Just For Canadian Dentists 2011-05 May June by Just For Canadian Dentists

may/ june 2011

DENTISTS life + leisure

win a VISA gift card!

page 37

cruise the fjords + coast of

norway Kyuquot Sound

kayak off of Vancouver Island in

forgotten Florida + get compassionate with yourself + travel by barge in france + rediscover ROSĂŠ + MINI-implants + STATE-SIDE: importing a vehicle from the United States

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dentists life + leisure

may/june 2011

contents

may/June 2011 Editor and Art Director Barb Sligl Editorial Assistant Adam Flint Contributors Timothy A. Brown Andrew Findlay Dr. Holly Fong Paul Gleeson Janet Gyenes Tiffany Jarva Boomer Jerritt Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Dr. Derek Turner Corey Van’t Haaff Cover photo Göran Freiholtz / Hurtigruten Senior Account Executive Monique Mori

10 30

Account Executive Lily Yu Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com Associate Publisher Linh T. Huynh

Production Manager Ninh Hoang

Circulation Fulfillment Alison Mulvey

CE Development Adam Flint

FEATURES

10 Kyuquot Sound Kayaking off of Vancouver Island 30 coastal cruise Sailing the spectacular shores of Norway COLUMNS

DEPARTMENTS

14 motoring

5 May/June mix 19 CE calendar 37 sudoku 38 small talk with Dr. Janet Roberts

clockwise from top left: Tourism British Columbia; B. Sligl; Göran Freiholtz / hurtigruten

Importing from the US

Just For Canadian Dentists is published 6 times a year by In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

16 the money manager Maintain your financial health

18 practice management Get compassionate for yourself

25 drill me

Move over to mini-implants

27 the wealthy dentist

Joining an associateship

cover photo:

On deck of the MS Midnatsol, one of the Hurtigruten fleet of ships that sails along Norway’s spectacular mountainous coastline. Story on page 30.

28 dentist unleashed

www.justforcanadiandentists.com

Printed in Canada.

34 the thirsty dentist want to reach us? check out our website!

Barging through France Rosé-tinted

35 the hungry dentist

A salad with plenty of bite

May/June 2011 Just For Canadian dentists

from the editor clockwise from top The Midnatsol cruises through Norway’s Geirangerfjord, one of UNESCO’s World Heritage Sites; the Norwegian coastline through a porthole; and fabulous fresh seafood in Bergen, Norway.

get wet

On the figurative side, we’re also exploring new waters at Just For Canadian Dentistsmagazine. Our readership is expanding with each issue and we’re now including your colleagues in Ontario. We’ll be at the Ontario Dental Association with the magazine and hope to meet some new readers—and future contributors! And it’s our one-year anniversary, so we want to thank all our supporters: readers, contributors and advertisers. Again, a big thank you to all those who make this magazine possible. Please continue to subscribe to the magazine—it’s free! Just go to justforcanadiandentists.com (or page 36). And please keep your feedback coming! b. Sligl

t’s time to get wet—literally and figuratively. With warmer weather here (finally!), why not seek out some new shores? These might be the sugary sandy shores on Florida’s forgotten coast (page 5), or the somewhat cooler coastline of Norway, past the Arctic Circle (page 30). Then, somewhere in between, there’s the network of canals in France, where a barge tour is an unusual and unforgettable way to get around and experience the French countryside (page 28). Closer to home are the West Coast waters off of Vancouver Island, in another little-known spot called Kyuquot Sound (page 10). A kayak tour here includes wildlife sightings, massive ancient trees, and even the requisite espresso (this is the West Coast, after all!).

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May/June 2011

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what/when/where > May/June

mix

B. Sligl

getaway

gulf shore getaway. Miles of sugary sand beaches (in colour and texture). Check. Briny fresh clams and oysters. Check. Old-style southern hospitality and friendliness. Check. The world’s largest natural stand of Tupelo trees (producing out-of-this-world honey). Check. Wild, seemingly untouched waterways in acres of the Apalachicola Bay estuary. Check. The possible sighting of an alligator in said swampy estuary… Check. This is Franklin County, Florida, or “where the wild things are.” The Gulf region may have taken a tourism hit a year ago with the tragic oil spill, but this tucked-away part of the Florida panhandle is still a sheltered bit of sanctuary in the southeast just waiting to be discovered. This is “old Florida.” Forget South Beach extravagance and big-eared cartoon characters. Think moss-covered oaks, Victorian homes, old-fashioned hospitality and blue-collar fishing culture. It’s the “forgotten coast” of Florida. And that’s a good thing…revel in miles of uncrowded beaches (pick a spot, any spot), southern manners (be prepared to be graciously referred to as “sir” or “ma’am”), and some seriously sweet seafood (like fat, salty, creamy oysters). >> May/June 2011 Just For Canadian dentists

May/June

hit the beach

>> The heart of Franklin County is Apalachicola (“Apalach” in local speak), founded in 1831. Once the third largest port on the Gulf of Mexico (its population is now about 2,000), it still boasts wide, tree-lined streets with grand historic homes and a rich maritime culture. Battered boats line the waterfront and old net factories and sponge warehouses are re-purposed in a new mix of eclectic

getaway

shucked to order to “Capt. Jack” (with bacon, cheddar and jalapenos). The seafood treasure here seems to be so-far-sogood after the devastating oil spill last year, but if long-term effects are revealed, this community will bounce back. Disaster has come through here before with Hurricane Dennis in 2004—and resiliency is part of this region’s make-up. Maybe that’s part of the “wildness” still in place

sand, surf, seafood, swamp

2 3

shops, restaurants, galleries and quaint hotels (like the Coomb’s House Inn 3 and The Tin Shed, a menagerie of nautical momentos, from weathered signs 2 to figureheads off long-gone ships). More than anything, this town is known for having some of the finest oysters—anywhere. Apalachicola Bay oysters, with their mild, briny flavour, account for 90% of oysters sold in Florida and 10% in the US. A common sight: strapping, hardy fishermen “tonging” on “dog box” boats in the shallow waters (local big-time oyster purveyor Grady Leavins recalls his chest width growing from 38” to 44” when he started moonlighting as an oyster fisherman). The clam fishers off of Alligator Point are another subset of the maritime culture (supplying eateries in Manhattan, no less) 4 . And local restaurants proudly flaunt this harvest from the Gulf, from oysters and clams to blue crab, redfish, tarpon and grouper. At Papa Joe’s there’s homemade gumbo by owner Stan, chock-full of grouper, scallops and shrimp. And there’s every form of oyster, from

super sippers Need a morning refresher after a night of dancing the Samba and one too many caipirinhas? Or perhaps an afternoon pick-me-up after trolling museums? We thought so. Skip the jitter-inducing espresso and reach for a cuppa of caffeine-free organic rooibos tea. Republic of Tea’s Be Well herbal teas are packed with exotic flavour fusions. Get Gorgeous offers up a fragrant combination of camomile flower and orange peel. Get Wellness pairs spicy Indian ginseng with echinacea. And if you’re dreaming of a soothing stroll through fields of dandelion and clover, drink up a cup of Get Clean tea. While white and green teas get bitter quickly, red tea can stand the heat. Pour boiling water over the bag and let it steep for five to seven minutes—just long enough for a little tea-induced reverie. $13.99 at Chapters Indigo; chapters.indigo.ca — Janet Gyenes

taste

here. Yes, there’s the balmy bay and seaside sands of St. George Island 1 . But beyond the beachfront is the Apalachicola Bay Estuary, where river meets the sea. This basin is one of the largest (over 246,000 acres) and last undeveloped, ecologically diverse systems left in the US—and hopefully remains one of the least polluted. Wander via kayak 5 . You may come across that stand of Tupelo trees and their honey, another wonder of this region (it doesn’t crystallize, is safe for diabetics, and is “easily the best honey in the world,” says one local). Yet another dimension to this “forgotten coast.” — B. Sligl IF YOU GO For more on Franklin County: anaturalescape.com. Get the goods on local oysters: leavinsseafood.com. Stay at the historic Coomb’s House Inn: coombshouseinn.com. Or rent a beach house on St. George Island: collinsvacationrentals.com. Find a sea-worthy souvenir at The Tin Shed: tinshednautical.com. And discover the ecological wonder of the estuary at the Apalachicola National Estuarine Research Reserve: nerrs.noaa.gov.

Just For Canadian dentists May/June 2011

photos: B. Sligl

mix

pack+ play

May/June

iPad to go

Thinner, lighter, faster—the superlatives aren’t surprising when it comes to the second-generation iPad, gadget launched just a year after the world’s first tablet made your iPhone seem a little less screen-worthy. The iPad 2 is one-third thinner, 15% lighter and nine times faster than Apple’s first iteration. At play, enjoy FaceTime with your friends courtesy of the front-facing camera, while the rear-facing camera shoots the scene around you. At work, captivate the audience with videomirroring, while delivering presentations in HD. The big bonus: the battery boasts 10 hours of juice, perfect for those transatlantic flights. Apple Canada, from $519; apple.com/ca — J.G.

gear/

mix

push it | in the office Step Up & Step On to new technology. The Dental R.A.T.® 2.0 is a wireless (or USB) periodontal charting input device. It runs your current dental software allowing the hygienist or dentist to perio chart alone. And it also runs digital x-rays and intra-oral cameras. This simple foot-operated mouse offers an effective and consistent hands-free periodontal charting solution. No more interrupting the assistant or front office, and it reduces cross contamination. Plus it has audible feedback for patient education. So push it! Visit dentalrat.com for videos and info, or call 1-877-278-0061.

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Slim—and Sexy

There’s a sleeve for that … The strippeddown styling of the iPad 2 deserves an equally sleek cover-up to protect it from elevator elbows and sticky spills. Sleeves, messenger bags and envelopes by Built sport the durability of neoprene on the outside and plush lining on the inside. Built, from $34.99; builtny.com — J.G,

Definitely not

gear/ camera shy.

gadget

First came quality, then came customization. One of photography’s latest leaps forward—Leica à la carte—truly lives up to its name. Photogs can fully customize their M7 or MP rangefinder camera with menu of designs and features. Not one, two or even 10 items…Think bigger. Like a mise en place worthy of Ferran Adrià proportions. From fine-tuned controls and details such as viewfinder frame lines, leather finish and personal engraving, there are more than 4,000 combinations to satisfy your particular appetite for form and function. With this many choices, who needs to order off-menu? Leica à la carte, from $4,900 (body only); leicacamera.com — J.G.

photogenesis

May/June 2011 Just For Canadian dentists

seaside sojourn

May/June

tour

Mission Orca

Part of their community

Orcas are feeding, doubling back and circling. One whale creates a bow wave that crests towards the others, herding fish and confusing them with bubbles. We are recording their behaviour, how many minutes of foraging, travelling, or social activity. All is grist for Orca Lab at Telegraph Cove. Since we set out yesterday we have met four different cetaceans; minke and humpback whales, pacific sided dolphins and now their cousins, the orcas, or killer whales. We are watching from the deck of a converted “mission boat,” the Columbia III. Fifty years ago she plied these waters bringing medical and pastoral care to isolated floating camps dotted among the fjords and islands between Vancouver Island and mainland BC, one of a series supported by the Columbia Mission. Between 1905 and 1969, the Mission’s boats connected fishing and logging families to the outer world with news and mail. Hundred of weddings and christenings were celebrated on their decks. The boats’ chapels and kitchens served as emergency rooms where mission doctors had to deal with accidents from the steep sided logging shows, or illnesses in the communities. Wooden trimmed, brass fitted, Columbia III is now reborn as a “kayak mothership” under the care of skipper Ross Campbell and his family. We are part of their Broughton Archipelago Tour, treated like family guests by the cook/deckhand and guides. The crew are careful to keep the recommended distance from the orcas. All eyes follow as they stop feeding and move toward us. One of them swims right underneath Columbia and emerges near the stern. The spray from her breath hits the zodiac, close enough to moisten our cheeks. “She is in her home waters,” says Ross, “I think she recognises the engine.” The Columbia has been visiting this area for more than 50 years, perhaps the boat has become part of their community. We reverently watch her return to her family, feeling closer than ever to the whales. —Janet May

for another kayak adventure on Vancouver Island, go to page 10

for more on Norwegian inspiration, go to page 30

style

walk like

Spotted at the Oslo Opera House (in the gift shop, no less): Charming, colourful rubber footwear. Glorified galoshes, but definitely design-worthy ones. It’s the modern galosh from Norway.

The creator grew up on the Scandinavian coast, where traditional black-rubber galoshes were must-haves. He just added style. Now, when the weather acts up, wear your favorite shoes (yes, there

Just For Canadian dentists May/June 2011

a norwegian are versions for high heels) and slip on some rather sleek SWIMS to channel some of that Norwegian innovation. Be bold banishing those late-spring showers in vibrant colours! And the collection goes

beyond galoshes with penny loafers and ballerina slippers. Think deck shoes for summer sailing or beachcombing. Or maybe a mucky day of dog walking. You’ll be on trend on the trail. swims.com —B.S.

photos: peter booth

mix

travel at home

T 10

he espresso machine hisses like a steam locomotive, while I stretch a creaky back unaccustomed to being shoehorned into a cramped kayak shell. Having navigated the bumpy roads across Vancouver Island’s rugged spine en route to a sea kayaking adventure in wild Kyuquot Sound, I hadn’t expected to be paddling up to an espresso bar. However, here in Kyuquot village the entrepreneurial spirit is alive and well. With a flotilla of kayaks bobbing next to the dock, the young barista Tammy Billy is hard at work, while our guide Dave Pinel, who co-owns West Coast Expeditions with his wife Caroline, unfurls an ocean chart to plot the day.

Just For Canadian dentists May/June 2011

Tourism British Columbia

on the western edge of vancouver island is an ancient forest, a bevy of marine life, unforgettable kayaking, and even an espresso bar…this is

travel at home

K yuquot

sound courtesy west coast expeditions

story by Andrew Findlay

“This is the social hub of Kyuquot Sound,” Pinel says, as he shares a laugh with a group of local natives lounging on the dock, along with Eric Gorbman, the American kosher chef and proprietor of both the Kyuquot Inn and the Java-the-Hutt coffee bar. However, as much as I enjoy a good brew, wildlife—not civilized shots of espresso—drew me here. Kyuquot Sound forms a halfmoon shaped indentation along the west coast of Vancouver Island and although much less renowned than Nootka and Clayoquot sounds to the south, it is no less spectacular. Roughly divided between the traditional territories of the Kyuquot and Checleset first nations, the Sound is ringed by steep sided mountains that plunge into a sea sprinkled with tiny islands and islets, providing sheltered waters ideal for both marine life and safe sea kayaking. Pinel has spent 15 seasons guiding trips around Kyuquot—it’s like his second home. West Coast Expeditions’ base camp is on Spring Island,

smack in the centre of the Mission Group archipelago; islands with groves of massive cedar trees the size of VW Beetles surrounded by crystalline inter-tidal pools where every square centimeter of available real estate is occupied by life. In Kyuquot Sound marine life gets in your face; it’s everywhere. That must have been Captain James Cook’s first impression when he explored these same shores in 1788; he encountered not only ancient native culture but also rafts of sea otters thousands strong inhabiting the protected shallows, around the islands and inlets. The discovery sparked a destructive trade in fur pelts destined for the fashion houses of European and Asian aristocracy, and in mere decades the entire Pacific Northwest population of otters teetered on extinction. In places like Kyuquot the marine ecosystem was thrown out of balance, like a tottering house of cards. In this case the key card was the otter whose favorite food is sea urchin, an May/June 2011 Just For Canadian dentists

travel at home These two must be pausing between sea urchin snacks. Soon we’re pulling ashore on Lookout Island. We push through a wall of dense salal that fringes the beach before entering what feels like some fantastic lost arboretum. Sitka spruce soar as straight and tall as the masts of a schooner, but it’s the stuff underfoot that is truly mesmerizing; a forest floor thick with electric green moss that gives the sensation of walking with springs on the feet. In a mysterious way that only undisturbed nature can, this island invites silence and contemplation. An hour later, we’re paddling toward Double Rocks. As Lookout shrinks behind us I sense the timeless power of the ocean rolling beneath the kayak, nothing but a thin synthetic skin of a hull that separates me and the sea, and—it suddenly occurs to me—the creatures that live within it. Double Rocks looms closer and I hear what sounds like the cacophony of a dog kennel; dozens of overlapping sea lions form a mass of flesh on Double Rocks that glistens in the sun, somewhat unpleasantly reminiscent of tourists sunning themselves Scenes from a tour with West Coast Expeditions: on a crowded beach at an all inclusive beach gourmet fare, intertidal exploration and kayaking the waters of Kyuquot Sound. resort. Three massive males flop into the water threateningly and Pinel cautions us to keep a respectful distance from these territorial mammals. I have no desire to challenge this directive. The wind picks up slightly so we turn our bows 180 degrees for the exposed crossing back to Lookout Island. Someone in our group spots the graceful arch of a humpback in the distance. We stop paddling and watch, counting three whales in this pod that is travelling straight toward us. Two more surface, raising their tail flukes and diving into the depths. We carry on somewhat warily now. Then, a few paddle lengths to the starboard of a kayak piloted by a retired nurse from Victoria, one of these Leviathans breaks the surface in a silent arc unimaginably graceful for an animal that weighs nearly 40 metric tonnes full grown. The nurse screams and an involuntary panic courses through our vulnerable group that’s floating around in glorified Tupperware containers. However, as far as I know a humpback has never attacked a human. of a Spring Island cove. Today, we’re Of course the reverse is a different story; these whales were once paddling toward Lookout Island, on indiscriminately hunted in an astonishingly wasteful industry based the lookout for otters, before making partly on the perverse desire to churn whale oil into cosmetics. So, the crossing to Double Rocks where if you go it is incredible to think that these intelligent, wonderful creatures stellar sea lions haul out to laze in the would still wish to approach us so closely, in a gesture of curiosity sun. For information on baseand, it seems, friendship. Like the sea otter, humpbacks are another Fortified with caffeine, we skirt camp and expeditiongood news story, having made a comeback and now frequently the western shore of Spring Island, style sea-kayaking trips visit Kyuquot Sound. Last summer in a single day, Pinel counted 17 the briny smell of the sea as sharp in Kyuquot Sound go to humpbacks; 10 years ago one or two would have been cause for on the nose as a fish market. Forests westcoastexpeditions.com; celebration. Buzzing from the day’s close encounters, we turn back of bull kelp bob in the water like 1-800-665-3040. toward Spring Island. a confusion of spaghetti noodles. That night after a supper of salmon baked over an open fire, I Below the surface, iridescent seaweed sip a glass of red wine and sit with Pinel around the campfire. Sparks sparkles with cobalt blue caught in submarine shafts of sunlight. spiral upwards into a darkening sky. We pass a reef of volcanic rock revealed by the ebbing tide; starfish, “The more time you spend around these islands the more they sea stars, periwinkles, urchins, anemones and other unrecognizable become a part of you. It’s such a rich place,” he says, as stars slowly creatures compete for space. Pinel stops paddling and pulls out his emerge, illuminating the night one by one. binoculars, pointing at a pair of otters periscoping among the kelp Later, making my way by headlamp back to my tent, I think I hear and watching us. the ghostly echo of an exhaling humpback somewhere out there in “Sea otters remind me of teenagers,” Pinel says, “they spend a the blackness. third of the day eating, a third of the day sleeping, and a third of the day grooming.”

Just For Canadian dentists May/June 2011

courtesy west coast expeditions

invertebrate that attaches itself to the holdfast of kelp. This common plant is key to biodiversity, a source of food and habitat for myriad fish, insect, crustacean, and shellfish species, in turn providing prey for marine mammals and larger fish further up the food chain. However without otters to keep urchins in check, kelp forests can be wiped out creating what scientists call “urchin barrens,” and that’s what happened here. In the late 1960s and early 70s scientists relocated nearly 100 sea otters from southern Alaska to Kyuquot Sound. It was a surprisingly successful intervention; these thick furred, naturally curious little creatures have made a remarkable recovery, now numbering more than 3000 in the Kyuquot region alone. Consequently some scientists believe this has allowed the kelp forests to return with vigour. Nowadays Kyuquot feels like a veritable wild kingdom. Last night we fell asleep to the ghostly breathing of a humpback whale that ventured into the darkness

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motoring

D r . k e l ly s i l v e r t h o r n

Dr. Kelly Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

loonie tunes redux Is it still worth it to import a vehicle from south of the border?

his magazine is reader-centred. The editor reports you’ve asked JFCD to re-visit “should you self-import your next car from the USA?” Indeed, I have just bought two late model Hondas—one from a US Honda dealer, and one from my local dealer. Which, in a nutshell, is the take away message: “it depends.” I’ll give you my “it depends” decisionmaking process in determining whether to buy my target car model in the USA. In late 2006, when I saved $9,000 selfimporting my first US market car, the Canadian dollar was trading at 88.5 cents USD. Then 6,000 – 7,000 US vehicles were being buyerimported monthly. In 37 of the 48 months between 2007 and 2010, the loonie has been even more muscular than 88 cents. Monthly US buyer-imported numbers peaked in May 2008 at 22,000—or about one in seven of all vehicles then bought by Canadians. The Canadian Government wants consumers to enjoy the most affordable cars, but, at the same time, is conscious of exporting capital and dealership jobs to the US. This inherent tension was diminished with the Crash of late 2008, as self-imports tanked to less than 4,000 units monthly. US market imports into Canada are now rebounding strongly in step with both the loonie and economy. What TWO FACTORS drive importation from the US market? The main advantages to the Canadian consumer of the USA marketplace are availability and price. The US market has been the largest and most competitive in the world for eons. Roughly 10 times as many new cars are sold into it each year as into Canada. And within that US marketplace their consumers trend to more expensive and sporty cars and trucks. With our strong loonie, the US marketplace is Canuck car-guy/gal candy-store time! That’s the good news on availability. The bad news is that most car companies now prohibit their US dealers from selling new cars into the Canadian market. Still, with such a large US market, many nearly new cars are available for sale. I use autotrader.com and autotrader.ca to compare the prevalent availability and pricing in each market. For example, the Honda S2000 model I recently targeted was costing ~$10,000 more here. But sales tax savings are also important! That calculation bumped my savings on a US S2000 to $11,200 Canadian.

(You’ll generally be exempt from US State sales taxes, but you will pay Canadian HST/GST/PST upon importation.) However, every other factor we’ll cover subtracts from the US car’s advantage. Basically, your buying power relates to how currency is converted. I’ve found I can buy with full-phat loonies by instructing my annual-fee financial advisor to sell TSX bought blue chips into a US stock exchange for payment in Benjamins. What THREE key determinants about my target model will I need from riv.ca? The riv.ca website has a plethora of invaluable material. For now, just click on “Importing a Vehicle,” then “Vehicle Admissibility,” to get the key three bits. First, is your target model even eligible to bring into Canada? For cars 15 years and older, the answer generally is yes. Younger cars, it depends. Assuming that the car of your desires is on the eligible list, then (sigh) the two remaining determinants may still sink your prospects. Second, several car companies have notified the Canadian government that only their Canadian arm is capable of determining if their US-sold and resident product has had all of its US recalls. Friends of mine refer to this as the “three-week, three-thousand dollar shake-down.” The brands listing this requirement as I write are: Bentley, BMW / MINI, Ferrari / Maserati, Jaguar / Land Rover, Lamborghini, Mercedes-Benz and Volvo. Third, vehicles manufactured after September 1, 2007 require a CSA equivalent electronic immobilizer system (EIS) to achieve Canadian importation. Cars from the following brands may not meet this requirement without installing an accredited EIS: Chrysler, Ferrari, Ford, General Motors, Honda, Hyundai / Kia, Lamborghini, Mazda, Mercedes-Benz, Subaru, Suzuki and Toyota. If your target car is included in either of the above two paragraphs, then you’ll want to sit down with at least one target model Canadian dealer Service Manager before proceeding further. (Some dealers are more co-operative on US imports than others! Don’t lose hope; Ferrari broker Mike Sheehan put me in touch with several satisfied Canadian customers.) FIVE other areas of due diligence within “it depends.” If your target model is assembled outside of NAFTA, then a 6.1% duty must be paid upon importation into Canada. The manufacturer (and most car nuts) will know the country of

Just For Canadian dentists May/June 2011

assembly—all Ferraris in Italy, for example, while BMWs vary with the model. Rarely, it will come down to the specific VIN (serial number). Is a warranty present or available on your target US model? What is the status of that warranty once the car is registered in Canada? Determine these answers from the manufacturer contact list under FAQ at riv.ca. If the importation denies you a warranty and/ or other value-added services, what monetary value do you assign to this loss? Then, we need to remember the cornucopia of importation fees. The Air Conditioning Excise ($100), the Federal/ RIV fee ($195), daytime running lights as needed (allow $250), Provincial Fee (allow $100). The one biggie fee is the $1,000-$4,000 hit on gasthirsty vehicles—dial your fate at Green Levy 1-866-330-3304. ALL other vehicle aspects being identical, what will the presence of a former US title have on your imported car’s value at re-sale? The longer you plan to keep the car, the less important this factor becomes. My contacts in the trade say a former US car realizes 10 – 20% less at resale compared to an equivalent allCanadian car. (Which also tells me shopping for an already imported US car is another money-saving option!) What value will you assign to the time, expense, and energy to execute the US purchase and delivery to your home? You can do all of this yourself or hire someone from Canadian Association of Vehicle Importers (www.cavi.ca) to do all of this for you. I’ve used both methods. Again, it depends. Still on-board? Everything up to this point should allow you to answer “is my target model best self-imported from the US?” Assuming your “it depends” deliberations yields a yes, then due diligence around the candidate specific example/ seller/ State still needs to be carried out (beyond the scope of this article). When you’re satisfied on both the target model and specific specimen fronts, follow the importation process laid out in the riv.ca website. Access the toll-free help line as needed. It seems like a huge leap of faith the first time, but most people will be pleasantly surprised how easy US self-imports can all fall into place. After all, as many as 22,000 of your fellow Canadians have been doing this every month. It can’t be rocket surgery, right?

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Learn more about our special offer at

www.curvedental.com/JustForDentists Curve Dental Ltd. 1109 17th Ave SW, Suite 303 Calgary, AB T2T 5R9

the money manager P a u l G l e e s o n Paul Gleeson, BBS, QFA, CFP is a financial advisor with Nicola Wealth Management. You can reach him at pgleeson@nicolawealth.com.

your financial health Developing a treatment plan for your personal wealth

number of years ago, I embarked on an ocean rowing adventure, which meant I would not be anywhere near a dentist for three months. The fact that I would not have access to a dentist for a long time—and a strong desire to avoid some of the measures Tom Hanks had to take in the film Castaway—saw me frantically making my way to the dentist two days before I was scheduled to leave. This last minute rush was fairly reflective of my haphazard approach to dental care at this time. The dentist told me I needed a number of fillings and some of them would be quite deep, so he advised me that we should spread this out over several appointments. Given my circumstances, he agreed to do it all at

once and a few hours later I walked out of his practice with treatment completed but not feeling too good. As a financial advisor, I was neglecting my dental health. And, in a reversal of this, I have found that many dentists are neglecting their financial health. I have the pleasure of working with some of the most financially successful dentists in Canada, so I understand the stresses and time demands that your profession places upon you. Over the years, we have found that the demands of running a dental practice, coupled with life’s other challenges, mean that many dentists don’t make time to ensure that their personal financial planning and wealth management affairs

Just For Canadian dentists May/June 2011

are in order. I would like to share three of the biggest mistakes dentists are making when it comes to personal financial planning and wealth management. 1. Paying too much tax. Many dentists are paying too much tax and don’t realize it. Given the reduction in corporate tax rates over the past number of years and the ability for dentists to structure their financial affairs in an extremely tax efficient manner, there is no reason why you shouldn’t have your financial affairs structured in a tax-efficient manner. 2. Paying too much to have your money managed. Many dentists are either not aware of how much they’re paying to

the money manager [continued]

have their money managed or do not realize that what they’re paying may be quite high. 3. Many dentists do not have a financial plan in place. As a dentist, if you take on a new patient who requires complex treatment to be done, you would not consider doing this without first drawing up a detailed treatment plan. When this is done over time, you systematically address all the areas that need to be corrected. I have found that many dentists approach their financial planning and investing in exactly the opposite fashion. They do not have a detailed treatment plan in place for their finances and so find themselves investing in various different “opportunities” that come along, be it through friends or salespeople, without considering how any particular investment fits into their overall financial plan. This is putting the cart before the horse. Approaching one’s financial goals, planning and investing without a detailed

plan can lead to very poor results. Ninety percent of my clients’ financial success is due to planning on a variety of levels—not just picking the “perfect” (if this exists) investment for them. Here are some questions to consider:

•

• • • •

Do you know what level of assets you need to acquire to become financially independent? Or how much you need to save each year and what rate of return you need to earn on these savings to achieve this? Do you know what rate of return you have earned on your investments for the past 3, 5, 7 & 10 years? If you don’t know this, how do you know if you’re on track to achieve your goals? Is your compensation the most taxeffective it could be? What would happen to your family if you died or became disabled? Do you know how much it will cost to send your children to university and are you saving in the most efficient way to fund this?

If you cannot answer these questions, then you should contact your financial advisor and revisit your personal planning. If you don’t have a financial advisor and you cannot answer these questions, then I suggest you take the time to find a good advisor. These areas combined can cause a huge amount of financial decay to your wealth. After I returned from my threemonth ocean odyssey, I started to take my dental care seriously and made time for regular visits to the dentist. Yes, I had to have some work done, but now my dental health is in order and my treatment plan is completed. I have regular check ups and I don’t think about it. I suggest you make some time to meet with your financial advisor to ensure that your own dental plan for your personal wealth is in order.

PROFITABLE PRACTICE “A dentist deserves to retire with dignity - and profitably!”

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May/June 2011 Just For Canadian dentists

practice management

Timothy A. Brown specializes in dental practice appraisals, brokerage, consulting, locum placements, associateships and practice financing across Canada. You can reach Timothy at timothy@roicorp.com.

“Everyone’s 1st Choice for Rewards” Canadian owned and operated since 1981

 Our Best Sellers 

compassion fatigue Take charge of your practice and personal health

ach week, I receive many inquiries from dentists who ask, “What is the ideal time to sell my dental practice?” My answer is simple. I believe that a dentist should sell a practice only if one or a combination of these three reasons exists:

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• You’re sick, (as in long- term disability) • You’re sick-and-tired (burned-out) or • You’re financially secure enough to sell your practice. This column is for those dentists who feel sickand-tired.

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Dentists are compassionate people. Most of my clients say they entered dental school specifically to care for other people and help them with a very important aspect of their health care. Unfortunately, this compassion often conflicts with the dentist’s other obligations, namely the health of their business, their personal health and their time with family and friends. Let’s consider medical doctors for a moment. It’s common knowledge that most doctors work above and beyond normal hours and limits for their patients.

My answer: Yes, many dentists go beyond reasonable limits and accidentally over-commit themselves to their patients. The life-chart of the dentist reveals the following: 1. As a healthcare provider you are a dentist, first and foremost. 2. As a business owner, you are responsible for the ongoing health of the practice and to ensure it can meet its financial obligations. 3. In life, you could be a husband, a wife, a parent, a sibling, a child and a friend. In short, there are many others who rely upon you to be healthy. You are charged daily with the task of balancing all the above. Some of my clients report that they feel too busy, or that they have too many

Just For Canadian dentists May/June 2011

patients who demand too much clinical time. Some feel stressed and worry that they are suffering from a mild form of “burn-out.” When a client called me this week, he stated that he might be suffering from “Compassion Fatigue.” I first heard this expression several years ago and thanked him for reminding me of it. The expression succinctly identifies a common dentist ailment; namely, dentists putting their patients before and at the expense of all else.

Many dentists go beyond reasonable limits and accidentally over-commit themselves to their patients

Are dentists also guilty of doing this?

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timothy a. Brown

How can you reduce Compassion Fatigue?

Some suggestions are to schedule fewer patients each day and/or to extend your individual appointment times by one or two units of time, thus slowing down your pace. Others may need to resist the temptation to accept every single new patient that calls or to resist the choice to “rescue” every emergency that calls the office (when ethical). Some raise their fees to make a statement about their experience and skill set, thus freeing up clinical time, as some patients will seek a lower-cost provider. As a broker, I advise dentists to put their practice up for sale only when one or a combination of these reasons exists. If, at this time, the practice is in a state of growth and it is thriving, the practice will sell for its highest and best price. If the practice is in a state of decline, perhaps due to Compassion Fatigue, it will invariably sell for less. Sadly, many dentists choose to sell in the later condition when the practice is performing much like the owner’s mind set—I call it “Practice Fatigue.” All dentists have to remember to be good to themselves, make time for reflection and seek a balance with all their other obligations. Stated another way, they must find their compassionate self, at which point, they will still be left with the question…Is it time to sell the practice?

calgary / memphis / moncton / seattle / eilat … |

calendar

A n intern ation a l guide to continuing dental Education

calgary

spr ing 2011 + beyond

top centre: fairmont hotels & resorts; bottom far right: B. sligl; all other photos: tourism calgary (5)

cowboy charm: Stetsons + boots mix with spas + fine dining (CE events in Calgary are highlighted in blue) Calgary sits between flat prairies to the east and the Rockies to the west. A mix of the rough-and-tumble and high-end. A bit of a dichotomy…but that just means it offers two worlds: the big city life and the wild west. You get shopping, symphony, ballet, opera and pro sports teams. And also big white hats and a traditional western event billed as “The Greatest Outdoor Show on Earth,” the Calgary Stampede. Are you feeling a little bit country or city…? >> shop + dine Stroll down Stephen Ave. (also 8 Ave. SW), a pedestrian street lined with shops, boutiques, galleries, and artsy manhole covers (far right; part of the city’s “street beautification”), designed to represent the legendary chinook winds that give Calgarians balmy breaks in cold months. Stay nearby at the long-standing and still-posh Fairmont Palliser (top centre; fairmont.com/palliser). Dine at one of the eateries lining the avenue (there are 4,000 restaurants in the city) and sample Calgary’s renowned grain-fed beef, like Centini’s (centini.com) modern Italian take (above right).

Or go for bbq fare over Labour Day weekend during BBQ on the Bow, an annual two-day event that attracts grill chefs competing for the Alberta Championship (bbqonthebow. com). And then there’s brew; Big Rock Brewery is a local favourite and North America’s third-largest craftbrewery (bigrockbeer.com). Taste Big Rock’s batch-brewed ales on a tour of the brewery. >> a little zen Escape to the surrounding mountains—in Kananaskis or Banff National Park—for a little communion with nature. Or find it in the city’s green spaces. Prince’s Island Park offers respite as soon as you cross the pedestrian bridge onto the island. And the Bow River Pathway is a network of paths along the river; walk, rollerblade, bike. Or find the quickest spot of zen at one of Calgary’s spas. Santé Spa (above left), founded by Dr. Wendy Smeltzer, is Canada’s first medical spa—integrating traditional spa treatments with medical aesthetics, from massage and body treatments to Botox and microdermabrasion (santespa.com). Say ahhh… >> wild west Just

outside Calgary get a taste of the old west and ranching life on a guest ranch. Head out on a cattle drive, sit around the campfire, take a trail ride, or watch a rodeo. Of course, if watching chuckwagon racing is your thing, there’s that annual Calgary Stampede every summer (top right) for full-on cowboy immersion (calgarystampede.com). There’s also the Canadian Finals Rodeo (canadianfinalsrodeo.com), with bareback riding, team roping, steer wrestling, saddle bronc riding, tie-down roping, ladies’ barrel racing, and bull riding…To look the part, wanna-be cowboys and cowgirls can pick up authentic Calgary-made boots at the Alberta Boot Company (outfitting the likes of Brad Pitt) and a cowboy hat at Smithbilt Hats (Calgary hat maker Morris Shumiatcher, of Smithbilt Hats, created the first pure -white cowboy hat in 1946 and, as of 1950, the City of Calgary has presented white hats to visiting dignitaries, creating what’s become a lasting tradition and symbol of the city). Yee-haw! —B.S. For more info: tourismcalgary.com; 1-800-661-1678

May/June 2011 Just For Canadian dentists

c e calendar

Cosmetics / Aesthetics

Anesthesia

Dentist Health and Wellness

For:

when

where

topic

sponsor

contact

website

May 23-25

Minneapolis Minnesota

Local Anesthesia: A Hands-On Training Program

University of Minnesota School of Dentistry

800-685-1418

dentalce.umn. edu

Sep tba

Calgary Alberta

Local Anaesthetic Course

University of Alberta

780-492-5391

dentistry. ualberta.ca

May 27

Vancouver British Columbia

Aesthetics Level 1: Hands-On Typodont Course

California Center for Advanced Dental Studies

604-639-9106

ccads.org

May 28

Moncton New Brunswick

Denturist Association Of Canada - Annual General Meeting

Denturist Association of Canada

604-538-3123

denturist.org

Jun 05

New York New York

Aesthetic Essentials Continuum

Columbia University College

212-305-6881

columbia.edu

Jun 15

Abbotsford British Columbia

Botox Training Courses For TMJ, Tension Headaches, Migraines & Facial Cosmetic Rejuvenation

Canadian Academy of Medical Education

877-685-0452

came-edu.ca

Aug 11-14

San Francisco California

Esthetic Posterior Restorations: Mastering Direct, Semi-Direct and Indirect Techniques

Interdisciplinary Dental Education Academy

650-578-9495

ideausa.net

Sept 15

Abbotsford British Columbia

Botox Training Courses For TMJ, Tension Headaches, Migraines & Facial Cosmetic Rejuvenation

Canadian Academy of Medical Education

877-685-0452

came-edu.ca

Oct 14-15

Vancouver British Columbia

Aesthetics Level 2 - Live Patient, Hands-on Course (Prep)

California Center for Advanced Dental Studies

604-639-9106

ccads.org

Nov 10-12

St. Pete Beach Florida

Achieving Predictable Esthetics Results

The Dawson Academy

727-823-2047

thedawson academy.com

Nov 25

Vancouver British Columbia

Aesthetics Level 1: Hands-On Typodont Course

California Center for Advanced Dental Studies

604-639-9106

ccads.org

Columbus Ohio

Seminar Series On Nutrition And Dentistry, Part 3

Ohio State University, College of Dentistry

614-292-9790

dent.ohio-state. edu

Jun 24

Issue: Fax:

Aug 21-26

new CE to be placed

Just For Canadian Dentists

May / June 2011 Orthodontic Treatment Based On Occlusal Plane San Francisco California

Control: A Key For Successful Treatment Of Different Types Of Malocclusion With Or Without Dysfunctional Problems

Interdisciplinary Dental Education Academy

650-578-9495

ideausa.net

Jul 17-24

Alaskan Cruise

Success-Odontics

KISCO Dental

800-325-8649

kiscodental.com

03-05

Louisiana

2011 Fall Conference

American Association of Endodontists

312-266-7255

aae.org

352-273-8480

dental.ufl.edu

604 - 681 - 0456

Endodontics

Attn: Nov Advertising in Print New Orleans Jan Email: 27 2012

Copy sent toEfficient, admaterial@advertisinginprint.com Gainseville Effective Endodontics University of Florida Florida

DENTAL CE CRUISES

Companion cruises FREE

Alaska Glaciers Mediterranean Canary Islands Mexican Riviera

Jun 11 - 18, 2011

Oral health & mucosal diseases

Aug 8 - 19, 2011

Digital Dentistry

Oct 8 - 15, 2011

Comprehensive Dentistry

Feb 18 - 25, 2012

Oral dermatology & pathology

Wonderful experience! Great idea to combine conference with a cruise.

Just For Canadian dentists

1-888-647-7327 May/June 2011

cruises@seacourses.com

www.seacourses.com

Infection/Disease

General Dentistry

calendar

when

where

topic

sponsor

contact

website

May 20-21

River Edge New Jersey

Hard and Soft Tissue Lasers: A Standard Proficiency Certification Course

Health Professionals Development Institute

201-342-2204

njhpdi.com

Jun 08-11

Albuquerque New Mexico

102nd Annual Session

New Mexico Dental Association

505-294-1968

nmdental.org

Jun 10-11

Collingwood Ontario

Womenâ&#x20AC;&#x2122;s 3rd Annual Weekend Dental Conference

Clinical Research Dental

800-265-3444

clinicalresearchdental.com

Jun 22

Grand Rapids Michigan

Acute Pain Management In Dentistry

University of Detroit Mercy School of Dentistry

313-494-6611

udmercy.edu

Aug 08-19

Mediterranean Cruise

Dental Cruise Conference

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 22

continuingeducation.net

Sep 21-24

San Francisco California

Adult Orthodontics In The 21st Century: Are You Prepared?

Interdisciplinary Dental Education Academy

650-578-9495

ideausa.net

Oct 08-15

Canary Islands Cruise

Comprehensive Dentistry

Sea Courses Cruises

888-647-7327 See Ad Page 20

seacourses.com

Oct 08-15

Spain, Portugal Cruise

Comprehensive Dentistry: The Pursuit of Excellence

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 22

continuingeducation.net

Oct 23-26

Foster City California

Early And Late Treatment In Orthodontics: Functional And Esthetic Goals

Interdisciplinary Dental Education Academy

650-578-9495

ideausa.net

Oct 23Nov 04

Western Mediterranean Cruise

Latest Techniques In Laser Dentistry

888-574-8288 See Ad Page 21

mindwareseminars.com

Nov 03-05

Southampton Bermuda

Bermuda Dental Conference

Clinical Research Dental

800-265-3444

clinicalresearchdental.com

Dec 03

Oklahoma Oklahoma

Socket Grafting

Tulsa Periodontal Institute

918-852-5906

tulsainstitute. com

Feb 05-12 2012

Riu Guanacaste Costa Rica

General Dentistry

Kennedy Seminars

877-536-6736 See Ad Page 24

kennedyseminars.com

Feb 18-25 2012

Mexican Riviera Cruise

Oral Dermatology And Oral Pathology

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 22

continuingeducation.net

Jun 11-18

Alaskan Cruise

Oral Health and Mucosal Disease

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 22

continuingeducation.net

Nov 10

Victoria British Columbia

Infection Control: That Thing You Do, Why Do You Do It?

University of Victoria

250-721-8460

uvcs.uvic.ca

Dec 03

Memphis Tennessee

Build a Better Practice: All About OSHA Blood Borne Infections & Hazard Communications For the Entire Dental Office

University of Tennessee Health Science Center

901-448-5500

uthsc.edu

new CE to Mindware Educational Seminars be placed

May/June 2011 Just For Canadian dentists

c e calendar

Orthodontics

Occlusion

Implantology

when

where

topic

sponsor

contact

website

Through 2011

Loma Linda California

MaxiCourse 2011

Loma Linda University

909-558-4685

llu.edu

May 27

Kelowna British Columbia

Practice Growth And Implant Dentistry: How Digital CAD/CAM Technology And Same Day Dentistry is Changing The Way We Practice

Biomet 3i Canada

800-363-1980

biomet3i.com

Jun 03-05

Vancouver British Columbia

3-day Advanced Bone Grafting And Soft Tissue Grafting Cadaver Course

I.D.E.A.S.

604-444-3131

dentalideas.ca

Jun 10

Toronto Ontario

Course #1 Essentials Of Mini-Implants And Hands-On

CMI Institute

877-350-6464 See Ad Page 40

getmini.ca

Jun 11

Toronto Ontario

Course #2 Advanced Alternatives, Extractions And Bone Grafting For Mini-Implants

CMI Institute

877-350-6464 See Ad Page 40

getmini.ca

Jun 24 or Aug 19

Vancouver British Columbia

Course #1 Essentials Of Mini-Implants And Hands-On

CMI Institute

877-350-6464 See Ad Page 40

getmini.ca

Jun 25 or Aug 20

Vancouver British Columbia

Course #2 Advanced Alternatives, Extractions And Bone Grafting For Mini-Implants

CMI Institute

877-350-6464 See Ad Page 40

getmini.ca

Jul 09-12

San Francisco California

Excellence In Free-Hand Bonding: Become A Master In Anterior Composites

Interdisciplinary Dental Education Academy

650-578-9495

dentalideas.ca

Oct 14Apr 21 2012

Vancouver British Columbia

From Treatment To Planning To Surgical Implant Placement & Restoration

604-444-3131

dentalideas.ca

Nov 09-12

Eilat Israel

5th International Symposium In Implantology

Seminars

888-574-8288 See Ad Page 21

mindwareseminars.com

Nov 11

Victoria British Columbia

Optimizing Implant Results For Fixed And Removable Prosthodontics

University of Victoria

250-721-8460

uvcs.uvic.ca

Feb 06-15 2012

South Amercian Cruise

Comprehensive Implant Prosthetics

Mindware Educational Seminars

888-574-8288 See Ad Page 21

mindwareseminars.com

July 17-29 2012

Mediterranean Cruise

Restorative Driven Implant Therapy: The ‘TEAM’ Approach

Mindware Educational Seminars

888-574-8288 See Ad Page 21

mindwareseminars.com

Through 2011

Western Canada

I Can,You Can Occlusion Series

F.O.C.U.S.

604-684-5351

toothnmouth.ca

Oct 07-09

St. Pete Beach Florida

Functional Occlusion - From TMJ To Smile Design

The Dawson Academy

727-823-2047

thedawsonacademy.com

Jun 13-18

Seattle Washington

Implant Surgery: Fundamentals To Details

BIOMET 3i

561-776-6815

biomet3i.com

Jun 24-26

Calgary Alberta

Orthodontic Module Course

University of Alberta

780-492-5391

dentistry. ualberta.ca

new CE toI.D.E.A.S. be placedMindware Educational

Continuing Education, Inc. University at Sea™ Live Continuing Dental Education Cruises Receive Outstanding Value for your time and resources when you Combine Live Education with Personal Renewal time Approved for 14 Hours AGD Credit

1-800-422-0711 www.ContinuingEducation.NET 22

Just For Canadian dentists

May/June 2011

August 8, 2011 Dental Technology 11-Night Mediterranean from Rome, Italy October 8, 2011 Comprehensive Dentistry: The Pursuit of Excellence 7-Night Spain, Portugal, and Canary Islands from Malaga, Spain February 18, 2012 Oral Dermatology and Oral Pathology 7-Night Mexican Riviera from San Diego, California October 6, 2012 Dental Imaging 7-Night Hawaiian Islands from Honolulu, Hawaii

Periodontics

Oral Radiology

Oral Pathology

Oral Health

Orthodontics

calendar

when

where

topic

sponsor

contact

website

Jul 08-11 July 22-25

Aliso Viejo California

Comprehensive Ortho Intensive Format With Dr. McGann

Progressive Seminars

714-973-2266

progressiveseminars.com

Nov 11-12

Dallas Texas

Miniscrew Mayhem

Copesthetic Consulting

214-378-5555

CopestheticCE. com

Dec 26Jan 02 2012

Walt Disney World Florida

Solutions For Everyday Orthodontic Problems: An Update

Kennedy Seminars

877-536-6736 See Ad Page 24

kennedyseminars.com

May 28Jun 05

Viareggio Italy

Under The Tuscan Sun

Cruise and Travel Partners

800-856-8826

cruiseandtravelpartners.com

Jun 11-18

Alaskan Cruise

Oral Health And Mucosal Disease

Sea Courses Cruises

800-647-7327 See Ad Page 20

seacourses.com

Jul 02

Sydney Australia

Contemporary Infection Control: State Of The Art

University of Sydney

61-2-9351-2222

sydney.edu.au

Jun 03

Boston Massachusetts

Sixth Annual Oral Cancer Symposium

Tufts University School of Dental Medicine

617-636-3467

dental.tufts.edu

Jul 20-22

Chapel Hill N. Carolina

Carolina Oral Pathology Institute Course

University of North Carolina School of Dentistry

919-966-2729

dentistry.unc. edu

Oct 20

Dearborn Michigan

The Colorful World of Oral Pathology: A Comprehensive Review

313-494-6611

udmercy.edu

Feb 18-25 2012

Mexican Riviera Cruise

Oral Dermatology & Pathology

Sea Courses Cruises

800-647-7327 See Ad Page 20

seacourses.com

Jun 03

Las Vegas Nevada

Cone Beam (CT) Radiography: A Certification Program For Dentists

University of Nevada Las Vegas

702-774-2822

unlvdentalce. com

Oct 28-29

Gainesville Florida

Basic Radiology Skills For The Dental Auxiliary: Certification Course - Live Session

University of Florida

352-273-8480

dental.ufl.edu

Nov 12

Victoria British Columbia

Current Concepts In Two- And ThreeDimensional Digital Radiographic Imaging

University of Victoria

250-721-8460

uvcs.uvic.ca

Jul 22

Bar Harbor Maine

Periodontal Medicine Review And Update: 2011

Concord Dental & Medical Seminars

603-736-9200

concordseminars.com

Nov 13

Victoria British Columbia

The Periodontal Patient

University of Victoria

250-721-8460

uvcs.uvic.ca

Jan 28Feb 10 2012

Caribbean Cruise

Periodontology For The Next Millennium

Kennedy Seminars

877-536-6736 See Ad Page 24

kennedyseminars.com

new University CE toof Detroit Mercy School of be placed Dentistry

1-800-665-FACE (3223) www.aboutface.ca

Creating a society that is accepting and welcoming of differences

supported by

May/June 2011 Just For Canadian dentists

c e calendar

RDA / Dental Assistants / Dental Hygenists

Restorative

Practice Management

Pharmacology

when

where

topic

sponsor

contact

website

Sep 17

WindsorLock Connecticut

Dental Pharmacology: An Overview And Update

Concord Dental & Medical Seminars

603-736-9200

concordseminars.com

Oct 08

Gainesville Florida

Pharmacology: New Issues For Dentistry

University of Florida

352-273-8480

dental.ufl.edu

Oct 08

Gainesville Florida

Pharmacology for the Dental Professional

University of Florida

352-273-8480

dental.ufl.edu

Through 2011

Online

Business Bootcamp For Dentists

Nickellsilver Business Solutions Inc.

250-248-1926 See Ad Page 26

nickellsilver.ca

May 13

Halifax Nova Scotia

The Keys To Case Acceptance

The Advanced Dental Education Institute

888-239-9908 See Ad Page 25

learndental.com

May 20

Cardiff Wales

Dental Care Professionals Symposium

Cardiff University

44-029-20687419

cardiff.ac.uk

Jun 02

Toronto Ontario

Total New Patient Experience: 5 Star Customer Service

The Advanced Dental Education Institute

888-239-9908 See Ad Page 25

learndental.com

Jun 09-10

Toronto Ontario

Case Acceptance Boot Camp

The Advanced Dental Education Institute

888-239-9908 See Ad Page 25

learndental.com

Aug 08-19

Mediterranean Cruise

Digital Dentistry

Sea Courses Cruises

800-647-7327 See Ad Page 20

seacourses.com

Through 2011

Western Canada

F.O.C.U.S.

604-684-5351

toothnmouth.ca

Jun 26Jul 09

Black Sea Cruise

Kennedy Seminars

877-536-6736 See Ad Page 24

kennedyseminars.com

Jul 15-22

Seattle Washington

Tracy Arm Fjord Alaskan CE Cruise

Metropolitan Denver Dental Society

303-488-9700

mddsdentist. com

Nov 03-05

Chesapeake Virginia

Comprehensive Examination And Records

The Dawson Academy

727-823-2047

thedawson academy.com

May 30Jun 02

Calgary Alberta

Dental Hygiene Refresher Course

University of Alberta

780-492-5391

dentistry. ualberta.ca

Jul 23-24

San Jose California

Dental Assistant Ortho

Progressive Seminars

714-973-2266

progressiveseminars.com

Aug 12

Memphis Tennessee

Certification In Sealant Application For The Dental Assistant

University of Tennessee Health Science Center

901-448-5500

uthsc.edu

Sep 16-17

Vancouver British Columbia

Pacific Rhapsody

CE Solutions

604-575-4570

conedgroup.ca

Sep 30Oct 01

Toronto Ontario

Toronto Rhapsody

CE Solutions

604-575-4570

conedgroup.ca

Dec 04-05

Memphis Tennessee

Administering Nitrous Oxide-Oxygen Sedation For The Dental Hygienist

University of Tennessee Health Science Center

901-448-5500

uthsc.edu

new CE to be placed Restorative & Prosthetic Dentistry The Basic Rules of Oral Rehabilitation

For feedback, requests or to have your course featured please email ce@inprintpublications.com

When the holiday and the CE are both important!

2011 – 2012 Programs

Kennedy Professional Educational Seminars, Inc. is an ADA CERP Recognized Provider.

Up Coming Adventures

• Walt Disney World • Riu Hotel, Costa Rica

• Alaska Cruise

• Australia & New Zealand, 2013

• Caribbean Cruise

• Danube River Cruise

• East Africa Safari, 2014

• Beaches, Turks & Caicos

FOR BOOKING INFORMATION OR RESERVATIONS CONTACT: Wendy at Carlson Wagonlit Travel • 1 866 317 8720 OR Cindy at Kennedy Seminars

•

1 877 536 6736

See our website for complete details on our programs @ www.kennedyseminars.com

Just For Canadian dentists

May/June 2011

d r i l l ME !

d r . b r u c e l e m ay

Dr. Lemay, a graduate of Laval University of Quebec and UCLA, practises in Palm Springs, California, where he’s perfected his technique with small-diameter implants. In 2009, he founded the Canadian Mini-Implant Institute specializing in teaching his mini-implant technique..

miniature makeover

• Good bone quality (D1 or D2) preferably. • Good choice of implant (smaller diameter in harder bone and larger diameter in softer bone). • A maximum length of the implant (10mm, 11.5mm, 13mm, 15mm, 18mm) to anchor in cortical bone as much as possible. • An implant surface treated for best osteointegration (Ossean surface of Calcium Phosphate with Intra-Lock

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Question: Are mini-implants only good for short-term use? his is probably the most frequently asked question on the subject of small diameter implants. After all, weren’t they used for years as a temporary support for prostheses while standard implants were healing? But many things have changed with those smaller implants… Now they’re made with titanium and being considered and approved by the FDA and Health Canada for long-term use for prostheses stabilization. To be approved for such use, there’s proof in hundreds of successful cases over 10 years. However, the fact that they’re now approved for long-term use does not necessarily mean that they’ll last longterm. Long-term success depends on many different factors, such as the quality and quantity of the bone, the number of implants used, the torque reached with each implant, the insertion technique, the stability of the prosthesis over them, the size and length of the implant, and the quality of the surface of the implants (bio-active versus sand-blasted). And then there’s the operator. This is a very sensitive technique, and it’s important to understand that even though these are implants, they’re very different from standard implants. Special training is necessary to understand the specificity of the technique and reach long-term success. The principle of mini-implants is based on three basic criteria essential to reach long-term success. First, we need primary stability. This is assured by:

ADE I

implants).

• The anchorage in cortical bone as much as possible.

Second, we need to make sure that the implant is immobile (max 28 microns). This is assured by:

• Primary stability. • Good insertion technique (10 RPM-35

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Newton/cm) with a slow motor.

• Good restoration technique. • Perfect ideal group function occlusion. • A maximum quantity of implants to

reduce the load on each (minimum 6 on the lower jaw and 8 on the upper jaw for full prosthesis stabilization).

Third, we need to make sure the prosthesis is also supported by the soft tissue to reduce the stress on the miniimplants. These three essential criteria will determine if mini-implants are an alternative for long-term versus just temporary use. Any time there is a failure of a mini implant, it is because one of these criteria is missing. With the technique of smaller-diameter implants only in practice in the U.S. for about 12 years, I had to learn by trial and error. After 10 years and hundreds of cases performed, from full-denture stabilization to partial prostheses and single or multiple fixed teeth, I’ve had the chance to really study the technique and modify it along the way to understand how the jaws bones react to them. Of course, my results have improved, as seen in the first six years of my practice.

LeeAnn Shipowick, B.Sc., RDH Practice Coach Approved PACE Program Provider by the Academy of General Dentistry

CLINICAL RESULTS

After practicing the mini-implant technique as an alternative for patients who cannot afford standard implants, I’ve seen almost every situation. At first I was not sure that it could be a long-term alternative for stabilization of complete prosthesis. I needed concrete and tangible proof in order to start practising the technique on a larger scale. My first case was my mother, on whom I stabilized an upper and lower >>

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drill me! [continued]

Type of Case

Amount of Cases done

Number of implants placed

Number of implants lost

Number of implants broken at insertion

Number of implants broken after insertion

% of Success

Full Lower— No Surgery

442

97.5%

Full Lower— With surgery

456

97.8%

Full Upper— No surgery

343

70.3%

Full Upper— Extractions & Bone Grafts

129

79.1%

Upper Partial

129

86%

Lower Partial

162

95.1%

Fixed Single

93.3%

Fixed Multiple

93.2%

>> prosthesis. When I saw her a year later (see photo) I was surprised by the results and stability of the prosthesis—and her satisfaction. Then I started offering mini-implants to more patients as an alternative for stabilization of full prosthesis. However, because results and demand were so high, I started diversifying my use of mini-implants to The fact that the upper jaw bone is partial stabilization and, in some cases, not as strong as the lower will always single tooth replacement. Just going provide less favourable results than the through the patients who couldn’t afford lower, but the success rate should increase my first treatment plan with standard considerably over the next 10 years by implants and offering them this alternative using the latest generation in technique. booked my schedule for weeks. Encouraging results obtained with the first As for my first case, my mother, I did a generation prove that mini-implants are biannual follow-up. Eight years later the not only good for short-term use results are unchanged. See the but much longer if the right table (above) for a summary of have a material and technique are the results of my first seven used. question? years of practicing miniimplants. These results are encouraging because they were achieved without understanding We’relookingfor your completely the specificity of questions—oneverything mini-implants. They were also fromreal estatetoimplants. reached with the first generation of Send us your queries andwe’ll ask mini-implants. Now, the new generation an expert toanswer theminthis has a bio-active surface of calcium “drill m e!” column. What topicdo phosphate, or “Ossean surface,” for better you want covered inthenext issue? and quicker osteointegration. They are Want toknowif youshouldaddBotox now placed with an implant motor at 10 Rpm and a special torque tester to reach toyour services? Or howtorent a 35Newton/cm. And we now have a 3.0 villa inEurope? Ask us andwe’ll find mm implant to help reach that 35 N/cm theanswer. Sendyour questions to minimum when the bone is not as dense feedback@inprintpublications.com. as desired.

drill me!

Comeon, drill me!

Just For Canadian dentists May/June 2011

t h e w e a lt h y d e n t i s t m a n f r e d p u r t z k i Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

associateship allies? Finding the ideal associateship

f you are looking for opportunities to work as an associate in a dental practice, how do you know if the position offered is the right one for you? You have to determine how well the associateship will meet your personal and professional goals. Assume that your goal is to develop your skills under the guidance of a first class mentor. When you find out that the position is only offered to you so that the principal can take time off to spend on the golf course, you know that the position will not satisfy your needs. So, before teaming up with a dentist, it is important that you critically evaluate available opportunities against your criteria of the ”ideal” associateship. To help you evaluate potential practice opportunities, there are seven key questions you need to answer. 1. What type of associateship is it? These include: a. The “no strings attached” associate. This is a typical arrangement where you work as an independent contractor according to an associate contract, which is usually renewable annually. Your compensation is based on the percentage of billings generated by you. All practice expenses are paid by the principal. b. The associate buy-in. Under this arrangement, the principal brings you into the practice with the intention that you will after an agreed upon trial period purchase an ownership interest in the practice.

the last 18 months. As a rule of thumb, you need 400 patients annually for each day of the week. It means that for a full-time four-day week position, you need 1600 patients. If the dentist’s appointment schedule is consistently booked ahead one month or longer, the practice is considered ready for an associate.

how efficient is the front desk in collecting the accounts receivable? What will the projected associate income be for the year? 7. What are the terms of the associate contract? Pay close attention to the restrictive covenant. In the event of a future dispute and possible litigation

Determine how well the associateship will meet your personal and professional goals 3. What is the “new patient” count? Often, how busy you will be as an associate depends on the ability of the practice to attract new patients. Taking into account attrition rate, the practice should as a minimum have a net increase of at least 20 patients per month. 4. How efficient is the recall system? The associate has two patient sources to draw on within the office: new patients and recall patients that the dentist is too busy to treat. Therefore, an active recall system is critical in building the patient base.

c. The associate buy-out. The arrangement is usually handled the same way as the associate buy-in. However, the goal is that you will purchase the whole practice from the principal.

5. Are you compatible with the principal? Different practice philosophies and different attitudes towards patients and staff are usually the main reasons why an associate decides to leave a practice. It is therefore important that you compare your own work ethic, practice philosophy, leadership style, and personality type to those of the principal. It might be a good idea to undertake a working interview in the office for a day or two to get a sense of whether you and the principal are compatible.

2. Can the practice support an associate? What is the number of active patients in the practice? This generally refers to patients the dentist has seen in

6. What is the proposed compensation arrangement? Is the remuneration based on a percentage of billings or collections? If it is based on collections, for example,

regarding the associate contract, it will most likely deal with the restrictive covenant. Basically, the restrictive covenant prevents you from practicing within a specific geographic area should you decide to leave the practice. The purpose of this restrictive covenant is to prevent you from “stealing” patients away from the principal, who has spent a large amount of money, time, and effort to build up the patient base. Since you are unlikely to cause “damage” to the practice during the first six months, you should not be subject to a restrictive covenant if the principal terminates your relationship within that time period. Typically the restrictive covenant may also include the non-solicitation of employees for a certain period of time. The restrictive covenant becomes a particular problem if you are planning to stay in the same community. In evaluating available associate positions, you are well advised to retain the services of qualified professionals, including accountants and lawyers, who understand the business of dentistry and can provide you with the best possible advice to assist you in reaching your goals in your associate career.

May/June 2011 Just For Canadian dentists

dentist unleashed

Dr. derek turner Dr. Derek M. J. Turner lives in Ottawa where he conducts a private aesthetic dental practice. Derek guest lectures at CE dental institutions in America. He is also the founder and Chairman of TTi/ProDrive Systems, a dental product company.

boutique hotel on water Barge your way through Europe for an unforgettable and unique tour

f there’s a part of Europe that you long to visit, and you want an adventurous and unique way to see it, do it via a waterway. The scenery will be spectacular and varied, the food delicious and there’s plenty of opportunity to enjoy local villages and towns. Compared to the usual river cruising in Europe (on the Rhine and Danube, for example), barging is more intimate and quaint; it has smaller groups and it’s canal-oriented. Rather than the same large-city itineraries of a riverboat, it’s the countryside you discover on a barge. Think of it as a floating boutique hotel—with the requisite gourmet dining and accompanying wines. And don’t worry about cabin fever—or burning off some of those calories. You can choose a hiking, walking, cycling, golf or even a tennis cruise. Otherwise, the historic use of the canals for 17th-century commerce means there are tow paths along the way. Just hop off at one of the many locks and stroll, jog or cycle at your leisure. For my barge getaway, I chose France and Burgundy from a long list of French options: the Canal du Midi, Loire Valley, Provence, Alsace and Champagne. The country’s long-established network of canals and connecting rivers once served to move goods and military troops in the 17th, 18th and early 19th centuries, the most famous of which, the Canal du Midi,

was a shortcut from the Atlantic Ocean to the Mediterranean Sea to avoid Gibraltar. This trip was my treat to my dental staff—a “once-in-a-while” special holiday— so I chose a barge with a small crew to accommodate a private cruise for eight. After our flight to Paris, the TGV train to Dijon, and a one-hour transfer, we arrived at the Hirondelle vessel on the Burgundy Canal. Before a tour of the barge, we were introduced to the five-member crew and treated topside to hors d’oeuvres and Champagne. Our first peek revealed four staterooms, all ensuite, a comfortable, roomy living area and an open dining room. And the topside deck had an open vista and lounge seating for all. Within minutes of a second glass of Champagne we were moving softly down the canal to Chagny for our evening tie-up. To say that the gastronomy was superb is understated. After a shopping, cycling or wine-tasting excursion, we hurried back aboard so as not to miss a meal…it was that good. Our voyage took us along the Burgundy Canal to the Canal Central, then on to the Saône River and the cites of Châlon and Verdun. In Châlon, we visited St. Vincent Cathedral with its Roman-wall foundation and a 17th-century wine cellar in which we were surrounded with Pinots and Chardonnays from the Côte d’Or. In Verdun, a bountiful farmers’ market overlooked the cliff fortifications along the river.

where to barge Check out gobarging.comtospike your interest. France has plenty of options, but Belgium, Germany, Luxembourg, Holland, Italy, BritainandIrelandalsooffer a wide range of bargingchoices. GO IT ALONE Self-pilotedbargingis alsoavailable. Rentals are affordable andprovide a different experience thana barge withcrew; you have a more flexible itinerary, includingyour ownrestaurant choices, but youalsohave topilot the vessel andmanage the locks. Gotoreidsguides. comfor more info. COST Rates vary withseasonandamenities…For a barge cruise witha crew, count onabout $4,000 – $8,000 per personfor six nights. bike along Quality of bicycles varies greatly, soif you’re an avidcyclist andintendtodosome pedallingalongthe way, be sure tolook intothe style, quality andmaintenance of bikes available abroad.

Just For Canadian dentists May/June 2011

We continued on to the wonderful city of Beaune for one of our memorable day trips. The main attraction here, besides the Côte de Beaune Burgundy wines, is the 15th-century Hospice de Beaune. The Hospice, founded in 1443 as a hospital for the poor and needy, was a means for the founder Nicolas Rolin, Duke Philip the Good’s chancellor, and his wife Guigone de Salins to be assured of a heavenly afterlife. Now the Hospice is a fantastic example of 15th-century architecture and has been restored inside and out as a museum; the interior would embarrass today’s hospitals with its artistic treasures, and the exterior and courtyard are marvelous. What’s more, the best of Burgundy winemakers make annual donations of their products to the Hospice. A bottle of ’95 Hospice de Beaune Burgundy cools in my cellar…but not for long! Shopping, of course, was also de rigueur. The females on this barging adventure outnumbered me seven to one—six of my staff and my wife—a ratio that was noticed even in France. So the ladies enjoyed a shopping day in Dijon while I headed out on a long solo bike ride to Abbé de Cîteaux to burn some calories. Then came the wine tours in the heart of Burgundy. The Côte d’Or’s limestone ridge produces the Pinot Noirs and Chardonnays of Côte de Nuit and Côte de Beaune. Farther north, there’s Chablis, and to the south, Pouilly-Fuissé. We visited the storied vineyards of Gevrey Chambertin, Clos de Vougeot and Vos Romanée-Conti, recently sold for a million euros per square metre. Our barge holiday ran six nights and seven days, a typical length for most such tours. We added two nights in Paris, bien sûr, with the mandatory Eiffel Tower, NotreDame and Louvre, and then we were flying home…Malheureusement!

dentist unleashed [continued] Chef Cory and Dr. Derek Turner aboard the Hirondelle barge.

Clos de BĂ¨ze, the oldest vineyard (dating from the 7th century). Tow-road cycling.

The group at the chĂ˘teau of the Marquis de Longcourt. On the Burgundy Canal.

The locks to Dijon. May/June 2011 Just For Canadian dentists

travel the world

Just For Canadian dentists May/June 2011

The Fjellheisen cable car is the easy way up Storsteinen Mountain for vertigoinducing views (at 420 metres above sea level) of Tromso (home of the northernmost university and brewery) and beyond.

After climbing switchbacks from the bottom of the fjord (by bus!), visitors reach a viewing platform overlooking the stunning UNESCO-protected Geirangerfjord.

travel the world

The stark alpine between Gudbrandsjuvet Gorge and the dizzying Trollstigen Roadâ&#x20AC;&#x2122;s 11 switchbacks showcasing Norwegian engineering (and earning it the status of one of the most hair-raising roads in the world).

story

Colourful wharves in Trondheim, the oldest of which date back to the 18th century, are a relic of the portâ&#x20AC;&#x2122;s long history and importance as a merchant city.

+ photos by Barb Sligl

May/June 2011 Just For Canadian dentists

travel the world rom inside the Midnatsol cabin the view outside softly shimmers, all hazy greys and steely blues. The cruise ship seems still as the seascape floats by, hump after hump of miniature islands like pods of breaching whales. The low, rounded forms of bare rock have nothing upon them, maybe a smudge of green moss. The midnight sun (after which this ship is aptly named) tinges the horizon with a perpetual glow. It’s almost eerily tranquil. And not too hard to imagine Vikings once here… In Norway the seacoast is integral to the country’s culture, as is its history and heritage—Vikings, trolls and artistic giants (Grieg, Ibsen, and even a-ha). And upon the Midnatsol, a Hurtigruten ship (part of the “fast route” fleet that has brought mail, cargo and passengers to Norway’s far-flung coastal communities for 115 years), you traverse this jagged coast, dipping into steep-walled fjords along the way, from the lively southern end, across the Arctic Circle, to the Nordkapp. The start of this journey is Bergen. An ancient port town, it reflects Norway’s balance of old and new. The UNESCO Heritage Site of Bryggen (62 buildings that are a relic of the town’s role in the Hanseatic League’s trading empire from the 14th century) is like a movie set,

remote roadways. It’s even said that the rugged countryside, with its gnarled rock formations, is dotted with fossilized trolls… This ingrained folklore has also been cheekily reclaimed by a new generation of Norsemen, like of-the-moment Moods of Norway, a design team (from a small town described as “a magical place known for glaciers, salmon fishing and one newly opened escalator”) that brings iconic Norway to the fashion forefront (with funky suits and sneakers). (Another reinterpretation of Norwegian schtick is Swims; see page 8.) The hip set isn’t hard to find in Bergen, whether in the Moods store, a Sondre Lerche show (an alt-pop musician with a quirky bonhomie vibe) or one of the many student-filled cafés. Bergen itself means “meadow beneath the mountains,” a name that’s appreciated after a short ride up the Floibanen funicular to the top of Mount Floyen, which overlooks the town. Bergen is surrounded by forested hillsides interconnected by tunnels and bridges over fjords. And this continues up the coast. Sailing out of Bergen on the Midnatsol, you pass the countless fjords that lace Norway’s seaside edges. The show-stopper: Geirangerfjord, another UNESCO World Heritage Site. The ship glides past the Seven Sisters waterfall and into that quintessential landscape Norwegians sing about in their anthem. From the bottom of the steep-walled fjord, a bus tour takes passengers through adrenaline-inducing switchbacks to the barren beauty of the alpine, where only hardy farmers (and trolls) live. But this environment reaps

with crimson- and ochre-coloured houses butted up against each other at angles only possible with the long passage of time. Across the cobblestoned street are boats moored in the bay, bobbing with young Norwegians enjoying a tipple (or two) while peeling shrimp by the pound in the warm summer evening. This lovely town is still one of the busiest harbours in northern Europe; there’s a ship building industry, a ropery, and a long-standing fish market where you’ll find colossal crab legs, jars of caviar, mounds of shrimp, and fast food Norwegian style, including the ubiquitous shrimp sandwich. Edvard Grieg, the beloved classical composer, walked through this market every day on his way to school. His home and studio, now a museum nestled on a verdant cliff-side overlooking cobalt-blue water, seems to somehow embody Norwegian patriotism. The national anthem is titled Ja, vi elsker dette landet or “Yes, we love this country,” and its lyrics describe this land as rising “rugged, weathered, above the sea.” Mountains and fjords are iconic here. And trolls. Grieg’s goodluck charm was a troll, and you’ll find “troll crossing” signs alongside

sweetness—literally. A roadside stand sells strawberries that might just be the sweetest grown anywhere (natural sugars are concentrated in a short growing season that still manages to produce a million tons of berries). Ahhh, that Norwegian resiliency. And then, back on the Midnatsol, more cliffs and peaks and green hills hugging inky waters. Tiny community after community is passed—here a town “known for its meat and furniture,” there a village where the last so-called witch was burned—with red, blue, yellow and white houses brightening the shoreline. Towns that seem cut off and isolated are connected by the Hurtigruten fleet and by feats of engineering—towering bridges and roads arcing over water and through forests. This is Norwegian innovation (and money…the country is oil-and-gas rich and not part of the European Union). Each port-of-call shows more of that meld of heritage and hip. Trondheim, another university town and “city forest” established over 1,000 years ago by the Viking King Olav, highlights more innovation— from a statue of legendary Leif Ericson (the discoverer of North America) to the only bike lift in the world >> continued on page 36

Just For Canadian dentists May/June 2011

A full-size recreation of a Viking Chieftan’s house, including a Norseman reenacting those days of yore (as part of Hurtigruten’s Lofotr Viking Feast excursion).

A Sami camp near the North Cape, where reindeer reign and colourful traditional costumes pop against the barren beauty.

The colourful wooden houses of the old wharf in Bergen— another UNESCO World Heritage Site.

The Nordkapp or North Cape, once seen as the last vestige of the civilized world, still seems like the ends of the earth.

travel the world

May/June 2011 Just For Canadian dentists

the thirsty dentist dr. neil pollock Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com or send feedback to drneil@pollockclinics.com.

coming up rosés The season is ripe for the blush of rosé wines

one are the days when rosé wine needed a defense for its ambiguous tint and stereotypical sweetness. This spring, I’m donning my rosé-tinted glasses— and you should too. Let the warm Barolos and deep Merlots breathe, and opt for lighterhued wines as the days lighten. With cheeky notes of raspberry and savoury spice, cool and crisp rosés are the perfect companions to lead us into summer. They pair well with foods across the spectrum, from seafood to tofu and flank steak to chocolate torte. This kind of versatility makes them irresistible— especially for potluck dinners, sangria or impromptu entertaining. My earliest rosé impressions were of Mateus, the medium-sweet

rosé 101 There are three main ways to produce rosé, mostly using red grapes: 1. Skin Contact This method involves crushing of dark-skinned grapes, followed by several days of contact between skins and juice (the longer the contact, the richer and redder the colour of the final wine). Although the same practice is used to create red wine, here the skins are discarded once the must is pressed. 2. Saignée This method, also known as “bleeding the vats,” achieves rosé as a by-product of red wine production. The pink juice is removed at an early stage in the fermentation of the red wine. 3. Blending Combining red wine with white does give you pink, but it doesn’t necessarily give you quality or control. This method is the most seldom used.

Dr. Pollock would like to thank the Schachter sisters for their contributions, past and present. Lauren Schachter is a freelance writer, keen lover of wine, and recent graduate of UBC’s English Literature Master’s program. Claire Schachter is currently working on her Master’s degree in International Relations at Oxford University.

Portuguese export that became a hit with my parents’ generation after World War II. Many of my friends recall it with fondness: thanks to its good price and popularity with the girls, it was the perfect first-date beverage. However, the true origins of rosé are intertwined with those of Bordeaux “Clairet,” a pale, amber red wine (anglicized to “Claret” in England by the end of the 15th century). Now Claret refers to a darker red wine while rosé runs the gamut from dark pink to shades of orange. In the 1970s, the face of the wine market blushed again. This time, it was because of White Zinfandel, or White Zin, first produced by accident in 1975 by the Sutter Home Winery in Napa Valley. When they encountered a problem in the fermentation

process of their usual Zinfandel, a white wine, they quarantined the flawed juice for a few weeks only to sample it later and discover that it was tasty. So tasty, in fact, that it became Sutter Home’s bestselling product, far surpassing reds and whites, and inspiring the moniker “blush.” Since the White Zin craze, the rosé market has dried up a bit—but only in flavour. Bigger, drier pink wines hail from across the globe, from topend Australian sparkling to expressive California blush and powerful pink rosé from France’s Rhône valley. I’ll start my recommendations with the local. For British Columbia rosés, I’d award top honours to the 2008 Rigamarole Rosé ($15.99), which presents strawberry and currant underscored by hints of pepper, all with a dry and pristine finish. It’s a lively, quirky wine. A close second is the 2009 Rotberger from Gray Monk ($15.99). It weaves raspberry, cranberry and cherry to make quite a robust rosé, well equipped to balance

Just For Canadian dentists May/June 2011

out a barbeque meal or a Passover roast. If you’re looking for a sweet deal, I would go with the 2008 Ironstone Xpression Rosé from California ($8). It’s on the sweeter end of the spectrum, tasting of peach and berry, but with the added complexity of a twist of lemon. Brilliant for patio sipping at sunset. If you’re looking to splash out for a gift or a birthday, there are many delicious sparkling wines to choose from. I like the NV Bugey Cerdon, Caveau du Mont July ($15), a rosé made from handpicked local grapes fermented in the méthode ancestrale (the young wine continues to ferment once bottled). It’s yet another rosé that overturns the stereotype of superficial pink champagne—this is one full-bodied bubbly. Nonetheless, still rosés are more suitable for mealtimes; save the bubbly ones for appetizers or dessert. Though you’d be hard-pressed to find a rosé that doesn’t compliment your meal, a truly exceptional pairing is that of a robust Spanish rosé—like the 2009 Tapena ($12)— with a wedge of Mahon or even a strong Zamorano. The bold acidity of the Tapena helps match these cheeses taste for taste. Crossing the border into France, I love the 2009 Chateau d’Esclans Cotes de Provence Whispering Angel Rosé ($27.99) because it’s charming in name and taste. Blending red berries, pale flowers and a note of toasted custard, this wine pairs well with sushi or a lightly dressed linguini. A wine of the Grenache varietal, Whispering Angel boasts the distinctness of this amenable grape, which is one of the world’s most widely planted and produces a unique expression wherever it grows. Lastly, for a rarer treat, keep an eye out for experimental orange wines, like New York State winery Channing Daughter’s 2009 Envelope ($39), aptly named since it’s pushing the envelope in wine production. It’s a chameleon of a wine: amber or gold in colour depending on the light, with flavours of both spiced apricot and light blossoms—a fitting wine for spring-to-summer metamorphosis.

t h e h u n g r y d e n t i s t d r . h o l ly f o n g Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.

barbecue season It’s time to fire up that grill

or most of the men in my family, barbeque season begins once the snow has melted sufficiently to create a path from the back door to the grill. And, although they will eat almost anything cooked on the grill, their first choice is always steak. Yes, that first smoky spice-encrusted steak is a delicious change from the stews and roasts of winter; however, there can be too much of

That first smoky spice-encrusted steak is a delicious change…

Thai-nspired Beef Mango Salad

dr. holly fong

(serves 4 – 6)

a good thing, not just for the taste buds but also one’s cardiac health. I wonder if it’s the actual steak they prefer, or the taste of the beef combined with the convenience of throwing a slab of meat on the grill. If it’s the latter, a salad with steak would provide a smaller portion of meat and a larger serving of vegetables. And if you make an Asian-inspired salad with green mango, you’ll also include a serving of fruit. With a smaller portion of steak in the salad, the beef needs to be meaty, such as a marinated flank steak. Marinating it with lime, soya sauce, chili, herbs and garlic both flavours and tenderizes the beef. In the end, you have a fresh, colourful citrus salad that is smoky with a touch of sweetness to counterbalance the spicy salt of the meat. Typically, I would choose a floral white wine with tropical fruit and some herb or spice notes such as a Gewürztraminer or Grüner Veltliner. For those who prefer red wine, the 2009 Lirac from Domaine Saint Nicolas is a well-balanced elegant wine with a long spicy finish. This medium-bodied wine from the Côte du Rhône has a floral nose with berry fruits that pairs well with the beef and the spicy herbs of the salad. It has enough fruit to not be overwhelmed by the mango.

1 piece of flank steak (approx 700g) marinade

3 tablespoon fish sauce 4 tablespoon soya sauce ½ tablespoon sesame oil ½ inch knob of ginger, peeled and finely grated 1 large clove of garlic, finely grated ½ teaspoon chili flakes 2 tablespoon fresh lime juice 1 tablespoon sugar salad

12 ounce package of mixed salad greens, rinsed and dried 1 large red bell pepper, seeded and diced 1 large green mango, peeled and diced 1 small sweet onion, thinly sliced Dressing

1 tablespoon chives, minced 1 tablespoon cilantro, finely chopped 1 teaspoon mint leaves, cut into thin ribbons (stack leaves, roll and cut in thin slices) 1 tablespoon basil leaves, cut into thin ribbons 1 large garlic clove, finely grated ½ inch knob of ginger, peeled and finely grated, discarding tough fibers zest and juice of 1 large lime 3 tablespoon sugar 2 ½ tablespoon fish sauce ½ teaspoon chili flakes ¼ cup olive oil

Scoretheflank steak by cuttingdiagonally across themeat onbothsides takingcarenot tocut throughthemeat. Placeina largedishsothat themeat canlieflat. Combinethemarinade ingredients, work marinadeintothecuts of themeat, andmarinatefor at least 30 minutes, turningonce. Heat thegrill tohighandscrapecleanto avoidexcess burningandsticking. Removemeat frommarinadeandwipedry witha pieceof paper towel. Whenthegrill is hot, placemeat over coals. Sear for 2 minutes andturnmeat 90 degrees for another minutetocreategrill marks. Turnover meat. Grill for another 6 – 8 minutes for mediumrareor 8 – 10 minutes for medium dependinguponthethickness of thesteak. Removemeat andlet rest for 15 minutes. Meanwhile, mix saladdressingingredients ina bowl. Ina largebowl, combinethediced mango, dicedredpepper andslicedonions. Add half of thesaladdressingandtoss. Ona cuttingboard, slicethesteak thinly by cuttingagainst thegrain. Place2 – 3 largehandfuls of saladonto eachservingplate. Topwithsomeof themango mixture. Add3 – 4 slices of beef toeachplate. Drizzlewithremainingsaladdressing. Enjoy!

May/June 2011 Just For Canadian dentists

travel the world continued from page 32

Do you enjoy receiving Just for Canadian Dentists magazine? >> (created by a professor who wanted to make cycling home easier). Tromso, yet another student town (with the northernmost university in the world), offers more insight into Norway’s explorative spirit at the Polar Museum, which celebrates national hero Roald Amundsen (the first man to reach the South Pole and sail through the Northwest Passage) alongside a hunting heritage that includes whaling (a less-than-savoury practice that continues in Norway today). Tastier is Tromso’s claim to the northernmost brewery in the world, Mack Bryggeri, founded in 1877 when explorers reigned—and still serving today. Also served on this coastal cruise: reindeer broth in a Sami tent. The meaty, warming brew is like the very essence of this indigenous people’s livelihood. There are 200 words for reindeer in the Sami language, and these nomadic people move with the seasons and their herds. The traditional hat, worn by a Sami man, even has four points for the four directions…although MORE Hurtigruten offers seven- to 12-day everything always seems to strive North In cruises up the Norwegian coast, year-round. Norway. Of the fleet of 12 ships, the 644-passenger MS And the “way north”—the literal meanMidnatsol is one of the largest, including hot ing of “Norway,” after all—ultimately leads to tubs on the top deck and a sauna with a view. what was once thought of as the end of the For more on cruises and excursions, and the world, the Nordkapp or North Cape. Here, the 34 ports of call in Norway, go to: hurtigruten. weather is changeable and unpredictable; the us/norway. To plan your travels to Norway— sparse hillsides, occupied only by reindeer and from sailing up the spectacular coastline to Sami, can see all four seasons in one day. Thick going cosmopolitan in its brimming-withfog blurs the horizon, making standing at culture cities—check out visitnorway.com/ the edge of this last chunk of rock before the en/. To get to Norway, fly with Scandinavian North Pole even more staggering. There’s a Airlines or SAS, a Star Alliance member, for the strong sense of wonder and awe here. But it’s also found throughout Norway. most flight options: flysas.com/en/us/.

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Dr. Janet Roberts has gone from slogging shakes at the SeaBreeze Drive-in to being behind the wheel of a Jag XK8. Along the way she’s hiked to Machu Picchu (and back when it was even more exotic to do so!), collected shells in Tahiti and escaped to Hawaii. Living in Vancouver, she needs her dose of sun! On her travels she’s happy to click away with her camera, channelling a possible alternate career as a photo journalist… My name: Janet Roberts

My last trip: Maui

I live and practise in: Vancouver, BC

The most exotic place I’ve travelled: Machu Picchu, 1980

My training: BSc (Biochemistry UBC), DMD (UBC); Las Vegas Institute for

The best souvenir I’ve brought back from a trip:

The gadget or gear I could not do without: My waterproof hiking boots (I live in Vancouver!) My favourite room at home: The living room with my piano

My car: Jag XK8 My last splurge: Canon digital camera My most-frequented store: Apple (not!) My closet has too many: Shoes My fridge is always stocked with: Good cheese and white wine My medicine cabinet is always stocked with: Vit D (I live in Vancouver!)

The word that best describes me: Steady I’m inspired by: My husband’s encouragement I’m happiest when: Grooming a horse

My favourite exercise/ sports activity: Dressage riding

My motto is: Never take life or your loved ones for granted

My favourite sport to watch: Canucks hockey (ask me again in June!)

A cause close to my heart: AACD’s Give Back a Smile

A talent I wish I had: Story telling My scariest moment: Sliding backwards over the icy edge of a mountain highway

One thing I’d change about myself: Be able to talk to anyone about anything

My greatest fear is: Losing my teeth (!)

My secret to relaxing and relieving tension: Walking

Why I was drawn to dentistry: Cosmetic dentistry enables one to significantly and positively impact patients’ self-esteem and to express oneself artistically. CCADS and PTIFA enable me to “pay it forward” by training dentists in the exciting fields of cosmetic dentistry and the cosmetic/therapeutic use of Botox, respectively.

A big challenge I’ve faced: Raising kids

My guilty pleasure is: Good scotch

I’d want this item with me if stranded on a desert island: A good book (probably a bunch of them!)

Advanced Dental Studies; Senior Canadian Mentor and Program Director (BC) for the California Center for Advanced Dental Studies (CCADS); Co-founder of the Pacific Training Institute for Facial Aesthetics (PTIFA).

My fondest memory: My children as babies

Something I haven’t done yet that’s on my must-do list: Complete final case for AACD accreditation If I wasn’t a dentist I’d be: Photo journalist

Send us YOUR picks + pans; if you or a colleague make a good subject for “small talk,” contact feedback@ inprintpublications.com.

Beautiful shells from Tahiti A favourite place that I keep returning to: Hawaii My ultimate dream vacation: Safari in Kenya If I could travel to any time, I’d go to: See the Northern Lights My must-see TV show: Doc Martin [a British TV show about a vascular surgeon who develops haemophobia and becomes a village GP; Craig Ferguson is one of its creators] My first job: SeaBreeze Drive-in making hamburgers and shakes

Just For Canadian dentists May/June 2011

Molokini, the crescentshaped, partially submerged volcanic crater off the coast of Maui. Dr. Janet Roberts’ last trip was to Maui, and Hawaii is a favourite place she keeps returning to.

courtesy Dr. Janet Roberts; molokini photo: Hawaii Visitors & Convention Bureau

s m a l l ta l k

dentists share their picks, pans, pleasures and fears