Just For Canadian Dentists 2013-05 May June

may/ june 2013

life + leisure the celtic charms of

scotland newfoundland and

+ what type of

insurance is right for you? + roof down— the top new CONVERTIBLES + uncover the mystery of mezcal + the ACTIVE patient defined

win

a yoga session with Bikram himself! page 45

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inside: Continuing dental Education Calendar where will you meet?

victoria

/ n a pa / m a i n z / h o u s t o n /

cabo san lucas

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Just for C

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contents

may/june 2013

may/june 2013

Publisher Linh T. Huynh

Editor Barb Sligl Art Direction BSS Creative

Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint

together.

where it all comes

Contributors Timothy A. Brown Michael DeFreitas Dr. Holly Fong Janet Gyenes Manfred Purtzki Dr. Alexander Shearer Dr. Kelly Silverthorn Roberta Staley Dr. Derek Turner

Cover photo ©VisitBritain / Pawel Libera

At the ODA Spring Meeting Visit us in Booths #717, 719, 721, 816, 818, 820

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Senior Account Executive Monique Nguyen Account Executives Lily Yu Wing-Yee Kwong

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Contact us at 800.933.8031 or at www.carestreamdental.com © Carestream Health, Inc. 2013. 9011 CAN AD 0413 *Gakenheimer, David C. “The Efficacy of a Computerized Caries Detector in Intraoral Digital Radiography”. Journal of the American Dental Association 133 (2002): 883-890.

Circulation Fulfillment Shereen Hoang

CE Development Adam Flint

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

clockwise from top left: B. Sligl; ©VisitBritain / Ingrid Rasmussen; ©VisitBritain / Pawel Libera

The CS 8100 Welcome to the simplicity of compact panoramic imaging With compact panoramic imaging, the CS 8100 combines the most sophisticated imaging technology in one simple and compact system.

Production Manager Ninh Hoang

FEATURES

18 on The Rock Summer in wild + literary Newfoundland 35 Edinburgh stage In the Athens of the North, it’s one

COLUMNS

DEPARTMENTS

10 photo prescription

5 May/June mix 23 CE calendar 45 sudoku 46 small talk

Capturing wildlife

Just For Canadian Dentists is published 6 times a year by Jamieson-Quinn Holdings Ltd. dba 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

big festival—all summer long

13 motoring It’s the season for open-roof cars

16 pay it forward Dr. Angelina Loo’s work with Operation Smile

with Dr. Jehan Casey

31 the wealthy dentist

What type of insurance is for you?

41 practice management Defining the “active”patient

www.justforcanadiandentists.com Printed in Canada.

42 the thirsty dentist

The mystery of mezcal

43 the hungry dentist want to reach us? check out our website!

Savour summer snapper

cover photo

Scotland is the hallowed home of whisky, golf and kilts. It also has festival fever.

Find out why Edinburgh is such a cultural hotbed.

Story on page 35.

May/June 2013 Just For Canadian dentists

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from the editor

what/when/where > May/June

style | food | shows | festivals | places | getaways | gear…

festival circuit

clockwise from top

Who knew Wisconsin had so much to offer? From the quaint town of Elkhart Lake, a go-to summer destination with pop-up shops and fab food, to the sophisticated shores of Milwaukee. Really.

Story on page 8.

When the holiday and the CE are both important!

• TurKs & caIcos

august 9 – 16, 2013

March 7 – 14, 2014 or March 8 – 15, 2014

• venIce & the Po rIver cruIse

• IndIa

with Tuscany option september 22 – 29, 2013

october 11 – 25, 2014

• vIeTnaM rIver cruIse

• easT aFrIca saFarI

January 2015

January 23 – February 2, 2014

• GalaPaGos

• souThern carIBBean cruIse

october 2 – 17, 2015 or october 23 – november 3, 2015

February 7 – 22, 2014

great hotel escape

tiny village is a powerhouse in the literary world. Michael Ondaatje, Richard Ford and Lisa Moore have all graced the words-andmusic extravaganza that takes place here: Writers at Woody Point. It’s a wonder-filled celebration like only Newfoundlanders can put on. And, post-party, there’s the requisite colourful clapboard fishing shacks, dramatic coast and beauty to explore (page 18).

If that’s not enough, there’s always Wisconsin. Really. The state may be best known for its “cheeseheads” and Packer fans, but it’s surprisingly sophisticated.

Milwaukee has taken its storied past (think German beer barons) and imbued it with modern cool, from a stunning monument to architecture in its art gallery (with a curvilinear set of sail-like arms that open and close every morning and night) to

since 1996

• alasKa cruIse

the

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vacations@kennedyseminars.com

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

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The Ace Hotel lobby in Portland, Oregon.

surprise

destination

the many microbreweries and distilleries (Great Lakes Distillery even has an award-winning absinthe). Oh, and there’s a certain mecca to motorbike enthusiasts: the Harley-Davidson museum.

Revved up, it’s an easy drive out of Milwaukee to the lakeside community of Elkhart Lake (the state’s deepest and bluest), where Al Capone once hung out.

Now it’s the quintessential cottage scene… albeit with a French cooking school, worldrenowned race-car circuit, golf havens and serious fine dining. So, in Wisconsin, go city and country (page 8).

Exuding the same small-town charm with a big jolt of urban sophistication is BC’s capital, Victoria (page 23). Or, up the coast of Vancouver Island, any of the stops along Island Joy Rides bike tour (page 7).

Yes, culinary cycling is a perfect mix.

With your summer calendar now jampacked, it might be wise to sit back and sip some smoky mezcal. Discover why this artisanal spirit is worthy of a spot in your liquor cabinet (page 42).

Tell us what you’re up to this spring and summer. We want to hear from you; let us know where in the world you’re travelling, photographing, volunteering, working…and stay in touch through justforcanadiandentists.com. Enjoy! feedback@InPrintPublications.com

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Just For Canadian dentists May/June 2013

the hotel has always been ground-zero for cuttingedge cultural + artistic exchange. and Now it’s part of an art exhibit… page 6 >>

jeremy pelley

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ummer’s in the air—the festival season has begun. It’s all about celebrating that joie de vivre that becomes magnified outdoors on green lawns and under balmy skies.

Or cobblestone streets…in Edinburgh, Scotland.

Long-time reader, Dr. Alexander Shearer, a native Scot who emigrated to Canada to work, takes us to his home town for the summer-long party (page 35).

From there, it’s just across the pond, so to speak, for more of that Celtic vibe.

Newfoundland, where the Gaelic language and Celtic traditions still run deep, puts on another great show come summer.

Here, on the western shores of what may be one of the most jaw-dropping landscapes on earth, is Woody Point. This

third-pg_dentist ad-mar2013.indd 1

mix

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mix

art on the go

May/June art

exhibit

pedal + pamper

mix find your JOY

great escape

May/June

the

hotel as art

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check it out Fifties-era bungalows bedecked in far-out colours? Glamour dens, complete with the intimate attention (and utmost discretion) of butlers? Whether it’s a glorified crash-pad on a Kerouac-style road trip or a super-luxe enclave that’s a destination retreat, chosen because it’s the playground for celeb plays, there’s something about hotels that gets cemented into our psyche as a dynamic form of shelter that’s without geographic boundaries.

Those are some things to ponder when visiting the Grand Hotel: Redesigning Modern Life exhibition, which “traces the hotel’s impact on geographic space, the world of design and the social structure of society…” writes guest cocurator Jennifer M. Volland in one of her essays published in exhibit’s catalogue. —Janet Gyenes Vancouver Art Gallery, April 13–Sept. 15, 2013, vanartgallery.bc.ca

previous page: Ace Hotel Portland Lobby, 2007. Photo: Jeremy Pelley. © Ace Hotel Group from left: Peter Zumthor, Therme Vals, Switzerland, 1996. Photo: Nico Schärer. © Therme Vals; Kozy Koach, El Cosmico, Marfa, 2009. Photo: Eric Ryan Anderson

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stay & see

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Just For Canadian dentists May/June 2013

4

B. Sligl

bottom photo: courtesy rosewood hotel georgia

CHeck-in mate visiting, curate your own stay When getaway experience by checking into one of Vancouver’s artfully appointed hotels that have partnered with the Vancouver Art Gallery. Our faves include two recently renovated properties: the Rosewood Hotel Georgia (right), which possesses one of the largest privately owned collections of Canadian art, and The Listel Hotel, complete with museum and gallery floors and the new 3,000 sq ft Modern Art Gallery. —J.G. Rosewood Hotel Georgia, rosewoodhotels.com; The Listel Hotel, thelistelhotel.com

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bike away

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*

Check in , before checking out Grand Hotel

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coastal cycle Take a tour on Vancouver

Island’s sheltered east coast, from driftwood-dotted beaches to a bucolic blueberry farm. Be prepared to lose track of countless eagle sightings, eat your fill of local fare and indulge in a sweet mix of exertion and relaxation…on an “island joy ride”

cycle Island Joy Rides is the aptly named venture of two joyful (of course!) women who’ve translated a love of cycling and the Vancouver Island region into bike+ a touring company. They ‘re in season three of sharing the hidden gems of their sample seaside home— the sheltered bit of sublime seashore that edges the Comox Valley—and riding alongside groups 1 on itineraries like Wheels ‘n Whales, West Coast Foodie, Edge of the Islands. The goal (emblazoned on t-shirts 2 ) is all about “exploring fresh experiences and places, new and old friendships, taking the time to appreciate the small stuff.” There’s even a treasure chest of ribbons for guests to write their own “joys” to tie to a trail-side tree 3 . SPA April Point Resort and Spa is just one of the idyllic spots on Quadra Island (reached by ferry across Discovery Passage 4 ). Post ride, a massage in the sanctuary-onstilts spa (the building seems to be floating on water) loosens limbs 5 . scenery A snack break at Rebecca Spit Marine Provincial Park 6 is all about the seaside view (and full-of-goodness homemade energy treats). savour This being a pedal-and-pamper experience, there’s a wine-paired and locally sourced dinner (including chowder with generous dollops of wild salmon and melt-in-your-mouth pork belly) and more spa treatments at the Kingfisher Oceanside Resort and Spa 7 . sip The bike route in Comox Valley includes a picnic at Blue Moon Estate Winery paired with fruit wine made from organic blueberries grown right here—and a side of fresh-picked strawberries—followed by a calorie-burning ride past scenery of old-school farmland and weathered-wood fences 8 . MORE Check out islandjoyrides.com. —B. Sligl

May/June 2013 Just For Canadian dentists

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mix

May/June the unexpected

Midwest

city

Wisconsin wonder

milwaukee

May/June

country

5 hot picks

mix

1 true mettle At first blush, Acme Studio’s brass Hatch rollerball pen draws attention for its etched-brass graphics that emulate cell structure. But the writing instrument’s utility extends beyond scribbling ’scripts or shopping lists—it’s a shining example of low-tech smarts. Designer Karl Zahn crafted Hatch from brass to capitalize on the alloy’s antimicrobial abilities, effectively creating a self-sterilizing pen that’s ideal in environments where hygiene is crucial. $160, acmestudio.com —J.G.

elkhart lake

Big city. Quaint town. Both lakeside. Both in Wisconsin. Here’s why you should go to both this summer. —B.S.

getaway

Milwaukee’s history includes a gilded era as the booming town of beer baron Frederick Pabst (visit the mansion that PBRbuilt). And brew is still big here. Go for one of the many microbrews (like Furthermore’s peppery good Knot Stock), take in some stellar art, the bike scene (as in Harley-Davidson), lakeside living, urban kayaking (yes!) and a locavore food scene (including that cheese).

elkhart lake is a couple hours’ drive northwest of the big city, and although this gem of a lake is a lot smaller than Lake Michigan, it’s the state’s deepest. And maybe its bluest. The Caribbean-like hue makes it one of Wisconsin’s go-to summer getaway spots …that and the fine dining, hip boutiques and fast cars (it’s home to the Road America speed course).

The beer in Wisconsin— in the city or country—is good. Really good. Try the tasty zing of Furthermore’s peppery pale ale, Knot Stock (furthermorebeer.com).

The Milwaukee Art Museum (above; mam.org), on Lake Michigan, boasts dramatic architecture (with wings that open and close every day) and more than 20,000 works of art.

Sweet Water Organics (sweetwaterorganic.com) is an urban farm that has re-purposed abandoned and unused industrial building space for aquaponics to sustainably grow fresh, organic produce and fish for local Milwaukee residents and restaurants.

Stay at the Pfister Hotel (thepfisterhotel.com), is known for its Victorian art collection— the largest of its kind in any hotel—and a working art studio and gallery.

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WISCONSIN WONDER Check out Tourism Wisconsin’s website at travelwisconsin.com or call 800-4328747. For more on Milwaukee, check out Visit Milwaukee at visitmilwaukee.org. Explore all that Elkhart Lake has to offer at elkhartlake.com.

Just For Canadian dentists May/June 2013

bright

idea

In the country, dine on chic cuisine as if in the city, whether at Lake Street Café (left; lakestreetcafe.com) or the Paddock (named for the gambling scene of Elkhart’s Al Capone days; paddockclubelkhartlake.com). Must-try: the upscale version of fried cheese curds.

Below, nut-encrusted local goat cheese at Lola’s on the Lake at The Osthoff Resort (osthoff.com).

ATTENTION GEAR-HEADS! Get your speed fix at Road America: roadamerica.com. >> Channel your inner biker at Harley-Davidson: harleydavidson.com. (And re-read Dr. Silverthorn’s column “Midwest Mecca” in the March/April 2012 issue.)

4 not-so-mellow yellow This spring, master the art of French cooking with some help from Le Creuset. The premium cookware’s latest hue— Soleil—takes inspiration from the country’s sun-soaked beaches. True, you can’t bring France’s golden sands home, but the pleasant reverie and sunny shade of the enamelled cast-iron cookware are incentive enough for recreating some of the region’s flavours and aromas. Prepare a comforting Coq au Vin or Spring Lamb Navarin and savour the season.

The bonus: classic styling and contemporary colours mean the cookware is versatile enough to go from oven to table. Mais oui! $12-$600, lecreuset.ca —J.G. B. Sligl

Small, unique boutiques line Elkhart Lake’s tiny “downtown” core, like the hip pop-up shop that features consignment goods from Hollywood (one-of-akind designer wear) and vintage finds like this old aerial photo of the lake.

Cheesemonger at Wisconsin Cheese Mart (wisconsincheesemart.com), the place to get the state’s most famous product, from Red Rock cellar-aged cheddar-blue (a heavenly blend) to goat’s-and-sheep’s-milk Mobay.

if you GO

3 Gear up—and go While the idea of a picnic in the park amid a carpet of cherry blossoms exudes romance, dewy grass and brisk winds can dampen spirits. Bring along Pendleton’s camp blanket (shown in Green Heather/Smith Rock Plaid), tucked in a handy leather carrier, for that added layer of warmth.

Since the soft wool-cotton blanket is so portable, you’ll want to keep it in the convertible for those days when the sun’s rays won’t suffice, and have it close at hand for cozying up when star-gazing, withstanding the demands of a tailgate party. Approx. $106.00, pendleton-usa.com —J.G.

5 Thin is in Admit it. You’ve often tried to put your wallet on a diet and pare back that collection of cards to the basics. But with multiple spots to stash receipts, movie stubs and other miscellany, in no time your wallet bounces back to its fat form. The binge-purge cycle is over thanks to the RFID-secure (to prevent skimming) HuMn Wallet. This super-slim invention is composed of two thin anodized aluminum or carbon fibre plates and an elasticized strap that keeps your stuff secured without extra bulk. From $75, humnwallet.com —J.G. May/June 2013 Just For Canadian dentists

spring fever!

country + city…in the Midwest

2 GAME ON! We all know that table tennis tourneys can be competitive; after all, the game is an Olympic sport that requires finesse, laser-like reflexes and a dash of “welly.” But leave it to designer Jonathan Adler to add some style to the sport, which is purported to have been played as a parlour game by upperclass Brits who batted about champagne corks, among other objects. Add some pomp to your next match by sheathing your paddle in the 100% wool needlepoint Bargello cover. It’s sure to be a smash hit. $72, modernshop.ca.com —J.G.

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p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

put the wild back in wildlife Add some bite to tame wildlife images

A

Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

Impression taking is easier, faster and better with TRIOS”

s we motored to the black, rocky coastline of Punta Espinosa on the northeast coast of Isla Fernandina––the youngest and thirdlargest island in the Galapagos Archipelago– –puzzling, tiny wisps of fine spray backlit by the low morning sun sporadically filled the air. I couldn’t help but wonder what Charles Darwin thought when he witnessed the same scene almost 200 years ago.

As it turned out, those mysterious puffs were the “sneezes” of hundreds of black, metre-long marine iguanas blanketing the lava-rock shoreline. According to our guide, marine iguanas ingest lots of saltwater when they feed on sea algae and expel excess salt from their bodies by sneezing.

Believe me, snapping a sneezing iguana is virtually impossible. I tried. But there was no way of knowing which one to focus on. Also, shooting these wonderful prehistoric-looking creatures against a black lava backdrop was challenging. They blended right into the black rocks.

Many animals mimic their surroundings, which typically results in a Where’s Waldotype image. Some camouflage images work well, but separating your subject from the background usually creates a better shot.

Dr. Jan Bjerg Andersen

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See the whole new palate of our innovative products live How to put the “wild” back in wildlife: Patience is definitely a virtue. The photo of the vibrant-pink flamingo was taken in the late evening. Knowing that flamingos go to sleep around sunset, capturing this shot entailed waiting for over an hour for the flamingo to stop preening and finally tuck its head under its feathers. The same applies for the sleeping sea lions and marina iguana, which is made even more dramatic by making sure its spikes are set against a light, non-distracting background.

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Just For Canadian dentists May/June 2013

michael defreitas

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photo prescription [continued]

PRO TIPS on photographing wildlife

> If possible, keep the animal’s eye in focus. > Separate the animal from its surroundings with an aperture of f4 or f5.6 to blur the background.

> Use a slow, quiet, zigzag approach to help you get closer to animals. > Wear muted colours and avoid aftershave, scented deodorant, cologne or perfume. Avoid wearing shiny objects like reflective sunglasses or jewelry.

> Cover the shiny parts of your camera equipment with black electrical tape.

> A tripod is a must when using longer lenses or waiting for action. > Research your subject’s habits. For example, a cold-blooded iguana

must raise its body temperature after and before a cool night. Shoot it in the early morning or late afternoon when it’s quietly basking in the sun.

> Avoid direct eye contact with animals.

Ready to take it to the next level?

gear up In the Galapagos, you can get to within three metres of the

animals––but that’s pretty rare. Normally, you’ll need a long or telephoto lens with a 300mm to 500mm focal length. Most amateurs, however, can’t justify them at $2,000 to $8,000 each. A teleconverter or extender is a much cheaper alternative for increasing the focal length of a lens. It fits between the lens and camera body and works like a magnifying glass. They come in various magnification strengths. A 2x teleconverter on a 200mm lens produces an equivalent 400mm lens, while a 1.5x converter on the same lens produces a 300mm equivalent. Teleconverters run $200 to $400.

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Just For Canadian dentists May/June 2013

motoring As a starting point, make sure the animal’s eye is in sharp focus. A sharp eye provides a strong and intriguing focal point. An out-of-focus eye lacks interest. Then, pick an angle that puts the sun behind and over one of your shoulders.

This will produce a nice catch-light in the animal’s eye.

Next, make sure your subjects stand out. Use a long focal length lens (300mm or longer), shoot in aperture priority mode with an aperture of f4 or f5.6 and focus on the animal’s head. This technique renders a sharp subject against a blurred background.

One of my favourite techniques is to find a shooting angle with a flattering or contrasting background. Try isolating darker subjects by shooting against a lighter background (like white sand, sky or water) and lighter subjects with a darker background (like a shadow or dark vegetation).

For added drama, try to capture a bit of animation along with these shooting methods. Capturing an animal doing something adds personality and character to the image.

Now combine all these elements. A light-coloured iguana with a dark backdrop will definitely produce a memorable image. The same composition with a touch of sidelight to accentuate the iguana’s spiky back can raise the image to the wow level. Capture the iguana sneezing, yawning or sticking out its tongue (be patient, get comfortable and wait for the right moment) and you’re talking award-winning.

Other than sharp-focused eyes there is only one other important rule to remember when you’re shooting wildlife.

Keep a safe distance! There is a good reason why we refer to these animals as wildlife. So please, when I say “put some bite” into your wildlife shots, don’t take me literally.

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.

spring fever Open-air automotive contagions

S

pringtime is new-car-fever season.

I seem to be afflicted almost every year. Spring 2013 looks set for an epidemic, with car manufacturers shamelessly flooding the marketplace with highly potent open-air contagions.

Forewarned is forearmed!

Spring’s arrival heralds annual Canadian automotive rituals. Snow-tires-be-gone.

Window scrapers unceremoniously tossed into warm-weather hibernation. Our daily drivers are washed by hand for the first time since October. Those fortunate enough to have a special-interest summer car get antsy on the insurance and tire pressures.

With the everincreasing warmth of the sun and length of the days, our thoughts invariably turn to a new open-air car. A sunroof just doesn’t cut it. It won’t give that all-important exposed-to-the-greatoutdoors feel. However, open-air doesn’t have to be the classic canvas-stretchedover-metal-frame convertible either. The marketplace is graced with numerous other approaches including retractible hardtops, removable Targa panels and sliding canvas screens.

And in each of these open-top solutions, driving is no longer zone-out drudgery.

Car trips now include luxuriating in that solar radiant energy, absorbing every last one of 360-degrees of visual stimulation.

Sounds encircle you. Even momentary stops have you conversing with pedestrians and motorcyclists. Drive past a brook and actually hear it babble—and simultaneously feel the humidity change.

Despite the attraction of open-air motoring, sales are a small fraction of the overall automotive marketplace, and those extra engineering costs need to be recouped from buyers. It’s not uncommon for an open-air model to cost $5–20K more than its fixed-roof corporate sibling.

Manufacturers of limited-production

platforms can also drag out that technology for eight years or more, so beware. Do your research (Wikipedia is a great resource on the age-of-platform front). On the flip side, there has never been another time with so many freshly engineered open-air platforms in the marketplace.

Premium brands often bundle open-air, with luxury, and performance—a tantalizing trifecta of motoring indulgence.

First, let’s go big in the upper reaches of the open-air Canadian marketplace, before getting to the more entry-level models (all pricing relates to MSRP “base” price, recalling that options and taxes can add considerably to the out-the-door cost).

And, given Canadian climates, it’s nice to see multiple all-wheeldrive offerings among the open-air models sold. Interestingly, several major brands like Toyota, Honda/Acura and Hyundai don’t offer a single open-air model. Even hardcore Lotus currently offers no open models in Canada. Others offer a single “halo” openair model, rarely seen on the public roads but featured in the dealer showroom to lend some magic to the surrounding more mundane hardware.

Driving is no longer zone-out drudgery

If you have to ask the price, you probably can’t afford it. The century’s paragon of automotive excess, the Bugatti Grand Sport, has a Canadian dealer. Price is into seven digits, horsepower 4 digits, and the top speed has more mph than the USA has had birthdays. Canadian sales, however, can be counted on the fingers of one hand of an inattentive millworker. The only car that can withstand the Bug’s black-hole shadow is the newly minted Lamborghini Aventador LP700-4 Roadster, with, you guessed it, 700 horsepower and mandatory Lambo rakish style.

Stepping down to the merely exotic (yet still with a base price over $200,000), we have a surfeit of open-air choice. From the

luxury end of the spectrum, there’s the Rolls Royce Phantom and—moving progressively towards the more performance focused— the Bentley Continental GT Convertible, then the cruise-worthy Ferrari California and Aston Martin DB9, through to the ballistic but GT-ish Mercedes Benz SLS AMG, and on to a quartet of hard-core performance steads: Ferrari 458 Italia, Lamborghini Gallardo, Audi R8 GT Spyder and new entrant McLaren with its impressive MP4-12C. Benchmarks? This is heady company, but it’s hard to argue against Britain’s Rolls Royce or Italy’s Ferrari, perhaps the two most iconic brands in the automotive universe.

Between $100,000 and $200,000 offers a mix of “exotic” and more mainstream brands and models, from the many variants of open-air Porsche 911s (though just barely the most potent Turbo S) to multiple Audi R8s Spyders. Aston Martin’s Vantage and Vantage S span this price range, as does the Maserati Gran Turismo Cabrio. Mercedes’ newest allaluminum version of the ever-green opentop SL range also plies these waters, as does the long-serving alloy-bodied Jaguar XK / XKR/ XKR-S. BMW’s 6/M6 Cabriolet range carries the open-air flag for blau mit weiss.

If Viper does an open-top version it will be priced here, as will any open variant of the oft-promised new Acura NSX. Benchmark cars here are all German: Porsche 911, Audi R8, Mercedes SL. A plethora of open-air models are available

between $50,000 and $100,000,

and this range is where most of the moreestablished readers may be tempted to tread. Among the Germans, Audi pitches its A5/S5 pair, as well as the TT and TTS fraternal twins. BMW counters with the Z4, and soon-to-be-replaced 3/M3 Series Cabriolet. Not to be outdone, Mercedes offers the sports SLK variants and the middleweight E350/550. Porsche’s excellent Boxster range starts at $56,500 and now adds great looks to its decathlete-like skill set.

May/June 2013 Just For Canadian dentists

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motoring [continued]

The International Dental Institute (IDI) Inc. Like life itself, the journey is more important than the destination …who or what comes along for the ride matters

Outside Germany, England’s Jaguar will soon enter this price-spread fray with the stylish new F Type sports car range featuring supercharged V6 and V8 engines with 340–495 horsepower.

The full range of upcoming C7 Chevrolet Corvette Targa tops and convertibles will be included here, as are upper-end stablemate Camaros. The open Shelby Mustang GT500 is priced at $66,699.

Somewhat less adrenaline-infused, Volvo’s only convertible, the long-running C70, starts at $52,500. Infiniti has the G convertible, and Lexus both the 250C and 350C. Benchmarks are, again, all German. Of those with two seats, it’s the Porsche Boxster (although both the new Jag and Vette look promising). Among four-seaters, I’ll have to reserve judgment until the first-ever 4 Series BMW arrives (in deference to the BMW 3 Series’ long stranglehold on this title).

Ten choices remain between $25,000 and $50,000. From least- to mostexpensive base price, the list includes: the Beetle Convertible, MINI Roadster, Mazda

14

Practice Management Workshops Hit the ground running Getting your patients to get it!

The business of dentistry has changed ~ patient mindsets have changed. It’s all about perceived value ~ people spend money on what they value • Do you believe you have what it takes to achieve all you want?

• Are you responsive to market influences on the new trends?

• Are you ready to let go of the past and reinvent to the next level of dentistry?

open air fair: From the

top-dollar, paragonof-automotive-excess Bugatti (above) to the affordable, ultra-cute Fiat (right).

is one of Canada’s leading dental continuing education organizations. Our programs are based on extensive clinical experience, ongoing scientific research, and the understanding that comes from working with dentists, clinicians and patients for more than 40 years.

Dates : October 4 & 5, 2013 – Montreal, QC MX5 (Miata), Ford Mustang V6, MINI Convertible, Chrysler 200, Chev Camaro 1LT, VW Eos, Ford Mustang GT, BMW 1 Series and Nissan 370Z.

held by the ultra-cute Fiat 500c at $17,495.

Competitors include the also fuel-frugal Smart ForTwo Cabriolet at $20,500 and the rugged go-anywhere Jeep Wrangler at $21,195.

No matter what the price or the performance, convertible owners share a bond of mutual understanding. Driving can indeed be more than just getting from A to B. Like life itself, the journey is

Just For Canadian dentists May/June 2013

Dates : March 28 & 29, 2014 – Montreal, QC

Inspire extraordinary team energy

Overcome common behaviours that sabotage your schedule

• • • •

The key roles every practice needs Who does what?

Providers and Non-Providers – Get the Ratio Right How teams evolve

• Create alignment and vision • Clarity for implementation

Dates : See below for all available dates and locations more important than the destination. Your choices of who and what comes along for this ride matters.

So do yourself a favour. When spring fever next strikes, cough up an hour of time to savour the signs and symptoms. Call up the dealer of the open-top car that has captured your fancy, and put your butt in that seat-of-dreams for a test drive. Life’s trajectory starts afresh from today.

• Four values that need to be optimized and protected through-out your career • Understanding if you are you transition ready • Risk assessment for associate intregration • Understanding your transition choices • Practice transition financial planning • Tax implications

Afternoon session

• Designing your Team

And the most affordable opentop car in Canada? That title is currently

Not just an exist or retirement strategy

Morning session A.M. Presentation highlights include :

The two-seater benchmark is Mazda’s (soon to be replaced) MX5; the four-seater benchmark goes to the BMW 1 Series or Mustang GT.

Transition planning in dentistry

2013 COURSE DATES AND LOCATIONS ONLY FOR THE InSpIre extrAOrDInAry teAM energy & OverCOMe COMMOn behAvIOurS thAt SAbOtAge yOur SCheDule WORKSHOP Friday May 24, 2013 – London, ON Friday May 31, 2013 – Ottawa, ON Friday June 7, 2013 – Montreal, QC Friday June 14, 2013 – Halifax, NS Friday June 21, 2013 – St Catharines, ON

P.M. Presentation highlights include : • 70% of revenue in 30% of time • Value vs volume

• Manage your schedule from the inside out, not the outside in • Learn how to reclaim control • Learn how to minimize last minute schedule changes • Learn how to make appointments a non-negotiable commitment

• Conquer behaviors • Predict patient responses

Dates : See below for all available dates and locations

1.877.463.1281 or www.idi.org

pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is an award-winning magazine editor and writer with experience reporting from the developing world and conflict and post-conflict zones. Staley specializes in medical and science reporting and is a magazine instructor at Douglas College and Simon Fraser University.

Congratulations You Didn’t Touch Your Cash Or Credit

it’s all in the smile

A BC dentist travels to the far reaches of Russia to make a difference in children’s lives she would if treated at BC Children’s Hospital Cleft and Craniofacial Program where Loo, an orthodontist, works with a special team of surgeons, nurses, social workers and speech and hearing therapists. Nonetheless, while at Bonum, Loo would give the child—and dozens like her—life-changing treatment. “I can see the tears in the parents’ eyes, because they are worried about their child’s future,” recalls Loo. “My immediate role was to reassure them that it would be fine.”

Loo, who runs a busy orthodontic practice in Vancouver, spent one week at the Bonum Centre in 2010. She was part of the Face the Future Dr. Angelina Loo Missions medical team that treats children goes yearly to Ekaterinburg with craniofacial to provide reconstructive anomalies—from facial surgery. Team mem1,800 km east bers also educated Russian of Moscow to practitioners in the latest Vancouver, BC. medical advances for children born with cleft palate and numerous other craniofacial anomalies. During her stay at Bonum, Loo saw about 60 cleft and craniofacial patients, from newborns to young adults. She also gave seminars to the Russian surgeons and dental specialists on a pre-surgical orthopedic procedure that has revolutionized treatment for kids with facial clefting in Canada. For each patient, Loo creates an upper mouth plate, similar to an orthodontic retainer. Attached to the plate is a stent with a plastic bauble on the end. The stent is inserted into the baby’s nostril and secured with tape. Because the infant nose is composed of highly malleable cartilage, the stent gradually re-contours the cleft side nostril to mirror the non-cleft side.

Not only does this help the plastic surgeons create a symmetrical-looking face, but it reduces the number of nose surgeries needed over a patient’s lifetime. At first, Loo encountered resistance; the Russian surgeons “didn’t think the stent would be useful.” However, Russian winter. A young mother, cradling an with the help of “before and after” photos, infant in her arms, entered the examination Loo showed the efficacy of stent use: fewer room. Loo smiled reassuringly at the baby, surgeries and thus less scar tissue, allowing whose dark, bright eyes stared out from a the face to function more normally. face marred by the asymmetrical features Loo returned from Russia inspired and twisted upper lip of a cleft palate. The and energized by the practitioners who child wouldn’t receive the same level of care struggled to provide optimum care with

“A smile on a child’s face is the greatest motivation of all.”

16

Just For Canadian dentists May/June 2013

meagre government financing. She was also humbled by the parents—most of them poor—who struggled to ensure their disabled child grew up as happy and healthy as possible. Loo has since launched her own charity called Spring for Kids Foundation, which supports programs benefiting individuals with facial clefting. The foundation raised $228,000 in its first two years. Most of the money was donated to BC Children’s Hospital Cleft and Craniofacial Program to buy 3-D imaging equipment. “It allows the surgeon to evaluate a face in three dimensions, and outlines improvements for future surgeries,” says Loo. The money also helped finance the hospital’s craniofacial program website and an educational video for parents, and subsidized disabled kids’ attendance at Camp Zajac outside Mission, BC. Some funds helped subsidize the large dental bills that the parents of cleft children often face due to a high incidence of teeth cavities. Loo also gave funds to the Complex Prosthodontic Program and Cancer Control Agency at Vancouver General Hospital, which provides facial reconstructive treatment following accidents or cancer therapies.

Loo’s next fundraiser is set for the spring of 2014. She will continue to support BC Children’s Cleft and Craniofacial Program.

She also plans to help finance cleft palate research at the University of British Columbia Faculty of Dentistry and its new affiliate, the National Hospital of Odonto-Stomatology in Ho Chi Minh City in Vietnam. The clinic treats upwards of 1,200 cleft palate patients a year. In Vietnam, there is a high incidence of fistulas—residual holes in the palate—that occur due to a lack of care when the patient is a baby.

Here in BC, the 80 to 100 children born annually with cleft palate receive world-class care. After seeing the impact her one-week stay had in Russia, Loo is driven to help kids around the globe receive care similar to that given Canadian youngsters “It is my mission to share my knowledge and expertise and advocate for programs that provide support and help for these special kids,” Loo says. “A smile on a child’s face is the greatest motivation of all.”

In the dental profession you always want to preserve your cash and lines of credit so that they can be left in reserve for the unexpected or used to grow your practice in other ways.

Think of it—no business ever experiences financial difficulty because it has too much cash on hand.

CANADA’S EQUIPMENT LEASING EXPERTS courtesy of Dr. Angelina Loo

D

r. Angelina Loo peeked out at the long lineup of families seated on the cold tile floor of Bonum Centre in Ekaterinburg, 1,800 km east of Moscow near the Ural Mountains. Some of the families had travelled for days to get to the pediatric hospital, and were peeling off the layers of clothing that had protected them from the -20˚C

Cheryl Anderson

National Sales Manager—Healthcare Financing

Phone: 604-948-3000 cheryl.anderson@nationalleasing.com

© 2012 National Leasing Group Inc. All rights reserved. National Leasing, a member of

ttrraavveel l aatt h o m e

travel at home

The Tablelands walk at Gros Morne National Park on the western coast of Newfoundland.

land newfound Welcome to the mindbending Rock, where otherworldly geology is the backdrop for a heady mix of words + music during the Writers at Woody Point

“This walk will change your life.”

It’s the guide’s intro to a morning jaunt through a place unlike any other on earth. We’re in Gros Morne National Park, on the west coast of Newfoundland. And it looks like we’re on another planet.

This UNESCO World Heritage Site is like the scientific equivalent of the Pyramids, or Newfoundland’s version of the Great Wall—a massive

geological wall, that is. As UNESCO puts it, “the park provides a rare example of the process of continental drift, where deep ocean crust and the rocks of the earth's mantle lie exposed.” Add some glaciation, and the result is otherworldly scenery: coastal lowland, alpine plateau, fjords, deep valleys, steep cliffs, towering waterfalls and untouched lakes. The story

18

Just For Canadian dentists May/June 2013

Lord of the Rings wouldn’t be out of place here.

And, fittingly, despite the sun beaming bright and hot, guide Chris Oravec warns that snow could make an appearance—after all, it’s as if we’re in anything-can-happen Middle Earth, if not the ends of the earth. But happily, she adds, “It’s Writers. The week of Writers always has sun.”

+ photography by Barb Sligl

May/June 2013 Just For Canadian dentists

19

travel at home

travel at home It’s why a good chunk of us are here, for the Writers at Woody Point festival (although just as many far-flung visitors have come simply to visit this unique place).

The fest is a weekend-long extravaganza that brings internationally renowned writers, musicians and literary fans to this remote, wind-swept, literally earth-shattered corner of the globe.

Guide Oravec uses phrases like “colliding continents” and “ripping apart” to describe what happened here some 485,000,000 years ago. It’s like Mother Earth gave birth

to Gros Morne Mountain, a bald-headed monster of mantle that has no business being this far above sea level.

We’re looking at the oldest rock on earth (think 4.5 billion years), igneous rock from far, far below that was effectively “bulldozed” atop the earth’s crust when the tectonic plates collided half a billion years back. That “squishy, taffy-like” rock, as Oravec describes it, is now the flat-topped Tablelands.

There’s a hush. A collective sense of awe overcomes the group. The past,

Bikram Choudhury (the man and the master behind hot yoga)

is finally coming back to Vancouver.

Don’t miss the opportunity to hear him share his inspirational and controversial journey and practice with him as your teacher.

Lecture - June 21st @ 7:00 p.m.

Vancouver Playhouse 600 Hamilton Street, Vancouver, BC

Master Class - June 22nd @ 10:00 a.m.

Sheraton Wall Centre (Grand Ballroom) 1088 Burrard Street, Vancouver, BC Ticket price: Lecture $69 Master Class $109 (plus applicable tax) Age restricted to 18+

Tickets available at ticketweb.ca or any Bikram Yoga Vancouver studios.

CAMBIE Unit 22 - 555 W. 12th AVENUE CITY SQUARE MALL 604 568 0688 KITSILANO 2681 W. Broadway 604 742 3830 WEST END 101 - 1650 ALBERNI STREET 604 662 7722

bikramyogavancouver.com 20

Just For Canadian dentists May/June 2013

unadorned, unchanged, is right here, right now. And, it seems, we’re all standing upon an ancient seabed. Ocean floor is mountaintop and two landmasses that should be separated by thousands of kilometres of water—tabletop-like Gros Morne Mountain and Big Level—are both part of what’s now Newfoundland, and only 12 km apart.

There’s no other view like it on the planet.

It’s mind bending.

Welcome to Newfoundland, also fittingly known as The Rock. Just down the road is the tiny town and base of the writers’ fest, Woody Point, where more mind bending is in store. Oravec leaves us with this send-off: “Enjoy our park. Enjoy the silence. Enjoy the sunny weather the writers have brought.”

In Woody Point, the festival kicks off with a tribute to one of Newfoundland’s most beloved and iconic writers, Al Pittman.

His daughter Emily’s words are a primer for the next few days here: “This passion for Newfoundland was born in places like Woody Point.”

The cup runneth over with passion in this fishing village turned literary outpost on the shores of Bonne Bay. It’s the type of fest where you’ll exchange beer-tasting notes with local Clyde Rose, Pittman’s one-time publisher, and guest writer Michael Ondaatje, and get offered an impromptu boat tour of the bay. Characters here are almost comically friendly—in a very good way.

One local musician-cum-captain has travelled the world on tour but chose to return here, working the ferry from Woody Point to Norris Point with a twinkle in his eye and ready smile. It’s like the line about Blackhat George in a Pittman poem, “…he’s come home to learn to walk again.”

Woody Point seems to have become a rather high-profile beacon for the creativeminds set. Award-winning journalist Stephen Brunt founded the fest after coming to the area on a writing assignment. He “fell head over heels in love with the place,” and his family bought a home the next year.

And, after a local group got together to help restore the Woody Point Heritage Theatre, the idea of staging a literary festival here was formed. “I hardly knew what a literary festival looked like, and ours evolved into something different than most,” says Brunt.

Now in its tenth year, the fest draws literati and legends like Ondaatje and Pulitzer Prize-winning Richard Ford (this year’s big names are Man Booker Prizewinner Anne Enright from Ireland and Giller Prize-winner Will Ferguson) and is hosted

by CBC Radio’s Shelagh Rogers. Singers and songwriters add musical mojo to the mix, from The Sharecroppers (also known as Newfoundland’s West Coast Ambassadors)

A couple lays down in a meadow to listen to music during Writers in the Wild.

Steve Galliot, local shop owner and long-time festival-goer in Woody Point.

Mike McDonald, musician/captain of the ferry that crosses Bonne Bay. The cliffs of Western Brook Pond… so high their tops are in cloud cover.

Fishing shack with whale bone décor.

Rainbow sighting on the ferry crossing from Norris Point to Woody Point.

Michael Ondaatje reads at the Merchant Warehouse on Water Street during last year’s Writers at Woody Point festival.

Stunning rock formations seem to be found around every corner in Newfoundland, like these cliffs across from Norris Point.

An outdoor reading by Michael Crummey during the Writers in the Wild event.

May/June 2013 Just For Canadian dentists

21

+

travel at home

The fjord and cliffs of Western Brook Pond. to Alan Doyle of Great Big Sea (who proves that no one performs music like a Newfoundlander).

One local band, All the Wiles, even redefines a walk through the woods. During the Writers in the Wild event, a snaking line of festival-goers on the dappled Lomond River Trail emerges from the forest into a sun-soaked meadow to listen to the band’s poignant folk/roots stylings. One couple finds an inviting patch in the long grass away from the crowd and lays down to listen as if enchanted.

if you go

writers at woody point This unique festival, where readers, writers, musicians and locals mingle like old friends, takes place this year from August 14 to 18. writersatwoodypoint.com For more info go to Newfoundland and Labrador Tourism: newfoundlandlabrador.com

Other stops along the way: a fantastical puppet show in another meadow, storytelling around the sun-bleached bones of a moose, and a heart-tugging reading by author Michael Crummey by the river banks.

The whole surreal experience begins prophetically with guide Fred Sheppard saying, “Who knows what magic and wonder and beauty will happen on the trail.”

That’s the resounding feeling here—every walk, every step, could change your life.

Hiking, singing, dancing, laughing, weeping…all in one day, one place. “We put the

victoria / napa / mainz / houston / cabo san lucas … | c a l e n d a r fun in profundity,” says Brunt, and it may just end up as a quote on a future poster for the fest—that and Ondaatje’s comment that it’s the best writing festival he’s ever attended, anywhere.

Perhaps it’s something in the water… or that rock. The Rock. After all the revelry, across the water to the north side of Bonne Bay, the road winds away from the imposing Tablelands, past Big Level, to another jaw-dropping chunk of rock that seems to jut straight out of Western Brook Pond (yes, in Newfoundland, far-reaching fjords are humbly called ponds). The cliffs are taller than the CN Tower and the waterfalls plummeting off them are some of the highest on the east coast.

Here, again, Mother Nature reminds us of her power and own brand of poetry.

That the Writers at Woody Point takes place in a tiny town between such geological wonders is only fitting. As the guide at the Tablelands put it a few days ago on what was once another continent, “The real lesson of this place is how tenacious life is.

Life really, really wants to hang on.” Perhaps that’s why here, in enchanted and otherworldly Newfoundland, the cup runneth over with such passion.

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Just For Canadian dentists May/June 2013

R B. Sligl; top left photo: courtesy of Magnolia hotel

July 28, 2013 Dentists as Physicians of Oral Health 14 AGD PACE Credits

echarge in Victoria. It may be one of Canada’s stateliest cities, and BC’s capital, but it’s also one of the most zen… Behind a traditional facade, there’s a cool new-school vibe. Get zen! fly If you’re coming from Vancouver, take the shortest—and most scenic­—route…by plane. Take off from Vancouver’s downtown harbour, fly over the Lions Gate Bridge and the Gulf Islands right into Victoria’s downtown harbour. It’s the easiest and prettiest commute ever. harbourair.com stay Off the float plane, it’s an easy walk to the Magnolia Hotel. You’ll see the iconic Fairmont Empress seaside, but tucked just behind it is this boutique gem 1 . The concierge will even meet you and guide you there (and deliver your luggage). In the lobby, refresh with watermelon-flavoured water (always on hand) before unloading and getting back out on to Victoria’s harbour. Suppress the desire to hole up in the just-renovated luxury of a sea-view suite (come morning, if you’re lucky, you’ll see the moon setting in a pinky sky 2 ) and get back outside… magnoliahotel.com

do Get out for a jog through Beacon Hill Park (and meet a regal peacock or two 3 ) and along a spectacular seaside trail 4 . Rent a kayak or take a tour with Ocean River Adventures. You’ll paddle by seals, sailors, rowing crews and colourful houseboats—and even a take-out window specifically for water traffic. Zen is starting to take hold… 4 oceanriver.com sample Off the water there’s plenty of microbrews in which to partake in a post-paddle pint.

Victoria even has a microbrew trail. Try the Phillips Blue Buck or Ginger beer (apropos with the west-coast mainstay, sushi). phillipsbeer.com The beer may be fortifying, but for healthier fare, head to Rebar restaurant for a matcha smoothie and hip boho dish like the popular almond burger. Rebar even describes itself thus: “fusing hippy-chic neo-noir retro-fitted coolness.” Indeed, it’s a tasty mouthful here. rebarmodernfood.com spa After a paddle and a pint, it’s back to the sanctuary of the Magnolia Hotel, where the spa awaits.

The Magnolia Spa boasts the Intelligent Nutrients skincare line (intelligentnutrients.com), created by Horst

Rechelbacher, the man who created Aveda. Everything is USDA organic. In fact, you could eat it and feel great—in many ways (after-tax profits go to enviro groups). Only available in Canada since last year, this is the place to try it. Choose from four spa treatments that use the yummy stuff. spamagnolia.com sip To maintain the serenity, there’s tea at Silk Road. Here, you can do a tea tasting or “cupping” in a zen-like environment complete with minimalist white vessels (all the better to highlight tea’s qualities). Tea master, Daniela Cubelic, explains how high-quality tea is similar to wine, requiring the same see, swirl, sniff, slurp and sip steps to fully appreciate. Terms like “vegetal,” “barn” and “floral” are bandied about. Here, the “whisky of tea” is Pu-erh or, as it was referred to in ancient China, “one of the elixirs of immortality.” Our advice? Take some home with you—stat. Or the Ruby Pagoda, which is like an “inner facial.” silkroadteastore.com Now, consider yourself recharged. —B. Sligl For more info on Victoria, go to tourismvictoria.com; and Vancouver Island in general, vancouverisland.travel.

May/June 2013 Just For Canadian dentists

23

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May/June 2013 Just For Canadian dentists

Occlusion

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Ongoing

Podcast and Online Based

Understanding And Assessing Risk In The Treatment Of Periodontal Disease

DentalEdu

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dentaledu.tv

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May 27-31

Vancouver British Columbia

Dental Office Managers 4 Day Intensive Workshop: Learn How To Make Your Dental Office More Productive & Efficient And Cause You And Your Staff Less Stress

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May 28

Victoria British Columbia

Year End BBQ And New Executive Welcome

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Jun 07-08

Columbus Ohio

The Office Manager Study Club

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Sep 17-20

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Dental Office Managers 4 Day Intensive Workshop: Learn How To Make Your Dental Office More Productive & Efficient And Cause You And Your Staff Less Stress

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Jun 02-05

San Francisco California

Plastic Esthetic Periodontal And Implant Surgery: A Microsurgical Approach

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Jun 12Jul 04

London England Cruise

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Nov 14-16

Las Vegas Nevada

2013 Fall Conference - Contemporary Concepts in Periradicular Surgery: Diagnosis And Treatment

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Jun 07

New York New York

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Aug 30-31

Cartagena Colombia

2 Day Cartagena Implantology Surgical Course

Bicon Dental Implants

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Sep 26-28

Vancouver British Columbia

21st Annual Scientific Meeting

Canadian Academy of Restorative Dentistry & Prosthodontics

Oct 04-06

Vancouver British Columbia

The Complete Advanced Cadaver Grafting Program

I.D.E.A.S.

Oct 13-24

Wine Tour of Israel

Trilogy Of Implants, Bone & Soft Tissue; Orthodontics In A Comprehensive Treatment Plan; And Bone Reconstruction For Dental Implants

Mindware Educational Seminars

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Aug 05

St. Paul Minnesota

Infection Control & OSHA Compliance For Everyday Practice

University of Minnesota

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Aug 23

Plymouth Michigan

Infection Control In Dentistry

University of Detroit Mercy

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Sep 19-28

Italian Dreams Cruise

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Medical Emergencies

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Aug 18-23

Mainz Germany

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Feb 18Mar 05 2014

Spenadel new CE toHenry Continuing Education be placedProgram Usu Executive Skills Training Course – Critical Decision Making For Medical Executives: Keys To Improving Healthcare Delivery

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new American CE toAssociation of Endodontists be placed The Art & Science Of Cambria: A Team Approach Columbia University Using Chemical Treatments & Minimally Invasive Dentistry

College of Dental Medicine

Houston Texas

2-Year Orthodontic Program - Traditional Live Series, Seminar 1

Progressive Orthodontics & Progressive Dentistry

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Aug 10-15

Foster City California

Orthodontic Treatment Based On Occlusal Plane Control

Interdisciplinary Dental Education Academy

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Sep 06-07

Toronto Ontario

Level I Introduction To Orthodontics 1 Of 4 Session Series

Rondeau Seminars

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Oct 04-05

Las Vegas Nevada

Orthodontic Case Finishing Conference

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Oct 25-26

Vancouver British Columbia

Level I Introduction To Orthodontics 1 Of 4 Session Series

Rondeau Seminars

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Treatment Of The Medically Compromised Patient Outpatient Dentistry And Anesthesia

Eastern North Carolina Oral and Maxillofacial Education Society

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Vietnam & Cambodia River Cruise

Dental Healthcare Delivery

Professional Education Society

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Through 2013

Western Canada

FOCUS Dental Education Series: Part I

F.O.C.U.S.

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Jul 28Aug 04

Alaskan Cruise

The Future Of Dentistry In 2013 And Beyond: “Physicians Of the Masticatory System & Oral Health”

Continuing Education, Inc./University at Sea

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Aug 10-15

San Francisco California

Orthodontic Treatment Based On Occlusal Plane Control: A Key For Successful Treatment Of Different Types Of Malocclusion With Or Without Dysfunctional Problems

Interdisciplinary Dental Education Academy

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ideausa.net

Nov 09-10

Toronto Ontario

Dentist’s Role In Snoring And Sleep Apnea

Rondeau Seminars

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Nov 15-16

Tempe Arizona

Ultimate Occlusion - Level 1

Gold Dust Clinical Mastery

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Jan 19-30 2014

India Tour

Gummy Smiles & Lingual Orthodontics; And Esthetic Implant Placement

Mindware Educational Seminars

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December 29, 2013 through January 5, 2014

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Just For Canadian dentists May/June 2013

May/June 2013 Just For Canadian dentists

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Jun 14-15

Oklahoma City Oklahoma

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Root Coverage Technique

Tulsa Periodontal Institute

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Victoria British Columbia

58th Annual CAP Meeting

Canadian Academy Of Periodontology

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cap-acp.ca

Aug 09-16

Alaskan Cruise

Shedding Light On The Future Of Periodontics

Kennedy Seminars

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Sep 26-28

Vancouver British Columbia

2013 Annual Scientific Meeting

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Register at

Ongoing

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Florida Board Of Pharmacy Misfills Course

Nova Southeastern University

800-356-0026

nova.edu

Ongoing

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Advances in Xylitol

DentalEdu.Tv

239-593-2178

dentaledu.tv

May 10

Seattle Washington

CE1223: Medicine And Pharmacology Review For Dentistry

University of Washington

206-543-5448

uwcde.com

Various Dates

Various Locations

Inspire Extraordinary Team Energy And Overcome Common Behaviours That Sabotage Your Schedule

International Dental Institute

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Aug 04-11

Mediterranean Cruise

Dentistry In 2013: Dental Law, Sleep Apnea Management, Dental Practice Strategies

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Danube Cruise

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Venice & the PO River Cruise

Blending And Merging Technologies With Traditional Concepts

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Montreal Quebec

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Cabo San Lucas Mexico

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Transition Planning in Dentistry

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Chapel Hill N. Carolina

Educational Theory and Strategies for Dental Radiology Educators

University of North Carolina

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Aug 11

Minneapolis Minnesota

Protocols In Panoramic Radiographic Interpretation

University of Minnesota

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Jun 19-23

Boston Massachusetts

ADHA Centre For Lifelong Learning

American Dental Hygienists’ Association

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adha.org

Oct 03-04

Columbus Ohio

Front Office Academy

Paragon Management Associates Inc

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new CE to How To Prepare Your Practice For Sale & Prepare Yourself For Retirement be placed

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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

TURNING VISION INTO VALUE ACCOUNTING, TAXATION & BUSINESS SOLUTIONS For Dentists, Doctors and Healthcare Professionals

4Buying & Selling Dental Practices 4Setting Up Professional Corporations 4Corporate Tax Returns & Personal Tax Returns 4Tax Strategies For Dentists 4Assistance With CRA Audits 4Business Plans & Bank Financing 4Financial Statements Guru is a Chartered Accountant from the Canadian Institute of Chartered Accountants and a Certified Public Accountant from the State of Illinois, USA. He is also a Certified Management Accountant & Certified Financial Manager from the Institute of Management Accountants, USA.

G.E. Pujari

Chartered Accountant

Guru has Healthcare Professionals in his family, who also own Dental Offices in Canada. He is conversant with tax strategies and financial planning for Healthcare Professionals and Dentists having their own practice or working as an Associate.

Dentists need an Advisor who understands their business.

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

to insure or not to insure Should you avoid universal life?

T

here are two types of life insurance policies: term insurance and permanent insurance. Term insurance gives you the most amount of coverage for the least amount of premiums. However, most term insurance expires at age 75 or 80.

Permanent insurance, on the other hand, is designed to be in force when you die and will usually pay out the death benefit and accumulated cash value. Permanent insurance mainly consists of universal life, whole life or term to 100.

1. Universal Life. In simple terms, the premiums paid under a universal life policy fund three items: term insurance, investments and administrative expenses. The desirable feature of a universal life policy is its flexibility. A UL policy can be tailored to

suit your needs. You can decrease or increase premiums to match your cash flow or even skip a payment, which assumes that you have enough investment reserve built up inside the policy to fund the premiums. The UL policy is a long-term proposition. The cash surrender charges can be prohibitive, virtually eliminating any accumulated cash value over the initial life of the policy.

2. Whole Life. The death benefit and premiums on a whole life policy are established at the beginning and remain in force until you die. Depending on the investment performance of the particular insurance company, you will be credited with the dividends earned on your premium dollars.

The insurance company assumes all the investment risk, unlike a universal life policy

in which you assume the risk.

3. Term to 100. If you are looking for “no-frills” insurance with the lowest premium, the “Term to 100” is the answer.

Both death benefits and premiums are set when the policy is first taken out and cannot be changed or cancelled by the insurance company. Generally, these policies do not have any cash value. The challenge is to keep up the payments over a great many years. If the payments stop, so will the coverage.

It is amazing how many dentists have purchased universal life (UL) and whole life policies only to regret it later on.

Dentists have bought into the UL concept for what it is not: an investment and tax shelter. UL is foremost a life insurance >>

The right advisor can mean the difference between success and failure in your practice. We believe in being a partner in your growth. Please contact us for an initial consultation.

TRUST A PROFESSIONAL TO DO IT RIGHT!

Gurunath E. Pujari

CA, CPA, CMA, CFM, LLB (G)

G.E. PUJARI CHARTERED ACCOUNTANT 165 Dundas Street West, Suite 902 Mississauga, ON L5B 2N6

www.gepujari.com

Off: (905) 232-9393 / (647) 800-4345 Cell: (416) 876-7489 Fax: (905) 232-9456 e-mail: guru@gepujari.com

May/June 2013 Just For Canadian dentists

31

is there to provide cash to cover a financial loss. Insurance is not an investment per se.

This may seem obvious, but many purchase a UL policy to gain access to its tax-sheltered investment aspects without having any need for the death benefit. If you have no real need for life insurance coverage, paying premiums into a UL policy is a waste of your precious cash flow as a large chunk of the premiums are used to fund the mortality charges.

When making the decision to purchase a UL or whole life policy, the first question you should ask yourself is, “Do I have a need for a guaranteed life insurance payout on my death”? For the vast majority of dentists the answer is NO. There are situations where such a policy is the perfect solution. For instance, if you wish to provide for a disabled child after your death, or if you need cash for your estate to pay capital gains taxes to avoid liquidating your investments.

The UL policy is mainly sold to dentists as a vehicle to provide tax-free retirement income. The concept is simple: a participating bank arranges for a loan based on the

cash value of the policy. The security for the loan is the policy. On your death, the bank deducts the loan amount and accumulated interest from the tax-free insurance proceeds, including cash value. It looks great on paper, but in many cases the projected cash value of the UL policy falls short of the actual cash in the policy, making this tax-free leveraged loan strategy not feasible.

On the topic of tax-sheltered insurance policies, the March 21, 2013 Federal Budget has reined in the use of leveraged insurance contracts, including the 10/8 strategy. This is an arrangement where you pay premiums into a policy with accumulating cash value.

The bank takes the policy as collateral for a loan at a 10% interest. The bank guarantees an investment return of 8%. The benefit here is that the 8% investment income is not taxable, while you can deduct for tax purposes the interest expense of 10%, resulting in an after-tax cost of only 5.5%.

No matter how much you dress up universal life as a retirement nest egg, the UL is a poor investment unless you have the absolute need for life insurance and a guaranteed payout on death.

sudoku 2 harder solution 5 8 6 4 3 9 7 1 2 9 2 3 1 7 6 5 8 4 7 4 1 8 2 5 3 6 9 4 3 8 2 5 7 6 9 1 1 9 7 6 8 3 4 2 5 6 5 2 9 4 1 8 3 7 2 6 4 7 1 8 9 5 3 3 1 9 5 6 4 2 7 8 8 7 5 3 9 2 1 4 6

Puzzle by websudoku.com

solution from page 45

>> product, and like any other insurance,

solution from March/April 2013 contest

t h e w e a lt h y d e n t i s t [ c o n t i n u e d ]

WEB PRINT BRANDING MARKETING HOW’S YOUR INTERNET PRESENCE? When we design your WEBSITE, we aim to give your practice the best possible representation on the web, ensuring that your mission and values are reflected online.

www.iQuestMedia.net

Our Websites are functional, user-friendly and search engine friendly. Let us build your website and enjoy...

sudoku 1 easier solution 1 9 8 4 5 3 6 7 2 5 3 2 7 6 9 8 1 4 7 4 6 1 8 2 3 5 9 8 2 5 3 4 6 1 9 7 9 1 3 2 7 8 5 4 6 4 6 7 5 9 1 2 3 8 6 5 4 8 3 7 9 2 1 2 7 9 6 1 5 4 8 3 3 8 1 9 2 4 7 6 5

QUALITY, FUNCTIONALITY & AFFORDABILITY.

Web Design & Development Services:

Web Presence Strategy Custom Website Design Web Hosting Custom Programming E-Commerce Mobile Websites Corporate Portals Social Media

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Email us at info@iquestmedia.net or Call us Toll Free 1-888-502-2526

DO PEOPLE IN THE NEIGHBOURHOOD KNOW ABOUT YOU? NO MATTER HOW GOOD YOU ARE, THERE ARE MANY PEOPLE IN YOUR AREA THAT DON’T KNOW ABOUT YOU! This is where direct mail comes in. DIRECT MAIL is one of the most powerful marketing methods. We will design, print and mail your marketing material. We specialize in direct mail campaigns that provide an ongoing consistent message to your target audience, delivered by Canada Post.

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PRICES INCLUDE DESIGN, PRINTING AND DELIVERY BY CANADA POST

Email: info@iquestmedia.net

WEB

Website Design Custom Programming E-Commerce Mobile Websites Corporate Portals Social Media

32

Just For Canadian dentists May/June 2013

PRINT

Creative Services Flyers & Brochures Print Ads Greeting Cards Postcards

Call Toll Free: 1-888-502-2526

BRANDING

Full Company Branding Image Consultation Logo Design Business Card Design Stationery Design

MARKETING

Online Marketing SEO Services Direct Mail Promo Products

S&

IS

A

SA

LE

LS

travel the world

APPRA

q

LOOKING TO KNOW THE FAIR MARKET VALUE OF YOUR PRACTICE?

q

READY TO SELL YOUR PRACTICE FAST FOR TOP DOLLAR?

An accurate valuation of your practice is an indispensable tool that will help you make the best decisions regarding your practice and career. Meridian Sales & Appraisals not only provides exceptionally accurate valuations, but also provides invaluable advice, often increasing a practice's worth prior to a sale. Sometimes, even slight adjustments in the day-to-day operations of a practice or simple cosmetic upgrades will dramatically increase your practice's value.

Even if you're not contemplating selling your practice in the near future, having a current valuation on hand proves very useful should any unforeseen events happen. If you are thinking of selling your practice and cashing in on your life's work, it is advisable to have a valuation done three to five years before you actually plan to sell. After going through the process of a full evaluation, we can often suggest simple steps to make a practice more valuable prior to a sale.

Practice Valuations - Practice Sales Alan Rustom Broker

alan@practice4sale.ca

Toll Free 1-855-310-SOLD

(7653)

CURRENT OPPORTUNITIES TORONTO - ORTHODONTIC OFFICE Well established.

Nicely set-up with high end finishes. Doctor working 2-3 days a week. Ideal for a full time Orthodontist. Current Production $1.1M with potential growth to $2M. Email Alan for details.

TORONTO – Leaside Area Very nicely designed practice consisting of 2 fully equipped and 2 plumbed operatories. Livework set-up with a gorgeous 2 floor home above the practice. Price includes practice and property. Same owner for 13 years. Seller retiring and will transition for a short time. Excellent location and high exposure with lots of growth potential. Co-listed with Hill Kindy Group. $1.795 Million.

ETOBICOKE Recently renovated. 3 fully equipped operatories. Pan X-ray. Annual production around $650K. Very low overhead and highly profitable. SOLD Conditional 30 MINUTES NORTH OF TORONTO Very nice office with high end finishes. 3 fully equipped ops and 3 plumbed. Very busy plaza. Excellent exposure. Ceph/pan. All digital. $300K annual billing with working 2 days only. Email Alan for details.

SCARBOROUGH, ON 2 operatories. Digital pan. All digital x-rays. Annual billings of $500K. Ideal for an owner/operator. Fully computerized. Email Alan for details.

AJAX, ON Well established office with 2 operatories. Fully computerized. Located in busy plaza and surrounded by high density residential buildings. $400K Annual billings.

Athens of the North

aka

festival

city

KEELE & LAWRENCE 4 operatories. This is an office setup only with approximately 150 patients. Great potential. Priced to sell. Asking $79,000. Good rent. Long term lease. Owner moving to a practice up north. Contact Alan for details.

NORTH YORK Set-up office only. No charts. Very modern and nicely setup office on second floor of a small medical building. 3 fully equipped ops and 1 plumbed. Pan X-ray. Ideal for GP or specialist. Seller has other interests. Asking $189,000.

SCARBOROUGH, ON 3 operatories. Analog pan. All digitial x-rays. Recently renovated office. Annual billings over $700K. Computerized. Busy medical building. Short hours.

WEST CENTRAL TORONTO Two fully equipped operatories. Annual production around $425K. Property is also for sale. Excellent opportunity next to TTC station.

TORONTO - Rosedale Well established under the same owner for over 22 years. Annual production of $425K. Fully computerized. Amazing area with high end neighborhoods.

SOLD

For up-to-date listings, please visit www.Practice4Sale.ca

Join the party in

Edinburgh,

Scotland’s (and the world’s!) >>

Festival City story by A. F. Shearer

May/June 2013 Just For Canadian dentists

35

T

travel the world

he autobiography of Douglas Adams, author of A Hitchhiker’s Guide to the Galaxy, starts with the sentence: “Anyone who hasn’t been to Santa Fe is an idiot.” Harsh perhaps, though true, and if you substitute Edinburgh for Santa Fe it would be truer still (as, Adams, a performer himself here at the legendary Fringe in 1976, would likely agree). For decades travellers to Britain missed a European gem by never making it north of York…but people are smarter now.

Edinburgh is known as “The Athens of the North,” a name conjured during the Scottish Enlightenment in the mid 1700s because of its classical buildings and the fact that it was a “hotbed of genius” like ancient Athens. A population of 500,000 makes it a compact and walkable city. The “New Town” was built in the late 1700s to provide escape from the foul-smelling and overflowing medieval “Old Town,” and consists of large squares and sweeping terraces of magnificent Georgian architecture—the biggest Georgian city outside of Bath, England.

Both the Old Town and New Town were designated UNESCO

The Royal Edinburgh Miltary Tattoo takes place on the Castle esplanade this August 2 – 24. Find out more about this fest at edintattoo.co.uk.

36

Just For Canadian dentists May/June 2013

World Heritage Sites in 1995, and Edinburgh is consistently viewed as one of the world’s most beautiful and liveable cities—“a wee cracker,” as they say in Scotland. It is dominated by the Castle—a stunning structure that’s best seen across the gardens from the open-sided Princes Street. Standing atop this ancient volcanic peak since at least the 12th century, it has evolved over the centuries yet remains a military centre to this day. The spectacle of the famous Royal Edinburgh Military Tattoo is held on the Castle esplanade every summer (this year’s spectacle is from August 2 – 24, and is expected to attract some 220,000 people).

Start from the top with a Castle tour and walk down the Royal Mile, the medieval main street running from the Castle to Holyrood Palace. Take a small detour to your right at Bank Street, and right again down the curved Victoria Street to the Grassmarket, site of the old gallows with the appropriately named pub “The Last Drop” nearby. Back on the Royal Mile visit St. Giles Cathedral with its lovely stained glass and explore the “wynds” (narrow alleys) and stairwells.

Avoid the tatty tartan tourist traps and meander down to the Palace that’s still used on state occasions by the Royal Family.

Dominating the skyline is Arthur’s Seat, another craggy reminder of the region’s volcanic past and an easy walk to outstanding city views. On the grassy slopes below, the first game of golf was played

Performers on the Castle Esplanade during the Edinburgh Military Tattoo. photo: P. Tomkins/Visit Scotland previous page View up to Edinburgh Castle from Princes Street gardens. photo: Simon Winnall/VisitBritain

travel the world

travel the world

The 2013 Edinburgh International Festival takes place August 9 to September 1.

For more info: eif.co.uk

At this year’s fest: a musical performance

by Patti Smith and Philip Glass (photo: Stephanie Berger); the opera Dido and Aeneas (photo: Monika Rittershaus), and the dance performance Don Quichotte du Trocadéro (photo: Patrick Berger).

00601

MAY 13

TOP RIGHT HAND PAGE

in the 15th century…and we’ve been paying the price ever since. To Scotland’s discredit (or credit, depending on opinion), it’s responsible for three of the most toxic inventions known to man: whisky, golf and the deep-fried Mars bar.

And, to its great credit, Scotland’s capital is known as the world’s Festival City. So, yes, be sure to visit this city (heeding Adams’ words) and, better yet, do so during the biggest event in the city calendar: the annual Edinburgh Festival that takes place every August.

Founded in 1947, it’s considered one of the most important cultural celebrations in the world (including opera, dance, music, visual art, theatre) with the legendary Fringe growing up alongside and now almost engulfing it.

The beauty of the Fringe is that it is open access—anyone can put on a show. This leads to an eclectic mix of varying quality, embracing the weird to the wonderful and all points in between.

There are tens of thousands of performances in some 400 venues, and every school gym, church hall and meeting room is booked well in advance to accommodate acts like a Dallas Methodist high school performing the musical Hair (somewhat underwhelming) or the Canadian Lumberjack show (fabulous comedy). World-famous maestros perform next door to drama, revues, comedy, visual arts, lectures, children’s shows, cabaret, street performers, dance and music of all kinds, and the city buzzes with electric excitement. This year’s lineup includes acts that range from rock icon Patti Smith to “a mesmerising deconstruction of Franz Kafka’s seminal novella,” Metamorphosis. Shows can cost as little as $10 or $20 and festival veterans compete to see as many as they can in a day.

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Just For Canadian dentists May/June 2013

Rasmussen/VisitBritain.

below Fireworks over Edinburgh Castle. photo : P. Tomkins/Visit Scotland

below middle Street music at the Edinburgh International Festival. photo : Grant Pritchard/VisitBritain

Countryside outside Edinburgh. photo : P. Tomkins/Visit Scotland

Practice Sales and Valuation Specialists

Saskatchewan Oral Health Professionals Annual Conference — Regina, SK – September 19-21, 2013 Northwest Dental Exposition — Edmonton, AB – September 27, 2013

38

Doorman at the Balmoral Hotel in Edinburgh. photo: Ingrid

Edinburgh from Calton Hill. photo: P. Tomkins/ VisitScotland above right Traditional Scottish garb: kilt and whisky in hand. photo: P. Tomkins/ VisitScotland right Street performer at the Edinburgh International Festival. photo: Grant Pritchard/VisitBritain bottom right Haggis

at the deli counter of Harvey Nichols in Edinburgh. photo: Natalie Pecht/VisitBritain

Come experience Canada’s Arctic in the Kivalliq and Kitikmeot regions of Nunavut. New graduates are welcome.

Immediate openings for General Practitioners, Orthodontists, Oral & Maxillofacial Surgeons and Pediatric Dentists.

All expenses paid. DA provided or bring your own at our expense.

When in Scotland… be sure to sample a wee dram (or more)

Orthodontist community visits are three to five days per trip - nine trips per year.

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Full-time or part-time GP opportunities minimum of three to four weeks per rotation. You decide how much time to take off between rotations. Extended clinic hours six to seven days per week.

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*

Use this space to deliver your message to 15,500 dentists across Canada.

Just For Canadian dentists May/June 2013

practice management

If that weren’t enough, other festivals have hitched a ride on the juggernaut. In June there’s the International Film Festival and the Jazz and Blues Festival in July. And while the main festival in August is going on there, there’s also that must-see Military Tattoo and The International Book festival.

Even walking Edinburgh’s streets is a literary journey itself; a little-known fact is that the city is home to the richest piece of literary real estate in the world known as “Writer’s Block,” where J.K. Rowling, Ian Rankin and Alexander McCall Smith all live as neighbours, with Kate Atkinson also in residence nearby.

After a wee dram, I close the way I started. Anyone who doesn’t visit Edinburgh in particular and Scotland in general is an idiot. Simple fact, no offence intended.

My only caveat is the weather, which is not a strong point of the country. Go in the summer months when there are at least enough sunny days to showcase Scotland’s many attractions (and, with the pound at record lows to the dollar, the time has never been better). A Gaelic toast, slàinte (health!), awaits you.

the “active” patient

if you go Find out more about what Scotland (2013 is being officially promoted as the “Year of Natural Scotland”) has to offer at visitscotland.com. Or check out Visit Britain: visitbritain.com.

Canadian Owned & Operated since 1981

Our best sellers:

Active patients + practice evaluation affect due diligence

T

celtic cuisine Gone are the days when the odour of boiled cabbage and carrot permeated the corridors of Scottish hotels.

I’ve travelled extensively and four of the top 10 meals I have ever had were in Scotland (though admittedly my frequent visits may skew the statistics). Today’s local culinary scene is vibrant. Fresh produce, grass-fed beef and lamb and wonderful seafood are the ingredients for a new breed of young imaginative chefs such as Mark Greenaway. Edinburgh has six Michelin-starred restaurants (the highest in the U.K. outside of London), and Scotland as a whole has 16. In Edinburgh, sample the fare at the Michelin-starred Restaurant Martin Wishart and The Kitchin, both in now-trendy Leith.

For high-end vegetarian, there’s David Bann on St. Mary’s Street, or for a quick meal, Hendersons on Hanover street, a city fixture for years with self service or takeaways. And try the haggis—love it or hate it—even a deep-fried mini one from the ubiquitous fish-andchip shops.

“Everyone’s First Choice for Rewards”

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.

When in Scotland, visit a distillery.

Just follow the sign-posted Whisky Trail. Not all are architectural gems but some are quaint, with Edradour being the smallest and cutest. As for whisky itself there are two major categories—single malt and blended (and good blends are by no means necessarily inferior).

Single malts are roughly split between Highland and Island. If complex peaty, smoky, seaweed-infused flavour is to your taste then try one from the island of Islay or a Talisker from Skye (my favourite). The better known but middle-of-the-road Glenfiddich, Glen Morangie and Glen Livet are all Highland, as is the upmarket Macallan. Visit the Scotch Whisky Heritage Centre near the Castle, and you’ll learn more than you ever wanted to know about the subject.

©VisitBritain / Britain on View

emp lo yme n t

o p p o r t u n i t i es

travel the world

he issue of determining active patient charts remains a contentious one in the dental industry. Even with the aid of the various experts and industry advisors, it remains a nuisance to the sale and conveyance of professional practices—and often muddies sales’ waters.

The experts need to debate, discuss and collaborate on this issue—one that has great impact on the due diligence process.

Even with all the dental publications and social media outlets that now reach dentists, it doesn’t hurt to restate the message.

So, as one such expert, I weigh in here: Chart count does not equate to goodwill value—it only points to the busyness of the present owner and to his/her chosen style of patient management.

For example, a patient who appoints once a year for a regular cleaning may not be considered active if a buyer only uses the last 12 months as the definition of an active patient.

Should a conservative vendor’s practice be downgraded for using a 12-month standard?

Just this one factor alone shows how some buyers are using a misleading methodology to examine charts. And it doesn’t even matter how this measurement originated because it’s patently flawed.

In addition, standard deviations—the weighting of types of patients as insured versus un-insured or by ethnicity and age profile—are not being reliably analyzed to determine chart count. Cultural differences are often bantered about like it’s common acceptance to classify certain patients as frugal or cost-conscious. This is an insult to both clients and their patients.

When my firm surveys buyers to examine post-purchase results (one-year later), most buyers report a higher gross income in their first year than in the last year of the previous owner. Almost 40 years of surveys prove that an increase of 5–15% is common.

Why is this?

Buyers report the discovery of ample untreated, elective cases that the previous owner chose not to treat or refer out to specialists. This may be due to the previous

owner’s age, his/her late-career motivation or general fatigue leading to a simple lack of desire for busy day-sheets.

Others may simply lack the skill or technology to perform the treatments.

Knowing this, why are buyers fixated on the chart count and not the 10-year vision that most owners use to succeed?

Every owner-dentist relates that he/ she retrieves what are considered in-active patient files with regularity as people move back into old neighbourhoods, regain employment and insurance coverage or simply realize that they need to see their dentist/hygienist again after an absence of mind or resources.

Some industry advisors resist the above points. I advise clients to accept offers from mature, well-informed and ambitious buyers. I have even considered asking some buyers to do their own due diligence (with the incurred time and money cost) before an offer, to compare with my separate findings—even if this means another offer is accepted and the potential purchase is lost.

I know that both buyers and sellers get frustrated and complain about costs (legal etc.) when a transaction does not come to speedy fruition. To avoid this, the answer is simple: a reliable industry standard of dental practice valuation.

Empirical appraisal (my firm’s methodology stems from over 7,500 practices appraised since 1974) places little, if any value on chart count. Far more important is a practice’s historical, armslength, open-market sales data—supported by the income approach (cash flow)—to determine fair market value.

Based on all this, the tactic of negotiating sale price after an accepted offer—by using a buyer’s chart count methodology—is found wanting.

Despite having written extensively on this topic before, I’m always open to input.

The dental practice is an ever-changing business model. Practices and methods must adapt.

Let the debate begin! If it leads to an industry-wide and recognized valuation standard, we’ll all benefit.

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May/June 2013 Just For Canadian dentists

41

the thirsty dentist janet gyenes

thirsty [continued]

Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com

mezcal on the rise

(Part 1: tequila)

Make room for tequila’s older and smokier agave counterpart

I

f tequila is one of the most misunderstood spirits, then mezcal is a downright mystery.

But bartenders are getting schooled on the smoky spirit says Eric Lorenz, Canada’s first mezcalier, whose knowledge of all things agave is encyclopedic. (He’s also a tequila enthusiast and educator who holds the Distintivo “T” Diploma from the Consejo Regulador del Tequila).

After completing the first level of mezcalier training from the pros (including the distiller from Scorpion Mezcal), about 20 bartenders working at establishments such as West, Hawksworth and The Shameful Tiki Shack in Vancouver, are a step closer to earn-

AGAVE

ROASTING

mezcal vs. tequila

Piñas are Piñas are typically pit typically steam roasted. roasted.

AGING

1 Pierde Almas Espadín > Slightly smoky

Artisanal mezcal is Tequila may be not aged. unaged or aged in DENOMIoak for a min. of two NATION months. of ORIGIN Mainly Oaxaca Mainly Jalisco

bouquet with hints of aromatic wood and wild flowers. Prolonged duration on the palate with a velvety texture and smooth, fresh tones of quince and anise in the aftertaste. 100% agave espadín; 51% ABV

2

TRADITIONAL GLASSWARE

agave education 42

SOMBRA > Spicy, fruity and high-toned, with notes of citrus and roasted pineapple. 100% agave espadín, 45% ABV

3 fidencio clasico > Delicate wood smoke and

green pepper scents highlight the bouquet; flavor profile features pipe tobacco, road tar, cigarette ash and pine needle; tangy, piquant. 100% agave espadín; 44.7% ABV

Jicara cup, made from Caballito (Spanish the guaje gourd for “pony”), a tall alcohol shot glass (diluted to by volume 45-55% bottle proof with lower(ABV) proof alcohol) 40% (diluted to bottle proof with distilled water)

{learn}

“The biggest difference is that tequila is a bit industrial and mezcal stayed more primitive,” says Lorenz.

Artisanal mezcal-making is unquestionably rustic, and comparisons are often drawn between moonshiners and mezcaliers. Just a few ingredients are required: agave, water, firewood.

And a mule.

Piñas (the heart of the agave plant) are roasted for three to five days in a pit. Then they’re mashed with a mule-drawn stone wheel before open-air fermentation takes place, followed by distillation in wood-fired stills. The method dates back to pre-Columbian times.

There are 30 to 40 agave species that can be made into mezcal, though blue agave, the hallmark of quality tequila, isn’t one of them.

“In most cases it’s a single agave that’s used,” says Lorenz. “Most is 100% espadin [agave].

Tobala is second-most known—it’s almost always wild harvested—and takes 16 years to grow.” Age is another wrinkle in the mystery that shrouds mezcal, where youth reigns.

“Artisanal mezcal is always presented un-

4 Agave de Cortes Silver > Subtle notes of

smoke, and a sweetness comparable to cognac with bright, refreshing hints of citrus and herbs on the nose and palate. 100% estate grown agave espadín, 43% ABV

Hold the mariachis and caballitos. Bring on the tequila and mezcal, paired with tasty bites from local chefs at the Vancouver International Tequila Expo (VITE). May 24, 2013, Hyatt Regency Hotel, Vancouver; tickets from $40. vancouvertequilaexpo.com

Just For Canadian dentists May/June 2013

{sip}

Oaxacan Daisy

food photo: dr. holly fong

Min. 80% agave; most mezcal is 100% Min. 51% blue agave espadin to be called “tequila.” agave. Sipping tequila is 100% blue agave.

ing the “mezcalier” moniker.

Mezcalerias have already been embraced in U.S. cities such as Austin, Seattle and New York (complete with art gallery and burlesque shows), and they’ve migrated to Europe, with eclectic spots open in Paris (think Mexican wrestling masks married with Marais chairs), London, Berlin and beyond.

Considering that Mexico is Canada’s winter playground, mezcal-centric joints have been absent from our cool climes. Until now.

Canada’s first, La Mezcaleria, finally opened in Vancouver’s vibrant Commercial Drive neighbourhood. Mezcal and tequila flights are on offer, giving guests a chance to get an appreciation of agaves’ complexity and diversity.

There’s truth to the old saying “All tequila is mezcal, but not all mezcal is tequila.”

Mezcal has been made in Mexico for roughly 500 years, making it the mother of agave spirits, but politics and propaganda pushed younger upstart tequila to the forefront.

Both boozes are made in Mexico from agave plants and involve roasting, fermenting and distilling.

Part 2:

Rediscover mezcal ’s allure

aged,” says Lorenz. “Flavours will almost always be more herbaceous...smoky, hybrid flavours like roasted pineapple, dried fruits, roasted red pepper, pine needles, cigarette ash, railroad ties...but also anise, especially in wild-harvested agave species from around Oaxaca.”

The smokiness that’s characteristic of mezcal comes from the pit roasting— which permeates the agaves with the essence of fire and earth—not from resting in oak, which is where tequila gets its chocolate, soy and caramel nuances.

The age of the agave pre-harvest is what’s important, Lorenz explains. Some people believe that the longer the plant matures, the more the terroir influences mezcal’s flavour. Arroqueño agave, for example, can mature for upwards of 24 years. In effect, the aging has taken place before the spirit has been bottled.

Mezcal is produced in very small quantities, compared to tequila, and because of its primitive production methods, each batch is a singular expression. The variables are boundless: the batch, the village, elevation, variety and age of agave, whether the mezcal is made from a single species or ensamble, a blend of three species. It all adds to mezcal’s mystique.

To confound matters more, quality mezcal can be aged in oak. It’s not considered artisanal, though, because like tequila, the piñas are steam-roasted.

Lorenz describes the flavour of the extra añejo Agave de Cortés as “...raisins, caramel and just delicious, thick sweet spice.”

On the menu at La Mezcaleria?

A dozen varieties already, including Fidencio Pechuga, a curious concoction, where distilled mezcal is infused with the essence of, yes, a whole chicken breast.

Artisanal or not, expect to see this smoky spirit explode onto the booze scene soon in Canada. The volume of mezcal imported for sippers to savour has expanded exponentially in the past few years, with artisanal brands such as Fidencio, Pierde Almas, and El Jolgorio entering the market. And like mezcal’s more youthful counterpart, tequila, it’s best when sipped neat or matched with ingredients that complement—not mask—its assertive essence.”

1.5 oz Sombra mezcal + 1 oz Cointreau (or Giffard Triple Sec) + 3/4 oz freshly squeezed Meyer lemon juice Shake ingredients together with ice. Serve in a coupe glass; garnish with Meyer lemon peel.

the hungry dentist Dr. Holly Fong is a practising speech-language pathologist with three young children who’s always trying, adapting and creating dishes.

fresh catch Serve up a snappy taste of spring

W

hen spring rolls around, the world around me seems to be awash in colour lifting the grey shroud of winter. I love the yellows, shades of light green, blues, reds and pinks. To celebrate the season, I find myself making more fish and serving it simply with a salsa. When I was a child, my family had easy access to a variety of fish and I loved the crispy skin of pan-fried fish. Nowadays, it’s much harder to find fish filets with the skin unless you buy a whole fish and ask the fishmonger to scale and filet it. It’s well worth the effort as the skin has most of the fatty omega acids and adds a welcome crunch to the soft moist flesh.

As mangos are in season, it makes a colourful salsa when combined with avocado. Adding some prawns, lime, chili and cilantro brings to mind a refreshing ceviche without the raw seafood. This salsa works well with any fish. If you are using an oily fish, simply add more lime juice. But with a mild or medium fish such as snapper, the juice of 1 lime is sufficient.

When choosing a wine with this dish, first consider the type of fish and then the spicy

Pair a light fish like snapper with a new-world Sauvignon Blanc or dry Riesling.

For denser, meatier fish, go with a Gewürztraminer.

sweetness of the salsa. If it is an oily or meaty fish such as salmon or halibut, a Gewürztraminer would work well. But for a lighter fish such as snapper, a new world Sauvignon Blanc or dry Riesling would be delicious. A recent find was the Pewsey Vale Eden Valley Riesling 2012.

This wine had fruity peach, green apple notes with a slight spicy tangerine and lime taste.

The brilliant refreshing acidity worked well with the spicy chili and the long finish left a mouth-watering dryness. (As an aside, the acidity will allow the wine to be cellared, but it is enjoyable now.) Yum.

Pan-fried Snapper with Mango Avocado Salsa (serves 4) 4 pieces of red snapper, approximately 180g each, skin on but scaled salt and fresh ground pepper 2 tablespoons olive oil salsa 1 lime 1 ripe but firm avocado 1 ripe but not overly soft Ataulfo mango 2 medium hot red chili peppers 4 green onions, rinsed with ends cut 1 small clove garlic, peeled smashed and minced 1 teaspoon chopped cilantro 175g prawns 1 tablespoon olive oil a ¼-inch small slice of ginger, cut in half pinch of salt extra virgin olive oil small sprigs of cilantro for garnish

To make the salsa, start by peeling the shrimp. Add salt and pepper to taste. In a heavy fry pan large enough to hold the shrimp in 1 layer, add 1 tablespoon olive oil and heat over medium-high heat. Add ginger. When oil is shimmering, add shrimp. Cook for 2 minutes before turning shrimp for another 2 minutes.

Remove and let rest while preparing other salsa ingredients. Discard ginger.

Zest lime and juice over a bowl.

Dice avocado and mango into ½-inch pieces and add to lime mixture. Add thinly sliced chilies (scrape out seeds but leave some pith for heat), green onions and ½-inch diced shrimp to the salsa. Add minced garlic, chopped cilantro and gently mix all ingredients. Lightly salt to taste and set aside.

Run fingers along the flesh of fish to check for any pin bones and remove. Pat fish dry with a paper towel. Lightly salt and pepper both sides. In a large, heavy non-stick fry pan, heat 1 – 2 tablespoons oil over high heat. Swirl to coat. When oil is shimmering, place fish skin side down. Do not move or poke the fish, otherwise skin will not crisp. Let it cook for 2 ½– 3 minutes depending upon the thickness. When fish is opaque half way through, carefully turn over and cook for another minute. Remove pan from heat to plate so fish does not overcook.

To serve, spoon salsa onto 4 plates and arrange a piece of fish on top. Drizzle a little extra virgin olive oil around the edge of plate and garnish with cilantro sprigs.

May/June 2013 Just For Canadian dentists

43

diversion

Take Your Practice To The Next Level In Just 4 Sun-Drenched Days In CABO

sudoku

Dental Management Secrets Retreat

”How To Build The Practice Of Your Dreams” Cabo San Lucas Jan 23-26, 2014

Solve puzzle #2 for a chance to win 1 of 2 sets of tickets for a weekend with Bikram Choudhury (see ad on page 20 for details).

Richness is:

Each Sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9.

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sudoku 2 harder solution in next issue

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sudoku 1 easier solution on page 32

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1 8 4 5 3 7 6 1 5

2 4

8 2 3 1 9 7

4 6 7 4 8 2 9 3

2 7 9 5 8 3 5 4 7

Puzzle by websudoku.com

4 7 4

9 1 9 7 6 6 3 8 4

7 2

8

1 2

5 7

5

8 4 5 1 7 5 1 9

• The seminar leader is usually no longer practicing and uses outdated material.

• The content is not appropriate for all in attendance (dentist, office manager, and staff) causing conflict, or it’s too general which makes it ineffective.

• Many executive level topics are avoided because they shouldn’t be covered with staff in the room. Or worse, they do cover sensitive topics with staff in the room!

• The whole office never gets on the same page.

of North America’s top practices.

• A multi-session team approach ensures all in attendance cover appropriate content.

• Owners learn how to lead, managers learn how to manage and the staff learn how to perform their key roles.

• Everything learned gets integrated into an office with detailed action items for implementation back home.

For Dentists, Managers and Your Entire Staff!

All Canadian Content & Presenters | Limited Spaces Available

To learn more about our Cabo San Lucas Retreat visit DentalManagementSecrets.com/cabo or give us a call at 403-984-0115

entry form (please print clearly):

6 3 3

Why Typical Dental Management Why DMS Is Different: Seminars Don’t Work: • The seminar leaders are still hands-on in one

Puzzle by websudoku.com

Name: __________________________________________________________________ Address: _______________________________________________________________ City, Province, Postal Code: _____________________________________________

________________________________________________________________________ E-mail: ________________________________________________________________ Tel: ______________________________ Fax: _________________________________ Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied with solved puzzle.

Only correctly solved puzzles will be entered into random draw. 2. Send puzzle & entry form to Just For Canadian Dentists, 200 – 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456.

Entries must be received by June 8, 2013. 3. Prize: 1 of 2 sets of tickets to lecture and master class with Bikram Choudhury. Value at $178/set. Winner will be contacted by phone June 9 and announced in the July/August 2013 issue.

4. Contest can be changed and/or cancelled without prior notice.

5. All entries become property of In Print Publications. Employees of In Print Publications and its affiliates not eligible to participate.

May/June 2013 Just For Canadian dentists

45

Dr. Jehan Casey knows her priorities. She feels that dentistry allows her to make people feel great, use her artistic abilities, and provides the means to a rewarding life. “You can’t ask for more.” Well said. If this “high energy” dentist is not in St. Lucia or Las Vegas, she’s planning her next adventure (South Africa!) and conquering her fears (um, sky diving!). Her favourite book is The Secret, after all. Either that, or getting a mani-pedi for some downtime…

My name: Jehan Casey I live and practise in: Calgary, Alberta My training: BSC from UBC and DMD from Case Western Reserve University in Cleveland, Ohio Why I was drawn to dentistry: Because it has it all…I can have a job where I can make people feel great about themselves, educate them about their health, use my artistic abilities, be my own boss and have a rewarding life, YOU CAN”T ASK FOR MORE. My last trip: St. Lucia The most exotic place I’ve travelled: Australia for two weeks from Sydney to Cairns

The best souvenir I’ve brought back from a trip: Bed bugs, LOL. No, actually a Christmas ornament.

A favourite place that I keep returning to: Las Vegas My ultimate dream vacation: South Africa If I could travel to any time, I’d go to: My childhood to see my grandmother again My favourite book: The Secret My favourite film: Monster in Law My must-see TV show: Homeland My favourite song: Chasing Pavements by Adele My first job: Sales clerk in a clothing store The gadget or gear I could not do without: My cell phone My favourite room at home: The kitchen My car: BMW 300 Series My last purchase: Tickets to Maroon 5 My last splurge: Earrings from Swarovski My most-frequented store: Starbucks My closet has too many: Never too many!

My fridge is always stocked with: Fruits and vegetables My medicine cabinet is always stocked with: Advil

Dr. Casey in the stables, at a Michael Bublé concert with her beau, hiking in Kananaskis with a furry friend, celebrating with friends and family, and her favourite book.

46

Just For Canadian dentists May/June 2013

My guilty pleasure is: Godiva Chocolate

My celebrity crush: Hugh Jackman I’d want this with me if stranded on a desert island: My cellphone My secret to relaxing and relieving tension: Pedicure and manicure appointment A talent I wish I had: Singing My scariest moment: Sky diving 30,000 feet to conquer my fear of heights My fondest memory: Playing with my big sister at my grandmothers house A big challenge I’ve faced: Moving too many times during my childhood and having to adjust to different cultures One thing I’d change about myself: Be more patient The word that best describes me: High energy I’m inspired by: High achievers My biggest ego boost: When my patients leave satisfied and they think I am too young to be a dentist My biggest ego blow: Myself I’m happiest when: Travelling and experiencing a new adventure My greatest fear: To be alone My motto is: Live life with no regrets A cause close to my heart: Making sure that my family live a long healthy happy life

My favourite exercise/ sports activity: Swimming and boxing

Something I haven’t done yet that’s on my must-do list: Become a part-time writer and white-water rafting

My favourite sport to watch: Hockey

If I wasn’t a dentist I’d be: A fashion designer

courtesy of Dr. Jehan Casey

s m a l l ta l k

dentists share their picks, pans, pleasures and fears