor-in-Chief:
Hussein Amery, M.Sc., Psy.D., DD, FCAD
#112, 2675 - 36 Street NE
Calgary, Alberta T1Y 6H6
Phone: 403-291-2272
Mini-implants and removable partial dentures............32
Everything you should know about
mini-implant technology.
Departments
National Liaison: Lynne Alfreds
PO Box 45521
2397 King George Blvd.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
www.denturist.org
President’s Message........................................................8
Le mot du président.......................................................11
Editor’s Message...........................................................13
Insurance......................................................................14
Practice Management....................................................16
Published by:
In Memoriam.................................................................40
Industry News.............................................................. 43
32
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Winnipeg, MB R3J 0K4
Tel: (204) 985-9780 Fax: (204) 985-9795
www.kelman.ca
Classifieds................................................................... 44
Reach Our Advertisers.................................................. 46
Managing Editor: Cheryl Parisien
Design/Layout: Jackie Magat
Advertising Sales: Chad Morrison
Advertising Coordinator: Lauren Campbell
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25
Summer / Été 2011
7
Michael C. Vout, DD
President’s message
Milestones
T
he Denturist Association of Canada
wishes to extend congratulations to
all members of the College of Alberta
Denturists for hosting and celebrating the
50th Anniversary of Denturism in Canada.
This event was held at the Banff Springs
Hotel in Banff, May 28, 2011. The 50th
Anniversary Gala celebrated Alberta as the
first province in Canada to have legislation
permitting Denturists to practice. The
event was well attended with many guest
speakers who spoke about the history
of Denturism in Alberta, both from a
member’s view and instructors from Alberta
Institute of Technology (NAIT) on how the
profession and education has evolved. We
wish to acknowledge the many suppliers
and manufacturers there to help in the
celebrations and show support.
DAC is proud to recognize the efforts of
Charles Gulley and his staff at the College
of Alberta Denturists for taking the initiative
to sponsor this great event. DAC would
also like to thank the Denturist Association
of Alberta and President Don Tower and his
members for supporting the milestone.
I’d like to thank the New Brunswick
Denturist Society for their exceptional
hospitality in hosting this year’s AGM
and conference in Moncton, May 23-28,
2011. We appreciate all the time and effort
involved in producing events like this. Daniel
and Mary Robichaud and their team did an
outstanding job coordinating and facilitating
all the events.
The hospitality extended to all of us
was very much appreciated. I also thank
our manufactures and suppliers who
attended this event and are always there to
support us.
The opportunity to rekindle friendships
is always a pleasure. To enjoy golf with
colleagues was outstanding. To participate
with everyone in our Annual General
Meeting, going over issues, learning about
events and concerns of the provinces,
allows all of us to understand the
complexities involved in our profession.
The food prepared by Mary Robichaud for
the cocktail parties was exquisite; the lobster
dip and the moose stroganoff – just fantastic,
a culinary delight. Thank you, Mary, and I
know you had your chef’s assistant, Daniel.
A big thank you to Daniel, also. At the dinner
and presentations, the lobster feast was
unbelievable; just ask Vice President Benoit
how tasty the lobster was and how many he
had (I think we have some pictures). It is true
that Maritimers love to have a good time, and
we are grateful for the opportunity to enjoy
the down-east hospitality.
The George Connolly Award is sponsored
by Dentsply Canada and has been
awarded annually since 1986, following the
untimely passing of Mr. George Connolly, a
distinguished British Columbia Denturist.
George exemplified the spirit of service
to his profession, which he loved. His efforts
and commitment to further the profession
both within Canada and internationally
helped create the spirit of service that exists
within the association today.
Our recipient this year was chosen for his
outstanding effort and achievement in the
advancement of Denturism in Canada, and
on behalf of Dentsply Canada and DAC, it
was my pleasure to announce that Daniel
Robichaud of New Brunswick is this year’s
recipient. Congratulations, Daniel.
Summer has finally arrived, and we get
revitalized and energized to step up our
business plans. How we accomplish this is
no small task, but it can be done if we stick
to the basics and use others to help us.
We can network within our patient
base with yearly recalls and thank-you
letters, but we can also reach out to other
professionals seeing the same clientele, such
as chiropractors, opticians, optometrists,
estheticians, naturopaths, family physicians,
dentists, hearing instrument practitioners, etc.
We need to convey how we provide a
valuable service to their patients, which
in turn may help with the treatment they
are providing. Thus making it a win-win
situation for not only all the practitioners,
but for the patient. This instills a newfound
confidence in the patient with the
practitioner and their services.
“Summer has finally arrived, and we get revitalized and
energized to step up our business plans. How we accomplish
this is no small task, but it can be done if we stick
to the basics and use others to help us.”
8
Summer / Été 2011
Click here to return to the Table of Contents
President’s message
An example of this is the Denturist/
chiropractor relationship; patients with severe
over-closure may be experiencing neck
and back pain. Even when treated by the
chiropractor, the pain may not be alleviated
totally until the over-closure issue is resolved,
with new dentures to open the bite.
Another example is the hearing aid
patient who has constant feedback or
whistling of their hearing aids. The hearing
specialist may have remade the hearing
aids a number of times, and still the issue
persists. This too may be a situation
of a cross-professional referral for new
dentures to not only restore the vertical
dimension, but also relieve the annoying
whistling of the hearing aid.
To implement this collaboration, one
needs to contact other professionals in the
area and discuss the mutual benefits of
working together for the benefit of the patient.
Another aspect is the ability to send
claims electronically. This demonstrates
to the patient that they are dealing with a
respected member of the healthcare system.
DACnet™ was officially launched in July
2007, when we had seven insurance carriers
accepting DACnet™ claims. To date, we
have 16 carriers with two new companies
pending: one in Western Ontario, the other in
Quebec. DAC continues to have discussions
with other insurance carriers across Canada
to accept DACnet™ claims.
DACnet™ also reduces or eliminates
wait times for predeterminations, rejected
claims, paper handling, filing, and
receivables. To date, we have about 280
members signed up for DACnet™. As new
insurance companies sign up, the old paper
method of sending in claims will become
redundant. In some of the provinces in
Western Canada, this is now in the planning
stages, where these companies will only be
accepting claims through DACnet™.
For more information, go to www.
dacnet.ca, for the subscription agreement
and what you need to get your office ready.
Subscription processing can take anywhere
from two to six weeks. Be sure your
software vendor is certified, so claims and
data may be processed easily.
Continue to strive to be ahead of the
crowd, and look toward innovative ideas and
business practices which will continue to
expand your business and your profession.
Yours in Denturism
Michael Vout, President
Denturist Association of Canada
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Summer / Été 2011
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LE MOT du président
Michael C. Vout, DD
Des jalons importants
L
’Association des denturologistes du
Canada souhaite féliciter tous les
membres du College of Alberta Denturists
d’avoir accueilli leurs collègues et célébré
le 50e anniversaire de la denturologie au
Canada.
Cette activité a eu lieu au Banff Springs
Hotel, à Banff, le 28 mai 2011. Le gala
marquait le 50e anniversaire de l’adoption
de la législation permettant l’exercice
de la denturologie en Alberta, première
province du Canada à adopter une telle loi.
L’activité a attiré beaucoup de participants.
De nombreux conférenciers invités ont
retracé l’histoire de la denturologie en
Alberta, tant du point de vue des membres
que de celui des enseignants de l’Alberta
Institute of Technology (NAIT). Ils ont fait
état de l’évolution de la profession et de
la formation. Nous souhaitons remercier
les nombreux fournisseurs et fabricants
qui étaient présents à cette activité; ils ont
participé aux célébrations et montré
leur appui.
L’ADC est fière de reconnaître les efforts
déployés par Charles Gulley et le personnel
du College of Alberta Denturists, qui ont
pris l’initiative d’organiser cette formidable
activité. L’ADC souhaite également
remercier la Denturist Association of
Alberta, son président, Don Tower, ainsi
que les membres pour avoir souligné ce
jalon important.
Je tiens à remercier la Société des
Denturologistes du Nouveau-Brunswick
pour son hospitalité exceptionnelle à
l’occasion de l’assemblée générale annuelle
et du congrès tenus à Moncton, du 23 au
28 mai 2011. Nous mesurons pleinement
tout le temps et l’énergie que sous-tend
l’organisation de telles activités. Daniel et
Mary Robichaud, entourés de leur équipe,
ont coordonné et animé le tout avec brio.
L’accueil qui nous a été réservé a été
fort apprécié. J’aimerais aussi remercier
les fabricants et fournisseurs présents, qui
nous accordent fidèlement leur appui.
Par ailleurs, c’est toujours un plaisir
d’avoir l’occasion de raviver des liens
d’amitié. La possibilité de jouer au golf
avec des collègues ajoute encore au plaisir.
La participation à l’assemblée générale
annuelle, où nous sommes tous réunis
pour échanger sur les enjeux et prendre
connaissance des activités et difficultés
des diverses provinces, nous permet de
mieux comprendre les complexités de
notre profession.
Les mets préparés par Mary Robichaud
pour les cocktails étaient exquis; la
trempette de homard et l’orignal Stroganoff
– carrément fantastiques, un pur délice
culinaire! Merci, Mary. Je sais que tu as
eu l’aide d’un chef adjoint, Daniel. Donc,
grand merci à Daniel aussi. Pendant le
dîner agrémenté de présentations, le festin
de homard était incroyable. Il suffit de
demander à notre vice-président Benoît
si le homard était savoureux et combien
il en a mangé (je crois que nous avons
des photos). Il est bien vrai que les gens
des Maritimes aiment avoir du bon temps.
Nous sommes reconnaissants d’avoir eu le
plaisir de goûter à l’hospitalité des gens de
l’Est du pays.
Le prix George Connolly est
commandité par Dentsply Canada; il est
décerné chaque année depuis 1986, soit
depuis le décès prématuré de George
Connolly, distingué denturologiste de
Colombie-Britannique.
George était l’exemple même du
dévouement envers la profession, qu’il
adorait. Ses efforts et sa détermination à
faire évoluer la profession tant au Canada
que sur la scène internationale ont
contribué à créer l’esprit de service qui
existe au sein de l’Association aujourd’hui.
Le lauréat de cette année a été choisi
pour ses démarches et ses réalisations
remarquables pour ce qui est de faire
avancer la denturologie au Canada. Au nom
de Dentsply Canada et de l’ADC, j’ai eu le
plaisir d’annoncer que Daniel Robichaud, du
Nouveau-Brunswick, était le récipiendaire
de cette année. Félicitations Daniel.
L’été est enfin arrivé. Nous voilà
revitalisés et galvanisés, prêts à dynamiser
nos plans d’affaires. Ce n’est pas une
mince tâche, mais nous pouvons y arriver
si nous nous concentrons sur l’essentiel
et que nous faisons appel aux autres pour
nous soutenir.
Nous pouvons relancer notre clientèle
au moyen de lettres annuelles de rappel
et de remerciement, mais nous pouvons
aussi approcher d’autres professionnels
qui servent la même clientèle, à savoir
les chiropraticiens, les opticiens, les
optométristes, les professionnels de
l’esthétique, les naturopathes, les
médecins de famille, les dentistes, les
spécialistes en prothèses auditives, etc.
Nous devons faire connaître le
service très utile que nous pouvons offrir
aux patients de ces professionnels en
complément du traitement qu’ils donnent.
C’est une situation gagnant-gagnant
non seulement pour les praticiens, mais
également pour le patient. Ce procédé
insuffle chez le patient un sentiment de
confiance renouvelé envers les praticiens et
leurs services.
Un bon exemple de cette situation est
la relation denturologiste-chiropraticien :
les patients qui souffrent d’hyperocclusion
dentaire grave peuvent avoir mal au cou
ou au dos. Même avec des traitements
chiropratiques, il peut arriver que la douleur
Summer / Été 2011
11
LE MOT du président
ne disparaisse pas complètement tant
qu’on n’a pas réglé le problème à l’aide de
prothèses dentaires rectifiant l’occlusion.
Le patient porteur d’appareils auditifs
qui entend continuellement un retour de
son ou un sifflement constitue un autre
bon exemple. Le spécialiste peut avoir
modifié les appareils à plusieurs reprises
sans réussir à corriger le problème. Il
peut s’agir d’un autre cas où l’aiguillage
interprofessionnel est utile : de nouvelles
prothèses dentaires auraient pour effet non
seulement de rétablir la dimension verticale,
mais également d’éliminer le sifflement
agaçant perçu dans l’appareil auditif.
Afin d’établir de tels liens de
collaboration, il faut communiquer avec
d’autres professionnels de sa région
et discuter des avantages mutuels qui
peuvent découler du fait de travailler de
concert, dans l’intérêt du patient.
La possibilité de soumettre des
demandes d’indemnisation par voie
électronique constitue un autre aspect
Proven & Stable
Denturist Software
intéressant de notre pratique. Cela
démontre au patient qu’il fait affaire avec
un membre respecté du système de soins
de santé. Le système DACnetMC a été
lancé officiellement en juillet 2007. À cette
époque, sept compagnies d’assurances
acceptaient les demandes du système
DACnetMC; aujourd’hui, on en compte
16 et deux autres s’ajouteront sous peu :
une dans l’Ouest de l’Ontario, l’autre au
Québec. DAC continue ses démarches
auprès d’autres compagnies d’assurances
partout au Canada afin qu’elles acceptent
les demandes d’indemnisation par
DACnetMC.
DACnetMC permet également de réduire,
voire d’éliminer les délais d’attente pour ce
qui est des frais planchers, des demandes
rejetées, du traitement des formulaires,
du classement et des comptes clients.
À ce jour, environ 280 membres se sont
inscrits à DACnetMC. À mesure que des
compagnies d’assurances s’ajoutent, la
vieille méthode d’envoi des demandes
papier est appelée à disparaître. Dans
certaines provinces de l’Ouest du Canada,
ce virage est en cours de planification :
les compagnies n’accepteront que les
demandes d’indemnisation par DACnetMC.
Pour obtenir plus d’information, allez à
www.dacnet.ca. Vous y trouverez le contrat
d’abonnement et tout ce qu’il faut pour
préparer votre cabinet à soumettre des
demandes électroniques. Le processus
d’abonnement peut s’échelonner sur deux
à six semaines. Prenez soin de retenir un
fournisseur de logiciels autorisé pour que
vos demandes d’indemnisation et vos
données soient traitées sans difficulté.
Continuez de tendre à vous retrouver
en tête du peloton et de chercher des
idées ainsi que des pratiques novatrices
qui maintiendront la croissance de votre
cabinet et de votre profession.
Chaleureuses salutations,
Michael Vout, président, Association des
denturologistes du Canada
denturist
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12
Summer / Été 2011
EDitor’s message
Hussein Amery, M.Sc., Psy. D., DD, FCAD
Good times in Moncton
O
nce again, we’ve had an excellent
annual meeting and conference.
Many thanks to NBDS and Mary and
Daniel Robichaud for making this event a
resounding success.
Conferences are a great way to catch
up with colleagues, and to find out how
things are progressing in our profession in
different areas of the country. Denturism is
always evolving, and attending the technical
sessions is a good way to keep up with new
developments in materials and techniques.
If you missed out on the conference
in Moncton, please save the date for
the 2012 conference. DAC is pleased to
announce that the Denturist Association
of Ontario has graciously agreed to host
the 2012 DAC AGM in mid-September
in beautiful cottage country just north of
Toronto. We will provide more information
as the venue details become available.
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INSURANCE
Joe Pignatelli, RHU
Can life insurance
solve tax liabilities in my estate?
T
here are many ways to reduce your
estate liabilities.
You work hard to earn a living, save
for retirement, and own property. It is
important to know what your estate
liabilities are in relation to: capital gains,
mortgage debt, car loans, unpaid taxes,
and business related liabilities. Consider
reducing these liabilities:
Reduce the impact of income taxes. Here
are some methods to reduce taxes due
upon your death:
• Use the spousal (and disabled child)
rollover provisions of RRSPs or RRIFs.
• If registered assets will be taxed in the
estate, consider offsetting the taxation
with a death benefit of life insurance, paid
by premiums which are a fraction of the
invested and potentially growing monies.
• Leave assets that have accrued capital
gains to your spouse to defer tax.
Leave assets without capital gains to
other (non-spouse) family members.
• While you are alive, gradually sell assets
having capital gains, to avoid dealing
with the gains all at once in your estate.
Purchase life insurance to cover capital
gains taxation in the estate. Taxes may be
“Partner with me
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• Mobile dentist
performing dental
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• Certified IV Sedation
• Fellow of the American
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Phone: 647-998-6684
14
Summer / Été 2011
payable on gains in
relation to:
• Income-producing
real estate, a
second residence,
or cottage.
• Other assets left
to surviving family
members, such as
shares of stocks, or a
mutual fund portfolio.
• If you own a business, an
accountant can assess
the projected capital
gains tax liability due at death.
• Consider charitable donations to lessen
taxes in the estate.
Tax planning
Taxes can erode the value of a significant
estate containing capital gains investments
such as stocks and bonds, equity mutual
funds, the family cottage, a second
residence, or business assets. Upon death,
taxes will also be due on funds remaining in a
RRSP/RRIF (after the death of both spouses
in the case of a married couple). One life
insurance policy can replace or prefund such
taxes due. With a joint last-to-die policy, the
insurance proceeds can be used to cover
the estimated taxes. The advantage is that
one’s entire pre-tax estate evaluation can
pass, as desired, to the family heirs. What if
these taxes can’t be paid? The family may be
forced to sell some cherished assets, or to
borrow to pay the tax bill. This tax planning
can make family wishes come true.
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practice management
Janice Wheeler, President, The Art of Management Inc.
Reaching for
the peak of perfection
I
n order to continually improve the quality
of care in any practice, and to reach the
highest level of perfection, it is important to
monitor how your current patients perceive
the service they are receiving.
Quality control system
To accommodate this monitoring and ensure
that appropriate follow-up occurs, a quality
control system should be put in place to
ensure correction of the problem with the
patient as well as correction of the staff
member involved. This may mean that the
owner has to correct him or herself as well.
Since the receptionist is the last person
seen by the patient at the end of each visit,
she (or he) is usually the person most able to
get the patient’s reaction to the level of care
and quality of service provided. On occasion,
the patient may complain to another member
of the team during the visit. All complaints
from patients must be forwarded to the
owner for action.
All staff must know that if they hear a
complaint from a patient, they are expected
to deal with it if they can, and report it to the
owner if they can’t. In any event, they should
let the patient know that the owner will be
notified and the matter dealt with.
Feedback
The following is a procedure for constant
feedback from patients which will highlight
problem areas before they get out of hand,
and outlines the steps staff should take when
dealing with a complaint.
The receptionist is to ask all patients if they
are happy with the service and for suggestions
for improvement. Unless the patient expresses
some dissatisfaction, do the following:
• Acknowledge the patient for the positive
comment. Let them know you appreciate
it when patients tell others about their
positive experience, and refer them to
16
Summer / Été 2011
your practice. Give two business cards
for referrals if an opportunity arises.
• The receptionist is to report the positive
responses at each staff meeting.
This will provide validation to all staff.
• Be responsive to positive improvements
patients may suggest.
Problem solving
If a patient complains about dentures
not fitting properly or is unhappy with the
service, or even if the patient appears
disgruntled, the following should be done:
• Be polite with the patient and get the
problem defined.
• If the problem is one you can remedy,
do so and make a note of what the
problem was and what you did, and
forward it to the owner.
• If the problem is one you cannot deal
with, then get the owner if available.
The owner will handle the situation.
• If the owner is not available, take down
all particulars and tell the patient that
the owner will call them to sort the
matter out. Get a phone number where
the patient can be reached that evening.
• The receptionist is to pull the patient’s
file and account ledger, if needed, and
forward them with the complaint to the
owner for review.
• Each day, the owner must review any
negative comments or complaints. This
includes ones that were handled as well
as those that still need resolution.
• The owner is to isolate the real problem in
each case, and work out the best solution. This may include having the patient
in for a complimentary consultation, or a
call from the offending staff member and/
or the owner, etc. The patient should be
contacted by the owner in every instance,
even if only to let the patient know that
he or she is aware of the situation (even if
nothing further can be done about it), or to
verify that it has been resolved.
• Once the patient aspect of the complaint
has been dealt with, be sure that the staff
member (including the owner) involved
is also corrected as necessary. The
staff member should be seen about the
complaint, even if the staff member was
not at fault, in order to evolve future policy
in the handling of such instances.
• Do not review complaints at a general
staff meeting unless it is to deal with a
generalized situation and you want staff
to help correct it. Complaints concerning
individual staff members should be dealt
with one-on-one.
Follow-up care
On insertion of the dentures, the patient needs
to be informed that if they have any trouble
adjusting, or if there is any problem with the
dentures, they are to call the office for an
appointment to come in for an adjustment.
They should be informed that adjustments are
free for x months after insertion (depending on
office policy and type of dentures). • A few days after insertion, if the patient
hasn’t called or come in for an adjustment,
they should be called at home to make
sure everything is fine. If not, schedule a
follow-up visit as soon as possible.
• They should be contacted again a few
weeks later to ensure that everything is
still fine with the denture.
Peak of perfection
By being attentive to patient compliments
and complaints, your practice will evolve
into higher levels of quality service. Happier
patients means more referrals.
For more information call 416-466-6217 or
800-563-3994, e-mail [email protected],
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By Mary Robichaud
National
DAC/NBDS Meeting
The weather wasn’t the
greatest, but they came.
From across this great
country, the United States,
and the other side of the
world, Australia. They had
especially good conversations,
comparing established
practices from Down Under
to those we have here in
Canada. We had a great time
meeting, and have promised
to join them at one of their
symposiums, as they are now
considered friends.
18
Summer / Été 2011
2011
Here in Moncton, we are called “The
Hub of the Maritimes,” and some of
those who came early, or stayed late,
had the chance to see exactly that. Being
within an afternoon’s ride of Halifax and
their Pier 21 Museum, one lucky person
found a marriage license of their greatgrandparents and a whole new branch to
their family tree. What an emotional story to
tell for years to come.
Others saw the incredible Bay of Fundy
tides, and got a chance to walk on the
ocean’s floor as it drops over 30 feet,
sweeping in and out of the tidal basin.
Others encountered our thicker-than-peasoup fog, but they all discovered what being
“down home” means. They were blown
away with the friendliness of anyone they
encountered, and saw how easily we strike
up conversations and new friendships.
Beginning with the golf tournament,
held at the beautiful Fox Creek course,
and true to its name, on the second hole
we saw a beautiful red fox at the edge of
the trees and watched him scamper back
to safety within. Even the weather was on
our side as the clouds parted and the sun
broke out to make it a perfect day.
We then made our way back to the
hotel and enjoyed the first of our lobster
feasts. It was great to see our sponsors
joining us, and it is with deepest gratitude
that we thank them: Biomet 3i, IvoclarVivadent, Nobel Biocare, and Henry
Schein. Without their support, the event
could never have been such a huge
success. The calibre of exhibitors and
presenters were excellent, and we thank
them for being an integral part of this
convention.
conference Recap
Friday was a day of learning and as
the lectures ended, we all looked forward
to the evening events. The buffet featured
locally raised buffalo and more of the
best lobsters in the world. We topped
the evening off with our local East Coast
Music Award-winning band The Divorcees,
but alas, there were more classes in the
morning, so we reluctantly ended at a
respectful hour. (Well, most of us did!)
Our guest speaker spoke with
knowledge and passion, and the
keynote was well attended, as were all
of the educational courses. But as with
everything, the convention quickly came
to an end. For the few people who were
staying late, we met for good-bye cocktails
in the evening and they helped Daniel and
I celebrate our 20th wedding anniversary.
We couldn’t have asked for a better way to
spend it.
Daniel would like to thank our sponsors,
exhibitors and speakers. Being the 50th
anniversary of denturism in Canada,
we confirmed what a great family of
professionals we are, and we look forward
to seeing all of you next year in Ontario.
“Friday was a day of learning and as the lectures
ended, we all looked forward to the evening events.”
Summer / Été 2011
19
conference RECAP
“Being the 50th anniversary of denturism
in Canada, we confirmed what a great
family of professionals
we are, and we look forward to seeing
all of you next year in Ontario.”
20
Summer / Été 2011
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Dignity with a smile
Oral healthcare for elders in residential care
By Michael I MacEntee; Bill MacInnis; Lynda McKeown; Tony Sarrapuchiello
Editor’s note: the following is excerpted
from a report for the Federal Dental
Advisory Committee 2008. The full report,
including references, can be viewed
at http://www.fptdwg.ca/English/
e-documents.html.
Executive summary
and recommendations
At the request of the Federal Dental Care
Advisory Committee (FDCAC), a subgroup of members agreed to tackle one
of the serious oral health concerns that is
more than just an access-to-care issue.
They began by identifying questions raised
within the committee. This is the final list of
questions addressed in this report.
1. What oral health problems are found
among elders in residential care in
Canada; and how are they related to
other disabilities and disorders?
• Oral problems are diverse and
prevalent.
• Oral problems are associated
with other systemic disabilities
and disorders (e.g., diabetes,
cardiovascular diseases).
2. Can oral healthcare be managed
effectively in residential facilities?
22
Summer / Été 2011
3. Who manages the oral health of elders
in residential facilities?
4. Can oral health be assessed
competently by non-dental personnel?
• A role for non-dental personnel in
assessing oral health.
5. How can the quality of oral healthrelated services in residential care be
assessed?
• Assessing quality of services.
6. What policies, legislation and standards
regulate oral care in residential
facilities?
• Setting policies, legislation and
standards of oral care in facilities.
7. How can policies for managing
oral healthcare be translated to an
acceptable standard of care in this
multidisciplinary environment?
• Translating policies to an acceptable
standard in a multidisciplinary
environment.
8. How can the apparent widespread
neglect of oral health in residential
care facilities be placed on the
agenda of the federal/provincial health
ministers?
• Sensitizing health ministers to oral
healthcare for frail elders.
The sub-group then addressed each of these
eight questions, identifying the information
available to address the question and what
further information, strategies, and recommendations were required. These recommendations were listed and then categorized into
five overarching themes. These themes are:
• Oral health care is integral to
residential care
• Management of oral healthcare in
residential care
• Education
• Assessing oral health
• Policies, legislation and standards
The summary of solutions, strategies and
recommendations are as follows:
Oral health care is
integral to residential care
1. Recognize oral health as an integral part
of general health.
2. Research agencies must support
at reasonable and sustainable levels
research on oral health for frail elders.
3. Regulatory bodies must enforce
responsibility of all professional groups
to care for oral health at an appropriate
standard.
4. Promote collaboration between
oral healthcare and other healthcare
providers.
5. Investigate contractual agreements
between facilities and oral healthcare
providers.
6. Heighten sensitivity to risks associated
with sugar, alcohol, tobacco, and poor
hygiene.
7. Advise pharmaceutical companies and
residential care managers to eliminate
sugar as a medium for delivering
medications.
8. Advise health authorities to discourage
continuous snacking on sugar and
other refined carbohydrates.
9. Promote professional collaboration on
oral health to combat anorexia and
social isolation among frail elders.
Management of oral
healthcare in residential care
10.Identify oral hygiene as part of all
care plans.
11.Implement regulations for appropriate
daily oral hygiene support in all facilities.
12.Support placement of certified dental
assistants (CDAs) and dental hygienists
(DHs) on salary in every facility to
co-ordinate oral healthcare.
13.Explore the possibility of CDAs as
primary promoters of oral healthcare in
facilities.
14.Acknowledge that institutional
structure and culture influences oral
health as much as surgical or medical
interventions.
Education
15.Develop inter-professional education
to promote teamwork.
16.Ask professional accreditation boards
to establish educational objectives for
oral healthcare appropriate to the scope
of practice of each professional group.
17.Implement basic and continuing oral
health-related programs for all
health professionals.
18.Encourage continuing educational
programs for all care staff to highlight
associations between sugar, obesity,
diabetes, cardiovascular disease, and
oral diseases.
19.Expand professional development
initiatives for all healthcare providers to
enhance oral healthcare.
Assessing oral health
20.Develop guidelines for assessing
programs of oral healthcare in
residential care facilities.
21.Define the role of oral health
professionals in assessing oral health
status and need for care.
22.Develop clinical and psychometric
instruments for non-dental healthcare
providers to assess the oral status and
propensity for oral care.
Policies, legislation
and standards
23.Identify financial, physical, and
psychological barriers, including
inter-professional rivalries that impede
effective oral healthcare for frail elders.
24.Promote best practice guidelines on
oral healthcare and oral hygiene.
25.Ask all regulatory authorities in Canada
to increase compliance with existing
oral health guidelines.
26.Encourage development of health
promotion strategies to increase
appreciation for oral health in old age.
27.Rethink the hierarchy of healthcare
providers in residential care.
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[email protected]
Summer / Été 2011
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ADPA Conference & 7th World
Symposium on Denturism
Darwin Convention Centre
Stokes Hill Road, Darwin, Northern
Territory
August 23-26, 2011
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August 23-26, 2011
Darwin Convention Centre | Stokes Hill Road | Darwin, Northern Territory
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Conference Events
Keynote Speaker – Stephen McGlynn
(Sponsored by Ivoclar Vivadent)
Stephen McGlynn is a registered dental prosthetist and has operated a full-time practice
for over 25 years. He has worked as a dental technician for over 32 years and is a certified
BPS laboratory owner and certified BPS Instructor.
He is the Technical Adviser/Consultant with Ivoclar Vivadent Australia. He lectures and
provides practical demonstrations with edentulous patients on the topic of BPS – The
Biofunctional Prosthetic System, in Australia, New Zealand, India, and Europe.
He has completed overseas training in removable prosthetics and implantology.
He is a member of the ITI (International Team of Implantology) and the AOS (Australian
Osseointegration Society).
Stephen is a member of the Australian Dental Prosthetists Association. He is also a
member of the Oral Health Professionals Association where he has spent five years as
a committee member contributing to industry advancements. Formally a member of the
Dental Technicians Registration Board, he is now a member of the NSW Dental Council
and chair of the Dental Technicians Education Accounts Committee.
Crocosaurus Reception
Wednesday August 24
Crocosaurus, 58 Mitchell Street, Darwin City
6:30-9:30 p.m. | Dress code: Smart casual | Cost: $105
Transfers will be arranged from and to all listed accommodation options. Delegates may
elect to attend this event when registering to attend the Conference.
Ever wanted to get up and close with a saltwater crocodile? Tonight’s your chance!
Feed the crocs and meet the reptiles as we take over Crocosaurus Cove for tonight’s
social event. An extensive menu has been designed showcasing the best of the top ends
culinary delights, which will include indigenous inspired menu choices. An exciting line up
of entertainment is planned – but for those delegates looking to kick on we have arranged
complimentary access to Hot Potato Nightclub located at Crocosaurus.
Along with the leader
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Effectiively remove excess material
from orthodontic appliances
Conference Gala Dinner
Friday August 26
Sky City Darwin, Gilruth Avenue, Mindil Beach
7:00-10:30 p.m. | Dress code: Formal | Cost: $147
Transfers will be arranged from and to all listed accommodation options. Delegates
may elect to attend this event when registering to attend the conference. Join us for the
highlight event of our social program!
An opulent night under the gleaming stars waits as we roll out the red carpet for
an exceptional evening’s entertainment. This night will be a showcase of the Northern
Territories’ finest food, beverage and hospitality.
Post-Conference Fishing Adventure
Safe triming of details near wires
Great for work on temporary
clasp dentures...
The Conference Committee is planning a group fishing adventure on Saturday August 27
after the conference.
A one-day Bluewater Fishing trip: Individual cost per person is $250 per day and includes:
• A smorgasbord lunch, morning and afternoon tea, cold soft drinks and ice-cold water.
• Fishing mariner rods with Shimano Tekota reels bait and ice.
• All rods and reels are supplied on a replacement if lost or damaged basis.
• Departs 6:30 a.m. returns 4:30 p.m. Cullen Bay
Only a few places remain. If you are interested in participating in a Fishing Adventure,
please email Mark De Klijn, [email protected]
...and other appliances where metal
and acrylic are in close contact
Call toll-free
1-800-661-7429
www.westan.ca
Summer / Été 2011
27
Provisional Program Overview
This program is subject to change and should be used as a guide to the Conference Program content only.
Tuesday August 23
2:00 p.m.
Exhibition Bump In
4:00 p.m.
Registrations Open
5:00 p.m.
Welcome Reception: Exhibition Hall, Darwin Convention Centre
7:00 p.m.
Welcome Reception Concludes
Wednesday August 24
8:00 a.m.
Registrations Open
8:30 a.m.
Conference Official Welcome
9:30 a.m.
Welcome: Mr. Andrew McAuliffe, Northern Territory Government
Promoting quality in an oral health setting
10:30 a.m.
Morning Tea (Exhibition Hall)
11:00 a.m.
(Sponsored by Ivoclar Vivadent)
Keynote Speaker: Mr. Stephen McGlynn, Ivoclar Vivadent
First impression to incorporation of finished dentures will occur over the three
days of the conference
12:30 p.m.
Lunch (Exhibition Hall)
1:30 p.m.
Prof Laurie Walsh, Head of Dental School, University of Queensland
The dental prosthetist and their future role in oral care
CPD 1.00
CPD 1.50
CPD 1.50
3:00 p.m.
Afternoon Tea (Exhibition Hall)
3:30 p.m.
4:30 p.m.
Day One Concludes
6:30 p.m.
Cocktail Party (Crocosaurus)
9:30 p.m.
Cocktail Party Concludes
CPD 1.00
Total CPD for Day One: 5.00
Thursday August 25
8:00 a.m.
Registrations Open 8:30 a.m.
10:00 a.m.
10:30 a.m.
Dr. Gary Smith, Specialist Prosthodontist.
The examination of the edentulous mouth
CPD 1.50
CPD 2.00
12:30 p.m.
1:30 p.m.
Prof. Michael McCullough, The University of Melbourne Oral Medicine
CPD 1.00
2:30 p.m.
(Sponsored by Guild Insurance)
Mr. Paul Baker, Insurance and risk
CPD 1.00
3:30 p.m.
Afternoon Tea (Exhibition Hall)
4:00 p.m.
5:00 p.m.
ADPA NSW Annual General Meeting
5:00 p.m.
Day Two Concludes
Free Evening
CPD 1.00
Total CPD for Day Two: 6.5
28
Summer / Été 2011
Provisional Program Overview
This program is subject to change and should be used as a guide to the Conference Program content only.
Friday August 26
8:00 a.m.
Registrations Open
8:30 a.m.
10:00 a.m.
10:30 a.m.
Dr. Shane McGuire, Dental Health Services Victoria
Record-keeping and informed consent
CPD 1.50
12:00 p.m.
(Sponsored by Heraeus)
Mr. Simon Ashworth, Injection Processing
CPD 1.00
1:00 p.m.
2:00 p.m.
ADPA Panel Forum including DVA
CPD 1.50
3:30 p.m.
CPD 1.00
4:30 p.m.
Closing Ceremony
7:00 p.m.
Conference Dinner (Sky City Darwin)
CPD 1.50 Total CPD for Day Three: 6.50
Total CPD for Entire Conference: 18.00
21 Years of proven expertise in TITANIUM
• TITANIUM CAST PARTIAL FRAMES
• TITANIUM CROWN & BRIDGE
Why use
several kinds
of metals when
TITANIUM
does it all?
(450) 686-2500 Fax: (450) 686-9490 1-800-668-3389
2917 Joseph-Armand Bombardier, Laval, Quebec H7P 6C4
Summer / Été 2011
29
Sponsors and Exhibitors
(At time of printing)
Platinum Sponsors
GlaxoSmithKline
Booths 1 & 2
Jane Eakins
Expert Marketing Manager Oral Care
ANZ
Ph: 02 9684 0888
[email protected]
www.gsk.com
Ultimate Dental Supply [Aust] Ltd.
Booths 28, 29 & 30
www.ultimatedental.com.au
Ivoclar Vivadent Pty. Ltd.
Booths 15 & 16
Head Office: 1-5 Overseas Drive, Noble
Park North, VIC 3174
Ph: 1300 IVOCLAR (1300 486252)
or 03 9795 9599
[email protected]
www.ivoclarvivadent.com.au
Heraeus Kulzer Australia Pty. Ltd.
Booths 3 & 4
Ph: 02 8422 6110 or
Toll-free 1800 226 521
[email protected]
www.heraeus.com
Gold Sponsors
Guild Insurance
National Office: 5 Burwood Road,
Hawthorn Vic 3122
Ph: 1800 810 213
[email protected]
www.guildinsurance.com.au
Pearl Group
Booth 27
Head Office: Suite7, 13-25 Church
Street, Hawthorn VIC 3122
Ph: 03 9853 1700
[email protected]
www.pearlhealthcare.com.au
30
Summer / Été 2011
Silver Sponsors
Henry Schein Halas
Booth 11
David Wagenheim
[email protected]
www.henryschein.com.au
Booth 12
Vita Zahnfabrick
David Wagenheim
[email protected]
www.vita-zahnfabrik.com
Australian Mouthguards Booth 25
Ian & Sue Warman
Ph: 08 9535 8664
[email protected]
www.australianmouthguards.com
DENTSPLY (Australia) Pty. Ltd.
Booth 26
Wendy Weston
Marketing Services Manager
Ph: 1300 55 29 29
[email protected]
www.dentsply.com.au
Proslab Dental
Ph: 03 8809 0500
[email protected]
www.proslab.com.au
Argibond Dental Supplies Booth 13
Phone Toll-free: 1800 032543
[email protected]
www.argibond.com.au
Race Dental Laboratory
Priority Dental Supplies
Booth 5
Ph: 07 5540 7137
[email protected]
www.prioritydentalsupplies.com
DVA
Booth 6
1300 550 457 (metro)
1800 550 457 (regional)
[email protected]
www.dva.gov.au
3M ESPE
Booth 7
Alpha Bond Dental
Booths 8 & 9
Stanley Dyne
Postal Address: PO Box 431,
Willoughby NSW 2068, Australia
Ph: +(612) 9417 6660)
Fax +(612) 9417 3001
Toll-Free 1800 643 477
[email protected]
Booth 14
Base Diary
Booth 17
Team: Brent Norton, Stefan Korn and
Evan Sallis
Ph: 0064 4 4784747
[email protected]
www.basediary.com.au
e-Den Education Pty. Ltd. Booth 18
Karen McDonagh
Ph: 1800 773 757
[email protected]
ADPA
Exhibitors
Booth 10
Booth 19
Bourke Dental Supply
Booth 21
28 Patterson Road, Bentleigh VIC 3204
Ph: 03 9563 9466
[email protected]
Miniflam Australia Pty. Ltd.
Booth 22
(02) 97114265
[email protected]
www.miniflam.com.au.index.html
Betta Dental
Booth 23
Software of Excellence Australia Ltd.
Booth 24
Suite 11, 37 Heatherdale Road
Ringwood, Victoria 3134
National: 1300 889 668
Ph: 03 8872 5500
Fax: 03 8872 5524
Find out what is possible...
DOMx
Revolutionary practice
management software
for denturists
[email protected]
Outside North America:
| 1.855.494.0057
0011.1.604.250.7785
Mini-implants and removable partial dentures:
Everything you
should know
Dr. Bruno Lemay, DMD, founder of the CMI Institute
Summer / Été 2011
Figure 4
32
Figure 3
One of the main problems is the use of
unaesthetic clasps. Numerous alternative
systems have been developed, such
as clear aesthetic clasps and the pinkcoloured Valplast® partial. However, these
always include a more or less bulky and
visible border at the vestibular surface and,
above all, an evident loss of the removable
denture’s stability. To this day, no system has
proven as efficient as the standard metallic
clasp. Intracoronary attachments are very
efficient; however, they are much more
expensive and traumatising for abutment
teeth. Another issue related is that, in most
instances, they require a border at the
vestibular surface of the abutment teeth.
This visible mark of an edentulous state is
very difficult to accept for patients.
Fortunately, the introduction of miniimplants in the United States at the end
of the ’90s offers a completely different
option for stabilizing removable partial
dentures. Now approved by Health Canada
for stabilizing removable dentures (Imtec
and Intra-Lock) and abutments for fixed
prosthesis (Intra-Lock only), the miniimplant system was originally used as a
temporary system to stabilize dentures
during the recovery and osteointegration
phases of standard implants. The Imtec
MDI system, originally comprising 1.8 mm
implants, now includes 2.4 mm implants
with a MAX thread for maxillary or softer
bones, designed to increase and optimize
the bone-implant contact surface and the
implant’s primary stability. Similar to the
Imtec MDI system, the MDL (Mini DriveLock) system (distributed in Canada by
Intra-Lock Distribution), is characterized
by the diameter of its implants (2.0 mm,
2.5 mm and 3.0 mm) and by its system’s
advanced ergonomics; its more rigorous
delivery system implementation which
reduces the risk of contamination; its
surface treatment which ensures a better
osteointegration; and its complete series of
parts for fixed applications.
Due to their clinical success, the use of
mini-implants to stabilize upper dentures
and fixed teeth has rapidly grown. Even
though they were originally developed to
Figure 2
that the introduction of implants in dentistry
would lead to the disappearance of
removable partial dentures. We were wrong.
Even today, removable partial dentures
are used to replace missing teeth, with the
same associated issues as before, since the
removable partial denture domain did not
evolve at the same rhythm as that of fixed
dentures or implantology. Monetary issues
are often the reason why removable partial
dentures are chosen, and practitioners often
see their use as a last-resort alternative,
forcing them to double their efforts to
counter side-effects. Here are a few of the
many issues related to partial dentures:
• Lack of retention and instability
• Accumulation of food particles
• Lack of aesthetic
• Visible clasps
• Recurrent caries adjacent to clasps
• Pressure on abutment teeth
Figure 1
A few years ago, many believed
stabilize full dentures of the lower jaw, it
did not take long for them to be used to
stabilize removable partial dentures with
benefits such as:
• Increased partial stability.
• Reduction of movement while chewing,
reducing the accumulation of food
particles.
• Reduction of pressure on abutment
teeth.
• In the absence of clasps, reduction of
caries risk and improved aesthetics.
A single case of partial denture
stabilization with mini-implants is all you
need to never do without them again.
However, when the time comes to integrate
a new technology, you must evaluate the
longevity, feasibility, effects, long-term risks,
and costs to make sure that patients will be
able to afford this new service. It will serve
them well in the long term.
LONG-TERM PROGNOSTIC
to be replaced. We must also consider the
partial denture classification: will it be with
or without a free saddle? The more missing
teeth, the less posterior support: this will
require a higher number of mini-implants.
3
Product used
As with all other dental techniques, the
various implantology products on the
market differ from one another. The miniimplants we were using in the early 2000s
are now obsolete and have been replaced
Free Training For Denturist
With 18 Hours-Credit-Education
As is the case with full denture stabilization,
the success relies on many factors.
1
The Canadian institute of Mini-Implants is solely dedicated to the Mini dental
implant technique and offers more then 18 hours of different courses starting with
an incomparable basic training with a hands-on session, up to the total mastering
of the most complicated cases.
Bone quality and quantity
The greater the bone density, the higher
the success rate: that is why we obtain
up to a 10% increase of the success rate
with lower jaw partial denture stabilization
cases than with upper jaw ones. In fact, in
my practice, the success rate for lower jaw
cases reaches 98% whereas it lies at 87%
with upper jaw cases. Another factor is the
bone quantity. The number of mini-implants
which can be inserted into the upper jaw
is often limited due to the proximity and
size of sinuses (Figure 2). The dental
nerve proximity is the limiting factor for
the lower jaw (Figure 3). The bone quality
and quantity will also have an effect on the
number of mini-implants to be inserted.
Classes II and III density cases will require
more implants than Class I cases.
2Number of mini-implants used
The same basic principles apply to both
full denture stabilization and partial denture
stabilization, appropriate mini-implant
length, and the right number of inserted
mini-implants. Of course, the number of
mini-implants will be proportional to the
partial denture size and the number of teeth
by an all-new generation of Ossean TM surface mini-implants that are impregnated
with calcium phosphate. These implants
have demonstrated a great improvement
in osteointegration (Figure 4). To know
more about their benefits, please visit
www.INTRA-LOCK.ca. Furthermore, the
recent introduction of impression locator
implant abutment is making it far easier
to obtain a precise impression which will
make the try-in process quicker and more
precise (Figure 5).
A Graduate of the University of Laval in Quebec in 1990, Dr. Lemay attended
school at UCLA in Oral Biology in 1998 where he was introduced to the mini dental
implant technique. In 2000, Dr. Lemay moved to Palm Springs, California, where he
perfected his technique with mini-implants and participated in a five year clinical
research on the long term success of mini-implants while providing training on how to achieve long
term success with this revolutionary technique. His courses will help you in your own practice, as Dr.
Lemay still places mini-implants every week in his own practice. You will learn and benefit from his “day
to day” experiences and learn the real tricks of what you can expect and how to make your life easier
and enjoy the technique and reach a long-term success.
Location
for training
Course #1
Basic training + hands-on and
problem solving
FREE (9CE)
Course #2
Advanced training, alternative options +
bone grafting for mini-implants
FREE (9CE)
*in English
*in French
8:30 am
to 6 pm
8:30 am
to 6 pm
Montreal
Thur Sept 29
Fri Nov 25
Fri Sept 30
Sat Nov 26
Quebec
Fri Oct 28
Sat Oct 29
*Toronto
Fri Sept 16
Sat Oct 15
Fri Dec 9
To be confirmed
Sat Sept 17
Sun Oct 16
Sat Dec 10
To be confirmed
*Calgary
Fri Sept 2
Sat Sept 3
*Vancouver
Fri August 19
Fri Oct 7
Fri Nov 11
FrI Sept 23
Sat August 20
Sat Oct 8
Sat Nov 12
Sat Sept 24
*Ottawa
*Victoria
For more details...
1-877-350-6464
or refer to…
www.getmini.ca
Summer / Été 2011
33
Figure 5
Figure 6
Figure 8
Figure 9
Figure 11
Regardless of the type of denture (fixed
or removable), the long-term success of
mini-implants depends on their insertion.
Therefore, strict rules must be followed.
Unfortunately, these rules are often
neglected due to a lack of training or a
lack of understanding of the implantology
principles. An important factor is the speed
with which placement and bone trepanation
(with cold sterile water to avoid overheating
the bone) are done. To ensure long-term
success, we recommend the use of an
insertion contra-angle driver and motor
with the necessary torque (35N/cm at 10
or 15 RPM maximum). This will ensure that
the bone is not overheated and that the
implants are disposed in a more parallel and
precise pattern. It is also important that the
person inserting the implants has a sufficient
knowledge of the mini-implants’ principles
and has undergone appropriate training.
Fabrication of the removable
partial denture
The important principles applying to
the fabrication of the removable partial
34
Figure 10
Figure 12
4Insertion technique
5
Figure 7
Summer / Été 2011
Figure 13
denture must be followed, just like they
are in inserting implants, and appropriate
training is a must. It is important to
remember that, just like full dentures, the
removable denture stabilized by miniimplants must also be supported by the
underlying tissues. If not, the success
rate will be greatly diminished. The
exclusive function of mini-implants is to
substitute unaesthetic retention clasps,
and therefore, must never participate to
the removable denture sustentation. The
Vitallium® denture fabrication must also
answer to the general criteria of partial
denture fabrication. The preparation
and preliminary study of the case, the
examination of abutment teeth, the
planning and design of supports, must
all be done with great care. They must
be determined as part of the preliminary
treatment plan and transferred to the
dentist or surgeon who will insert the
implants so they can be prepared at the
same time. The analysis of rotation axis
created by the occlusal stresses around
dental supports will allow for blocking or
freeing the removable denture movement
Figure 14
while preventing excessive stress of the
supporting and retention implants.
LONG-TERM RISKS
One of the main benefits of mini-implants
is that they are generally inserted without
surgery, traumatic lesions, post-operation
pain, and, due to their immediate
osteointegration, waiting period for weight
bearing. This remains, should the implant
be rejected. The patient will usually feel
some discomfort at the implant insertion
point, and the dentist will be able to
unscrew the implant with his fingers
without anesthesia. The wound will selfheal, a new implant will be inserted in
the vicinity, and the removable denture
will be readapted to the new implant
(Figures 6-7).
In some instances (and should it be
impossible to insert an implant in the
vicinity), the dentist will have to anaesthetize
the patient and graft some bone at the
original implant placement to, 12 months
later, reinsert an implant at the same
placement point. This situation relates
principally to upper jaw implant cases.
Figure 15
Figure 16
Figure 19
Figure 22
Figure 17
Figure 20
Figure 23
Therefore, and contrary to standard
implants whose loss often carry exorbitant
fees and serious problems, the loss of a
mini-implant is rarely dramatic and very
easy to solve. However, the mini-implant
technique requires an appropriate training
of the practitioner.
COSTS AND WARRANTY
The insertion of a mini-implant usually
costs less than $1,000 and the more
mini-implants to be inserted, the less the
cost per unit. Generally, it is reasonable
to expect a total cost of approximately
$2,000 for the insertion of the four to five
mini-implants needed to stabilize a partial
denture. As to the cost of the partial
denture, it should not vary greatly with
the exception of the addition of female
attachments that cost $20 per unit. The
metal piece should not be more expensive
to fabricate since it only requires some
modification of the drawing (Figure 8).
When comparing the cost of standard
implants to all other intracoronary
attachment forms, it proves to be a very
advantageous alternative for the patient
Figure 18
Figure 21
Figure 24a
who cares about his/her removable denture
retention and aesthetics.
As to the warranty offered to your
patients, we do not recommend
guaranteeing a 100% success rate.
Mention that the long-term success is
higher for lower jaw cases (we generally
obtain at least 98% success with lower
jaw cases vs. 87% with upper jaw cases).
Forewarned is forearmed – it is crucial to
write all the information provided to the
patient in his/her file and obtain his/her
informed consent in writing.
MINI-IMPLANTS DISPOSITION
The insertion of mini-implants is usually less
contraindicative or restrictive than standard
implant procedures because it is non-traumatic and non-surgical. The risk of titanium
allergy is extremely minimal, as are medical
contraindications. It is a choice technique
for patients with medical restrictions who
cannot undergo surgery, who do not wish
to wait out the osteointegration period
needed for standard implants, or who
would require bone grafting procedures
before having standard implants inserted.
Figure 24b
A preliminary X-ray array is a must.
It includes panoramic X-rays, periapical
X-rays, lateral X-rays and, in some
instances, a tomodensitometric exam to
evaluate the bone density and quantity, the
form and volume of the ridges, as well as
the presence of anatomical elements to be
circumvented (Figure 9).
The insertion procedure is highlighted
in Figures 10 to 16. The insertion of miniimplants usually requires a single 1.2 mm
diameter drill (Figure 10) to go through the
mucosa under external irrigation with cold
sterile water and cross the cortical bone
(Figure 11). The drill remains in the adjacent
teeth orientation and penetrates the bone for
one-third of the length of the chosen implant
or more, depending on the site bone density.
An insertion contra-angle is used to
remove the implant from its sterile container
(Figure 12). It is also used to place the
implant at the insertion site without contamination risks. The micro-motor with a 35 N/
cm torque limiter and reduced speed of 10
to 15 RPM maximum, is used for placement
while circumventing traumatic lesion risks and
preventing overheating of the adjacent bone.
Summer / Été 2011
35
Figure 25
Figure 26
Figure 29
Figure 30
The implant pointed apex provides
self-screwing that condenses bone around
the threads and offer primary stability
(Figure 13). The final placement is done
with a ratchet handle that must always be
handled very slowly to avoid overheating
the bone (Figure 14). The mini-implant is
now inserted (Figure 15).
DENTURE PHASE
Usually, the newly inserted mini-implant
can immediately be weight-bearing, if the
torque reaches or exceeds 30 to 35 N/
cm. That can only be achieved if using the
pre-existing partial denture, fashioned to
comply with design principles (unless its
fabrication was previously planned).
The planning and design of the Vitallium®
denture remains very conventional with
the exception of the skeleton form around
the implant heads, which must be cleared
(Figure 16).
The implant and its female attachment
within the partial denture remain retentionparticipative elements, but do not provide
sustentation for the partial denture (or
else it will fail). It is essential to prepare the
remaining teeth enamel in the same fashion
if there were no mini-implants, and to take
all due care not to touch the attachments
and implants during the function. An implant
adjustment impression using a transfer cap
allows for the precise repositioning of the
analog within the impression and the determination of a precise model (Figure 17).
36
Figure 27
Summer / Été 2011
Figure 28
Figure 31
KENNEDY-APPLEGATE CLASS I
AND II CHARACTERISTICS
For Kennedy-Applegate Class III cases (the
entire support being dental) the implant’s
constraints are easily avoidable because
of the support provided by abutment
teeth. However, for free saddles of the
Kennedy-Applegate Class I or II cases,
it is essential to let the partial denture
adjust to underlying tissues in the mouth
under occlusal stress for a few days, in
order for the partial denture to stabilize its
osteomucous support. The capture and
fixation of the female attachment using
autopolymerising acrylic can be easily done
using retention locks around the miniimplant base, placed between the female
attachment and the gingiva to avoid being
caught in a situation where the piece can
no longer be taken out of the mouth.
Then we are ready for the final
impression with the special impression
copings for accurate transfer in a Velmix
model and we can draw the model of the
future partial (Figures 25-26).
During the making of the partial the
implants will be protected by healing caps,
and will be removed for the try-in and put
back until the final delivery (Figure 27).
The final partial is then completed
after try-in and the clasp can be cut if
necessary. Note that the drawing of the
partial should be the same as if there would
be no implants, except for the removal of
the clasp to avoid over-charging the miniimplants (Figures 28-31).
Now the patient can enjoy a much more
stable partial with no movements for the
saddle part and no longer needing glue or
a visible clasp.
UPPER PARTIAL STEP BY STEP
CONCLUSION
First you need to do a clinical exam to
see if it is possible, and evaluate the
advantages of stabilizing with a partial.
Figures 18 and 19 show an intra-oral
pre-op case with unstable saddle.
Figures 20-22 show the X-ray
evaluation needed to evaluate the case
and prove that there is some bone
available for anchorage of enough miniimplants.
After placement of the mini-implants
we need to take post-op X-rays (Figures
23, 24a and 24b).
What was once pure experimentation is
now a reality. The versatile mini-implants
are an excellent resource not only for full
dentures, but also for removable partial
dentures. Their minimal cost, quick
recovery, and great aesthetic benefits
provide patient satisfaction and improved
quality of life. But, success will only be
possible with appropriate training and an
understanding of the system dynamics.
So far the success rate for upper partial
over seven years has been over 87%, and
over 95% for the lower jaw.
2000
Jurgen von
In Memoriam
A national tribute to
Jurgen would not want
us to be saddened by his
passing but rather embrace
life, live with passion,
kindness and unselfishness.
Jurgen von Fielitz was:
• A colleague, a registered denturist
since 1974.
• An educator, whose partial denture
courses contributed towards all
provinces obtaining denturist partial
denture legislation.
• A past president of the Ontario
Association of Denture Therapists and
the Denturist Association of Ontario.
• A past president and Examiner of the
College of Denturists of Ontario.
Frequently, when we think about the
history of our profession, we rightfully
acknowledge the forefathers who were
responsible for the birth of denturism.
40
Summer / Été 2011
They took unauthorized practice into
the realm of legitimacy, self-regulation,
professionalism, and respectability.
The forefathers were pioneers. After the
Denture Therapy Act was proclaimed in
1974, the forefathers were followed by the
next generation of pioneers who advanced
the next stage of evolution for our profession.
Jurgen von Fielitz was one of these pioneers.
In 1974 in Ontario, the professional
designation for our profession was denture
therapist, a title that the public did not
recognize or understand. The legislation
in Ontario required supervision of partial
dentures by dentists, many of whom at
the time were uncooperative. And due to
different ideologies and strategies, there
were two associations for the profession.
Taking a small, young profession and
dividing its resources into two dissenting
groups did not make sense. It undermined
the profession; partial denture legislation
was at risk, as the government wanted
to meet with one association which
represented the profession as a whole.
Logic dictated that somehow the two
associations must amalgamate to one.
The two associations at that time (1978)
consisted of the Ontario Association of
Denture Therapists (OADT) and the Denturist
Society of Ontario. Some members of the
DSO board of the directors were Joe Ryan,
Brian Monk, Frank Broadhead, Jim McGuire,
and Ken Battell. Some members of the
OADT were Jurgen Von Fielitz, Keith Collins,
Albert Gobbo, and George Gorthy.
Very early on, Jurgen identified that
having two denturist organizations was
our Achilles heel and immediately started
to take steps to amalgamate them. Both
these associations had very different
philosophies, or so many thought, and
from the OADT side, the concept of
coming face to face with the Denturist
Society regulars like Joe Ryan, Brian Monk,
or (can you imagine) Ken Battell, seemed
pretty scary and unlikely to bear fruit. Brian
Monk and Ken Battell attended a Denturist
Association of Canada meeting and were
convinced by Ben Sweet, president of the
DAC and George Connelly, secretary of the
DAC, that the two Ontario organizations
must get together to create a better future.
Jurgen, as president of the Ontario
Association of Denture Therapists, took on
this daunting task. Jurgen, with his vision,
focus, and integrity, was the right leader at
the right time.
The task required a leader who, on
a personal level, could put their ego on
hold, withstand opposition, and attempts
to subvert the goal to amalgamate the
associations. Jurgen was successful in
galvanizing a shared common goal, to
put differences aside, and join the two
associations. I remind everyone, these
are lessons that we as a profession could
benefit from today as we continue to face
current challenges.
Jurgen remained undaunted with
the task, and his usual quiet, but everdetermined nature pressed the concept of
amalgamation until a meeting of the two
organizations was a reality.
Brian and Jurgen were co-presidents
for one year of the new Denturist
Fielitz
In Memoriam
April 6, 1937 – April 4, 2011
Association of Ontario. Then both ran
for president of the new organization the
following year, whereby Jurgen won the
election, becoming the first president of the
Denturist Association of Ontario.
Jurgen’s work ethic was nothing short
of amazing. He was the original multitasker. We have all watched during the
early years as he managed a busy practice,
built a new home almost completely by
himself, designed partials courses (his first
with Jim McGuire), and somehow kept
us on the path to unsupervised partials,
while continuing to be president of the
DAO. I actually don’t believe anyone can
multi-task effectively, but Jurgen’s power
of concentration and his ability to focus on
each task when needed, was unsurpassed.
He always threw every ounce of himself
into whatever he was working on. There
was no such thing as halfway with anything
he did. Did I mention he had a seconddegree black belt in karate?
Another part of Jurgen’s legacy was
his contribution to the realization of partial
denture legislation in Ontario.
How was it that such a small profession
was successful in overcoming the strong
opposition of a much larger profession to
achieve the advancement of denturism?
It took commitment, dedication, and
tenacity, characteristics that were displayed
by Jurgen and his colleagues of the next
generation of pioneers. It took 17 years and
11 Ministers of Health for the profession to
achieve our current legislation.
Jurgen, if he were here, would be the
first to state that it was a group effort.
He would acknowledge the contribution
of his colleagues in achieving the goal of
partial denture legislation and the right to
call ourselves denturists.
Jurgen certainly had his fun side as
well, generally a rather understated sense
of humour, but a great one. We all have
had some truly great times in and amongst
the work that was at hand.
Keith Collins recalls, “The first thing I
came to understand about Jurgen is, this
is a man with a vision and the tenacity
to fulfill that vision. A man with a dogged
determination, and a man who does not
know the meaning of ‘quit’. There was but
one direction I saw Jurgen move in, and
that was forward, always forward.”
Jurgen also represented Canada in
national and international pistol shooting
competitions. Ken Battell recalls this story
at Jurgen’s house in his own private firing
range, under the basement of his house.
Jurgen showed Ken a fully functional
“Dirty Harry” .44 Magnum. It was the
biggest, heaviest handgun that Ken’s ever
seen, and asked Jurgen if he had fired it.
He gave Ken a strange look and said “just
once.” He told Ken that as a result of
the recoil, his wrist was sprained for one
week, the noise was such that he couldn’t
hear for three days, and so much dust
and debris fell down from the ceiling and
walls that he decided to never fire the gun
inside again.
In Ken’s words, “Jurgen was truly one
of those outstanding individuals that words
are hard pressed to do justice to his deeds
and his character.”
Cliff Muzylowsky notes that, “Jurgen
spent a lifetime of dedicated service to
the profession that he loved and he has
left behind a legacy of knowledge and
commitment. So as we move forward, let
us honour Jurgen by taking a page from his
playbook and work together to evolve the
profession to the next level.”
The Denturist Association of Ontario
honoured Jurgen at their April 8, 2011
AGM, with a Lifetime Achievement Award
in appreciation for his dedication and
passion. This award was presented to
Jurgen’s wife Adriana (who is also a
denturist) and to Jurgen’s family.
Jurgen had always stood for integrity,
fairness, and commitment to his profession.
Jurgen had given many years of service. He
had directed his time, energy and expertise
to all of these things not because he wanted
to obtain recognition or personal glory,
but rather for his passion and devotion for
denturism and what it meant to him.
We at the Denturist Association of
Canada wish to convey our deepest
sympathies to Adriana, and to Jurgen’s
family, to let you know that we appreciate
his unselfish dedication to our profession.
We will miss him, but not ever forget him.
Respectfully submitted by Michael Vout
President Denturist Association of Canada
I would like to thank Keith Collins DD, Ken
Battell DD, Jaro Wojcicky DD, and Cliff
Muzylowsky DD, for their contributions in
producing this tribute.
Summer / Été 2011
41
Michael Flower
Regional Manager,
Central Canada
I am Zimmer. I know that actions speak
louder than words but I want you to
have this in writing. I am committed to
your success. To showing you that Zimmer
stands for quality, service and innovation.
I believe in providing the unique products
and services you need to support and
grow your business. Like all of us here,
I am responsible for ensuring the Zimmer
experience is one you can count on.
Let me prove it to you one step at a time.
I am Zimmer and I am here.
To learn more about how Zimmer Dental can
establish a lasting partnership with your practice,
please visit us online at www.zimmerdental.com
or contact a sales representative at 1 (800) 265 0968.
www.zimmerdental.com
INDustry news
Denture care
for the 21st century
P
atients who wear dentures now have the option of using a power brush for at-home
maintenance. The PowerDent Pulse™ for dentures was invented by dental specialists
who saw the need for a simple-to-use, oral care system that could be used by patients
between visits to their doctor. Jim Harrison, a denturist with over 20 years in practice
and over 10,000 dentures to his name, John Miller, a dentist who has provided countless
mouthguards, aligners and dentures to his patients over his 10 years in practice, and Ali
Khonsari, a CDA II and dental laboratory owner engineered the first-ever power brush
made specifically for dentures. What they found during the research and development
phase was that no matter how diligent their patients were, they either lacked the ability,
know-how or dexterity to thoroughly and properly care for their dentures.
“From the outset, our priority was to create a product that would encourage our
patients to keep their dentures clean,” says Jim Harrison, DD. “We realized that by making
the brush simple to use, it would assist with that objective and also be suitable for those
with dexterity issues.”
Dr. John Miller D.D.S. adds, “Keeping their dentures clean means a healthier oral
environment and nothing pleases me more as a health specialist than seeing patients
taking proper care of their oral hygiene.”
The three dental specialists also saw a need to create a product for today’s denture
wearer. “Today, people of all ages are comfortable using modern technology and actually
seek out products like the PowerDent Pulse,” says Ali Khonsari, CDA II. “We are the first to
bring a power brush designed specifically for dentures to the marketplace.”
Unlike an ordinary toothbrush, the PowerDent Pulse™ has long, stiff bristles in order to
reach the deep grooves and pockets of dentures. The advanced dual head design is like
having two power brushes in one. The tapered bristles remove bacteria from the denture’s
hard-to-reach areas, and the broad surface bristles remove plaque, tartar and stains from
outer surfaces. The powerful pulse technology makes cleaning quick and easy for all ages
and abilities. To learn more about the unique capabilities of this revolutionary oral health
product visit www.powerdentpulse.com.
AS SEE
N ON
Den
agons’
The Dr
opping
The Sh nel
a
h
C n
Highlights of the PowerDent Pulse™ denture brush:
• Easy to use regardless of patients’ manual dexterity
• Quickly cleans all surfaces of full & partial dentures
• Improves your patients’ oral health
• Created by Dental Specialists
FOR A LIST OF RETAILERS & DISTRIBUTORS:
www.powerdentpulse.com
1-888-725-7656
Summer / Été 2011
43
CLASSIFIEDS
CLINICS FOR SALE
Denture clinic for sale in Kamloops,
BC. Well-kept office with excellent growth
potential. Current owner is retiring and
is the only denturist serving a large
population base on the north shore of
Kamloops. Great relationship with a
referring dentist in the area. Low overhead
with a cash flow of $140,000 in 2010
based on a 3-day week with extra time
away for vacations. Owner is asking
$65,000.00 and is open to offers.
Contact [email protected] for more
info or pictures or call 250-554-0055.
Denture clinic for sale, Victoria
BC. R&D denture clinic established 2001
located in busy and popular Shopping
Centre Mall, one of the best areas in
Victoria. Modern clinical and laboratory
equipment and office design. Priced at
$75,000. Serious inquiries only. Contact
Sergei Khartchenko, 250 881-8560 or
[email protected].
Newly established denture clinic
for sale in St. Catharines, Ontario.
Great potential to expand business in
a fast-growing retirement community.
For more information, please contact
Chris at 647-290-2535.
Opportunity of a lifetime! If you
are looking to achieve better work/life
balance, this is an opportunity to relocate
to Southwest Ontario. With a large senior
population in our area, we have a loyal
patient base and a continual substantial
annual growth. The business is based
on high quality denture construction. It
is the only denture clinic in town with an
excellent location, modern, fully-equipped
and professionally designed. Low
overhead, patients and dental referrals
make this clinic very profitable. The extra
space gives the possibility to sublease.
Current owner willing to stay on to ensure
a smooth transition if needed. For more
information, call Daniela at 519-995-5533.
Successful denturist office for sale
in a fast growing Saskatchewan
community. This office has a great
location on Main Street. Original owner
wants to retire. For further information
please call 306-682-3988 or
306-682-4386.
44
Summer / Été 2011
CLASSIFIEDS
West Vancouver, BC office for sale.
Established since 1986. Two practitioners
patient files plus an amazing location.
Purchaser must be suitable for this
practice. Vendor wishing to enjoy other
ventures. Call: 604-922-3309.
CLINICS FOR RENT/LEASE
Denturist office for rent in
Kitchener, Ontario. Great location for
someone looking to start out on their
own. If interested, please email dean@
fiducialdata.com.
DENTURISTS WANTED
Certified denturist and/or denture
technician wanted. Denture clinic
located in High River, Alberta, just 20
minutes south of Calgary, is seeking
a certified denturist and/or a denture
technician. The ideal candidate will have a
denture certificate/diploma. Also will have
a minimum of 3 to 5 years’ experience with
making dentures and technical expertise,
preparing plaster moulds, packing moulds
to form dentures, set up and waxing up,
casting, preparing and fabricating dentures.
this is a fast paced environment. Please
email [email protected] or
mail to High Country Denture Clinic, 111 C
Macleod Trail S, High River AB, T1V 1M9.
Looking for a newly graduated
denturist or a denturist looking to buy
into a well established dental practice
in Central Vancouver Island. This is a
fantastic opportunity for the right person.
Please contact Brian at 250-246-4674 or
[email protected] for details.
Licensed denturist wanted
immediately for well-established Calgary
practice. Excellent benefits, wage
compensation, and perks. Respond to
[email protected]. All inquiries confidential.
If interested please call 519-622-4500 for
additional information.
Equipment for sale
1. Modern complete dental unit with
compressor and hand pieces (turbine and
micro motor). 2. Laboratory compressor.
3. Almore Pressure Pot temperature
gauge allowing reading and setting internal
temperature. 4. Dry air pressure ThermoPolymerizator. 5. Lathe with quick chuck.
6. denture press. 7. Articulators. 8. Regular
and microwave flasks. 9. A lot of new metal
trays. 10. Wax hitter. 11.Gas torches. 12.
Model trimmer. 13. Acrylic and porcelain
dental materials. 14. Instruments and tufts.
15. Laboratory and office furniture. Please
contact Sergei Khartchenko 250 881-8560
or [email protected]
EQUIPMENT FOR SALE
KAVO boil-out and polishing unit;
Ticomium shell blaster for sale. Boilout:
$5000 obo; polishing unit $3000 obo.
Polishing unit specifications and images
may be viewed at www.wasserrmandental.
com (Model wp-ex80). Ticonium shell
blaster suitable for casting lab $3000 obo.
Variety of Equipment for sale: Model
trimmer, flasks, trays, denture press,
hydraulic press, articulators, porcelain oven
and materials, micro-motor, ring press,
tools and much more. Please call Gabriel
for details or to arrange an appointment at
416-424-3201.
Summer / Été 2011
45
Reach our advertisers
Denturism Canada would not be possible without the advertising support of the following companies and
organizations. Please think of them when you require a product or service. We have tried to make it easier
for you to contact these suppliers by including their telephone numbers and websites. You can also go the
electronic version at www.denturist.org and access direct links to any of these companies.
COMPANY
PAGEPHONE
WEBSITE
44
616-895-4385
www.aluwaxdental.com
Aurum Ceramic Dental Labs
3
800-661-1169
www.aurumgroup.com
BIOMET 3i
10
800-363-1980
www.biomet3i.com
Cagenix
21
866-964-5736
www.cagenix.com
Aluwax Dental Products
OBC
416-694-1118
www.centraldentalltd.com
CMI Institute
Central Dental Ltd.
33
877-350-6464
www.getmini.ca
Cosmo Dental Lab
15
866-222-0035
www.cosmodental.ca
Dentsply Canada
24
905-851-6060
www.dentsply.ca
Denturist Maxident Software
12
800-663-7199
www.maximsoftware.com
Dr. Arsalan Poorsina
14
647-998-6684
[email protected]
Fixodent
9
800-214-8871
www.fixodent.ca
Harrison Hygiene
43
888-725-7656
www.powerdentpulse.com
Impact Dental Lab
37
800-668-4691
www.impact-dental.com
Implant Direct
6
604-730-1337
www.implantdirect.com
Ivoclar Vivadent
17
800-263-8182
www.ivoclarvivadent.com
Laboratoire Dentaire Concorde
29
800-668-3389
[email protected]
Lang Dental Manufacturing Company
Mid-Continental
26
800-222-5264
www.langdental.com
4, 13, 45
800-882-7341
www.mid-continental.com
Pro-Art Dental Lab
23
416-469-4121
www.pro-artdentallab.com
Specialized Office Systems
31
800-495-8771
www.denturistsoftware.com
Synca Marketing
IBC
800-667-9622
www.synca.com
Vident
IFC
800-263-4778
www.vident.com
Westan
27
888-477-9378
www.westan.ca
Zimmer Dental
42
800-265-0968
www.zimmerdental.com
Celebrate DAC’s 40th anniversary!
The Fall 2011 issue of Denturism Canada will focus on
this great milestone for DAC. Be part of the celebration
with a congratulatory ad in this special issue.
To reach this targeted readership, contact
Chad Morrison directly at:
866-985-9788
Toll Free Fax: 866-985-9799
Toll Free:
46
Summer / Été 2011
The Right Material for Stronger Dentures
Fracture Resistance
271.6 MPa
75.2 MPa
Fiber Force
dentures
Traditional
dentures
• Increase both fracture and fatigue resistance
with a non-rigid reinforcement
• PREPREG (pre-impregnated) fibers provide a
strong bond to denture acrylic
• Lightweight, thin and esthetic (invisible)
Ideal for: full dentures, implant-supported dentures,
denture repairs, soft liners, and more.
For Step by Step Instructions & Tutorials visit:
Starter kits available!
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1-800-667-9622

7th World Symposium on Denturism - Denturist Association of Canada

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