Bulletin - Manitoba Dental Association

Bulletin
Manitoba
Dental
Association
VOLUME
30
ISSUE 3
FA L L , 2 0 11
ISSN 070-1717
this issue
Annual Meeting P. 2
President’s Message P. 4
Registrar`s Column P. 6
Is Your Dental Assistant
Registered and
Certified?
CDA Article
The Dental Specialist P.12
Faculty Corner P.15
Often throughout the year, the
MDA receives calls from dentists enquiring whether their
dental assistant is registered
and certified.
What is the difference between
registered and certified?
Registered means that the
dental assistant has met all
of the educational and examination requirements to be
employed as a dental assistant
in Manitoba. Certified refers
to the payment of annual dues
in order to legally work in a
dental office in Manitoba. The
certification ensures payment
of malpractice insurance and
supports the regulatory administration of their profession by
the MDA.
The MDA website now has a
list of certified dental assistants. Go to: www.manitobadentist.ca/assistants.cfm
If
your dental assistant is not
listed on the website please
contact the MDA office.
Please note that if you hired a
recent grad of a dental assistant program, they carry a
provisional certification. This
means that they must still
complete the National Dental
Assisting Examining Board
exam. Upon successful completion of this exam they will
become fully certified. The
provisional certification is valid
for nine months. Failure to
provide proof of successful completion of the national
exam after nine months will
result in their certification being
suspended.
If you have any questions
about the registration and
certification process of dental
assistants, please contact the
MDA office.
P.8
Classifieds P.22
Water Fluoridation Prevents Cavities
More than 100 Government
agencies and national and international professional health
organizations support water fluoridation. These agencies include
the World Health Organization,
the U.S. Centres for Disease
Control and Prevention, Health
Canada and both the Canadian
and American Dental Association
among others. They all agreed
that adding fluoride to drinking water at recommended levels (0.7 mg per litre of water)
reduces tooth decay. In Canada,
trials proving this date back to
1945 in Brantford, Ontario. Over
50 years of extensive worldwide
research has demonstrated the
safety and effectiveness of water
fluoridation in reducing the incidence of dental decay.
Today in Manitoba almost 95% of
the population supplied by a public water supply source receive
fluoridated water. Fluoride works
both topically and systemically to prevent tooth decay by
increasing the resistance of tooth
enamel to dental decay. Fluoride
has been proven over and over
again to reduce dental decay
in children by approximately
18-40%. With every $1.00 spent
on adding fluoride to the public
water supply it is estimated that
$38.00 is saved in the cost of
dental treatment.
Concerns by some suggest that
water fluoridation is toxic and
harmful. There is NO sound
evidence to support these allegations. The recommended level
of fluoride added to the water
supply has a built-in margin of
safety that takes into consideration the use of fluoride from other
sources on the most vulnerable
age group in the population (2236 months). Said additions of
fluoride do not cause adverse
health effects (such as cancer or
a risk for bone fractures). Of the
thousands of credible scientific
sties on fluoridation, none has
shown health problems associated with the consumption of
optimally fluoridated water.
Water fluoridation not only allows
fluoride uptake by the enamel of
the unerupted developing teeth
but also provides fluoride uptake
by the enamel of erupted teeth
through saliva.
Not all countries provide their citizens with fluoride through water
fluoridation. Instead, many coun-
tries choose to fluoridate their
salt or milk instead.
Other examples of additives used
to achieve population wide health
benefits include:
1) Iodine added to table salt to
prevent thyroid disease
2) Vitamin D added to milk or
juice to prevent rickets
3) Folic Acid added to flour to
prevent birth defects.
Although water fluoridation has
been proven to benefit all residents of the community, the
population that MOST benefits
are children and seniors and the
hardest to reach poor for whom
other preventative measures
may not be accessible.
Dental disease is the number
one chronic disease among children and adolescents in North
America. Water fluoridation is
the most important public health
measure used to effectively and
inexpensively counteract the disease!
Manitoba Dental Association
128th Annual Meeting & Convention
January 26-28, 2012
“Your Passport To The World”
We dream often about continuously circumnavigating the world, spending extensive time
in exotic places and indulging in the most exquisite cuisine. The 2012 Annual Meeting
and Convention brings this dream alive. Travel to Mexico, Greece, Paris, India and other
destinations without leaving the Winnipeg Convention Center in January.
This year’s MDA Annual Meeting and Convention, January 27-28, 2012 will feature the
sights and cuisine from around the world. The speakers are international and bring their
own flavor to the convention.
Here’s the line-up:
The Alumni Reception – January 26
Friday Night Social – Mexico, January 27
President’s Dinner and Dance – Parisian, January 28
Speakers:
Dr. Mark Hyman
360 Slam Dunk Guide for Successful Teams
Marie Fluent
Dental Hygiene Presentation
Bethany Valachi
Neck, Back & Beyond: Preventing Pain for Peak Productivityand
Fitness 101 for Dental Professionals: Secrets for Comfort and
Career Longevity
Michael Kerr
Inspiring Work Places: The Way They Ought To Be
Dr. Paresh Shah
Pearls ….. Beyond Aesthetics
Viviane Baliki-Allard
Using CDAnet and iTrans
Dr. Carla Cohn and Dr. William Wiltshire Interceptive Orthodontics: Clinically-Based Perspectives of a
Specialist Orthodontist and a General Dentist
Chris Scappatura
Page 2
Dental Assistant Presentation
www.ManitobaDentist.ca
Fall 2011
Welcome to the Profession Event
August 18, 2011
1st Year
Dental Students
Lee, DongJin
Li, Jian
Lou, Tiantong
Markin, Holly
Ostry, Diane
Pan, Zhendan
Robertson, Lindsay
Roemermann, Dayna
Sidhu, Jiwan
Silverstein, Justin
Sobotkiewicz, Tyler
Son, Ba-Lem
Song, Joshua
Unruh, Philipp
Woodmass, Chelsea
Wu, Rong
Boparai, Gurinder
Cook, Emilie
Corbett, Shaun
Dacombe, David
Dimarco, Bryan
Foidart, Manon
Gilmartin, Kelsi
Gong, Victor
Gray, Ashley
Hendrickson-Rebizant,
Jane
In, Sylvia
Janz, Ronald
Jung, Sunny
Mentors
Dear, Andrew
Dunsmore, Betty
Eng, Eileen
Fogel, Howard
Guan, Jay
Hayward, Tony
Lekic, Milos
Mark, Kevin
Nider, Walter
Norris, Griffin
Orloff, Rhiannon
Rihal, Amarjit
Singh, Luke
Sul, Cory
Tough, Ronald
IDDP Students
Mentors
De Guzman, Claire
Fidanoski, Boban
Gabriel, Zaid
Maharaj, Veeta
Mudheher, Reem
Qader, Asil Abdul
Singla, Gaurav
Engel, Krista
Glockner, Anita
Kowal, Peter
Maslow, Kristie
Rihal, Amarjit
Steidl, Gavin
Sul, Cory
MDA BULLETIN
www.ManitobaDentist.ca
Page 3
President’s Message...
Dr. Joel Antel
President, MDA
This summer I had the pleasure of attending both the Dental Association of Prince
Edward Island annual convention and the
Canadian Dental Association convention
held in conjunction with the Nova Scotia
Dental Association. Both are excellent
meetings that I would encourage anyone
to attend. It’s good to see what other
associations have to offer and reinforce
that our own January meeting is in good
company, and remember there really is
“no place like home.”
Manitoba dentists’ one year commitment to
funding for dental services for disadvantaged members of our community has now
been completed. Out commitment was limited to covering losses incurred by specified
programs. The unused funds have been
returned to those dentists who had contributed. Representatives of the University of
Manitoba, Faculty of Dentistry have contacted
Manitoba dentists with a request to direct the
returned funds to the faculty. I encourage you
to be aware of this request and give their
request some thought.
The Fluoride committee remains hard at work
monitoring this current issue at home and
across the country. The committee is compiling resources for dentists to use in conversation with patients, members of the public and
political decision makers. It is important that
all involved stick to the real science. One or
two isolated studies can be found on just
about any side of any issue. We are trained
to know that it is the sum of all the research
that counts. This is a standard we hold ourselves to and can expect community decision
makers to hold themselves to. Take the time
to read what the fluoride committee produces
and be informed on the issue.
of the success of Manitoba’s mentorship program, seeing it as a model for how it is done.
This fall will see the launch of the latest television spots produced by the communication
committee and another Free Press dental
health insert. Further information will be distributed soon.
Peter Doig has been Manitoba’s representative to the Canadian Dental Association
Board for several years. The quality of his
work nationally has been recognized and
Peter is now a member of the CDA Board
executive. The new CDA board member
from Manitoba is Dr. Sandy Mutchmor. We
are fortunate to have MDA members of this
caliber contributing locally and nationally to
our profession.
The Manitoba Dental Association will be hosting a meeting of the Presidents and CEOs
of all the provincial dental associations in
November. A meeting of the CDA working
group on access to care and other national
activities will take place in Winnipeg at the
same time. The MDA is proud to serve a
prominent role in these meetings.
Welcome to the profession to those dentists
who have graduated and licensed in Manitoba
this past spring. Personally and on behalf of
the association I wish you much success and
happiness in your new career.
Joel Antel
President
The mentorship program linking dental students and members of the practicing community is again well underway. The Welcome
to the Profession Dinner was held in August
at the Fort Garry Hotel introducing new dental
students to their mentors and to the program.
Thank you to Dr. Cory Sul and Dr. Amarjit
Rihal and all those giving their time to make
the mentorship program so valuable. Other
provincial dental associations are very aware
Page 4
www.ManitobaDentist.ca
Fall 2011
Practice Dentistry in
Manitoba First Nations
Communities
Pratiquez la médecine dentaire
dans les collectivités des Premières
nations du Manitoba
Flexible scheduling: full-time or part-time
Horaire flexible : temps plein ou temps partiel
•
Provideoralhealthcarewhileexperiencing
theculturesofFirstNations.TheGovernment
ofCanadacontractswithlicenseddentiststo
traveltoFirstNationscommunitiesinManitoba
toprovidedentalservicesingovernment
dentalclinics.
•
Lebutestdefournirdessoinsdesantébucco-dentairesaux
peuplesdesPremièresnations.Legouvernementconclutdes
marchésavecdesdentistesautorisésàexercerleurprofession
afinqu’ilsserendentdanslescollectivitésdesPremièresnations
duManitobapouroffrirdesservicesdentairesdanslescliniques
dentairesdugouvernement.
•
Musthaveorobtainalicensetopracticedentistry
inManitoba.
•
Lesoumissionnairedoitêtreautoriséàexercerlaprofession
auManitoba.
•
Compensationisbasedonafixeddailyrate.
•
Larémunérationsefaitselonuntarifjournalierfixe.
•
HealthCanadaschedulesservicestoallsites.
Transportationandaccommodationinfly-in
northernsitesisarrangedbyHealthCanada.
Drive-insiteshaveyear-roundroadaccess.
•
SantéCanadaorganiselesvisitesverstouteslesrégions
concernées.LeMinistèresechargeégalementdutransport
etdel’hébergementpourlesrégionsduNordaccessibles
uniquementparavion.Lesrégionsaccessiblespartransport
routierlesonttoutel’année.
For more information contact:
Pour plus d’information :
Dr.TerryHupman,RegionalDentalOfficer
FirstNationsandInuitHealth
HealthCanada
300-391YorkAvenue
Winnipeg,ManitobaR3C4W1
Telephone:(204)470-4488
Fax:(204)984-5798or
1-866-907-2402
DrTerryHupman,Dentisterégional
DirectiongénéraledelasantédesPremièresnationsetdesInuits
SantéCanada
391,avenueYork,bureau300
Winnipeg(Manitoba)R3C4W1
Téléphone:204-470-4488
Télécopieur:204-984-5798ou
1-866-907-2402
For a copy of the Statement of Work (SOW),
please contact:
Pour une copie de l’Énoncé
des travaux (EDT) :
RegionalDentalUnit
FirstNationsandInuitHealth
HealthCanada
300-391YorkAvenue
Winnipeg,ManitobaR3C4W1
Telephone:(204)983-2560
Fax:(204)984-5798or1-866-907-2402
Email:[email protected]
(Subjectline:2012–2013SOW)
Your name, mailing address and contact number/email
address must be provided with your SOW request.
Unitérégionaledesservicesdentaires
Directiongénéraledelasanté
desPremièresnationsetdesInuits
391,avenueYork,bureau300
Winnipeg(Manitoba)R3C4W1
Téléphone:204-470-4488
Télécopieur:204-984-5798ou1-866-907-2402
Courriel:[email protected]
(Objet:2012–2013demanded’EDT)
Vous devez fournir votre nom, adresse et numéro de téléphone/
adresse courriel avec votre demande d’EDT.
Important Deadline
Date butoir importante
Finaldateforcontractsubmissions:
January4,2012
(endofbusinessday)
Ladatelimitepourprésenterune
soumissionestle4janvier2012
(àlafermeturedesbureaux)
MDA BULLETIN
www.ManitobaDentist.ca
Page 5
Registrar’s Column...
It is not the instrument but how you use it…remember your most important tool is in your head.
Taras Snihurowycz
Dr. Marcel Van Woensel
Registrar, MDA
After looking at the array of instruments used in my first year wax carving effort, Dr. Snihurowycz
commented on its realism - if I was trying to make it look like a carrot. Over the next fifteen minutes,
he proceeded to carve an accurate bifurcated premolar using just my Buffalo 6R lab knife. Not one
for subtleties, Dr. Snihurowycz returned the lab knife to my hand while making the above statement.
Dr. Snihurowycz passed away on 5 July 2011. Like his artwork, his role in the dental profession was
iconic. A true renaissance man, he was a clinician, a teacher, a businessman, a philosopher and above
all an artist. In his role as an educator, he influenced generations of dentists in the province. His voice,
speech patterns and mannerisms were an elemental part of the dental experience for over thirty years
of students. He saw almost everything as a learning opportunity - an opportunity to test. Undoubtedly,
his expectations of students and disarming personality may not have endeared him to everyone, but few
could argue the benefits gained as a result of knowing him.
As dentists, our greatest asset is the training and ability we have to acquire, analyze and evaluate a
significant amount of information to differentiate potential diagnoses; treatment plan and adapt to changing circumstances. Technology has always been important in acquiring critical diagnostic information
to effectively perform these tasks, but it is just a component. Over reliance and indiscriminate use risk
devaluing the analytical skills and judgement which are integral to our profession. Often new technology
and techniques come with some fanfare and conjecture as to its applications and benefits. It is essential
every member critically evaluate the general and specific patient benefits based on actual evidence.
Increasing availability to dentists of advanced radiographic technology offers tremendous opportunities
to more accurately diagnose and care for our patients. However, it needs to be used with caution and
a clear evidentiary base. ALARA (as low as reasonably achievable) is still the basic principle of radiation biology. If you can acquire the information by using a lower dose technique alone or in combination
with non-radiation testing, that is the preferred method. A guideline based on current evidence has been
produced recently by SEDENTEXCT (safety and efficacy of a new and emerging dental X-ray modality)
in Europe. It is available at http://www.sedentexct.eu/files/guidelines_final.pdf. I encourage all members
to review the information in the guideline.
Similarly, methodical assessment of the soft tissue - visual and tactile - while communicating with the
patient about changes in signs and symptoms is still a preferred way of identifying oral soft tissue lesions.
Adjunctive techniques may offer benefits in specific circumstances. For general application to patients
receiving a thorough soft tissue examination, they may be of limited benefit. The MDA Soft Tissue
Guideline is available on the member side of the website with helpful information in this area.
The education we received from individuals like Dr. Snihurowycz provides us with the knowledge, skills
and ability to think critically which defines us as a profession. These elements are necessary in considering the adoption and application of new technology. By objective review of evidence, we ensure effective
patient care and maintain the confidence of the public.
Best regards,
Marcel Van Woensel
Registrar, Manitoba Dental Association
Page 6
www.ManitobaDentist.ca
Fall 2011
The Alpha Omega Memorial Lecture
Mobile Vinyl & Aqua Repair Specialists
Saturday, December 3, 2011
8:30 a.m. - 4:00 p.m.
Theatre A, Basic Medical Science Building
University of Manitoba, Winnipeg, MB
Dental chairs repaired and recovered. Repair it before it has to be
replaced at a fraction of the original cost.
Free estimates
“A Clinical Overview on Impressioning,
Curing Lights and Fiber Posts”
156 Hindley Ave
Winnipeg, MB R2M 1P8
(204) 832-7489
Len Boksman, DDS, B.Sc.
London, Ontario
Program Summary:
AL HUNTER CONSULTING
27 Vance Place
Winnipeg, MB R3R 3R6
Phone/Fax: (204) 832-5653
Cell: (204) 771-9121 or (204) 793-2092
Equipment and supply inventory; Equipment replacement costs;
Office design; Equipment evaluations;
Sale of dental practice; Placement of Associates;
Placement of Hygienists; New office locations.
Dr. Boksman is in private practice in London, Ontario and Adjunct
Clinical Professor at the Schulich School of Medicine and
Dentistry, while concurrently, a consultant and Acting Director
of Clinical Affairs to Clinical Research Dental Incorporated and
Clinician’s Choice. Dr. Boksman lectures nationally and internationally and has authored over fifty articles in the last five years
with multiple others and several chapters in textbooks.
This full day continuing education seminar will focus on predictable crown and bridge impressions and simplified temporization
techniques, highlighting matched impression systems and their
indications for use, the all-in-one impression, bite registration
and haemostatic agents. Dr. Boksman will also discuss curing
lights and their effect on sensitive micro-leakage and composite
breakdown.
Pacific Dental Conference
Vancouver, BC
Make Vancouver your spring destination
for CE learning and vacation experience!
Earn up to 15 hours of CE credits during three days
of lectures and hands-on courses; enjoy Canada’s
premier two day dental tradeshow featuring all the
newest equipment and products.
Shopping, hotels, restaurants and breath-taking
Stanley Park are all within blocks of the new spacious
Vancouver Convention Centre. Spring skiing on the
local mountains and world famous Whistler.
Online registration begins October 14th, 2011
Easy online registration and program information at...
MDA BULLETIN
www.ManitobaDentist.ca
www.pdconf.com
Page 7
Canadian Dental Association
Dr. Alexander Mutchmor
Board of Directors,CDA
This is my first Bulletin report as your new representative on the Board of Directors of the CDA.
The first thing I would like to do is to officially thank
Dr. Peter Doig for the tremendous job that he has
done representing Manitoba in this position for the
last six years, and congratulate him on his election
as Vice-President of the CDA. I know that Peter
will continue to do an exemplary job of serving
organized dentistry in this new capacity.
Resources from within the 2011 Government
Relations budget are being allocated for the organization and execution of a government relations
seminar for leaders from the provincial dental
associations. The funds will cover the cost of
speakers and facilities for the event, which is tentatively scheduled to be held in Winnipeg when the
presidents and CEOs are here for their November
meeting.
My first meeting as a member of the Board of
Directors was held on August 1-2, 2011 in Digby,
Nova Scotia. At this planning session, there were
discussions about many of the different activities
that the CDA is currently involved in. The following
are some of the highlights of those discussions.
The recent changes to the membership model
of the CDA have left students at the various
Canadian Dental Faculties somewhat isolated
from organized dentistry. This fall, the CDA will be
partnering with CDSPI to organize a meeting with
student leaders from each dental faculty to discuss
the possible establishment of a national student
federation or association.
The Board discussed the future of the Branding
Working Group and approved a revised Terms of
Reference. The mandate of the BWG is to educate the public so as to increase their perceived
value of dental care and support the dentists’ conversations with patients; based on the research of
the BWG. This is to be accomplished by proposing a communication direction and developing
materials that can then be used by the corporate
members. In order to further these efforts, the
BOD approved an additional allocation of $70,000
to the 2011 budget to cover some consultation
fees and allow for an additional face-to-face meeting of the committee this fall.
There has been some criticism that the current
DAT test does not provide the best possible information to guide admissions decisions. Ongoing
systems need to be in place to coordinate the
development and refinement of the components
of the test to ensure that they are effective, fair
and administered in a reliable manner. To ensure
broad support, the development and the refinement of the test must be done in consultation
with the key stakeholders. Therefore, the Board
approved an initiative to develop enhancements
to the CDA Dental Aptitude Tests and that the
related analysis and research be undertaken in
collaboration with the Association of Canadian
Faculties of Dentistry trough a joint CDA/ACFD
Working Group.
And finally, after much deliberation, the CSI advisory group has recommended, and the BOD has
accepted, that an independent board of directors
should be established to oversee the affairs of
Continovation Services Inc. (CSI). It has been
decided that this is the best way to provide the
proper expertise, which is not necessarily available on the CDA Board, to allow CSI the opportunity to thrive and succeed in a competitive market.
I thank you for the opportunity and look forward
to continuing to work on your behalf in organized
dentistry.
Dr. A. Mutchmor, DMD
CDA Board Representative
The Board also approved the organization of a
wellness symposium, to be held in the spring of
2012, in collaboration with the CDRAF. The purpose of the symposium would be to learn more
about the subjects of addiction and mental illness
and their impact on dentistry and their risk to both
the public and dentists. This information will then
be used to develop strategies for their prevention
and treatment.
Page 8
www.ManitobaDentist.ca
Fall 2011
MDA BULLETIN
www.ManitobaDentist.ca
Page 9
winnipeg dental society 2011-2012 clinical sessions
Winnipeg Dental Society
Friday, Sept 16, 2011
8:30 a.m. - 4:30 p.m.
Victoria Inn, 1808 Wellington Avenue
Winnipeg, MB
Winnipeg Dental Society
Friday, November 18, 2011
8:30 a.m. - 4:00 p.m.
Victoria Inn, 1808 Wellington Avenue
Winnipeg, MB
Winnipeg Dental Society
Friday, March 23, 2012
8:30 a.m. - 4:30 p.m.
Canad Inns Club Regent Hotel & Casino
Winnipeg, MB
“Comfort Zone Cosmetics”
“New Concepts in Treatment Planning”
“Attachment Dentistry”
Martin Goldstein, DDS
Cheshire, Connecticut
Terry Tanaka, DDS
Chula Vista, California
George Bambara, MS, MD,
FACD, FICD
Staten Island, New York
Program Summary:
• How
to attain clinical excellence through
Digital photography: the Blue Print; including portraiture principals and techniques,
photo equipment needs and how to put the
cosmetic simulation to work for greater case
acceptance and improved case design;
• The Tools of the Trade: an in-depth look
at a “paint by number” approach to smile
makeovers using Smile Vision’s Templates
for Success methodology;
• Tooth preparation basics, impression taking
and temporization. Placing accurate provisionals that look like the finished case
using the “Hard-Soft” template. What’s the
lowdown on “no-prep” veneers?
• Stress-free case delivery methods: Rapid
Cementation for Stress Free results
• Composite Capers: Template Driven
Aesthetic Applications of Composite Beyond
the Ordinary
Winnipeg Dental Society
Friday, October 21, 2011
8:30 a.m. - 4:30 p.m.
Victoria Inn, 1808 Wellington Avenue
Winnipeg, MB
“Conservative Esthetic and
Restorative Dentistry”
Harald Heymann, DDS, M.Ed
Chapel Hill, North Carolina
Program Summary:
Dental adhesives: Separating fact from
fiction?
• High tech composites: Nanofilled and nonshrinking? • Dentin desensitization techniques:
what really works? • Chemo-therapeutics: How
best to manage the high-risk patient. • Probiotics:
the future of caries control? • Posterior composites: keys to eliminating sensitivity. • Pulp
capping: is pulp capping with adhesives still the
way to go?
• Metal-free dentistry: facts and fallacies. • Tooth
flexure and the etiology of abfractions: watch or
treat? • Vital bleaching: the great white myths!
• White spot removal: ACP, resin infusion, partial
veneers. • Steps to creating esthetic porcelain
veneers: practical considerations for achieving long-term success. • All-porcelain bonded
bridges: A reversible, esthetic answer for single
missing incisors.
MDA BULLETIN
ProgramSummary:
Dr. Tanaka will provide a practical interpretation
of current esthetic and occlusion guidelines, noting which guidelines have no scientific basis at
all.
This program will address important questions
such as, what are the “occlusion requirements”
in esthetic dentistry, when is the selection of
restorative materials determined by masticatory
function, tooth wear and oral habits.
Winnipeg Dental Society
Friday, January 28, 2012
8:30 a.m. – 4:30 p.m.
Winnipeg Convention Centre
Winnipeg, MB
“A 360 Slam Dunk Guide for Successful
Teams – Complex Treatment Planning ”
Mark Hyman, DDS, MAGD
Greensboro, North Carolina
“Change is inevitable – growth
is optional.” In this fast paced,
ever- changing world, dental teams must commit to taking a serious look at every aspect of
the practice. With a comprehensive feedback
process you gain insight into your performance,
which allows you to identify opportunities for
growth. Learn how to diagnose, treatment plan,
and deliver optimal care, whether single tooth,
quadrant, or full mouth rehabilitation. Enjoy this
fast paced, fun filled, dynamic seminar that will
super charge your practice today!
1. Understand the urgency to lead and re-align
your practice today
2. Rank the doctor and the team in the 35 key
leadership issues for peak
performing teams
3. Consider key communication barriers, and
how to overcome them
4. Learn how to blend high tech and high touch
relationship-based care
www.ManitobaDentist.ca
Program Summary:
This all day program emphasizes the rationale for
using precision and semi-precision attachments
in the treatment planning of fixed and removable partial dentures, overdentures and implants.
Each of these prosthetic options is discussed in
detail, especially implants which require special
treatment planning consideration. Various types
of coronal and radicular resilient and non-resilient
attachments are discussed including bars joints
and bar units, studs and magnets. A logical
approach to the treatment planning of attachment
dentistry is presented which insures long term
success and patient satisfaction.
Winnipeg Dental Society
Friday, April 27, 2012
8:30 a.m. - 4:30 p.m.
Canad Inns Club Regent Hotel & Casino
Winnipeg, MB
“Pediatric Dentistry”
Co-presented by :
Stephen Abrams, DDS
Scarborough, Ontario
Ian McConnachie, B.Sc, DDS,
MS FRCD(C)
Ottawa, Ontario
Program Summary:
To develop an understanding of one of the most
common dental diseases; dental caries, including
detection, monitoring and treatment of carious
lesions. This course will provide you with the
tools to create a new approach to the prevention
and early treatment of dental caries in children
and young adults. This full day seminar will
explore the new research on the caries process,
how to detect monitor and manage dental caries
before one contemplates placing a restoration.
The course will provide you with information on
how to create a unique caries prevention program
that is anchored by your clinical team and will
deliver results for your patients.
Page 10
Dental Practice Opportunity
Highland Park, East St. Paul
Phase 2 Now Leasing
Excellent opportunity to join 2-3 established Physicians and be adjacent to a
Walk-In Clinic.
Situated approximately 1 mile North of the Perimeter on busy Henderson
Highway, in the highly popular and rapidly growing municipality of East St Paul.
This new, highly visible and high calibre project is central to several prominent
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For details call: Greg Michie 336-2800
email: [email protected]
www.gregmichie.com
Sutton Group Kilkenny Real Estate
MDA BULLETIN
www.ManitobaDentist.ca
Page 11
The Dental Specialist
“The Dental Specialist” is written by Manitoba Dental Specialists. Each issue features one of the dental speciality groups (on a rotational basis). In this quarterly’s issue, the article is submitted on behalf of the Oral and Maxillofacial Surgeons.
Third molar surgery:preventing complications
Third molar surgery is generally a safe, uncomplicated dentoalveolar
surgical procedure. Some cases are more difficult than others, however,
even in simple cases, complications may occur, and the outcome may be
devastating. The purpose of this paper is to highlight potential risks and
complications of third molar surgery which include:
•
Infection……………………...…3-7%
•
Dry socket (alveolitis)…………..4-7%
•
Inferior alveolar nerve injury… 2-7%
•
Lingual nerve injury…………….1-2%
•
Mandibular fracture…………….<1%
•
Tooth and root displacement……<1%
E.
F.
Tooth and root displacement.
Aspiration of tooth fragments
A.
Nervous patients require more local anesthetic and may suffer a medical emergency such as bradycardia and vaso-vagal
reaction. For these patients, sedation, either oral or IV is
indicated.
B.
Bleeding during third molar surgery is uncommon. If it occurs,
it may be due to severing of an artery, such as the long buccal
artery, or generalized bleeding of bone. Severing the mandibular artery deep in the socket will also indicate mandibular
nerve injury. Control of bleeding from the buccal artery is either
by cautery, or ligation with a suture. Control of bone, or deep
socket bleeding is with gelfoam or packing. In severe cases,
the packing is left for seven days and then removed.
Informed Consent
The patient has the right to be fully informed of all potential risks and
effects from the use of drugs and from the surgical procedure. Risks and
effects should be explained in a way in which the patient can understand.
The patient must fully understand the surgical procedure, and be involved
in decision-making regarding the procedure.
Effects of surgical procedures.
Effects of surgery are different from complications, are usually short-lived
and resolve quickly. Effects that last longer than normal should be considered a complication. Effects of third molar surgery include:
•
Swelling
•
Pain
•
Trismus
•
Bruising
•
Oozing
The above effects should resolve within four to ten days depending on
the severity of the impactions, and the age of the patient. If they linger
beyond this time, they should be considered a complication of the surgery.
Complications
Complications are divided into:
•
Intra-operative complications
•
Immediate post-operative complications
•
Delayed post-operative complications
Intraoperative Complications:
A.
Patient factors, such as vaso-vagal reaction
C.
Alveolar and bone fracture
B.
Hemorrhage and bleeding
D.
Nerve injury
Page 12
C. Alveolar fracture occurs if excessive force is applied with elevators. The buccal plate of bone may fracture, or in more severe
cases, the angle of the mandible. Predisposing factors include
the age of the patient, and the distance between the inferior
border of the mandible and the roots of the third molar teeth. In
older patients, bone is less elastic and more brittle. Excessive
force must be avoided, and teeth should rather be sectioned.
For the maxilla, tuberosity fracture may result in tearing of
the mucosa, and breach of the maxillary sinus floor. In older
patients, tuberosity bone is often fused (ankylosed) to the roots
of the third molar. Careful dissection, and bone removal avoids
this complication.
D. Nerve injuries are the most debilitating, long-term complications. The lingual nerve is situated close to the lingual crest of
bone, adjacent to the mandibular third molar tooth. Aggressive
lingual dissection, and drilling, may result in lingual paraesthesia, affecting the lateral border of the tongue, on the same side.
Patients find this injury to be more debilitating than mandibular
nerve injuries. In addition, there is less chance of the lingual
nerve recovering after injury. Lingual dissection and bone
removal should always be avoided. Mandibular nerve injuries
are more frequent, but have a higher probability of recovery,
particularly in young patients. Injury may vary from neuropaxia
(bruising) to axonotmesis, which is complete disruption of the
nerve. Paraesthesia (partial numbness) may take as long as
one year or as short as six weeks to resolve. Anesthesia (total
numbness of the lip and chin) may never fully resolve. It is
difficult to treat these injuries, and the best means of avoiding
them is to have clear radiographs showing the relationship
of the roots to the inferior alveolar canal (Figure 1, 2 and 3).
This may include cone-beam scanning to clearly visualize the
proximity of the roots of the tooth to the nerve canal. In young
patients (younger than twenty two years), careful sectioning
of the roots will mostly avoid nerve injury that is permanent.
In older patients with radiographic evidence of association of
roots to the canal, partial odontectomy is indicated(figure 4).
E.
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The most common site for tooth displacement is the maxillary
sinus (Figure 5). This may occur when a maxillary third molar,
or root is pushed upward through the thin wall of the floor of
the maxillary sinus. The tooth may also be displaced posteriorly
behind the maxillary tuberosity, or into the infratemporal fossa.
In the mandible, the lingual plate of bone adjacent to the third
molar roots is thin, and excessive force to the roots may displace them through the bone, and into the floor of the mouth.
Displaced teeth and teeth fragments are difficult to retrieve,
Fall 2011
and often require general anesthesia for the patient. If left, they
may cause infection with serious outcome.
F.
Aspiration of tooth and root fragments is prevented by always
having a gauze sponge placed at the back of the mouth to trap
sectioned crowns and pieces of tooth.
C.
Trismus may also be as a result of late infection, spreading to
the submasseteric space. In some cases, Trismus is due to
muscle stiffness after extensive oedema, and resolves with jaw
exercises.
D.
Dry socket is the most common complication seen, and is treated with irrigation, and packing of the socket. Antibiotics are not
needed. Analgesics may be required. A dry socket will resolve in
seven days if treated, or one week if not treated!
E.
Oro-antral fistula results when there is a communication
between the mouth and the maxillary sinus, through the third
molar socket. It is caused by fracture of the thin bone plate
at the base of the sinus. Infection may be present. Oro-antral
fistula is treated with antibiotics and a flap procedure to close
the communication
Immediate Post-Operative Complications
These are complications that may occur within 24 – 48 hours after the
surgical procedure and include:
A.
Hemorrhage
C.
Nausea and dehydration
B.
Infection
D.
Surgical Emphysema
A.
B.
Preventing Complications
It is better to prevent complications than to treat them:
Immediate post-operative hemorrhage is due either to bleeding
that was not controlled during the surgical procedure, or loosening of sutures. In some cases, when epinephrine from the local
anesthesia solution wares off, a vessel may dilate and start
bleeding. When bleeding occurs, it is important to first identify
its origin, and then control either with sutures or packing as
described above.
•
Use good judgment in selecting patient for surgical procedures
•
Do not perform unnecessary procedures. Consider the risk/
benefit.
•
Good surgical technique
•
Experience
The use of prophylactic antibiotics to prevent postoperative
infection after third molar removal is controversial. Most authorities do not advocate antibiotic use after surgery by an experienced operator. If there are extenuating circumstances, which
increase the risk of infection, prophylactic antibiotics may be
prescribed. Should cellulitis develop within the first forty-eight
hours post-operatively, a loading dose of an appropriate antibiotic, with continued use for five to seven days is appropriate.
Penicillin in non-allergic patients is the drug of choice.
•
Know your limitations
C. Nausea and vomiting in the post-operative period may be from
swallowing blood, sever pain, codeine, or the effects of sedation
and anesthesia. This may result in dehydration, necessitating
the patient to get further treatment in a hospital in the form of
anti-emetics, analgesia and fluids.
Figure 1
D. Surgical emphysema occurs when air is pushed into tissue
spaces. The most common cause during third molar surgery is
the use of an air-turbine to section teeth. Air is pushed into tissue spaces, and may cause infection and even airway obstruction in severe cases. Mostly, the condition resolves without
treatment, although antibiotic therapy is indicated.
Figure 2
Figure 3
Figure 4
Figure 5
Late Post-Operative Complications
These are complications occurring approximately six days later or more.
They include:
A.
Infection
C.
Trismus
B.
Bleeding
D.
Alveolitis (dry socket)
E.
Oro-antral communication
A.
Late infection is often due to food impaction in the socket. It
presents with a buccal swelling and resolves quickly after irrigating the material out of the socket. In some cases a sub-periosteal abscess may occur, necessitating drainage and antibiotics.
B.
Late bleeding usually results from infection, or pocket formation
and is treated as previously desctribed.
MDA BULLETIN
www.ManitobaDentist.ca
Dr. Mark A. Cohen
Oral & Maxillofacial Surgeon
Page 13
Faculty
orner
C
Dr. Anthony Iacopino
Dean of Dentistry
University of Manitoba
Celebrating RelationshipsAlumni evening has become a
It was truly something to behold.
For the past several years now, our annual Alumni of
Distinction banquet and celebration has occupied a special place on the calendar for the oral health community
in Manitoba. It is the time that we pause for a moment to
pay tribute to the outstanding service provided by select
individuals in our fraternity; a time where the ongoing
efforts of our colleagues are noted and celebrated, both
as a tribute to the individuals themselves but also to
remind everyone of how much one person can achieve
when they put their ample skills and talents to work for
the benefit of the common good.
Ever since the idea was first put forth by the now-legendary Dr. George Brass, we now make a point to pause
and acknowledge those special persons among us; those
who have served the profession or community in such a
way as to have distinguished themselves, and directly or
indirectly brought distinction and honour to the Faculty
and our profession.
And throughout these past 13 years, there has been no
shortage of exemplary individuals who warrant consideration for this special honour. Indeed, our list of honourrees reads as a virtual who’s who in Manitoba oral health.
Quite simply, we have them all: highly skilled professionals, ground-breaking innovators, community leaders, successful entrepreneurs, socially conscious activists, all of
whom have made a real difference to those around them.
This year, our 2011 honourees maintained and enhanced
this noble tradition. Dr. Frank Hechter and Ms. Signe
Jewett have devoted their careers towards helping others and not just those directly involved in the oral health
world. Each of these individuals has gone above and
beyond the call of duty and extended their reach to those
outside of our immediate area of influence. And their only
motivation for their efforts was simply because they could.
Clearly, we owe a debt of gratitude to Dr. Brass. His foresight now seems almost visionary. In creating the Alumni
of Distinction honour, he has done tremendous service for
our community and, in turn, for the public in our province.
Yet interestingly enough, this Alumni of Distinction honour, and all the pomp and circumstance that surrounds it,
has had a remarkable side-effect; one that I’m not sure
that even ‘Boomer’ Brass may have foresaw, but one that
was certainly palpable the night of September 16.
What we have witnessed is the creation of a family;
a new, unique and tangible bond that begins with our
Faculty of Dentistry and extends to the farthest reaches
of our country and our society.
The warmth and fellowship of that Friday evening past
was unlike any other event we have ever experienced in
our recent history.
When I arrived here from the States, I came with a clear
sense of purpose and direction. And that was to get to
know all of you personally and start building relationships.
And now, just over four years later, I am delighted to
say that we have succeeded. We have formed many
strong relationships and partnerships that are manifest
in the many accomplishments we have realized together
throughout that relatively short time.
Page 15
www.ManitobaDentist.ca
family affair
We’ve made significant progress in all areas of our
strategic plan. Most notably and most recently, the Ross
McIntyre campaign was a major success and has allowed
us to become international leaders in digital radiography
and move toward full electronic patient records. Our
Faculty instructors and staff continue to demonstrate
excellence, offering one of the best and most affordable
dental education and training programs in North America.
Support, from our alumni and friends, is at an all-time high
as we continue to establish new and higher benchmarks.
The day before the banquet, our Faculty received the
largest single donation in its history, thanks to a halfmillion dollar commitment from Dr. Gerald Niznick of the
Class of 1966.
This comes almost one year to the day after the Class
of 1986 set the standard with the largest class gift ever
received by the Faculty at well over $100,000.
But perhaps more importantly, we have established real
friendships. And this is probably the most wonderful
thing of all. Like a family, we now share in the joy of our
successes; we share in the sorrow of our losses. Just as
we celebrated the accomplishments of our distinguished
alumni, we mourned the passing of two of our predecessors, Drs. Taras Snihurowycz and Hester Rumberg.
We celebrate, we commiserate. We grow stronger as we
grow together. We care about one another.
So many crystal clear examples of that came through that
night: Frank Hechter’s poignant and thoughtful address;
Chris Cottick’s often hilarious and always playful banter;
Sigee Jewett’s touching sincerity; the return of three
members from our original class of 1962; the orthodontic’s team spirit of camaraderie; everyone, it seemed,
brought something wonderful to share.
The atmosphere in the room was as wonderful as it was
irrefutable. Everyone was pleased to be involved; pleased
to see their colleagues, young and old, past and present;
pleased to be part of our alumni fraternity.
This past September 16, we witnessed something very
special. We saw the kinds of things that are unique to
our Faculty; we saw relationships and connecting with
people; we saw communication and respect; we saw the
creation of a “circle of trust.”
As I shared with those of you at our evening of excellence, this is why I’m thrilled, honoured, and humbled to
be the Dean of our Faculty of Dentistry. I stand before
you with a servant’s heart, with the distinct privilege of
working with you to maintain our proud “traditions of
excellence” and our exciting “horizons of change”.
This is indeed a rare and joyous thing; a wonderful
Winnipeg, made in Manitoba, culturally Canadian experience. And how fortunate we are to be part of it!
Grazie,
Dr. Anthony M. Iacopino
Fall 2011
You’re in
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Member benefits of the Manitoba Dental Association and CDA include access to
exceptional insurance and investment products and services that can help you take
control of your financial future. About 90 per cent1 of eligible Canadian dentists —
and virtually all Manitoba dentists — rely on these products and services, so you’re in
good company. Contact CDSPI:
1-800-561-9401
www.cdspi.com
1 Based on CDSPI participation rates.
11-243 08/11
MDA BULLETIN
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Page 14
MDA BULLETIN
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Scott Bollman, Manager
Professional Banking
Winnipeg Main Branch
Winnipeg, MB
204-934-2630
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Page 17
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Fall 2011
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Fall 2011
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The Bulletin, Fall—2011
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Call for Case and research presentations
Manitoba Dental Association Annual Meeting & Conference
January 27 & 28, 2012
The Annual Meeting and Convention Committee are inviting dentists, dental educators and researchers to participate in the third
annual Manitoba Dentist Oral Presentations lectures on Saturday, January 28, 2012.
The purpose of the presentation is to provide Manitoba dentists an opportunity to share with their colleagues unique treatment
cases that they have managed, research findings that may positively impact on dental care, and expanding the knowledge base of
others.
The Clinical Sub-committee of the Annual Meeting and Convention will select four submissions for case presentations and four
submissions for research presentations.
Presentation Submission Guidelines: Submission deadline is Monday, January 9, 2012.
Presentation Summary: Presentation summary must be filled out in the Submission Layout form. This form will be emailed to
members in mid October. Once completed, please email the submission back to: [email protected] with subject heading
“Case and Research Presentation 2012”.
Thank you.
Clinical Co-Chairs
Dr. Danielle Jobb
Dr. Simona Pesun
MDA BULLETIN
www.ManitobaDentist.ca
Page 19
MDA Directory Amendments
For changes to the MDA Directory please contact:
April Delaney at the MDA office - (204) 988-5300 Ext. 2
In Memoriam
Dr. Hagop Alanjian
8-50 Selkirk Ave
Thompson, MB R8N 0M7
(204) 677-3935
Dr. Martin Potter
693 McPhillips Street
Winnipeg, MB R2X 2H6
(204) 774-7774
Dr. Reem Atout
DI123- 790 Bannatyne Ave
Winnipeg, MB R3E 0W2
(204) 789-3633
Dr. Kristina Roman
Box 2760, 107 Edwards Ave
The Pas, MB R9A 1M5
(800) 665-8539
Dr. Evan Ayers
211-2665 W Broadway
Vancouver, BC V6K 2G2
(604) 262-5303
Dr. Jared Rykiss
188-2025 Corydon Ave
Winnipeg, MB R3P 0N5
(204) 925-4746
Dr. George Cadigan
Box 236, 36 Main Street
Erickson, MB R0J 0P0
(204) 636-2320
Dr. Alvaro Salles
D108-780 Bannatyne Ave
Winnipeg, MB R3E 0W2
(204) 789-3227
A private celebration of Dr. Danzinger’s life will be held at the
family cottage at a later date.
Dr. Arek Siwoski
Unit 200- 2500 53rd Ave
Vernon, BC V1T 8H9
(250) 541-7373
DR. TaraS snihurowycz - 1918-2011
Dr. Suzanne Carriere
606 Ellice Ave
Winnipeg, MB R3G 0A3
(204) 774-3527
Dr. Catherine Carroll
140-1600 Kenaston Blvd
Winnipeg, MB R3P 0Y4
(204) 487-6453
Dr. Pankaj Chadha
693 McPhillips Street
Winnipeg, MB R2X 2H6
(204) 774-7774
Dr. Marvyn Harland
131 Commercial Place
Thompson, MB R8N 1T1
(204) 778-7381
Dr. Sherri Stoski
Box 669, 385 Main Street
Winkler, MB R6W 4A8
(204) 325-7626
Dr. Kevin Vong
Box 850, 1448-3rd Street N
Swan River, MB R0L 1Z0
(204) 734-9901
CORRECTION:
Dr. Adam Agpalza’s
name was printed incorrectly
in the last Bulletin.
Dr. Courtney Humphreys Pollard
Please note the correct
668 Peridot Court
spelling above.
Kelowna, BC V1W 5E7
(250) 864-2659
Dr. Bradley Klus
FW 102-685 William Ave
Winnipeg, MB R3E 0Z2
(204) 787-2516
Dr. Hee Jong Kong
1248 Pembina Hwy
Winnipeg, MB R3T 2B1
(204) 284-7000
Dr. Hooman Mohandesan
2-1360 Taylor Ave
Winnipeg, MB R3M 3Z1
(204) 487-0015
Page 20
NOTE: It is important for
all dentists and dental assistants to provide written
notice of any changes to
your mailing address, your
licensure status or plans to
move to a different province.
With over 1700 members, it
is no longer practical to make
changes with simply a phone
call. A written notice ensures
your intention is clear, appropriately recorded and retained in your file.
DR. george danzinger - 1916-2011
Dr. George Danzinger passed away peacefully on Sept 11,
2011. Left to cherish his memory are his children Bob and
Donna, grandchildren Jodi, Erin, Chad and Gene as well as
seven great-grandchildren. Dr. Danzinger was an avid outdoorsman, a talented musician, a veteran of the scond world war and
most of all, a family man.
Dr. Danzinger was President of the Manitoba Dental Association
in 1967 and served as the MDA Registrar for 5 years.
Dr. Taras Snihurowycz arrived in Canada in 1950. He earned a
doctorate in dental medicine in Munich, Germany, and attained
a second doctorate as a meber of the first graduating class of
the Faculty of Dentistry at the University of Manitoba in 1962.
As one of the original faculty instructors, Taras Snihurowycz was
a dedicated educator and an innovator who pioneered the wax
added technique and advoated theuse of stereoscopy in the fabrication of fixed denture prostheses. He was a life member of the
Manitoba Dental Association and a charter member of the University of Manitoba Alumni Association. In 1998 he became the
inaugural recipient of the Faculty of Dentistry’s Alumni Award.
Supported and guided by his wife Daria, Taras evolved into a
passionate art collector, filling their Winnipeg home with diverse
works by Ukrainian artists. In 1975, his passion for collecting
transmuted into a passion for creating. Without previous formal
training, he began painting sacred icons, and embarked upon a
second career as an artist and iconographer. Taras Snihurowycz’s body of work encompasses over 1,000 pieces, many of
which are housed in public and private collections around the
world. The Winnipeg Art Gallery, Winnipeg’s Oseredok Ukrainian Cultural Centre and Millenium Library, the Canadian Museum
of Civilization in Hull, the Canadian Dental Assocition in Ottawa
and the FAculty of Dentistry at the University of Manitoba are all
home to his art.
An engaging, animated and forthright human being, his energy,
curiousity and sense of humour were always in evidence. He will
be missed by all who admired and loved him.
He was predeceased by his wife Daria and is survived by his
daughter Genia and family in Switzerland, and his niece/daughter Daria of New York and her son Yaroslav of Toronto.
www.ManitobaDentist.ca
Fall 2011
MDA BULLETIN
www.ManitobaDentist.ca
Page 21
C
L
A
S
S
I
F
I
E
D
S
Winnipeg, MB
Experienced dentist available for short-term locums
(i.e. sick leave, vacations, etc.) References
available upon request.
Please contact Dr. I.R. Battel (204) 489-4507
Winnipeg, MB
Vacancy for a part time associate position leading
to full time. Clarity Dental is a state of the art facility, and has an excellent flow of new patients. This
is a career position.
Contact Dr. H. Salama at (204) 336-8478 or
(204) 487-0015
Email: [email protected]
Winnipeg, MB
Full or part time associate position available in
busy office in South Winnipeg. Please contact
[email protected] or (204) 253-6140
Winnipeg, MB
An excellent opportunity in our exceptional practice hs come up as our current associate is moving
to another province. WE are looking for a motivated, highly skilled dentist to join our modern, well
established family practice. You will be working
with a great team in a relaxed environment providing the best quality care. Each operatory has an
overhead TV, digital x-rays and computer monitor.
Above average skills in endodontics, pedodontics,
surgery will be an asset. There is a possiblity to
Entire practice contents for sale as of Nov 30, 2011
Large equipment items are:
1. 3 Pelton & Crane chairs - $2500.00 each
2. 3 overhead lights - $500 each
3. Statim Cassette Autoclave - $1700
4. Velopex x-ray developer - $1700
be very busy here as the prinmary dentist has jsut
sustained a shoulder injury and needs help asap.
We will also consider dentists who are interested
in a locum position.
Contact: Dr. Janet Alsip
Phone: (204) 223-6303
Email: [email protected]
Winnipeg, MB
Greenwoods Dental Centres requires a P/T Periodontist to join our team as an associate. Kindly
phone Dr. Mittal at (204) 297-5344 or email to
[email protected] for details.
www.GreenwoodsDental.com
Winnipeg, MB
Greenwoods Dental Centres have a position open
for a Full-Time general dentist Associate to join
our team of professionals. Your schedule will be
fully booked. Excellent opporunity for professional
growth and to make a great income. New graduates welcome. Contact Dr. Mittal at (204) 2975344 or email to [email protected]
6. Ultrasonic cleaner - $300
7. Also available - surgical forceps
8. Assortment of high and low speed handpieces
For more information please contact:
[email protected]
5. Ultrasonic scaler - $400
Page 22
www.ManitobaDentist.ca
Fall 2011
MDA BULLETIN
www.ManitobaDentist.ca
Page 23
DO YOU NEED
TITANIUM CAST PARTIALS?
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Customized in our “Infection Control Certified”
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“Whenever a theory appears to you as the
only possible one, take this as a sign that
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the problem which it was intended to solve”
Karl Popper (Austrian Philosopher)
TODD BAUER
ph: 204.795.2737
email: [email protected]
Page 24
www.ManitobaDentist.ca
503-388 Portage Ave.
Winnipeg, MB
R3C 0C8
204.943.8883
Fall 2011