In This Issue: Features: - National Denturist Association

Transcription

Fall 2015 • Vol. 16
In This Issue:
ONE ARCH OR TWO...THAT IS THE QUESTION
- JOSEPH J. MASSAD, DDS
TAKING THE DENTURIST MESSAGE TO CONGRESS
- CAROLYN LOGUE, CA LOGUE PUBLIC AFFAIRS
Features:
HONORING A PIONEER
- William D. Buxton, DD
SPOTLIGHT
- Shawn Murray, LD
CUSTOMER SERVICE SMART TALK
- Charles Marshall
THE CHALLENGE OF ETHICAL DECISION MAKING
- Joe Kingston, LD, Ed.D
COMMUNICATING THE IMPORTANCE OF DENTURISTS
HONORING - BILL BUXTON
William David Buxton passed away on April 29,
2011, and the denturists profession lost a legend.
Bill Buxton, Sr. had a vision - a vision for the future
of denturism worldwide and he put action to his
vision working tirelessly to have his profession
recognized and regulated in every province of
Canada, every state of the United States and in
every country.
Bill’s first interest and involvement in the dental
industry began in 1972 when returning to his
home in New Brunswick after fulfilling a 15 years
career in the Canadian Armed Forces Dental
Corp. Denturism had been regulated in a few
provinces of Canada so Bill was familiar with the
Bill Buxton, Sr. proudly wears the
profession; however, there were still unregulated
medallion presented to him at his
provinces, including his home in New Brunswick.
induction into the Sterkenburger
Bill recognized this injustice and put action to this
Fellowship.
need.
Over the next 39 years he fought for the cause
in Canada and the United States and with the introduction of the International
Federation was there to help. He became involved and served on the boards and
committees for the International Federation of Denturists, provincial associations,
the national Canadian association and international denturist associations. As
president and registrar of the New Brunswick association he led the fight to gain
denturist independence.
As president and secretary for Canada’s national association he served as a
delegate to several meetings. and conferences throughout the world. Internationally
he served as Secretary General for the International Federation of Denturists and
participated in many meeting in Europe seeking denturist independence. He was an
active member of the National Denturist Association, USA, and worked tirelessly
with its leaders promoting the profession and seeking regulation.
Bill’s efforts did not go unnoticed by the Canadian associations and the International
Federation of Denturists evidenced by the honors and awards of appreciation he
received. Among those honors were the George Connolly Denturist of the Year
Award and the induction into the coveted Sterkenburger Fellowship. The respect
for his efforts and dedication continue posthumously. In Moncton, New Brunswick
in 2012 Bill was again recognized by the New Brunswick Denturist Society and the
Denturist Association of Canada for his dedicated efforts; his family was invited to
accept the tribute.
Nancy and Bill were high school sweethearts and partners in the efforts for
denturism for most of the 48 years they were married. They were not surprised
and very proud when their son, Bill, Jr., chose to enroll in denturist college in Nova
Scotia. However, when the college closed Bill, Jr. moved to Maine to participate in
the George Brown College program offered in the U.S. Bill decided to stay in the
U.S. and start a denturist practice in Maine. Nancy remembers, “Even though we
had a denturist practice in New Brunswick, we wanted to be close to family and we
loved Maine having visited there many times, so decided to move and assist in Bill,
Jr.’s clinic.” They moved to the U.S. in 2000. Bill and Nancy knew there would be
legislative hurdles to conquer for the profession in the U.S. but they were up to the
challenge. Bill, Sr., and Bill, Jr., became involved in progressing the profession in Maine
attending monthly board meetings, legislative committee meetings and addressing
the legislature in Augusta promoting their passion to ensure denturism grew and
expanded.
Bill, lived and breathed denturism.
Bill, Jr., says, “It was part of our
family which each of us embraced
and helped and lived every day.”
There are three generations
of Buxtons who are graduated
from George Brown College....
not surprisingly, Bill, Jr., and
granddaughter Stephanie have
chosen denturism as their career.
Michael Vout, President, Denturist Association of Canada
It is with great respect we honor and Frank McMinniman President, New Brunswick
William Buxton, denturist.
Denturist Society honoring Bill Buxton, Sr. Receiving
the award is Nancy Buxton and Bill Buxton, Jr.
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Fall | The National Denturist, USA | 2015
DENTURES
1.
FALL 2015 | Vol.16
FEATURING
- A patient who is wearing
a
complete upper and complete
4. ONE ARCH OR TWO...
THAT IS THE QUESTION
BY J O S E P H J . M A S S A D , D D S Editorial/Publishing
Executive Director
Wanda Anderson
NDA, USA President
Joe Kingston
My Philosophy on
Effective Leadership
By: Dr. Joseph Kingston
Contributing Editors
Joseph Kingston Joseph Vize
Stephanie Vize
leaders are mature people who have taken charge of themselves and others. They
Some Denturists have asked me about a Financially Effective
she
can’tand theafford
a new
maxillary
have
the responsibility
maturity to be accountable
for their own
actions as well as theand
actions of those in their charge. They foster a sense of responsibility in others by practice and
Production
scenario that they Ad
find
themselves in quite often: mandibular example.
denture
andareshe
wants
make
a new
Effective leaders
honest people.
Honestyyou
is to be to
real, genuine,
and authentic
Victoria Thacker
at
all
times.
Honesty
expresses
both
self-respect
and
the
respect
of
others.
Honesty
inspires
4. A patient 8.
Theresa Sulek
who
is
wearing
a complete upper and mandibular openness,
denture
like
theis a old
one.
I forwould
reliability,just
and candor.
Honesty
fundamental
condition
relationship ask
building the
8. CONFERENCE
Distribution
as well as the development of all genuine communities. It is best developed in harmony with
Victoria Thacker needs a new lower others
COVERAGE
withinpatient
the community.about her budget and examine the condition of the
complete lower denture
or
Theresa Sulek
- Taking a look back at the 9th
Effective leaders have courage and practical reason. They have the confidence to face fears and stand their ground in challenging
World Symposium in images.
situations. They
have the wisdom todenture.
advance or retreat atIf
appropriate
They have will
the will to
inspire strength
from deep
Direction
upper, but theyArt
would
like to keep their
maxillary
her times.
budget
enable
you
to down
make
within themselves as well as the motivating power to muster strength from others.
MALOLO Design Company
Effective leaders show perseverance combined with practical intelligence. They will not hesitate, falter, or vacillate even when
14. SENATOR RAYBORN
opposing denturewww.malolodesignco.com
due to limited budget or fear
both the maxillary and mandibular dentures, then this is
- Honoring a man who has
experiencing hardship or difficulty. As leaders, they encourage their constituents to preserve by standing behind them and by setting
Photographer
helped the industry in so many
a positive example.
Wilson
of the unknown. Lee
the best approach. However,
if demonstrate
her budget
insufficient,
ways.
Effective leaders
loyalty, whichis
marks
a consistency
Stephanie Vize
in our attachments to others. Leaders with loyalty operate within an
Jan Rosenberger
and the remaining prosthesis
meets
criteria
outlined
established allegiance
dedicated to the
the well being
of others as well
as the
19. SPOTLIGHT
Dr. Joe Kingston , LD. Ed.D President
Event Coordinator
global
community.
Effective
leaders
have
compassion,
which
allows
them
Shawn Murray, LD
Anderson
National Denturist
Association,
U.S.A.
The answer is: it depends. Wanda
above,
then
it
is
possible
to
consider
making
a
single
arch
to
take
a
supportive
role
in
the
benevolence
of
others.
Compassionate
- We are proud and honored to
Dee Dee Burzynski
spotlight Shawn as an example
leaders
take
seriously
the
well
being
of
others,
including
their
beliefs,
14.
19.
Theresa Sulek
of dedication and vision for the
feelings, emotions,
They are
sympathetic describes
to the needs and
and with accuracy. The
rest andofattitudes.
this
article
a
Sephanie Vize
advancement of the profession
Jan Rosenberger
wants of those around them.
she nobly represents.
M. Murray
Lastly, but most importantly,
an effective leader
has a strong workand
ethic, to
The first question I ask is: Shawn
what
is the condition of the
technique to make a successful
opposing
denture
Tad Burzynski
applying all of their energy toward accomplishing a desired goal. They put forth a consistent effort to obtain maximized achievement
22. TAKING THE
for the entiredo
organization.
existing opposing prosthesis?
If the existing prosthesis
it within a profitable timeframe.
Advertising/Sales
As I think about the different arenas of my life such as family, career, relationships, spirituality, and health. I find similar core values in
DENTURIST MESSAGE
Theresa Sulek
each area. Values such as truth, honesty, courage, perseverance, loyalty, compassion, friendship, respect, responsibility, and self-discipline
TO CONGRESS
Thacker
is less than optimal, such Victoria
as poor
occlusal plane, loose
The maxillary prosthesis presented in this article is welldrive my existence in each of these arenas. I truly believe that I live my life according to these virtues as compared to just simply talking
- Thanks to these individuals
we now have new friends in
Web Development
fit, and excessive tooth wear,
then, then fabricatingabout
a them.
fitting
and
has
anterior-posterior
inclination,
Congress.
Andrew Taylor
There
are specific
principles
that guide
me inappropriate
these arenas. I try to always
be a positive person. A person that people
enjoy being
www.enticemedia.com
around. I try to always think before I speak or act, reflecting on the possible effects of my words or actions. I try to determine the
single arch is asking for problems no matter what we tell
acceptable
and
minimum
wear
prosthetic
truth as challenging
situations presentvertical,
themselves and never
pass judgment
without knowing
all of theon
facts. Ithe
always recognize
that
25. CUSTOMER
there
are
at
least
two
sides
to
every
situation
and
that
the
truth
usually
lies
somewhere
in
the
middle
of
that
continuum.
I
always
deal
SERVICE SMART TALK
problems in The
a firm, fair,figures
and consistent manner.
But most
importantly,
I alwaysyou
try to create
a Win/Win situation
all
our22.
patients. Some25.
Denturists even ask their patients withtodisciplineteeth.
below
will
take
through
theforsteps
- If you can train your people to
members of the community.
TALK, your business has a huge
My Leadership
Philosophy focuses onto
what fabricate
I believe to be criticalain the
process of lifelong learning.
It was derivedopposing
from personal and an
advantage.
sign a document stating that we cannot guarantee
performed
single-arch
denture
professional beliefs, opinions, values, and intuitions. It is based on formal education
as well as prior
life experiences.previously
It has been revised after
years of trial and
error,
success.
The
incidence
of
prosthetic
failure
and
patient
existing
placed
denture.
Please keep in mind
and
is
multidimensional.
It
is
not
intended
to
be
static
nor
is
it
written
in
stone.
It
27. THE “I CAN’T
is a work in- progress and ever changing.
AFFORD IT” OBJECTION
dissatisfaction is high when a new opposing removable
that the Gothic arch tracing apparatus seen in the photos
It was a pleasure being with all of you at the 2015 World Symposium and it will
- Is it a legitimate objection?
be a great honor taking over as NDA President for the next term. I want to thank
appliance
is
made
under
these
conditions.
As
you
prevents
rocking
of themostbases
in this endeavor, and
importantly, while making the centric
you all for accepting
and supporting me
30. THE CHALLENGE
placing in me the trust needed to serve our association in this Leadership capacity.
OF ETHICAL DECISION
know, patients can be very demanding about their
Let me assurerecord.
you all, that I am up to that task and will be moving ahead aggressively
MAKING
to provide UNITY for ALL Denturists worldwide. Most importantly, I will be
- As we search for the correct
emphasizing total Transparency in All of our Actions in the Future.
preferences; however, if we treat a single arch, we may
ethical path to take, we will be
influenced by morals and values
FIG . 1 — Patient lost lower full denture. Note the spend
that have been engrained within
27. more adjustment
30. time than the entire fabrication
Respectfully Yours,
us since our early childhood.
vertical closure. time and regret every minute of it.
Joe Kingston
LD, Ed.D
Past President Shawn Murray with President
President, National Denturist Association, USA
In a hardship case, I would rather make an opposing
Elect Joe Kingston
[email protected]
• www.nationaldenturist.com
denture
at no cost instead of making a single-arch
denture that is doomed for failure at the beginning.
lower denture needs a new
lower or upper, but they would
like to keep their opposing
denture due to limited budget
or fear of the unknown.
The National Denturist, USA is the official
organ of the National Denturist Association, USA.
It is intended to communicate with NDA, USA.
members, offer educational articles and enlighten
the reader to the benefits of the denturist
profession. Publication in the magazine does not
necessarily imply endorsement of the NDA, USA,
but rather introduce the reader to a variety of
views and products.
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2.
FALL | The National Denturist, USA | 2015
3.
FIG. 2A — New impression
utilizing PVS impression
material.
ONE ARCH OR TWO…
THAT IS THE QUESTION
NE ARCH OR TWO…THAT IS THE QUESTION A patient who is wearing a complete upper and mandibular denture just like the old one. I would ask the
BY J O S E P H J . M A S S A D , D D S complete lower denture needs a new lower or patient about her budget and examine the condition of the
upper, but they would like to keep their maxillary denture. If her budget will enable you to make
opposing denture due to limited budget or fear both the maxillary and mandibular dentures, then this is
Some Denturists have asked me about a Financially she can’t afford a new maxillary and
of the
unknown.
the best approach. However, if her budget is insufficient,
scenario that they find themselves in quite often: mandibular denture and she wants you to make a new
and
the remaining
prosthesis
meets
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lower denture needs a new lower or patient about
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consider
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denture.
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her
budget
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with accuracy. The rest of make
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opposing denture due to limited budget or fear both the maxillary and mandibular dentures, then this is
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is
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in this
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is wellour
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teeth. The
figures below
will
take
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timeframe.
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answer is: itSome
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then
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in this article
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sign a document stating that we cannot guarantee performed
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ing prosthesis?
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cannot
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to fabricate
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ing
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ricating
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stating that we cannot
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may
FIG.
Patient
lost lower full denture. Note the vertical closure.
FIG1 .— 1
— Patient lost lower full denture. Note the able appliance
made
under ifthese
conditions.
you we
know,
patients
spend
more isadjustment
time
than
theAsarch,
entire
fabrication
FIG
. 1 — Patient lost lower full denture. Note the spend
more
adjustment
time
than
the
entire
fabrication
be
very
demanding
about
their
preferences;
however,
if
we
treat
a
can
vertical closure. time and regret every minute of it.
vertical closure. time and
regret
everymore
minute
of it.
single arch,
we may
spend
adjustment
time than the entire fabriIn
a
hardship
case,
I
would
rather
make
an
opposing
In and
a hardship
case, minute
I wouldofrather
make an opposing
cation time
regret every
it.
denture
at no
cost
of making
making
a denture
single-arch
In a hardship
case,
I would
rather make
an
opposing
at no
denture
at
no
costinstead
instead
of
a single-arch
cost
instead
of
making
a
single-arch
denture
that
is
doomed
for
failure
denture
that
is
doomed
for
failure
at
the
beginning.
denture that is doomed for failure at the beginning.
at the beginning.
are toovariables
many variables
thatthis
make
this process
There are There
many
process
There
are too too
many
variables that
thatmake
make this
process
unpredictable.
unpredictable.
unpredictable.
If we decide
maketoa make
singleaarch
of making
both both
arches, it is
If weto
decide
singleinstead
arch instead
of making
important
that we
understand
that
thearch
opposing
prosthesis
must
have
it to
is
important
that
we
understand
the both
If wearches,
decide
make
a single
instead
ofthat
making
an appropriate
plane
of occlusion,
fit, vertical
spacing, plane
and tooth
opposing
prosthesis
must
have
an
appropriate
of
arches,
itexcessive
is important
that
we
understand
that subthe
stance (no
tooth
wear)
prior
to
contemplating
the
fabrication
occlusion, fit, vertical spacing, and tooth substance (no
opposing
prosthesis
have to
an contemplating
appropriate the
plane of
of the opposing
appliance.
excessive
tooth must
wear) prior
Suppose
your
patient
comes
to
you
and
says
that
her
lower
denture
has
occlusion,
fit,
vertical
spacing,
and
tooth
substance
(no
fabrication of the opposing appliance.
been lost.Suppose your patient comes to you and says that her
excessive
tooth
wear)a new
prior to contemplating the
Financially
she can’t
lower denture
hasafford
been lost. maxillary and mandibular denture
fabrication
the
opposing
appliance.denture just like the old
and she wantsofyou
to make
a new mandibular
one.
I
would
ask
the
patient
about
her budget
examine
condiSuppose your patient comes
to youandand
says the
that
her
08.2012 | www.DENTALECONOMICS.com
lower denture has been lost.
JOSEPH J. MASSAD - DDS
4.
denture. FIG. 3B — Cast of existing maxillary denture. FIG. 2B — Cast of edentulous
PVS impression material. F IG . 2 B — Cast of edentulous lower ridge. maxillary denture. FIG.
— Impression utilizing PVS lower3A
ridge.
impression material for accuracy of existing denture. FIG. 3B — Cast of existing FIG. 5A — Resin appliance
with vertical pin (VP) at tached. Note: VP is adjustable both vertically and laterally to properly position to
the striking plate.
F IG . 2 A — New impression utilizing FIG. 5B — Resin appliance
shown on cast
which will
be utilized in the mouth for
making the record.
FIG . 2A — New impression utilizing FIG. 3A — Impression utilizing PVS PVS impression material. FIG . 2B — Cast of edentulous lower ridge. impression material for accuracy utilizing
of existing FIG. 3A
— Impression
denture. FIG.
3B
— Cast of existing PVS
impression
material
for
ac maxillary denture. FIG
. 4A
— existing
Resin appliance (NobilTray curacy
of
denture.
from N
obilium, USA) with gothic arch FIG. 6A — Facebow tracing (GAT) striking plate ready f
or FIG. 3B — Cast of existing maxil BY J O S E P H J . M A S S A D , D D S Denturists
have
asked me about
a TFinancially
she can’t afford a new maxillary and
ONE ASome
RCH O
R T
WO…THAT I
S HE Q
UESTION scenario that they find themselves in quite often: mandibular denture and she wants you to make a new
PVS impression material. FIG . 2B — Cast of edentulous lower ridge. FIG.
3A — Impression utilizing PVS impression material for accuracy of existing showing striking plate to existing cast denture. FIG.
3Battached — Cast of maxillary denture. from Nobilium USA). (Massad Jaw R ecorder This will be transferred to the patient’s denture in the mouth to make the final FIG . 4A — Resin appliance (NobilTray FIG. 4A —Resin appliance
from Nobilium, USA) with gothic arch (NobilTray
from plate Nobilium,
USA) tracing (GAT) striking ready for centric record. fork with index of
occlusal surfaces of
actual surfaces of actual
denture in patient’s
mouth.
FIG. 3A — Impression utilizing PVS mounting. FIG
. material 4B — Maxillary cast for accuracy of existing laryimpression denture.
FIG. 3A — FIG.
Impression 6Butilizing — PVS Facebow
impression material for from
accuracy of mouth
existing record
the
denture. FIG. 3B — Cast of existing with gothic. arch
tracing (GAT)
transferred
to
the
mounting. FIG
4B — Maxillary cast FIG . 4A — Resin appliance (NobilTray maxillary denture. striking
plateplate ready
for mounting.
maxillary
stone
cast.
showing striking attached to cast from Nobilium, USA) with gothic arch (Massad Jaw Recorder from Nobilium USA). tracing (GAT) striking plate ready for This will be transferred to the atient’s FIG. 4B — Maxillary castpshowing
mounting. FIG . 4B — Maxillary cast denture in tplate
he mouth to make final striking
attached
tothe cast
centric record. (Massad Jaw
Recorder from
Nobilium USA). This will be
transferred to the patient’s
denture in the mouth to make the
final centric record.
F IG . 4 A — Resin appliance (NobilTray showing from striking plate attached to cast Nobilium, USA) with gothic arch (Massad tracing Jaw Recorder from plate Nobilium SA). (GAT) striking ready U
for This will be transferred to the patient’s mounting. F IG . 4 B — Maxillary cast plate attached to cast denture showing in the mstriking outh to make the final (Massad Jaw Recorder from Nobilium USA). centric record. This will be transferred to the patient’s denture in the mouth to make the final centric record. FIG . 4A — Resin appliance (NobilTray from Nobilium, USA) with gothic arch tracing (GAT) striking plate ready for mounting. FIG . 4B — Maxillary cast showing striking plate attached to cast (Massad Jaw Recorder from Nobilium USA). This will be transferred to the patient’s denture in the mouth to make the final centric record. Fall | The National Denturist, USA | 2015
5.
t, R egisil igid, (Dentsply Calk). mounted on articulator (Denar 320, Whipmix Corp). tilizing a PRVS bite registration material and IG
. 1—
Close p ofrontal
f view ocompleted
f completed lower denture unt, FFIG.
RFIegisil R— (Dentsply Calk). IG
.—7
Completed occlusal record after removing from F I G . 1 0F
FIG.
10
up vuof
view
of
denture
— Close u0p Close
o— f frontal iew off rontal completed lower denture lower
G
.77
— Cigid, ompleted occlusal record aafter
fter rremoving
emoving from Completed
occlusal
record
from the
the mm
outh utilizing a PVS ite rbegistration material and bracket
mouth
utilizing
a PVS
registration
material
the outh utilizing abite
PbVS ite registration mand
aterial and F
I G . 7m
— ompleted cclusal record after mount,
Regisil
Rigid,(Dentsply
Calk).
bracket ount, R
egisil Roigid, (Dentsply C
alk). removing bracket mCount, R egisil Rigid, (Dentsply Calk). from the mouth utilizing a PVS bite registration material and bracket mount, R egisil Rigid, (Dentsply Calk). mounted on articulator (Denar 320, Whipmix Corp).
mounted on articulator (Denar 320, Whipmix Corp). mounted on articulator (Denar 320, Whipmix Corp). F I G . 1 0 — Close up of frontal view of completed lower denture mounted on articulator (Denar 320, Whipmix Corp). Justi®, the professional’s choice for hardened plastic teeth
celebrates 150 years in the dental industry!
F I G . 1 0 — Close up of frontal view of completed lower denture F I G . 7 — Completed occlusal record after removing from mounted on articulator (Denar 320, Whipmix Corp). the mouth utilizing a PVS bite registration material and bracket mount, R egisil Rigid, (Dentsply Calk). FIG . 8A — Frontal view. Maxillary and mandibular cast with FIG. completed 8A — Frontal
view.
Maxillary and
mandibular
cast
with
GAT record demonstrating how the upper cast is GAT
record
demonstrating
how
the mandibular upper
cast
iscast with FIG
. completed
— — Frontal view. Maxillary and mandibular cast with mounted t8A
o the lower record base. FIG
. 8B
— Rear view. FIG
.8A
Frontal view. Maxillary and mounted
to the lower
record
base.
GAT record demonstrating how the upper is cast is GAT completed completed record demonstrating how the cast upper FIG. 8B —
Rear view.
mounted to the lower record base. FIG
8B — Rear view. cast with — Frontal view. Maxillary and . mandibular mounted to the lower record base. FIG . 8B — Rear view. — Frontal view. Maxillary and with ed record demonstrating how mandibular the upper cast cast is ted record demonstrating how the upper cast is FIG . 8A — Frontal view. Maxillary and mandibular cast with he lower record base. FIG
. 8B — Rear view. GAT completed record demonstrating how the upper cast is the lower record base. FIG
. 8B — Rear view. mounted to the lower record base. FIG . 8B — Rear view. FIG. 11 — Displays three views of the completed
mandibular denture
Displays three ready for delivery.
FIG.
11 — views of the FIG. 11 — FIG. 11 — completed denture ready mandibular for delivery. FIG. 11 — denture ready Displays three for delivery. views of the completed FIG. 11 — FIG.
11 — Displays three completed Displays three views of the mandibular views of the denture ready completed for delivery. completed mandibular mandibular denture ready denture ready for delivery. for delivery. mandibular FIG. 12 — denture ready Noted an for delivery. FIG.
12 — intraoral Noted an of photograph FIG. 12 — intraoral the patient’s 6.
Ma
de
in U
SA
An American-made quality tooth line for an incisal
and interproximal blend that enables teeth to
absorb and reflect surrounding colors
Noted an FIG. 12 — Displays three
denture ready for delivery.
photograph occlusion at of intraoral the patient’s delivery. 12completed
— viewsFIG.
ofocclusion the
mandibularof photograph at Noted an the patient’s delivery. intraoral The system presented above is intended to reduce occlusion at FIG. 12 — photograph of FIG. 12 — variables
so that the results are more predictable. For delivery. FIG . 9A — Completed mounting of maxillary cast utilizing the the patient’s Noted an The system
presented
above during
is intended
to reduce
Gothic Arch Tracing and polyvinyl siloxane material (Regisil Rigid, example,
the bases
are stationary
record-making,
to
Noted an occlusion at variables
the results
are more
predictable.
Fora
FIG
. 9A — Completed mounting of maxillary cast utilizing the the result so
is that
consistently
accurate.
The system
employs
Dentsply Caulk) FIG
. 9B — Lateral view of completed denture intraoral delivery. pinthethat
intraoral Gothic Arch Tracing and polyvinyl siloxane material (Regisil Rigid, example,
bases
stationary
record-making,
to
striking
can are
be rotated
untilduring
it contacts
the opposing
presented
is intended
to reduce photograph of the
result
isThe
consistently
accurate.
The above
system
employs
Dentsply Caulk) FIG . 9B — Lateral view of completed denture striking
plate
in a system
perpendicular
manner,
thus giving
a truea
photograph of FIG.
9A
—
Completed
mounting
of
maxillary
cast
utilizing
the
variables
so
that
the
results
are
more
predictable.
For
FIG . 9A — Completed mounting of maxillary cast utilizing the striking
that canwithout
be rotated
until it contacts
opposing
reading pin
of centric
interferences
duringtheexcursions.
the patient’s Gothic
(Regisil
The system
aboveare
is stationary
intended
to
reduce
the patient’s Gothic Arch
Arch Tracing
Tracing and
and polyvinyl
polyvinyl siloxane
siloxane material
material (Regisil Rigid, example,
the used
bases
during
record-making, to
striking
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aisperpendicular
a true
The striking
pin
also
to manner,
open
or thus
closegiving
the vertical
Rigid,
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variables
that the
are more predictable.
For
FIG
. 9A
— Completed mounting of maxillary cast utilizing the at reading
ofso
centric
interferences
during
excursions.
the
resultwithout
isresults
consistently
The
system employs occlusion a occlusion dimension
of
occlusion
(VDO)
so that accurate.
the
patient
will look
Dentsply Caulk) FIG . 9B — Lateral view of completed denture at Gothic Arch Tracing and polyvinyl siloxane material (Regisil Rigid, example,
the
bases
are
stationary
during
record-making,
to
The
striking
pin ispin
also
used
open
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the
vertical the opposing delivery. natural
with
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lip
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striking
that
cantobe
rotated
untilemploys
it contacts
FIG. 9B — Lateral view
completed denture
the
result isofconsistently
accurate.
The the
system
a
Dentsply Caulk) FIG
. 9Bof— Lateral view of completed denture delivery. dimension
occlusion
(VDO)
so
that
patient
will
look
striking
plate
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thus749-5600
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The striking
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Completed mounting of maxillary cast utilizing the variables
that
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so the
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system employs
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racing example,
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9B — Lateral view of completed denture — Lateral view of completed denture true reading
of centric
without interferences
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The
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striking pinpin
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to
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Dr. Joseph Massad may be reached at (918) 749-5600
Call (800) 235-4639
for shades and molds available.
www.americantooth.com
Order online at http://store.americantooth.com/
9
CONFERENCE COVERAGE
th
DENTURISTS CHANGE LIVES - ONE SMILE AT A TIME!
FRIENDS AND FELLOWSHIP
From the moment the Town Crier rang the welcoming bell and announced, Hear Ye! Hear Ye! Welcome friends from far and near ~~~ the
welcome mat was laid and fellowship began. The warm greeting from the
Alexandria, VA, representative, offered the taste of true Southern hospitality and we were not disappointed. The venue was perfect, the hotel
was lovely, the hotel staff was gracious and accommodating, the food was
delicious and the fellowship priceless.
8.
9.
CONFERENCE COVERAGE
FUN IN LEARNING
The speakers and topics presented at this symposium were outstanding
and fulfilled every expectation of excellence. The variety of topics and
exceptional speakers made this learning experience one to remember.
Comments like these were heard over and over, “These classes are
excellent;” “Learning I can take home and use to better my service to
my patients;” “I felt I was in college again.” The Table Talk presentations
by our exhibitors were appreciated and also offered learning to be
remembered. When getting his Table Talk validation form signed and
stamped one participant was heard to say, “That was tough, but I visited
every vendor and I have never felt so up-to-date and informed about the
variety of techniques, systems and products available to better serve my
patients; an excellent learning experience.”
10.
11.
CONFERENCE COVERAGE
DENTURIST OF THE YEAR
Congratulations
Bill Disantis is a quiet gentleman yet dynamic in his service to his patients and for the denturist profession. His
education in the dental field is extensive having studied at Durham NC Tech Institute, University of Pittsburg
School of Dental Medicine, New York University College of Dentistry, Tufts Dental College and George Brown
College. Enjoying the prosthetic part of dentistry and respecting the services of denturists, Bill chose this as his
career and received his license to serve in Washington State in 2004 and established his denturist practice in
2005. He is a Master CDT, a member of the American Prosthodontics Society, the International Congress of
Oral Implantologists, the Washington Denturist Association (WDA) , the National Denturist Association, USA
and the International Federation of Denturists. He is a volunteer for the Seattle/King County Clinic - Remote
Area Medical Clinic providing dental prosthetics to the indigent. He has served as the president of the WDA since
2012; this association has made much progress under his leadership, not the least is the expanded scope of practice
for Washington denturists. During the 2015 World Symposium in Washington, D.C., he and other Washington State
delegates and the WDA lobbyist, Carolyn Logue, met U.S. Senators Cantwell and Murray and U.S. Representatives
Kilmer, Newhouse and Larsen. He reported they were all positive and appreciative of denturists and their exemplary
service in Washington State and they assured him they would keep the profession in the loop when it becomes relevant
to the Affordable Health Care Act. Bill is a humble man with the heart of a denturist, an excellent practitioner whose goal
is to serve his patients kindly and professionally. Bill is certainly deserving to be the 2015 Denturist of the Year.
THE RAYBORN AWARD OUTSTANDING PERSON OF THE YEAR
Jan Rosenberger is the outstanding person of the year extraordinaire. She is the person to
ask if anything needs to be done and done thoroughly and correctly. Jan has been a valuable
“behind the scenes” worker for the last several National Denturist Association, USA,
(NDA, USA) conferences; her talents have certainly contributed to the success of these
conferences and her willingness to donate her time and energy is much appreciated.
Jan’s introduction to the denturist profession was when she applied and was hired for
a position as office manager in the denturist office of Bill Disantis. She was awed by Bill’s
talent and was very much impressed with the denturist profession. The rest is history; she
has been an outspoken advocate and dedicated worker for the profession. Not one to leave
a stone unturned, she has been an irreplaceable office manager for Bill, in just a few weeks
she will celebrate her 9th year working with him, and a “willing worker” for the NDA, USA;
her unselfish contributions have proven invaluable to the denturist profession. Congratulations
to Jan on her well-deserved honor as the 2015 Rayborn Award Outstanding Person of the Year.
DISTINGUISHED PRESIDENT’S AWARD
Clayton Sulek was awarded the Distinguished President’s award at the 2015 denturist
conference in Alexandria, VA. This award is presented to an individual who has given
dedicated service above and beyond the ordinary for the denturist profession. That
statement can certainly be attributed to Clayton. As a member of the Board of Directors
and Treasurer for the National Denturist Association, USA, he has dedicated countless
hours toward this responsibility. He is also a valuable member of the Washington State
Health Department’s Denturist Board. Clayton has a “heart for his profession” and a vision
and determination to have denturists free to serve everywhere in the U.S. Congratulations
to Clayton; he is certainly appreciated and deserving of this award.
DISTINGUISHED PRESIDENT’S AWARD
Gala Dinner
The highlight of the beautiful Gala Dinner was certainly the fellowship. A
wonderful atmosphere of kinship prevailed and everyone was pleased to
share in the honors received. No honor was more deserved than that
given to Michael Vout who was presented the Sterkenburger medallion
and inducted into this prestigious fellowship. Michael’s contributions
and accomplishments have strengthened the denturist profession around
the world and especially in his home country of Canada. Congratulations
to Michael Vout; definitely a hero for the cause!
12.
Michael Vout, DD, from Ontario, Canada, and past president of the
Denturist Association of Canada is presented the Sterkenburger
Award by Tony Sarrapuchiello, President of the International
Federation of Denturists.
Each year at the annual National Denturist Association, USA, (NDA, USA) conference an individual
is honored for exemplary service to the profession and presented with the Distinguished
President’s Award. This year the NDA, USA was honored to join the International Federation
of Denturists hosting the 2015 World Symposium on Denturism and the award was unique
in that the NDA, USA not only honored a denturist from the U.S. but also a denturist from
Canada who has given unparalleled support for the denturist efforts in the U.S. Carlo Zanon,
from Toronto, Ontario. Carlo has unselfishly and quietly solicited support for the NDA, USA, is
always one of the first individuals to join the association each year, is a popular speaker at NDA,
USA conferences, writes pertinent articles for The National Denturist, USA, rarely misses a NDA,
USA event and is always willing to assist with a humble response to thank you’s, “I am honored
to be asked to help.” We are pleased to honor Carlo for his unselfish contributions and support.
13.
SENATOR RAYBORN
M
y husband and I are alumni from six educational
institutions and we’ve learned that when you graduate
from such an institution and become an alumni that
puts you on a unique mailing list. Your institution does
not forget you; you get regular reminders of campus
activities, class reunions, classmates’ accomplishments and updates on the
institution itself. And it is this last category that, I suspect, is the main
reason for the continued staying connected communication, updates on
the institution. In fact, all of our six institutions have grown exponentially.
The private junior college, when we attended, had less than 200 students,
but is now a University that offers PhD and pre-med programs. All these
institutions have one major commonality, they solicit support. In fact, the
inspiration for this writing comes from the letter just received from the
President of one of these institutions: “Dear Friends of My Alma Mater, I
write to you with great pride and a sense of shared accomplishment. Our
2015 Report on Annual Giving allows us to express our gratitude for you.
For the second consecutive year we have reached and surpassed our $1M
goal. This is due entirely to your loyalty and the generosity of the My Alma
Mater community. More than 50% of our Annual Fund donors are ‘loyals’
with at least 5 years of consecutive giving.” Apparently this institution
has loyal generous supporters who believe in the institution’s mission.
This generous support is not unheard of in the denturist community. We
have jumped major hurdles because of the dedicated generous support of
united individuals who believed in a cause, however, our mission is not
accomplished and will not be until every individual in the United States
has their just right to choose the services of a denturist in their own state,
in their own community. The Rayborn Fund is established to honor the
generous support of Senator Rayborn and to challenge individuals to
understand the urgent dental crisis and be part of the movement that
will provide denturists’ services nationwide. To quote from a generous
donor, “I am gratified to give because it makes me feel like I have ‘skin
in the game.’ For me, it’s reminiscent of running wind sprints for my
coach at basketball practice - when I made the commitment, there was a
payoff later on. In a similar way, this giving is a commitment as I am more
engaged in the profession and realize that in the end my gift will make a
difference in thousands of lives.” There are many worthwhile organizations
probably soliciting your gift; however, none will be more far-reaching than
providing denturist services everywhere. Senator Rayborn would like
to challenge every practicing denturist in regulated states to match his
monthly donation and he kindly asks that everyone generously donate; no
gift is too small. To donate or set up a monthly contribution please call:
360-232-4353 / 855-653-3688
YOU WILL NOT REGRET YOUR GIVING TO THIS NOBLE CAUSE
BECAUSE DENTURISTS CHANGE LIVES - ONE SMILE AT A TIME!
14.
15.
2016
NEWS AND NOTES
AROUND THE U.S.
MAINE
The Maine Society of Denturists and the Maine Licensed Denturist
Association are working together to combine the two groups to form
one cohesive association. Both groups represent the licensed denturists
practicing in Maine. We are inspired by the strides made by both
associations to strengthen the denturist profession within our State. We
were delighted to have a delegation from Maine attend the recent 9th
World Symposium on Denturism held in the Washington, D.C. area and
report an excellent conference with outstanding classes and fellowship.
We are encouraged to continue our efforts and report progress.
MONTANA
Update from the suspense in Montana. We finally got a ruling, after
waiting nearly two years from the district court judge and as expected
she ruled against us and favored the dental board and mentioned nothing
in her ruling about the illegal rule which is what our summary judgment
requested in the first place. So it is off to the Montana Supreme Court for
us. We are confident that the Montana Supreme Court will likely reverse
this erroneous decision. We want to thank everyone for their help this
far; we appreciate your continued support.
WASHINGTON
Washington Denturist
Association Conference
May 12 - 14, 2016
Campbell’s Resort
104 W. Woodin Ave.
Chelan, WA 98816
Make your reservations early; this is a destination resort and reservations must be made by February 8, 2016. They have a 90 day cut off for
our block of rooms. Make your reservations today to hold your room
use group reservation number 395769.
BACK TO THE ORLEANS
The National Denturist Association, USA
2016 Conference will be enjoyed at the Orleans Hotel & Casino
October 12 - 15, 2016
Several vendors have already signed on and people are beginning to registered so excitement is high. Our featured presenter will be Dr. Joseph
Massad an internationally renowned clinician in the field of prosthodontics.
E: [email protected]
T: 360-232-4353 / 855-653-3688
Please check our website and Facebook page for more information
www.nationaldenturist.com
INTERNATIONAL HAPPENINGS
Paul Sarrapuchiello, president of the International Federation of Denturists
reports a successful board meeting and conference and expresses his
appreciation to the leadership of the National Denturist Association, USA
for the dedication and efforts organizing the 9th World Symposium.
Please mark these dates on your calendar for more international meetings:
2016 Lucerne, Switzerland - Annual Board Meeting,
2017 Montreal, Quebec, Canada - 10th World Symposium on Denturism
2018 Cape town, South Africa - Annual Board Meeting
More information will be forthcoming.
Please visit the IFD website: www.international-denturist.org
Or contact us at:
INTERNATIONAL FEDERATION OF DENTURISTS
CONFERENCE
OCTOBER 12TH - 16TH, 2016
Camille Bourbonnais, Executive Director
8150 Metropolitain Blvd. East
Suite 230, Anjou (Quebec), Canada H1K 1A1
T: +001.514.705.2447
T: +001.514.252.0392
Reservation Information:
T: 1-509-682-2561 / 1-800-553-8225
Group Reservation Number 395769
NEW BOARD OF DIRECTORS MEMBER
The Board of Directors of the
National Denturist Association, USA
want to welcome aboard Anita Ogle.
The association members elected Ms.
Ogle to the Board of Directors during
their annual general meeting held in
conjunction with the recent World
Symposium in Alexandria, VA. Anita
is a Geoge Brown College graduate
and holds a denturist license from
the state of Maine. She has been an
active member of the association and
leadership team and an advocate for
national regulation. We look forward
to the contribution her dedication
and energy will bring to the board
and appreciate her willingness to
serve.
16.
ORLEANS HOTEL & CASINO
4500 WEST TROPICANA AVE
LAS VEGAS, NV 89103
President of the International Federation of Denturists, Tony Sarrapuchiello
addressing the IFD Board of Directors
• Fun
• Fellowship
• State-of-the-Art
Exhibits
• Outstanding
Continuing Education
Watch the NDA Website for more details!
www.natio naldentur ist.com
17.
CHAIRSIDE CHATS
S P O T L I G H T - S H A W N M U R R AY
THIS SCROLL WAS SENT TO
US BY AN OFFICE MANAGER
IN A DENTURIST OFFICE
IN WASHINGTON STATE.
EVEN THOUGHT UNIQUE,
IT IS A CHAIRSIDE CHAT.
Want to share your interesting story? Send a legible copy of up to five hundred words to:
The National Denturist, USA
PO Box 2344 Poulsbo, WA 98370
0r Email to: [email protected]
SHAWN MURRAY, LD
Shawn Murray’s dedication to the denturist
profession is evident in her extraordinary
work for the National Denturist Association,
USA (NDA, USA), for the state of Oregon and
in her efforts to promote denturist education.
She has been an active member of both the
NDA, USA and Oregon State Denturist
Association leadership for over 25 years.
She has also been an influential member of
the Oregon Board of Denture Technology
and the Oregon Health Licensing Board; she is
presently serving a fourth term on this board
and has served as chair each term. During her
leadership on this board the Oregon legislature has continued to increase the
scope of practice for denturists to include all removable dental prosthetics
with the exception of orthodontia.
She was also instrumental in generating a national written and clinical
examination for U.S. denturists. The Oregon Health Licensing Board has
accepted this national examination as the official board examination for
denturists’ licensure for the state of Oregon. Washington State has also
accepted this examination as their state board examination for denturists.
Also generated under her leadership the NDA, USA has developed a program
by which denturist colleges can receive certification after meeting required
standards of excellence. This not only establishes harmonization within the
denturist educational community it also assures that graduating students
receive quality education.
As a result of her efforts as president of the NDA, USA the association’s
membership has significantly increased. She continues to serve on the Board
of Directors as Past President.
“COMING TOGETHER IS A BEGINNING; KEEPING TOGETHER IS PROGRESS;
WORKING TOGETHER IS SUCCESS.” HENRY FORD
Shawn’s career in the dental profession began as a dental assistant, however
she became disenchanted when she realized she did not like the sight of blood
so the dentist she was working with suggested she try dental laboratory work.
So off to dental laboratory school she went; she enjoyed this part of dentistry
and found she was very good at it and she enjoyed the challenges. After dental
laboratory school she worked in a couple of commercial labs before serving
as an in house technician for a prosthodontist. While with the prosthodontist
she enjoyed working with patients. She became involved in the Oregon Dental
Laboratory Association and eventually owned her own dental lab business.
It was at a continuing education class she met, Lillian Peterson, who introduced
her to the denturist profession and the Washington Denturist Association. She
became totally involved participating in this association serving on committees,
the Board of Directors and ultimately President of that board.
She worked diligently promoting education for Washington denturists and
was involved in their initiative that eventually led to their professional regulation
and licensure. She also met Washington pioneer denturists Kurt Roehl and
Chet Charron who introduced her to the National Denturist Association, USA.
She attended Oregon Denturist College, received her education and license in
Oregon. She assisted in gaining accreditation for this college. After graduation,
she contacted Lillian Peterson whose denturist practice in Florence, Oregon,
was for sale and jumped at the change of owning her own practice, especially
since she had previously visited Florence and loved the quaint coastal town.
She eventually expanded her practice to include a second clinic in Eugene,
Oregon.
Always an advocate for denturist education, Shawn became concerned
when the Oregon Denturist College closed. She was delighted when George
Brown College out of Toronto, Canada, offered excellent education for U.S.
students and even though licensed she enrolled and was graduated from this
prestigious school’s denturist program. However, Shawn wanted a U.S. college
for denturists and with this determination she retained an individual to write
a curriculum and sought to develop a program for denturists. Realizing the
enormous task involved in establishing a school she sought out individuals who
might be interested in following through with her vision for a denturist college
on the West coast. She approached Todd Young, an Oregon denturist, who was
excited about the offer; the American Denturist College was born.
With Shawn’s total immersion in her profession there seems little time for
anything else, but not true. Shawn tends a five acre tree farm and she and Nancy,
her partner of 20 years, are proud parents of four cats and nine chickens. They
are also avid travelers and have visited most of the U.S. and several countries.
The most recent trip was crossing the Panama Canal.
She has recently sold her two
clinics and is presently working in
a private practice. Her plans are
to eventually retire completely so
they can continue to travel.
Shawn’s contribution to the
denturist profession is exemplary
and untiring. Her leadership
has
brought
incomparable
advancements for every denturist
in the U.S. We are proud and
honored to spotlight Shawn as
an example of dedication and
vision for the advancement of the
profession she nobly represents.
SHAWN’S CONTRIBUTION TO THE DENTURIST
PROFESSION IS EXEMPLARY AND UNTIRING.
18.
19.
Senator Rayborn
RECOGNITION FUND
NATURE-CRYL
®
SUPER HI IMPACT
Senator Rayborn has dedicated his career seeking national recognition for denturists so every citizen
of the United States has the freedom to choose a denturist for their prosthetic dental needs. Realizing
the need for a strong national association to represent the profession, he has faithfully contributed each
month to the National Denturist Association, USA. We are challenging everyone devoted to this cause
to join him, add your name to the list pledging to contribute each month to the fund promoting education, scholarships and benevolent projects. We have established the Senator Rayborn Recognition Fund;
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NATURE-CRYL SUPER HI IMPACT has superior
impact
strength that exceeds all other denture based resins on
Payment
BENEFITS
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IMPACT (kJ/m2)
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SUPER HI IMPACT
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†Not a registered trademark of GC America Inc.
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the market today.
IMPACT STRENGTH (CHARPY TEST METHOD)
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STRENGTH, DURABILITY AND BEAUTY... ALL IN ONE
800.323.7063 • www.gcamerica.com • www.gcamerica.com/training • © 2015 GC America Inc.
20.
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TAKING THE DENTURIST MESSAGE TO CONGRESS
D
enturists took advantage of the 2015 International Denturist Symposium
location in Alexandria, VA and went to meet with several members of Congress
in Washington DC. The opportunity to take the Denturist message to Congress
is even more important as the National Denturist Association seeks greater
recognition nationwide for the profession.
Robyn Balcom, Montana, waiting to visit U. S.
Congressman Ryan Zinke
Most of the meetings were with representatives from Washington state since
Washington Denturist Association (WDA) lobbyist Carolyn Logue has worked with many of them
at the state level. WDA President Bill Disantis, NDA Vice President Joe Vize, Eric Hansen and
Val Charron were among those who met with members of Congress, including Senator Patty
Murray, Senator Maria Cantwell, Congressman Dan Newhouse, Congressman Derek Kilmer and
Congressman Rick Larsen. In addition, Robyn Balcom was able to meet with a staff representative
of Montana Congressman Ryan Zinke.
The Washington State NDA Delegation was also able to have an impromptu meeting with
Congressman Dave Reichert of Washington state in the hallway outside the House Ways and
Means Committee meeting. Attempts were made to meet with others but with many Congressional
Representatives just returning from a long August recess and budget negotiations on-going,
schedules were very difficult.
( R-L) Bill Disantis, U. S. Senator Maria Cantwell,
Joe Vize and Lisa Lanham
Although there is no active legislation before Congress and licensing battles are under the
purview of the states, just the ability to introduce our profession and talk about what we do was
important. Many members of Congress are unfamiliar with the battles we have faced at the state
level yet they hear from the National Dental Association on a regular basis. In addition, we were
able to talk with them about how we interact with programs such as Medicaid/Medicare, and the
importance of ensuring Denturists are recognized as health care providers in future discussion
surrounding the Affordable Health Care Act and other federal insurance laws.
It is important that we make sure our Congressional representatives know the profession as
much as our state representatives. We should, as Denturists, take every opportunity to meet with
those who represent us whether in DC or in our home states. Thanks to these recent NDA efforts,
we now have some new friends in Congress.
( R-L back row) Bill Disantis, Lisa Lanham, Joe Vize,
Carolyn Logue with U.S. Senator Patty Murray
22.
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W
hen I walked into the electronics store the other day, I noticed that
the customer service rep was talking to someone on her cell phone.
I waved hello to her but she turned away from me and continued
talking on the phone. I didn’t saying anything to her, thinking that I’d just let her
finish her conversation.
From what I was able to hear of the conversation, it certainly didn’t sound very
earth-shattering.
“Saturday? Yeah, like, I guess so. I dunno. Like, whenever I get off work, I guess.
Yeah, like, I need to call her. I know, right?”
After she saw that I wasn’t going to give up and go away, the sales clerk (and I use
that term loosely) sighed heavily and announced to her friend that she had to,
like, get off the phone and, like, go help a customer.
Ain’t it wonderful to be loved and appreciated?
One of the worst things that you can do to your business is have someone like
this representing you.
Let me put it this way. Suppose your competition wanted to sabotage you, so
they hired somebody to infiltrate your work force and destroy your business from
within. What do you think that corporate saboteur might do to torpedo your
www.chromeworksinc.com
24.
L
- Listen. Yep, shutting your trap and hearing what the other person has to say
is a big part of talking. You can’t respond to your customer without first hearing
what they’re all about. You would be amazed at the information you can get just
by being quiet and letting the other person ramble for a minute. At the very least,
they’ll feel like you care and if they feel you care about them, then you are halfway
home toward creating customer satisfaction.
K
- Keep information from the conversation. Whenever possible, take just a
moment to jot down a note or two from your interaction with the customer. In
my office, we take notes during every phone conversation so the next time we
interact with you, we know exactly where we were in the conversation. Nobody
can remember every conversation they have with every customer, so it helps immensely to have a record, so that when your important client walks in the real or
virtual door, you can respond as if you just spoke to them yesterday.
© 2015 Charles Marshall. Charles Marshall is a nationally
known humorous motivational speaker and author. Visit his
Web site at http://www.charlesmarshall.netor contact him via
e-mail at [email protected].
(800) 642-2278
Actual Case*
A
- Ask questions. It’s not all about what you have to say. Yes, certainly find out
what you can do to help the customer, but beyond that, ask them conversational
questions. Let them know that you recognize them as not only a potential sale or
problem to solve, but that you see them as a person. How are you today? How’s
the weather outside? How ‘bout them Giants? Again, it’s not about the question.
It’s about the person.
Actual Case*
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etting a patient or client to go ahead with the ideal care
they deserve to have is sometimes like pulling teeth (pun
intended). You went to school for 4 years in order to be
able to give perfect treatments and you would think that
since a patient or client came to you with a problem, that
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However, there many folks who are a little trickier to deal with when it
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the person to figure out what to do.
“Can’t afford it” Handling
This is a common objection that patients or clients will present you
with. However, it is actually a very small percentage that TRULY can’t afford the treatment you are offering and this article is not about them. In
those cases, there is nothing that you can particularly do except to present
ideal care and see what happens. Sometimes relatives help out, etc.You do
your best.
The most common reason for someone to not go ahead with the
presented treatment plan is lack of perceived value of the service being
proposed. In your presentation, you must make sure that you enhance
the value of the treatment because most people who value something
and want it will find the money. They will make it a priority. A lot of your
services were not planned for by the person and so it has to be inserted
into their budget which may already seem strained to them. Don’t forget,
you are vying for their disposable income … a trip to the Bahamas versus
what you are presenting.
You therefore need to work on enhancing the value and benefits of
the treatment in their eyes. This may also include telling them the consequences of not going ahead with the service as well (not as a scare tactic
though!). Most of your public has little or no training in the work you do
and cannot therefore know or predict what would happen if they didn’t go
ahead with the treatment plan.
Is it a legitimate objection?
One of the difficulties in dealing with the “I can’t afford it” objection is
being able to tell if there is legitimacy to it.
So if the patient or client says they can’t afford the treatment ask them “if
money wasn’t a problem, would you go ahead?” Watch how long it takes
them to answer. For those who perceived the value and benefits and want
the treatment, their response will be near to an instantaneous “yes.” Then
you can work through financial options with them, and they will go ahead.
Instant Replay
For those who don’t perceive the value and benefits, there will be hemming and hawing, and ultimately they won’t go ahead. They don’t perceive
enough value and benefits. You may have missed in your presentation
somewhere. In this case, you can then take the opportunity to expand on
the value and benefits. “Is there anything I haven’t made perfectly clear?”
“Is there further information you would like?” And of course, you can
present any financial options as well.
With these questions and options, and really getting the value and benefits
into their zone of reality, you will now find that most patients or clients
will make a positive decision which will then allow you to deliver the ideal
care they need and that you know how to deliver.
Make their day and yours by really caring about the patient or client receiving the ideal care they deserve to have and help them go ahead with it.
Janice Wheeler
is the president and co-owner of the The Art of Management Inc., a practice management company dedicated to helping denturists
and other healthcare practitioners reach their full potential. For more information call 416-466-6217 or 800-563-3994,
e-mail [email protected], www.amican.com
For more information, call us at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada.
©2015 Ivoclar Vivadent, Inc. Ivoclar Vivadent and AccuDent are trademarks of Ivoclar Vivadent, Inc.
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29.
FEATURE
the challenge of
decision making
PART 1: IN A SERIES OF ETHICS ARTICLES
by: dr. joseph kingston
INTRODUCTION
As we move ahead together in a series of ethics articles, we will come to
understand that the underlying message in these writings is an honest
concern about Matters of the Heart. However, these matters are far beyond
those that typically drive our own self-interests. For the true moral ideology
behind the decisions that guide our ethical judgments must be the efforts
to benefit others as well as the greater good of society as a whole. Since No
Man is an Island, thinking and acting ethically affects how we as individuals
make daily decisions and lead our everyday lives in conjunction with those
around us.
As we search for the correct ethical path to take, we will be influenced
by morals and values that have been engrained within us since our early
childhood. We will also look to universal societal norms that have served to
guide our ancestors since the beginning of time. Influences from family and
friends, as well as religious beliefs will strengthen or weaken our resolve to
do the right thing.
Most importantly, we must embrace a personal dedication that allows us to
formulate and develop our own true values and principles based on a mature
understanding of the world around us. Values and principles that we are
willing to stand up for will certainly test our endurance and resolve. We will
learn to face many ethical dilemmas, hopefully, with a sense of moral courage
that allows us to actually do the right thing instead of just knowing what the
right choices are.
Beware however…of the many moral inhibitors that will serve as barriers to
our ethical desires. As we encounter obstacles that have derailed many gallant
moral efforts throughout history, we must be determined not to be victimized
by traditional excuses that will stifle even the best of intentions.
UNDERSTANDING ETHICS
Defining Ethics is not the same as understanding ethics. If you are looking
for a pure definition of ethics you can certainly refer to a dictionary or other
30.
reference source, which will give you a precise predetermined scripted
response. To paraphrase a popular reference, we find guidance from MerriamWebster (2015), which implies: Ethics is an area of study that deals with ideas
about what is good and bad behavior. It is a branch of philosophy dealing
with what is morally right and wrong. In addition, it is a belief that something
is very important, and deals with principles of conduct, moral duties and
values, moral consciousness and importance. It has its origins in ancient
Greece (ethikos), which means custom or habits. This is perhaps correct, but
hardly scratches the surface of a deeper understanding of ethics.
WHAT IS ETHICS?
Understanding ethics is multi-faceted and extends well beyond a simple
definition or description. Moreover, understanding ethics is not doing ethics.
Although most individuals are or should be well versed in simple moral
truths at an early age, applying moral principles and values to our daily lives
is a completely different matter. Living an ethical existence requires more
than just knowing right from wrong. It requires a willingness to consistently
stand up for what you believe and value in all situations and under extreme
circumstances. It is not a single solitary moral action that matters most, but
rather the conscience decision to live a life of principled decisions based on a
dedication to one’s own core values.
Before we dissect the meaning of ethics into small manageable sections,
let’s eliminate some of the common fallacies associated with the subject. In
our ethical pursuit, let’s consider the role of personal feelings as a precursor
to an ethical life. Feelings are often instrumental in recognizing that a moral
dilemma exists and that certain actions need to be taken to address the
situation. Although some individuals equate ethics with “Their feelings about
doing what is right or wrong,” there is ample evidence from popular research
(Baumhart, 2010) to support the contrary. Ethics in many cases, may actually
force us to confront and challenge our personal feelings which may be very
difficult for many individuals to accomplish.
Researchers also bring forth evidence that personal feelings frequently seem
to allow individuals to deviate from what they themselves actually consider
ethical behavior. Some individuals following their feelings may simply
distance themselves from making a difficult ethical decision, especially when
dealing with family or close friends. Feelings do not always equal ethical
actions and therefore must be discounted as a necessary prerequisite for
doing ethics. However, I am certainly not eliminating the importance of one’s
feelings. But we must use caution as we try to gain a deeper understanding
of ethics.
Another common misunderstanding associated with understanding ethics
is its mandatory correlation to established religion. Although much of moral
reasoning has origins based on religion, ethics cannot be confined to only
religious people. Many philosophers do not believe that ethics requires a
religious grounding at all.
Atheists for example, can be as ethical as a devote religious person, given a
personal desire to truly live an ethical life. A consideration worth mentioning
is the fact that many religions do establish universal core values as well as
high ethical standards for individuals to live by. In Christianity, for instance,
the Ten Commandments provide a codified rules base for believers to follow.
Some people may find these values and standards to be inspirational while
others may not. However this correlation between religion and standards
should not be equated with causation. Nor does it guarantee that those
standards will be adhered to by all members of the church or even by its
leaders in all ethical matters. Just because someone has religious affiliations
or attends church regularly does not mean that they are bound to become
moral individuals in their daily lives. Living an ethical life will take an equal
commitment from those choosing to live either a religious or secular lifestyle
with little distinction between the two. We must keep in mind that religion
is to blame for more deaths than anything else in the history of mankind.
A third common error in deciphering the meaning of ethics is its reliance
of the contents of Common or Universal Law to guide us. Laws are indeed
essential for individual safety and for the peaceful coexistence of individuals
in societies. In many cases, laws set a standard or societal norm for people
to live by. However, simply following a civil law does not make your actions
ethical. The question therefore quickly becomes; “In an ethical world, is it
enough to obey the established law”? The answer in many cases is simply
“No”.
At times and within various cultures, common or universal laws have
been considered by many to be outdated, bias, or even morally corrupt. In
these cases, an ethical re-evaluation is often critical. For most individuals,
it becomes a difficult mission to choose between standing up for what you
morally believe to be right or blindly following an established law that others
seem to adhere to without much consideration for their own values and
principles.
These morally controversial rules or laws may be found at the national,
state, or local levels. They have the potential to be in our schools or other
community organizations, and almost certainly exist in our workplaces. Do
not underestimate the governing powers of social systems and the difficulties
associated with challenging the status quo. Confronting these powerful
forces can result in personal retaliation, social alienation, financial loss,
threats of violence, physical harm or even death. Ethical thinking therefore
often involves reasoning well above the law of the land.
A final misconception lies in the belief that ethical behavior is derived
strictly from social acceptance. Believing that societal norms are without fault
is paramount to accepting the rise of Nazi Germany as an ethical lifestyle.
Slavery was also socially accepted as well in the United States. Clearly, these
examples of the corruption of societal standards can fall prey to an entire
generation of people without the moral courage to stand up for what they
truly know to be right.
So if ethics is not reliant on individual feelings of right or wrong, nor is it
to be based on religion tenants, or contained strictly within common law, or
valid only by that of which is socially accepted; Then what is it?
ESTABLISHING INDIVIDUAL MORALS AND VALUES
Let’s consider the establishment of individual morals and values as a
necessary foundation for ethics. Morals are the rules and duties that govern
our behavior as individuals in society. Individuals are traditionally exposed
to much of what they need to know in order to live an ethical life by their own
parents by the time they reach elementary school. Examples of Morals include
honesty, fairness, and compassion. Morals are what we want to instill within
our children to define and strengthen their personal character. However, the
overarching question quickly becomes: What is truly important for me as a
mature individual living in a greater society?
I’m reminded of a quote by Theodore Roosevelt: “To educate a man in mind
and not in morals is to educate a menace to society.”
Values are considered to be the elements of life that we truly care about.
Values pertain to our everyday concepts of goals, visions, behaviors, issues,
relationships, and things in general that we hope to achieve for ourselves
and others. Examples of global values include; respect for life, love of family,
responsibility, truth and fairness. We value health compared to sickness,
wealth compared to poverty, and education compared to ignorance.
Values set standards and limitations, clarify our perceptions, and guide
our decision making process. We make comparisons of our own values with
the values of others as well as to the values of the society that we live in.
Our values are constantly being shaped and influenced by family, friends,
social groups, authority, and role models. Values help us determine right
from wrong, and to fully understand the significance of our actions, as well
as the consequence of those actions or inactions. However, the difficulty
encountered is the actual priority of values.
Therefore we find some of our values are in a constant state of conflict
and congruity amongst other values we hold dear, or the values of other
individuals. At a basic level, Self-Enhancement is in constant opposition
to Self-Transcendence, while an Openness to Change similarly opposes
Conservation. How can one pursue one’s own self-interest and success if
they are constantly concentrating on the benevolence of others? How can
one strive for change when they are content with the status quo? Of course
it is possible to attend to competing values, however it may be difficult to do
in isolated situations. Our actions often depend on choosing between one
difficult option and another.
MORAL TEMPTATION –VS- MORAL DILEMMAS
Rushworth Kidder, in his book How Good People Make Tough Choices:
Resolving the Dilemmas of Ethical Living, suggests that decision making is
driven by our core values, morals and integrity and falls into two categories:
Moral Temptations and Ethical (Dilemmas).
Moral Temptation: A Moral temptation is a decision about Right vs. Wrong
and is based clearly on the core values that each person possesses, as well as
the norms of society. In all cases of choosing wrong over right, we find an
individuals’ conscience effort to do something other than what is generally
accepted by others to be the best course of action. In many instances, the
behavior takes on a life of its own and may later become an example of
normalized deviancy.
THERE ARE THREE WAYS OF BEING WRONG:
VIOLATION OF THE LAW: These kinds of actions involve failing to
comply with established laws whether willfully or unintentional. Ignorance
of the law is no excuse.
DEPARTURE FROM THE TRUTH: These actions are those that are
not in accord with commonly known facts. Lying or misrepresenting the
truth are simple examples of this form of deception.
DEVIATION FROM MORAL RECTITUDE: These lapses in ethical
behavior include the departure from the most rudimentary concept of duty
including; conflicts of interest, failure to report unethical or illegal behavior,
and the instigation of actions that go against the moral grain.
RIGHT - VS - WRONG TESTS
Decisions about right vs. wrong can be assessed by testing the idea or action
that you are considering according to the following principles: Simply stated,
“If what you are about to do fails one of the following tests, then you should
choose another plan of action!”
1. THE LEGAL TEST: Is law breaking involved? If yes, the issue is one of
obedience to the enforceable laws of the land, as opposed to the unenforceable
31.
canons of moral code. If the answer is, “yes it is legal” there are three other
tests for right vs. wrong to also consider.
2. THE STENCH TEST: Does this course of action have about it an
indefinable odor of corruption that makes you recoil? This is a “gut test” and
a “gut level” determination. Always listen to your gut because it tests your
internal code of morality at the psychological level.
3. THE FRONT PAGE TEST: How would you feel if what you are
about to do showed up tomorrow morning on the front pages of the nation’s
newspaper? What would your response be if a decision made in private
suddenly became public? This is a test of your social mores.
4. THE MOM TEST: If I were my Mother, what would I do?” Or “If Mom
knew about this what would she think?” This is about the moral exemplar
who cares deeply about you and means a great deal to you. Put yourself in
another’s shoes and think about what you are on the verge of doing. It might
well be the wrong choice!
All of these tests above serve to identify the category of Moral Temptation or
Right vs. Wrong.
ETHICAL DILEMMAS
Ethical Dilemmas are defined by Kidder as “Right vs. Right” and “At the
heart of our toughest choices”. For example it is “Right”, on the one hand,
to advocate for “Pro Life” and “Right”, on the other hand, to advocate for
“Pro Choice”. This is a genuine Moral Dilemma precisely because each
side is firmly rooted in basic, core values. When people encounter these
tough choices, it is rarely because they are facing a moral temptation, it is
because they are facing two options that individuals care deeply about (Moral
Dilemma or Right vs Right).
Four Paradigms for Understanding Ethical Dilemmas:
Ethical dilemmas can be neatly categorized into four specific classifications
for consideration. In many situations an ethical dilemma will conform to
more than one area, which may complicate an already difficult decision
making process.
1. TRUTH VS. LOYALTY: Truth, for most people, is conformity with
facts or reality. Loyalty involves allegiance to a person, corporation or body
of people, a government, or set of ideas to which one owes fidelity. It is right
to stand on truth. It is also right to be loyal.
2. INDIVIDUAL VS. COMMUNITY: Individualism assumes that in a
society where each person vigorously pursues his own interests, the social
good would automatically emerge. As such, the rights of the individual are
to be preserved. By “community” it is meant that the needs of the majority
outweigh the interests of the individual. Communities speak to us in a moral
voice. They lay claims on their members. It is right to consider the individual.
It is also right to consider the community.
3. SHORT-TERM VS. LONG-TERM: Short-term concerns are usually
associated with the satisfaction of current needs in such a way as to preserve
the possibility of a future. Long-term concerns are usually defined by the
projection of future interests in such a way that there will be ample means to
meet future required needs. It is right to think and plan short-term. It is also
right to think and plan long-term.
4. JUSTICE VS. MERCY: Justice urges us to stick by our principles,
hold to the rules despite the pressures of the moment, and pursue fairness
without attention to personalities or situations. Mercy urges us to care for
the particular needs of individuals case by case and to seek benevolence in
every way possible. It is right to be merciful. It is also right to enforce justice.
Understanding the type of dilemma is very helpful? -It helps us separate
right from wrong;
WAYS OF THINKING: A THREE PART FRAMEWORK
Kidder draws from the field of Moral Philosophy to describe different ways
of thinking about ethical decision making with attention to three unique
perspectives or philosophies.
1. ENDS BASED: Known to philosophers as “Utilitarianism”, this
principle is best known by the maxim “Do whatever produces the greatest
good for the greatest number”. This is a form of “Consequentialism,” which
involves a “Cost Benefit Analysis” measuring the intensity of who might be
helped as compared to who might be hurt by a specific action.
2 RULES BASED: This principle is best known as the “Categorical
Imperative”. Rules exist for a purpose, they promote order and justice and
should be followed. Follow the principle that you want others to follow.
“Stick to your principles and let the chips fall where they may”. Rules-based
thinkers are not concerned with consequences.
3. CARE BASED: Putting love for others first. Placing yourself in the
shoes of the other person to gain a better understanding of the situation. It
is most associated with the Golden Rule: “Do unto others as you would have
them do unto you.
Once it is determined that indeed an ethical dilemma exists, we can proceed
through an Ethical Decision making Process as described below.
THE ETHICAL DECISION MAKING PROCESS:
Kidder lays out nine (9) checkpoints for Ethical Decision Making:
1. Recognize there is a moral issue;
2. Determine the actor (who does the problem belong to?);
3. Gather the relevant facts;
4. Test for right vs. wrong issues;
5. Test for right vs. right paradigms;
6. Apply the resolution principles;
7. Investigate the “trilemma” option;
8. Make the decision;
9. Revisit and reflect on the decision.
Part 2 in our series of ethics articles with be offered in future issues
of THE NATIONAL DENTURIST, USA
JOSEPH KINGSTON, LD, Ed.D
Dr, Kingston is a denturist, a veteran educator and published author. He earned his Master ’s
Degree in Education and a Doctorate degree in Educational Leadership. He received his diploma
in denturism from George Brown College where he was graduated with honors. He has a private
denturist practice in Bangor, Maine.
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This position is located in Los Angeles, CA. We offer a competitive benefits
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for more information. Please send your cover letter and resume to :
[email protected]. We are an equal opportunity employer.
Denture Teeth With A Smile
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Performance Criteria
·
Educate and train professionals and students.
·
Perform general laboratory duties.
·
Receive feedback from professionals and students and analyze
questions for more effective learning methods.
·
Prepare organized and easy to understand learning methods.
·
Other duties as assigned.
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NEW 11X17 POSTERS AVAILABLE -po
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ESSENTIAL JOB FUNCTIONS:
The duties listed below are examples of the work typically performed by an
employee in this position. An employee may not be assigned all duties listed
and may be assigned duties which are not listed below.
A. Performs job functions timely and efficiently.
MARKETING & PROMOTION
More and more people are becoming aware of the important
service denturists provide as a member of the dental healthcare team. Where denturists serve there is greater access to
dental prosthetic care and access to this service is impacting
lives. The National Denturist Association, USA is a critical
avenue for generating public awareness of the profession
and this is made possible by association memberships and
generous donations from denturists, associates and concerned citizens. Joining the association and sharing your
generous donations contribute to our continued efforts to
generate greater awareness of the profession. Your supS
T
IS
R
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DEN
port is critical toward our efforts to provide access to this
hcare
“Oral Healt ls
Professiona
much needed services to citizens in every state and come”
rv
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to
Dedicated
munity. You are responding to our membership campaign;
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nal Dentu
The Natio
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our membership is growing. However, the question has
Association d support
t an
to represen rists in their
dentu
been asked, “Does one have to be a denturist to be a
ert
provide exp
efforts to
those
nal care to oral
member of the National Denturist Association, USA?”
professio
of
ed
ne
citizens in
er
and to off
prosthetics alternative
Our answer is a resounding, no! To better answer this
le
ab
ord
aff
an
these
h cost of
to the hig
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question we have generated a brochure you can use
dental ne
om
to introduce the profession and association to anyone
t.c
ris
tu
nalden
www.natio
you believe may be interested in joining this charitable
effort. Please call 360-232-4353 or fax 360-779-6879
for your free brochures (a small S&H fee is charged; maximum 10 brochures)
There is a $1.00 charge for packs of 50 (plus S&H; 2 packs maximum) for online
orders. Please visit www.nationaldenturist.com for details.
Washington (800) 562-6645
Oregon (877) 244-2012
www.arnold-dental.com
ed and
e was design
Your dentur
at a
fit your mouth
fabricated to
in your life.
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With the pas
your dentur
siderably and
changes con
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your dentur
This is why
and
examination
its
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a yearly oral
to
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your dentur
evaluation of
aesthetic
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continued effe
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as well as qu
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Creating the
dentures perfect ile!
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to ensure its
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as well as qua
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greater well-be
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This
youthful tooth displays a translucent incisor, body shade and
This youthful tooth displays a translucent incisor, body shade and
lifelike
characterization
whichmimics
mimics
nature
This youthful
tooth
displays a translucent
incisor,
body
shade and
lifelike
characterization
which
nature
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8)7
lifelike characterization
needs.”
your Denture
“Dedicated to
To Place
Your
OrderforforEUROPEAN
EUROPEAN made
ACRYLIC
DENTURE
TEETH
To Place
Your
Order
madePRIMODENT®
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TEETH
8)7
needs.”
your Denture
“Dedicated to
CALL:
6/3/14 11:03 AM
6/3/14 11:04 AM
THE
USA
2011
Copyright ©
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8/6/13 6:36
THE
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Here are your professional brochures,
designed especially for your denturist office.
Show your patients you care by providing them
with helpful information. Packages of 100 for $25
available at the National Denturist Association,
USA’s conferences.
CALL:
at:
The exceptionally large shade and mold selection available from
TheThe
exceptionally
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moldTEETH
selection available from
PRIMODENT®
exceptionally
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offers the denturist
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PRIMODENT® DENTURE TEETH
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tomatch
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offers
denturistthe
theresource
resource to
unique
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USA
Order online at www.nationaldenturist.com
ITC, Inc.
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ITC,
ITC, Inc.at: 678-264-8447
678-264-8447
To Place Your Order for EUROPEAN made PRIMODENT® ACRYLIC DENTURE TEETH
CALL:
at:
Also available by order from the
NDA, USA Executive Office,
PO Box 2344, Poulsbo, WA 98370
or online at
35.
OUR ADVERTISERS AND SPONSORS
The National Denturist, USA is dedicated to providing a publication that offers pertinent technical information, business news and support
and introduces innovative state of the art products for its readership. This is possible by the support of our advertisers and sponsors. We
encourage our readers to utilize their products and services. To make this easier we have provided their contact information. Please consider
these companies for all your denturist office and laboratory needs.
NAME
PAGE
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WEBSITE
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UHLER
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Arnold Dental
Aurum Ceramic Dental
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The National Denturist, USA, is the official publication of the National Denturist Association, USA, and is committed to providing up to date
pertinent information as well as informative technical and professional articles. Our magazine is a communication avenue for both national
and international news and is distributed throughout the United States and Canada. The Publisher considers The National Denturist, USA, a
major source for introducing new innovative products to the readers. EXTRA EXPOSURE ON THE WEB! Every issue of The National Denturist, USA, is published on the National Denturist Association, USA’s, website. This popular website gets several hundred sustained hits a month
and interest continues to grow. This avenue allows our advertisers to be seen online FREE of additional charge! Please visit our website:
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