Ontario Dentist

60 Pages·2010·6.44 MB·English

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THE JOURNAL OF THE ONTARIO DENTAL ASSOCIATION OCTOBER 2010
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CDA Members
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BuyingaPractice?Start-UpGuidelines|
IntroducingNewStudentLeadershipProgram|
LaunchingNewODAMemberWebsite|
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OntarioDentististheofficialjournalof
theOntarioDentalAssociation,dedicated
tosupportingtheAssociation’sMission
andVisionbyprovidingmemberswith
educationalinformationrelevanttotheir
professionandthedentalpractice
environmentinOntario.
PUBLISHER
KariCuss
EDITOR
Dr.BrianN.Feldman (cid:2) upfront
ARTDIRECTOR
KimberleyStrange 6 Letters 12 Message from the
ProofPositive Chair of ODA
MANAGINGEDITOR
JuliaKuipers Dr.E.J.Neiburger Membership and
4NewStreet,Toronto,Ont. M5R1P6 Programs Core
Tel:[phone]
PrivacyTips Committee
Fax:[phone] • www.oda.ca
Dr.NabilTabbara WelcometotheODA!
CONTRIBUTINGEDITOR Dr.RobertTracogna
GildaSwartz
PearlsofWisdom
EDITORIALBOARD Dr.RyanLindo 13 Welcome to CDA Members
Dr.BrianN.Feldman
Dr.JeffreyL.Berger
6 Corrections 14 PHIPA
Dr.PeterCopp
Dr.YoavFiner RespondingtoaPrivacy
Dr.JimLai 8 Editorial BreachintheDentalOffice
Dr.SimoneSeltzer
AdjustingourFocus JasmineGhosn
Dr.DavidA.Walker
Dr.BrianN.Feldman
DISCLAIMER 18 Oral Health Strategy
TheopinionsexpressedinOntarioDentistarethose 10 President’s Page Introduction:TheODA’s
oftheauthors,anddonotnecessarilyreflectthe
opinionsoftheODA,EditororEditorialBoard. AStrongProfession OralHealthStrategyfor
–AUnitedCommunity 2010-2011
Copyright:TheOntarioDentalAssociation. Dr.LynnTomkins CatharineCapener
ReprintonlybypermissionoftheODA.
ISSN03005275 11 Message from the 19 QualityofLifeasan
CDA President IndicatorofHealthin
Advertisingmustcomplywiththeadvertising
standardsoftheODA.Thepublicationofan TheCDAandODA: OlderPeople
advertismentorinclusionofapolybaggeditem WorkinginHarmony Dr.MichaelL.MacEntee
shouldnotbeconstruedasanendorsementof, Dr.RonaldG.Smith
orapprovalby,theODA.
DISPLAYADVERTISINGINFORMATION
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24 Healthline
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26 Clinical Abstracts
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Who’sonFirst?
SUBSCRIPTIONS Dr.IngridSevels
Subscriptionprice:$105peryear.
Singlecopies:$12
28 Clinical Feature | Cover Article
U.S.subscriptions:US$125
Singlecopies:US$15 SevereObstructiveSleepApneainan11-Year-OldPatient
Foreignsubscriptions:US$160 Dr.LesPriemer
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32 Clinical Feature
COVER FacialTraumainNorthwesternOntario
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Dr.WilliamW.Dowhos,Dr.ShawnHigashi,Dr.BruceR.Pynn
4 OntarioDentist•October2010
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ODABoardofDirectors
President
Dr.LynnTomkins
OCTOBER 2010
Toronto
Volume87|Number8
President-Elect
Dr.HarryHoediono
Kitchener
PastPresident
Dr.IraR.Kirshen
(cid:2)
business RichmondHill
Vice-President
36 Practice Management Dr.ArtWorth
Thamesville
BuyingaDentalPractice:Start-UpGuidelinesforYoungDentists
SarahBullandPhilipLieberman Dr.RickCaldwell
NewLiskeard
38 RentCheck
Dr.TrevorChinQuee
DaleWillerton Ottawa
Dr.RaffyChouljian
40 TransitionsThatWork
Scarborough
MarkMcNulty
Dr.DonnaGreen
St.Thomas
43 Insurance
HaveYouLefttheDoorOpentoPotentialProblems? Dr.VictorKutcher
SusanRoberts Burlington
Dr.GraceLee
45 Financial Planning Ottawa
RiskyBusiness
Dr.JackMcLister
AdamButler
London
Dr.GeraldSmith
(cid:2)
members ThunderBay
Dr.IsabelTeijeiro
48 University News 52 Dental Calendar Chelmsford
NewODAProgram–Student
Dr.LarryTenaschuk
LeadershipInitiative 52 In Memoriam Milton
KariCuss Dr.AnthonyPeterBarzan
Dr.RonaldYim
Dr.VernonCharlesEvered
Burlington
49 Practice Advisory Services Dr.HowardAllenFerguson
TreatmentTime:Scaling
ChairofCouncil
andRootPlaning Tribute:Dr.LeonardShapira
Dr.RogerHoward
Ottawa
50 Website 53 Classifieds
NewODAMemberWebsite
Launched 56 Advertiser Index ODAMissionStatement
CatherinePerdue TheOntarioDentalAssociationisthe
58 The Last Page voluntaryprofessionalorganization
51 Events UnderOneRoof whichrepresentsthedentistsof
TAD’sAnnualWinterClinic CatherineMorana Ontario,supportsitsmembers,is
dedicatedtotheprovisionof
MichelleHolden
exemplaryoralhealthcareand
promotestheattainmentofoptimal
32 healthforthepeopleofOntario.
38
October2010•OntarioDentist 5
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upfront
Letters
Proof Positive Privacy Tips
Dr. Brian N. Feldman’s excellent editorial, “Where’s the Proof?” (June 2010), Regardingthefirstoftheseriesofar-
confusessomeissues,whichmostpeoplebelievearebasedon“proof,“regard- ticles on privacy in the July/August
ingthewearingofgloves. 2010issueofOntarioDentist(“Privacy
Thereissignificantevidencethatwearingglovescontributestoneedle-stickin- Practices for the Dental Office: Tips
juries, not reduces them. This is due to the gloves blocking of proprioceptive for PHIPA Compliance,” by Jasmine
sensations.What’smoreinterestingisthatthereisnotasingledocumentedcase Ghosn),Iwouldliketosaythankyou
worldwideofadentistoccupationallytransferringtheAIDSvirusbare-handed totheauthorfortheusefulandnovel
toapatient,orfromapatienttohimself.Thereisonlyonecase,theinfamous way she has categorized her article.
Dr.AcerFloridacase,inwhichAIDSwastransferredfromadentisttoapatient, Thetipsarefriendlyandsimpletoun-
andthiswaswhenthedentistwaswearingglovesandobservingUniversalPre- derstand. It is a pleasure to read. I
cautions. wishtoreadmoreofyourideas.
Considering the incredible amount of resources (gloves, masks, etc.) being
used forstandard precautions, prompted bytheFAIDS (fearof aids) epidemic, Dr.NabilTabbara
the“proof“forthesemeasuresisessentiallynon-existent. AdjunctClinicalProfessor
SchulichSchoolofMedicine&
Dr.E.J.Neiburger,Director Dentistry
CenterforDentalAIDSResearch UniversityofWesternOntario
Waukegan,IL
Pearls of Wisdom
C O R R E C T I O N S
IwasoneofDr.Feldman’sstudentsat
GremlinsweredefinitelyatworkintwopastissuesofOntarioDentist. theUniversityofTorontoafewyears
ago. I just wanted to say that I really
InourJuly/Augustissue,onpage23,wemistakenlyidentifiedtheODHA enjoyhiseditorialsinOntarioDentist.
PresidentasMs.ShelleyNewton.TheODHAPresident,showninthepho- I especially liked the one in the May
tographoftheopeningceremoniesoftheASM,isMs.KimIvan. 2010issue,inwhichhesharedseveral
tips and words of wisdom based on
In the same issue, in the article, “The Female Perspective,” Dr. Yasaman his experience (“Wisdom from Expe-
Garakani was mistakenly identified as a member of the ODA Board of rience”). I would love to see more of
Directors. this type of content, since new den-
tists need to be informed of, and re-
InourSeptemberissue,onpage42,thedateoftheconvocationatUofT mindedof,asmanyofthosepearlsas
shouldhavebeenJune4,2010. possible.
Keepupthegoodwork!
Dr.RyanLindo
OntarioDentistapologizesfortheerrors.
Toronto,Ont.
6 OntarioDentist•October2010
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=HARDTO REACH AREAS
OD_Oct10_FINAL:Layout 1 9/22/10 8:53 AM Page 8
upfront
Editorial BrianN.Feldman
DDSBA
Adjusting our Focus
O
newaytogetquicksnapshotsofthedentalprofession’sprioritiesinanygiven
yearistoanalyzethescientificprogramsofCanada’sthreemajordentalcon-
ventions. Attendees at the 2010 Pacific Dental Conference (PDC), the ODA’s
Annual Spring Meeting (ASM) and the Journées dentaires internationales du Québec
(JDIQ)couldchoosefromacombinedtotalof235lectures,seminarsandhands-onwork-
shops.Thesesessionstraditionallyreflectcurrenttopicsandkeyissues,showcasingwhat
theprofessionfeelsisimportantforitsmemberstoknow.Here’sthebreakdown.
What’s
Hot?
Restorative Dentistry
Thirty-fourpercent(80of235)ofthepresentationsdealtwithrestorativedentistry,in-
cluding esthetics, endodontics and implants. This is probably as it should be — clini-
cianshavealife-longdutytoupdatetheirknowledgeandrefinetheirskillstoadequately
prepareforandrespondtoanincreasinglydemandingpublic.
Practice Management
This topic appears to remain of great interest, occupying 13 percent of the presenta-
tions(31of235).Financialstrategies,personnelissuesandgovernmentandregulatory
concernswereincludedinthiscategory,reflectingtheimportanceofincorporatingef-
fectivebusinessprinciplesintoeverydayofficeroutines.
Oral Medicine, Oral Pathology and Emergencies
Inastrongthirdplaceat11percent(25of235),thesetopicssuggestthecontinuedex-
pansionof dentistryintoitsrightfulpositionasamedicalspecialty,andperhapsalso
reflect the increasingly evidence-based connection between oral health and systemic
health.Entirelyappropriate,inmyview.
8 OntarioDentist•October2010
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Editorial
MMaarrkk tthheessee ddaatteess oonnn yyyooouuurrr cccaaallleeennndddaaarrr nnnooowww
March 10–12, 2011
What’s
Vancouver, BC
Not? (cid:51)(cid:68)(cid:70)(cid:76)(cid:192)(cid:70) (cid:39)(cid:72)(cid:81)(cid:87)(cid:68)(cid:79)
(cid:38)(cid:82)(cid:81)(cid:73)(cid:72)(cid:85)(cid:72)(cid:81)(cid:70)(cid:72)
Pediatric Dentistry, Orthodontics and Health and
Wellness
Thesetopicstiedforthird-last,apositionthatmaybeex-
plainedawaybytheseparateconferencesavailabletospe-
cialists (pedodontists and orthodontists) in these
disciplines,andbyageneralfatiguewiththeentiresubject
ofhealthandwellness.Still,consideringtherecentatten-
tiontotheproblemofearlychildhoodcaries,Iwouldhave
expectedagreaternumberofspeakersonthistopic.
Geriatric Dentistry
Geriatricdentistrystandsaloneinsecond-lastspot,afind-
Make Vancouver your spring destination
ingthatbothsurprisesandconcernsme.Despitethemas-
for CE learning and vacation experience!
siverecentemphasisonanimpending“seniors’crisis”,as
wellasdentistry’sfrequentcallsforincreasedaccesstoden-
(cid:135)Earn up to 15 hours of CE credits during three
talcarefortheagedandinstitutionalized,theissueofgeri- daysoflecturesandhands-on courses
atrics occupied a mere two percent of the scientific including Invisalign Clear Essentials I & II
programs (four of 235). Because the statistics and circum- (cid:135)Enjoy the largest two day dental tradeshow
stancescertainlyhavenotchangedrecently,exceptmaybe in Western Canada featuring all the newest
equipment and products at over 500 exhibitor
toworsen,Isuggestthisissuedeservesfarmoreattention
booths in the spacious PDC Exhibit Hall
when planning future programs. Ignoring it may mean
(cid:135)Lunches and Exhibit Hall Receptions
beingunpreparedwhenthelong-predictedcrisisofinade-
included in registration fee
quateoralhealthcareforouragingpopulationbecomesa
(cid:135)Online hotel reservations now available
reality.
(cid:135)Shopping, hotels, restaurants and breath-taking
Stanley Park are all within blocks of the new
Ethics
spacious Vancouver Convention Centre
Cominginabsolutelydeadlast,ethicswasthetopicofjust
(cid:135)Scenictwo hour drive to world famous Whistler
one of the 235 presentations, registering a barely notice- Mountain for spring skiing and snowboarding
able 0.4 percent of the programs. It is a glaring omission
(cid:40)(cid:91)(cid:83)(cid:72)(cid:85)(cid:76)(cid:72)(cid:81)(cid:70)(cid:72)(cid:87)(cid:75)(cid:72)(cid:51)(cid:68)(cid:70)(cid:76)(cid:192)(cid:70)(cid:39)(cid:72)(cid:81)(cid:87)(cid:68)(cid:79)(cid:38)(cid:82)(cid:81)(cid:73)(cid:72)(cid:85)(cid:72)(cid:81)(cid:70)(cid:72)
thatIfinddeeplytroubling,andhere’sthereason:apro-
inthespringtime!
fession that does not understand, debate or even
make its members aware of the importance and
roleofethicsineverydaypracticeriskslosingfirst
itsintegrity,andthenitsindependence.
Easy online registration and program information at...
Dr.BrianN.FeldmanistheEditorofOntarioDentist.A1971
graduateofthe FacultyofDentistry,UniversityofToronto,he www.pdconf.com
teachespart-timeintheDepartmentsofHistologyandPathol- Suite 305 – 1505 West 2nd Avenue,
ogy. Dr. Feldman may be reached at 416-319-6585 or at
Save monVeay nbyc oreugivsteerri,n Bg bCe f oCrea Jnaanudaary 1V46thH, 2 031Y14
[email protected].
October2010•OntarioDentist 9
OD_Oct10_FINAL:Layout 1 9/22/10 8:53 AM Page 10
upfront
President’s Page LynnTomkins
BScDDS
A Strong Profession – A United Community
I
wouldliketotakethisopportunity dentistry a strong, respected and in- The oral health practice environ-
to welcome the members of the dependentprofession. ment is changing. Increasing govern-
CanadianDentalAssociationwho Whenwestarteddentalschoolone mentregulationattheprovinciallevel,
may be reading Ontario Dentist and ofthefirstlectureswereceivedtoldus the clamouring of other professional
thisPresident’sPageforthefirsttime that going through dental school groups who wish to encroach on our
inthisspecialeditionofourjournal. would be a conforming experience scopeofpractice,theincreasinginter-
Welcome, welcome to the Ontario and that when we graduated we ferenceofthird-partyprovidersinthe
Dental Association and all the won- wouldbemuchmorealikethanwhen dentist-patient relationship, the chal-
derfulbenefitsithastoofferallden- we had started. I thought it was a lengesoftreatinganagingpopulation
tists in Ontario. Whether you are an rather odd and obvious thing to say; inaneraofdiminishingresources,and
academicdentist,anassociatedentist, we were a pretty homogenous group the funding of dental education and
a hospital dentist, a public health tostartwith;butovertheyearsasthe scientificresearcharejustsomeofthe
dentist,aconsultantdentist,ageneral demographics of our province and issues that will affect your ability to
practitioner or a specialist, the On- professionhavechangedIappreciate practise dentistry as you would like.
tario Dental Association has the moreandmorewhatwasintendedby TheOntarioDentalAssociationknows
knowledge, the experience, the re- thatstatement.Thedaytodayexpe- and understands this environment
sourcesandtheservicestobeyoures- rienceofbeinginthesameprofession and is here to help you get ready for
sential partner in practice. I am very transcendsboundariesofgender,cul- thefuture,whateverdentalcareerpath
proud to be a member of this com- tureandreligion. Ourconcernsunite youchoose.
munity,andIhopethatyouwillfeel us,ourdiversitystrengthensus. As a dentist practising in Ontario
thesame. The Ontario Dental Association al- youhavebenefittedalreadyfromthe
My husband and practice partner, ready represents more than 80 per- strengthandadvocacyoftheOntario
Dr. Daniel Kmiecik, and I have been cent of the dentists in this province. Dental Association. I invite you to
members of both the Ontario and Ourmembershipisvoluntaryandthe add your voice to ours, so that to-
Canadian Dental Associations every significance of this cannot be over- gether we can continue to make the
year since we started dental school stated. Our mandate crosses all co- profession of dentistry in this
more than 30 years ago. That’s over hortsandspecialinterestgroupsand provincethebestthatitcanbe.
120 years of individual association forover140yearstheODAhasbeen
memberships, and why? Because we the authoritative voice of dentistry Dr. Tomkins maintains a private prac-
feel that as Canadian dentists living andoralhealthinthisprovincetoall tice in Toronto and is on staff at the
and working in Ontario it is our stakeholders. We are the largest and University of Toronto’s Faculty of
responsibilityandprivilegetosupport strongest provincial dental associa- Dentistry. She may be contacted at
the associations that help make tioninthiscountry. [email protected].
10 OntarioDentist•October2010