Oral Hygiene February 2015 by Annex Business Media

oralhygiene February 2015

Reducing

CARBON the

FOOTPRINT Can Dental Hygiene BE GREEN? THE HYGIENE HANDOFF: A fail-proof way to increase productivity and decrease stress

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oralhygiene CONTENTS

FEATURES The Hygiene Handoff: A fail-proof way to increase productivity and decrease stress

Katherine Eitel

Time Waits For Nobody Virginia Moore

The ‘Dental Hygiene Experience’ — Part II

16 20

Kathleen Bokrossy, RDH

Can Dental Hygiene Be Green?

DEPARTMENTS Publisher’s Note

News

Smoke Free Ontario Act Gift From The Heart

New Products

Dental Marketplace

Editorial Board Members Lisa Philp | Kathleen Bokrossy Debra Engelhardt-Nash

Cover: ©hddigital/Getty Images/iStockphotos

Mary Govani

24 February 2015

www.oralhealthgroup.com

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Sensodyne Repair & Protect ®

Sensodyne Repair & Protect is the first fluoride toothpaste to harness patented NovaMin calcium and phosphate technology to do more than treat the pain of dentin hypersensitivity. ®

• Repairs exposed dentin*: Builds a robust hydroxyapatite-like layer over exposed dentin and within dentin tubules. 1–5

• Protects patients from the pain of future sensitivity*: The hydroxyapatitelike layer is up to 50% harder than the underlying dentin and resistant to daily mechanical and chemical challenges. 6

1,6–8

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1. Burwell A, et al. J Clin Dent. 2010;21(Spec Iss):66–71. 2. LaTorre G, et al. J Clin Dent. 2010;21(3):72–76. 3. West NX, et al. J Clin Dent. 2011;22(Spec Iss):82–89. 4. Earl J, et al. J Clin Dent. 2011;22(Spec Iss):62–67. 5. Efflant SE, et al. J Mater Sci Mater Med. 2002;26(6):557–565. 6. Parkinson C, et al. J Clin Dent. 2011;22 (Spec Iss):74–81. 7. Earl J, et al. J Clin Dent. 2011;22(Spec Iss):68–73. 8. Wang Z, et al. J Dent. 2010;38:400−410.

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Sensodyne Répare et Protège ®

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• Répare la dentine exposée* : Crée une solide couche semblable à l’hydroxylapatite sur la dentine exposée et dans les tubules dentinaires . 1–5

• Protège les patients de la douleur liée à la sensibilité future* : La couche semblable à l’hydroxylapatite est jusqu’à 50 % plus dure que la dentine sous-jacente et elle résiste aux attaques mécaniques et chimiques quotidiennes . 6

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1. Burwell A, et al. J Clin Dent. 2010;21 (numéro spécial):66-71. 2. LaTorre G, et al. J Clin Dent. 2010;21(3):72–76. 3. West NX, et al. J Clin Dent. 2011;22 (numéro spécial):82-89. 4. Earl J, et al. J Clin Dent. 2011;22 (numéro spécial):62-67. 5. Efflant SE, et al. J Mater Sci Mater Med. 2002;26(6):557–565. 6. Parkinson C, et al. J Clin Dent. 2011;22 (numéro spécial):74-81. 7. Earl J, et al. J Clin Dent. 2011;22 (numéro spécial):68-73. 8. Wang Z, et al. J Dent. 2010;38:400−410.

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EDITORIAL

Publisher’s Note I am pleased and excited to announce that the Oral Health Group of Publications, which includes Oral Health, Oral Hygiene, Oral Health Office, Oral Health Labs and the website, www.oralhealthgroup.com, has been acquired by Newcom Business Media Inc. Newcom is a family-owned company with deep roots in businessto-business publishing. They are totally committed to maintaining and building on our traditions of educating and informing our readers through our print mediums and the Oral Health Group website. Newcom shares our unwavering and total commitment to editorial excellence. We will continue to bring you the very best editorial content, designed to help you as dental hygienists to perform with maximum proficiency in your job. We will, as always, use the finest consultants and experts in the field, sharing their knowledge with you in every issue; keeping you up to date on the latest techniques and developments in dental hygiene, as well as profiling

new products and technologies, all dedicated to improving your efficiency and effectiveness in the operatory and office. This issue is no exception. Our cover story is from Mary Govani, who asks “Can Dental Hygiene Be Green?” We continue with part II of Kathleen Bokrossy’s series on “The Dental Hygiene Experience” and we welcome Katherine Eitel to our book with her article on “The Hygiene Handoff: A FailProof Way to Increase Productivity and Decrease Stress.” We also highlight some new products from Miele, Philips Sonicare and VOCO. As Oral Hygiene continues to grow and expand under our new owners, we look forward to meeting more of our readers in person, at conventions, seminars and events, to learn more about what you would like to see in the pages of Oral Hygiene. This is YOUR magazine, designed to meet YOUR needs and we welcome and invite your input! Thank you for your readership and support!

Melissa Summerfield Publisher

February 2015

www.oralhealthgroup.com

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NEWS BRIEFS

The Ontario Dental Association (ODA) supports the move by the Ontario government to strengthen the Smoke-Free Ontario Act to protect people of all ages, and young people in particular, from the harmful effects of tobacco. In November, the Ministry of Health and Long-Term Care announced new regulations under the Act which prohibits smoking on restaurant patios, playgrounds and certain other public spaces, effective January 1, 2015. It is also now illegal to sell tobacco products on university and college campuses. “As the experts in oral health care, dentists see the damage tobacco does to the mouth and teeth every day,” says Dr. Gerald Smith, President of the ODA. “We applaud the government for taking measures to restrict the availability and use of tobacco products and, in the long term, reduce the harmful effects on a person’s oral and overall health.” Seventy-five percent of periodontal (gum) disease in adults may be caused by smoking. Tobacco products — including cigarettes, cigars and smokeless tobacco — have also been proven to cause tooth loss and oral cancers. Smokers also tend to suffer from bad breath, stained teeth and dry mouth. Dentists are committed to helping their patients in the smoking cessation process. A NEWCOM MEDIA PUBLICATION Classified Advertising: Editorial Director: Catherine Wilson Karen Shaw 416-510-6785 416-510-6770 cwilson@oralhealthgroup.com kshaw@oralhealthgroup.com Assistant Editor: Dental Group Assistant: Jillian Cecchini Kahaliah Richards 416-442-5600, ext. 3207 jcecchini@oralhealthgroup.com 416-510-6777 krichards@oralhealthgroup.com Art Direction: Associate Publisher: Andrea M. Smith Hasina Ahmed Production Manager: 416-510-6765 Phyllis Wright hahmed@oralhealthgroup.com Circulation: Cindi Holder

Advertising Services: Karen Samuels 416-510-5190 karens@bizinfogroup.ca

February 2015

Senior Publisher: Melissa Summerfield 416-510-6781 msummerfield@oralhealthgroup.com

Vice President: Senior Sales Manager: Joe Glionna Tony Burgaretta President: 416-510-6852 tburgaretta@oralhealthgroup.com Jim Glionna

GIFT FROM THE HEART Dental Hygienists Offer One Day of Free Services to the Public To honour the spirit of Valentine’s Day, on February 8th, 2015, registered dental hygienists across the province will provide oral care services to the public at no cost. For the sixth consecutive year, the Gift From the Heart campaign offers a way for dental hygienists to reach out in their community and help members of the public who may be financially unable to receive oral care or have difficulty accessing dental hygiene services. Last year, dental hygienists in Ontario from all practice settings, including those who operate their own businesses, treated approximately 800 clients during the one-day volunteer event. Since September 2007 when legislation allowed dental hygienists to provide their services outside the dental office, more than 250 independent dental hygiene practices — stand-alone clinics and mobile services — have opened across Ontario. “The legislation change in 2007 increased access to affordable and comprehensive dental hygiene care,” said Heidi Linton, President of the Ontario Dental Hygienists’ Association.” Gift From the Heart goes one step further to make sure more people know about dental hygiene’s integral role in the delivery of quality oral care in Ontario.”

OFFICES Located at 80 Valleybrook Drive, Toronto ON M3B 2S9. Telephone 416-442-5600, Fax 416-510-5140. Oral Hygiene serves dental hygienists across Canada. The editorial environment speaks to hygienists as professionals, helping them build and develop clinical skills, master new products and technologies and increase their productivity and effectiveness as key members of the dental team. Articles focus on topics of interest to the hygienist, including education, communication, prevention and treatment modalities. Please address all submissions to: The Editor, Oral Hygiene, 80 Valleybrook Drive, Toronto, ON M3B 2S9. Oral Hygiene (ISSN 0827-1305) will be published four times in 2015, 80 Valleybrook Drive, Toronto ON M3B 2S7.

Subscription rates: Canada $25.00/1 year; $47.00/2 years; USA $46.95/1 year; Foreign $46.95/1 year; Single copies Canada & USA $10.00, Foreign $18.00.

©Getty Images/Thinkstock

Ontario Dentists Support Changes to Smoke Free Ontario Act

Printed in Canada. All rights reserved. The contents of this publication may not be reproduced either in part or in full without the written consent of the copyright owner. From time to time we make our subscription list available to select companies and organizations whose product or service may interest you. If you do not wish your contact information to be made available, please contact us via one of the following methods: Phone: 1-800-668-2374; Fax: 416-442-2191; E-mail: privacyofficer@businessinformationgroup.ca; Mail to: Privacy Officer, Newcom Business Media, 80 Valleybrook Drive, Toronto ON M3B 2S7. Canada Post product agreement No. 40069240. Oral Hygiene is published quarterly by Newcom Business Media, a leading Canadian magazine publishing company.

ISSN 0827-1305 (PRINT) ISSN 1923-3450 (ONLINE)

www.oralhealthgroup.com

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CASE STUDY 5

©Getty Images/Thinkstock

A solution for poor client compliance.

ISSUE

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SOLUTION

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RESULTS

pointments hygiene check ap al or in se ea cr a 45% de free up valuable We experienced ch allowed us to hi w s, th on m six within the first tice. ac pr r ou time in

Cynthia Dias Registered Dental Hygienist Cynthia Dias has not been compensated to appear in this ad.

Find out how our programs are paying off for other practices at

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We mean business.

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ORAL HYGIENE

The Hygiene Handoff: Katherine Eitel

Creator of The Lioness Principle and founder of Lioness Learning, a revolutionary training company helping dental and discretionary healthcare professionals. Katherine is an international speaker, author, and communications/leadership coach in the dental and discretionary healthcare fields. Past President of the Academy of Dental Management Consultants (2007-2008), member of the National Speaker’s Association, and Board Member for the Speaking Consulting Network. For more information, visit www.KatherineEitel. com or call (800) 595-7060.

A fail-proof way to increase productivity and decrease stress

reat hygienists are always looking for ways to help their patients believe, understand, and accept their recommended treatment. They spend the time required to develop a strong trust relationship with their patients. By the end of a hygiene appointment, you’ve received or retrieved an enormous amount of information that can help your doctor quickly assess, diagnose, and recommend appropriate treatment at the examination. There are at least two compelling reasons to improve the hygiene handoff to your doctor during or at the conclusion of your hygiene appointments. First, if the verbal handoff is really good, you will see a larger percentage of patients accepting more recommended periodontal, restorative and cosmetic treatment. Secondly, you are likely to run on time more often which is good for patients, the practice and of course, you. To think differently about the hygiene handoff, we must understand a few core communication principles. First, while you are talking, the patient as the listener has two conversations going on inside their head simultaneously. They are listening to what you are saying and they are listening to their own internal conversation which is analyzing what you’ve just said. For example, they may be listening to your explanation of their probing measurements and why this confirms the need to proceed with a periodontal therapy program, while at the very same time, they are listening to their internal con-

cerns about cost, time and whether it makes sense to them or not. To complicate matters further, they are probably looking straight at you with an interested look and nodding their head the entire time, implying understanding and acceptance. Often, that couldn’t be further from the truth. There is nothing that can be done about this very human condition, but we can understand it and anticipate, if not mitigate, the consequences. If you believe that the patient “toggles” between these two conversations in their mind, then you will also know that, for as long as they are listening to one, they have completely missed part of the other! Hence, your frustration when you KNOW you’ve told a patient something and they say that they never heard it. (You’re sure to recognize this phenomenon happening often with children and spouses as well!) What does this have to do with the information handoff to your doctor? Well, I believe it solidifies the need to relay your information verbally in front of the patient to the doctor as often as possible. Your patient couldn’t hear it too many times. The more, the better, if you are striving for clear communication and greater compliance. The second principle required is that you can’t relay something in a handoff that you never received in the first place. To construct a great handoff, you have to work backwards and start with the end in mind. For example, if you and your doctor decide that you would like to report five areas at

February 2015 www.oralhealthgroup.com

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ORAL HYGIENE

There are at least two compelling reasons to improve the hygiene handoff to your doctor during or at the conclusion of your hygiene appointments the hygienist has done their job in ascertaining the data and the doctor bypasses the handoff by jumping in to ask the patient questions, three things are virtually guaranteed to happen: 1) the hygienist will not continue to ask questions they are sure will only be asked again by the doctor, 2) the patient will not be overly impressed with your communication, teamwork, and trust, and 3) they will not get the chance to clearly hear the information for a second time confirmed by the verbal handoff. A great doctor “cue” could sound something like this: “… I’m glad you’ve had a great summer, Jane. Now, Sara, I know you two have spent the last hour gathering some great information. Bring me up to speed on Jane’s current situation.” It can literally be any words that communicate the doctor is finished building personal rapport and now would like to hear the handoff to precede with the examination. This cue is a small but very critical piece. The clinical handoff would then continue perhaps sounding something like this: “Dr. Smith, Jane is doing very well overall. 1. H ealth — Her health is good with no changes to her medications or health status. 2. Perio — The health of her gum tissue and bone levels has improved in some areas and worsened in others. The 4 mm pockets

©talitha_it/Getty Images/iStockphotos

the hygiene exam, such as: 1) changes in health or medications, 2) current periodontal condition and treatment recommendations, 3) o ral cancer screening results, 4) restorative concerns (the patient’s and your own), and 5) aesthetic concerns, then you will have to structure your appointment protocol to allow for the assessment of all five areas. For instance, you may decide that in the initial patient interview at the beginning of the appointment, you will review the medical history, ask about restorative concerns and always ask about any cosmetic concerns as well. You will then, of course, perform an oral cancer screening and an appropriate periodontal assessment during the course of your appointment. You may also commit to an intraoral camera tour of the mouth to pre-assess any restorative concerns so that pictures of any suspicious areas can be ready for the doctor’s exam. At the conclusion of such an appointment protocol, you would have all the information necessary to conduct your pre-determined verbal handoff to your doctor upon their entry into the room. This handoff can be very brief and still be complete. I recommend allowing the doctor a couple minutes to connect personally with the patient. The information handoff works best when the doctor commits to giving a verbal “cue” to the hygienist that he or she is “ready to hear the handoff.” Otherwise, if

February 2015

www.oralhealthgroup.com

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ORAL HYGIENE

our

PE FO You would never stop asking about changes in their health just because the last four times you saw the patient, they were healthy. on the anteriors are now measuring at 3 mm with no bleeding which is good news. However, I’m concerned about the lower molar area, where there are some 4’s along with bleeding on probing. These areas have proven difficult for Jane to floss so I have recommended some additional home care tools and also that we see Jane in four months instead of six to keep a closer eye on the progression of the disease in those areas. 3. T MJ — As far as her jaw joint, she is experiencing some clicking occasionally in her left joint as well as frequent head and neck aches. I also noticed some advanced wear on some of her teeth and we discussed the possibility of a nightguard to protect her bite and relieve some of her symptoms. Of course, we wanted to check with you to see if you concurred with that course of treatment but if you do, she is very interested. 4. Restorative — Jane’s current restorations appear healthy to me however. 5. C osmetics — Cosmetically, she doesn’t care for the look of the composite fillings on her upper two front teeth. They have darkened, and she is interested in changing those. We discussed several options including veneers, and she’s very interested and wants to discuss that further with you at this time.”

The point here is that whether or not your findings are positive or negative, there is always a report of findings to the dentist in all the areas you’ve decided on in advance so that the patient hears that they were checked and discussed. When it becomes the routine, patients love the thoroughness of this handoff and always feel well cared for. One note about the cosmetic or aesthetic

piece of this handoff format: I find in observation of hygienists that they often do an outstanding job of relaying health and perio issues to the doctor. Many also do a great job with regard to restorative findings. However, I find that aesthetic issues are often only articulated when the patient has initiated the conversation. I’ve queried many hygienists about this and found it very enlightening that, by and large, they worry it will be perceived as “pushy” or “too hard to sell” to ask their patients about cosmetic concerns at every visit. I agree that if the opening conversation with a patient is more focused on “selling” something rather than really listening to the patients’ concerns, experiences and desires, you will always be perceived as a “salesman” instead of a healthcare provider. What we are after here is a comprehensive “checkin” at the “check-up” to ascertain (initially from the patient’s perspective and later in the appointment from yours) where things stand in all five areas. You would never stop asking about changes in their health just because the last four times you saw the patient, they were healthy. The same should be true for all other areas of the handoff, including cosmetics. Here’s a great example: I’ve been seeing my hygienist for many years. We’ve developed a deep trust relationship and friendship. In the last few years, I received orthodontic treatment using Invisalign and had noticed some darkening of my teeth over the course of treatment. I had every intention on my next hygiene visit to ask if I could use my last Invisalign tray (currently serving as my retainer) as a whitening tray to whiten my teeth. As always when I arrived, my hygienist and I got caught up on the life events that

February 2015 www.oralhealthgroup.com

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ORAL HYGIENE

It is much better to create a checklist of the points you always want covered in your handoff and ultimately commit that list to memory.

had transpired since my last visit as well as a quick review of my health and an inquiry about any problems I might be experiencing. As usual, it was a great visit with no cavities, no failing restorations, no perio. After my appointment, as I pulled out of the parking lot on my way to the next stop on my never-ending to-do list, I realized all too late I never asked about the whitening. Oh well. Next time…in six months! What if my hygienist, as part of her initial interview, had simply added the last question to her normal ones: “Any changes in your health or medications since we last saw you? Experiencing any problems with your teeth? How about cosmetically? Are you still as satisfied with the look of your teeth as you were the last time I saw you?” No doubt my memory would have been jogged, and I would have left with either some whitening gel or with impressions for new whitening trays. I would not have left thinking she was pushy. As a matter-of-fact, quite the opposite. The power of this question rests in your true intentions and ease in asking it. Patients will follow your lead. Additionally, I’m not a big believer in strict communication scripts because I find hygienists, and all team members for that matter, do better and are more consistent in the long run when they are part of an effort to create a communication structure, rather than a word-for-word script. This allows for each of us to be genuinely and authentically ourselves in our interactions with patients, while still challenging us to become highlevel communicators. I think it is much better to create a checklist of the points you always want covered in your handoff and

Health Perio TMJ Restorative Cosmetics ultimately commit that list to memory. So, here are my recommendations for improving your clinical handoffs: 1. Sit down with your doctor and teammates and create a list of the areas you’d like reviewed at every exam. 2. T hen work backwards to create a hygiene protocol that ensures the gathering of that information in your initial interview and throughout the appointment. 3. Until it becomes rote, create a “cheatsheet” that you can reference with all the areas of your handoff. (If you’d like a free example of a hygiene handoff cheatsheet, send an email to info@KatherineEitel.com with “hygiene cheat-sheet” in the subject line.) 4. Decide with your doctor what words they would feel comfortable saying for the handoff “cue.” 5. Sit back and watch your stress levels go down and your treatment acceptance skyrocket! n For a complimentary copy of the documentary film Say Ah: The Cavity in Healthcare Reform, email us at info@KatherineEitel.com with Say Ah! in the subject line.

February 2015 www.oralhealthgroup.com

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ORAL HYGIENE Fern K. Ingber, MEd

Founding President and CEO of America’s/Canada’s ToothFairy: National Children’s Oral Health Foundation®. Under her leadership, NCOHF has delivered more than $14 million in vital communitybased programs, educational materials, oral care products, and financial grants through its network of Affiliate partners and community programs. Learn more and get involved at www.CanadasTooth Fairy.org

ral health is a critical determining factor in the overall health and well-being of children, however early childhood caries remains the most common infectious disease affecting children in Canada.

A 2014 report from the Canadian Academy of Health Sciences indicated that

because most Canadians self-fund their family’s dental care or rely on employer-based programs, young children living in low-income families are among Canada’s most vulnerable populations. Studies cited in the same report showed that children with dental caries are three times more likely to miss school as a result of dental pain, twice as likely to report poor school performance, and experience increased negative impacts on daily activities such as eating and sleeping. With DIAC as a Founding Supporter, Canada’s ToothFairy was launched as the Canadian arm of America’s ToothFairy: National Children’s Oral Health Foundation®, bringing together a collaborative network of health professionals, educators, corporate and civic leaders, and community volunteers to eliminate children’s preventable pain and suffering from pediatric dental disease. Through the development of learning experiences that help eradicate disease and the distribution of resources that expand access to quality services, Canada’s ToothFairy is engaging a broad range of community stakeholders to deliver programs and services that build a healthier nation. When it comes to children’s oral health, dental hygienists have made tremendous contributions to this cause, particularly participants in the Esther Wilkins Education Program (EWEP). This program, launched by America’s/Canada’s ToothFairy with a

founding gift from renowned dental hygienist and dentist Esther Wilkins, builds on the valuable role of dental hygienists and dental hygiene students as prevention specialists by providing engaging, science-based educational assets for their community outreach activities. Shelly Sorenson, RDH, is an EWEP volunteer from Duncan, British Columbia, who uses the Canada’s ToothFairy education kit for her community outreach activities. Noting the children’s excitement to learn about caring for their smile using the magnet board and oversized toothbrush, Shelly said, “Thank you so much for allowing me to better educate children and families in our community through your wonderful program!” With the participation of individual volunteers like Shelly as well as more than 200 dental hygiene programs throughout North America, EWEP volunteers reach thousands of at-risk children each year with vital education and services. Imagine if every dental hygienist in Canada provided oral health education to just 20 students this year, the smiles of more than 500,000 youth could be saved in one year’s time! Children who have good oral health reduce their risk of infection and decay, maintain better overall physical health, build positive self-esteem, and increase their opportunities for success in the future. What better reasons could there be to join Canada’s ToothFairy as a volunteer or supporter? Together, as educators about the importance of oral health, preventers of disease, and protectors of vulnerable children, we can transform the landscape of children’s oral health in Canada. n

©Getty Images/Thinkstock

Canada’s Tooth Fairy

February 2015 www.oralhealthgroup.com

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T th to ro th

1. J fac Ra and

TM Gla Mis

E H T T H L I L N A G F O YOUR PATIENTS S MAY TAKE TO BED

THEIR DENTURES SHOULDN’T BE ONE OF THEM. ©Getty Images/Thinkstock

1-5

Though your patients may take comfort in keeping their dentures in at night, the consequences can be severe, from increased odour to fungal infections to increased caries.1–5 Guiding your patients through the best nighttime routine could be one of the most important conversations you have with them. That means removal and gentle, antibacterial cleaning with Polident®.6 1. Jeganathan S, Payne JA, Thean HP. Denture stomatitis in an elderly edentulous Asian population. J Oral Rehabil. 1997;24(6):468–472. 2. Emami E, de Grandmont P, Rompré PH, et al. Favoring trauma as an etiological factor in denture stomatitis. J Dent Res.2008;87(5):440–444. 3. Barbeau J, Seguin J, Goulet JP, et al. Reassessing the presence of Candida albicans in denture-related stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95(1):51–59. 4. Arendorf TM, Walker DM. Oral candidal populations in health and disease. Br Dent J. 1979;147(10):267–272. 5. Compagnoni Ma, Souza RF, Marra J, et al. Relationship between Candida and nocturnal denture wear: quantitative study. J Oral Rehabil. 2007;34(8):600–605. 6. GSK data on file, 2011.

TM/ or licensed GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4

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VOS PATIENTS PEUVENT DORMIR AVEC

E S T R D O E S C S H E O T S U E O S T

MAIS LA PROTHÈSE DENTAIRE EN EST UNE DE TROP . 1-5

Vos patients peuvent trouver réconfortant de garder leur prothèse pendant la nuit, mais les conséquences peuvent être graves et englobent la mauvaise haleine, les infections fongiques et les caries plus nombreuses1-5. Guider vos patients à adopter de bonnes habitudes avant de se coucher pourrait être une des plus importantes conversations que vous aurez avec eux. Ces habitudes consistent dans le retrait de la prothèse et un nettoyage doux et antibactérien grâce à Polident®6. 1. Jeganathan S, Payne JA, Thean HP. Denture stomatitis in an elderly edentulous Asian population. J Oral Rehabil. 1997;24(6):468–472. 2. Emami E, de Grandmont P, Rompré PH, et al. Favoring trauma as an etiological factor in denture stomatitis. J Dent Res. 2008;87(5):440–444. 3. Barbeau J, Seguin J, Goulet JP, et al. Reassessing the presence of Candida albicans in denture-related stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod Endod. 2003;95(1):51–59. 4. Arendorf TM, Walker DM. Oral candidal populations in health and disease. Br Dent J J. 1979;147(10):267–272. 5. Compagnoni Ma, Souza RF, Marra J, et al al. Relationship between Candida and nocturnal denture wear: quantitative study. J Oral Rehabil. 2007;34(8):600–605. 6. Données internes de GSK, 2011.

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“Time Waits For Nobody” …especially during an exam in hygiene! Virigina Moore

Virginia has presented at top dental meetings in the U.S., Canada, and the Middle East and Asia. She is a contributor to ADA’s newest publication “Expert Business Strategies”, as well as authoring two books and co-authoring eight others on practice management. Virginia is a graduate of the ADA KEMP for dentists. She holds membership in the National Speakers’ Association and is a member and Past-President of Academy of Dental Management Consultants. She can be reached at vmoore@ virginiamoore.com or www.virginiamoore. com.

s a hygienist, when the doctor is in your operatory doing an exam, have you ever had the thought…”Hurry up! I need my patient back!” or “Oh no, don’t ask them ‘what’s new?’, we’ll be here all day!?” If you’ve ever had those thoughts, you’re not alone! Time is always clawing at the schedule and every moment counts.

When you desire to: • stay on time; • provide a thorough clinical experience for the patient; • a llow time for diagnosis; • let the patient know they matter to you; ..establishing the flow and expectations of the doctor exam in hygiene is paramount. To achieve those objectives, begin with a meeting to discuss purpose and expectations for the exam in hygiene in your practice. Agree on the purpose; is it a comprehensive exam? A limited evaluation? If the patient needs “just a quick adjustment”, will that also be done? What objective(s) is to be accomplished by the end of the exam? Next, discuss expectations of the three people involved; patient, doctor and hygienist. How much time will be allocated from both doctor’s and hygienist’s schedule for the exam? What will be deferred to another appointment time if it is too ambitious to accomplish during the time allotted? In order to accomplish the exam within eight minutes or less, plan for the appointment in terms of “before”, “during” and “wrap up”. To prepare the doctor for the needs of the patient, one of the most effective tools is a 5x7 form, that can either be given to the doctor prior to entering the operatory, or have

sitting on the counter top ready for doctor’s arrival. Customize this form to include the information that would be most helpful to the doctor to help accomplish the objectives for the exam. Your form may include: 1. A little something about what the patient has been up to lately (this helps to foster rapport with a patient and lets them know you care about them). For instance the notation: patient and spouse made recent trip to Florida. 2. C hief concern the patient may have. 3. Note any areas of concern that have already been detected. 4. C urrent periodontal condition of patient. 5. A ny previously diagnosed treatment that has not been completed. In preparation for the doctor’s arrival to your operatory, what is it that he/she would like to have ready and available for their review? This can be a highly personal decision on the doctor’s part. Some doctors prefer to have a tremendous amount of information for their review, while others will look to the hygienist for a summary and focus to the most pertinent issues.

Here are a couple of items for consideration:

1. F ull-mouth periodontal charting 2. I ntra-oral photos (how many/of concern areas only?) 3. X-rays 4. Gloves, mask, explorer, mirror and 2x2 gauze To avoid having both the doctor and hygienist schedule running late, discuss and determine the protocols for your practice:

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ORAL HYGIENE

I must govern the clock, not be governed by it. ~ Golda Meir 1. I f the patient needs an adjustment to a crown, will that be accommodated then and there in the hygiene operatory, moved to a doctor operatory or scheduled to another date? 2. If there is a significant amount of treatment to be discussed with the patient, will they be scheduled for a separate consultation appointment? 3. I f a patient has a treatment need that could be accommodated immediately in the doctor’s schedule, how will: a. a financial discussion take place prior to treatment b. assistant be notified of addition to schedule c. administrative team be made aware that a patient has been added to the day’s schedule 4. Will the hygienist be present throughout the entire exam by the doctor? If so, during that time, the hygienist is documenting to the patient record, responding to doctor/ patient questions and keeping the appointment on time. No assumptions should be made that can cause frustration and chaos within a team. Instead, devote a meeting to making decisions regarding these protocols. Set the stage for a time-effective exam. To get the best results possible, having the hygienist take the lead verbally when the doctor enters the operatory is important. A focused, deliberate approach establishes a clear expectation for doctor and patient.

An example: Hygienist: “Hi Doctor. Good news! Tara has done a great job with her flossing and things

are looking a lot better. In fact, she told me she took her floss on their trip to Florida! Tara, you were saying that you’re feeling so good about the flossing that you are ready to take care of that tooth on the upper right that needs a new crown, especially after we looked at the picture, right?” Patient: “Hi Doctor. Yes! Even I’m surprised at how good I’ve been with flossing! My husband couldn’t believe that I flossed each night before it was lights out.” Doctor: “Great job, Tara! Once it becomes a habit, and you are used to how good it feels, you’ll never want to stop flossing. Sounds like it was a good trip to Florida. Did you take the kids?” Patient: “No, they stayed with Jake’s parents. It was a business trip, so we left them at home.” Doctor: “Glad you could go, even if it was business. A nice change of pace from the weather we’ve been having! (Notice that doctor acknowledges the patient’s trip to Florida. This lets the patient know they’ve been heard and puts a personal touch on the conversation. Next, segue into a clinical focus. This keeps the exam time in check while letting a patient know they are cared about.) “Let’s take a look here. I can see in the photo and x-ray that the tooth has deteriorated further so this is the perfect time to catch this before it ends up in a more dangerous condition.” Patient: “What do you mean, dangerous?” Doctor: “If we do this in the next couple of weeks, I’m confident of a predictable outcome. Letting it go any longer could result in deterioration that could mean not only a crown, but a root canal also. That would eas-

February 2015

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ily double the cost and the time. So, it’s good news that you’re ready to go with this. It will save you time and money.” The doctor then evaluates anything else the hygienist has identified as a concern and completes the examination. In closing the examination, the doctor will want to reiterate the next treatment needed and how it will benefit the patient, based on what is important to them. Knowing that the patient in this example has started enjoying better health through her flossing habit, reinforce that benefit with closing comments. Doctor: “Tara, so that you can continue to enjoy better dental health, let’s get that crown done in the next month. Once that is taken care of, you’ll also find it easier to floss in that area. I’ll see you soon.” By wrapping up the exam with a benefit to how the treatment will help the patient (“enjoy

better dental health”), being specific (“in the next month”) about the expectation for when it will be done, and one more benefit (it will be easier to floss), the doctor has been clear and concise in setting an expectation for the patient. There are situations when an exceptionally talkative patient makes it difficult for the doctor to leave the operatory. That’s a great opportunity for the hygienist to help keep things on schedule by directing the patient back to them(hygienist). For instance: Hygienist: “Okay, Doctor. Now I get my time with Tara!” Appropriate humor, well-timed words and effective communication can help keep both hygienist and doctor running on time. Yes, just eight minutes or less for the doctor exam in hygiene. It can be done through a structured protocol, use of impactful language with the patient and a clear understanding by all. n

Oral HealtH GrOup With four leading publications and a dynamic website, Oral Health Group delivers complete, comprehensive coverage of the dental profession in Canada. Our publications serve all members of the dental team: dentists, hygienists, dental lab owners and technicians, dental students and members of the dental industry. Proud to be serving the Canadian dental profession for over 100 years, Oral Health is the voice of Canadian dentistry!

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ORAL HYGIENE

The ‘Dental Hygiene Experience’ BREAKTHROUGH BLUEPRINT — Part II of a III Part Series

8 Simple Secrets to Growing a Successful Practice! Kathleen Bokrossy, RDH

Founder of rdhu and Meet Me In The Boardroom Committed to Transforming the Dental Hygiene Experience www.rdhu.ca www.meetmeintheboardroom.com For your free business growth guide visit: www.rdhu.ca/ freebusiness growthguide

n the last article, the November 2014 issue, we discussed how important it is for a dental office to think of their practice as three separate businesses. The first business is finding new clients and attracting them to your office for their dental needs. The second business is the actual experience. It includes the initial communication with your practice and all the steps they go through during the actual appointment. The third business is the ‘after’ component. It is to ensure the client continues to choose your office moving forward and shares their experience with their friends and family. All of these components have very different and specific needs and should be treated as separate entities. Systems must be put into place if you want to ‘transform’ your dental hygiene practice into an exciting place of growth and contribution.

Being Attractive (Before they are your client)

In the last issue, we covered Secret #1 and #2. In Secret #1 we asked you to choose who you planned to be attractive to, by narrowing your focus on clients with a very specific set of wants or needs. There is so much marketing out there today, that unless you can speak very specifically to one type of person, with a need that’s on their mind, your messaging gets lost in the noise. Trying to market to all, is expensive and ineffective. You need to choose your message to focus on a Single Client Profile style, one client type at a time. In Secret #2, you are sending a message to the unique group you chose in Secret #1 (i.e. people with sensitive teeth). It’s about getting

your message noticed above all the noise. Your goal in Secret #2 is to stand out from the crowd and get them to identify themselves as someone who is part of that specific group. Once you know who they are, you can move onto Secret #3.

SECRET #3 Being Attractive: Educate and Motivate Your Potential Client to Want to Meet You! Once the individual has identified themselves as being part of your target group (i.e. “I have sensitive teeth, am tired of the pain and want to do something about it”), your job is to start positioning your practice as the expert in this area. You do that by providing valuable information such as a FREE resource guide or a Consumer Awareness Guide. You have the answer to their problem, and they want to know what it is. When they reach out to you and you send them the information, you need to make sure that what you send them is valuable and useful. This guide will be representing you and your practice. They cared enough about that particular issue that it made them contact you. They have ‘raised’ their hand showing you that “Hey, I am out here and I am interested in learning more about how I can fix my sensitive teeth”. If you deliver low quality frivolous content, if it is biased towards selling them something and offers little value, it will reflect poorly on you. Instead of creating goodwill, it would create ill-will because you under delivered on the value they expected.

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Systems must be put into place if you want to ‘transform’ your dental hygiene practice into an exciting place of growth and contribution. So, take your free resources seriously. The more beneficial information you can provide, the more the resources will work for you, instead of against you. Once your communication begins, you can motivate them to want to meet you.

SECRET #4 Delivering Wow: The Easy Button With Secret #3 you built goodwill and demonstrated your expertise through the quality of information you provided your unique clients. Secret #4 relates to getting the client to want to do business with you. It’s about presenting your services in a way that addresses their unique needs (why they downloaded your information guide to begin with). Make it easy for your prospects to do business with you. I think one of the most important aspects of a dental practice begins with the receptionist. You need to have a very friendly, smiling, forward thinker in this position. They will be the one who will most likely be on the receiving end of the call or the one who makes the initial call if Secret #3 is done correctly. Many offices are slow these days. And when it is slow, many decide not to be there. The problem is that when you post hours and then decide to leave early because it is slow, you are missing any potential opportunity to attract new business. I remember walking by a Dental Hygiene clinic with my husband last year. It was a new business and I was curious about trying it out, as my husband didn’t currently have a dental hygien-

ist. Our dental hygienist had closed her business and my kids and I went elsewhere. We wanted to stop by and perhaps see if he could get an appointment that day or even schedule one. We stopped by there twice and BOTH times, no one was there! The door was locked, the lights were off. Consequently, there was loss of potential business for this particular dental hygiene practice. Perhaps offer a ‘meet and greet’ to make sure that the fit is right for both your practice and your potential client. This will reduce any apprehension that the client might be feeling before they commit to a New Patient/ Client Examination. Tip: When you are not busy “in” your business (i.e. working with clients), work “on” your business. Likely the reason that you are not busy is that your current systems are not even close to being optimized in terms of attracting and keeping clients. Using the non-busy time to close your doors to pick up your dry cleaning, just leads to more non-busy time in the future. When you are supposed to be at work, BE at work!

SECRET #5 Delivering a ‘Wow’ Experience: Exceeding Expectation This is the part of the client experience that is so important and you will need to get your whole team on board with this. What is a ‘Wow’ Experience? It’s when you exceed your clients’ expectation. When you deliver more than they expect or have been used to getting.

February 2015

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ORAL HYGIENE

e From the first phone call, to the ease of finding your practice, to the ease of parking, and the smile when they are greeted, the look, the smell, the music, the entire experience. Tip: Please remember that part of the WOW experience is making sure that you are actively addressing their specific and unique needs with a higher level of awareness. If a client chooses your practice because you are the ‘sensitive teeth’ experts, but then no one speaks to them about this issue, it can alienate the client. There is an obvious disconnect between how you present yourself on the outside versus what you are doing on the inside. Once you do deliver more than they could ever expect it is important that you deliver EVERY time so that they know what they can expect at each visit and will not be disappointed. I want to repeat this because it is so important: Once you do deliver more than they could ever expect it is important that you deliver EVERY time so that they know what they can expect at each visit and will not be disappointed. Remember it is better to be consistently average than occasionally great! When you are being great, it sets expectation that inevitably can lead to disappointment if the subsequent visit doesn’t offer the same experience. It’s why robust systems are so important. Consistently delivering WOW is a function of how robust your systems are. Consistently delivering WOW will become part of your ‘branding’. Consistency is how you build long-term trust and when you are not consistent and you fail to deliver what they have come to love about your practice, they will lose trust and they will not refer you. We have all had experiences, whether it is at a salon or a restaurant where we were blown away the first and maybe the second time, but the third time, something happened! Something changed and it just wasn’t quite the same. If you ‘blow’ your clients away one time….do it EVERY time. Without a doubt!

Make it a dream come true experience for them. Picture yourself as the client. What would your dream come true experience be? What are some of the things you can do to make this happen? When you have made the initial appointment with a new client why not send them a small gift and card and let them know that you are looking forward to meeting them? It is such a small thing to do and goes a long way. Send them a very descriptive email as to what they can expect at their first appointment or visit. Let them know exactly where your office is. Not just an address. I have visited many offices over the years and it always surprises me that they wouldn’t say, we are in a plaza or in a mall on the second floor. Sometimes you have no idea where to park! Don’t have your clients looking for you. It will increase their anxiety and will not start the relationship off on a positive note. Three discrete businesses. Each with a different function. Attracting new clients, delivering a ‘WOW’ experience, and getting your clients to come back and refer you to their friends and family. The first article talked about narrowing your focus and crafting high value messaging that speaks specifically to your single ideal client profile type in an effort to stand out from the crowd. This article focused on how to get the potential client to identify themselves as being part of your unique group, how to make it easy to do business with you and delivering a ‘WOW’ experience. Stay tuned for the next article, where our focus will be on how to generate referrals and life-long clients from the wonderful services you have provided them. If you would like more ‘transformational practice growth’ secrets, visit http://rdhu.ca/ freebusinessgrowthguide to receive a free business growth guide. Take note that I just did Secret #2 with you. Part III will be in the next issue. n

February 2015

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Can Dental Hygiene Mary Govoni, CDA, RDH, MBA

An internationally recognized speaker, author and consultant, working with dental teams for over 40 years on clinical efficiency, infection prevention, ergonomics, green dentistry, and team communication. She is a past president and life member of the American Dental Assistants Association, a member of the American Dental Hygienists Association, a consultant to the ADA Council on Dental Practice, a member of the Organization for Safety Asepsis and Prevention, the Academy of Dental Management Consultants and the Speaking and Consulting Network. She is also a columnist for Dental Economics magazine.

ecoming a green, or an environmentally friendly business, is the topic of much discussion and action in business circles. Regardless of the country we work and practice in, it seems that we all have a responsibility to lessen our impact on the environment, preserve resources for future generations and help create a safer, healthier place to live in the present. But how does dentistry or dental hygiene play a role in being green? It takes time, some research of products and resources, and the commitment and leadership to implement changes if needed. And a dental practice’s commitment to environmental quality can be very appealing to current and prospective patients. A good start is to become familiar with some terminology related to becoming a green business. One such term is carbon footprint. This is the environmental impact one has, particularly related to the creation of greenhouse gases and their effect on climate change. An excellent resource for assessment of an individual or businesses environmental impact is the Carbonfund (www. carbonfund.org). This non-profit organization provides assessment and carbon offsetting and greenhouse gas reduction options available on its website. Another important term is VOC’s or volatile organic compounds.1,2 VOC’s are gases that are emitted from certain solids and liquids that may have harmful short-term or long-term health effects. VOC’s are particularly harmful in indoor environments, since they may be more highly concentrated. The

gases result from many products used in dental facilities, including paints, cleaning supplies, building materials and furnishings, photographic solutions, disinfectants and sterilants (cold sterile solutions), and office equipment such as copiers and printers. Table 1 includes a list of common VOC’s that may be contained in products used in dentistry. Reviewing product labels and selecting products that do not contain these chemicals can greatly reduce the emission of harmful gases in a facility. In addition, building materials, such as carpet, is available without VOC producing chemicals. Product selection is a relatively simple step in the process of becoming a greener dental

©aykutsevinc/Getty Images/iStockphoto

BE GREEN?

TABLE 1

VOC PRODUCING CHEMICALS Acetone Benzene Ethylene glycol Formaldehyde Methylene chloride Perchloroethylene Toluene Xylene 1,3 butadiene Source: US Environmental Protection Agency

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©aykutsevinc/Getty Images/iStockphoto

P R O F E S S I O N A L

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ORAL HYGIENE

practice. There are numerous products for cleaning, surface disinfection, instrument cleaning and evacuation system cleaning that do not contain these harmful chemicals. The use of digital radiography eliminates the use of processing chemicals and the use of plastics and other items that are heat stable (able to be heat sterilized), and can help eliminate the need for using chemical sterilants. Many plastics, such as suction tips, and even some toothbrushes, are made from recycled materials, which make them a good product choice. Also, gauze and other paper products that are manufactured without the use of chlorine are good product choices as well. The use of chlorine, typically for bleaching in

TABLE 2

COMMONLY RECYCLED ITEMS FROM DENTAL FACILITIES Batteries (single use and rechargeable) Plastics (beverage containers, packaging materials, bags) Paper (office, newspaper, mail, magazines) Metals (lead foil from x-rays, scrap amalgam, instruments) Food containers (cans, styrofoam, boxes) Electronics (computers, printers, phones) Cardboard (packaging materials)

the manufacturing process for these products, produces greenhouse gases, which are known to impact climate change. Researching products used for dental hygiene services can be an interesting challenge to identify products that are in current use that may have a harmful environmental impact and to find substitutes for those products. The one thing that can have the greatest impact on becoming a green dental practice is recycling. So many of the products that are purchased for dentistry and dental hygiene come in packages and in shipping materials that can be recycled. In addition, glass, plastic and metals can also be recycled from dental

practices. Most municipalities in the Canadian provinces have recycling programs, including those for beverage containers, newspapers and office paper, ink cartridges, batteries, and electronics. Recycling information for each province is available through the Recycling Council for the province. The challenge of recycling is that it takes time and commitment. Throwing items in the trash takes less time than recycling. Items for recycling typically need to be sorted and stored separate from regular trash. In addition, recycling requires that items be transported to a recycling center, since pick up of the items is typically not available. But the time and commitment are well worth the effort. Table 2 lists some of the most common items that can be recycled from dental facilities, but keep in mind that this not an all-inclusive list. Replacing light bulbs in a facility with energy efficient LED bulbs is another strategy for being green. Although the LED bulbs cost considerably more than traditional light bulbs, they last much longer and can use up to 75 percent less electricity. Turning off lights and equipment when not in use is another energy saving tactic that can be implemented. Many times the smallest things can have the greatest impact. The bottom line is that dental practices can move toward being more environmentally responsible. It does take some extra effort, and sometimes it may increase operating expenses slightly, but in the end it is an investment in good health and the future of our planet. Dental hygienists can play a significant leadership role in this movement by simply starting a conversation with employers and coworkers about the subject and perhaps by their example of initiating a recycling program, or by presenting information about green product recommendations. Although some apathy or resistance may be present at first, beginning by making small changes and leading by example can be a very effective approach to getting everyone on the team onboard. n

REFERENCES 1. US Environmental Protection Agency — www.epa.gov/iaq.voc 2. Environment Canada – www.ec.gc.ca

February 2015 www.oralhealthgroup.com

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PRODUCT PROFILE

MIELE CLASS B STERILIZER PS1201B Miele’s new sterilizer has the fastest cycle time on the market; meaning Canadian dental practices are now able to significantly cut the time spent on reprocessing instruments. A built-in reverse osmosis system provides distilled water on demand eliminating manual filling and maintenance. Superior drying performance sets a new benchmark in infection control and instrument protection. The cycle times on the new Miele class B sterilizer PS1201B are extremely short. The ‘134°C Universal’ program will process 13 lbs of wrapped instruments in only 22 minutes and that includes drying. The short program for unwrapped instruments and hand-pieces requires just 12 minutes dry-to-dry.

CONTROL SEAL VOCO introduces Control Seal, the first transparent pit and fissure sealant with the physical properties of an opaque sealant. Control Seal is 55% filled by weight boasting high compressive strength, low shrinkage, and high flexural strength with low abrasion levels. Control Seal’s transparency can be used with all laser fluorescence based diagnostic methods and magnifying glasses to check early changes to the fissure floor. Control Seal is indicated for all standard sealing protocols and follows traditional sealing placement methods. Control Seal is available in VOCO’s patented NDT® (Non Dripping Technology) Syringes.

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PHILIPS SONICARE AIRFLOSS PRO The new Philips Sonicare AirFloss Pro provides an alternative to interdental cleaning for inconsistent flossers. The AirFloss Pro is clinically proven to be as effective as floss for gum health. Using air and microdroplet technology for gentle, yet effective, cleaning between teeth and along the gumline, the AirFloss Pro removes up to 99.9 percent of plaque from treated areas to help prevent cavities. It has a high performance nozzle and triple burst customizable settings that clean your entire mouth in less than 60 seconds.

www.philips.ca

PHOTON SOFT-TISSUE DIODE LASER WITH LLLT The Photon diode laser is now available with Low Level Laser Therapy (LLLT). Dentists’ no longer have to purchase two separate devices to conduct both soft tissue diode laser procedures. The Photon now equipped with LLLT option combines both applications in one device. It is the only soft tissue diode laser on the market equipped with LLLT dental applications. Photobiomodulation (PBM), also commonly referred to Low Level Laser Therapy (LLLT) or cold laser therapy, uses light energy to elicit biological responses from the cell and normalize cell function. www.zolartek.com

ADVERTISER PAGE Asecptico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Crest Oral-B, P&G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7, 11 Dentsply Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 GSK – GlaxoSmithKline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4, 15, IBC Kerr TotalCare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 National Children’s Oral Health Foundation of Canada . . . . . . . . . . . . . 30 Premier Dental Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 SciCan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IFC Sunstar America . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13, 27 University of Toronto Faculty of Dentistry . . . . . . . . . . . . . . . . . . . . . . . . . 31 VOCO Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OBC

February 2015 www.oralhealthgroup.com

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DENTAL MARKETPLACE

Contact: Karen Shaw • tel: 416-510-6770 • fax: 416-510-5140 • e-mail: kshaw@oralhealthgroup.com Toll free: CDA 1-800-268-7742, ext 6770 • Toll free: USA 1-800-387-0273, ext. 6770

PROFESSIONAL SERVICES

To place your ad contact Karen Shaw at

Establishing, buying or selling a practice Partnership, shareholder and cost-sharing arrangements Associate, consultant and employment agreements Professional incorporations

416-510-6770 or kshaw@oral healthgroup.com

PRACTICES & OFFICES BARRIE, ON

Available new retail space on busy Mapleview Dr. West. Ideal for Professional Dental Office. Attractive lease rates. Surrounded by residential. National brands in plaza. Contact Michael Pearlman at (416) 567-5101 or pearlmanmichael@gmail.com

NORTH YORK DIGITAL 5 OP PRACTICE FOR SALE 99k Plus HST Asset Sale — no patient records inc. appraised at 288k!

WEST TORONTO/ETOBICOKE, ON. PRACTICE WANTED

Excellent practice for dental specialist or start up practice with low overhead, superb infrastructure and modern layout. This 5 op practice is located between Yonge and Bayview off Sheppard Ave. NO PATIENT RECORDS ARE INCLUDED. There is both staff and patient parking All hard equipment included ie software, chairs, cabinets, almost new vacuum/ compressor, dexis digital sensor/ 6 month old Sirona digital pan unused pan. (still at Patterson Dental). The current all in lease with hst is around $4750.00 permo which includes all tmi/parking heat hydro etc. Excellent lease in place. Own your own practice for less than 6k per month including lease and finance.

Experienced dentist looking to purchase an established general practice grossing under $1 million yearly. Confidentiality assured. Willing to share appraisal costs. Reply in confidence to gail@karavosgroup.com

URGENT SALE GTA

3 year old practice, Markham, appraised value ~ 850k, on sale for 620k. Asset sale with 200-300 patients included. Excellent location in main intersection. Owner relocating. Email: markhamdental2014@gmail.com

LOCATION, LOCATION, LOCATION

In Mississauga 3 year old orthodontist office for sale. 4 chairs, everything digital, and lots of potential. Please e-mail me at magdi@brittanydental.com

Email andyc@coradixgta.com or text 4165692717 ref NY practice99k

HIGH PRAIRIE, AB

ASSOCIATES FOR HAMILTON & WATERLOO, ON

Associates required, for TWO VERY busy and modern practices with VERY strong new patient flow. E-mail: associatedentist@ymail.com Fax CV: 888-880-4024

Seeking two full time HYGIENISTS for busy dental clinics. Be fully booked from day one! High earning potential! Start dates from immediately until summer/fall 2015. Busy practices that serve very large areas. Don’t miss out on these amazing opportunities! Mentorship available, if wanted. New grads welcome. Contact AmazingManitobaDental@gmail.com

PRACTICES & OFFICES EDMONTON, AB PRACTICE FOR SALE

5 op practice with low overhead and good potential for growth in Edmonton for sale. For details email: designdental13@gmail.com

ASSOCIATESHIPS TORONTO, ON

Full time associate dentist needed for busy, modern established practice in Toronto. Complete range of services provided including orthodontics, periodontics, implants, laser dentistry, digital impressions, oral surgery and conscious sedation. An excellent opportunity for professional development concurrent with competitive income. Call: 416-748-3353 or 1-866-866-8437.

Dove Dental Centres is looking for full time associates for their progressive, modern, multi-location group of dental practices in London, Ontario and surrounding area. Interested candidates should forward resume and cover letter to: dovedental@ody.ca

SEEKING F/T ORTHODONTIST IN ATLANTIC CANADA

EDMONTON, AB

Are you looking for a fulfilling opportunity to practice Orthodontics? We have an opportunity for an associate with the potential of ownership. Have the autonomy as an associate to focus on providing outstanding orthodontic care while letting the office staff manage all non-clinical aspects of running and growing a practice. We offer excellent income, a comfortable work environment and state-of-the-art facilities. Compensation is a guaranteed per Diem with performance bonuses. Please reply by email in complete confidence to atlanticorthodontist@gmail.com with resume, cover letter, and availability.

Looking for an associate (part/full time) to join our group of multidisciplinary practices which are focused on the highest quality of patient care and using the latest technology available. We are looking for a self-motivated, high-energy, clinically strong candidate who is interested in learning and continuing education. This is a great opportunity for the right candidate to grow with our expanding group and to work in a great environment. Buy-in opportunities are also available for the long-term associates. If you are interested, please email your CV in confidence to edmontondentalcareer@gmail.com

CERTIFIED SPECIALIST WANTED. MUST BE CERTIFIED IN CANADA.

STE. ROSE (NEAR DAUPHIN) & NORTHERN MANITOBA HYGIENISTS NEEDED!

LONDON, ON (and surrounding area)

ASSOCIATESHIPS Full-time associate dentist needed for our wellestablished family practice in High Prairie, AB. Position available immediately. Very busy practice with above average remuneration. Accommodations provided. Please email: drroy04@telus.net if interested.

HYGIENISTS

February 2015

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www.oralhealthgroup.com

15-02-03 11:02 AM

TORONTO, ON

Busy downtown family clinic is looking for a periodontist and implant specialist. Please fax your resumes to 416-538-8422 or email to davidkourosh@hotmail.com

ALBERTA – STRATHMORE EARN UP TO 45%

Exciting associate position available 30 minutes east of Calgary; 4 days per week leading to full-time. Please email resume to: strathmoreassociatedentist@gmail.com

YORK REGION, ON

Dental Associate required for a growing family practice in the Richmond Hill area. This part time position is for Thursday, could grow to more days. Proficiency in endodontics preferred. Please send resume to: oakridgesnorth@yahoo.com Fax: 905-773-7277.

MULTIPLE LOCATIONS IN ONTARIO

Are you a passionate Dentist looking for an opportunity to practice dentistry without administrative and management responsibilities? We can offer you a position. Please, visit our website to learn more about our company www.teethfirstdental.com. We are looking for part-time or full-time Associates. If you are interested, please send your resume to recruitment@teethfirstdental.com

NORTH OF CALGARY, AB

Orthodontist wanted for specialty office North of Calgary, Alberta. Option for associateship or buy-in. New graduates this is an amazing opportunity for building your career in the fastest growing community in Canada. Contact: email: smiledoctors1@hotmail.com; 778-985-6507

EDMONTON, AB

OWEN SOUND, ON

Dental associate opportunity. We are looking for a caring, enthusiastic dentist to join our well established, independent family practice. The successful candidate must have high ethical and clinical standards. We offer a calm and well organized work environment for 3 to 4 days per week with room to expand to 5 days if wanted. E-mail resume and cover letter to associatesearch@rogers.com OSHAWA, ON

Progressive growing practice in Oshawa is looking for an associate dentist to start end the of February for Fridays and alternating Saturdays. Please forward resume to dentaloshawa@yahoo.ca.

VANCOUVER, BC

General Dentist associate position available in busy Oakridge Centre Mall excellent opportunity for growth with existing cosmetic focused patient base, very competitive compensation for motivated dentist, new grads welcome. Monday, Tuesday, Wed am, Thursday 9-6pm available, opportunity to open nights and weekends if desired but not required. Contact: email: smiledoctors1@hotmail.com; 778-985-6507

STE. ROSE (NEAR DAUPHIN) & NORTHERN MANITOBA ASSOCIATE NEEDED!

Seeking two full time ASSOCIATE general dentists for busy dental clinics. Be fully booked from day one! High earning potential! Start dates available between February 2015 and summer/ fall 2015. Earn up to 50%! Busy practices that serve very large areas. Housing can be provided. Don’t miss out on these amazing opportunities! Mentorship available, if wanted. New grads welcome. Contact AmazingManitobaDental@gmail.com

St. Albert Mar Orthodontics and the new Sherwood Park Mar Orthodontics requires a Full Time Orthodontic Associate. You will be met with empowerment, support and a healthy team atmosphere. This practice prioritizes patient care and respect and dignity in all interactions. The offices are well equipped and patient orientated. The successful candidate will demonstrate a strong sense of professionalism, a healthy work ethics and a passion for the positive difference Orthodontics can make. Self-motivation, a sense of humour and effective communication skills are essential. Competitive wages and an opportunity to buy in. Please submit your resume and covering letter to dr.mar@marorthodontics.ca

www.oralhealthgroup.com

OHYFeb15 p32-34 Classifieds.indd 33

DENTAL MARKETPLACE

ASSOCIATESHIPS TORONTO, ON

Part time associate is needed for our busy, full service, family dental practice in downtown Toronto. Candidate must be friendly and self motivated as well as be available to work evenings and Saturdays. Please send resumes to bcddental@gmail.com Attn: Tanya

TORONTO & VAUGHAN, ON

Toronto and Vaughan dental offices are seeking PT dentists to join their team. Candidates with 2+ yrs of experience and weekend & evening availability will be considered. Please mail resumes to v.sabharwal@SabharwalDentalGroup.com

COLD LAKE, AB Cold Lake Dental Centre is seeking a full time associate to join our busy and growing multidisciplinary family practice. We are the newest office in the lakeland area and have state of the art facility. The suitable candidate must be motivated towards a high level of patient care. We are looking for a high-energy, clinically strong candidate who is interested in providing dental care in a suburban setting. Cold Lake is a rapidly growing community offering a variety of amenities for families and the outdoor enthusiast. No evenings or weekends required. New grads are welcome. Interested candidates send your resume and cover letter to cldent@telus.net in complete confidence. SASKATOON, SK Associate required for modern, very busy practice with strong new patient flow. Great opportunity in a University setting. E-mail: associatedentist@ymail.com Fax CV: 888-880-4024.

WEST COAST LOCUM DENTIST ASSOCIATE POSITION

Enjoy the both lifestyle and working in a state of the art facility. Our established practice is located in the beautiful Comox Valley on Vancouver Island and we are looking to invite an established associate to our practice. The ideal candidate will have over three years experience and aspires to grow in their knowledge by partaking in CE and Mentorship programs offered. Interested applicants may contact via email: kim@watermarkdentalgroup.com or call at 604-787-0176.

February 2015

15-02-03 11:03 AM

DENTAL MARKETPLACE

OTTAWA, ON

Busy, downtown Ottawa practice looking for an associate to join our wellestablished general practice team. The candidate must be either already IV certified or willing to commit to becoming trained in IV sedation. A unique opportunity! No evenings or weekends, yearly continuing education allowance and scaled compensation depending on experience, tenure and performance. Please forward CV to tth2tth@yahoo.ca

CORNWALL AND/OR HAWKESBURY(ALFRED), ON AND/OR VALLEYFIELD, PQ

Seeking a Certified Orthodontist and Endodontist to join a well established dental corporation. E-mail: yourdentaldream@gmail.com

OTTAWA, ON Locum & Associateship Opportunity

We are an Ottawa area family dental centre looking for a locum dentist for maternity leave replacement and possible long term associateship. Please call (613) 867-8999.

TORONTO, ON

Part time into full time. Busy Scarborough office. Requiring confident dentist Cantonese and/or Mandarin speaking preferred. cwalker@woodsidedental.ca

ORANGEVILLE, ON

KING WEST, TORONTO

SCARBOROUGH, ON

Established Orangeville office seeking an experienced associate (at least 2 yrs). 4-5 days per week (days/evenings/Saturdays). E-mail resumes to: progressivedental16@hotmail.com

GRANDE PRAIRIE, AB

Full time associate dentist required for busy family practice. Looking for highly motivated associate. Our practice includes the latest in technology (IOC camera, digital x-rays, paperless etc.). Large existing patient base. Current associate moving, team in place to help. Please send resume to pmdcgp@telus.net 780-538-2992.

BURLINGTON, ON

Friendly, experienced associate wanted for a F/T position in a busy, family practice in Burlington. Experience with CERECs would be an asset but not a requirement. Please forward resumes and cover letters to burl.associate@gmail.com

February 2015

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P/T associate, 2-3 weekdays + 2 Saturdays. Minimum 3 years experience. E-mail: Kingwestdentist@rogers.com

To place your ad contact Karen Shaw at 416-510-6770 or kshaw@oral healthgroup.com

Full time associate dentist needed for state of the art practice in a growing bedroom community in East Ottawa, ON. New graduates welcome. Opportunities to buy in. E-mail: maisoun@eastborodental.com

MISSISSAUGA, SCARBOROUGH, BARRIE, BRANTFORD, ORILLIA, ON Exciting associate positions available for full and part time opportunities. E-mail: yourdentaldream@gmail.com

KINGSTON, ON

Part-time associate required for a new dental office in Toronto (midtown). Four days available (Monday, Wednesday, Friday and Saturday). Must be comfortable with all aspects of dentistry. Being a new dental office, it is a good opportunity to start up or grow your own base of patients. Please e-mail: eszter.dental@hotmail.com

Very busy family dental practices looking for a part time/full time associate. E-mail: lucleboeuf291@hotmail.com

EAST OTTAWA, ON

MULTIPLE LOCATIONS IN ONTARIO

Looking for an associate to work 3 days a week in a very busy, well established, modern practice with good patient flow. Please submit your resume to dgouettreferrals@gmail.com

RED DEER, AB ASSOCIATE REQUIRED

Here is the opportunity! We are looking for a PERSONABLE, PATIENTORIENTED individual to join Red Deer’s fastest growing new dental office. Schedule will be busy from day one as office has a very high volume of new patient flow. Please email resume/CV to drnar@clearviewmarketdental.ca. Talk to you soon!

WOODSTOCK, ON PART TIME ASSOCIATE

A well established practice in Woodstock, Ontario is looking for a new associate as our current associate is leaving to take specialty training. Woodstock is located between Kitchener/Waterloo and London, at the intersection of the 401 and 403. We require a part time associate, preferably with some experience, but the right fit is more important. Our practice is a modern, seven operatory facility and provides the full scope of general practice including orthodontics and implants (surgical and prosthetic phases). This position has flexible hours depending on the right candidates availability. Contact by email at: woodstockdentist@outlook.com

EQUIPMENT FOR SALE — TORONTO

Planmeca proline xc digital pan/ceph plus pc/software. Pristine condition. 6 years old. Asking $32,000. Contact: info@drphilliptzemis.com

WINDSOR, ON ORAL SURGERY DENTAL OFFICE CLOSING (middle of February): Selling contents: PANOREX machine; PA machines; Developer; Dental chairs; Office and dental cabinets; Lights; Various other items. Call if interested. 519-258-4564.

www.oralhealthgroup.com

15-02-03 11:03 AM

She knows that 30 minutes of yoga boosts short-term memory. WHAT ELSE WOULD SHE WANT TO KNOW? Young people today are staying informed to stay healthy.1 But do they know that healthy foods including fruit, juices and sports drinks are highly acidic and can put their enamel at risk?2-5 Exercise your influence as their trusted dental professional. Help educate every young patient about the effects of acid erosion. Because the investment in their enamel should start today.

For your acid erosion candidate. 1. GSK data on file, 2013. 2. Lussi A. Erosive tooth wear – a multifactorial condition. In: Lussi A, editor. Dental Erosion – from Diagnosis to Therapy. Karger, Basel, 2006. 3. Lussi A. Eur J Oral Sci. 1996;104:191–198. 4. Hara AT, et al. Caries Research. 2009;43:57–63. 5. Lussi A, et al. Caries Research. 2004;38(suppl 1):34–44.

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Elle sait que 30 minutes de yoga stimulent sa mémoire à court terme. QUE DEVRAIT-ELLE SAVOIR DE PLUS? De nos jours, les jeunes se tiennent au courant pour vivre sainement1. Mais savent-ils que les aliments sains, comme les fruits, le jus ou les boissons pour sportifs, sont très acides et qu’ils peuvent mettre leur émail à risque2-5? Usez de votre influence en tant que professionnel dentaire de confiance. Informez chaque jeune patient des effets de l’érosion par acide. Puisqu’ils doivent investir dans leur émail dès aujourd’hui.

Pour vos patients prédisposés à l’érosion par acide 1. Données internes de GSK, 2013. 2. Lussi A. Erosive tooth wear – a multifactorial condition. Dans : Lussi A, rédacteur. Dental Erosion – from Diagnosis to Therapy. Karger, Basel, 2006. 3. Lussi A. Eur J Oral Sci. 1996;104:191– 198. 4. Hara AT, et al. Caries Research. 2009;43:57–63. 5. Lussi A et al. Caries Research. 2004;38(suppl 1):34–44.

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