Bulletin - Manitoba Dental Association
Transcription
Bulletin - Manitoba Dental Association
Bulletin Manitoba Dental Association VOLUME 30 ISSUE 3 FA L L , 2 0 11 ISSN 070-1717 this issue Annual Meeting P. 2 President’s Message P. 4 Registrar`s Column P. 6 Is Your Dental Assistant Registered and Certified? CDA Article The Dental Specialist P.12 Faculty Corner P.15 Often throughout the year, the MDA receives calls from dentists enquiring whether their dental assistant is registered and certified. What is the difference between registered and certified? Registered means that the dental assistant has met all of the educational and examination requirements to be employed as a dental assistant in Manitoba. Certified refers to the payment of annual dues in order to legally work in a dental office in Manitoba. The certification ensures payment of malpractice insurance and supports the regulatory administration of their profession by the MDA. The MDA website now has a list of certified dental assistants. Go to: www.manitobadentist.ca/assistants.cfm If your dental assistant is not listed on the website please contact the MDA office. Please note that if you hired a recent grad of a dental assistant program, they carry a provisional certification. This means that they must still complete the National Dental Assisting Examining Board exam. Upon successful completion of this exam they will become fully certified. The provisional certification is valid for nine months. Failure to provide proof of successful completion of the national exam after nine months will result in their certification being suspended. If you have any questions about the registration and certification process of dental assistants, please contact the MDA office. P.8 Classifieds P.22 Water Fluoridation Prevents Cavities More than 100 Government agencies and national and international professional health organizations support water fluoridation. These agencies include the World Health Organization, the U.S. Centres for Disease Control and Prevention, Health Canada and both the Canadian and American Dental Association among others. They all agreed that adding fluoride to drinking water at recommended levels (0.7 mg per litre of water) reduces tooth decay. In Canada, trials proving this date back to 1945 in Brantford, Ontario. Over 50 years of extensive worldwide research has demonstrated the safety and effectiveness of water fluoridation in reducing the incidence of dental decay. Today in Manitoba almost 95% of the population supplied by a public water supply source receive fluoridated water. Fluoride works both topically and systemically to prevent tooth decay by increasing the resistance of tooth enamel to dental decay. Fluoride has been proven over and over again to reduce dental decay in children by approximately 18-40%. With every $1.00 spent on adding fluoride to the public water supply it is estimated that $38.00 is saved in the cost of dental treatment. Concerns by some suggest that water fluoridation is toxic and harmful. There is NO sound evidence to support these allegations. The recommended level of fluoride added to the water supply has a built-in margin of safety that takes into consideration the use of fluoride from other sources on the most vulnerable age group in the population (2236 months). Said additions of fluoride do not cause adverse health effects (such as cancer or a risk for bone fractures). Of the thousands of credible scientific sties on fluoridation, none has shown health problems associated with the consumption of optimally fluoridated water. Water fluoridation not only allows fluoride uptake by the enamel of the unerupted developing teeth but also provides fluoride uptake by the enamel of erupted teeth through saliva. Not all countries provide their citizens with fluoride through water fluoridation. Instead, many coun- tries choose to fluoridate their salt or milk instead. Other examples of additives used to achieve population wide health benefits include: 1) Iodine added to table salt to prevent thyroid disease 2) Vitamin D added to milk or juice to prevent rickets 3) Folic Acid added to flour to prevent birth defects. Although water fluoridation has been proven to benefit all residents of the community, the population that MOST benefits are children and seniors and the hardest to reach poor for whom other preventative measures may not be accessible. Dental disease is the number one chronic disease among children and adolescents in North America. Water fluoridation is the most important public health measure used to effectively and inexpensively counteract the disease! Manitoba Dental Association 128th Annual Meeting & Convention January 26-28, 2012 “Your Passport To The World” We dream often about continuously circumnavigating the world, spending extensive time in exotic places and indulging in the most exquisite cuisine. The 2012 Annual Meeting and Convention brings this dream alive. Travel to Mexico, Greece, Paris, India and other destinations without leaving the Winnipeg Convention Center in January. This year’s MDA Annual Meeting and Convention, January 27-28, 2012 will feature the sights and cuisine from around the world. The speakers are international and bring their own flavor to the convention. Here’s the line-up: The Alumni Reception – January 26 Friday Night Social – Mexico, January 27 President’s Dinner and Dance – Parisian, January 28 Speakers: Dr. Mark Hyman 360 Slam Dunk Guide for Successful Teams Marie Fluent Dental Hygiene Presentation Bethany Valachi Neck, Back & Beyond: Preventing Pain for Peak Productivityand Fitness 101 for Dental Professionals: Secrets for Comfort and Career Longevity Michael Kerr Inspiring Work Places: The Way They Ought To Be Dr. Paresh Shah Pearls ….. Beyond Aesthetics Viviane Baliki-Allard Using CDAnet and iTrans Dr. Carla Cohn and Dr. William Wiltshire Interceptive Orthodontics: Clinically-Based Perspectives of a Specialist Orthodontist and a General Dentist Chris Scappatura Page 2 Dental Assistant Presentation www.ManitobaDentist.ca Fall 2011 Welcome to the Profession Event August 18, 2011 1st Year Dental Students Lee, DongJin Li, Jian Lou, Tiantong Markin, Holly Ostry, Diane Pan, Zhendan Robertson, Lindsay Roemermann, Dayna Sidhu, Jiwan Silverstein, Justin Sobotkiewicz, Tyler Son, Ba-Lem Song, Joshua Unruh, Philipp Woodmass, Chelsea Wu, Rong Boparai, Gurinder Cook, Emilie Corbett, Shaun Dacombe, David Dimarco, Bryan Foidart, Manon Gilmartin, Kelsi Gong, Victor Gray, Ashley Hendrickson-Rebizant, Jane In, Sylvia Janz, Ronald Jung, Sunny Mentors Dear, Andrew Dunsmore, Betty Eng, Eileen Fogel, Howard Guan, Jay Hayward, Tony Lekic, Milos Mark, Kevin Nider, Walter Norris, Griffin Orloff, Rhiannon Rihal, Amarjit Singh, Luke Sul, Cory Tough, Ronald IDDP Students Mentors De Guzman, Claire Fidanoski, Boban Gabriel, Zaid Maharaj, Veeta Mudheher, Reem Qader, Asil Abdul Singla, Gaurav Engel, Krista Glockner, Anita Kowal, Peter Maslow, Kristie Rihal, Amarjit Steidl, Gavin Sul, Cory MDA BULLETIN www.ManitobaDentist.ca Page 3 President’s Message... Dr. Joel Antel President, MDA This summer I had the pleasure of attending both the Dental Association of Prince Edward Island annual convention and the Canadian Dental Association convention held in conjunction with the Nova Scotia Dental Association. Both are excellent meetings that I would encourage anyone to attend. It’s good to see what other associations have to offer and reinforce that our own January meeting is in good company, and remember there really is “no place like home.” Manitoba dentists’ one year commitment to funding for dental services for disadvantaged members of our community has now been completed. Out commitment was limited to covering losses incurred by specified programs. The unused funds have been returned to those dentists who had contributed. Representatives of the University of Manitoba, Faculty of Dentistry have contacted Manitoba dentists with a request to direct the returned funds to the faculty. I encourage you to be aware of this request and give their request some thought. The Fluoride committee remains hard at work monitoring this current issue at home and across the country. The committee is compiling resources for dentists to use in conversation with patients, members of the public and political decision makers. It is important that all involved stick to the real science. One or two isolated studies can be found on just about any side of any issue. We are trained to know that it is the sum of all the research that counts. This is a standard we hold ourselves to and can expect community decision makers to hold themselves to. Take the time to read what the fluoride committee produces and be informed on the issue. of the success of Manitoba’s mentorship program, seeing it as a model for how it is done. This fall will see the launch of the latest television spots produced by the communication committee and another Free Press dental health insert. Further information will be distributed soon. Peter Doig has been Manitoba’s representative to the Canadian Dental Association Board for several years. The quality of his work nationally has been recognized and Peter is now a member of the CDA Board executive. The new CDA board member from Manitoba is Dr. Sandy Mutchmor. We are fortunate to have MDA members of this caliber contributing locally and nationally to our profession. The Manitoba Dental Association will be hosting a meeting of the Presidents and CEOs of all the provincial dental associations in November. A meeting of the CDA working group on access to care and other national activities will take place in Winnipeg at the same time. The MDA is proud to serve a prominent role in these meetings. Welcome to the profession to those dentists who have graduated and licensed in Manitoba this past spring. Personally and on behalf of the association I wish you much success and happiness in your new career. Joel Antel President The mentorship program linking dental students and members of the practicing community is again well underway. The Welcome to the Profession Dinner was held in August at the Fort Garry Hotel introducing new dental students to their mentors and to the program. Thank you to Dr. Cory Sul and Dr. Amarjit Rihal and all those giving their time to make the mentorship program so valuable. Other provincial dental associations are very aware Page 4 www.ManitobaDentist.ca Fall 2011 Practice Dentistry in Manitoba First Nations Communities Pratiquez la médecine dentaire dans les collectivités des Premières nations du Manitoba Flexible scheduling: full-time or part-time Horaire flexible : temps plein ou temps partiel • Provideoralhealthcarewhileexperiencing theculturesofFirstNations.TheGovernment ofCanadacontractswithlicenseddentiststo traveltoFirstNationscommunitiesinManitoba toprovidedentalservicesingovernment dentalclinics. • Lebutestdefournirdessoinsdesantébucco-dentairesaux peuplesdesPremièresnations.Legouvernementconclutdes marchésavecdesdentistesautorisésàexercerleurprofession afinqu’ilsserendentdanslescollectivitésdesPremièresnations duManitobapouroffrirdesservicesdentairesdanslescliniques dentairesdugouvernement. • Musthaveorobtainalicensetopracticedentistry inManitoba. • Lesoumissionnairedoitêtreautoriséàexercerlaprofession auManitoba. • Compensationisbasedonafixeddailyrate. • Larémunérationsefaitselonuntarifjournalierfixe. • HealthCanadaschedulesservicestoallsites. Transportationandaccommodationinfly-in northernsitesisarrangedbyHealthCanada. Drive-insiteshaveyear-roundroadaccess. • SantéCanadaorganiselesvisitesverstouteslesrégions concernées.LeMinistèresechargeégalementdutransport etdel’hébergementpourlesrégionsduNordaccessibles uniquementparavion.Lesrégionsaccessiblespartransport routierlesonttoutel’année. For more information contact: Pour plus d’information : Dr.TerryHupman,RegionalDentalOfficer FirstNationsandInuitHealth HealthCanada 300-391YorkAvenue Winnipeg,ManitobaR3C4W1 Telephone:(204)470-4488 Fax:(204)984-5798or 1-866-907-2402 DrTerryHupman,Dentisterégional DirectiongénéraledelasantédesPremièresnationsetdesInuits SantéCanada 391,avenueYork,bureau300 Winnipeg(Manitoba)R3C4W1 Téléphone:204-470-4488 Télécopieur:204-984-5798ou 1-866-907-2402 For a copy of the Statement of Work (SOW), please contact: Pour une copie de l’Énoncé des travaux (EDT) : RegionalDentalUnit FirstNationsandInuitHealth HealthCanada 300-391YorkAvenue Winnipeg,ManitobaR3C4W1 Telephone:(204)983-2560 Fax:(204)984-5798or1-866-907-2402 Email:[email protected] (Subjectline:2012–2013SOW) Your name, mailing address and contact number/email address must be provided with your SOW request. Unitérégionaledesservicesdentaires Directiongénéraledelasanté desPremièresnationsetdesInuits 391,avenueYork,bureau300 Winnipeg(Manitoba)R3C4W1 Téléphone:204-470-4488 Télécopieur:204-984-5798ou1-866-907-2402 Courriel:[email protected] (Objet:2012–2013demanded’EDT) Vous devez fournir votre nom, adresse et numéro de téléphone/ adresse courriel avec votre demande d’EDT. Important Deadline Date butoir importante Finaldateforcontractsubmissions: January4,2012 (endofbusinessday) Ladatelimitepourprésenterune soumissionestle4janvier2012 (àlafermeturedesbureaux) MDA BULLETIN www.ManitobaDentist.ca Page 5 Registrar’s Column... It is not the instrument but how you use it…remember your most important tool is in your head. Taras Snihurowycz Dr. Marcel Van Woensel Registrar, MDA After looking at the array of instruments used in my first year wax carving effort, Dr. Snihurowycz commented on its realism - if I was trying to make it look like a carrot. Over the next fifteen minutes, he proceeded to carve an accurate bifurcated premolar using just my Buffalo 6R lab knife. Not one for subtleties, Dr. Snihurowycz returned the lab knife to my hand while making the above statement. Dr. Snihurowycz passed away on 5 July 2011. Like his artwork, his role in the dental profession was iconic. A true renaissance man, he was a clinician, a teacher, a businessman, a philosopher and above all an artist. In his role as an educator, he influenced generations of dentists in the province. His voice, speech patterns and mannerisms were an elemental part of the dental experience for over thirty years of students. He saw almost everything as a learning opportunity - an opportunity to test. Undoubtedly, his expectations of students and disarming personality may not have endeared him to everyone, but few could argue the benefits gained as a result of knowing him. As dentists, our greatest asset is the training and ability we have to acquire, analyze and evaluate a significant amount of information to differentiate potential diagnoses; treatment plan and adapt to changing circumstances. Technology has always been important in acquiring critical diagnostic information to effectively perform these tasks, but it is just a component. Over reliance and indiscriminate use risk devaluing the analytical skills and judgement which are integral to our profession. Often new technology and techniques come with some fanfare and conjecture as to its applications and benefits. It is essential every member critically evaluate the general and specific patient benefits based on actual evidence. Increasing availability to dentists of advanced radiographic technology offers tremendous opportunities to more accurately diagnose and care for our patients. However, it needs to be used with caution and a clear evidentiary base. ALARA (as low as reasonably achievable) is still the basic principle of radiation biology. If you can acquire the information by using a lower dose technique alone or in combination with non-radiation testing, that is the preferred method. A guideline based on current evidence has been produced recently by SEDENTEXCT (safety and efficacy of a new and emerging dental X-ray modality) in Europe. It is available at http://www.sedentexct.eu/files/guidelines_final.pdf. I encourage all members to review the information in the guideline. Similarly, methodical assessment of the soft tissue - visual and tactile - while communicating with the patient about changes in signs and symptoms is still a preferred way of identifying oral soft tissue lesions. Adjunctive techniques may offer benefits in specific circumstances. For general application to patients receiving a thorough soft tissue examination, they may be of limited benefit. The MDA Soft Tissue Guideline is available on the member side of the website with helpful information in this area. The education we received from individuals like Dr. Snihurowycz provides us with the knowledge, skills and ability to think critically which defines us as a profession. These elements are necessary in considering the adoption and application of new technology. By objective review of evidence, we ensure effective patient care and maintain the confidence of the public. Best regards, Marcel Van Woensel Registrar, Manitoba Dental Association Page 6 www.ManitobaDentist.ca Fall 2011 The Alpha Omega Memorial Lecture Mobile Vinyl & Aqua Repair Specialists Saturday, December 3, 2011 8:30 a.m. - 4:00 p.m. Theatre A, Basic Medical Science Building University of Manitoba, Winnipeg, MB Dental chairs repaired and recovered. Repair it before it has to be replaced at a fraction of the original cost. Free estimates “A Clinical Overview on Impressioning, Curing Lights and Fiber Posts” 156 Hindley Ave Winnipeg, MB R2M 1P8 (204) 832-7489 Len Boksman, DDS, B.Sc. London, Ontario Program Summary: AL HUNTER CONSULTING 27 Vance Place Winnipeg, MB R3R 3R6 Phone/Fax: (204) 832-5653 Cell: (204) 771-9121 or (204) 793-2092 Equipment and supply inventory; Equipment replacement costs; Office design; Equipment evaluations; Sale of dental practice; Placement of Associates; Placement of Hygienists; New office locations. Dr. Boksman is in private practice in London, Ontario and Adjunct Clinical Professor at the Schulich School of Medicine and Dentistry, while concurrently, a consultant and Acting Director of Clinical Affairs to Clinical Research Dental Incorporated and Clinician’s Choice. Dr. Boksman lectures nationally and internationally and has authored over fifty articles in the last five years with multiple others and several chapters in textbooks. This full day continuing education seminar will focus on predictable crown and bridge impressions and simplified temporization techniques, highlighting matched impression systems and their indications for use, the all-in-one impression, bite registration and haemostatic agents. Dr. Boksman will also discuss curing lights and their effect on sensitive micro-leakage and composite breakdown. Pacific Dental Conference Vancouver, BC Make Vancouver your spring destination for CE learning and vacation experience! Earn up to 15 hours of CE credits during three days of lectures and hands-on courses; enjoy Canada’s premier two day dental tradeshow featuring all the newest equipment and products. Shopping, hotels, restaurants and breath-taking Stanley Park are all within blocks of the new spacious Vancouver Convention Centre. Spring skiing on the local mountains and world famous Whistler. Online registration begins October 14th, 2011 Easy online registration and program information at... MDA BULLETIN www.ManitobaDentist.ca www.pdconf.com Page 7 Canadian Dental Association Dr. Alexander Mutchmor Board of Directors,CDA This is my first Bulletin report as your new representative on the Board of Directors of the CDA. The first thing I would like to do is to officially thank Dr. Peter Doig for the tremendous job that he has done representing Manitoba in this position for the last six years, and congratulate him on his election as Vice-President of the CDA. I know that Peter will continue to do an exemplary job of serving organized dentistry in this new capacity. Resources from within the 2011 Government Relations budget are being allocated for the organization and execution of a government relations seminar for leaders from the provincial dental associations. The funds will cover the cost of speakers and facilities for the event, which is tentatively scheduled to be held in Winnipeg when the presidents and CEOs are here for their November meeting. My first meeting as a member of the Board of Directors was held on August 1-2, 2011 in Digby, Nova Scotia. At this planning session, there were discussions about many of the different activities that the CDA is currently involved in. The following are some of the highlights of those discussions. The recent changes to the membership model of the CDA have left students at the various Canadian Dental Faculties somewhat isolated from organized dentistry. This fall, the CDA will be partnering with CDSPI to organize a meeting with student leaders from each dental faculty to discuss the possible establishment of a national student federation or association. The Board discussed the future of the Branding Working Group and approved a revised Terms of Reference. The mandate of the BWG is to educate the public so as to increase their perceived value of dental care and support the dentists’ conversations with patients; based on the research of the BWG. This is to be accomplished by proposing a communication direction and developing materials that can then be used by the corporate members. In order to further these efforts, the BOD approved an additional allocation of $70,000 to the 2011 budget to cover some consultation fees and allow for an additional face-to-face meeting of the committee this fall. There has been some criticism that the current DAT test does not provide the best possible information to guide admissions decisions. Ongoing systems need to be in place to coordinate the development and refinement of the components of the test to ensure that they are effective, fair and administered in a reliable manner. To ensure broad support, the development and the refinement of the test must be done in consultation with the key stakeholders. Therefore, the Board approved an initiative to develop enhancements to the CDA Dental Aptitude Tests and that the related analysis and research be undertaken in collaboration with the Association of Canadian Faculties of Dentistry trough a joint CDA/ACFD Working Group. And finally, after much deliberation, the CSI advisory group has recommended, and the BOD has accepted, that an independent board of directors should be established to oversee the affairs of Continovation Services Inc. (CSI). It has been decided that this is the best way to provide the proper expertise, which is not necessarily available on the CDA Board, to allow CSI the opportunity to thrive and succeed in a competitive market. I thank you for the opportunity and look forward to continuing to work on your behalf in organized dentistry. Dr. A. Mutchmor, DMD CDA Board Representative The Board also approved the organization of a wellness symposium, to be held in the spring of 2012, in collaboration with the CDRAF. The purpose of the symposium would be to learn more about the subjects of addiction and mental illness and their impact on dentistry and their risk to both the public and dentists. This information will then be used to develop strategies for their prevention and treatment. Page 8 www.ManitobaDentist.ca Fall 2011 MDA BULLETIN www.ManitobaDentist.ca Page 9 winnipeg dental society 2011-2012 clinical sessions Winnipeg Dental Society Friday, Sept 16, 2011 8:30 a.m. - 4:30 p.m. Victoria Inn, 1808 Wellington Avenue Winnipeg, MB Winnipeg Dental Society Friday, November 18, 2011 8:30 a.m. - 4:00 p.m. Victoria Inn, 1808 Wellington Avenue Winnipeg, MB Winnipeg Dental Society Friday, March 23, 2012 8:30 a.m. - 4:30 p.m. Canad Inns Club Regent Hotel & Casino Winnipeg, MB “Comfort Zone Cosmetics” “New Concepts in Treatment Planning” “Attachment Dentistry” Martin Goldstein, DDS Cheshire, Connecticut Terry Tanaka, DDS Chula Vista, California George Bambara, MS, MD, FACD, FICD Staten Island, New York Program Summary: • How to attain clinical excellence through Digital photography: the Blue Print; including portraiture principals and techniques, photo equipment needs and how to put the cosmetic simulation to work for greater case acceptance and improved case design; • The Tools of the Trade: an in-depth look at a “paint by number” approach to smile makeovers using Smile Vision’s Templates for Success methodology; • Tooth preparation basics, impression taking and temporization. Placing accurate provisionals that look like the finished case using the “Hard-Soft” template. What’s the lowdown on “no-prep” veneers? • Stress-free case delivery methods: Rapid Cementation for Stress Free results • Composite Capers: Template Driven Aesthetic Applications of Composite Beyond the Ordinary Winnipeg Dental Society Friday, October 21, 2011 8:30 a.m. - 4:30 p.m. Victoria Inn, 1808 Wellington Avenue Winnipeg, MB “Conservative Esthetic and Restorative Dentistry” Harald Heymann, DDS, M.Ed Chapel Hill, North Carolina Program Summary: Dental adhesives: Separating fact from fiction? • High tech composites: Nanofilled and nonshrinking? • Dentin desensitization techniques: what really works? • Chemo-therapeutics: How best to manage the high-risk patient. • Probiotics: the future of caries control? • Posterior composites: keys to eliminating sensitivity. • Pulp capping: is pulp capping with adhesives still the way to go? • Metal-free dentistry: facts and fallacies. • Tooth flexure and the etiology of abfractions: watch or treat? • Vital bleaching: the great white myths! • White spot removal: ACP, resin infusion, partial veneers. • Steps to creating esthetic porcelain veneers: practical considerations for achieving long-term success. • All-porcelain bonded bridges: A reversible, esthetic answer for single missing incisors. MDA BULLETIN ProgramSummary: Dr. Tanaka will provide a practical interpretation of current esthetic and occlusion guidelines, noting which guidelines have no scientific basis at all. This program will address important questions such as, what are the “occlusion requirements” in esthetic dentistry, when is the selection of restorative materials determined by masticatory function, tooth wear and oral habits. Winnipeg Dental Society Friday, January 28, 2012 8:30 a.m. – 4:30 p.m. Winnipeg Convention Centre Winnipeg, MB “A 360 Slam Dunk Guide for Successful Teams – Complex Treatment Planning ” Mark Hyman, DDS, MAGD Greensboro, North Carolina “Change is inevitable – growth is optional.” In this fast paced, ever- changing world, dental teams must commit to taking a serious look at every aspect of the practice. With a comprehensive feedback process you gain insight into your performance, which allows you to identify opportunities for growth. Learn how to diagnose, treatment plan, and deliver optimal care, whether single tooth, quadrant, or full mouth rehabilitation. Enjoy this fast paced, fun filled, dynamic seminar that will super charge your practice today! 1. Understand the urgency to lead and re-align your practice today 2. Rank the doctor and the team in the 35 key leadership issues for peak performing teams 3. Consider key communication barriers, and how to overcome them 4. Learn how to blend high tech and high touch relationship-based care www.ManitobaDentist.ca Program Summary: This all day program emphasizes the rationale for using precision and semi-precision attachments in the treatment planning of fixed and removable partial dentures, overdentures and implants. Each of these prosthetic options is discussed in detail, especially implants which require special treatment planning consideration. Various types of coronal and radicular resilient and non-resilient attachments are discussed including bars joints and bar units, studs and magnets. A logical approach to the treatment planning of attachment dentistry is presented which insures long term success and patient satisfaction. Winnipeg Dental Society Friday, April 27, 2012 8:30 a.m. - 4:30 p.m. Canad Inns Club Regent Hotel & Casino Winnipeg, MB “Pediatric Dentistry” Co-presented by : Stephen Abrams, DDS Scarborough, Ontario Ian McConnachie, B.Sc, DDS, MS FRCD(C) Ottawa, Ontario Program Summary: To develop an understanding of one of the most common dental diseases; dental caries, including detection, monitoring and treatment of carious lesions. This course will provide you with the tools to create a new approach to the prevention and early treatment of dental caries in children and young adults. This full day seminar will explore the new research on the caries process, how to detect monitor and manage dental caries before one contemplates placing a restoration. The course will provide you with information on how to create a unique caries prevention program that is anchored by your clinical team and will deliver results for your patients. Page 10 Dental Practice Opportunity Highland Park, East St. Paul Phase 2 Now Leasing Excellent opportunity to join 2-3 established Physicians and be adjacent to a Walk-In Clinic. Situated approximately 1 mile North of the Perimeter on busy Henderson Highway, in the highly popular and rapidly growing municipality of East St Paul. This new, highly visible and high calibre project is central to several prominent neighbourhoods such as Pritchard Farm Properties, Southlands, Highland Park and the town of Birds Hill, as well as ideally located to service the rural areas of Lockport/ St. Clements. Phase 1 is fully leased with professional offices including a Real Estate Office, Law Office and Physiotherapy Clinic. For details call: Greg Michie 336-2800 email: [email protected] www.gregmichie.com Sutton Group Kilkenny Real Estate MDA BULLETIN www.ManitobaDentist.ca Page 11 The Dental Specialist “The Dental Specialist” is written by Manitoba Dental Specialists. Each issue features one of the dental speciality groups (on a rotational basis). In this quarterly’s issue, the article is submitted on behalf of the Oral and Maxillofacial Surgeons. Third molar surgery:preventing complications Third molar surgery is generally a safe, uncomplicated dentoalveolar surgical procedure. Some cases are more difficult than others, however, even in simple cases, complications may occur, and the outcome may be devastating. The purpose of this paper is to highlight potential risks and complications of third molar surgery which include: • Infection……………………...…3-7% • Dry socket (alveolitis)…………..4-7% • Inferior alveolar nerve injury… 2-7% • Lingual nerve injury…………….1-2% • Mandibular fracture…………….<1% • Tooth and root displacement……<1% E. F. Tooth and root displacement. Aspiration of tooth fragments A. Nervous patients require more local anesthetic and may suffer a medical emergency such as bradycardia and vaso-vagal reaction. For these patients, sedation, either oral or IV is indicated. B. Bleeding during third molar surgery is uncommon. If it occurs, it may be due to severing of an artery, such as the long buccal artery, or generalized bleeding of bone. Severing the mandibular artery deep in the socket will also indicate mandibular nerve injury. Control of bleeding from the buccal artery is either by cautery, or ligation with a suture. Control of bone, or deep socket bleeding is with gelfoam or packing. In severe cases, the packing is left for seven days and then removed. Informed Consent The patient has the right to be fully informed of all potential risks and effects from the use of drugs and from the surgical procedure. Risks and effects should be explained in a way in which the patient can understand. The patient must fully understand the surgical procedure, and be involved in decision-making regarding the procedure. Effects of surgical procedures. Effects of surgery are different from complications, are usually short-lived and resolve quickly. Effects that last longer than normal should be considered a complication. Effects of third molar surgery include: • Swelling • Pain • Trismus • Bruising • Oozing The above effects should resolve within four to ten days depending on the severity of the impactions, and the age of the patient. If they linger beyond this time, they should be considered a complication of the surgery. Complications Complications are divided into: • Intra-operative complications • Immediate post-operative complications • Delayed post-operative complications Intraoperative Complications: A. Patient factors, such as vaso-vagal reaction C. Alveolar and bone fracture B. Hemorrhage and bleeding D. Nerve injury Page 12 C. Alveolar fracture occurs if excessive force is applied with elevators. The buccal plate of bone may fracture, or in more severe cases, the angle of the mandible. Predisposing factors include the age of the patient, and the distance between the inferior border of the mandible and the roots of the third molar teeth. In older patients, bone is less elastic and more brittle. Excessive force must be avoided, and teeth should rather be sectioned. For the maxilla, tuberosity fracture may result in tearing of the mucosa, and breach of the maxillary sinus floor. In older patients, tuberosity bone is often fused (ankylosed) to the roots of the third molar. Careful dissection, and bone removal avoids this complication. D. Nerve injuries are the most debilitating, long-term complications. The lingual nerve is situated close to the lingual crest of bone, adjacent to the mandibular third molar tooth. Aggressive lingual dissection, and drilling, may result in lingual paraesthesia, affecting the lateral border of the tongue, on the same side. Patients find this injury to be more debilitating than mandibular nerve injuries. In addition, there is less chance of the lingual nerve recovering after injury. Lingual dissection and bone removal should always be avoided. Mandibular nerve injuries are more frequent, but have a higher probability of recovery, particularly in young patients. Injury may vary from neuropaxia (bruising) to axonotmesis, which is complete disruption of the nerve. Paraesthesia (partial numbness) may take as long as one year or as short as six weeks to resolve. Anesthesia (total numbness of the lip and chin) may never fully resolve. It is difficult to treat these injuries, and the best means of avoiding them is to have clear radiographs showing the relationship of the roots to the inferior alveolar canal (Figure 1, 2 and 3). This may include cone-beam scanning to clearly visualize the proximity of the roots of the tooth to the nerve canal. In young patients (younger than twenty two years), careful sectioning of the roots will mostly avoid nerve injury that is permanent. In older patients with radiographic evidence of association of roots to the canal, partial odontectomy is indicated(figure 4). E. www.ManitobaDentist.ca The most common site for tooth displacement is the maxillary sinus (Figure 5). This may occur when a maxillary third molar, or root is pushed upward through the thin wall of the floor of the maxillary sinus. The tooth may also be displaced posteriorly behind the maxillary tuberosity, or into the infratemporal fossa. In the mandible, the lingual plate of bone adjacent to the third molar roots is thin, and excessive force to the roots may displace them through the bone, and into the floor of the mouth. Displaced teeth and teeth fragments are difficult to retrieve, Fall 2011 and often require general anesthesia for the patient. If left, they may cause infection with serious outcome. F. Aspiration of tooth and root fragments is prevented by always having a gauze sponge placed at the back of the mouth to trap sectioned crowns and pieces of tooth. C. Trismus may also be as a result of late infection, spreading to the submasseteric space. In some cases, Trismus is due to muscle stiffness after extensive oedema, and resolves with jaw exercises. D. Dry socket is the most common complication seen, and is treated with irrigation, and packing of the socket. Antibiotics are not needed. Analgesics may be required. A dry socket will resolve in seven days if treated, or one week if not treated! E. Oro-antral fistula results when there is a communication between the mouth and the maxillary sinus, through the third molar socket. It is caused by fracture of the thin bone plate at the base of the sinus. Infection may be present. Oro-antral fistula is treated with antibiotics and a flap procedure to close the communication Immediate Post-Operative Complications These are complications that may occur within 24 – 48 hours after the surgical procedure and include: A. Hemorrhage C. Nausea and dehydration B. Infection D. Surgical Emphysema A. B. Preventing Complications It is better to prevent complications than to treat them: Immediate post-operative hemorrhage is due either to bleeding that was not controlled during the surgical procedure, or loosening of sutures. In some cases, when epinephrine from the local anesthesia solution wares off, a vessel may dilate and start bleeding. When bleeding occurs, it is important to first identify its origin, and then control either with sutures or packing as described above. • Use good judgment in selecting patient for surgical procedures • Do not perform unnecessary procedures. Consider the risk/ benefit. • Good surgical technique • Experience The use of prophylactic antibiotics to prevent postoperative infection after third molar removal is controversial. Most authorities do not advocate antibiotic use after surgery by an experienced operator. If there are extenuating circumstances, which increase the risk of infection, prophylactic antibiotics may be prescribed. Should cellulitis develop within the first forty-eight hours post-operatively, a loading dose of an appropriate antibiotic, with continued use for five to seven days is appropriate. Penicillin in non-allergic patients is the drug of choice. • Know your limitations C. Nausea and vomiting in the post-operative period may be from swallowing blood, sever pain, codeine, or the effects of sedation and anesthesia. This may result in dehydration, necessitating the patient to get further treatment in a hospital in the form of anti-emetics, analgesia and fluids. Figure 1 D. Surgical emphysema occurs when air is pushed into tissue spaces. The most common cause during third molar surgery is the use of an air-turbine to section teeth. Air is pushed into tissue spaces, and may cause infection and even airway obstruction in severe cases. Mostly, the condition resolves without treatment, although antibiotic therapy is indicated. Figure 2 Figure 3 Figure 4 Figure 5 Late Post-Operative Complications These are complications occurring approximately six days later or more. They include: A. Infection C. Trismus B. Bleeding D. Alveolitis (dry socket) E. Oro-antral communication A. Late infection is often due to food impaction in the socket. It presents with a buccal swelling and resolves quickly after irrigating the material out of the socket. In some cases a sub-periosteal abscess may occur, necessitating drainage and antibiotics. B. Late bleeding usually results from infection, or pocket formation and is treated as previously desctribed. MDA BULLETIN www.ManitobaDentist.ca Dr. Mark A. Cohen Oral & Maxillofacial Surgeon Page 13 Faculty orner C Dr. Anthony Iacopino Dean of Dentistry University of Manitoba Celebrating RelationshipsAlumni evening has become a It was truly something to behold. For the past several years now, our annual Alumni of Distinction banquet and celebration has occupied a special place on the calendar for the oral health community in Manitoba. It is the time that we pause for a moment to pay tribute to the outstanding service provided by select individuals in our fraternity; a time where the ongoing efforts of our colleagues are noted and celebrated, both as a tribute to the individuals themselves but also to remind everyone of how much one person can achieve when they put their ample skills and talents to work for the benefit of the common good. Ever since the idea was first put forth by the now-legendary Dr. George Brass, we now make a point to pause and acknowledge those special persons among us; those who have served the profession or community in such a way as to have distinguished themselves, and directly or indirectly brought distinction and honour to the Faculty and our profession. And throughout these past 13 years, there has been no shortage of exemplary individuals who warrant consideration for this special honour. Indeed, our list of honourrees reads as a virtual who’s who in Manitoba oral health. Quite simply, we have them all: highly skilled professionals, ground-breaking innovators, community leaders, successful entrepreneurs, socially conscious activists, all of whom have made a real difference to those around them. This year, our 2011 honourees maintained and enhanced this noble tradition. Dr. Frank Hechter and Ms. Signe Jewett have devoted their careers towards helping others and not just those directly involved in the oral health world. Each of these individuals has gone above and beyond the call of duty and extended their reach to those outside of our immediate area of influence. And their only motivation for their efforts was simply because they could. Clearly, we owe a debt of gratitude to Dr. Brass. His foresight now seems almost visionary. In creating the Alumni of Distinction honour, he has done tremendous service for our community and, in turn, for the public in our province. Yet interestingly enough, this Alumni of Distinction honour, and all the pomp and circumstance that surrounds it, has had a remarkable side-effect; one that I’m not sure that even ‘Boomer’ Brass may have foresaw, but one that was certainly palpable the night of September 16. What we have witnessed is the creation of a family; a new, unique and tangible bond that begins with our Faculty of Dentistry and extends to the farthest reaches of our country and our society. The warmth and fellowship of that Friday evening past was unlike any other event we have ever experienced in our recent history. When I arrived here from the States, I came with a clear sense of purpose and direction. And that was to get to know all of you personally and start building relationships. And now, just over four years later, I am delighted to say that we have succeeded. We have formed many strong relationships and partnerships that are manifest in the many accomplishments we have realized together throughout that relatively short time. Page 15 www.ManitobaDentist.ca family affair We’ve made significant progress in all areas of our strategic plan. Most notably and most recently, the Ross McIntyre campaign was a major success and has allowed us to become international leaders in digital radiography and move toward full electronic patient records. Our Faculty instructors and staff continue to demonstrate excellence, offering one of the best and most affordable dental education and training programs in North America. Support, from our alumni and friends, is at an all-time high as we continue to establish new and higher benchmarks. The day before the banquet, our Faculty received the largest single donation in its history, thanks to a halfmillion dollar commitment from Dr. Gerald Niznick of the Class of 1966. This comes almost one year to the day after the Class of 1986 set the standard with the largest class gift ever received by the Faculty at well over $100,000. But perhaps more importantly, we have established real friendships. And this is probably the most wonderful thing of all. Like a family, we now share in the joy of our successes; we share in the sorrow of our losses. Just as we celebrated the accomplishments of our distinguished alumni, we mourned the passing of two of our predecessors, Drs. Taras Snihurowycz and Hester Rumberg. We celebrate, we commiserate. We grow stronger as we grow together. We care about one another. So many crystal clear examples of that came through that night: Frank Hechter’s poignant and thoughtful address; Chris Cottick’s often hilarious and always playful banter; Sigee Jewett’s touching sincerity; the return of three members from our original class of 1962; the orthodontic’s team spirit of camaraderie; everyone, it seemed, brought something wonderful to share. The atmosphere in the room was as wonderful as it was irrefutable. Everyone was pleased to be involved; pleased to see their colleagues, young and old, past and present; pleased to be part of our alumni fraternity. This past September 16, we witnessed something very special. We saw the kinds of things that are unique to our Faculty; we saw relationships and connecting with people; we saw communication and respect; we saw the creation of a “circle of trust.” As I shared with those of you at our evening of excellence, this is why I’m thrilled, honoured, and humbled to be the Dean of our Faculty of Dentistry. I stand before you with a servant’s heart, with the distinct privilege of working with you to maintain our proud “traditions of excellence” and our exciting “horizons of change”. This is indeed a rare and joyous thing; a wonderful Winnipeg, made in Manitoba, culturally Canadian experience. And how fortunate we are to be part of it! Grazie, Dr. Anthony M. Iacopino Fall 2011 You’re in Good CompanY Member benefits of the Manitoba Dental Association and CDA include access to exceptional insurance and investment products and services that can help you take control of your financial future. About 90 per cent1 of eligible Canadian dentists — and virtually all Manitoba dentists — rely on these products and services, so you’re in good company. Contact CDSPI: 1-800-561-9401 www.cdspi.com 1 Based on CDSPI participation rates. 11-243 08/11 MDA BULLETIN www.ManitobaDentist.ca Page 14 MDA BULLETIN www.ManitobaDentist.ca Page 16 Scott Bollman, Manager Professional Banking Winnipeg Main Branch Winnipeg, MB 204-934-2630 ® Registered trademarks of The Bank of Nova Scotia. * Subject to credit approval and security provided. Page 17 www.ManitobaDentist.ca Fall 2011 Manitoba Billboard Experience the Beauty and Precision! Product Profile Three World-Class Leaders in Dental Technology combine to give your patients the aesthetic and high strength all-ceramic restorations they demand. Aurum’s Cristal® Veneers IPS e.max® CAD all-ceramic restorations Beautiful, durable. Perfect for everything from single units to full mouth aesthetic cases. Milled by Core 3d™ Centres The global leader in digitally advanced, five-axis milling technology for premium restorations. Officially validated with Ivoclar Vivadent Inc. 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In combination with our affiliated company, Space Maintainers Laboratories Canada Ltd., we offer you unsurpassed Crown & Bridge, Denture/Cast Partial, Implant and Orthodontic services for patients of all ages. • • • • • • • • • IPS Empress® Esthetic Aurum’s Cristal® Veneers Opalite® All-Zirconia IPS e.max® CAD/Press Contessa® Zirconia Aurum Tandem® Bridges Cristobal® + Zeno® Tec Arizona™ / Princess™ • • • • • • • • Cercon® -WolCeram® - Lava® Procera®AllCeram EASI-ACCES® Implant Technique AurumTek® Milled Custom Implant Abutments Pearlite™ Milled Interim C & B NaturalFlex® II Saddle-Lock®/Vitallium® 2000 Appliances/Splints/Mouthguards Ultra Thin Ultra Conservative Ultra Beautiful • Based on your precise preparations, can be as thin as .3 mm. • Combination of proven thermopressing technology and exclusive glass-ceramic materials provides high strength and precise fit. • Our experienced and talented veneering specialists have perfected unique techniques that allow for subtle changes in customized contour, fit or shade. • Lets the natural beauty of patient’s teeth shine through. • Full palette of shades available. • Far more resistant to staining and colour changes compared to traditional, thin feldspathic materials. • Incisals can be layered with translucent powders for exceptional esthetics. • Adhesively bonded to tooth structure. 115 - 17th Avenue S.W., Calgary, Alberta T2S 0A1 ® DENTAL LABORATORIES Page 18 www.ManitobaDentist.ca 1-800-661-1169 www.aurumgroup.com Fall 2011 H. J. STOCKTON CONSULTANTS JACK STOCKTON, DMD, CFP, MBA BOX 478, ST. PIERRE JOLYS, MANITOBA R0A1V0 PHONE: (204) 433-3292 Specializing in: PRACTICE MANAGEMENT, PRACTICE APPRAISALS, FINANCIAL PLANNING The Bulletin, Fall—2011 Published quarterly Contact: Linda Berg, Editor MDA Bulletin 103-698 Corydon Ave, Winnipeg, MB R3M 0X9 www.ManitobaDentist.ca A COMPLETE LABORATORY SERVICE ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ H1N1-Compliant Certified New Titanium Partials Empress Laser Welding TMD Appliances Captek Bego Cast Partials Procera Crowns New Zirconia Copings Implants (204) 943-8883 1-800-665-7479 503–388 Portage Avenue Winnipeg, MB R3C 0C8 Call for Case and research presentations Manitoba Dental Association Annual Meeting & Conference January 27 & 28, 2012 The Annual Meeting and Convention Committee are inviting dentists, dental educators and researchers to participate in the third annual Manitoba Dentist Oral Presentations lectures on Saturday, January 28, 2012. The purpose of the presentation is to provide Manitoba dentists an opportunity to share with their colleagues unique treatment cases that they have managed, research findings that may positively impact on dental care, and expanding the knowledge base of others. The Clinical Sub-committee of the Annual Meeting and Convention will select four submissions for case presentations and four submissions for research presentations. Presentation Submission Guidelines: Submission deadline is Monday, January 9, 2012. Presentation Summary: Presentation summary must be filled out in the Submission Layout form. This form will be emailed to members in mid October. Once completed, please email the submission back to: [email protected] with subject heading “Case and Research Presentation 2012”. Thank you. Clinical Co-Chairs Dr. Danielle Jobb Dr. Simona Pesun MDA BULLETIN www.ManitobaDentist.ca Page 19 MDA Directory Amendments For changes to the MDA Directory please contact: April Delaney at the MDA office - (204) 988-5300 Ext. 2 In Memoriam Dr. Hagop Alanjian 8-50 Selkirk Ave Thompson, MB R8N 0M7 (204) 677-3935 Dr. Martin Potter 693 McPhillips Street Winnipeg, MB R2X 2H6 (204) 774-7774 Dr. Reem Atout DI123- 790 Bannatyne Ave Winnipeg, MB R3E 0W2 (204) 789-3633 Dr. Kristina Roman Box 2760, 107 Edwards Ave The Pas, MB R9A 1M5 (800) 665-8539 Dr. Evan Ayers 211-2665 W Broadway Vancouver, BC V6K 2G2 (604) 262-5303 Dr. Jared Rykiss 188-2025 Corydon Ave Winnipeg, MB R3P 0N5 (204) 925-4746 Dr. George Cadigan Box 236, 36 Main Street Erickson, MB R0J 0P0 (204) 636-2320 Dr. Alvaro Salles D108-780 Bannatyne Ave Winnipeg, MB R3E 0W2 (204) 789-3227 A private celebration of Dr. Danzinger’s life will be held at the family cottage at a later date. Dr. Arek Siwoski Unit 200- 2500 53rd Ave Vernon, BC V1T 8H9 (250) 541-7373 DR. TaraS snihurowycz - 1918-2011 Dr. Suzanne Carriere 606 Ellice Ave Winnipeg, MB R3G 0A3 (204) 774-3527 Dr. Catherine Carroll 140-1600 Kenaston Blvd Winnipeg, MB R3P 0Y4 (204) 487-6453 Dr. Pankaj Chadha 693 McPhillips Street Winnipeg, MB R2X 2H6 (204) 774-7774 Dr. Marvyn Harland 131 Commercial Place Thompson, MB R8N 1T1 (204) 778-7381 Dr. Sherri Stoski Box 669, 385 Main Street Winkler, MB R6W 4A8 (204) 325-7626 Dr. Kevin Vong Box 850, 1448-3rd Street N Swan River, MB R0L 1Z0 (204) 734-9901 CORRECTION: Dr. Adam Agpalza’s name was printed incorrectly in the last Bulletin. Dr. Courtney Humphreys Pollard Please note the correct 668 Peridot Court spelling above. Kelowna, BC V1W 5E7 (250) 864-2659 Dr. Bradley Klus FW 102-685 William Ave Winnipeg, MB R3E 0Z2 (204) 787-2516 Dr. Hee Jong Kong 1248 Pembina Hwy Winnipeg, MB R3T 2B1 (204) 284-7000 Dr. Hooman Mohandesan 2-1360 Taylor Ave Winnipeg, MB R3M 3Z1 (204) 487-0015 Page 20 NOTE: It is important for all dentists and dental assistants to provide written notice of any changes to your mailing address, your licensure status or plans to move to a different province. With over 1700 members, it is no longer practical to make changes with simply a phone call. A written notice ensures your intention is clear, appropriately recorded and retained in your file. DR. george danzinger - 1916-2011 Dr. George Danzinger passed away peacefully on Sept 11, 2011. Left to cherish his memory are his children Bob and Donna, grandchildren Jodi, Erin, Chad and Gene as well as seven great-grandchildren. Dr. Danzinger was an avid outdoorsman, a talented musician, a veteran of the scond world war and most of all, a family man. Dr. Danzinger was President of the Manitoba Dental Association in 1967 and served as the MDA Registrar for 5 years. Dr. Taras Snihurowycz arrived in Canada in 1950. He earned a doctorate in dental medicine in Munich, Germany, and attained a second doctorate as a meber of the first graduating class of the Faculty of Dentistry at the University of Manitoba in 1962. As one of the original faculty instructors, Taras Snihurowycz was a dedicated educator and an innovator who pioneered the wax added technique and advoated theuse of stereoscopy in the fabrication of fixed denture prostheses. He was a life member of the Manitoba Dental Association and a charter member of the University of Manitoba Alumni Association. In 1998 he became the inaugural recipient of the Faculty of Dentistry’s Alumni Award. Supported and guided by his wife Daria, Taras evolved into a passionate art collector, filling their Winnipeg home with diverse works by Ukrainian artists. In 1975, his passion for collecting transmuted into a passion for creating. Without previous formal training, he began painting sacred icons, and embarked upon a second career as an artist and iconographer. Taras Snihurowycz’s body of work encompasses over 1,000 pieces, many of which are housed in public and private collections around the world. The Winnipeg Art Gallery, Winnipeg’s Oseredok Ukrainian Cultural Centre and Millenium Library, the Canadian Museum of Civilization in Hull, the Canadian Dental Assocition in Ottawa and the FAculty of Dentistry at the University of Manitoba are all home to his art. An engaging, animated and forthright human being, his energy, curiousity and sense of humour were always in evidence. He will be missed by all who admired and loved him. He was predeceased by his wife Daria and is survived by his daughter Genia and family in Switzerland, and his niece/daughter Daria of New York and her son Yaroslav of Toronto. www.ManitobaDentist.ca Fall 2011 MDA BULLETIN www.ManitobaDentist.ca Page 21 C L A S S I F I E D S Winnipeg, MB Experienced dentist available for short-term locums (i.e. sick leave, vacations, etc.) References available upon request. Please contact Dr. I.R. Battel (204) 489-4507 Winnipeg, MB Vacancy for a part time associate position leading to full time. Clarity Dental is a state of the art facility, and has an excellent flow of new patients. This is a career position. Contact Dr. H. Salama at (204) 336-8478 or (204) 487-0015 Email: [email protected] Winnipeg, MB Full or part time associate position available in busy office in South Winnipeg. Please contact [email protected] or (204) 253-6140 Winnipeg, MB An excellent opportunity in our exceptional practice hs come up as our current associate is moving to another province. WE are looking for a motivated, highly skilled dentist to join our modern, well established family practice. You will be working with a great team in a relaxed environment providing the best quality care. Each operatory has an overhead TV, digital x-rays and computer monitor. Above average skills in endodontics, pedodontics, surgery will be an asset. There is a possiblity to Entire practice contents for sale as of Nov 30, 2011 Large equipment items are: 1. 3 Pelton & Crane chairs - $2500.00 each 2. 3 overhead lights - $500 each 3. Statim Cassette Autoclave - $1700 4. Velopex x-ray developer - $1700 be very busy here as the prinmary dentist has jsut sustained a shoulder injury and needs help asap. We will also consider dentists who are interested in a locum position. Contact: Dr. Janet Alsip Phone: (204) 223-6303 Email: [email protected] Winnipeg, MB Greenwoods Dental Centres requires a P/T Periodontist to join our team as an associate. Kindly phone Dr. Mittal at (204) 297-5344 or email to [email protected] for details. www.GreenwoodsDental.com Winnipeg, MB Greenwoods Dental Centres have a position open for a Full-Time general dentist Associate to join our team of professionals. Your schedule will be fully booked. Excellent opporunity for professional growth and to make a great income. New graduates welcome. Contact Dr. Mittal at (204) 2975344 or email to [email protected] 6. Ultrasonic cleaner - $300 7. Also available - surgical forceps 8. Assortment of high and low speed handpieces For more information please contact: [email protected] 5. Ultrasonic scaler - $400 Page 22 www.ManitobaDentist.ca Fall 2011 MDA BULLETIN www.ManitobaDentist.ca Page 23 DO YOU NEED TITANIUM CAST PARTIALS? • • • • Holistic Non-Allergenic Implant / Surgical Grade Customized in our “Infection Control Certified” Laboratory LASER WELDING? Now in W innipeg • For additions allowing same day service YOUR ONE-STOP FULL SERVICE LABORATORY • Empress / Zirconia • Denture- Same day repair • Implants • Cast Partials NEW CLIENTS WELCOME “Whenever a theory appears to you as the only possible one, take this as a sign that you have neither understood the theory nor the problem which it was intended to solve” Karl Popper (Austrian Philosopher) TODD BAUER ph: 204.795.2737 email: [email protected] Page 24 www.ManitobaDentist.ca 503-388 Portage Ave. Winnipeg, MB R3C 0C8 204.943.8883 Fall 2011