Just For Canadian Dentists Nov/Dec 2018 by Just For Canadian Dentists

november/ december 2018

life + leisure

east to

newfoundland

south to

Argentina

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inside: Continuing dental Education Calendar where will you meet? b u e n o s a i r e s

/ n o rt h yo r k / k aua i / v en i c e /

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Just for C

de nti sts life + leisure

november/december 2018

contents

november/december 2018

Publisher Linh T. Huynh

Editor Barb Sligl

Art Direction BSS Creative

Contributing Editor Janet Gyenes Editorial Assistant Adam Flint Contributors Ann Britton Campbell Timothy A. Brown Michael DeFreitas Janet Gyenes Lisa Kadane Manfred Purtzki Dr. Kellen Silverthorn Barb Sligl Roberta Staley Cover photo Barb Sligl

15 28

Senior Account Executive Monique Nguyen Account Executives Janice Frome Wing-Yee Kwong

Production Manager Ninh 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: Janet Gyenes; barb sligl (2)

Just For Canadian Dentists is published six 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

FEATURES

15 Deep south in Argentina on horseback 28 Far east in Canada to Newfoundland’s outer edge COLUMNS

DEPARTMENTS

9 photo prescription

5 November/December mix 21 CE calendar 37 sudoku 38 parting shot

The wow of Yellowstone

11 pay it forward Dental care on shaky ground

12 motoring You say you want a revolution… but is it green?

”Rolling stones” in the desert

14 the thirsty dentist Brown spirits are being embraced by Canadian distillers

www.justforcanadiandentists.com

35 the wealthy dentist

Printed in Canada.

Give your practice a check-up—now

36 practice management

The not-so-nice landlord cover photo The

Squish Studio is part of a renaissance happening in northeast Newfoundland, spurred by the now-world-famous Fogo Island Inn (page 28).

November/December 2018 Just For Canadian dentists

from the editor On Fogo Island in Newfoundland, you’ll meet charming community hosts and see how new architecture reinterprets the old (page 28).

Cast a spell

gauchos leaves our writer enchanted (page 15). Knife-wielding, parrilla-cooking, bushwhacking gauchos lead the way on an adventure under what’s known as “a little bit of the hidden sky.” Sign me up. Argentina’s spell continues on the streets of Buenos Aires, where another the kind of vibrancy and colour is found enchanted in murals and public art (page 21). Or, under a starry sky on salt flats thousands of kilometres to the north, there’s a desert oasis in Death Valley (page 5). After the excitement of all that travel, there’s the comfort of home…and giving back. Share good fortune with thoughtful gifts (page 7)…and then travel again, which may be the greatest gift to give yourself.

isle

barb sligl

ometimes you travel to a place and don’t want to leave. And if you do have to leave, you know you want to go back. You will be back. This is Newfoundland, which, as soon as I left the first time, I planned to return to. I’d travelled to the west coast of the province before (if you haven’t been to Gros Morne National Park or L’Anse Aux Meadows, here’s a push), and this time I went northeast, to experience Fogo Island (page 28). This island off an island has made the world stage with numerous tourism, architecture and best-hotel awards since the Fogo Island Inn opened five years ago. And the joy and pride in showing off their now-famous home is palpable among Fogo-islanders. Similarly, far south in the wilds of Argentina, a horseback adventure with

Any ideas, comments or questions? Reach us at feedback@InPrintPublications.com.

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Just For Canadian dentists November/December 2018

BROKERAGE

what/when/where > November/December

big love in death valley

mix

desert tripping

White salt flats at Badwater Basin, the lowest point in North America at 85.5 metres below sea level November/December 2018 Just For Canadian dentists

into the desert

ann britton campbell

here will come a moment on your getaway in Death Valley National Park—while hiking between walls of polished marble or standing on a blinding-white salt flat or floating in a spring-fed pool under ink-black skies awash with stars—when you’ll realize you’re falling in love. Because despite its morbid name, arid landscapes, and well-deserved rep for extreme heat, as park ranger Jess Kavanagh points out, “Death Valley slowly creeps into everyone’s heart.” To kindle that romance, pay attention to three things: the best time to visit (November through April, when temperatures are more moderate), how long to visit (at least one night but, really, make it two or three), and where to stay. >>

mix

November/December

go + see

in deep

desert love story

Falling hard is easy in Death Valley, which woos with some grand gestures

otherworldly

luxurious Inn at Death Valley has completed its multi-million dollar renovation. Opened in 1927, this California Mission-styled retreat offers elegant rooms and brand-new casitas, broad terraces shaded by date palm trees, a fancy restaurant and bar, and a to-die-for swimming pool complete with deck-side stone fireplaces, cabanas, and a spa. The Inn is part of the Oasis at Death Valley, the park’s main tourist complex located near the must-see sights and beside the excellent Furnace Creek Visitor Center. Offerings at the Oasis include the family- and budget-friendly Ranch at Death Valley hotel, restaurants, horse stables and the world’s lowest-elevation golf course (which means, dear golfer, you’re guaranteed the lowest round of your life). A classic Death Valley day begins with a drive south along Badwater Road toward the lowest point in North America—85.5 metres below sea level—at Badwater Basin. Once there, walk out on the shimmering salt flats, then turn and search high on the cliffs for a white sign indicating sea level. Returning north, detour along the dipping, curving and colourful 14.5-km Artist’s Drive. Stop at popular Golden Canyon and take a hike through its otherworldly landscapes. Finish your day at Zabriskie Point where the late-day sun super-soaks the surrounding golden badlands. Other tempting sights—Mesquite Flat sand dunes, Father Crowley Vista Point where fighter jets sometimes streak through the canyon below, the 183-metre-deep Ubehebe Crater, and Mosaic Canyon with its polished marble walls—are widely spread [more] See the epic trails out over this 1.3-million-hectare of “rolling stones” at park so plan accordingly. Racetrack Playa, a remote Be sure to include Dante’s spot in Death Valley View in that plan. As you stand National Park… at its extraordinary vantage page 38 >> point— over 1500 metres above the valley, with views that encompass the entirety of this strange and wonderful park—you might find your heart racing. It may be due to the high elevation. Or it might be love. — Ann Britton Campbell

Room with a view at Ashford Castle

Zabriskie Point, with Panamint Range in distance

The Inn at Death Valley at sunset

Mosaic Canyon

Overlooking cloud-dappled Badwater Basin

Mesquite Flat sand dunes

if you go For more on Death Valley National Park: nps.com/deva. Stay at the Inn at Death Valley: oasisatdeathvalley.com. And start in Sin City before cleansing in the desert…the closest airport is Las Vegas McCarran International, 195 km away.

Just For Canadian dentists November/December 2018

fa r g o a n d . . .w i n ld b e lo an

clockwise from top: ann britton campbell; national park service; Courtesy of Xanterra Travel Collection; national park service; Courtesy of Xanterra Travel Collection

>> That last decision is easy now that the

thoughtful treats

November/December

mix

gifts that give Presents that give pleasure AND pay it forward… A Slice of Home

S 2

! inspire others

Share your experience on social media using the hashtag #HomeForDinner

dinner date

photos, top and right: Ronald McDonald House BC & Yukon

haring a meal with others might seem like a simple act. But for families who need to travel so their children can require life-saving medical treatment, it’s a heartfelt gesture. One that brings the comforts of your home to others and gives back to the community. Home for Dinner, an innovative program that supports families of Ronald McDonald House® BC & Yukon, is a community fundraising initiative. Locals can host a meal at their home or a restaurant, extending the precious moments of spending time together gathered around a to families who are sure to be newfound friends. Getting involved is easy. Many families give table who host a Home for Dinner meal invite friends and neighbours (ask them to make a donation + get instead of bringing a bottle of wine!) to share this opportunity to slow down our busy lives and take time to cherish those around us. (Volunteers can also sign up to cook a meal for families staying at any Ronald McDonald House.) “There is such comfort in sharing a meal with loved ones at the end of the day,” says Richard Pass, CEO of Ronald McDonald House BC & Yukon. “Families staying at the House are focused on ensuring their children receive crucial medical treatment, and often do not have the resources to engage in this powerful tradition.” A 73-bedroom house on the property of BC Children’s Hospital in Vancouver owned and run by the Children’s Family House Society of BC provides accommodation and resources for up to 2,000 families each year. Here, kids undergoing medical treatment get to be kids, play with Lego, do arts and crafts, or explore the magic room. Nationwide, Ronald McDonald Canada’s Fun Matters program takes play to a new level transforming events you organize (games, baking, photography; whatever your kids enjoy!) using a convenient online app into a “FUNdraiser.” Donations pledged help families stay at one of the 15 Ronald McDonald Houses across Canada while their child is getting treatment at a hospital nearby. For more information, go to: rmhbc.ca/homefor-dinner or rmhccanada.ca. — Janet Gyenes

1 one grid A candle that really lights things up: each one sold buys a solar-light for someone without electricity in the developing world. onegridcandle.com 2 Yoobi For every Yoobi school supply purchased at Indigo, one is donated to a classroom in Canada (in partnership with the Indigo Love of Reading Foundation; indigo.ca). yoobi.com 3 FEED One bag equals school meals for one child for one year. That’s some excellent math. feedprojects.com 4 raising the roof A toque that not only keeps your head warm—it helps raise a roof over the heads of the homeless. raisingtheroof.org 5 Awe This jewelry line donates 20% of every sale to the affiliated charity of your choice, from cancer research to mental health. aweinspired.com — Barb Sligl November/December 2018 Just For Canadian dentists

JOIN CHICAGO US IN

154TH CHICAGO DENTAL SOCIETY MIDWINTER MEETING

FEBRUARY 21 – 23, 2019

More than a Meeting. It’s a Celebration! Enjoy our world-class city of Chicago while you learn from the leaders in dental education. Choose from more than 200 courses, including valuable hands-on workshops, lectures and live patient demonstrations. Be sure to spend some time in our Exhibit Hall where you can try out the latest products and services of more than 700 exhibiting companies. After the meeting, take the opportunity to relax, rejuvenate and recharge. Dine in our fabulous restaurants. Shop the Magnificent Mile. Take a tour of our amazing architecture or experience our many fascinating museums and cultural institutions. Chicago is our hometown and we look forward to welcoming you. CDS MEMBERS REGISTER FOR FREE International attendees: Join CDS as an Associate Member for only $125 and pay no registration fee. That’s a $70 savings compared with on-site registration fees. Join today at WWW.CDS.ORG.

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.

Yellowstone wow

destination photography

The National Park of yellowstone offers wild beauty from rutting elk to steaming geysers

Dramatic peaks, lakes, wildlife, geysers…all in America’s number-one National Park

natural drama

michael defreitas

he eastern sky was just starting to brighten as I set up my tripod on the frosty ground, making sure I avoided breathing on my camera and lens in the cold morning air. Old Faithful Geyser is the park’s most photographed attraction, so trying to photograph it differently is always a challenge. My hope was to backlight the steamy icon with a beautiful September morning sun. A low fence prevents visitors and rambunctious photographers from getting too close to the geyser so I had to use my 70–200mm telephoto zoom. Late September is a great time to visit Yellowstone. Most tourists have left, the trees are starting to show colour and the animals are getting ready for the winter. I snapped a few frames as the eastern sky brightened, but they looked pretty average, so I decided to wait for the sun to peak above the hill behind the geyser. I selected 1/400 of a second shutter speed and dialed in +1 of exposure compensation. Exposing for the sun renders everything else underexposed, so you have to manually dial in a bit of overexposure to help light the foreground aspects. A couple of small forest fires were still burning in the park and provided enough particulate in the sky to render the morning sun a bright orange. As I started shooting, the wind changed direction and the steam was no longer backlit. I quickly shifted position and fired off a few frames before the swirling wind made me shift position again. Luckily, I managed to get the shots I wanted before the sun got too high to properly backlight the steam. Pumped with my success at Old Faithful I quickly loaded my equipment into the car and moved on to a small lake on Yellowstone’s border with nearby Grand Teton National Park. I had scouted the lake the day before and wanted to get back there before the wind picked up and rippled the lake’s surface too much for a nice reflection image of the surrounding peaks. Great reflection shots need a low sun that lights the front of the subject. If the sun is too high it produces too much glare off the water for a good reflection. The photo gods were with me that morning. The angle of the sun was perfect,

Scale and perspective is always a concern when shooting geysers or basins. Sometimes the answer is to zoom in (left). Without a person or animal in the frame to add scale, most images will lack impact. While shooting the Norris Geyser Basin I waited for some people to cross the boardwalk to add scale and included a few trees in the foreground to provide more depth to the image (top). A medium telephoto lens in the 60–80mm range works best.

if you go

For more info on Yellowstone National Park: nps.gov/yell

November/December 2018 Just For Canadian dentists

there was little or no wind and the sky was clear of the smoky haze from the fires. With my 24–70mm medium telephoto lens set at 60mm, I snapped a series of pics at 1/160 second and f10.

Just as I started to pack up, a flock of Canada geese touched down on the lake nearby. I pleaded with the photo gods to make the geese swim across the lake’s mirror-like surface between the mountains and me. The geese were not cooperating,

so after 20 minutes, with the sun getting high and the wind picking up, I again began to pack up. With my tripod on my shoulder, I walked to the car, glancing back to make sure I wasn’t missing anything. Almost at the car I took one last look. Just then the geese changed direction to swim to where I was setup. I dashed back to my spot hoping the gods weren’t just teasing me. Conditions were not perfect, but I managed to get off a few shots while thanking the photo gods. The second-most photographed subject in the park is Lower Yellowstone Falls. Since the falls are located in a deep, narrow gorge, the trick is to shoot them between 11am and 1pm to avoid shadows crossing the falls. Another option is to beg those photo gods for a high-overcast day. The diffused light reduces shadows while providing enough sunlight to add sparkle to the white cascade. There are three overlooks along the south-side gorge road so pick the

one that offers the best framing given the available light. On my overcast day I elected to shoot from the middle overlook and use a 70–200mm lens set at 170mm. I used a tripod and 1/250 second shutter speed. Early fall is a great time to photograph wildlife; most animals are focused on fattening up for winter and less finicky and easier to approach. Bull elk are the exception. Armed with deadly antlers, fall is rutting season, so be carefu. During the rut, elk are highly territorial and see you as a threat. It’s best to shoot bulls from the safety of a car (also allows you to get a bit closer). Lenses in the 200–400mm range work best for shooting wildlife at a safe distance. If you’re handholding the camera remember to select a shutter speed of at least 1/500 second. Yellowstone covers about a million hectares, so don’t try to cover everything. Remember that even if animals seem indifferent, their mood can instantly change. Every year dozens of visitors are mauled or gored. And please heed the fencing around the geysers. The white, salt-crusted ground may look solid, but it’s not. Lastly, don’t hesitate to beg the photo gods for help!

905-332-2326.

Just For Canadian dentists November/December 2018

michael defreitas

photo prescription [continued]

pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is a Vancouver-based magazine writer, editor and documentary filmmaker.

Shaky ground

Navigating the precarious environments—and dental care—of the developing world

courtesy of Dr. Karen Furlong

n April 25, 2015, just before noon in Kathmandu, Nepal, Dr. Karen Furlong and a group of fellow volunteers with Global Dental Relief (GDR) were in a 15-passenger van heading for a monastery guesthouse—their accommodations for the next week. Motoring away from Durbar Square—a UNESCO World Heritage site renowned for its Malla and Shah dynasty palaces—they crossed a bridge. Suddenly, the earth began to heave. Engrossed in the photographs she had just taken of the square’s spectacular architecture, Furlong looked up, alarmed. “The van was pitching in every direction; it was crazy,” recalls Furlong, who works with Nova Dental in Lower Sackville, NS. “It was like being jolted around on a really fast roller coaster—with lots of hairpin turns!” Furlong glanced back at Durbar Square. Many buildings had collapsed or been damaged in the 7.8 magnitude trembler. Huge plumes of dust rose into the air, markers of the crumbled structures below. It was, as they say, too close for comfort. Navigating back to the monastery, the group encountered fallen power poles as well as the rubble of collapsed buildings. When the driver could go no further, Furlong and her fellow dentists disembarked to walk to safety. The next few days were chaotic. Furlong and the dental team had been scheduled to treat the hundreds of children who attended Shree Mangal Dvip boarding school, as well as kids from other nearby schools. But the building where their dental equipment was stored had severe cracks and was unsafe to go into. (It has since been repaired with GDR assistance.) The children’s dorms were also damaged, and the students moved outdoors under tarp shelters. Clearly the GDR mission was extraneous to the medical needs of thousands of injured and homeless people. With the country plunged into a humanitarian crisis, the only thing the volunteers could do was return home. Furlong has undertaken eight international trips with GDR, a 19-year-old American charity that provides free dental care and oral health education to impoverished kids in Cambodia, Kenya, Guatemala

and Nepal. The short-lived trip to Nepal mission to Peru to assist a church group, was anomalous, says Furlong. The biggest Furlong spied a baby little more than one challenges dental volunteers usually face are year of age sucking on a bottle of orange heat and accommodations best described pop. The infant’s teeth were already rotting. as “rustic.” Such minor discomforts are The repercussions are life-long, says Furlong. worth it, Furlong says. “Being a part of a “Healthy teeth are the basis for a healthy life. volunteer dental mission is a life-changing If you are pain and disease free early in life experience. The contact you can study more and do more.” with people of other cultures gives us personal insight into the world and its inhabitants from a global perspective.” GDR returns to the same locations every two years to ensure that the local children receive regular checkups, treatment and oral health education. Such consistent care has proven highly effective. Furlong recalls one trip to For Dr. Karen Cambodia where Furlong, “Being a school kids received part of a volunteer dental dental care for the mission is a life-changing first time. “With some experience,” and kids, you couldn’t Furlong says that the GDR something she keeps see their teeth for dentists will try to do everyreturning to do. the walls of calculus.” thing in their power to save When Furlong returned teeth—even though the state of two years later, there was decay may be severe—undertaking barely any of that tartar buildextractions only as a last resort. “You up and far fewer cavities among the will try to save them as missing front teeth children, thanks to the GDR’s tutelage. is so detrimental to future job opportuniAs is seen in many places throughout ties.” Extractions can also cause both kids the developing world, sugary food and and parents to be reluctant about visiting drink products, combined with a lack of dentists in the future, Furlong adds. knowledge, are responsible for poor oral Furlong believes that dental care is a health among children. Furlong recalls one “right more than a privilege,” no matter mission to Guatemala where children lined where in the world people reside. Those up to be seen by a dentist. The youngsters lucky enough to be born in Canada, which would while away the hours with a sucker offers access to advanced education, have in their mouth. In nations where water is an obligation to help others around the contaminated, soda pop is drunk to slake world, says Furlong, who will be going to thirst because it’s cheaper than water. India and Guatemala in 2019 on GDR misFreshly squeezed sugarcane juice, available sions. “Privilege has responsibility attached throughout many Asian and Latin American to it,” she says. “I have a special skill and feel countries, is cheaper still. Once, on a dental it’s my duty to give back.” November/December 2018 Just For Canadian dentists

motoring

D r . k e l l e n s i lv e r t h o r n Dr. Kellen Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

You say you want a revolution

ortland, Oregon, hosts the top “green car” event for journalists each year. And the latest 2018 Drive Revolution has take-away points that will depend on one’s perspective—from doomsday to piein-the-sky. For the pessimist, it’s now 20 years since the first Prius hybrid, 12 years since the Volt plug-in hybrid concept was announced, and six years since the Tesla Model S full-electric sedan debut. Yet the market penetration for green vehicles hasn’t really budged from negligible—still just 1% battery electrics and 3–5% hybrids.

Unless you’re a green optimist. But even then it takes some twisted thinking, because what we really need to start a true revolution is quick-time doubling in the cost of gasoline. War or civil unrest in oil-producing regions could make that happen, although neither Venezuela’s implosion nor Iran’s blacklisting has. Russia could do something so heinous that their oil production is shut out of the world’s oil market, but China is unlikely to abide by those sentiments. Or maybe OPEC comes together again over something The Donald says or does. Yet

So, you say you want a revolution…? In fact, geopolitical events are now working against electrification of the fleet. Technologic advancements in oil exploration have pushed “peak oil” into our children’s lifetimes. Trump is keen to roll back vehicle gas mileage requirements and foster cheap energy. When faced with new carbon taxes many Canadians aren’t as sold on action to combat global warming as they once were. And both the US and Canada appear to be past “peak subsidy” on government grants for electric or hybrid car buyers. The market share of these greener vehicles seems set to stay in the doldrums for the foreseeable future. To pessimists, the “Revolution” is taking a smoke break.

even moving the US embassy in Israel to Jerusalem was met with something of a collective yawn. And BIG tax hikes on gasoline just don’t seem politically survivable in this era of populist advances. Looking past the short term with a more slow-and-steady approach, there is cause for mild optimism. Mainstream American/European/Asian manufacturers are making cautious hybrid and electrification forays into new market segments. The 2018 Green Vehicle was awarded to the Chrysler Pacifica Hybrid minivan. Crossovers are seeing more hybrid and full-electric offerings in family-friendly sizes. The new (Dodge) RAM full-size pickup has a mild-hybrid option—critical given

Just For Canadian dentists November/December 2018

the trend of buyers shunning cars in favour of light trucks. A significant sudden breakthrough in battery technology is always possible. China has over 100 companies pursuing electric-car tech. This field has been identified as one of China’s targets for world leadership in its Made in China 2025 Policy. Given that state’s ability to allocate resources and enforce societal change, I wouldn’t bet against the Middle Kingdom—especially in the all-important entry-level products. Europe is also at play. The continent’s love affair with the diesel engine is ending in divorce court over falsified emission claims. European manufacturers need something to shift the public’s attention to happier places. Electrification is their ticket. Tesla will have serious competition from the Europeans over the next few years in the premium electric market. EU cities are major players in this transition, as many are enacting bans on all internal combustion engines from their streets within decades. The unfailing optimists will be heartened by the progress in carbon sequestration. A Canadian outfit is proposing to mine C02 from the air to produce fossil fuel…without the dinosaurs and long wait that the natural stuff required. Try googling “carbon engineering” and read its coverage in Motor Trend or The New Yorker. Progressive building codes around the globe now require car-charger friendly wiring in new-home construction. California even requires all new-home construction to have solar energy capture systems. Hopefully such forward-thinking practices will migrate to your city. My own take is one of disappointment in our elected national and provincial leaders for their lack of decisive and effective policies. Instead, I look to Norway for inspiration. I also have faith that cities will be progressively dictating the agendas. And I still belong to “Fanboys R Us” when it comes to the ingenuity of the worldwide automotive engineering community. Our household will certainly be looking to plugin hybrids for our next family hauler…says this fanboy.

istock

The many shades of green at Drive Revolution

the thirsty dentist lisa kadane Lisa Kadane is a newspaper and magazine writer who likes to travel and partake in the destination’s preferred tipple, whether it’s rum, wine, a margarita or whisky sour. She’s been sharing her thoughts on spirits and cocktails since 2010.

Whisky business

Canadian distillers are getting into this popular brown spirit

[whisky] cocktail*

Maple BRBN Sour

2 oz Okanagan Spirits BRBN 1 oz fresh lemon juice 3/4 oz real maple syrup 1/2 egg white 1 mL chocolate bitters

2 The White Rye

Combine ingredients in a Boston shaker with ice, shake vigorously, and then fine strain into a cocktail glass and garnish with fresh-grated cinnamon.

*Courtesy of Duell Donaldson, Okanagan Spirits Craft Distillery

1 BRBN Okanagan Spirits Craft Distillery, Okanagan Valley, BC Bourbon can only be called bourbon if it’s produced in the United States, which is why Okanagan Spirits cleverly calls its version, BRBN. And while Kentucky distillers typically blend their corn-weighted mash bill with wheat, the Vernon-based distillery makes up the difference with malted barley. The result is a smooth and slightly sweet spirit, with a full-bodied nuttiness from the barley, along with caramel notes and a touch of wood from being aged in barrel for three years. “It was a challenge to see if we could do a bourbon-style whisky that was terroirspecific,” says Okanagan Spirits CEO Tyler Dyck, noting the corn and barley are grown locally in the Okanagan. The distillery also wanted to round out its whisky portfolio, and with the sweeter profile, BRBN is more approachable than their rye or single malt. “It’s a gateway whisky,” says Dyck. BRBN still holds its own in a snifter, but it’s best shaken into a seasonal cocktail such as the Maple BRBN Sour (see recipe). okanaganspirits.com

Dillon’s Small Batch Distillers, Beamsville, ON Mezcal, tequila and rum all come in white, un-aged versions, so why not whisky? Purists argue that putting forward a spirit that hasn’t touched wood is the best way to showcase the true flavours of the grain and its terroir. This is definitely the case with Dillon’s The White Rye. Made from 100% rye grown in Brant County, ON, this spirit tempts with a subtle spiciness that’s underpinned by an almost cereal, sweet grassy taste. Like other un-aged spirits, this unadulterated rye is not meant to be consumed solo, says

Just For Canadian dentists November/December 2018

Whitney Rorison from Dillon’s tasting room. Rather, mix it in cocktails. Use The White Rye as a tequila substitute in a Paloma, or try it in place of vodka in a Moscow Mule. dillons.ca 3 Northern Harvest Rye Crown royal, Gimli, MB This lovely nightcap, made with 90% rye grain, got the world’s attention when whisky aficionado Jim Murray named it World Whisky of the Year for 2016. After three more trips around the sun, Northern Harvest Rye is still smooth and complex, with spicy hits of cloves and cinnamon tied into the oak but not in an overpowering way. In fact, it’s almost un-rye-like in its sweetness. “It’s approachable,” concurs master blender Joanna Scandella. “It’s smooth and complex, with an overall character that is lighter in flavour than other types of whiskies.” Northern Harvest Rye’s universal appeal and good price point make it a go-to for filling whisky decanters for the holidays. Or, stir it into a cold-weather cocktail such as an Old Fashioned. crownroyal.com 4 Single Malt Whisky Eau Claire Distillery, Turner Valley, AB Eau Claire Distillery’s inaugural batch of Single Malt Whisky sold out quickly when it was released last year, and it wasn’t just due to the hype of being Alberta’s first whisky made in the style of Scotland’s finest. The amber fluid, aged three years, was smooth and complex, with fruity notes and a hint of spice that could be sipped deliciously neat or over ice. It drank like a much older single malt. Alberta’s extreme temperature fluctuations work to contract and expand the fluid in-barrel, enabling it to pull more flavours from the ex-bourbon, ex-sherry and new European casks, explains Eau Claire master distiller Caitlin Quinn. Plus, it’s made with the world’s best barley (fact: Alberta grain is shipped to Scotland to make single malt). Whisky connoisseurs can expect the same quality when the second batch of Single Malt Whisky is released midNovember. eauclairedistillery.ca

cocktail photo: courtesy Okanagan Spirits Craft Distillery

hile it’s true I didn’t learn to love scotch until a trip to Scotland opened my taste buds to the smoky wonders of peated whisky, it’s also a fact that my whisky journey began years earlier, with cocktails. A Manhattan here and a whisky sour there, eased me in to a world of darker spirits that warmed me up during Canada’s long winter. Now, I indulge in and appreciate the expanding range of our country’s national spirit—Canadian distillers are making single malts that rival those from Scotland, and bourbon-style spirits that taste as good as Kentucky’s best. At the same time, they’re still leading in the category Canada is known for: rye. Here’s the low-down on a few go-to Canadian whiskies, in time for seasonal gifting or holiday party uplifting. Cheers!

travel the world

the gaucho way

The ultimate Argentina road tripâ&#x20AC;Ś no car required story

+ photography by Janet Gyenes November/December 2018 Just For Canadian dentists

travel the world

he sound of the white stallion’s horseshoes clanging against the river rocks rings out into the canyon like a distress signal as he rears up on his hind legs, muscles rippling. Tati, his rider, pulls on the reins. But the young horse continues to kick and struggle, churning the water into a fury. The scene playing out before me is both folkloric battle of man against beast and modern-day display of a gaucho with true grit. In the 17th century the gauchos in this region fought for independence against the Spanish and won. And with a few more manoeuvres, Tati triumphs too, coaxing the horse through the narrow channel toward a waterfall. My hands tremble as I gently tug on my horse’s reins. “It’s OK, Picaflor,” I whisper and stroke her chestnut mane. Before I nudge her forward, I look back at my fellow riders, Tati’s teenaged daughter and my friend Melissa, whose face clearly says, “What have you gotten us into?” Our original travel plans had taken a detour. We had sketched out the ultimate Argentina road trip: driving high-altitude roads snaking through the foothills of the Andes in the northern province of Salta, bordering Bolivia, Paraguay and Chile. We’d traverse lonely landscapes inhabited by little more than skittish vicuñas and cartoonish cardon cactuses, with their century-old arms outstretched like a gang of giants gesturing in the oxygen-deprived air. But when my guidebook advised only to rent a car if you’re skilled at fixing the inevitable mechanical issues, we charted a different course—by horse—to spend a couple of days riding with gauchos, the archetypes of Argentina. Sayta Estancia sprawls alongside a dusty road in Chicoana, a traditional agricultural village backdropped by a spine of mountain ridges. Located 35 km from Salta city, the province’s colonial capital, Chicoana’s name comes from the Quechuan language and translates to “A little bit of the hidden sky.” Enrique, a silvery-haired fellow with a mischievous glint in his eyes, welcomes us. For more than two decades he has owned and

operated this ranch, which is surrounded by trees bearing avocados, limes and oranges. “They’re all organic,” says Andreas, a horseman who’d lived in Los Angeles for two decades before returning to the gaucho way of life in Argentina. “Lunch first, then riding,” he announces after showing us to the casita where we spend our first night. Then we join him, Enrique and Sergio, another horseman, in a screened room at a long table laid with round wooden plates and bottles of organic red wine made by Benedictine monks. Enrique regales us with jokes in Spanish and scraps of English as we pile our plates with a salad of blood-red tomatoes and onions; earthy lentils and white beans; hunks of crusty bread; and the classic Argentinian chimichurri sauce. White shirt sleeves rolled up to his elbows, Mario, the asador, deposits chubby handmade sausages and slabs of tender beef onto our plates, then continues to offer us new cuts of meat as we eat. And so it goes. Rounds of meat, refills of red wine and conversation flowing. All is deliciously satisfying. The asado isn’t just a traditional Argentinian barbecue where meat is cooked on a parrilla, or grill, over wood coals. It’s soul and sustenance. A celebration of culture, community and reverence for the land that’s hardwired into the country’s collective DNA. Eventually we saddle up for a late-afternoon ride, soon crossing a shallow riverbed. I spot a dead horse. Not a skeleton, but a freshly spent carcass in repose, bathed in long shadows from the low autumn sun. I naively wonder out loud why the poor animal hasn’t been buried. Andreas explains matter-of-factly that it would be one big hole to dig. “Tomorrow,” he says, as if to change the subject, “Tati will take you into the mountains camping.” Nevertheless, the image of the motionless horse burns hot in my mind, like the mournful beauty of a still life painting. A man without a horse was a man without legs. In his memoir, Far Away and Long Ago, naturalist William Henry Hudson mythologizes

Sergio in the tack room at Sayta Estancia, a ranch in the agricultural village of Chicoana previous page Tati leads the way. In the 17th century,

row Mountain views overlooking Salta city, which sits at the foothills of the Andes in northern Argentina bottom row from left Saddles, bridles and blankets

above

gauchos battled the Spanish near here opposite page, top row from left Enrique, the owner of Sayta Estancia; Tati, dressed in traditional gaucho gear middle

Just For Canadian dentists November/December 2018

ready for riding; chickens grilling on a parrilla; organic mandarin orange; traversing the mountainside

travel the world

if you go

To ride with gauchos at Sayta Estancia check out saltacabalgatas.com.ar/ eng and for more about exploring Argentina go to welcomeargentina.com.

travel the world

this credo from the gauchos he grew up around in Argentina. Tati is the embodiment of that conviction. He’s dressed in traditional gaucho garb: loose trousers—bombachas—stuffed into leather boots, a scarf, beret and a knife called a facón tucked into his woven fabric belt. After a breakfast that includes biscuits slathered with dolce de leche, I watch the men outfit our horses. Six others arrive for our ride to the mountains; after lunch they’ll return to the estancia. Our group hits the road and the horses settle into a steady pace, passing fields of corn, chia, quinoa and leggy yellow-and-black sunflowers saluting the azure sky. We ride a path skirting whitewashed brick buildings. There’s no activity here today, but Sergio says these structures are used for drying tobacco leaves. Almost three hours later, we arrive at our camping spot. Cows graze next to a stream framed by prickly pear cactuses. Chickens, sheep and a billy goat are corralled in pens. Showy roosters raise a raucous. Under a corrugated metal roof is a primitive cocina composed of stone blocks supporting a

parrilla crowded with a gaucho’s feast of beef and whole chickens garnished with lemon halves. An old man with skin the colour of burnt caramel and hands like clubs stirs papas boiling in a cast-iron pot. “Dónde está el baño?” I ask Andreas, already suspecting his answer. “En naturaleza!” he says with a deep belly laugh, gesturing at the surrounding woods. “Anywhere you want.” Wild animals? “Pumas,” he replies. “Watch out for the pumas.”

Pacific Dental Conference March 7-9, 2019 Join us in Vancouver, BC

Three days of varied and contemporary continuing education sessions are offered, covering topics relating to clinical excellence, practice excellence and personal development (something for the entire staff) Over 130 speakers and 150 open sessions and hands-on courses to choose from, as well as the Live Dentistry Stage in the spacious Exhibit Hall Two day tradeshow with over 300 exhibiting companies (Thurs/Fri) PDC Lab Expo on Saturday – One day of exhibits area and lectures for Dental Technicians and all Dental team (lunch included)

Gordon Christensen Materials/Techniques

Karen Davis John West Lou Graham

Diane Millar Periodontics

Rodrigo Sanches Cunha Cathia Bergeron Endodontics Restorative/Operative

Todd Snyder David Rothman Tieraona Low Dog

Michael Ignelzi Mark Lin Tricia Osuna

Peter Auster Aesthetics

Manor Haas Edward McLaren Michael Melkers

March 9 Oﬃcial conference of the:

Kimberly Guest John Svirsky Tija Hunter

www.pdconf.com

Registration and program information at... Save money by registering before January 11th, 2019

Just For Canadian dentists November/December 2018

Still stuffed from lunch, we haul ourselves back onto our horses. They climb up the mountain trail, clambering for footholds. Tree limbs claw at me like wild animals, leaving tiny trails of blood on my hands and forearms. I duck down in my saddle to avoid getting a branch in the eye and bang my knee on a tree trunk instead. My battle scars feel well-earned when we reach the mountain’s 600-metre summit and Chicoana’s hidden sky appears. We dismount and stare in awe at the pleated green mountains and views of Salta in the distance before riding back to the camp. Tati and his daughter pitch our tents and place the padding and blankets from beneath our horses’ saddles inside as cushioning. Blackness cloaks the camp. Tati cooks our dinner in the dark, expertly making locro, a thick and delicious stew that’s ready hours later. One knife. One pot. One fire. Above us, a blanket of a billion stars flickering in the night. After eating, Tati pulls out his smartphone and shows us video after video of his friends—fellow gauchos—performing loco rodeo-style stunts on horseback and being tossed like rag dolls. It’s like a guts and glory bedtime story. We sleep like the dead. The roosters rouse us at dawn, cajoling us to get up for one last ride. Today Tati takes us on a different route up the mountain. After a few minutes of riding he wordlessly slows to a stop. The untamed forest has reclaimed the trail. In true gaucho form, Tati pulls out a machete and dispatches an army of branches. We forge ahead until it’s time to fight the forest again. It’s slow-going but that’s life here. No path? Make one. Hungry? Build a fire and cook. It’s the gaucho way. Not just a state of mind, but being at one with the land, no car required. above, from left Lunch, gaucho-style (with tablecloth!); the estancia’s impressive wood-fuelled parrilla

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buenos aires / north york / kauai / venice / helsinki … | c a l e n d a r

An intern ation a l guide to continuing denta l Education

fall 2018 + beyond

Mural in La Boca barrio memorializing Argentina’s “disappeared”

buenos aires

Botero’s Naked Male Torso The 18-ton Floralis Genérica opens and closes daily

Cementerio de la Recoleta, where famous Argentinians like Eva Perón are buried

On the menu in the colourful ’hood of La Boca

Iconic buenos

aires is bueno indeed

(CE events in Buenos Aires are highlighted in blue.)

janet gyenes

very city has its icons. Places, people and landmarks that reveal its history and culture. The heartbeat of Buenos Aires’ porteños (“people of the port” as locals are called) thumps in its tango halls, parrillas and fútbol clubs—a trifecta of romance, indulgence and rivalry. With 48 neighbourhoods or barrios, this metropolis of three million people is alive and electrifying. But I also want to peer into its past. So I head to the upscale Recoleta barrio and visit the historic Cementerio de la Recoleta. This somnolent city of the dead is home to Argentina’s military heroes and politicians, including Eva “Evita” Perón. It’s surprisingly serene strolling the lanes crowded with 6,000 statues, sarcophagi and crypts. Palms offer shade from the fierce sun. Flowers find footholds in the stone. Cats play hideand-seek under the wings of angels. The sheer scale of some of the city’s sights, however, almost overwhelm. Like the 71.5-metre Obelisco de Buenos Aires erected in 1936. I get a peek of its point on a blistering bus ride down 16-lane Avenida 9 de Julio (the widest on the planet) whose name honours Argentina’s

Independence Day in 1816. At Parque Thays I watch people smirk and smile at Fernando Botero’s Naked Male Torso, a bronze behemoth. But I’m more mesmerized by the work of Argentinian architect Eduardo Catalano in nearby Plaza de las Naciones Unidas. Floralis Genérica is a 23-metre, 18-ton aluminum and stainless-steel flower. Its six outsize petals open daily at 8am, representing “hope reborn” according to Catalano. They close at sunset like a gargantuan Venus flytrap swallowing the sky. During a graffiti tour of the working-class barrios La Boca and Barracas I see a woman’s kerchief stencilled on a wall. It’s not just a cute piece of artwork, explains Sorcha O’Higgins from Graffitimundo. The words above it—La Boca no olvida a sus desaparecidos—pack a punch: The Boca does not forget its disappeared. We pass a jumble of corrugated-metal buildings painted in primary colours, pausing at a mural of fists, faces, names, dates and the words Ni olvido ni perdon. Do not forget or forgive. It’s another reference to Argentina’s Dirty War. From 1976–1983 as many as 30,000 people suspected of opposing the military regime were executed or thrown

off planes in “death flights” over the [more] Rio Plata. In 1977, 14 mothers of these Check out “disappeared,” wearing kerchiefs with turismo.buenosaires.gob.ar/en their children’s names embroidered on the back, silently marched in front of the presidential palace on the Plaza de Mayo. That promise has endured. Families of the missing still march there every Thursday at 3:30pm. Kerchiefs and fists aren’t the only symbols on the streets. In recent years “graphic design [collectives] Dome and Fase decided to create happy characters… as a positive visual antidote,” says O’Higgins. Many murals, products of a recent city-funded graffiti fest, are lively and self-referential. Like a multi-storey man painted by an artist who works in a parilla, says O’Higgins. His shirt is unbuttoned to his naval. Gold medallions are splayed across his chest. And his massive hands are curled, not into fists, but around a knife and fork. They’re slicing another symbolic staple: chorizo sausage. It’s a welcome jolt of optimism in this supercharged South American city. — Janet Gyenes

November/December 2018 Just For Canadian dentists

c e calendar

Endodontics

Cosmetics/Aesthetic

Anesthesia/Sedation

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

when where

topic

sponsor

contact

website

Dec 02-03

Chicago Illinois

General Anesthesia & Deep Sedation

American Dental Society of Anesthesiology

312-664-8270

adsahome.org

Dec 08

Pittsburgh Pennsylvania

Systemic Health Considerations For Dental Treatment And Updates In Local Anesthesia

University of Pittsburgh School of Dental Medicine

412-648-7471

dental.pitt. edu/ce

Feb 09 2019

San Diego California

Airway, Medical Emergency & Monitoring For Sedation Dentistry

Conscious Sedation Consulting

888-581-4448

sedation consulting.com

Apr 29 2019

Ann Arbor Michigan

Nitrous RDH Oxide/Oxygen Sedation For The Registered Dental Hygienists

University of Michigan School of Dentistry

734-763-6933

dent.umich. edu

Dec 23-30

Eastern Caribbean Cruise

Composite And All Ceramic Restorations: The Gap Narrows With Dr. Brian LeSage

Mindware Educational Seminars

888-574-8288 See Ad Page 23

mindwaresem inars.com

Jan 19 2019

Halifax Nova Scotia

The What, The When, And The How Of Socket Preservation

Zimmer Biomet

902-446-7512

periobythe ocean@gmail. com

Jan 24-25 2019

Studio City California

Porcelain Veneers, PJCs & All Ceramic Crowns Using Supra-Gingival Dentistry

Los Angeles Institute of Clinical Dentistry & Ruiz Dental Seminars

818-729-9121

ruizdental seminars.com

Feb 27-28 2019

Buenos Aires Argentina

ICOTED 2019: 21st International Conference On Oral Treatments And Esthetic Dentistry

World Academy of Science, Engineering and Technology

See website

waset.org

Aug 08-10 2019

Banff Alberta

44th Annual Meeting Of The American Academy Of Esthetic Dentistry

American Academy of Esthetic Dentistry

info@esthetic academy.org

esthetic academy.org

Aug 21 2019Nov 06 2020

Denver Colorado

OBI Advanced Bioesthetic Rejuvenation (Ongoing)

OBI Foundation for Bioesthetic Dentistry

800-438-6441

bioesthetics. com

Nov 14-16 2019

Chicago Illinois

Treatment Planning Functional Esthetic Excellence

The Dawson Academy

800-952-2178

thedawson academy.com

Ongoing

Vancouver British Columbia

Course #1 Shaping, Cleaning, And Obturation Of Root Canal Systems Course #2 Re-Treatment & Other Complex Cases

Endodontics Unsponsored

604-987-2285

vancouverroot canals.com

Nov 30Dec 01

Los Angeles California

The USC 17th International Endodontic Symposium

Herman Ostrow School of Dentistry of USC

213-821-2127

uscdentalce. org

Dec 13

North York Ontario

Endodontics A To Z

HaasEndoEducation

416-787-5021

haasendo education.com

Jan 20Feb 01 2019

Rio to Buenos Aires

Medical/Dental Healthcare Delivery In Challenging Environments

Professional Education Society

877-737-7005

pestravel.com

Apr 10-13 2019

Montréal Québec

Annual Session AAE19

American Association of Endodontists

800-872-3636

aae.org

new CE to be placed

Join us for fantastic learning opportunities at home and abroad. ADVENTURE AND LEARN ANNUAL SKI SEMINAR

MAUI, HAWAII

FEBRUARY 4 – 8, 2019 Fairmont Kea Lani Resort

WHISTLER, BC

DENTAL PRACTICE TRANSITION SEMINAR AND GOLF WEEKEND

UBC SPRING BREAK SYMPOSIUM

BIG ISLAND, HAWAII FEBRUARY 28 – MARCH 2, 2019 PALM SPRINGS, CA FEBRUARY 22 – 24, 2019 MARCH 25 – 29, 2019 Four Seasons Resort Omni Rancho Las Palmas Resort Fairmont Orchid Resort and Spa, Rancho Mirage, California The University of British Columbia is a leading provider of continuing dental education. We offer a wide range of programs including lectures, study clubs, hands-on clinics and our ever popular ‘Travel and Learn’ courses.

To learn more, visit us at www.dentistry.ubc.ca/cde

Just For Canadian dentists November/December 2018

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

General Dentistry

calendar

when where

topic

sponsor

contact

website

Jan 11-12 2019

Toronto Ontario

Dentist’s Role In Snoring And Sleep Apnea With Dr. Brock Rondeau

Rondeau Seminars

800-663-7229 See Ad Page 26

rondeau seminars.com

Feb 02-09 2019

Maui Hawaii

39th Annual Dental Forum In Hawaii

Dental Seminars & Symposia

952-922-1707 See Ad Page 25

dentsem.com

Feb 04-08 2019

Maui Hawaii

Adventure And Learn

University of British Columbia CDE

877-328-7744 See Ad Page 22

dentistry.ubc. ca/cde

Feb 09-16 2019

Kauai Hawaii

39th Annual Dental Forum In Hawaii

Dental Seminars & Symposia

952-922-1707 See Ad Page 25

dentsem.com

Feb 16Mar 04 2019

Exotic Asia India & Arabia

Dr. Steve Ahing - A Review In Oral Medicine AndPathology—A Lifetime Of Lessons Learned; What’s Worth Remembering?

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 24

kennedysemi nars.com

Feb 21-23 2019

Chicago Illinois

154th Chicago Dental Society Midwinter Meeting

Chicago Dental Society

312-836-7300 See Ad Page 8

cds.org

Feb 28Mar 02 2019

Whistler British Columbia

Annual Ski Seminar

University of British Columbia CDE

877-328-7744 See Ad Page 22

dentistry.ubc. ca/cde

Mar 07-09 2019

Vancouver British Columbia

Pacific Dental Conference

604-736-3781 See Ad Page 18

pdconf.com

Mar 09-16 2019

Playa Mujeres Mexico

877-536-6736

kennedysemi nars.com

Mar 25-29 2019

Pacific Dental new CE to Conference be placed Dr. Allen Bergoyne - Surgical And Prosthetic Kennedy Professional Treatment Planning And Complications

Education Seminars

Big Island Hawaii

UBC Annual Spring Break Symposium, An Interdisciplinary Program

University of British Columbia CDE

877-328-7744 See Ad Page 22

dentistry.ubc. ca/cde

Apr 06-16 2019

Grand Japan Cruise

Dental Advances / 10-Night Cruise On Windstar Star Legend Osaka to Tokyo

Professional Education Society

877-737-7005 See Ad Page 39

pestravel.com

May 16-26 2019

Ireland & Iceland Cruise

Integrative Dental Medicine: The Next Great Frontier In Dentistry

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 27

continuingedu cation.net

Jul 14-21 2019

Alaskan Cruise

Dental Challenges and Updates / 7-Night Cruise Roundtrip Seattle On Star Princess

Professional Education Society

877-737-7005 See Ad Page 39

pestravel.com

Jul 29Aug 05 2019

Iceland Cruise

Dental Healthcare Needs / 7-Night Luxury Cruise On Ponant Le Boréal

Professional Education Society

877-737-7005 See Ad Page 39

pestravel.com

Sep 05-08 2019

San Francisco California

ADA And FDI World Dental Congress 2019

FDI World Dental Federation

41-22-56081-50

worlddental congress.org

Mar 07-14 2020

Yachting the Seychelles Islands

Current Dental Issues Symposium / 7-Night All-Inclusive Cruise On All-Suite Yacht, Crystal Esprit

Professional Education Society

877-737-7005

pestravel.com

Tour of Spain May 21 - June 2, 2019 Dr. Ron Perry “Digital Workflow for Modern Clinics”

MINDWARE EDUCATIONAL SEMINARS

Enjoy a tour of Spain starting in Madrid, visiting: Toledo, Seville, Cordoba, Valencia & Barcelona; Optional 3-day extension to Palma de Mallorca

Rocky Mountaineer & Alaska Cruise

Celebrate New Year’s on The EDGE!

July 15 - 28, 2019

Dec. 29, 2019 - Jan. 5, 2020

Dr. Will Martin “Emerging Technology: Streamlining Implant Therapy”

Dr. Susan McMahon “Team Approach to Prepless Dentistry”

Experience the Rockies like never before, tour Vancouver and then cruise the Alaskan coast!

Ring in 2020 on a Magic Carpet, awaken your senses in Eden and live life on the EDGE!

Register online and choose from any one of our great trips, all worth 12 CDE Credits! www.mindwareseminars.com …or call us today at: 1-888-574-8288 and book with the best! November/December 2018 Just For Canadian dentists

c e calendar

Implantology

when where

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

topic

sponsor

contact

website

Multiple Dates

Vancouver British Columbia

AAID Vancouver MaxiCourse: Comprehensive Dental Implant Training Post-Grad Program 2018: Nov 16-18; Dec 07-09 2019: Jan 18-20; Feb 15-17; Mar 15-17; Apr 12-14; May 03-05; Jun 07-08

Canadian Dental Implant Training Centre

889-teeth-99

vancouvermaxi course.com

Nov 09-10

Provo Utah

Implant Surgery – Level 2

Gordon J. Christensen Practical Clinical Courses

801-226-6569

pccdental.com

Dec 06-08

Santo Domingo Dominican Republic

Live Patient - 3rd Molar Extractions

Implant Seminars

305-944-9636

implantsemi nars.com

Dec 07

New York New York

9th Annual Columbia University /ICOI Dental Implant Symposium

Columbia University

212-305-7124

dental.colum bia.edu/ce

Jan 14-15 17-18 2019

Los Angeles California

UCLA Dental Implant Continuum 2018/2019: Module 4 - Digital Dentistry And Applications In Implant Dentistry

UCLA School of Dentistry

310-206-8388

dentistry.ucla. edu

Feb 02-03 2019

New York New York

Dental Implant Continuum

Implant Seminars

305-944-9636 See Ad Page 13

implantsemi nars.com

Feb 23-24 2019

Chicago Illinois

Dental Implant Continuum

305-944-9636 See Ad Page 13

implantsemi nars.com

Mar 02-03 2019

New York New York

305-944-9636

implantsemi nars.com

Mar 09-16 2019

Turks & Caicos

Dr. Jay Beagle - Implant Dentistry: Where Have We Been, Where Are We Now, Where Are We Going?

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 24

kennedysemi nars.com

Mar 13-16 2019

Washington District of Columbia

2019 AO Annual Meeting

Academy of Osseointegration

800-656-7736

osseo.org

Mar 28-30 2019

Santo Domingo Dominican Republic

Dental Implant Live Patient Program

Implant Seminars

305-944-9636 See Ad Page 13

implantsemi nars.com

Jul 15-28 2019

Rocky Mountaineer & Cruise of Alaska

Emerging Technology: Streamlining Implant Therapy From Planning To Surgery, Restoration & Maintenance With Dr. Will Martin

Mindware Educational Seminars

888-574-8288 See Ad Page 23

mindwaresem inars.com

Sep 19-21 2019

Buenos Aires Argentina

ITI Congress Argentina & Uruguay

ITI International Team for Implantology

41-61-27083-83

iti.org

Jan 10-12 2020

Montréal Québec

Cadaver Surgical Exercises For Implantology

The Institute for Dental Excellence

844-440-8433

tideinc.ca

new CE toImplant Seminars be placedImplant Seminars International Dental Implant Association Spring Symposium

Just For Canadian dentists November/December 2018

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

topic

sponsor

contact

website

Ongoing

Online

Dental Emergencies: Cardiac Emergencies

American Seminar Institute

866-611-5599

americansemi nar.com

Ongoing

Online

Hepatitis And The Dentist Professional

eDen Education Pty

800-773-7571

e-deneduca tion.com

Ongoing

Online

Contemporary Approaches To Antibiotic Prophylaxis In Dental Practice

MetLife Quality Initiatives Program

866-438-5472

metdental.com

Nov 14

Toronto Ontario

Key Principles Of Occlusion

Prosthodontic Associates Centre for Excellence

877-920-7223

pace education.ca

Apr 11-12 2019

Scottsdale Arizona

Demystifying Occlusion

SPEAR Education

866-781-0072

spear education.com

Apr 26-27 2019

Ponte Vedra Beach Florida

Anterior Aesthetics LIVE In The Op With Dr. Jason Olitsky

Clinical Mastery Series

480-489-5551

clinicalmastery. com

Nov 12

Victoria British Columbia

Practical Oral Surgery For The General Dentist, Dr. O. Ross Beirne

University of Victoria Division of Continuing Studies

250-472-4747

continuing studies.uvic.ca

Mar 09-10 2019

New Orleans Louisiana

14th Annual Hands-on Facial Cosmetic Surgery Course

American College of Oral and Maxillofacial Surgeons

202-367-1182

acoms.org

Mar 01-02 2019

Toronto Ontario

Diagnosis & Treatment Of TM Dysfunction With Dr. Brock Rondeau

800-663-7229 See Ad Page 26

rondeau seminars.com

Mar 01-02 2019

Toronto Ontario

Case Finishing And Mechanics With Dr. Adrian Palencar

Rondeau Seminars

800-663-7229 See Ad Page 26

rondeau seminars.com

Mar 31Apr 07 2019

Western Caribbean Cruise

An Orthodontic Treatment Method That Will Create The Best Profiles, Smiles And Healthy TM Joints

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 27

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far & away

There is another world on Fogo Island in Newfoundland story + photography by Barb Sligl

hey say one of the four corners of the flat earth is found on Fogo Island. And standing at the northeast edge of Newfoundland, where Brimstone Head looms above me and juts into the North Atlantic, I almost believe it. A hiking trail to the top of the rocky outcrop ends at a viewing platform with a world map indicating this corner (the others are Papua New Guinea, the Bermuda Triangle and Hydra, Greece). Okay then. But wait. This is not some regressive, anti-scientific throwback to ignorant times. Rather, it’s a different way of looking at things. Newfoundlanders have a slightly skewed view—in a good way. As Atlas Obscura describes, this particular flat-earth ideology “instigates critical thinking and disrupts expectations and rigid judgment.” There’s a Museum of the Flat Earth here that delves into this, but I’m happy to teeter outside on the fringe of far-and-away Fogo. Indeed, with the wind rushing into every pore and around each hair, my mind pried open as soon as I disembarked the ferry. One Newfoundlander I met says, “We often say here that the wind is sharp. It’ll cut you.” Wide open, I think. And every hike and conversation pries my mind open a little more. As does a stay at the Fogo Island Inn, which put this fourth corner of the world on the map (so to speak). The inn, which opened five years ago and has since appeared on just about every list of top hotels and resorts and architectural wonders, is the brainchild of Zita Cobb, a Fogo-islander who left, made money and came back. I hear that a lot on Fogo. One artisan, who paints while his wife quilts, tells me that the “best part of a trip is coming back.” Winston Osmond lives in Shoal Bay and says, “When this all started…I thought poor ol’ Zita Cobb had lost her mind. Why would people come out here to this god-forsaken rock?” Now he sells his art to visitors from all over the globe (or flat earth) and says of Cobb: “Quite the visionary.”

From Osmond’s gallery, just across Shoal Bay, a twisty edifice pokes out of the otherwise level shoreline. It’s aptly named the Tower Studio, designed by the same architect behind the award-winning Fogo Island Inn, Todd Saunders—another Newfoundlander who left and came back to be a part of Cobb’s vision. A narrow twoplank boardwalk winds across a boggy bit of land to reach this artist studio, one of four on various spots of Fogo. I crane my neck to take it in, looking up, down and around at the surrounding spread. Saunders intended the structure to counterbalance all that horizontalness. The effect is astounding, as is the quiet. If only I could decamp here, be still on this patch of flat earth within this tower. But the Squish Studio (see cover) is my favourite of the four artists’ studios that Saunders built for the Shorefast Foundation (the community-owned non-profit that’s also the custodian of Fogo Island Inn). Reached via a short climb from the tiny town of Tilting (a National Historic Site), Squish slowly emerges beyond a stony hill, where it sits at the water’s edge and morphs with each turn and step I take toward it. All these elements—the artist studios and residencies (international and highly sought-after), the so-called community hosts who give guided tours, hikes and experiences on the island, and the inn itself— are connected to the Shorefast Foundation that Cobb co-founded and which continues to channel tourism dollars back into the community. Shorefast has even developed something called an “Economic Nutrition Label,” much like the label you see on food items, documenting what percentage of cost goes where. At the Fogo Island Shop (run by Shorefast), every piece, from quilt to dining table, has one of these labels—even a night’s stay at the inn is broken down into labour, operations, marketing, and so on. And inside the shop you can watch local craftspeople at work, making the furniture that decorates the inn. I marvel at the simplicity of the Puppy Table, a three-legged side table-cum-stool made out of a single wood board that’s cut

Just For Canadian dentists November/December 2018

Community host, Allan Dwyer, at a “boil-up” (also, as Dwyer demonstrates, known as a “mug-up”)

Fogo Island Inn’s material palette and design is a reinterpretation of the maritime vernacular of fishing sheds or “stages,” including the white circles that serve as beacons after dark top The circle motif appears throughout the inn, like in the light fixtures above the bar

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The boardwalk to Tower Studio left Fogo Island Inn, early morning above Fogo Head trail, near Brimstone Head

if you go

Every room at Fogo Island Inn has a unique, hand-stitched quilt and local designs like the Puppy Table

Squish Studio, set on the rocky shores near the town of Tilting

Discover one of the seven seasons at Fogo Island Inn (next up: winter and pack-ice): fogoislandinn.ca. Find out more about the Shorefast Foundation and its initiatives: shorefast.org. Explore the rest of Newfoundland: newfoundland labrador.com.

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Another view of the Tower Studio and how it brings a vertical twist to the otherwise horizontal shoreline below left Mushroom toast (locally foraged) at Fogo Island Inn

A great auk sculpture looks toward iceland from Joe Batt’s Point above right Room key (cast from a piece of beachcombed driftwood) and collection of the inn’s furniture (atop a Donna Wilson Pouffe, the design of which is inspired by wooden shingles on a house in Joe Batt’s Arm)

Just For Canadian dentists November/December 2018

and reassembled using every part of the original piece. Once made out of necessity, it’s a vernacular design that’s become a signature and coveted décor item. This “loyal piece of furniture that follows you around the room,” as it’s described in the shop, has followed people home as far as New Delhi. The shop itself is another reboot, a re-purposed century-old building that’s had multiple lives, from Society of United Fishermen Hall to cinema/arcade, and has become yet one more form of communal space. The shopkeeper tells me, “The rule of thumb for this building, and the restoration, is if it’s old, let it be old.” Or just let it be. It’s kind of the default frame of mind on Fogo, I find. When I meet a community host, Allan Dwyer, for a “boil-up” (the local term for an outdoor gathering around a fire during which water is boiled for tea), he nonchalantly serves me the most unassuming yet delicious bakeapple jam. Also known as cloudberries, he picked them himself in “the barrens” and his wife preserved them. The tea is strong and dark, the jam is tart and Dwyer’s smile is easygoing and long-lasting. I could have sat there all afternoon on the side of Turpin’s Trail (named for the last white person who was killed by the Beothuk and had his head tossed onto nearby Sandy Cove Beach). For a remote island of little more than 2,000 people, there’s many a boil-up, shed party (just ask, you’ll be invited) or gathering of some kind. And it goes on year round. There are seven seasons, as the inn promotes: “trap berth” season (when markers are dropped for cod trap fishing berths), spring (icebergs and whales), summer (wildflowers and rowing punt boats), berry season (when you’ll find Dwyer in “the barrens”), late fall (bonfires and caribou watching) and pack-ice season… Whatever time of year, the wind will be there to clear your head and pry it open. Another hike takes me from the town of Joe Batt’s Arm (there’s another story…) to Joe Batt’s Point, where a sculpture of a great auk stands facing Iceland. I wrap my arm around the long-extinct creature that once used these rocky shores for its breeding grounds. As I gaze upon the white-capped waves, rolling and breaking, over and over, it does seem as if the water might drop off at the horizon. I think back to the notion of the Flat Earth Society of Canada and how here, watching the waves crash against the rocky shore, I’m at the very edge of it all. This place really feels like the beginning and end of the world. But on Fogo—and everywhere in Newfoundland—life is anything but twodimensional.

Special Advertising Feature

STRATEGICALLY SPEAKING Value-added Solutions for Your Practice • When It Comes To Selling Your Practice, Timing Is Everything Why You Should Always Be Ready To Sell Your Practice • Ready To Sell Your Practice? You Deserve To Get The Best Price For Your Life’s Work • Investor Dentists Why Do You Need Help Transitioning?

When It Comes To Selling Your Practice, Timing Is Everything Why You Should Always Be Ready To Sell Your Practice CALVIN CARPENTER, CPA, CA

t a community barbecue on Green Lake, Kelly Cabana reminded her husband Ronny what a good decision they made to sell their dental practice to a corporation two years’ before. They were both still working but didn’t have to worry about an exit strategy – among other things. Kelly and Ronny met in dentistry school, married after graduation and had three children in quick succession. After six years as associates in a practice, they branched out on their own, renting space and hiring a team to support them. The practice flourished almost immediately. The number of patients increased every year and their success continued for almost two decades. Kelly and Ronny had no plans to sell their practice, even as they approached their mid-fifties. They had good life-work balance, the family was healthy, and they were content. But one day they were approached by a large company that was purchasing several practices and consolidating them. Kelly and Ronny weren’t ready to sell but decided to meet with Greg, their MNP advisor, to go over their options. They soon realized the timing of the offer was good. For one thing, they had already started to see increased competition in their neighbourhood. So far, that hadn’t cut into their practice; their long-standing patients were extremely loyal. But over time, they might see some attrition among their newest clients, who might decide to start going to a closer, more convenient location. In addition, the government and the industry’s self-regulating authority had just reached an agreement to put in place a new fee schedule that would control and standardize the prices that dentists could charge. As a downtown practice that invested regularly in technology, Kelly and Ronny had higher overhead than other dentists. There was a risk their higher cost structure could make Kelly and Ronny uncompetitive. The very presence of a consolidator in the market also caused Kelly considerable concern. What would happen, for example, if they refused to sell and then

the consolidator bought up several other practices in the area? Would efficiencies and economies of scale allow that larger player to hurt their practice? Kelly had always thought she and Ronny measured up well against other similar-sized practices. But this had the potential to be an entirely different dynamic.

He pointed out that from a financial perspective, it’s always better to sell a business when the timing is right for the buyer rather than the seller. Kelly and Ronny decided to proceed a little farther down the path with the consolidating company. The company came back with a very aggressive offer for their practice. They admired the sophistication of Kelly and Ronny’s operation and also prized their specific location. Kelly and Ronny met with Greg again. He pointed out that from a financial perspective, it’s always better to sell a business when the timing is right for the buyer rather than the seller. He also asked Kelly and Ronny to consider what might happen if they rejected the offer and the company chose another nearby practice as its entry into the marketplace. How would that impact their fortunes? Would it make it harder for them to grow the value of their practice in the years ahead?

prompting other downtown practices to start asking to be put in touch with the consolidating company. At the Green Lake barbecue, Kelly said “The one lesson we learned in all of this is that you may only get one chance to sell your practice for a good price. For us, it didn’t necessarily happen when we planned it, but I’m glad we took advantage of the opportunity when it came up.” KEY MNP INSIGHTS: • Timing is crucial when selling a practice. Market factors may change and reduce the value of your practice, no matter how hard you’ve worked to build it. • The forces of consolidation are powerful and give dentists one more option in terms of the succession of their practice. • There are ways for professional services operators to cash out but continue to work in their practice.

Calvin Carpenter, CPA, CA, is the Vice President of MNP’s Professional Services team. Working closely with medical and dental professionals, Calvin provides valuable advice to help clients reach their business and personal goals. He specializes in developing customized plans for clients interested in starting or purchasing their own practice. You can reach him at 780.451.4406 or by email Calvin.Carpenter@mnp.ca

Neither Kelly nor Ronny were ready to retire, but the consolidating company had People and events featured in this article are made it clear that it would be no problem for composites based on real clients. them to continue to work in the practice even after a sale. When asked by Greg if they could see themselves working for the company, Kelly noted maintaining relationships with their patients was the most important thing. “As long as that continues, I think we can be happy,” she said. In the end, Kelly and Ronny decided the offer was simply too good to refuse. They closed the deal and continued working for the new owners. Within a year, they knew they had made the right decision. The level of competition continued to increase,

Ready To Sell Your Practice? You Deserve To Get The Best Price For Your Life’s Work SANDIE BAILLARGEON

fter investing many years in building and growing your practice, you have decided that it’s time to sell. It’s not easy letting go, but when you are ready, here are some tips on how to prepare for the sale. Here are ten points that would be attractive to a purchaser from my perspective. 1. PRACTICE EFFICIENCY An efficiently run practice should be using benchmarks and have an operating budget in place. Apply strategies for continuous improvement so the purchaser knows that the practice has not become stagnant and the staff have not become complacent. Look at how treatment planning is being done and the percentage of cases presented compared to those that are booked. Is the practice insurance driven or patient centred? The repairs and maintenance should be 1% or less. If they are higher it could indicate aging equipment or inappropriate care of the existing equipment. Dental sundry supplies should run at 5% of production or less. If the metric exceeds that, it could be the result of over-ordering, inefficient inventory control or improper allocation of expenses. Sundries must be limited to consumable items that are used up in the course of treatment in your office. Equipment or items that have longer-term value for the practice may have a depreciation value. 2. HUMAN RESOURCES MANAGEMENT Is the staff under contracts? If not, they should be. This reduces the liability of the new owner in the event that he/she has to terminate a staff member. Without contracts the new owner will assume the length of service that the employees have worked with the previous owner. Contracts will limit the liability of the new owner to the minimum standards in accordance with the Employment Standards Act. A lawyer who specializes in employment law should prepare contracts. The office should also have an employee policies manual that outlines the terms of employment at the office as well as job descriptions and a system of regular performance reviews. 3. STAFF COSTS The staff costs should be 22 - 25% or lower. Inefficiencies in appointment scheduling will cause the staff costs to be high. Look at the number of no shows and short notice

cancellations. If this is occurring on a regular basis, there are likely inefficiencies in how appointments are being scheduled. Are patients being allowed to cancel at short notice? If you would like a sample appointment scheduling protocol, please send an email to sandiedocs@gmail.com with the subject line “appointment scheduling protocol.”

a house, reduce the clutter, have everything clean and organized and fresh in appearance.

8. FLOW OF NEW PATIENTS You should have a good flow of new patients, even if you are slowing down. Look at how new patients can find your practice. The staff that stays with the new owner must have excellent communication skills to make 4. CONTINUING CARE SYSTEM the transition go well. Patients need to be How many patients are on active recall? reassured that everything is going to be o.k. Do you have a periodontal program in place and are patients keeping their appointments? 9. TRANSITIONING THE PATIENTS The patients must know that this is an active Be willing to stay on for a limited period disease that requires active therapy. Many of time and begin transitioning the patients offices schedule perio patients according to to the new owner. You should make the their insurance benefits plan instead of their introduction of the new owner to the existing clinical needs. You must treat the patient and patients and reassure the patients that they not the insurance plan. Also, look at how are in good hands. the hygienists are billing for their treatment time. The scaling unit is total treatment 10. QUALITY OF THE PATIENT BASE time, not just scaler to tooth time. Goodwill is one of the highest costs to the purchaser, so part of their due diligence will 5. ACCOUNTS RECEIVABLE –A/R be examining the quality of the patient base. What is the quality of the accounts How many active patients are truly active? Is receivable? Many assignment practices the patient base aging? Are there more seniors usually have a poor quality of A/R. Most than young families? If the buyer is looking insurance companies are paying the patient to perform implants, then an older patient (or subscriber), not the dental office, making base would be perfect, but if the buyer is the money more difficult to collect. looking to treat young families or upcoming If there are outstanding accounts over professionals then an older patient base may 90-days over due, that indicates patients not be ideal. are allowed to leave without paying. If the patients haven’t paid for the services that It may not be easy letting go, but if you they received three months ago, they have prepare your practice in advance of the no intention of paying at all. It is the quality sale, there is a greater chance that you will of your A/R, not quantity that is important, receive full value for your practice and make especially to the bank manager. the transition to retirement as seamless as possible. Enjoy your retirement with the 6. COMPUTER SOFTWARE peace of mind knowing that your practice Does the software need to be replaced? If and your patients are in good hands. so, the buyer would have to look at performing a chart purge and then incurring the costs of upgrading the computers, purchasing the software, converting the records and Sandie Baillargeon is a leading authority training the staff. This would result in on how to increase the effectiveness of reduced production and higher expenses. The medical and dental business systems. selling dentist should invest in upgrading and Ms. Baillargeon is author of two text books, conditioning the records for the new owner to Dental Office Administration and The Canadian Dental Office Administrator, published by make the conversion to a new system easier. 7. RENOVATIONS Don’t spend a lot on renovations, but it wouldn’t hurt to freshen things up with coat of paint and having a more up-to-date look. The new owner will likely have his/her own ideas about the decor. Just like when you sell

Nelson Canada. Sandie is the owner and operator of Dental Office Consulting Services, which specializes in dental business planning, staff development, consulting and continuing education seminars. Visit her website at www.dentalofficeconsulting.com or contact her directly at 905-332-2326.

Investor Dentists Why Do You Need Help Transitioning? HENRY DOYLE, DEREK HILL & KAREN A. ERGUS

as an investor dental group been knocking on your door? Do you receive letters in the mail asking you to sell? In this competitive time and market, the investor dentists, let’s call them the ‘Corps’, are aggressively seeking practices. The ‘Corps’ have stated future goals, on a combined basis, to acquire at least 300 to 400 more practices. And they do have the financial resources to follow through with their objectives. Basically the ‘Corps’ are in the ‘business’ of dentistry and that business is to make money. Of course, patient care is handled at the practice level, but the business is handled with the management of the practice. What this means to you, the seller, is that they will want to acquire the practice at a good price for them. Then over the next five to ten years, they will work with you to maintain or grow the practice. And to be fair, this is good business. But good business for you is to maximize the value of your practice and achieve the best transition for you. Understanding this prime directive, provides the insight as to why you need help transitioning. Primarily, the ‘Corps’ approach practices of medium to large sizes. The ‘Corps’ will spend a little more than the average individual to purchase a practice. They prepare their own “appraisals” and there is no commission due by the vendor. Many dentists see this as a significant cost savings. What it is not, is unbiased. It is reasonable to expect that appraisals prepared by a purchaser’s accountant is not going to reflect a market value. It will likely represent the value to the purchaser. And commissions earned are just that – they are earned by an experienced professional with expertise in dental transitions. The overlooked fact is not being able to get the ‘Corps’ to pay more for your practice in the first place. The basic acquisition strategy is to propose big figures and move quickly. Obviously, without an advisor negotiating for the vendor, the ‘Corps’ will likely achieve terms more to their benefit. With a current appetite for acquiring 300 to 400 practices the competition between the ‘Corps’ is intense. But now, you have leverage!

If you have been approached by one or more of the ‘Corps’, they will present you with a Letter of Intent, which first and foremost prohibits you from discussions with other purchasers. At this early stage you should engage a dental transition expert.

The overlooked fact is not being able to get the ‘Corps’ to pay more for your practice in the first place. The basic acquisition strategy is to propose big figures and move quickly. Obviously, without an advisor negotiating for the vendor, the ‘Corps’ will likely achieve terms more to their benefit. SO HOW DO YOU HANDLE THEIR PROPOSITION? Here is what an expert transition advisor can and should do for you: 1. First, help you decide what your ideal transition would be. Do you want to sell and stay or sell and go? Do you want to continue managing or not? Based on previous experience, your advisor will help you formulize exactly what you want from a corporate transition. 2. Next, put your perfect scenario into a Purchase & Sale proposal for presentation to all the investor dentists, including the ones that may not have approached you. Not only will the presentation proposal contain your objectives, but it will also contain favorable terms that you may not have thought of initially. 3. Finally, presenting your perfect scenario to all of the ‘Corps’, creates a healthy competition for your great practice. Now you are in the driver’s seat! Not only do the ‘Corps’ want your great practice, they also don’t want their competition to acquire it! Double the motivation!

Fact: expert advisors have negotiated better prices and structure, while working to achieve the Vendor’s particular ideal transition. In addition, experienced advisors successfully close those transitions. Whether you want to stay on, or pass the baton immediately, it is prudent to engage an expert to discuss all your options.

Henry Doyle is owner of Al Heaps & Associates Inc., Hill Kindy, and ExperDent Dental Advisors (www.HEAPSandDOYLE.com). You can reach him at 604.724.1964 or by email at henry@ heapsanddoyle.com. Derek Hill, CPA, CA., is Broker of Record for Hill Kindy and has over 30 years in dental practice evaluations and sales (www.hillkindy. com). You can reach him at 905.932.3403 or by email at dhill@hillkindy.com. Karen A. Ergus, J.D., ADR Cert., RDH is the in-house council for Al Heaps & Associates Inc., Hill Kindy and ExperDent Dental Advisors, and has over 30+ years in dental clinical practice.

t h e w e a lt h y d e n t i s t M a n f r e d p u r t z k i Manfred Purtzki, CPA,CA, is a principal in the Vancouver office of Purtzki Johansen & Associates. He can be reached at: Manfred@purtzki.com or 604-669-7558.

Sooner than later

Plan for your practice sale now with a thorough check-up and facelift

solution from September/ October 2018 contest

ou cannot start too soon when getting prepared for the eventual sale of your practice. In fact, make sure right now that you have the full entitlement of $848,000 of the capital-gains exemption available. If you are expecting the sales price to exceed your limit, then you need to multiply the exemption by adding family members as shareholders. Otherwise, you can end up with an unanticipated and huge tax bill. This happened to one dentist who learned what it means to run out of the sudoku 2 harder solution 7 5 3 4 6 1 2 8 9 8 6 1 2 9 7 4 5 3 9 4 2 5 3 8 6 7 1 5 3 9 1 8 6 7 2 4 6 2 4 7 5 9 1 3 8 1 8 7 3 4 2 5 9 6 4 1 5 9 7 3 8 6 2 3 7 8 6 2 4 9 1 5 2 9 6 8 1 5 3 4 7

solution from page 37

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

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exemption. When selling his practice, he found out that his capital-gains exemption was only $400,000, which was about $450,000 short of the maximum. He forgot that he’d sold his previous practice 20 years ago and claimed the exemption. He also didn’t act on the accountant’s advice to add his spouse as a shareholder. So he ended up with a personal-tax bill of about $200,000 on the $1.2 million sale—a tax he could have completely avoided with some advance planning. While you can no longer use the family trust for splitting income, it still comes in handy when selling the practice. Every trust beneficiary is entitled to the full capitalgains exemption. To access the capital-gains exemption, your company has to meet a few conditions, including the 90% test. This states that, at the time of sale, 90% of the fair-market value of the assets must be used in the dental practice. Make sure you “purify” your dental corporation on a regular basis by transferring investments and other nondental assets to a holding company. Purchasers get alarmed when they see a drop in revenues. Is it due to an adverse shift in demographics over which the dentist has no control? And how will it affect the future viability of the practice? These concerns do not bode well for getting the best sale price for your practice. Ensure that you increase or maintain your production for at least three years prior to the sale.

You may not

One of the think you need biggest deal one…but it’s killers is the time for a premises lease (also see “Practice Management” on page 36). The banks will not finance a purchase if the purchaser does not have a minimum of 10 years of undisturbed tenancy. Make sure that your lease provides for this. And also check the agreement with your associate. Many deals have collapsed because of a poor, restrictive covenant. Prepare a fee analysis and comparison to other dental practices in your community. If your fees are below average consider increasing them. Your patients will likely accept the increase and, by boosting income, you’ll also increase the value of your practice. It’s all part of giving your practice a facelift. There’s likely a lot more competition for patients than when you first opened the office. Dentists are beginning to realize that a nice-looking clinic is a necessary building block in growing your patient base. More dentists now invest in remodelling their practice. Even a modest budget can create an updated environment for your patients. And if your patients are impressed with the new vibe, so will the prospective purchasers checking out your clinic.

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November/December 2018 Just For Canadian dentists

practice management Timothy A. Brown 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.

Landlord woes Does your landlord hold a grudge?

assignment of the premise lease. Therefore, I often ask a simple question, “Do you have good relations with your landlord?” Most professionals say “Yes, of course. I pay my rent on time and the landlord looks after the property.” In my experience, however, this is not always the case. I have spoken to landlords who tell me that they have professional tenants who incessantly complain about

In another recent transaction, a successful and sophisticated landlord had a provision in his lease agreement stating that a portion of the sale price of a business is attributed to the desirability of the building’s location; therefore, the landlord is entitled to a share of the proceeds. Professional practice appraisers do not assign value to “desirability of location.” Those are words landlords use, not business appraisers, even if “location, location, location,” is a universally Read agreed dictum. the In this instance, the sale price was roughly $2,000,000 and the landlord asked for a fee based on a 5% “desirability” quotient of that price ($100,000). His fee would be a minimum of $3,500 if 5% of the desirability of the location turned out to be a lower amount. The estimated value of the location’s desirability was determined to be $50,000, of which 5% would be $2,500. As suspected, the landlord invoked the alternative $3,500 lease transfer fee. It’s a complicated formula open to interpretation. This “desirability” factor is not commonly documented and could result in expensive, time-consuming litigation just to determine what it actually means. If you find that clause in your lease—beware! What happened? The landlord settled for $3,500. This case revealed that, in some premise leases, a landlord is entitled to a percentage of the sale price of your business. If you don’t know if such a clause exists in your lease, find out. If you don’t know where to find it, hire a professional practice appraiser and broker. And if your appraisal does not include discussion and analysis of your lease’s clauses, you’ve hired the wrong appraiser.

fine print

little things, like burnt-out light bulbs, a dead plant in the garden or a dirty washroom in the common area. These things arise in the day-to-day course of owning and maintaining a property. I respect that tenants pay rent and expect that landlords should maintain the buildings to the best of their ability. I also respect that sometimes a light bulb can burn out and not be replaced immediately. What happened? The selling dentist had to pay the $100,000. Your relationship with your landlord matters. If you’re a good tenant, I commend you. And if you’ve lodged numerous and pestering complaints with property management or the building owner, I warn you. If a landlord won’t budge, that landlord probably holds a grudge.

Just For Canadian dentists November/December 2018

istock

arly in 2018, my company sold a practice for a client who occupied about 50% of a small professional building in a good neighbourhood. The landlord occupied the other half of the building. The landlord was also a professional, but not a dentist. Once he was notified of the practice sale, the landlord immediately processed the application for the assignment of the premise lease and within days clearly and concisely asked for a lease transfer fee of $100,000. This professional who owned the building was literally a few feet away from the dentist but refused to communicate and hired a lawyer to deliver this message. Needless to say, our client was shocked. This was a modestsized dental practice selling for a modest sale price compared to other activity in today’s market. The $100,000 lease transfer fee was a sizeable portion of the sale price and, while tax deductible, a very significant disappointment to the selling dentist. The purchasing dentist and his/her counsel were made aware of this, but because he/she did not have to pay the fee, there wasn’t much concern about it; however, the purchaser did question what the ongoing relationship with this landlord would be like. After extensive discussion between the landlord’s lawyer, the seller’s lawyer, the purchaser’s lawyer and even the broker, it was clear that the landlord would not budge. My question is this, “Was there a grudge?” When I interview healthcare professionals about their lease and their landlord relations, I know we will need the landlord to consent at some point to a transfer or

diversion

sudoku

Solve puzzle #2 for a chance to win a $50 Amazon gift card! 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. GOOD LUCK!

sudoku 1 easier solution on page 35

6 7 5 3 9 8 6 5 6 1 3 9 2 6 2 5 1 6 4 7 9 5 5 1 9 8 9 6 1 3 7

sudoku 2 harder solution in next issue

$50 Amazon Gift Card winner: Dr. Janice Mummery from Toronto, ON

8 5

1 3

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6 7 2

6 5 7

8 1 9 1 2

4 7 5 7 3 8 1 1 2 2 6 8 6 4 8

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Sudoku Contest entry form (solve + send in sudoku!)

Yes, I would like to receive the CE newsletter & updates by e-mail.

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E-mail: _________________________________________________________ Tel: ____________________________ Fax: ____________________________ sudoku Contest Rules:

1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle + entry form to Just For Canadian Dentists, 200 â&#x20AC;&#x201C; 896 Cambie St., Vancouver, BC, V6B 2P6 or fax 604-681-0456. Entries must be received by December 7, 2018. 3. Prize: $50 Amazon Gift Card. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. 6. Employees of In Print Publications and its affliates are not eligible to participate. 7. In Print Publications is not responsible for lost or stolen prizes.

November/December 2018 Just For Canadian dentists

pa r t i n g s h o t

place to see

L ik e a r ol l i n g ston e

Just For Canadian dentists November/December 2018

john Fowler

Dese rt trai ls “Sailing stones.” Also known as rolling stones, sliding rocks, walking rocks… Whatever the evocative name, it’s a geological phenomenon found on the dry lake bed known as Racetrack Playa in Death Valley National Park, where giant stones leave mysterious trails on the parched earth. These tracks—up to a few kilometres long—have been attributed to dust devils, fierce winds, magnetic fields, pranks and even space aliens. After much speculation, scientists figured out that winter conditions in Death Valley encase rocks in melting ice sheets that make them buoyant enough to glide and scrape across the sand in the slightest breeze. —B. Sligl For more on Death Valley, see page 5.

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