Oral Hygiene February 2016

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oralhygiene February 2016

www.oralhealthgroup.com

Listening Skills: What you don’t say, means more

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Communicate positively even with difficult people! Communicating Trust

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Dentin hypersensitivity protection, in a daily mouthwash Sensodyne® mouthwash contains 3% potassium nitrate and 0.009% fluoride with a clinically proven ingredient to provide ongoing protection from the pain of dentin hypersensitivity, with twice-daily rinsing*1–4

* When used twice daily, after brushing. 1. Gillam DG, et al. J Clin Periodontol. 1996;23:993–997. 2. Morris A, et al. Efficacy of a potassium nitrate mouthrinse for relieving dentinal hypersensitivity, IADR/AADR/CADR 87th General Session and Exhibition, April 1–4 2009. 3. Pereira R, et al. J Periodontol. 2001;72(12);1720–1725. 4. GSK Data on File (Study RH01751). A clinical study investigating the efficacy of a mouthwash in providing long term relief from dentinal hypersensitivity. Prepared March 2014. GCSAE/CHSENO/0256/13. GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4 ©2016 The GSK group of companies or its licensor. All rights reserved.

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oralhygiene CONTENTS

COMMUNICATION How To Communicate Positively and More Effectively with Different and Even Difficult People

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Judy Kay Mausolf

Listening Skills On The Telephone: What You Don’t Say Means More

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Larry M. Guzzardo

PRACTICE MANAGEMENT Increase Treatment Acceptance and Get Paid For Your Care

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Debra Engelhardt-Nash

Communicating Trust Lisa Philp, RDH, CMC

PATIENT MANAGEMENT Always Prompt: This Four-Step Post-Hygiene System Will Ensure Patient Confidence and Help Your Practice Run Smoothly All Day

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Lisa Philp, RDH, CMC

DEPARTMENTS Editorial Nudge Nudge, Wink Wink

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News

New AACD Survey Dental Decay & Heart Disease

New Products Dental Marketplace Editorial Board Members Lisa Philp | Kathleen Bokrosssy Debra Englehardt-Nash

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34 35 Cover: Thinkstock

CAREER EDUCATION 2016 Pacific Dental Conference 2016 ODA Annual Spring Meeting 46th Journées dentaires internationales du Québec

February 2016

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www.oralhealthgroup.com

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EDITORIAL

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Nudge Nudge, Wink Wink In late January, the Canadian Dental Hygienists’ Association (CDHA) joined its US counterpart, The American Dental Hygienists’ Association (ADHA), in expressing extreme disappointment in ABC Studios and The Bachelor for its recent unprofessional and inaccurate description of the dental hygiene profession in social media posts. The amount of hard work and dedication it takes to become a dental hygienist, both Associations say, as well as the invaluable services they provide to enhance the oral and overall health of the Canadian public deserve nothing but respect. Quoting from the CDHA’s letter from president Donna Scott and CEO Ondina Love, “As members of the sixth largest registered health profession in Canada… dental hygienists are primary health care providers who work in a variety of settings including public health agencies, independent dental hygiene practices, traditional dental practices, hospitals, long-term care facilities, educational institutions and research centres.” Dental hygiene care, the CDHA says, is not limited to scaling, root planing, tooth sealants and fluoride applications but also encompasses comprehensive oral cancer screenings, facilitating behavioural changes through tobacco cessation and nutritional counseling, prescribing medications and other critical treatment modalities.

The ADHA reacted quickly, saying, “The American Dental Hygienists’ Association would like to express its extreme disappointment in ABC Studios and The Bachelor for its recent unprofessional and inaccurate description of the dental hygiene profession in United States. Dental hygienists are required to graduate from comprehensive and demanding accredited educational programs in order to earn their academic degrees and as well as a national written examination and clinical examination to obtain a dental hygiene license to practice. The amount of hard work and dedication it takes to become a dental hygienist as well as the invaluable services they provide to enhance the oral and overall health of the American public deserves nothing but respect.” In its letter to the president of ABC Entertainment, the ADHA requests a full apology and retraction from ABC, saying it is the second time the network has demeaned dental hygienists since The View in 2012. “…It is the core ideology of the ADHA to lead the transformation of the dental hygiene profession to improve the public’s oral and overall health. Our vision is to integrate dental hygienists into the healthcare delivery system as essential primary care providers to expand access to oral health care.”

Catherine Wilson

Editor

February 2016

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NEWS BRIEFS

Strong and Steady: New AACD Survey Measures Pulse of Cosmetic Dentistry Industry A recent survey of dental professionals conducted by the American Academy of Cosmetic Dentistry (AACD) reveals that cosmetic procedures continue to bring life to dental practices. The AACD has conducted the biennial State of the Cosmetic Dentistry Industry Survey over the last 11 years, and the data collected is used to determine the size and impact, in terms of procedures and revenues, of the cosmetic dentistry market. The 2015 State of the Cosmetic Dentistry Industry survey supports earlier data that the field of cosmetic dentistry continues to flourish and show persistent growth potential. The 2015 survey was conducted between September and November of 2015 and garnered responses from 360 dental professionals. The 2015 survey findings are reassuring for dentists who already offer cosmetic procedures in their practice and should be catalyzing for dentists who don’t. Sixty percent of respondents identified themselves as general dentists, strongly suggesting that cosmetic procedures are no longer exclusively in the realm of a few practitioners – though specialized training in cosmetic procedures is important in order to provide patients esthetically pleasing, predictable, and long lasting

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February 2016

A NEWCOM BUSINESS MEDIA PUBLICATION Senior Sales Manager: Tony Burgaretta 416-510-6852 Editorial Director: tburgaretta@oralhealthgroup.com Catherine Wilson Classified Advertising: 416-510-6785 Karen Shaw cwilson@oralhealthgroup.com 416-510-6770 kshaw@oralhealthgroup.com Assistant Editor: Jillian Cecchini Dental Group Assistant: 416-442-5600, ext. 3207 Kahaliah Richards jcecchini@oralhealthgroup.com 416-510-6777 krichards@oralhealthgroup.com Art Direction: Associate Publisher: Carolyn Brimer Hasina Ahmed Production Manager: 416-510-6765 Phyllis Wright hahmed@oralhealthgroup.com Circulation: Managing Director: Mary Garufi Melissa Summerfield 416-614-5831 416-510-6781 mary@newcom.ca msummerfield@oralhealthgroup.com Advertising Services: Vice-President: Joe Glionna Karen Samuels 416-510-5190 President: karens@newcom.ca Jim Glionna

results. The American Academy of Cosmetic Dentistry is a valuable resource for continuing education in comprehensive cosmetic dentistry, and as more and more general dentists add cosmetic procedures to their repertoire, AACD membership may be the differentiating factor for discerning cosmetic patients. For more information, visit www.aacd.com.

What’s On Your Teeth, May Be In Your Heart A new study in the journal Medicine reports that the bacteria initiating dental decay is also found on the heart valves of patients with heart disease. Nothing new here. Other studies have shown Streptococcus mutans to be the dominant microorganism in diseased arterial plaque. Indeed, some research now reports that oral bacteria trigger up to 50 percent of all heart attacks and strokes. All these studies point to a role that oral bacteria associated with both dental decay and gum disease might play in the inflammatory process that leads to progression of heart disease. For more information, please visit: http:// partnersinprevention.ca /whats- on-yourteeth-may-be-in-your-heart. OFFICES Located at 80 Valleybrook Drive, Toronto ON M3B 2S9. Telephone 416-4425600, 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.

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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: 416-614-5831; Fax: 416614-8861; E-mail: mary@newcom.ca; Mail to: Privacy Officer, 451 Attwell Drive, Etobicoke, ON M9W 5C4. Canada Post product agreement No. 40063170. Oral Hygiene is published quarterly by Newcom Business Media Inc., a leading Canadian magazine publishing company. ISSN 0827-1305 (PRINT) ISSN 1923-3450 (ONLINE)

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COMMUNICATION

How to Communicate Positively and Effectively With Different and Even Difficult People! Judy Kay Mausolf

is a dental practice management coach, speaker and author with expertise in helping others become happier and more successful! She is Past President of National Speakers Association (Minnesota Chapter), Director of Sponsoring Partners for the Speaking Consulting Network, and a member of the National Speakers Association and Academy of Dental Management  Consultants.

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ur success in life depends greatly on how well we communicate in our personal and professional lives. When we communicate positively and effectively we inspire connections and build happier, healthier and higher performing relationships. Our ceiling of success then becomes like the old expression, the sky’s the limit. Unless you live in some remote jungle, or under a rock and only work with plants, you will probably interact with many people during your lifetime. The people I am talking about are not the strangers you make brief eye contact with for a second or pass in a hallway. I am referring to the people you consistently interact with on a daily basis. Some of them may be very different and even difficult to get along with. Yet your success depends greatly on developing these relationships! So how do we successfully work with different and even difficult people? Our personal truths are the number one reason we label others as different or difficult people. When we interact with others we are always coming from a place filled with our own experiences. Our expectations differ because of our unique and individual beliefs, opinions, and assumptions based on our experiences. These expectations become our personal truths upon which we base judgments of right and wrong. To help you remember, they spell out the word B.O.A.T.; beliefs, opinions, assumptions, therefore, are truths based on our experiences. The bottom line is that the other person is only different or difficult because their beliefs, opinions and expectations differ from

ours. The minute someone disagrees with us, we see him or her as different, or difficult, and it becomes a conflict. Conflict is just a conversation where there is a difference of opinion or expectations. Life would be much more enjoyable if conflict did not exist. But that isn’t real life! The problem is that many of us go through life trying to avoid conflict out of fear! We hope the conflict will just go away by itself. But the more we try to avoid it, the more it builds until eventually it escalates to a point where there is serious damage to the relationship. Our fear of conflict is the problem, and it seems bigger the more we dwell on it. Here is the funny thing… fear is really only a negative prediction about the future and not reality. Whether or not we take action is governed by a simple ratio: our perception of danger versus our confidence in our ability to handle the conflict. If we believe we can resolve the conflict in a non-confrontational positive manner, the amount of fear we feel is minimized and we will take action. This is why it is so important to learn the mindset and skill sets we need to give us the confidence to resolve conflict. The first step is to shift our mindset about conflict. If we tear it apart; conflict is really just conversation where there is a disagreement because of a difference of opinion or expectation. So what is so scary about talking about a difference of opinion or expectation? We can eliminate the negative emotional energy from the conversation by coming from a place of care and concern instead of judgment and criticism.

February 2016

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COMMUNICATION

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The next step is the skill sets. The following five-step process will give you the skill sets you need to successfully resolve conflict with a positive conversation. It will change the focus of the conversation from finding blame (who did what wrong) to working together on what can be done differently in the future to succeed.

Here are five easy steps to help you have a more positive conversation: 1. Set up time to meet with the person with whom you have a concern or conflict (they may not have time right at the moment) and don’t tell anyone else. 2. Don’t personalize; instead of saying you did this, say “I am not sure what you meant by that…or can we talk about what happened today?” Talk about the situation and not the person. 3. Ask questions instead of making assumptions. Come from a place of care and concern instead of judgment and criticism. Be open and listen; don’t come to the table with the solution. You don’t know the why behind their reasons.

4. Focus on the solution, what can be done to prevent in the future versus who did what wrong. What do the parties involved need from each other to work together successfully? It will not be perfect for anyone but can be good for everyone. 5. If you can’t resolve the problem, don’t tattle on each other. Instead, all team members involved should meet together with whoever handles conflict resolution to work out a solution. We are more likely to talk behind someone’s back and avoid going directly to the source when we haven’t learned how to have a positive conversation. It’s what I refer to as the “The Poison Triangle of Mistrust” and what many refer to as gossip. It is lethal to communication and destroys relationships. It is important to understand that if you are on the receiving end of gossip, you are just as responsible as if you are the initiator. You play a fifty-fifty role. If the gossiper has no one to tell, the gossip stops. Truthfully the receiver is even more responsible as they are often calmer with less emotional energy and can therefore think more clearly.

February 2016  www.oralhealthgroup.com

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COMMUNICATION

Stopping Gossip Action Plan • • • •

Avoid talking to a third person regarding the question, concern, or conflict. Go directly to the person. Stop gossip by asking the gossiper to go talk to the person it is about. Have a word or a sign to stop gossip (peace sign).

The other dangerous outcome of avoiding addressing conflict is that we make assumptions. We make assumptions every minute of every day. Something happens and we instantly assign meaning to it. That is an assumption. Assumptions are almost always more negative than reality. The assumptions may be correct or may be incorrect. We won’t know unless we take the next step. That step is asking. It sounds easy but it’s not. We often fear that if we ask, we may open ourselves up to an emotional reaction. I call that emotional reaction an eggshell. Eggshells spawn many of the assumptions in our lives and in our dental practices today. It’s the fear of these potential eggshells that stop us from asking and allow us to start assuming.

Some of the most predominant eggshells I am referring to are:

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Anger

Judgment

Retaliation

Hurt feelings

We can’t let fear stop us from asking if we want to avoid assumptions. We don’t know what someone meant by their actions or words, or the way they said something. Sometimes even what they say or the words they use can mean something different than what we believe them to mean. Stop making assumptions and start asking questions regardless of fear of potential eggshells.

Action Plan to Avoid Assumptions: •

When you get that feeling in your gut and think, “Hmmm – I wonder what they meant by that?” Or you find yourself saying, “I think they meant this” – you don’t know! Stop yourself immediately from wondering and speculating and ASK! You will be surprised how many of your initial assumptions are incorrect once you hear their intent. Ask with care, concern and respect. A simple question to ask is “I am not quite sure what you meant. Please tell me more?” or “I am not quite sure what happened. Can we talk about it?” Continue to respectfully ask questions until you understand the other person’s true intent. If you are still thinking “I think they meant…” you are assuming and it is important to ask more questions to achieve a deeper understanding.

Mastering these skill sets will empower us to resolve conflict with a positive and effective conversation. Now onto happier, healthier and higher performing relationships! Ta-dah! n

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February 2016

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PRACTICE MANAGEMENT

Increase Treatment Acceptance and Get Paid For Your Care Debra Engelhardt-Nash

Founding member and served two terms as President of the Academy of Dental Management Consultants. She is currently the Vice-President/ President Elect for that academy. She is an active member of the American Dental Assistants Association Foundation and serves on the board of the American Dental Assistants Association Foundation. Debra is also a member of the American Academy of Dental Practice Administration. She has been repeatedly recognized by Dentistry Today as a Leader in Continuing Dental Education and in Dental Consulting.

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magine the impact increasing your patient treatment acceptance rate by 10 to 15 percent would have on practice productivity. Now imagine getting paid for those services in an efficient manner! These components of your practice have significant influence on practice growth and are critical to ongoing practice success.

KNOW YOUR NUMBERS In order to track treatment acceptance increase, a baseline percentage must be established. An important statistic to monitor is the percentage of treatment plans that are currently being accepted. This means of all treatment presented, what did the patient ACTUALLY commit to by making financial arrangements and scheduling the appointment? For example, if you presented a comprehensive treatment plan totaling $6500.00 to a patient, and they asked about doing a portion of it (let’s say $3000.00). They made financial arrangements and appointed for that amount of treatment. The treatment acceptance rate for that patient would be 46 percent. Evaluating the actual amount of treatment being presented to patients helps the doctor and the team determine where they should focus their growth efforts. If the average treatment plans presented amount is low, does the office need to reevaluate their protocols for diagnosing comprehensive and elective treatment? Do they need to target market a different segment of the population who are interested in this type of care to attract them to the office? Most dental software companies provide this report AS LONG AS treatment plans

are being entered into the system. The administrative team can then compare the total treatment plan amounts by the total amount collected upon and appointed. This will provide the office with Treatment Presented versus Treatment Accepted rate. If the Treatment Acceptance rate is below 75 to 80 percent, there is potential patient treatment that is not being appointed. Discovering where the treatment acceptance obstacles are, and learning how to enhance treatment presentation skills, will dramatically improve patient compliance to recommended treatment.

THE 80/20 RULE The patient begins choosing the office the minute they contact the practice for an appointment. It is the responsibility of team members to help validate the patient making the right decision to choose the office for their care. The patient is looking for a quality experience that indicates they are going to receive quality care. Eighty percent of gaining treatment acceptance is the ability to connect with patients in a relationship-based experience. People buy from people they like and people who make them feel as though they matter. Office protocols should be designed to: 1. Be good for the patient. 2. Be good for the practice. If office systems, and patient service skills can accomplish both, more practice success will be realized.

February 2016

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PRACTICE MANAGEMENT

Evaluating the actual amount of treatment being presented to patients helps the doctor and the team determine where they should focus their growth efforts. It begins with the initial phone call. This should be a two-way conversation to learn the patient’s expectations and discover how the practice may meet their needs as well as their wants. The call should also provide inspiring information about the practice, the doctor and how well the patient will be treated in your care. Gathering data is secondary to making a warm and welcoming first impression. Always ask permission before asking questions or providing information. “May I tell you a little bit more about our office?” Or “So that I may schedule the proper appointment for you, may I ask you a few questions?” are excellent ways to initiate conversation. Use this time as an opportunity to discuss the level of care your office provides, how patients appreciate your approach to their treatment and how they are cared for by the doctor and team during their visit. Introducing your philosophy of care in an easily understandable way is the start of gaining better treatment acceptance.

TAKE YOUR TIME The new patient consultation and examination must be scheduled so appropriate time is provided to introduce the patient to treatment possibilities, excluding clinical procedures. It is important to establish a consistent consultation and examination process. The appropriate atmosphere needs to be created to give the patient an opportunity to share their concerns, expectations, and questions and for the dental team to be able to talk about potential treatment possibilities. One of the main objectives of the new pa-

tient examination is the opportunity to meet the doctor and the team so they feel comfortable and confident that they have chosen the right office for their care and to also give them the information they need that helps them make the right choices in treatment. This may be done in a consultation room or treatment area. The important factor is that conversation with the patient about who they are, who the practice is and what the practice offers for care ensues prior to treatment being performed. Utilizing visual aids is important when talking to patients about treatment recommendations. This means “patient friendly” visual aids – keep the graphic dental visuals away from patient view. The majority of the population are visual learners, which means they have to see what you’re referencing in order to understand. Photographs, intra-oral cameras, and media learning improves patient communication. Showing them before and after photographs of completed treatment (with smiling full face pictures) helps them visualize the treatment for themselves. The rest of the population are audio learners which means they have to hear to understand. When you incorporate conversation and photographs, or other visual aids into treatment discussion, your treatment acceptance rate is likely to improve. Take time to talk to patients. Asking for a substantial dental investment on their part deserves time and attention. (And for some patients – $500 is substantial). Present the treatment as a solution to their problem or a way to meet their expectations. Avoid unnecessary details. Put the treat-

February 2016  www.oralhealthgroup.com

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PRACTICE MANAGEMENT

When the patient asks, ”How much?” this signifies that they may be ready to proceed and are prepared to work out the financial details. ment plan in “patient-speak” and avoid a lot of dental terminology. If you have a treatment plan on the monitor or printed, use it as a reference. But speak to the patient, not the paper or the screen. Always present the doctor’s preferred or ideal treatment option first. If you never tell the patient what your ideal treatment plan will be, they will never choose it. Once you present your treatment plan, give the patient an opportunity to respond. Be careful not to assume that silence is negative. Avoid giving them all of the options at once. That may confuse the patient and they are likely to defer to the final option listed. Listen with intent. There should be no interruptions when presenting treatment to patients. Body language is important. Sitting near the patient (not too close!) and leaning slightly forward signifies the conversation is important and the focus is on the patient. Avoid sitting too far away, or with your back to the patient, staring at the computer monitor or study models on an articulator. The focus should be totally on the patient. When the patient asks, ”How much?” this signifies that they may be ready to proceed and are prepared to work out the financial details. When they ask this question, provide their total treatment investment. If they want a breakdown by procedure, they will ask for it. Be prepared to discuss total treatment payment. When we assume patients are reluctant or have an issue paying fees, our confidence may falter. When that happens, our competence falters as well. Be confident in

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your fees and comfortable with your established financial protocols. Your financial arrangements should be friendly to the patients and also fiscally sound for the practice. They should be designed to achieve a minimum ninety-eight or ninetynine collection percentage. They should also be orchestrated to minimize accounts receivable balance – outstanding money owed to the practice. Establish the right atmosphere. Financial discussions should be done privately away from the clinical setting. The course of treatment should have already been discussed and agreed upon. The decision to accept treatment happens with the clinical team. The financial team is responsible for negotiating payment.

TALKING ABOUT MONEY Seventy percent of treatment plans that are not accepted is due to financial arrangements not presented properly. Introduce your financial protocols in a way that shows how they benefit the patient. Present your ideal outcome first. If that means to be paid in full with a courtesy discount, offer that option initially. This may be an opportunity to explain that many patients take care of this with outside healthcare financing, offered in your practice. Wait until you present other alternatives so the patient has time to consider this option before you move on to your next preferred option. This continues until the patient has chosen a payment arrangement that will work for them and for the practice. Continued on page 17

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

THEIR DENTURES SHOULDN’T BE ONE OF THEM. 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.

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ORAL HYGIENE Continued from page 14 If the patient is asking for payment arrangements that are not offered or unsound for the practice, ask them, “Tell me what you had in mind?” If it is unreasonable, (small monthly payments on a large balance carried by the practice, for example) explain to the patient that the office can provide that service utilizing the resources of outside financing, upon credit approval. Sometimes a patient may say that they simply cannot afford the treatment, or don’t think they would get credit approval for healthcare financing. When that happens, thank the patient for their candor. Other financing options for these patients may be to pre-pay for their dentistry, or breakdown their payment per visit – not per procedure. Divide the total treatment plan fee by the estimated number of appointments. The patient would be required to bring in the same amount at each visit, regardless of the procedure being performed on that day. Financial discussions are a two-way conversation requiring negotiation skills that are supported by consistent financial protocols that have been established for your practice. Presenting treatment to patients so they accept it and pay for it requires skills training. The more prepared the dental team is in helping patients understand and appreciate the dental care being offered, the more confident and competent the team will become. Spend time learning how to talk to patients about ideal treatment. The patient will benefit from the outstanding care they receive and the practice will benefit from increased productivity. n

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Sig : One capsule B.I.D. to be taken 1 hour before or 2 hours after breakfast and dinner (12 hour intervals). Sig: Une capsule BID à prendre 1 heure avant ou 2 heures après le déjeuner et le souper (12 heures d’intervalle). PERIOSTAT DIN 02247104 PENDOPHARM, a division of Pharmascience Inc. : 1 886 926-7653 Product Number / Numéro de produit : 5760602305 SIGNATURE REPEAT RÉPÉTITION

LIC. #

1

2

3

4

5

NR

No replacement / Pas de substitution

DIN 02247104

*JADA 146(7) http://jada.ada.org July 2015 p. 525-535 Table 5.

www.oralhealthgroup.com

OHY Feb16 Mausolf_Nash pg 8-17.indd 17

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PATIENT MANAGEMENT

Always Prompt

This four-step post-hygiene system will ensure patient confidence and help your practice run smoothly all day. Lisa Philp

is the President of Transitions Group North America, a full service coaching company for dentistry. She graduated from East Tennessee State University as a Registered Dental Hygienist in 1987. Her career began with clinical hygiene in United States and Canada to the creation of a periodontal disease management program in which she coached thousands of dental professionals. She is currently a leader, author, and coach and highly sought after North American speaker.

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E

very dentist has experienced it: a choppy hygiene report that creates chaos, patient confusion and a ripple effect of schedule delays. When it becomes chronic, it has a deleterious effect on your entire operation. How to fix this common but potentially dire problem? As with just about every aspect of practice development, consistent process is key. An average hygiene-recall check should take roughly three to five minutes of the doctor’s time. It’s thus crucial for the hygienist to smoothly transfer to the dentist the information she has gathered from the patient in the previous 45 minutes or so. The optimal system is one I’ve developed called “Prompting the Doctor.” It’s a concrete, repeatable way for hygienist and dentist to communicate clearly in the patient’s presence. Establishing this kind of succinct dialogue will naturally make the patient more secure about his or her treatment and engender a strong bond of trust with you and your staff. Prompting the Doctor consists of four steps. The first begins when the dentist enters the hygiene operatory. The hygienist should state the patient’s name immediately – and once the gloves are on, casually drop in some personal information: “Doctor, Mrs. Smith just returned from two weeks in Mexico.” Brief and subtle as this is, it helps establish an immediate rapport and quickly puts the patient at ease in the doctor’s presence. Next, comes a medical-history review – a summary that encompasses a patient’s overall health, especially any changes since the last visit. “Mrs. Smith is exhibiting signs of early-onset diabetes, which she controls for

now with diet alterations. No other changes noted.” Step three concerns the patient’s soft-tissue status. Gingivitis? Early, moderate or advanced periodontal disease? “Mrs. Smith’s exam indicates possible early periodontal disease. I’ve recommended, upon your confirmation, that she return for half-mouth gum therapy: three appointments over three weeks and a fourth a month later.” Finally, the hard-tissue review, quadrant by quadrant, with the hygienist describing anything the doctor needs to pay attention to. Throughout, it’s important that the hygienist never say that she saw nothing during her cleaning; the patient will be uncomfortable if the dentist then notices a problem. By this point, it’s important for the hygienist to begin to bring the exam to a close. If further simple treatment is needed – one tooth or one quadrant, say – ask Mrs. Smith if she has any other questions, then transfer her to your financial-treatment coordinator. If more complex treatment is called for, the dentist must let the patient know he’ll need time to “work up” his case and have Mrs. Smith schedule a follow-up consultation. The advantage of the Prompting the Doctor system is that the patient will be both impressed with the smooth delivery of information and confident she has been treated by a cohesive dental team. Managing the hygiene exam and postexam dentist visit (as well as ridding your vocabulary of dental jargon while the patient is present) will increase patient confidence — and help your practice run more smoothly all day long. n

February 2016

OHY Feb16 Philp pg 18-21,26.indd 18

www.oralhealthgroup.com

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OHY Feb16 Philp pg 18-21,26.indd 19

16-02-01 4:34 PM


PRACTICE MANAGEMENT

Communicating Trust Patient perceptions, and oral health in general, have changed radically in just a few generations. How “comfortable influence” can increase your rate of case acceptance.

T

20

he success of a modern dental practice is entirely dependent on how effective it is at influencing its patients to say yes to optimal dental health. It’s simple consumer economics: no matter how exceptional the practice, if the patient rejects the recommended treatment and won’t (or can’t) pay us more than it costs us to provide it, dentistry – or that particular practice, at any rate – no longer exists. Nor will your professional finesse necessarily win the day: Roughly 85 percent of case acceptance stems from a dentist’s ability to relate to his or her patients, while just 15 percent is due to technical proficiency. Case presentation has thus evolved significantly in recent decades thanks to demographic changes, broader access to dental information and patients increasingly viewing proper dentistry as a core component of their overall health care. The traditional case presentation method was simple: the problem-solution disease model. Something’s broken? Fix it. There’s a disease? Remove it. “Only repair that which is broken” was the mantra. That included emergency care and tooth removal; patients in this bygone era regarded tooth loss as an unavoidable fact. Communication consisted primarily of the dentist telling his patient, “You have a problem; I have the solution.” Patients in this traditionalist time took their dentist’s opinion as read, seldom questioning it. Do I need this treatment? I must; he told me I do! The dentist’s particular challenge was lastminute and emergency palliative care; the most common patient objection, quite rea-

sonably, was fear of dentistry being exquisitely painful. Then came the era of “prevention rather than repair” – a result of more widespread dental insurance coverage and, not coincidentally, the rise of the cosmetic revolution once the Baby Boomers got old enough to value their appearance. They accepted regular hygiene checkups as commonplace and even began to elect smile enhancements that were not medically necessary. Communication now entailed education, education and more education – bombard the patient with information. Losing teeth is no longer a certainty? You don’t say! This era’s new techniques – reception-room education; before-and-after photography; chair-side videos; brochures; the intraoral camera – proved highly effective, taking advantage of the fact that the vast majority of learning is visual. It became incumbent upon dentists to persuade their patients to be proactive about oral health – armed with substantially more information than previous generations, they’d make much smarter decisions. The challenge, naturally, was the emergence of the paradox of choice: the risk that patients would become overwhelmed by the complexity and number of treatment options, and flummoxed by dental terms and descriptions as indecipherable to the layman as the Rosetta Stone. In the clinical area, patients would often signal “agreement” with their dentist by smiling and nodding. We falsely registered acceptance, and stopped talking. Continued on page 26

February 2016

OHY Feb16 Philp pg 18-21,26.indd 20

www.oralhealthgroup.com

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CAREER EDUCATION

Pacific Den Confere

The Pacific Dental Conference is one of the largest dental conferences in North America offering a varied and contemporary selection of continuing education programs. With over 150 open sessions and hands-on courses and over 300 exhibiting companies occupying 600 booths — the PDC has you and your entire dental team covered.

Shape Matters: Curved Ultrasonic Instruments for Perio: Hands-On Workshop Dani Botbyl Friday, March 18, 2016 8:30 – 11:00 Cost $155.00 Friday, March 18, 2016 1:30 – 4:00 Cost $155.00 Join us and work through a circuit of hands-on activities incorporating live ultrasonic units, manikins heads and artificial calculus/biofilm all guaranteed to improve your skill using left and right curved ultrasonic instruments.

Edwin T. Park /Gail Williamson LA21 Friday, March 18, 2016 1:30 - 4:00 Cost $225.00

Learning Objectives:

This course will provide lecture and hands-on instruction in the basic concepts, equipment and techniques in digital radiography. Clinicians who are planning to purchase digital technology or those who are current users but need help with image acquisition will find this course useful.

1. To demonstrate effective technique reducing or eliminating the adjunct use of hand instruments

Learning Objectives:

2. To demonstrate effective sequencing of curved instruments for site, quad and full mouth debridement

1. Make an informed decision about digital imaging and its place in the dental practice

3. To recognize oversights that hinder clinical outcomes

2. Determine the right match between available systems and the dental practice

4. To recognize technique elements that are most comfortable for patient 5. To demonstrate ergonomically sound patient-operator positioning & explore alternate fulcrum options

Are Your Pictures Perfect? How to Produce Quality Radiographs

3. Determine appropriate steps to take to incorporate digital radiography in the office 4. Discuss the basic principles, techniques and receptors involved in digital radiography

Posture Perfect Workshop

Edwin T. Parks/Gail Williamson LA17 Friday, March 18, 2016 8:30 – 11:00 Cost $225.00

Timothy J. Caruso LA29 Saturday, March 19, 2016 9:00 – 11:30 Cost $225.00

This course is designed to help participants improve their radiographic skills and produce optimal intraoral, panoramic and digital radiographs via lecture and hands-on instruction. Recommended for all dental professionals, especially hygienists and assistants.

Dentistry has come a long way in the last 150 years. Is it possible for the modern day professionals to counteract the ill-effects of work on their bodies by participating in a regular exercise routine? Can dynamic sitting into the operatory facilitate improved work function. Get on the ball and see! All participants will receive their very own Evolution Chair.

Learning Objectives: 1. Review radiation safety and patient management strategies 2. Identify and correct intraoral and panoramic errors 3. Learn optimal techniques for intraoral radiography

22

Digital Radiography - Join the Revolution

4. Properly position patients for panoramic radiography

Learning Objectives: 1. Discuss the unique musculoskeletal needs of dental professionals 2. Discuss the concept of dynamic sitting & incorporating the concept into the dental work day

February 2016 www.oralhealthgroup.com

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CAREER EDUCATION

Dental erence 2016

March 17-19, 2016 Vancouver, British Columbia

3. Explore home exercise programs to supplement work stretching for the busy dental professional 4. Identify options for counter acting musculoskeletal fatigue & discomfort with regular exercise 5. Get on the ball!

Positioning for Success in Dentistry: Ergonomic Lecture & Lab Bethany Valachi LA31 Saturday, March 19th, 2016 9:00 – 11:30 Cost $225.00 Operators will learn a sequence for positioning the patient, chair, stool, headrest and light, with sample exercises for various tooth surfaces and quadrants. Use of special patient positioning aids and cushions to treat unique patient populations, different stool types, loupes and armrest adjustment will be introduced. Attendees will learn a special exercise for optimizing declination angle and head posture with dental loupes. *Operators should bring their magnification loupes.

The Silver Tsunami: Opportunities for Dentists and Dental Hygienists Chris Wyatt/Hon Ching Frankie So Friday, March 18, 2016 8:30 – 11:00 Meeting the complex care needs of seniors remains a challenge for dental professionals, yet by 2031 seniors will represent nearly 25% of BC patients. As more frail elders remain at home, dental professionals must prepare to meet these patients complex care needs in the dental office. This session explores two innovative dental programs, at home and abroad, that help to address the complexity of seniors’ care. Attendees will gain insights on seniors’ oral and medical conditions, common barriers to care as well as strategies for dental professionals to work with seniors and their families.

Learning Objectives: 1. To provide insights on seniors’ oral and medical conditions 2. To provide strategies for dental professionals to overcome the common barriers to dental care 3. To explore local and international innovative dental programs providing care for seniors

Learning Objectives: 1. Learn how to position patients properly for specific tooth surfaces and quadrants 2. Discover how to assess if their loupes are ‘ergonomic’ and keep them within a safe working posture 3. Implement different positioning techniques for flat vs. double-articulating headrests

in conjunction with the

4. Learn special positioning techniques for pedo, obese, geriatric and wheelchair bound patients 5. Adjust an ergonomic operator stool to attain a neutral, supported posture

February 2016  www.oralhealthgroup.com

OHY Feb16 Conf pg 22-29.indd 23

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CAREER EDUCATION

ASM16

MAY 5 – 7

Connect I Learn I Excel Leah MacPherson, RDH, NS, MHP

Charles Gerba, PhD

Current Concepts in Non-Surgical Periodontal Therapy

Reinventing Hygiene in Health0Care Environments for the 21st Century

This is a course for oral health-care providers interested in an update on non-surgical periodontal therapy. This course will review the literature concerning periodontal risk factors and how to use the information to assess patients for risk versus treating disease. We will review the host response and the cascade of events that occur in periodontitis, as well as highlight some of the periodontal and systemic connections.

The goal is to increase the awareness of the importance of surfaces (inanimate objects) and human activity in the spread of pathogenic microorganisms in health-care environments. How to select proper cleaning tools and disinfectants is reviewed, as well as successful interventions.

Learning Objectives:

• How to select disinfectants for specific applications for the control of pathogens in the health-care environment

• Review the various types of periodontal conditions, microbiology and their treatment • Determine a patient’s level of periodontal risk • Discuss the host response and the cascade of events that occur during periodontal disease in understandable terms

Periodontal Updates for the Dental Hygienist This workshop is intended for the dental hygienist interested in an update on non-surgical periodontal therapy. Treatment of the periodontal patient begins with a proper understanding of the patient’s condition. The various types of periodontal conditions, their microbiological profile and their implications on treatment. Discussions will include the host response and the cascade of events that occur in periodontitis, as well as highlight some of the periodontal and systemic connections.

Learning Objectives:

Learning Objectives: • Sources and how microorganisms move in indoor environments

• Review hygiene interventions that work in the dental and health-care environments

Micro Bio of Indoor Environments (Germ Geography) The types and occurrence of pathogenic microorganisms in indoor environments is reviewed from the home to the dental office. How pathogens move between these environments is important for effective control in reducing exposure in healthcare environments.

Learning Objectives: • The types of pathogenic microorganisms transmitted by surfaces (fomites) • Where are the areas in different environments (home, school, shopping, dental offices) that you find pathogenic microrgasnisms • Interventions that work to reduce the risk of microbe transmission via exposure in the environment

• Review the various types of periodontal conditions, microbiology and their treatment • Assess a patient’s periodontal condition using clinical attachment levels, bone loss and health history • Determine a patient’s level of periodontal risk

Karen Davis, RDH

Sweet Tooth Obsession and Its Impact on Oral and Systemic Health (repeated) Overconsumption of sugar is linked to elevated triglyceride levels, liver disease, cardiovascular disease, Type II diabetes and even dementia. Sugary drinks, which are the greatest culprit of the growing “sugar obsession,” are implicated in increased risk for dental caries and tooth erosion. Discover how to identify hidden sugars on labels, and which sugar alternatives to recommend. • Learning Objectives: • Discover the truth about “added sugars” in foods and beverages • Appreciate the health implications of chronic overconsumption of sugar

24

• Learn how to reverse the demineralization process and break the sugar obsession

Tim Donley, DDS, MSD

Nutrition, Lifestyle and Perio: An Approach That Can Change Lives This course will teach you the nutritional and lifestyle changes that can make an immediate difference in your patients’ (and maybe even your own) oral and overall health. Periodontal and other systemic diseases are about inflammation. Research confirms that nutrition and other host modulation therapies can have significant anti-inflammatory benefits. You will leave with a clear understanding of how to incorporate a realistic nutrition and lifestyle protocol that will improve your patients’ and your own health.

Learning Objectives: • Understand the role inflammation plays in periodontal and systemic health, and which patients have an exaggerated inflammatory response • Understand the role that nutrition and host modulation can play in reducing inflammation • Develop a patient protocol for specific lifestyle changes to reduce inflammation

February 2016 www.oralhealthgroup.com

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CAREER EDUCATION

Amy Kirsch, RDH

For the most up-to-date information and to register online, please visit www.oda.ca/asm

Exceptional Teamwork and Leadership Skills Inspire commitment, teamwork and cooperation at work. Team members who demonstrate loyalty, who are committed to the practice, and who are motivated to achieve results, are part of the team-oriented staff needed in today’s practice environment. Exceptional teamwork and leadership skills empower the entire team to excel with the ability and willingness to deliver excellence in care. This is an energized and enthusiastic lecture designed especially for any exceptional dental team desiring growth and increased teamwork!

Learning Objectives: • How to create a high performing team • The stages of teamwork and how it affects patient care • How to resolve conflict effectively, and develop respect and understanding of other’s work styles

KEYNOTE SPEAKERS WHO ARE ENTERTAINING AND MOTIVATING Jann Arden, Canadian icon, singer, author and actor, can bring her audience to tears through her songs, only to have them, moments later, rolling in the aisles with her off-the-cuff comedy.

Scheduling for Success

Harley Pasternak is a best-selling fitness and diet author, whose books have attained global status and have been published in four languages in more than 25 countries. He has trained many celebrities including Oprah, Rihanna and Halle Berry to name a few.

Decrease stress and increase your efficiency. Quality dental team members and their doctors know the key to a stress free and productive day is directly related to the way the day is scheduled. In this fast-paced and exciting lecture, you will learn advanced scheduling techniques that you can use the next day in your practice.

Learning Objectives: • Schedule for your doctor’s “ideal” day • Communication skills for “hard to schedule” patients • Teamwork concepts to “fill the schedule” productively Shannon Nanne, RDH

The Mysterious Mole – Spotting These Spots Could Save Your Patient’s Life! We are experts in our field in recognizing abnormalities, providing patients education, prevention, early detection and prompt treatment. But what happens when we see a mole on a patient’s face, lip, eye or skin that keeps getting bigger every time we see them? Do you bring it to their attention? Between two and three million non-melanoma skin cancers and 132,000 melanoma skin cancers occur globally each year. This course will make you aware of the difference between “normal” and what could be “abnormal.” Do you see the tanning bed goddesses? What is UVA and UVB radiation, really? What number of sunscreen is absolutely necessary? By the end of this course you will have the knowledge to quite possibly save a life!

Learning Objectives:

What’s The Dry Idea? Caring For Those Patient’s with Xerostomia Xerostomia is a serious condition that’s annoying, uncomfortable and sometimes goes unnoticed. It can affect your patient’s quality of life while speaking, eating or trying to sleep, damage the hard and soft tissues of the mouth, and present a clinical challenge. It is estimated that one in four of your patients suffer from this terrible affliction. Xerostomia is more common in the older adult population but is not necessarily an inevitable part of aging. This course will turn you into a dry mouth superhero! You will be able to teach patients reasons why they suffer from dry mouth, intraoral problems associated with it, and the options available to make your patients more comfortable managing their symptoms.

Learning Objectives:

• Identify the difference between ordinary moles and dysplastic nevi and know how to proactively screen for skin cancers

• Discuss the causes of xerostomia and understand the components and functions of saliva

• Proactively screen for skin cancers, recognizing the clinical signs of malignant melanoma, basal cell and squamous cell carcinoma

• List the oral and non-oral symptoms and explain the clinical signs of salivary gland hypo-function

• Identify oral melanoma and understand how to do a proper oral cancer exam, while informing cancer patients on oral side-effects of treatment

• Discuss management options for educating patients and improving their quality of life

February 2016  www.oralhealthgroup.com

OHY Feb16 Conf pg 22-29.indd 25

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PRACTICE MANAGEMENT

All Specials Effective Jan 1st to Mar 31st, 2016

Continued from page 20 Once they arrived at the checkout desk, though, their main objection was time – that is, the limitations of their insurance policy, which in turn typically created a massive increase in predetermination submissions. Today, case presentation has entered the era of“comfortable influence.” This entails the entire dental team offering evidence of the systemic link between oral health and overall health. No one wants to get sick, look old or die early, after all, and a message of “oral health is the gateway to full-body wellness” is sure to meet with a positive reception. This mantra – coupled with the “seek first to understand, and then to be understood” approach – will support the informed patient’s decision making. Patients, naturally, will say yes more often if they regard their dentist as interested in their well-being – as a trusted partner and not a condescending teacher or crass salesperson. A trusted adviser does not tell a patient what he “needs,” what he “ought to do” or, at the extreme, what he “has to do.” Ask questions first, then devise a treatment plan that addresses a patient’s specific situation. “Learned communication skills” – in words, tone of voice and body language – is the phrase that most pertinently describes today’s communication techniques, which include building a rapport within minutes; becoming an expert interviewer; learning to listen without judgment; and showing that you understand how they see the situation before telling them how you see it. When you take the time to learn about a patient’s long-term health-care plan, they’re much more apt to trust your intentions. Trust, of course, breeds case acceptance, with you becoming an active part of the patient’s decisions. Your power to influence is strong – but optimally, it will help your patients make their own decisions with as little coercion as possible. All research – as well as endless reams of anecdotal evidence – shows that a patient who feels your authentic desire to collaborate rather than dictate is much more apt to develop a better relationship with you, and more likely to consider dentistry a significant part of their overall health plan. What most stands in the way of case acceptance for practices today is not cost objections – it’s dentistry’s lack of perceived value. Overcome that, and case acceptance will climb. n

www.oralhealthgroup.com

OHY Feb16 Philp pg 18-21,26.indd 26

16-02-01 4:48 PM


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CAREER EDUCATION

JDIQ Bouncing your way to success… Effective utilization of products in dental hygiene Judy Zack Bendit, RDH, BS, Delray Beach, Florida Friday, May 27, 2016 from 8:30 a.m. to 3:30 p.m. This workshop will give you an overview of many of the ergonomic challenges we are faced with each day and provide suggestions on how to overcome them. Let’s bounce our way to success by learning important chair side prevention. All participants will receive their very own Evolution Chair, valued at $149 to take home at the conclusion of the day. Cost

$350 Hygienist Ticketed session - Limited to 30 participants Lunch included

2016 Clinical pharmacology and the geriatric dental patient Jose Lança, MD, PhD, Toronto, Ontario Aviv Ouanounou, BSc, MSc, DDS, FICO, Toronto, Ontario Monday, May 30, 2016 from 9:00 a.m. to 11:30 a.m. • Understand demographics and challenges to dental practice •U nderstand implications of aging and co-morbidity on pharmacokinetics and pharmacodynamics • Understand the key issues in geriatric co-morbidity

Grandpa is talking! Listen up!

• Define poly-pharmacy and recognize it in daily practice

Marvin Berman, BA, BS, DDS, Bannockburn, Illinois

• Relate physiologic changes of aging and co-morbidities to effects on pharmacotherapy

Monday, May 30, 2016 from 9:00 a.m. to 11:30 a.m. Parents today struggle to find a balance between being too strict or too permissive and try to be their child’s friend, instead of earning respect as mentors and life guides. “Self-esteem”, “quality time”, “you’re the prettiest girl” and “you’re the best boy” have over-taken “No”, “because I said so”, “please”, “sorry”, “thank you”. As a result, many children have become a behavioral challenge to teachers, coaches, police, doctors etc. Sharing his famous video illustrations, Grandpa Berman will offer participants a common sense journey into the wonderful world of children.

Oral manifestations of systemic disease and medications: the window to general health Scott S. De Rossi, DMD, Augusta, GA Monday, May 30, 2016 from 9:00 a.m. to 11:30 a.m. The oral cavity has been considered since the days of Hippocrates a window to systemic health. These oral manifestations must be properly recognized if a patient is to receive appropriate diagnosis and referral for treatment. The presentation will summarize known and reveal some newly described oral manifestations of several systemic disorders including bisphosphonate associated osteonecrosis. • Become familiar with many diseases that may impact the oral cavity • Become familiar with the oral manifestations of medical illness/ medications

28

February 2016

• Become familiar with the diagnosis and management

•R ecognize common adverse drug reactions in the elderly and identify the most common drug-drug and drug-disease interactions • Evaluate pharmacotherapy to insure safer dental therapy • Apply principles to clinical practice

Eating for optimal health and happiness Part one Liz Pearson, RD, Toronto, Ontario Monday, May 30, 2016 from 9:00 a.m. to 11:30 a.m. •G et the latest research on nutritional all-stars like blueberries, kale, almonds, black beans, quinoa, salmon, turmeric, dark chocolate, and more • L earn how much is too much when it comes to dietary villains like sugar, salt, unhealthy fats, and processed meats •G et science-backed answers to your most common questions, including questions about detox diets, probiotics, gluten-free diets, pesticides, vitamin supplements, red wine and more • L earn how to eat healthy and snack wisely, even on the run

www.oralhealthgroup.com

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CAREER EDUCATION

CANADA’S BILINGUAL DENTAL MEETING May 27-31, Montreal QC Medical emergencies in the dental office David Isen, BSc, DDS, Toronto, Ontario Tuesday, May 31, 2016 from 9:00 a.m. to 11:30 a.m.

Geriatric dentistry: essentials for today’s practice and beyond

This course will review ways to reduce the likelihood that a medical emergency will occur. As well, how to use emergency drugs will be discussed along with a discussion regarding the protocols for basic life support and using an automated external defibrillator.

Michael Wiseman, DDS, Côte Saint-Luc, Québec

• I dentify how to reduce the risk of a medical emergency occurring

Monday, May 30, 2016 from 1:30 p.m. to 4:00 p.m.

• How to assess vital signs

With North America’s changing demographics, the senior patient will represent a significant component of dental practices. This course is designed to update the dental team to treat these patients. Medical conditions, dental problems, and office design will be highlighted. Emphasis will be placed on both treating the healthy and debilitated senior patient.

• Understanding the basic life support protocols

Issues covered include:

• L earn which drugs are appropriate for a dentist to stock in an office medical emergency kit and how to use those drugs •U nderstanding how to prioritize which emergency procedures should go first

• Treatment of root caries and prevention • Bisphosphonates • Dementia, Parkinson’s Disease

Eating for optimal health and happiness Part two

• Sedation and treating the dying patient

Liz Pearson, RD, Toronto, Ontario Tuesday, May 31, 2016 from 1:30 p.m. to 4:00 p.m.

The dental team versus the reluctant dragon Marvin Berman, BA, BS, DDS, Bannockburn, Illinois Tuesday, May 31, 2016 from 9:00 a.m. to 11:30 a.m. Very young children, adolescents and their parents can be a challenge for the dentist and the entire dental office staff. Many parents are raising their children in a permissive manner which encourages “I’m O.K. You’re O.K.” instead of demanding accountability. Using his live-action videos, Dr. Berman will demonstrate his unique methodology for managing reluctant, apprehensive and Special needs children without mind altering drugs or active restraints. Setting parameters of behavior, separating parents from children, the dreaded shots, drilling and other procedures will be addressed.

Get the latest research on eating for optimal dental health, including foods that are most protective and those that cause the most harm • L earn how to protect your family’s health, including the importance of family dinners and how the media promotes body dissatisfaction and disordered eating in our kids • Get the latest science on healthy weight management, including mindful eating, emotional eating, losing weight and why most diets fail • L earn why lack of sleep is so detrimental to health, why prolonged sitting is “the new smoking” and what makes people really happy in life

February 2016  www.oralhealthgroup.com

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COMMUNICATION

Listening skills on the telephone: What you don’t say means more Larry M. Guzzardo

who has co-authored two books, “Powerful Practice” and  “Getting Things Done”  conducts in-office practice management consultations exclusively for dentists to enhance trust, create organization, increase profits, and to develop patient relationships that last. Larry has presented numerous workshops including, “Winning Patient Acceptance,” “Business Communication Systems,” and “The Leadership Challenge.”

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D

entistry is part art, part science, but all about people. In dental school, the people part of the equation was overlooked, and it takes a number of years in practice to realize its importance. Dentistry is a service business, and communication is paramount to success. Communication, by definition, is “the exchange of ideas, messages, or information.” It is not tangible. In fact, communication is one of the most dynamic elements of the human condition. Effective communication begins with listening and opens the door to understanding. As you’ve heard many times before, we come into this world with two ears and one mouth and we should use them in that same proportion. In conversation, this simply means that you should listen twice as much as you talk if you want to get a reputation for being an enjoyable person with whom to converse. The art of a good telephone conversation centers very much on your ability to ask questions and to listen attentively to the answers. You can lace the conversation with your insights, ideas, and opinions, but you perfect the art and skill of conversation by perfecting the art and skill of asking good, well-worded questions that direct the conversation and give other people an opportunity to express themselves. Ask open-ended questions that cannot be answered with a simple “yes” or “no.” Openended questions encourage your patients to expand on thoughts and comments. And one question will lead to another. You can ask

open-ended questions almost endlessly, drawing out of the caller everything that he or she has to say. In order to be an excellent conversationalist, you must resist the urge to dominate the discussion. The very best conversationalists seem to be low-key, easy-going, cheerful, and genuinely interested in the other person. They seem to be quite content to listen when other people are talking and they make their own con- The more you tributions short and listen to another to the point. In fact, good con- person, the more versation has an easy ebb and flow, like the he or she trusts tide coming in and you and believes going out. Whether it is between two in you. people or among several, the conversation should shift back and forth, with each person getting an opportunity to talk. Conversation in this sense is like a ball that is tossed from person to person, with no one holding on to it for very long. Listening is the most important of all skills for successful conversation. Many people are very poor listeners. Since everyone enjoys talking, it takes a real effort to practice the fundamentals of excellent listening and to make them a habit. There are the four major rules for active listening in a conversation. They are powerful, practical and proven techniques to increase your influence with other people

February 2016 www.oralhealthgroup.com

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COMMUNICATION

…by learning to listen well, you actually develop your own character, your own personality, and become more likeable.

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dramatically. The first key to effective listening is for you to listen attentively, without interruptions. When you pay close attention to another person, you convey to that person that you very much value what he or she has to say. Individuals you are speaking to find this very flattering, and they will respond warmly to your attentiveness. The major reason why most people are poor listeners is that they are busy preparing a reply while the other person is still speaking. In fact, they are not even listening closely to what the other person is saying. We act very much like boxers waiting for the other person to let their guard down so they can jump in with a quick verbal punch and take over the conversation. In addition to listening without interrupting, you should give the speaker a few verbal cues every now and then to indicate you are listening. Be active rather than passive. Indicate that you are totally engaged in the conversation. Say things like; “Oh”; “Hmm”; or “I see”. The second key to effective listening is to pause before replying. A short pause, of three to five seconds, is a very classy thing to do in a conversation. When you pause, you accomplish three goals simultaneously. First, you avoid running the risk of interrupting if the other person is just catching his or her breath before continuing. Second, you show the other person that you are giving careful consideration to his or her words by not jumping in with your own comments at the earliest opportunity. The third benefit of pausing is that you will actually hear the other person better. His or her words will soak

into a deeper level of your mind and you will understand what he or she is saying with greater clarity. By pausing, you mark yourself as a brilliant conversationalist. The third key to effective listening is to question for clarification. Never assume that you understand what the person is saying or trying to say. Instead, ask, “Let me see if I understand you correctly. Can you explain that again?” This is the most powerful question I’ve ever learned for controlling a conversation. It is almost impossible not to answer. When you ask, “Can you explain that again?” the other person cannot stop himself or herself from answering more extensively. You can then follow up with other open-ended questions and keep the conversations rolling along. The fourth key to effective listening is to paraphrase the speaker’s words in your own words. Start like this; “Let me see if I’ve got this right. What you’re saying is . . .” By paraphrasing the speaker’s words, you demonstrate in no uncertain terms that you are genuinely paying attention and making every effort to understand his or her thoughts or feelings. And the great thing is, when you practice effective listening, other people will

February 2016

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COMMUNICATION begin to find you fascinating. They will want to be around you. They will feel relaxed and happy when they are in contact with you. The reason why listening is such a powerful tool in developing the art and skill of conversation, especially on the telephone, is because listening builds trust. The more you listen to another person, the more he or she trusts you and believes in you. Listening also builds self-esteem. When you listen attentively to another person, his or her self-esteem will naturally increase. Finally, listening builds self-discipline in the listener. Because your mind can process words at 500-600 words per minute, and we can only talk at about 150 words per minute, it takes a real effort to keep your attention focused on another person’s words. If you do not practice self-discipline in conversation, your mind will wander in a hundred different directions. The more you work at paying close attention to what the other person is saying, the more self-disciplined you will become. In other words, by learning to listen well, you actually develop your own character, your own personality, and become more likeable. These are my best pointers to help you listen better on the telephone. Stay focused. Prevent yourself from being distracted by other staff members or external noises and concentrate on what your caller is saying. Detect emotions. Listen to the emotion in your caller’s voice. Does it match or endorse the words they are using? Ask questions. Ask questions to gain more information on points you need to clarify. Don’t interrupt. You listen more effectively when you’re not talking, so refrain from in-

terrupting your caller. Let them finish what they are saying; interruptions may break their train of thought. Don’t pre-empt. Avoid pre-empting what your caller is going to say, chances are you will be wrong and miss some of the content of their conversation. Paraphrase key facts. Paraphrase and reflect back to check you have heard the key facts and content of the caller’s conversation correctly. It also lets the caller know you have understood them. Statements such as “What I’m hearing is…” and “Sounds like you are saying…” are great ways to reflect back and paraphrase. Pen and paper handy. Have a pen and paper on hand and get into the habit of making short quick references to any questions you want to ask or points you wish to raise or comment on. When your caller has finished speaking refer back to your notes and take action. If you are thinking of answers and responses while the caller is speaking, you are not listening. Say it again. If you are having difficulty listening, make the necessary adjustments. You might say, “I’m afraid I missed that last point. Please repeat that for me.” Watch the stereotypes. Avoid stereotyping individuals by making assumptions about how you expect them to act and what you expect them to say. This will bias your listening. Be aware of the barriers to listening • We think we’re right and the other person is wrong • We feel we have to provide help right away • We prefer to talk rather than listen • We are waiting for gaps or pauses to jump in with our response n

February 2016  www.oralhealthgroup.com

OHY Feb16 Guzzardo pg 30-34.indd 33

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PRODUCT PROFILE

THE PERFECT TONGUE CLEANER The one thing that never gets cleaned in your mouth is your tongue. Even when you go to the dental office to get your teeth cleaned, polished and flossed, your tongue is left alone. There is no easy to use tool to clean your tongue, even though the same bacteria that was just cleaned off your gums and teeth, still sit on your tongue. Rinsing alone does not get the gunk off. Bacteria, debris, and other odor causing toxins sit and accumulate on your tongue. This is one of the main causes for embarrassing bad breath, respiratory, digestive and immune system problems. The Perfect Tongue Cleaner cleans and removes all the bad, smelly bacteria and toxins to give you a fresh, clean and confident feeling after every use. This premium dental product is not available in stores. Patients need to purchase this at their dental office along with instructions and guidance on how to use it properly to maintain proper oral health. Give your patients the ability to get exceptional oral health care in your dental office.

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PHILIPS SONICARE FOR KIDS The NEW Philips Sonicare For Kids power toothbrush with Bluetooth wireless technology and interactive coaching app helps to connect children ages 4+ to a lifetime of healthy habits. This breakthrough and fun toothbrushing experience helps motivate children to brush independently – while delivering oral care results that parents can feel good about, too. Kids navigate the Bluetooth® enabled app with the help of their oral health training partner, “Sparkly,” who teaches proper brushing techniques through fun, educational games. Separate dashboard in app allows parents to monitor performance and set up custom milestones and incentives such as rewards and badges to keep kids motivated. KidTimer gradually builds to two minutes of brushing time twice a day to train kids to brush for the dentistrecommended time. Kids can choose from 8 peel-and-stick designs to make brush their own. The easy-grip handle is designed for smaller hands to maneuver more independently and comfortably and high and low power modes are available for gentle, yet effective cleaning. www.philips.ca ISSA™ HYBRID This device is specially designed for those who desire vigorous brushing on the teeth that remains gentle on their gums. Specifically engineered to utilize the soft, gentle silicone bristles for the gum area, the ISSA™ Hybrid also integrated PBT polymer bristles on the inner segment of the brush head to cover the surface area of the teeth. This unique hybrid design offers a massage and gentle clean, as well as a stronger cleaning experience on the teeth. The bristles channel 11,000 highintensity pulsations per minute and the 3D flexible brush head helps to reach every crevice of the mouth. The ISSA™ is 100% waterproof with a sealed charging port so you can use it in the shower. With eight intensities for maximum comfort, the intensity can be increased or decreased with the + or – buttons. Furthermore, the device will remember your preferences for the next time it is used. It also includes an integrated timer: pulsations will pause every 30 seconds to indicate when you should move the device to another quadrant of the mouth. The device will pause its pulsations three times in succession after two minutes to signify the end of the brushing routine. The ISSATM Hybrid will switch itself off after three minutes to prevent overuse. www.foreo.com

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February 2016 www.oralhealthgroup.com

SM

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DENTAL MARKETPLACE

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

ASSOCIATESHIPS

TRENTON, ONTARIO (1hr East of Oshawa ) FULL TIME ASSOCIATE

We are looking for an individual who enjoys working in a large modern facility. Our office has a well established patient base and great team of professionals. We offer all aspects of dental services to our patients. Our office is equipped with digital radiography and intraoral cameras, Dentrix computer system, General Anaesthesia, IV sedation and great working hours. Position available immediately. Replacing a full time dentist. Busy from day 1.

Great office to work at!

Please forward any inquiries to Julie dentalresumes541@gmail.com

ASSOCIATE ORTHODONTIST Nova Scotia – 60 Minutes South Of Halifax – Bridgewater / Lunenburg Long-term orthodontic associate needed 3 days pw. Position open now or as late as Oct 2016. Partnership opportunity available. u Excellent remuneration plus performance bonuses for

new patient starts

u RENT FREE furnished apartment provided, 3 minutes from

WINKLER, MB

“Lucrative opportunity for experienced dentists.” Ideal opportunity for new graduates seeking experience to build their efficiency, productivity and skill set in their first year. Practice Details: • Compensation at above industry norm. • Growing practice with constantly growing patient base. • Excellent learning opportunity for new graduates to gain dental experience in all aspects of dentistry. • Work with experienced dentists and well trained teams. This opportunity is in Winkler, Manitoba, approximately 1 hour south of Winnipeg. If you would like more information please contact via email at office@klerdentalgroup.ca or phone at 204.997.1262.

a new gym and fantastic restaurants Benefits include health benefits and conference tuition Clinical and business mentorship available Flexible schedule Excellent opportunity for new grad or experienced clinician or semi-retired clinician. The Bridgewater/Lunenburg area is one of the most beautiful regions of the South Shore of Nova Scotia, located 60 minutes south of Halifax, no traffic, easy highway drive. Local activities include Ski Martock and the M.A.R.C Trail System.

u u u u

In 2015, The Chronicle Herald voted Bridgewater “The Best Place to Live in Atlantic Canada for Young Families”

Please email resumes to maurina@healthqueststaffing.com

902-402-0257 u www.embracelifesmiling.com

HURON COUNTY, ON General Dentist Associate

VAUGHAN,ON

GRANDE CACHE, AB

Westwood dental clinic in Thompson, MB team looking for experienced dentist full time or part time. Decent income plus accommodation . E-mail: westwooddental@hotmail.com

Our Vaughan office is looking for a dental associate to join our team. Invisalign and orthodontic trained preferred. A very friendly environment and family-oriented practice. We need an associate who is flexible to work 3 – 4 days a week and two Saturdays. This position is available immediately. We are looking for a caring individual who puts patients’ comfort and well being above everything. If you are interested please email you resume and we look forward to meeting you. E-mail: nortondent@gmail.com

Full time associate required for Grande Cache Dental Care, located in the beautiful Rocky Mountains of Alberta. The successful applicant will be fully booked from day one. Must be comfortable with all aspects of general dentistry with special emphasis on diagnostics, restorative, oral surgery and endodontics. Strong communication skills are essential. No weekends or evenings required. High gross/net office. Associate can expect above average remuneration.

OSHAWA, ON

NIAGARA, ON

MISSISSAUGA, ON PART-TIME ASSOCIATE REQUIRED

Excellent opportunity. Busy schedule from day 1. Friendly patients and supportive staff. 2 days per week to start. Future buy-in potential. 1.25 hours from KW and London. Please forward cover letter and CV to: hurondent1@gmail.com

THOMPSON, MB

Looking for a part time associate asap in an Oshawa office. Shifts are Tuesdays 1-9, selected Wednesdays 9-1, every other Friday and every other Saturday. We prefer an associate with minimum 2 years experience. We are a large office with the potential of more working hours in the future. E-dental: ocdental@rogers.com

www.oralhealthgroup.com

OHY Feb16 Classifieds p 35-40.indd 35

Growing dental practice in Niagara needs a P/T associate, leading to F/T. If you are someone that focuses providing excellent patient care and are looking for a long term associateship, we would love to hear from you. Email to dentalstaff2014@hotmail.com

Please email to: grande.cache.dental.care@gmail.com

We are looking for a self motivated and experienced associate to work Saturdays with potential to add on more days. Ability to perform endodontic and surgical procedures an asset. Please send resume to: lisa@willowdental.com

February 2016

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DENTAL MARKETPLACE

ASSOCIATESHIPS

OTTAWA SOUTH

LONDON, ON

BUSY FROM DAY 1 Looking for energetic and motivated full-time Dentist

Position available for a dentist in London, ON. The successful candidate requires 5 years of experience and must be proficient with endodontic treatment including molars and surgical extraction. We do require the doctor to possess a thorough knowledge of RCDSO guidelines and the ability to create detailed treatment plan and comprehensive communication skills. Attention to the patient’s oral health and involvement with the hygiene team is of the utmost important. A clinical working interview will be required for a qualified candidate.

Successful Associates are offered partnership and full ownerships in our group. Check out our website www.sandhudental.ca Contact Dr Raja Sandhu for this amazing opportunity

email: rsandhu@sandhudental.ca

TORONTO, ON

HTL Dental seeking a motivated, personable team player as an associate to join our current four modern and progressive practices in Scarborough, North York, Markham and Richmond Hill. Part time leading to Full time position. Candidate must have excellent clinical and communication skills with a friendly personality. If interested in exploring further, please send cover letter and CV to jobsteeth@gmail.com

OSHAWA, ON P/T or F/T ASSOCIATE

A well-established and busy general practice is transitioning, creating a turnkey opportunity for an experienced associate. Patient-oriented, you have excellent clinical and communication skills and will provide care to our extensive patient base. Experience with endodontics, surgery and crown and bridge an asset. An exceptional opportunity with future partnership potential. Please forward resume to: durhamsmilemakers@gmail.com

NEWMARKET, ON

Looking for general dentists and specialists for my busy and growing Newmarket practice. If you want to work in a friendly and relaxed environment, please contact me with resume and availability at eastriverdental@gmail.com

CORNWALL, ON Part-Time position available in sophisticated office with excellent staff and team environment. Must be compassionate and maintain the highest quality standard of care for all patients. Hours: 2 days per week with growth opportunities. E-mail: dralma@dentistryatcornwall.ca

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February 2016

OHY Feb16 Classifieds p 35-40.indd 36

Please email your resume with cover letter to dovedental@ody.ca

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.

REGINA, SK Well established dental practice is looking for a full time or part time associate. Start date to be discussed/flexible. Excellent income potential. Please email: cathedraldental@sasktel.net

KINGSTON & SURROUNDING AREA, ON Well established, family dental practice is seeking a dental associate with possible transition to partnership in the near future. Please forward resume to: kingstonfdc@gmail.com

SELKIRK, MB Full time associate dentist required for an established busy GP practice, 30 minutes north of Winnipeg. Practice operates Monday to Friday, no evenings. Senior owner dentist is retiring and position is available immediately. Please forward resume to: reception@redriverdental.ca

MARKHAM, ON

Progressive dental practice is seeking associates from the following specialities – Periodontics, Oral Surgery and Oral Radiology. Contact: Sharin, Fax: (289) 554-4545 Email: ceresdental@outlook.com Website: www.ceresdentalclinic.com

TORONTO, ON

Full time dental associate needed immediately for busy group practice in downtown Toronto. Seeking dentist who is comfortable with a fast paced environment. Excellent earning potential. Please forward your resume to: dentistrywithcare15@gmail.com

KITCHENER-WATERLOO AREA, ON PT leading to FT associate wanted in KW area. Must be good with kids, endo and oral surgery. No weekends. Experience preferred. Email resume to dentaloffice2646@yahoo.ca

KINGSTON, ON

Associate required for modern, very busy practice with strong, new patient flow. Great opportunity in a University setting. Guaranteed salary to start with commission. E-mail: associatedentist@ymail.com Fax CV: 888-880-4024.

ROSETOWN, SK Locum & Associateship Opportunity Busy practice is looking for locum or long term associateship leading to practice buy-in. For more information, please call Marzena 416.779.4464 or e-mail: marzenka@ymail.com

PEMBROKE, ON 50% ASSOCIATE FEES Busy practice seeks p/t associates - 2 days weekly with potential for growth. 50% Associate fees. Email levalliantandy@gmail.com or call 613-298-9919

www.oralhealthgroup.com

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STONY PLAIN, AB

EDMONTON, AB Great opportunity for a motivated associate with some experience. $80,000-$100,000 per month, in a beautiful office with new equipment and a great team. Current associate is moving to another province. Potential of earning up to 45% and longterm buy-in for the right candidate. Experience is an asset but not required. Please email: EdmontonDentalCareer@gmail.com

TORONTO, ON

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

BOWMANVILLE AND NEWCASTLE,ON We are a team of 16 people including (4)assistants,(6)hygienists, (4) managers and (2)dentists who need another dentist to help us keep our busy office moving forward. We have two offices so far in Bowmanville and Newcastle. We see 50 new patients a month in each. Please be fun, happy and hard working. E-mail: appletreenewcastle@gmail.com

LONDON/ST. THOMAS AREA, ON

Busy, thriving state of the art practice seeks part time and full time associate. Experience not necessary but strongly preferred. Please inquire with CV to: michelleg.dds@gmail.com

BINBROOK/HAMILTON AREA, ON Well-established, large family practice in Binbrook/Hamilton area is searching for an ambitious and motivated dentist to join our professional team for a full time associate position. Our experienced support staff is dedicated to providing high quality dentistry and professional care. Excellent opportunity for an energetic individual to practice quality dentistry in a caring and modern environment. Please forward resume to sstephan@fraccarodentalgroup.com

www.oralhealthgroup.com

OHY Feb16 Classifieds p 35-40.indd 37

DENTAL MARKETPLACE

ASSOCIATESHIPS

Tremendous opportunity for a FT Endodontist. Our progressive, paperless, high tech clinic including digital radiography, is looking for an Endodontist to join our practice. We are community focused with a growing patient base. You will have an eager team that will maintain your schedule, referrals, and keep you linked to the region. We are 20 minutes away from Edmonton and have 3 highways within 2 minutes of our practice. The ideal candidate will be a seasoned dentist who focuses on clinical excellence, is a great communicator and poses a patient rapport that is caring and informative, while still being production motivated. Our team will help you succeed, and in turn you will help us succeed. Position is available for June 2016 and we will assist with relocation for the right individual. Please email your CV in confidence: dentalspecialist8g@gmail.com

FORT MCMURRAY, AB Associate wanted for a busy, family mall practice. Associate must be energetic, willing to work and learn. Must have dynamic personality. Busy environment with above average remuneration. Please reply to Dr Jones at: 780-940-7251 or 780-791-7400.

BARRIE, ON Looking for full/part time dentist for busy growing office. Please email resume to barriedentist@gmail.com

STRATFORD AND KITCHENER, ON AREA Associate Opportunity

Full time position available including evenings and alternating Saturday’s. Busy and established offices. Modern, fully paperless/digital, new equipment and leading edge technologies (cerec, lasers, implants…). Interested candidates please mail: dentalgroupswo@gmail.com

BEACHES, TORONTO, ON

Part time associate required to join our team at our newly renovated location in the heart of the Beach. 2-3 years Canadian experience an asset. Send resumes to: info@torontobeachdental.com

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

Dental office in Liberty Village is looking for a part-time associate in a progressive office. The candidate must be able to work some Saturdays and evenings. Please reply with resume to arlensharp@hotmail.com

KITCHENER-WATERLOO AREA, ON

Full-time associate opportunity. Established practice with experienced staff and the ability to provide all aspects of dentistry. Please reply with resume to: thedentalopportunity@gmail.com to learn more.

LETHBRIDGE, AB

Well established general dental clinic in south Lethbridge looking for a full time associate 5 days/week. Great family practice offering all dental services. Solid patient base. Please email Sun Dental Group at: sundentallethbridge@gmail.com

TRENTON, ON

Principal associate dentist position in an established practice in Trenton, Ontario. Good associates are offered partnership. Great opportunity that does not come by often. E-mail: ebenezerdentalcorp@gmail.com

MISSISSAUGA, ON Associate required in a modern computerized dental office in Mississauga. Please e-mail your resume to: m_atiya@hotmail.com

EXCELLENT ASSOCIATE OPPORTUNITY ONE HOUR EAST OF TORONTO

Busy dental office looking for a full or part time associate. No evenings or weekends and new graduates are welcome. Associate must be competent in root canal therapy. For more information please call: 905-372-6251 or e-mail: dentalv@bellnet.ca

February 2016

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DENTAL MARKETPLACE

ASSOCIATESHIPS

TRENTON, ON

We are looking for a motivated pediatric dentist and a general dentist who enjoys all aspects of dentistry. Come work in a busy, state of the art facility with new technologies. We have an excellent and very friendly team and looking for the right fit to join our practice. Please email us at ryounes@sympatico.ca

EDMONTON, AB

Full- or Part-Time Pediatric Dentist (Specialist) associateship available immediately in Edmonton, AB. Large combined Orthodontic/Pediatric Specialty Practice in a great location with large referral base. Five ops for Pediatric patients. General Anesthesia and N2O sedation in house with a certified Anesthesiologist. Option for buy in and partnership is available. Please contact 780-716-4469 or saleh1997@hotmail.com

PRACTICES & OFFICES

DRUMHELLER, AB

FOR SALE OR LEASE COMMERCIAL RETAIL CONDO UNITS The New IT LOFTS at 998 College St.

Unit 1 – 2,150 SF, 45 ft. frontage, $1,565,250 Unit 2 – 1,185 SF, 30 ft. frontage, $841,350 – SOLD Unit 3 – (Corner Unit) 1,055 SF, 20 ft. frontage, $749,050

Ideal for dental offices, call listing broker for details:

Exciting opportunity for an Associate Dentist! Our progressive family dental practice is looking for an enthusiastic Associate Dentist to fill a lucrative full time position. This is a fantastic opportunity to be mentored in oral surgery, orthodontics, and esthetic reconstructive dentistry. We have 3 specialists attend our practice and the Principal is Kois trained. You will be fully booked from day one and will earn an exceptional salary. Living accommodation will be provided.

David C Horowitz – Sales Representative Urban Investment Sales and Leasing Jones Lang LaSalle Real Estate Services Inc. tel: 1 416 238 4759 cell:1 416 525 2005 davidc.horowitz@am.jll.com www.jll.ca

REGINA, SK Large General Practice. Recently updated Adec equipment, digital x-rays, sterilization equipment. Strong Hygiene Program. Gross 2.65+ M, open 6 days a week. Loyal patient base, great location with lots of new development in the area. Lots of growth potential. Contact saskpractice@gmail.com

WOODSTOCK, ON Turnkey dental office in rapidly growing Woodstock, Ontario (home of Toyota) available for immediate occupancy. Built 10 years ago with 5 ops , over 1700 sq ft, beautiful decor, high ceilings and CAT 5 wiring throughout. Good lease in busy plaza next to 401 assures quick growth. Previous DDS moved to building closer to midtown with special interest in paediatrics, implants and sedation. Inquiries to be sent to: woodstockdental@yahoo.com

VANCOUVER, BC

Successful Prosthodontic practice. Vendor willing to stay on for longer term transition. Beautiful office with great views. 2+1ops. Strata unit available for purchase. Contact Ruth at 604-220-4830 or ruth@heapsanddoyle.com www.HEAPSandDOYLE.com

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February 2016

CRANBROOK, BC FT or PT associate needed for an extremely busy 8 chair, 4.5 hygienist general practice. The previous dentist of 40 years is retiring and full patient base is waiting. There is a huge income potential with up to 45% of billings and a signing bonus for the right candidate. Boat, ski, golf, play and work in one of the beautiful areas in Canada. Email drbob258@gmail.com

E-mail: jcaravan@magtech.ca P: 403-823-7755 F: 403-823-3844

PRACTICES & OFFICES EDMONTON, AB

General Dental Practice. Well established practice in attractive 1200 SF office with 4 ops. Gross $750,000+/ yr – 4 days per week. Excellent growth opportunity. For more information, please contact JeffGrandfield@TheLeaseCoach.com or 780-448-2645.

WEST KOOTENAYS, BC Successful practice in smaller Southern BC community. Associate buy in available. Spacious office with 5 ops. Nicely decorated with dedicated staff. 1600 active patients. Currently on a four day week. Great lifestyle! Call Ruth at 604-220-4830 ruth@heapsanddoyle.com www.HEAPSandDOYLE.com

SOUTHERN MANITOBA — ORTHODONTIC PRACTICE

Well established practice with solid referral base. Spacious, modern office in free-standing building. 6+2 ops. Newer leaseholds. Ample parking with easy access. For more information, please contact ruth@heapsanddoyle.com ph: 604-220-4830 www.HEAPSandDOYLE.com

RICHMOND, BC

Well established office in city centre. Located in prominent medical/professional building. Beautiful, spacious office. Lots of natural light – beautiful views. 800 active patients. 3+1 ops. Strata unit available for purchase. Contact ruth@heapsanddoyle.com – 604-220-4830

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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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TM/® or licensed, GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4 ©2015 The GSK group of companies. All rights reserved.

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* Lorsqu’il est utilisé 2 fois par jour, après le brossage. 1. Gillam DG, et al. J Clin Periodontol. 1996;23:993–997. 2. Morris A, et al. Efficacy of a potassium nitrate mouthrinse for relieving dentinal hypersensitivity, 87e séance générale et exposition des AIRD/AADR/ACRD, du 1er au 4 avril 2009. 3. Pereira R, et al. J Periodontol. 2001;72(12):1720-1725. 4. Données internes de GSK (étude RH01751). A clinical study investigating the efficacy of a mouthwash in providing long term relief from dentinal hypersensitivity. Préparé en mars 2014. GCSAE/CHSENO/0256/13. GlaxoSmithKline Soins de santé aux consommateurs Inc. Mississauga, Ontario L5N 6L4 ©2016 Le groupe d’entreprises GSK ou son concédant. Tous droits réservés

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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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MC/ ou sous licence GlaxoSmithKline Soins de santé aux consommateurs Inc. Mississauga, Ontario L5N 6L4 ©2016 Le groupe d´entreprises GSK. Tous droits réservés.

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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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MC/® ou sous licence, GlaxoSmithKline Soins de santé aux consommateurs Inc., Mississauga, Ontario L5N 6L4 ©2015 Le groupe d’entreprises GSK. Tous droits réservés.

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