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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: kelly@kelman.ca denture aesthetics Also: • DACnet™ • Profile of Tony Sarrapuchiello RELY ON US ✔ ✔ ✔ ✔ ✔ Tooth Counter Locations from Coast to Coast 1-800-496-9500 Teeth Merchandise Equipment Financial Services 100% Satisfaction Guarantee Canada’s Largest Tooth Inventory! www.henryschein.ca Give Your Patients the “Ultimate Smile”! Great Esthetic Clasp Options from Aurum Ceramic / Classic For innovative partial clasp design and material options that help you expand your practice’s cast and flexible partial business, add the specialists at Aurum Ceramic/Classic to your team. 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CLASSIC ® DENTAL LABORATORIES DENTAL LABORATORIES CALL TOLL FREE FOR FREE PICK-UP Calgary Edmonton Saskatoon Vancouver Victoria Kelowna Vernon Ottawa Toronto 1-800-661-1169 1-800-661-2745 1-800-665-8815 1-800-663-1721 1-800-663-6364 1-800-667-4146 1-800-663-5413 1-800-267-7040 1-800-268-4294 1st Vice President Martin Damphousse d.d. Phone: (514) 252-0270 Fax: (514) 252-0392 e-mail: martin.damphousse@adq-qc.com 2nd Vice President Paul Hrynchuk, DD Phone: (204) 669-0888 Fax: (204) 669-0971 e-mail: kellydc@shawbiz.ca Vice President - Administration Daniel Robichaud, DD Phone: (506) 382-1106 Fax: (506) 855-9941 e-mail: dentureguy@nb.aibn.com Vice President - Finance Maria Green, DD Phone: (604) 521-6424 Email: airamn@telus.net Past President/Liaison Officer David Hicks, LD, DD Phone: (204) 489-9364 Fax: (204) 487-3969 e-mail: dlh.44@hotmail.com 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: dacdenturist@telus.net 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: glamprac@gbrownc.on.ca 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: kmilton@vcc.ca 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: maureens@nait.ab.ca 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: info@denturist.bc.ca 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: wblloy@ns.sympatico.ca 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: johnbrowne@nl.rogers.com 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: sylvdent@telus.net The Denturist Society of Saskatchewan 32 River Street East, Moose Jaw, SK S6H 0A8 Attn: Lynn Halstead, President Tel: 306-693-4161 Email: lhalstead@sasktel.net 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: rhynopat@hotmail.com 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: kelli_wagner@mts.net 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: pjallen@northwestel.net 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: info@denturistassociation.ca 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” egelb@theedge.ca L’Association des denturologistes du Québec 8150, boul. Métropolitain Est, Bureau 230 Anjou, QC HIK 1A1 Atten: Kristiane Coulombe, Responsable Service aux membres Tel: (514) 252-0270 Fax: (514) 252-0392 E-mail: denturo@adq-qc.com 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: claudetteboudreau@nb.aibn.com Continuing Education Programs President Michael C. Vout, DD Phone: (613) 966-7363 Fax: (613) 966-1663 e-mail: mvout@bellnet.ca 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: clinicaldental@tiscali.co.uk 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: dental@nait.ab.ca Removable Partial Dentures for Denturists Jurgen von Fielitz, DD 2598 Etwell Road, RR#3, Utterson, ON P0B 1M0 Tel: (705) 788-0205 e-mail: jvonfielitzdd@vianet.ca 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 Click here to return to the Table of Contents Technology Introduction CAD/CAM CrCO Frameworks Pow Laboratories now uses digital survey and CAD design combined with rapid prototyping technology to eliminate refractory models and create a cast chrome frame that is more accurate and consistent than ever before. Send your next casting to Pow, seeing is believing. Pow Laboratories is a registered Bego International Wironum Circle laboratory. SensAble™ Dental Lab System images courtesy of SensAble Technologies, Inc. Pow Laboratories Inc. 63 Ridgeway Circle, PO Box 1698, Woodstock, Ontario N4S 0B1 1-800-265-4052 P: 519-539-2065 F: 519-537-7894 www.powlab.com ISO 9001:2000 Certified Full Service Dental Laboratory • Excellence since 1930 Click here to return to the Table of Contents For fast relief of oral pain ™ • Does Not Sting • No Alcohol • No Benzocaine • Provides a Protective Barrier Canker-X™ is a non-prescription product for fast relief of oral pain caused by canker sores, braces, dentures and small mouth sores. When applied, Canker-X™ creates a micro-thin, invisible, bioadhesive protective barrier over the mucosal surface, preventing irritation on the exposed nerve endings while reducing swelling. The aloe vera based product contains no alcohol or benzocaine. It will not cause any burning or stinging sensation when used and is safe for adults and children, even if swallowed. Use it as often as needed! For more information or to place an order, call 1 800 265-8353 or speak with your Sunstar representative. Visit us at www.GUMbrand.com ©2008 Sunstar Americas, Inc. C-2008-CSJBOT-7DXJ45 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: ameryhk@telus.net 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: dacdenturist@telus.net 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: cheryl@kelman.ca www.kelman.ca 14 In memoriam ................................................................36 Reach our advertisers ...................................................38 Managing Editor: Cheryl Parisien Design/Layout: Stacia Harrison Advertising Sales: Al Wiebe, al@kelman.ca Advertising Coordinator: Lauren Campbell Return undeliverable Canadian addresses to: e-mail: kelly@kelman.ca 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: kelly@kelman.ca 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 Click here to return to the Table of Contents 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, Click here to return to the Table of Contents 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 Click here to return to the Table of Contents 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 Click here to return to the Table of Contents 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. B 0 in V uy $4,00 h ITA teet Get 3Guides ould * Living M$ 2625 Value FREE! Dentures by Dennis Purinton, CDT VITA Denture Teeth Available in VITA Physiodens®, Vitapan® and Lingoform teeth in VITA Classical and 3D-Master® shades. The Name You Trust. prescribevita.com 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 info@amican.com, 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 GUARANTEED! www.ivoclarvivadent.com Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. ©2009 Ivoclar Vivadent, Inc. BlueLine and Stratos are registered trademarks of Ivoclar Vivadent. 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 allison@lifestylemidland.com or denturesbydenturists@hotmail.com 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.” 1-800-661-2044 Your Dealer For: • • • Yukon Territory Northwest Territories • DR. FRENCH Nunavut • VITA • CERAFORM • MYERSON M.O. POSTS British Columbia Alberta Saskatchewan Manitoba Newfoundland and Labrador Quebec Ontario Prince Edward Island New Brunswick Nova Scotia Specialty Tooth Supply Ltd. your Enigma dealer for Western Canada, 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 is coming soon. Watch for our direct mailer for more details. To PLaCe aN orDer or for More INfo CaLL: 1-866-996-4767 eN fraNçaIs: 1-800-523-4575 “Your Practice Building Partner” www.MID-CoNTINeNTaL.CoM Renew® is a registered trademark of Mid-Continental Dental Supply Co. Ltd. Justi® is a registered trademark of American Tooth Industries 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 bakodent@dentureusa.com 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 Why Buy Abutments? Implant Direct Implants with All-In-One Packaging Include Free Abutments Restorative Dentists, working in the Team Approach, should request Implant Direct Implants for their patients to reduce or eliminate the cost of prosthetic components. W hy Over pay for Abutments Tr a n s f e r s a n d A n a l o g s ? Abutments for Internal Connection Implants from the Inventor of the Internal Connection: G. Niznick US. Pat. # 4,960,381 Compatibility & Precision Guaranteed! Gerald Niznick, DMD,MSD, Founder and President of Implant Direct Two-Piece Implants include fixture-mount/transfer that can be shortened for use as a final straight abutment Titanium Abutments for $102 Cnd Gold Abutments for $120 Cnd LEGACY® ABUTMENTS for Zimmer, BioHorizons & MIS Implants Platform: Hexagon - Internal Bevel ScrewPlant® Internal Hex SwissPlant® Internal Octagon ReActive® Internal Tri-Lobe Three One-Piece Implants REPLANT® ABUTMENTS for NobelBiocare Replace® Implants Platform: Tri-Lobe - Butt Joint SWISSPLANT® ABUTMENTS for Straumann & Blue Sky Implants Platform: Octagon - External Bevel Canadian List Prices as of 01/16/09 @ Exchange Rate of 1.20 ScrewDirect® Straight Snap-on ScrewIndirect® Screw-Receiving ScrewRedirect® Angled Contoured 1408 West 8th Ave, Suite 204 Vancouver, BC, V6H1E1 Office: 888.730.1337 Technical Support 888.NIZNICK www.implantdirect.com 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 carlos@denturaid.ca Denturist seeking to associate in an established clinic, willing to relocate. 613-263-3050 or dntrmkr@yahoo.ca 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 pjfelt@me.com 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: patricia@forgetmenotmarketing.ca 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 dentureclinic4sale@hotmail.com. 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 teech.areus@yahoo.com. 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 sdraper@nb.sympatico.ca. CLINIC WANTED Experienced denturist with financing in place would like to purchase established practice with minimum annual gross 500k. Interested parties please respond to ddrdt@rogers.blackberry.net 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. 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Click 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 kelly@kelman.ca 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 al@kelman.ca 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: dacdenturist@telus.net Click here to return to the Table of Contents 5X better at helping seal out tough food particles * Recommend Fixodent Control • Food Seal to your patients and they’ll not only enjoy all the great hold they’ve come to expect from Fixodent, but they’ll love the powerful seal against even the toughest of irritating food particles. That means less gum soreness*, a secure hold and the freedom to eat the foods they thought they couldn’t! Experience Life, Not Dentures. Visit www.fixodent.ca to find out more about the complete line of Fixodent products To order Fixodent Control • Food Seal 57g tubes, call your authorized Crest Oral-B dental dealer or call 1-800-543-2577 or fax 1-800-201-1840. Fixodent can improve denture function/wearer satisfaction when used according to instructions in a well-fitting prosthesis © 2009 P&G www.fixodent.ca 8037APR7E * vs no adhesive Your Source For Teeth One of the largest Canada. rrgest stocks stocks under one roof in Ca C nada. Distributor for the following brands. Overnight delivery with Purolator Air service. Contact your sales representative or our tooth counter for consignment requirements. Servicing Canadian Laboratories & Denturists for over 60 years 3420 Pharmacy Ave. Unit 3, Scarborough, ON, M1W 2P7 Ph: 416.694.1118 or 800.268.4442 Fax: 416.694.1071
