denture aesthetics - Denturist Association of Canada

Transcription

denture aesthetics - Denturist Association of Canada
Summer/Ête 2009
the Journal of Canadian Denturism / le Journal de la Denturologie Du Canada
D e n t u r o l o g i e C a n a D a
Improving
PM #40065075
Return undeliverable
Canadian addresses to:
[email protected]
denture aesthetics
Also:
• DACnet™
• Profile of Tony Sarrapuchiello
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1st Vice President
Martin Damphousse d.d.
Phone: (514) 252-0270
Fax: (514) 252-0392
e-mail: [email protected]
2nd Vice President
Paul Hrynchuk, DD
Phone: (204) 669-0888
Fax: (204) 669-0971
e-mail: [email protected]
Vice President - Administration
Daniel Robichaud, DD
Phone: (506) 382-1106
Fax: (506) 855-9941
e-mail: [email protected]
Vice President - Finance
Maria Green, DD
Phone: (604) 521-6424
Email: [email protected]
Past President/Liaison Officer
David Hicks, LD, DD
Phone: (204) 489-9364
Fax: (204) 487-3969
e-mail: [email protected]
Denturist College Programs
National Office /
Chief Administrative Officer
Lynne Alfreds
PO Box 45521
2397 King George Hwy.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
e-mail: [email protected]
Denturist Program
George Brown College of Applied Arts and Technology
PO Box 1015, Toronto ON M5T 2T9
Tel: (416) 415-5000 Ext. 3038 or 1-800-265-2002 Ext. 4580
Fax: (416) 415-4794
Attention: Gina Lampracos-Gionnas
E-mail: [email protected]
Département de Denturologie
Collège Edouard-Montpetit
945, chemin de Chambly, Longueuil QC J4H 3M6
Tel: (450) 679-2630 Fax:(450) 679-5570
Attention: Patrice Deshamps, d.d.
Denturist Technology
Vancouver Community College, City Centre
250 W. Pender Street, Vancouver BC V6B 1S9
Tel: (604) 443-8501 Fax: (604) 443-8588
Attention: Dr. Keith Milton
E-mail: [email protected]
Denturist Technology
Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7686 Fax: (780) 491-3149
Attention: Maureen Symmes
E-mail: [email protected]
Denturist Association of British Columbia
C312-9801 King George Hwy,
Surrey, BC V3T 5H5
Attn: Lynne Alfreds, Executive Secretary
Tel: (604) 582-6823 Fax: (604) 582-0317
E-mail: [email protected]
Website: www.denturist.bc.ca
Denturist Society of Nova Scotia
141 Commercial Street, Suite 5
Glace Bay, NS B1A 3B9
Attn: William Lloy, DD, President
Tel: (902) 849-1496
E-mail: [email protected]
Denturist Association of
Newfoundland Labrador
6 Commonwealth Avenue
Mount Pearl, NL A1N 1W2
Attn: John Browne, DD, President
Tel: (709) 364-3355 Fax: (709) 364-3355
E-mail: [email protected]
Denturist Association of Alberta
4920 – 45th Avenue, Sylvan Lake AB T4S 1J9
Attention: Don Tower, President
Telephone: (403) 887-6272
Fax: (403) 887-6271
E-mail: [email protected]
The Denturist Society of Saskatchewan
32 River Street East, Moose Jaw, SK S6H 0A8
Attn: Lynn Halstead, President
Tel: 306-693-4161
Email: [email protected]
Denturist Society of Prince Edward Island
c/o Rhyno Denture Clinic
222 University Avenue, Charlottetown, PE C1A 4L7
Attn: Pat Rhyno DD, President
Phone: (902) 892-3253
Email: [email protected]
Denturist Association of Manitoba
PO Box 70006, 1–1660 Kenaston Boulevard
Winnipeg, MB R3P 0X6
Attn: Kelli Wagner, Administrator
Tel: (204) 897-1087 Fax: (204) 488-2872
E-mail: [email protected]
Website: www.denturistmb.org
Yukon Denturist Association
#1-106 Main Street
Whitehorse, YT Y1A 2A7
Attn: Peter Allen, DD, President
Tel: (867) 668-6818 Fax: (867) 668-6811
E-mail: [email protected]
The Denturist Association of Ontario
6205 Airport Road, Bldg. “B” Suite 203
Mississauga, ON L4V 1E1
Attn: Susan Tobin, Chief Administrative Officer
Tel: (800) 284-7311 Fax: (905) 677-5067
E-mail: [email protected]
Website: www.denturistassociation.ca
Denturist Association of Northwest Territories
Box 1506, Yellowknife, NT X1A 2P2
Attn: George Gelb
Tel: (867) 766-3666 Tel: (867) 669-0103
E-mail: “George Gelb” [email protected]
L’Association des denturologistes du Québec
8150, boul. Métropolitain Est, Bureau 230
Anjou, QC HIK 1A1
Atten: Kristiane Coulombe,
Responsable Service aux membres
Tel: (514) 252-0270 Fax: (514) 252-0392
E-mail: [email protected]
Website: www.adq-qc.com
The New Brunswick Denturists Society
La Société des denturologistes du N-B.
288 West Boulevard St. Pierre
PO Box 5566 Caraquet, NB E1W 1B7
Attn: Claudette Boudreau, Exec. Sec.
Tel: (506) 727-7411 Fax: (506) 727-6728
E-mail: [email protected]
Continuing Education Programs
President
Michael C. Vout, DD
Phone: (613) 966-7363
Fax: (613) 966-1663
e-mail: [email protected]
Members and Provincial Offices
Executive 2008-2010
Denturist AssociAtion of cAnADA
L’AssociAtion Des DenturoLogistes Du cAnADA
Affiliate Members
Clinical Dental Technicians Assoc. (UK)
Room 3b
Tower House Business Cenre
Fishergate, York YO10 4UA
Tel: 01904 625130
Fax: 01904 658361
E-mail: [email protected]
Website: www.cdta-online.co.uk
Honorary Members
Austin J. Carbone, BSc, BEd, DD
The Honourable Mr. Justice Robert M. Hall
International Denturist Education Centre (IDEC)
George Brown College of Applied Arts and Technology
PO Box 1015, Toronto, ON M5T 2T9
Tel: (416) 415-5000 Ext. 4793 or 1-800-265-2002 Ext. 4793
Fax: (416) 415-4117
Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7683 Fax: (780) 491-3149
Attention: Doreen Dunkley
e-mail: [email protected]
Removable Partial Dentures for Denturists
Jurgen von Fielitz, DD
2598 Etwell Road, RR#3, Utterson, ON P0B 1M0
Tel: (705) 788-0205
e-mail: [email protected]
ACCREDITATION: The following Canadian schools of Denturism are accredited by the Denturist Association of Canada:
George Brown College of Applied Arts & Technology, Toronto, Ontario
Northern Alberta Institute of Technology, Edmonton, Alberta
Vancouver Community College, City Centre, Vancouver, British Columbia
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For display advertising, contact Craig Kelman
& Associates Ltd. For subscriptions or
classified advertising contact the Denturist
Association of Canada National Office.
The challenge of this publication is to provide
an overview of denturism, nationally and
internationally, and a forum for thought and
discussion. Any person who has opinions,
stories, photographs, drawings, ideas,
research or other information to support this
goal is requested to contact the Editor to
have the material considered for publication.
Statements of opinion and supposed fact
published herein do not necessarily express
the views of the Publisher, its Officers,
Directors or members of the Editorial
Board and do not imply endorsement of
any product or service. The Editorial Board
reserves the right to edit all copy submitted
for publication.
contents
Summer/ête 2009
FeatureS
Improving denture aesthetics with clear,
resin-based baseplates...............................................19
Denture base resins are typically available in a few
shades, which may not blend with the patient’s
gingival tone. Light-curable denture resin can
help address this issue.
Denturists across the nation .......................................24
International Federation of Denturists Vice
©2009 Craig Kelman & Associates Ltd.
All rights reserved. The contents of this
publication may not be reproduced by any
means, in whole or in part, without prior
written consent from the publisher.
President Tony Sarrapuchiello is profiled.
DACnet™ ...................................................................27
How to make a smooth transition from paper
ISSN: 1480-2023
12
Editor-in-Chief:
Hussein Amery, M.Sc., Psy.D., DD, FCAD
#112, 2675 - 36 Street NE
Calgary, Alberta T1Y 6H6
Phone: 403-291-2272
e-mail: [email protected]
to electronic claims submission.
IFD update...................................................................33
The latest news on the IFC World Symposium on
Denturism in Las Vegas, October 13-17, 2009
National Liaison: Lynne Alfreds
PO Box 45521
2397 King George Hwy.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
e-mail: [email protected]
Le mot du president ......................................................10
Published by:
Editor’s message ..........................................................12
DepartmentS
President’s message .......................................................8
Insurance .....................................................................14
Practice management ...................................................16
Classifieds....................................................................35
3rd Floor, 2020 Portage Avenue
Winnipeg, MB R3J 0K4
Tel: (204) 985-9780 Fax: (204) 985-9795
e-mail: [email protected]
www.kelman.ca
14
In memoriam ................................................................36
Reach our advertisers ...................................................38
Managing Editor: Cheryl Parisien
Design/Layout: Stacia Harrison
Advertising Sales: Al Wiebe, [email protected]
Advertising Coordinator: Lauren Campbell
Return undeliverable
Canadian addresses to:
e-mail: [email protected]
Publication Mail Agreement #40065075.
SUMMER/ÊTE 2009
The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada
D E N T U R O L O G I E C A N A D A
Improving
PM #40065075
Return undeliverable
Canadian addresses to:
[email protected]
denture aesthetics
ALSO:
• DACnet™
• Profile of Tony Sarrapuchiello
Do your part for the environment – reuse and recycle.
19
Summer/ête 2009
7
PreSident’S meSSage
michael C. Vout, dd
accreditation, education,
regulation: Where do they meet?
“A round table discussion
examined what accreditation means
to each of the stakeholders.”
I
had the distinct pleasure in attending a
two-day meeting in Winnipeg February
27-28, 2009 to discuss and review the
Accreditation Protocols of the Denturist
Association of Canada. Around the
table at the Delta Hotel were members
of the DAC Curriculum Advisory
Committee, the Denturist Association
of Canada, faculty representing the
four Denturist schools, and members
of the regulatory bodies from five
provinces, plus a professional facilitator.
Now, if you thought that maybe this
is just another of those great weekends
away, think again. Downtown Winnipeg,
although quite beautiful in the heat
of summer, has a somewhat different
appeal in February when you come
from Southern Ontario with a leather
bomber jacket and have to experience
-35°C weather, with a wind chill to
-45°C. I did have the presence of mind
to bring gloves and a scarf, which
probably saved my life in the six block
walk to a restaurant that first evening
prior to the meetings. I did not realize
one could get an “ice cream headache”
from wind chill. I don’t recall any rush
to leave the warmth of the hotel and
8
Summer/ête 2009
from that point on I knew why we
picked Winnipeg for our meeting.
The purpose of the meeting was
to review the current accreditation
documentation, discuss the process
and look to revising any areas of the
documentation. The emphasis was
to evaluate what the requirements
of the association (DAC), the
educational programs (schools) and
the licensing bodies (regulators)
are and how the document can
accommodate all those needs.
A round table discussion
examined what accreditation means
to each of the stakeholders. To
the educators, it re-affirms a spirit
of excellence in the provision of a
professional education, its assurance
to the students that their chosen
profession meets a certain standard of
competencies which are recognized
within the dental community.
The regulators are there to regulate
the Denturist practice in the interest of
overall health and safety of the public.
As such they are concerned about
critical knowledge, core competencies
and occupational standards and skills.
The associations find that
accreditation provides credibility to
the profession, is a tool to monitor
and evaluate the education that the
potential members of the profession are
embarking upon. Accreditation is also
the process where the profession sets
and drives the standard.
Accreditation brings forth a
common standard among all of
the teaching institutions with some
variances due to geographic regions
that are reflected in the regulators
mandates from the Ministry of Health
of each provincial government.
As labour mobility moves forward
for all regulated professionals this
summer, a new challenge appears for
the regulatory bodies. The intent of
the new labour mobility agreement is
such that anyone who is registered
or licensed as a Denturist or any
other regulated profession can move
to any other province without any
restrictions on their licence.
In the case of a practitioner coming
from a province with a lesser scope of
practice to one with a higher scope, this
makes the case for our accreditation
process to be universal, allowing all
regulatory bodies and educational
institutions to be provided a common
set of occupational standards, tools
to monitor the level of education
required to achieve equal standards
of practice across the nation.
As we look to accreditation, the
minimum level of practice will be
that of the highest level scope of the
practice that each province provides
their patients. In doing so, we will fulfill
the mandate of the federal Agreement
on Internal Trade. We will have the
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PreSident’S meSSage
opportunity to unify the scope of practice
for our regulators, and give the educators
the direction to provide the students with
an education which reinforces the needs
of the profession, while providing an
educational experience of excellence.
The two days of meetings were
very productive, with all representatives
having the opportunity of looking at the
accreditation process from different points
of view and understanding the issues that
can affect each other in different ways.
I would like to thank the Manitoba
Association President Mr. Paul Hrynchuk,
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Ms. Kelli Wagner CAO and the Manitoba
membership for hosting a hospitality
meet-and-greet on the Thursday
evening. It was a great opportunity
to meet with colleagues before the
formal meetings and discuss relevant
issues of the accreditation process.
On behalf of the DAC, I would also
like to thank and acknowledge Jamshid
Zehtab-Jadid as chair of the Curriculum
Advisory Committee and Ms. Gerry
Hansen, our Project Consultant for
Accreditation, for their dedication in
spearheading this process from its infancy
to where we are today in the accreditation
process, we thank you both for your
commitment to Denturism.
The accreditation process is a
living document which will propel the
profession forward. We must then with
the regulators and educators continue to
redefine our standards, look to satisfying
the requirements with a unified voice
for all stakeholders which will inevitably
guide the profession into the future.
See everyone at the 6th World
Symposium on Denturism October
13-16 in Las Vegas.
Summer/ête 2009
9
Le mOt du PréSident
michael C. Vout, dd
agrément, formation,
reglementation: point de rencontre
J
’ai eu le grand plaisir de participer à une
réunion de deux jours tenue à Winnipeg
les 27 et 28 février 2009 pour discuter des
protocoles d’agrément de l’Association des
denturologistes du Canada et les revoir.
Autour de la table de l’Hôtel Delta, il y
avait des membres du Comité consultatif
des programmes d’études de l’ADC, des
représentants de l’ADC, des professeurs
représentant les quatre écoles de denturologie
ainsi que des membres d’organismes de
réglementation de cinq provinces, plus un
professionnel en animation de réunions.
Si vous croyez qu’il s’agissait là d’une
belle occasion de s’évader pendant une fin
de semaine, détrompez-vous. Le centre-ville
de Winnipeg, bien que très joli sous la chaleur
de l’été, revêt nettement moins de charme en
février, surtout lorsqu’on est originaire du Sud
de l’Ontario, que l’on ne porte qu’un blouson
de cuir et que le mercure chute à -35 °C,
soit -45 °C avec le facteur éolien. J’avais eu
la présence d’esprit d’apporter des gants et
un foulard, ce qui m’a probablement sauvé
la vie pendant mon trajet vers le restaurant
où nous nous sommes réunis, la veille du
début des réunions, parcours qui représentait
six pâtés de maisons. Je ne savais pas que
le vent glacial peut vous donner ce mal de
tête qu’on a parfois quand on mange de la
crème glacée. Je ne me rappelle pas d’avoir
eu envie de quitter la chaleur de l’hôtel après
ce moment-là. C’est alors que j’ai compris
pourquoi nous avons choisi Winnipeg
comme lieu de réunion.
L’objectif de la réunion était de revoir la
documentation actuelle relative à l’agrément,
de discuter du processus et de cerner les
passages de la documentation à mettre
à jour. Il s’agissait surtout d’évaluer
quelles sont les exigences de l’Association
(ADC), celles des programmes d’études
(écoles) et celles des organismes de
réglementation, puis de voir comment
tous les intégrer dans le document.
En table ronde, nous nous sommes
penchés sur ce que signifie l’agrément
pour chacun des groupes en cause. Pour
les éducateurs, l’agrément confirme un
souci d’excellence en matière de formation
professionnelle, qui garantit aux étudiants
que la profession qu’ils ont choisie reflète une
certaine norme de compétences reconnues
dans le milieu de la denturologie.
Par définition, la raison d’être des
organismes de réglementation est de
régir l’exercice de la denturologie afin de
protéger la santé et la sécurité du public.
Par conséquent, ces organismes se
préoccupent de connaissances cruciales,
de qualités fondamentales ainsi que de
normes et de compétences professionnelles.
Quant aux associations, elles considèrent
que l’agrément donne de la crédibilité à
“En table ronde, nous nous
sommes penchés sur ce
que signifie l’agrément pour
chacun des groupes en cause.”
10
Summer/ête 2009
la profession, qu’elle constitue un outil de
surveillance et d’évaluation de la formation
que les membres éventuels s’apprêtent
à suivre. L’agrément est également
un processus par lequel la profession
instaure une norme et la met en œuvre.
L’agrément met en place une norme
commune parmi tous les établissements
d’enseignement, sous réserve de variations
en fonction des régions géographiques qui se
reflètent dans les mandats des organismes
de réglementation relevant du ministère de la
Santé de chaque gouvernement provincial.
Puisque la mobilité de la main-d’œuvre
se concrétisera cet été pour tous les métiers
réglementés, cela pose un nouveau défi aux
organismes de réglementation. L’objectif de
la nouvelle entente sur la mobilité de la maind’œuvre est de permettre à toute personne
inscrite comme denturologiste – ou toute autre
profession réglementée – de déménager dans
n’importe quelle autre province sans restriction
quant à son permis d’exercer.
Le cas d’un praticien partant d’une
province où le champ d’exercice est moins
général vers une autre province où ce champ
est plus général fait ressortir la pertinence
d’avoir un processus d’agrément universel.
Ainsi, les organismes de réglementation et les
établissements d’enseignement pourraient
s’appuyer sur un ensemble commun de
normes professionnelles et d’outils permettant
de surveiller le niveau de formation requis pour
atteindre des normes d’exercice équivalentes
d’un bout à l’autre du pays.
Du point de vue de l’agrément, le niveau
d’exercice minimal sera celui qui correspond
au champ d’exercice le plus général offert
aux patients dans cette province. Ainsi, nous
remplirons le mandat de l’Entente sur le
commerce intérieur du fédéral. Nous aurons
l’occasion d’uniformiser le champ d’exercice
pour nos organismes de réglementation et
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Le mOt du PréSident
de donner aux éducateurs l’orientation
nécessaire pour fournir aux étudiants une
formation qui consolide les besoins de la
profession tout en procurant une expérience
d’apprentissage axée sur l’excellence.
Les deux journées de réunions ont été
très productives; tous les représentants
ont eu l’occasion d’envisager le processus
d’agrément selon des points de vue
différents et de comprendre les aspects qui
peuvent avoir des conséquences différentes
selon les groupes.
J’aimerais remercier le président
de l’Association manitobaine, M. Paul
Hrynchuk, Mme Kelli Wagner, directrice
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administrative, ainsi que les membres
de l’Association manitobaine pour leur
hospitalité à l’occasion de la soirée
d’accueil, le jeudi. Ce fut une occasion
extraordinaire pour moi de rencontrer des
collègues avant les réunions officielles et de
discuter avec eux de questions pertinentes
liées au processus d’agrément.
Au nom de l’ADC, j’aimerais aussi
remercier Jamshid Zehtab-Jadid, président
du Comité consultatif des programmes
d’études, et Mme Gerry Hansen, conseillère
pour le projet d’agrément, pour leur
détermination à mener ce projet à bien
depuis les premiers balbutiements jusqu`à
ce jour. Merci à vous deux pour votre
engagement envers la denturologie.
Le processus d’agrément est un
processus évolutif qui propulsera la
profession vers de nouveaux horizons.
De concert avec les organismes de
réglementation et les éducateurs, nous
devons donc continuer de redéfinir nos
normes, de chercher à satisfaire les
exigences de toutes les parties prenantes, à
l’unisson. Cela guidera inévitablement notre
profession sur la voie de l’avenir.
Au plaisir de vous rencontrer au 6e
Symposium mondial de la denturologie, du
13 au 16 octobre, à Las Vegas.
Hussein amery, m.Sc., Psy. d., dd, FCad
editOr’S meSSage
Patient-practitioner relations
N
early everyone has a horror story
about visiting a dental office: long
waits, insensitivity, poor or faulty treatment
and/or diagnosis, etc. Yet in the same
breath, the patient may expound on the
virtues of your abilities and on his or her
latest visit to your practice.
So why the seemingly polarized
attitudes toward healthcare practitioners?
Not surprisingly, health ranks amongst
the values Canadians hold most dear,
and dental/oral health is a prerequisite
to nearly every other activity in life.
Moreover, poor oral health is almost
always uncomfortable if not painful and
therefore the patients want immediate
and successful treatment.
It is no wonder then, that healthcare
practitioners are equally praised and
vilified. As our practices become busier,
issues of communication become
increasingly more important. Criticisms
of practitioners usually center on the
volumes of jargon or syntax, little or
no feedback and depersonalized care.
Clearly, the quality of communication
between practitioners and patients will
affect not only the perception of care
but also the level of acceptance and
compliance by the patient.
Statistics show that poor practitionerpatient communication is directly related
to outcomes of problematic patients,
noncompliant clients, and even to the
extreme cases of litigation. Moreover,
research has also shown that people
often judge the adequacy of their care by
criteria that are irrelevant to its technical
quality, and we as practitioners are
sometimes unable to discern whether
we have provided a standard of practice.
Consequently, we often judge technical
quality on the basis of the manner in
which care is delivered. For example, if a
practitioner expresses uncertainty about
the nature of the patient’s complaint or
12
Summer/ête 2009
As our practices
become busier,
issues of
communication
become
increasingly more
important.
requests, patient satisfaction declines.
A warm, friendly confident practitioner
is often perceived to be nice and
competent, whereas a cool, aloof
provider is often judged less favorably as
incompetent and unfriendly.
As many of us are aware, the reality
is that technical quality of care and the
manner in which that care is delivered are
almost never unrelated.
The other major factor that heavily
influences practitioner-patient interactions
is the patients’ ever-increasing desire to
be involved in the decisions affecting their
health. Once, practitioner authority was
seen as near absolute without question
or complaint. Today’s consumerist
attitudes have patients exhibiting a
paradigm shift towards the opposite.
These changes have come from
several factors from inducing a patient
to follow a proposed treatment plan by
having their full “buy-in” and cooperation
to giving them a role in the development
of that treatment plan. Increasingly,
lifestyle has been recognized as a major
factor in the cause of dental illness.
Smoking, diet, alcohol consumption,
and of course, hygiene must also be
considered and altered by patients
if they truly wish to achieve optimal
results. In fact, most patients who see
themselves as under the control of
their practitioner instead of themselves
are least likely to alter lifestyle.
Lastly, we as practitioners and
healthcare providers must accept
that our patients are much more
knowledgeable of their condition
and options and must use this as a
positive integration tool for proper
treatment planning in achieving
the patient’s objectives.
Clearly, the relationship between
practitioner and patient is changing
in the direction of making effective
communication essential for successful
delivery of service. Look for subsequent
issues of Denturism Canada for more
information on the effects of office
setting itself, the changing nature of
healthcare delivery across the country
and patient-practitioner behaviour and
quality of interactions.
Click here to return to the Table of Contents
inSuranCe
Joe Pignatelli, rHu
Life’s timetable affects
your financial security
A
s we move along in life, our investor
profile changes according to our
lifestyle, goals, health, our savings
for retirement, and our risk tolerance.
When we are young, we need liquidity
to purchase a vehicle, a home, and
furnishings. Through our middle years,
we begin investing for growth and seek
to reduce our taxes. As we
near retirement, we
need to balance our
portfolio between
safe investments
and those that
hedge against
inflation, while
focusing on
providing future
income. A portfolio
must balance between
both the risk of market volatility and the
risk of inflation as we assess our timerelated goals. Over shorter periods,
market volatility is our greater risk; over
the longer period, inflation introduces
the major risk of depreciating the buying
power of our dollar. Our assessment
of risk and reward, in relation to where
we invest, is therefore time-dependent.
The portion of our portfolios that relates
to short-term-horizon goals should
cautiously preserve capital. The portion
designed to meet our long-term-horizon
goals should include inflation-beating
growth-orientated assets such as equity
mutual funds.
Assess your planned expenses
In the short term, you may have a major
expense planned for travel, a house
renovation, or assisting in the education of
a child or grandchild. In these situations, a
portion of your money should be allocated
14
Summer/ête 2009
to investments that perform well yet are
reasonably safe from market gyrations –
investments such as money market mutual
funds, possibly diversified with bond,
mortgage, and balanced funds. Bear in
mind that these are not all entirely immune
to market volatility in the short term, but can
balance one another over longer periods.
Look at life
circumstances and income
If you are near retirement or retired,
widowed, or unemployed or fearing
unemployment, maintaining your income
from a safely invested capital base may
be your first priority. Conversely, if your
current employment or business covers
your expenses and you are building
substantial net worth, your goal may be to
maximize the performance of your portfolio,
focusing on growth investments such as
equity mutual funds. Everyone’s goals
differ, thus each individual portfolio needs
distinct personalized planning based on that
person’s own clearly defined objectives.
Entering the golden years
The potential for
having a critical illness
Demographic studies indicate that the
majority of Canadians will soon be over
the age of 50, thus creating a need for the
following two types of insurance.
Critical illness insurance protects your
dependent(s) in the event that you suffer a
disability due to a major illness such as heart
attack, coronary bypass surgery, stroke,
terminal cancel, blindness, paralysis, or
kidney failure.
It pays out a tax-free lump-sum benefit.
You could clear outstanding debts such as
the mortgage, finance home renovations
to meet changed living needs, or pay
for specialized medical treatments not
covered under your health insurance such
as chiropractic or massage therapy fees.
There are no restrictions on how you use
the lump sum benefit. It is not based on
your ability to work, and is yours even if
you fully recover.
To collect the benefit, you will
require a doctor’s statement regarding
your health and confirming that you
have survived the critical illness,
generally, for at least 30 days.
Note: Immediate help in the USA can
be accessed rather than waiting it out
here, and some policies allow for the best
specialists available in North America.
Will you need long term care?
Long-term care insurance will pay for the
cost of long-term care associated with
a disability or chronic illness. It covers
relocation to a long-term care facility or
in-home caregiver assistance. Usually, the
available benefit consists of a fixed taxfree amount from $20 to $300 per day.
As the policyholder’s issue age for the
coverage increases, the premiums for this
insurance also increase.
Look for policies renewable for life
which include coverage for skilled care,
intermediate care, rehabilitation centers,
and nursing homes. Ask if conditions
such as Alzheimer’s are covered and if
extended care at home is an option.
Note: Where cognitive and other
impairments manifest in old age LTV
coverage can eliminate the financial
burden on a family if this were to occur.
Joe Pignatelli, RHU, is a Registered Health
Underwriter. He runs a disability and life insurance
practice in the Golden Triangle area, with
particular interest in the community. For further
information contact Joe at 1-888-772-2667.
Click here to return to the Table of Contents
The VITA brand is synonymous with accurate shade determination.
But VITA is more than just shade: behind the VITA name
is a system of trusted, proven, high quality dental
restoratives that, when you ask for them by name,
help strengthen your patients’ trust in you.
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uy $4,00
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ITA teet
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800-263-4778
*Free mould guides will be sent upon receipt of a faxed copy of your qualifying invoice to Vident at 714-961-6209. $4,000 must be purchased on one invoice.
Janice Wheeler, President, The Art of Management Inc.
PraCtiCe management
Put a shark in your tank
“Instead of avoiding challenges,
jump into them. Beat the heck out of them.
Enjoy the game.”
A Fishing story
he Japanese love fresh fish. However,
the waters close to Japan have not
held many fish for decades. So to feed the
Japanese population, fishing boats got
bigger and went farther than ever.
The farther the fishermen went, the
longer it took to bring in the fish. If the
return trip took more than a few days,
the fish were not fresh. The Japanese
did not like the taste.
To solve this problem, fishing companies
installed freezers on their boats. They would
catch the fish and freeze them at sea.
Freezers allowed the boats to go farther
and stay longer.
However, the Japanese could taste the
difference between fresh and frozen and
they did not like frozen fish. The frozen fish
brought a lower price.
So fishing companies installed fish tanks.
They would catch the fish and stuff them
in the tanks, fin to fin. After a little thrashing
around, the fish stopped moving. They were
tired and dull, but alive.
Unfortunately, the Japanese could still
taste the difference. Because the fish did
not move for days, they lost their fresh-fish
taste. The Japanese preferred the lively
taste of fresh fish, not sluggish fish.
So how did Japanese fishing companies
solve this problem?
T
How Japanese fish stay fresh
To keep the fish tasting fresh, the Japanese
fishing companies still put the fish in the
16
Summer/ête 2009
tanks. But now they add a small shark to
each tank. The shark eats a few fish, but
most of the fish arrive in a very lively state.
The fish are challenged.
What is YOUR challenge?
As soon as you reach your goals,
such as finding a wonderful mate,
starting a successful practice, paying
off your debts, or whatever, you might
lose your passion. You don’t need
to work as hard, so you relax.
This is the same problem as lottery
winners who waste their money, wealthy
heirs who never grow up and bored
homemakers who get addicted to
prescription drugs.
Like the Japanese fish problem, the
best solution is simple. Take on challenges.
The benefits of a challenge
The more intelligent, persistent and
competent you are, the more you enjoy
a good problem.
If your challenges are the correct size,
and if you are steadily conquering those
challenges, you will be happy.
You think of your challenges and get
energized. You are excited to try new
solutions. You have fun.
You are alive and fresh!
Recommendations
Instead of avoiding challenges, jump
into them. Beat the heck out of them.
Enjoy the game.
If your challenges are too large or
too numerous, do not give up. Failing
makes you tired. Instead, reorganize.
Find more determination, more
knowledge, more help.
If you have met your goals, set
some bigger goals. Once you meet
your personal or family needs, move
onto goals for your group, society, even
humankind.
Don’t create success and lie in it.
You have resources, skills and abilities to
make a difference.
Put a shark in your tank and see how
far you can really go.
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
Click here to return to the Table of Contents
Simply the Best, Simply BlueLine
®
BlueLine® Esthetic Denture Teeth embody the true beauty and detail found only
in natural dentition and are ideal for either complete or partial dentures.
• Exclusive BlueLine® layering process
• Patient-specific posterior occlusal options
• Available in all 16 A-D and two new esthetic bleach shades - BL1 and BL3
100% CUSTOMER SATISFACTION
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Tru Innovation
Whether it’s for the Laboratory, the Dental Professional or the Patient, TruRx is the Intelligent
Denture System that gives everyone a reason to smile.
Laboratory:
• Drives premium denture business
• Provides patient’s post-therapy
image, face shape, mould forms,
arrangement & denture base
• Produces a complete and
easy-to-read TruRx detailed
prescription that can be received
via e-mail, fax or print-out
Dental Professional:
• Provides an interactive, custom
denture consultation
• Standardizes and simplifies the
denture process
• Enables the denture consultation
to be delegated to an auxiliary
• Shows patients their post-therapy
image during their FIRST visit
Patient:
• Educates patients for improved
understanding and acceptance
of the treatment plan
• Shows patients a cosmetic
approximation of what they will
look like with their new denture
• Helps to ease fears and promotes
more positive appointments
For more information on TruRx - The Intelligent Denture System, please contact your authorized
DENTSPLY Distributor at 1.800.263.1437.
www.dentsply.ca
Other DENTSPLY products:
1.800.263.1437
© 2009 DENTSPLY Canada. All rights reserved
Improving
denture
aesthetics
with clear,
resin-based
baseplates
By Gregori M. Kurtzman, DDS, Maryland,
and Nels Ewoldsen, DDS, MS, Indiana
T
he quality of the artificial teeth
used in removable prosthetics has
demonstrated a drastic improvement
due to the laboratory’s use of a layered
shading technique; these teeth have also
demonstrated improved wear resistance
as compared to previous iterations.1,2 The
denture base, however, can greatly affect
the final aesthetic result.3 Denture base
resins are typically available in a few limited
shades, which may not blend with the
patient’s gingival tone. Since gingival tissue
is not monochromatic and possesses
varying tones, the dental laboratory must
further dedicate time to tinting the final
denture base in order to mimic nature.4
This increases the time involved for
the clinician and laboratory, and could
subsequently lead to higher laboratory
fees. Communication of the nuanced
gingival shading also requires increased
clinical skill.5,6
The use of a light-curable denture
resin (e.g., Eclipse, Dentsply Prosthetics,
York, PA) provides an alternative to
traditional, time-consuming denture base
materials.7 When first introduced, light
curable denture resins were designed to
Click here to return to the Table of Contents
be used for the entire denture base in
three consistencies (i.e., baseplate, set-up,
and contour resins) (Figure 1). When the
clear resin is used as a denture baseplate,
denture aesthetics are improved, as the
patient’s gingival tones are visible through
the denture flanges, creating the illusion of
the denture blending into the soft tissue.8
Figure 1
Appearance of a finished maxillary removable
prosthesis using a clear, resin baseplate.
Use of a visible,
light-cured system
Utilization of a high-strength resin as a
permanent baseplate for the final denture
allows the technician to fabricate the
prosthesis on a master cast. When
fabricating a maxillary denture, the posterior
palatal seal area is altered on the cast.
Unlike traditional dentures, in which the
baseplate is discarded during processing of
the denture, the light-cured resin baseplate
is incorporated into the final denture. This
allows the clinician and the patient to assess
retention of the definitive prosthesis during
try-in, prior to denture fabrication. Following
intraoral try-in, no packing or flasking are
required to complete the denture. The
resin is light-cured and minimal finishing is
generally required prior to delivery.
Figure 2
The clear resin is placed onto the warmed master
cast that has had the separator applied.
Summer/ête 2009
19
Figure 3
The clear resin material is molded to the warmed
master cast using finger pressure to adapt it to the
vestibules, ridge, and posterior palatal seal area.
The warmed model
is removed from
the conditioning
oven and a piece
of clear baseplate
resin is adapted
Figure 4
The finished clear Eclipse baseplate fabricated
on the master cast which will become part
of the definitive removable prosthesis.
20
Spring/Printemps 2009
to the cast.
Resin baseplate
fabrication sequence
An impression is made that captures all
necessary aspects of the arch and its
associated anatomy; a stone master cast
is then fabricated. On the maxillary cast,
the posterior palatal seal area is modified
with a sharp instrument. The cast is then
painted with a separating material (e.g.,
Al-Cote, Dentsply Prosthetics) to seal
the stone and prevent resin penetration
during processing. The cast is placed
into the conditioning oven and heated
until the temperature indicator placed
on the cast turns black. The warmed
model is removed from the conditioning
oven and a piece of clear baseplate
resin is adapted to the cast (Figure 2).
The resin is adapted to the cast in a
uniform thickness and smoothed (Figure 3).
It is important to ensure no air is trapped
beneath the resin and that close adaptation
is achieved to ensure an accurate intraoral
fit. An air barrier (e.g., Eclipse Air Barrier
Coating, Dentsply Prosthetics) is painted
over the resin to prevent formation of an
air-inhibited layer during curing. Because
Click here to return to the Table of Contents
the resin baseplate cannot be cured with
a conventional handheld curing light,
a specialized processor (e.g., Eclipse
or Enterra Processing Unit, Dentsply
Prosthetics) should be used to provide the
necessary light intensity required to ensure
a full cure. The cast can then be cooled to
room temperature and placed into a bowl
of water for 10 to 15 minutes to rehydrate
the model and facilitate separation of the
baseplate from the stone cast. Typically the
cast will be chipped where undercuts exist;
it is not necessary to preserve those areas
as the denture is processed at a later point.
The air barrier is washed off and an
acrylic bur can then be used to carefully
trim and shape the flanges; care should be
taken to ensure that the flanges are kept at
a contour that would be found on a finished
denture. Traditional polishing methods with
rag wheels and pumice followed by acrylic
polishing compound is utilized to create
a smooth lustrous finish to the baseplate,
except for 10 mm of the resin on either side
of the crest. The crestal area is roughened
with a bur to facilitate mechanical retention
for the overlaying materials when the
denture is completed (Figure 4).
The clear baseplate may be tried in to
evaluate for pressure spots, which will be
visible through the baseplate as blanched
areas, and the flanges and posterior
palatal seal area can be evaluated and
adjusted as needed (Figure 5). Retention
of the baseplate should be evident in the
maxillary arch and will carry forward to the
final product. If retention is not present
and adjustment of the baseplate does not
remedy the situation, a wash impression
can be taken in the baseplate and a new
cast and baseplate can be fabricated from
it. The previous step may be bypassed and
the baseplate returned with a wax bite rim
to capture bite-relation records (Figure 6).
Laboratory sequence
for the hybrid denture
The clear baseplates with rims and biterelation records are returned, and the casts
are mounted on an articulator. Denture
teeth are set accordingly in the wax rims
and the case is returned to the clinician for
final try-in. It is important to confine the wax
to 5 mm to 8 mm from the cervical aspect
and not to cover the entire baseplate at the
flanges and palate (Figure 7).
Click here to return to the Table of Contents
Figure 5
The clear baseplate is evaluated intraorally to
check for any pressure spots, fit, and retention.
Figure 6
Appearance of the clear baseplates
with wax rims in place for full-mouth
removable prostheses.
Following try-in and approval of the
dentures, the device is removed from
the master cast and a mixture of stone is
placed into the tissue side of the baseplate
to fabricate a processing model. Upon
setting, the processing model and denture
is flasked traditionally. The flask is boiled
out to melt the wax, and, after opening
the flask, additional boiling water is used
to remove any remaining wax. While the
flask is still hot, a wax remover is brushed
onto the area of the clear baseplate where
the teeth will be attached, and the flask
is closed and allowed to sit for 10 to 15
minutes. The flask is then opened, and all
gypsum surfaces are painted with Al-Cote.
Denture acrylic is mixed and packed into
the denture-tooth side of the flask. Acrylic
monomer is brushed onto the record
base, and the denture is processed using
traditional protocol. When processing
is finished, the dentures are deflasked,
trimmed, and polished. The dentures are
placed back onto the original mounted
casts, and occlusion is finalized to correct
Summer/ête 2009
21
Figure 7
Once the clear baseplates and wax rims
are mounted, the denture teeth are set
in wax and evaluated to verify occlusion,
phonetics, and aesthetics.
When processing
is finished,
the dentures are
deflasked, trimmed,
and polished.
Figure 8
Appearance of the definitive maxillary and
mandibular full-arch removable prosthesis with
clear baseplates prior to delivery.
any processing changes. The dentures are
then ready for delivery to the patient (Figure
8). Upon insertion, the clear flanges permit
the soft tissue tones to transmit through
the flanges, allowing the dentures to blend
in with the soft tissue nuances.
Conclusion
Although denture teeth have improved
in aesthetics and can rival what the
laboratory can achieve with ceramics
with regard to graduated shading and
incisal translucency, the denture base
can, even in the best of situations, call
attention to the artificial nature of the
smile. Utilization of a transparent baseplate
with clear flanges allows the underlaying
tissue to shade the denture base. Thus,
the denture has the illusion of fading into
the patient’s tissue and providing a more
natural appearance. This can be especially
beneficial in those patients with generalized
darker pigmentation of the gingiva, which
is very difficult to replicate in gingival-toned
denture bases.
Acknowledgment
The authors would like to thank Dr.
Veeraraghavan Sundar and Dentsply
Prosthetics for the assistance in writing this
article. This article adapted with permission
of Montage Media Corporation © 2008.
Kurtzman GM, Ewoldsen N. Improving
denture aesthetics with clear, resin-based
baseplates. Pract Proced Aesthet Dent
2008;20(9):538-540.
INTEGRATING IMPLANT SUPPORTED
DENTURES AS A PART OF YOUR PRACTICE
Dr. John Augimeri B.Sc., D.D.S.
Starting a new Study Club for Denturists in alliance
with Dentures by Denturists, Jaro Wojcicki Jr. DD
22
Summer/ête 2009
1. Ghazal M, Steiner M, Kern M.
Wear resistance of artificial
denture teeth. Int J Prosthodont
2008;21(2):166-168.
2. Ancowitz S. Esthetic
removable partial dentures.
Gen Dent 2004;52(5): 453-459.
3. Donovan TE, Derbabian K,
Kaneko L, Wright R. Esthetic
considerations in removable
prosthodontics. J Esthet Restor
Dent 2001;13(4):241-253.
4. Joffe E. Esthetic re-creation of
soft tissue architecture in replacing
missing maxillary anterior teeth.
Gen Dent 2003;51(4): 316-319.
5. Haeberle CB, Khan Z.
Construction of a customshaded interim denture using
visible-light-cured resin.
J Prosthodont 1997;6(2):153-156.
6. de Krom CJ, van Waas MA,
Oosterveld P, et al. The oral
pigmentation chart: A clinical
adjunct for oral pigmentation
in removable prostheses. Int J
Prosthodont 2005;18(1):66-70.
7. Massad J, Lobel WA,
Garcia LT. A method to minimize
RPD framework deformation
during fabrication procedures.
Dent Today 2006;25(2):122-126.
701 King St., Midland, ON L4R 4K3
For more information phone 705-527-7772 or 705-549-5361 or
email [email protected] or [email protected]
References
Dr. John Augimeri,
BSc., DDS
8. Huggett R, Brooks SC.
The transparency of clear
acrylic denture base material.
Dent Tech 1986;39(8):4-6.
Click here to return to the Table of Contents
Denturists Across the Nation
Centre Medico-Dentaire de la Gatineau
Denturism recognizes:
Tony sarrapuchiello
By Cathy Anderson
D
id Tony Sarrapuchiello follow a difficult
path to the profession of denturism?
You could say it was like pulling teeth.
As a teenager in Montreal, Sarrapuchiello
watched as his classmates fell victim to
frequent tooth extractions. “It was amazing
for me to see that some of my friends in
class suddenly had no more teeth,” he says.
“We always were making some jokes. The
teachers were making them read loudly so
we can have a little bit of fun.”
Eventually, the classmates would return
with teeth. “That always kind of interested
me,” Sarrapuchiello laughs. “I was
questioning – how is it done? That was the
first feel I had for the profession.”
In 1981, Sarrapuchiello graduated as
a denturist. He quickly made contacts
through dental companies, and in 1982
created a partnership with a dentist.
Together, they formed the Centre
Medico-Dentaire de la Gatineau.
24
Summer/ête 2009
Over the years, the practice
has grown and evolved. Now, the
Centre Medico-Dentaire consists of
approximately 7,000 square feet shared
among dentists, denturist and medical
doctors. “We are very very busy,” says
Sarrapuchiello. “There’s a common
waiting room, and that waiting room is
always full. We have celebrated our 25th
anniversary a couple of years ago.”
In addition to his busy practice,
Sarrapuchiello has worked with the
Denturist Association of Canada,
and the International Federation
of Denturists (IFD). He is currently
serving as the Vice President of the
IFD. He is proud to speak of the
role Canada plays internationally.
“I think that we are, at this moment,
looked up to as pioneers,” he says.
Canada has provinces that have
been legislated for many years. “What
we went through
is basically what
some of the
countries that have
a young denturist
profession have
to go through,”
he says. “And
the ones that are
not legislated, we
kind of realize that
they are going
through the same thing to achieve the goal
of creating denturism in their country. So
therefore, having this advantage of having
been there before, we are a very important
part of the International Federation of
Denturists. I would almost use the term,
the leaders.”
Sarrapuchiello identifies recognition as
a crucial motivating factor to the work that
is being done in the field of denturism. “I
think for every country or every denturist
in the world, the ultimate goal is to be
recognized around the world forever,”
says Sarrapuchiello. “Like dentists are
recognized around the world, like lawyers
are recognized around the world, like
all these professions and I think we’re
still a very young profession with lots of
stumbling blocks in front of us.”
From one year to the next,
Sarrapuchiello is pleased to note that
there is progress on both the national
and international levels.
Nationally, relationships have been
created between the association and
different levels of government. There has
been growth in terms of education of
denturism students. “We have worked a
lot towards accreditation of the different
denturism programs in Canada,”
Sarrapuchiello says. “From one year to
another, we are progressing into a rhythm
to advance denturism in Canada.”
Internationally, progress can be
painfully slow. However, there are
positive signs. “One of the latest was
the legislation that was achieved by the
UK,” Sarrapuchiello explains. “And that
was with the help of the International
Federation that was making the linkage
between the UK and Canada.”
Click here to return to the Table of Contents
“We have celebrated our 25th anniversary
a couple of years ago.”
“Graduates from the UK came and
trained in Canada, for many many years
and at a very high cost. Finally after all that,
they were recognized in their own country.
That’s the latest, I would say, important
movement of denturism in the world is
the legislation in the UK.”
Other countries are working
hard to catch up. “The International
Federation deals with countries like
South Africa, Slovakia; countries that
are just starting to live in a democratic
world. There is a lot of work being done,
but it is a very very slow process.”
In the future, Sarrapuchiello
hopes to persist with his work with
the IFD. “I will continue to serve the
profession. I’ve worked through the
provincial level and national level,
now I’m to the international level.”
“My belief is that the more denturism
is recognized around the world, the
longer this profession will exist. So
now I think I am in a position where I
could put in practice that thought.”
Having been in practice for nearly 30
years, Sarrapuchiello enjoys the present and
looks forward to the future. He appreciates
the work he does with people. “Every day
that I go to work it is fun, because I know
what I am doing, and I can chat about lots
of different thing with my patients, and it’s a
fun experience for both of us.”
His four children are a source of great
pride for Sarrapuchiello. The oldest is in
her fourth year of medical school. The
second oldest is hoping to become an
electrician. The youngest are twins, one
of which is leaning towards medical
school. The other twin has decided
to follow his father’s footsteps.
“My son is entered in denturism
school; he is in his first year now.”
Sarrapuchiello looks forward to a time
when he will be able to provide his son
with valuable experience in a clinic,
while he himself will be able to take
time off from his own busy schedule.
Perhaps international relations
will always be in the cards for
Sarrapuchiello. “I will take my time
off and travel around the world,” he
laughs. “Maybe visit a lot of my friends
at the international level.”
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would like to welcome DenPlus as the new Eastern Canada Enigma Dealer.
Click here to return to the Table of Contents
Summer/ête 2009
25
The CreaTors of
MID-CoNTINeNTaL News UPDaTe
As the manufacturer of Renew® Denture
Cleaner, we are pleased to announce that
Mid-Continental Dental Supply Co. Ltd.
is now the authorized dealer of Justi®
products in Canada.
An exclusive special offer
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Watch for our direct mailer
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Renew® is a registered trademark of Mid-Continental Dental Supply Co. Ltd.
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Click here to return to the Table of Contents
DACnet
™
Getting from paper to electronic
By geoff Valentine, manager, Health informatics Services, Canadian dental association
DACnet™ is live and more and more
denturists, and their patients, are
benefiting from electronic insurance
claims submission. No question, it
takes some effort to get from manual
to electronic claims, but the process
doesn’t have to be painful. In a
nutshell, to submit claims electronically,
the following has to be in place:
• You need to be subscribed
to DACnet and have paid
the DACnet fee.
• Insurance companies must be
ready to accept denturist claims,
and they need to have you
registered as an authorized provider
on DACnet.
• You need software that is certified
to send DACnet claims, that has
been set up properly, and that
can communicate with insurance
companies either over the Internet
or on phone lines.
along with the fees payment, to DAC.
The fee for DAC members is $350 in
the start-up year and $150 in renewing
years. The non-member fees are $850 in
the start-up year and $650 in renewing
years. The subscription allows you to
transmit an unlimited number of claims,
and from more than one office if need be.
However, DACnet does need to know all
of the offices you will be transmitting from.
An electronic claim message contains
ID numbers for the denturist and the
particular denturist office the claim is
coming from. When your subscription has
been accepted, DACnet will send you
your DACnet provider ID number and the
office number(s).
Once your subscription is processed
and the ID numbers have been assigned
the insurance carriers need to be
updated that you are an authorized
provider. Each Friday DACnet informs
the insurance carriers of changes to the
list of authorized
providers. This
includes new
providers,
address changes,
deletions of
providers from
office, etc.
The insurance
carriers all have different processes for
updating their internal lists, and for some
it happens very quickly (e.g. one to two
days) and for others it can take much
longer (two to three weeks). Typically the
You need to subscribe to DACnet
to be authorized to
send e-claims.
Let’s look at these individually.
You need to subscribe to DACnet to
be authorized to send e-claims. All
denturists are eligible to subscribe.
Simply complete the form and send it,
Click here to return to the Table of Contents
larger carriers are quite fast. Of course,
only the insurance carriers that accept
denturist claims electronically are part of
this process, and DACnet is working to
have more insurance companies accept
electronic claims.
The last piece of the puzzle is having
the properly configured DACnet certified
software and deciding whether to have it
transmit over phone lines or to subscribe
to ITRANS and use the Internet instead.
“DACnet Certified” means the software
has been tested and is able to send and
receive electronic claims messages – this
is the only aspect of the software that
DACnet looks at. “Properly configured”
means the proper provider and office
ID numbers have been set up and
the latest information for each of the
insurance carriers needs to be present.
Your software vendor typically looks
after this, and also helps with changes
as insurance companies are added or
change their contact information.
Claims can be transmitted over
phone lines using a modem, or, securely
over the Internet with a subscription to
a service called ITRANS. Phone lines
are tried and true though getting a
quality modem is becoming increasingly
difficult. ITRANS is a service designed
specifically for transmitting insurance
claims on the Internet. For the annual
subscription fee, that is less than the
cost of a phone line, the service allows
you to get more out of your office
Internet service, and provides additional
Summer/ête 2009
27
DACnet™
functionality that allows you or your staff
to better track the claims that have been
submitted. See the contact information
below for more information on ITRANS.
With all these pieces in place, you
are ready to send electronic claims,
that is, provided you and/or your staff
know how. Staff training is important
and should not be overlooked. DACnet
provides the DACnet Office User Guide.
All staff who will be sending claims should
read this document; it addresses all the
usual issues and questions that come
up. In addition, your software vendor
should instruct staff in how the claims
submission process is enabled in your
particular program – what menus to
use, whether you can add insurance
companies on your own, etc.
What do you do if a claim won’t transmit
while your patient is standing at the front
office? Call the DACnet Help Desk. The
help desk will be able to quickly identify
what the likely source of the problem is – Is
the network down? Is the software not
configured properly? Has that insurance
company been having system problems
today? The help desk can usually identify
the issue quickly and get the wheels turning
toward solving the problem.
DACnet brings the benefits of e-business
into your office by eliminating paper,
driving down costs, improving service and
providing a better claims experience for you,
your patient and the insurance company.
Take the first step toward e-claims in your
office and visit the DACnet website for all
the details. Visit www.dacnet.ca.
Contact information:
Denturist Association of Canada
www.denturist.org
1-877-538-3123
DACnet Help Desk
www.dacnet.ca
1-877-832-2638
ITRANS
www.goitrans.com
1-866-788-1212
denture clinic for sale
My denturist license in Washington State was dated December
14, 1992 in the city of Bellevue, two years before denturism
was legalized. In that time we were allowed to operate our
clinics with the condition that if patient complaints occur, or
the Denturist Bill did not pass in the 1994 ballot, or if we did
not pass the State Board Exam after our specialty should gain
acceptance, we would be shut down.
I never had any patient complain, our bill passed, denturism
was legalized, and I passed the State Board Exam at the University
of Washington. My clinic was legally opened on January 1, 1995.
After this exciting time, and my more than four decades in the
dental profession, I am thinking of retiring. I will use my teaching
credential from the University of Berkeley to teach our profession
and will lecture to promote my invention the Mastication Analizer
Instrument and Theory, which will revolutionize precision to create
dental appliances. I will continue to write my articles for the
international magazine of our profession, Denturism Canada.
My clinic is for sale. Bellevue is one of the best neighborhoods
in Washington. My satisfied patients are referring others, and
dentists and chiropractors are referring their patients. There is
great potential for my successor to grow here.
28
Summer/ête 2009
My clinic is 1200 sq. ft., has two large operatories, large
lab (room enough for two people working), large reception and
waiting area, filing room, kitchenette with staff lounge, private
office, and two restrooms.
Both the clinical and technical sides are well equipped. So is
the front office. The tooth stock is “supplier size” with only firstclass quality teeth. I don’t offer “economy” dentures.
I offer transitional help for my successor, meaning that I
can coach him or her for a period of time, until the patients are
comfortable with the new face who they can trust, just as they
did me. My clinic used
to be a dentist clinic, so
my successor can hire
a dentist and transfer
the lab and the private
room to be two additional
operatories again.
if interested, e-mail
Laslo Bako at
[email protected]
Click here to return to the Table of Contents
18
hs
Mont
only
Click here to return to the Table of Contents
30
Summer/ête 2009
Click here to return to the Table of Contents
Preliminary PYP Conference Highlights Symposium: Treatment Planning Implant Solutions for Panel Discussion: How, When and Should You Expand Your Patients Your Practice Presenters: (TBA) Bashar Mutlak, Business Manager, Grimsby Denture Clinic Sponsored by Nobel Biocare Tim Rayner, President, Gateway Marketing Come and learn, share information, be inspired and gain Janice Wheeler, President, The Art of Management valuable knowledge and experience that will help you During uncertain market conditions, is it a good time to provide optimal functional and esthetic solutions for your expand your business? Don’t miss this discussion if you patients. During this three‐hour interactive session, are thinking of making a financial investment to relocate participants will have an opportunity to compare your practice, enlarge your current premises or increase treatment strategies with a panel of renowned Denturists. your staff. Presenters will take you through the various Using visual aids, each panelist will present a case study thought processes and steps to help you determine the with three treatment options, followed by audience right course of action, if any. Topics will cover how to response and discussion, concluding with a vote on the strengthen client relationships, develop marketing preferred treatment plan. strategies, and set up and maximize your website to promote your business and attract new patients. Infection Control: Procedures for Prevention Lawrence Marmai, Infection Control Sales Manager, Maxill Marketing for Success Sponsored by Maxill Bashar Mutlak, Business Manager, Grimsby Denture Clinic Major changes have occurred in infection control in the This workshop‐based session will help practices achieve past couple of years. When was the last time your office higher success through relationship marketing and processes were updated? The latest guidelines on referral‐based business. Learn how to spend less money infection control will be reviewed. Find out what works, and time growing your business using the principles of what doesn’t and what Denturists need to do to protect relationship marketing. themselves, their equipment and their patients. Cast Partial Design An Economic Outlook Paul Karolidis, RDT, DD Marvin Ryder, Professor, McMaster University This session will provide a general overview on denture Dinner speaker Marvin Ryder, a professor of design and the latest tools and techniques to ensure a entrepreneurship at McMaster University, will talk about proper fit. Special attention will be given to customizing the impact of a changing economy on small business and partials for the individual needs of each patient. how to manage through tough times. He will provide an economic outlook from a local, national and international Protect Your future: Getting perspective. Professor Ryder has consulted widely in Savvy About Investments and Insurance the not‐for‐profit sector including work in transit, tourism, Terry Windrem and Shane Carter, BBA, CSA health, sports and entertainment. Sponsored by The Protectors Group Today, more than ever, it’s important to stay focused on your financial goals. Obtain solid and practical advice for Oral Pathology and the Role of the Denturist protecting your accumulated assets and working toward Dr. Deborah Saunders Early detection is crucial to positive treatment outcomes financial independence and secure retirement. This for patients with oral cancer. Using a practical and session will prove that financial planning can be fun, theoretical approach, this session will examine oral engaging and enlightening. pathology common to the edentulous mouth as well as common oral lesions. The screening steps involved in SUBJECT TO CHANGE detecting oral cancer will also be reviewed. PYP REGISTRATION INFORMATION Neuromuscular Occlusion Dr. Robert Clinton No increase for 2009 registration fees: Sponsored by Myotronics Using the science of neuromuscular occlusion, developed Early bird: $290 (includes GST) by noted prosthodontist, Dr. Bernard Jankelson, this After Aug. 15: $345 (includes GST) session focuses on the objective evaluation of the teeth as well as the function of the jaw muscles and joints before, Watch for more details. during and after treatment in order to achieve optimal The conference registration package with course results for patients. descriptions, golf tournament information, hotel information and registration form will be mailed in early June. Click here to return to the Table of Contents
Summer/ête 2009
31
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Co-hosted by the International Federation of Denturists and the National Denturist Association
THE ORLEANS HOTEL & CASINO • LAS VEGAS, NEVADA • OCTOBER 13-16, 2009
PRELIMINARY SCHEDULE
Tuesday, October 13
1
2
3
Fees: $135 USF*
Symposium Golf Tournament
Shot Gun
Start 12:30 p.m.
The Revere Golf Club,
Henderson, Nevada
*Includes green fee, cart fee,
unlimited practice balls
Club rentals: $45 USF per set,
includes two sleeves of golf balls
Transportation to be provided
– fees to be announced
Tuesday, October 13
9:00 a.m. - 5:00 p.m. International Federation of Denturists
2009 Annual Meeting
7:00 p.m. - 9:00 p.m. Registration opens
Wednesday, October 14
9:00 a.m. - 12 noon
International Federation of Denturists
2009 Annual Meeting
9:00 a.m. - 4:00 p.m. Continuing professional education
sessions and lecturers to be
announced. Watch
www.international-denturists.org
Thursday, October 15
Exhibits open
Exhibit Hall
8:00 a.m. - 10:00 a.m. Breakfast for registered attendees
10:00 a.m. - 12 noon Continuing professional education
12 noon - 1:00 p.m. Lunch for registered attendees
1:00 p.m. - 4:00 p.m. Continuing professional education
4:00 p.m. - 5:30 p.m. Cocktails break for registered attendees
7:00 p.m. - 9:00 p.m. International Presidents Dinner
(by invitation)
Friday, October 16
Exhibits open
Exhibit Hall
8:00 a.m. - 9:30 a.m. Breakfast for registered attendees
9:30 a.m. - 12 noon Denturist Association of
Canada Annual Meeting
9:30 a.m. - 12 noon Continuing professional education
12 noon - 1:00 p.m. Lunch for registered attendees
1:00 p.m. - 4:00 p.m. Continuing professional education
6:30 p.m. - 9:00 p.m. Special closing event
9:00 p.m. - 10:30 p.m. Symposium poker tournament
(Fees TBA)
Saturday, October 17
8:00 a.m. - 12 noon
9:00 a.m. - 12 noon
Denturist Association of Canada
Annual Meeting
National Denturist Association
Board Meeting
GOLF: Transportation to be provided
(Fees TBA)
HOTEL INFORMATION | THE ORLEANS HOTEL & CASINO
4500 W. Tropicana Ave., Las Vegas, NV 89103
$67 PER NIGHT (Tuesday, October 13-Thursday, October 15), Single/Double
$130 PER NIGHT (Friday, October 16-Saturday, October 17), Single/Double
Plus $5.00 per night Resort Tax
(access to Fitness Centre, free hi-speed Internet in Business Centre, in-room coffee,
unlimited local and 1-800 telephone calls),plus 9% tax.For reservations call 1-800-675-3267.
Identify the “International Federation of Denturists – Group Code 9IFDC10”.
Deadline for reservations: september 13, 2009
CLaSSiFiedS
DENTURISTS WANTED
Dentist interested in associating with
denturist in Lakeside retirement community
in Ontario-Niagara Region. Potential
for increased case acceptance. Great
opportunity for new graduates or existing
practioner. Will mentor if necessary. Please
reply to Dr. Sonny BSc., DMD, P.O Box 852
Hamburg, NY 14075 or call 716-648-1820.
Denture clinic located in the heart
of Lloydminster, Alberta, is seeking an
energetic, dedicated, dynamic, professional
licensed denturist. This is a full-time position
in an ideal location, halfway between
Saskatoon, SK and Edmonton, AB. The
clinic is a bright and cheery workspace
and has a large custom-built lab with lots
of natural light. An added bonus is the
opportunity to become the sole owner of
this 30-year old established and busy clinic.
Owner is considering retirement within the
next two to three years but is willing to stay
on as a lab technician once the transfer of
ownership is complete. Contact kdclinic@
telus.net or fax to 780-875-6721. Serious
inquiries only, please.
Very active 44-year denturist office
requires an associate in western Canada.
Please contact Ora Dental Studio,
800-665-1964.
Denturist associate position available.
Two locations: Toronto (Central North);
Toronto (downtown west). Both clinics
are well established and require a highly
motivated practitioner wanting to grow their
own practice. E-mail [email protected]
Denturist seeking to associate in an
established clinic, willing to relocate.
613-263-3050 or [email protected]
EqUIPMENT FOR SALE
Gel mixer Gel Bat 6 duplicating machine.
Contact Karen Suykens at 705-568-8565.
Four drawer (white) 6” x 9” file cabinet,
comes with pouches and hanging holders.
Please call 250-833-1500.
WW II army dental chair (folds up);
dental chair S.S. white; hydraulic (antique);
dental cabinet (antique); 5 H.P. model
trimmer (handler) Red Wing lathe w/ quick
chuck 6”; 8 brass flasks;15 Kerr Compress
spring clamps; Burn out furnace New
(Hoppert); 2 doz articulators (2 Hanna); 2
casting arms (different sizes); 1 commercial
exhaust fan (new); 1 set alum polishing;
Tooth stock imp. trays, plaster tray; Heat
sterilizer. Call 519-438-0260.
Click here to return to the Table of Contents
LNR Ultrasonic T-14; Bur Holders;
Bunsen Burners; two 3-gallon disposable
plaster traps; 4 Handler dust collectors,
some with shields and lights; 1 X35
Micromotor; 1 Buffalo model trimmer,
10-inch wheel comes with extra new
wheel; 1 Hysouma pumice splash guard
with light; 1 Velocity Quatro Arovac.
For additional information please
contact Patrick Felt at [email protected]
or 403-845-6660.
KAVO boil-out & polishing unit;
Ticomium shell blaster for sale. Boil-out:
$5000 obo; polishing unit $3000 obo.
Polishing unit specifications and images
may be viewed at www.wasserrmandental.com (Model wp-ex80). Ticonium
shell blaster suitable for casting lab
$3000 obo. If interested please call
519-622-4500 for additional information.
CLINICS FOR SALE
Established, profitable, Edmontonbased mobile denture clinic for sale.
Owner retiring after 12 years. Different
purchasing plans available. Flexible hours.
Email: [email protected]
Denturist clinic is for sale in the heart
of Bellevue, WA, USA. After 16 years of
practice I am ready to retire. Excellent
reputation, 2 operatories plus in-house
lab, huge reception and waiting rooms, 2
baths, in 1,200 square feet. Telephone:
425-869-4112; E-mail: bakodent@
dentureusa.com
Denture clinic for sale, central
Toronto. Single operatory room, lab on
site. Priced to sell. For further details
e-mail [email protected].
Denturist practice for sale,
Vancouver, B.C. Owner retiring
immediately. 30 year-practice at
downtown east side (China Town area).
Gross sales over $200,000 yearly. Cheap
price for quick sale ($38,000). New
patients frequently referred by dentists
and nearby government dental centre.
If interested please phone as soon as
possible before it is too late!
Y. M. Lee 604-684-0024.
Denture clinic for sale, London,
Ontario. 30 years in same location on
busy road. Priced to sell. For further info
please call 519-438-0260.
Denture clinic for sale or sublet,
perfect professional location in Winnipeg,
MB. Built-in referrals, quality layout.
Excellent for graduate. Serious inquiries only
to [email protected].
Denture clinic for sale. Full-time denture
clinic located in Rimbey, 25 minutes north
of Red Deer. This clinic is in a stand-alone
building, and it has been established for
6 years. It has 2 operatories, separate
sterilization room, DOM software, Ivocap
system. The Associate Denturist, who is
currently working five days a week, is willing
to stay on for a transition period if desired.
Rimbey has easy access to Red Deer and
Sylvan Lake. Current owner is pursuing
other interests. For additional information,
please contact Patrick Felt at: pjfelt@
me.com, work: 403-845-6660 or
home: 403-844-4356.
For sale: Well-established denture-dental
clinic in Ottawa. Over 30 years in practice
within a dental complex. For information
please call: 613-733-2280.
Opportunity of a lifetime! If you
are looking to achieve better work/life
balance, this is an opportunity to relocate
to Southwest Ontario. With a large senior
population in our area, we have a loyal
patient base and a continual substantial
annual growth. The business is based
on high quality dentures construction. It
is the only denture clinic in town with an
excellent location, modern, fully-equipped
and professionally designed. Low overhead,
patients and dental referrals make this clinic
very profitable. The extra space gives the
possibility to sublease. Current owner willing
to stay on to ensure a smooth transition if
needed. For more information, call Daniela
at (519) 995-5533.
Busy denture clinic in St. Stephen, New
Brunswick. Large patient base from both
the Canadian and American sides of the
border. Inside mall location. One operatory
with expansion possibilities. Owner
retiring later this year. All reasonable offers
considered. Contact Suzanne at:
506-465-8808, 888-538-7007, or
[email protected].
CLINIC WANTED
Experienced denturist with financing
in place would like to purchase
established practice with minimum
annual gross 500k. Interested
parties please respond to
[email protected]
Summer/ête 2009
35
Karabet “Gerry” Baravyan
The Denturist Association of Ontario
36
In Memoriam
was saddened to learn the passing
Hugh Robertson
Tony Gawen Forster
on November 29, 2008 of Karabet
Hugh Robertson passed away suddenly
- Passed away Sunday, May 10, 2009
“Gerry” Baravyan, a long-time member
at the Huronia District Hospital on
of the association. Karabet worked
Tuesday, March 17, 2009 in his 62nd
as a dentist and dental technician
year. He was the beloved husband of Fay
in Istanbul, Turkey for over 20 years
Robertson, and loving father of Stacy
Tony was a dental tech in Manchester
before immigrating to Toronto, Canada
Robertson (Pat Bolger), Ryan Robertson
until he immigrated to Calgary in 1970
in the mid ’60s. After working in many
(Alesha Lewis) and predeceased by
and became a Denturist in 1985. He
labs and also working with the late
James Bicknell Robertson. He was the
loved the outdoors and the denturist
Ben Sweet (one of the pioneers of
grandfather of Karli, and brother of Doug
profession. Tony volunteered freely
our profession) for several years, he
(Chris), Sally Smith, Don (Susan) and
in the community and served as a
started the K. Baravyan Denture Clinic
Cathy Bateman (Paul). Hugh will be sadly
director with the Denturist Association
in 1974. He enjoyed a successful life
missed by his many nieces, nephews,
of Alberta as well as the Denturist
and career in denturism. He will be
family and friends. Visitation was held at
Society of Alberta. He was an
remembered fondly for his dedication to
the Nicholls Funeral Home, Midland, on
authority on the history of Denturism
his profession, his love for his family, and
Saturday, March 21, 2009. A celebration
who leaves behind his loving wife,
that infectious smile! Karabet is survived
of Hugh’s life was held on Sunday, March
Barbara, daughter Cheri and six
by his wife Verjin, their two children, their
22. If desired, donations to Diabetes
grandchildren and many friends.
many grandchildren, family and friends.
Association would be appreciated.
Tony will be sadly missed.
Spring/Printemps 2009
in Calgary, AB
- Born November 12, 1946
Winton, England
Click here to return to the Table of Contents
THE CREATORS OF
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here toAd_full_page.indd
return to the Table
of Contents
52326_Mid-Con
1
5/22/09 3:53:16 PM
reaCH Our adVertiSerS
PHONE
WEBSITE
Aurum Ceramic Dental Laboratories
COMPANY
PAGE
3
800-661-1169
www.aurumgroup.com
Bakodent Dental Care
28
425-861-4959
www.dentureusa.com
Baluke Dental Studios
34
800-263-3099
www.baluke.com
Central Dental
40
800-268-4442
www.centraldental.com
Dentsply
18
800-263-1437
www.dentsply.com
George Yonge College
29
416-961-6161
www.georgeyonge.com
Henry Schein
2
905-832-9101
www.hsa.ca
Impact Dental Laboratory
13
800-668-4691
www.impact-dental.com
Implant Direct
32
604-730-1337
www.implantdirect.com
Ivoclar Vivadent
17
800-533-6825
www.ivoclarvivadent.us.com
Laboratoire Dentaire Concorde – Canada
20
800-668-3389
Lifestyles Midland
22
705-527-7772
www.lifestylesmidland.com
Maxim Software
11
800-663-7199
www.maximsoftware.com
26, 37
800-882-7341
www.mid-continental.com
Novadent
Mid Continental Dental Supply
23
819-474-2580
www.novadent.com
P & G Oral Care Canada
39
800-332-7787
www.midcontinental.com
Pow Laboratories
5
800-265-4052
www.powlab.com
Robert Cabana
36
450-372-6511
www.robertcabana.com
Specialized Office Systems
9
800-495-8771
www.denturistsoftware.com
Specialty Tooth Supply
25
800-661-2044
www.specialtytoothsupply.com
Sunstar Americas
6
800-265-7177
www.sunstaramericas.com
Vident
15
800-263-4778
www.vident.com
Westan Dental Products Group
21
800-661-7423
SUMMER/ÊTE 2009
The Journal of Canadia
n Denturism / Le
Journal de la Denturo
logie Du Canada
NEW
N A D A
L O G I E C A
D E N T U R O
proving
Im
nture aesthetics
PM #40065075
Return undeliverable
to:
Canadian addresses
[email protected]
de
ALSO:
• DACnet™
hiello
• Profile of Tony Sarrapuc
Al Wiebe
Sales Manager
To reach denturists across Canada
through Denturism Canada magazine
and its targeted readership,
please contact me directly at
1-866-985-9788
[email protected]
38
Summer/ête 2009
Practitioner Support
brochure now available!
Partial Dentures:
Hygiene Tips &
Care Instructions
Package of 100 brochures
Only $11.50 + GST
plus 15% shipping
To order your
brochures today contact:
Denturists Association of Canada
Tel: (877) 538-3123 or (604) 538-3123
Email: [email protected]
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Visit www.fixodent.ca to find out more about the complete line of Fixodent products
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Fixodent can improve denture function/wearer satisfaction when
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© 2009 P&G
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3420 Pharmacy Ave. Unit 3, Scarborough, ON, M1W 2P7 Ph: 416.694.1118 or 800.268.4442 Fax: 416.694.1071