Just For Canadian Dentists Nov/Dec 2016 by Just For Canadian Dentists

november/ december 2016

life + leisure

on ICE in the

high arctic go DEEP in

belize Publications Mail Agreement #41073506

inside: Continuing dental Education Calendar where will you meet? ph o e n i x

/ k elow n a / l eu v en / c h i cag o /

m el b o u r n e

Just for C

de nti sts life + leisure

contents

november/december 2016

Publisher Linh T. Huynh

Editor Barb Sligl

Art Direction BSS Creative

Contributing Editor Janet Gyenes Editorial Assistant Adam Flint Contributors Timothy A. Brown Michael DeFreitas Janet Gyenes Manfred Purtzki Dr. Kellen Silverthorn Barb Sligl Roberta Staley Cover photo Barb Sligl Senior Account Executive Monique Nguyen

Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang CE Development Adam Flint Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

FEATURES

18 Wild at heart in Belize, from the jungle to the reef 36 Into the north and out of the Northwest Passage COLUMNS

DEPARTMENTS

Just For Canadian Dentists is published 6 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications.

8 photo prescription

5 November/December mix 25 CE calendar 45 sudoku 46 parting shot

In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

clockwise from top left: Barb Sligl; janet gyenes; B. Sligl

36 18

Account Executive Wing-Yee Kwong

Antarctica beckons

13 pay it forward Dental care education

14 motoring

Ilulissat, Greenland

The bespoke Porsche

18 the thirsty dentist What to sample in the new year

42 practice management

www.justforcanadiandentists.com Printed in Canada.

44 the wealthy dentist

want to reach us? check out our website!

Lifestyle dentistry Don’t go it alone

cover photo The Ocean Endeavour in the High Arctic, moored off Beechey Island, a historic site in the Northwest Passage and must-stop on Adventure Canada’s expedition starting in Nunavut (page 36).

November/December 2016 Just For Canadian dentists

from the editor Exploring the central coast of BC means a lot of stopping amidst spectacular scenery to simply stare in awe. Story on page 30.

winter wonder

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Just For Canadian dentists November/December 2016

ce. Snow. Sleet. Wind. Waves. Swells. A heady brew of Mother Nature’s power is on full display in the High Arctic. Here, you can have a taste of winter— year-round. These elemental forces are humbling and bewitching, and remind us to “tremble with joy,” as Arctic explorer Knud Rasmussen wrote. The isolated land of the Arctic has many stories to tell, from bygone colonialday explorers of the British Admiralty to modern-day Inuit forging a life on the very edge of civilization. And after a few days aboard the Ocean Endeavour with Adventure Canada, everything seems to shift, expand, deepen…from Nunavut to Greenland, the journey through the Northwest Passage is like bearing witness to the planet’s history (page 36). Another soul-searching trip can be found thousands of kilometres away, far from the Arctic Circle and near the Equator. Belize is becoming a hotspot for adventure seekers, from jungle to beach. The back-to-nature experience with Island Expeditions—camping on the fringes of untouched cayes, hiking and snorkelling amidst strange creatures, kayaking in the great blue beyond of another ocean—is about discovering yet another side of Mother Nature (page 18). There’s a north-south, hot-cold, dark-light dichotomy in all things. And in this issue prefacing the winter season, we showcase both, whether qiviut (the softer-than-cashmere fibre of the Arctic’s musk ox; page 6) or the circular perfection of the Great Blue Hole (page 5). We meet Aurora borealis, that glowing lady of the north (page 6) and then sample margaritas in the desert heat of Phoenix (page 25). We travel from the Southern Hemisphere in Antarctica (page 8) to the UNESCO World Heritage Site of Ilulissat Icefjord on the northwest coast of Greenland (page 46). As per a quote our photography expert shares from Mark Twain: “…throw off the bowlines. Explore. Dream. Discover.” Yes. We do it with gusto in this issue. Enjoy. Any ideas, comments or questions? Reach us at feedback@InPrintPublications.com.

what/when/where > November/December

mix

into the blue

you e could b

here!

DEEP

GREAT BLUE HOLE I ISTOCK

n the 1970s French scientist and explorer Jacques-Yves Cousteau “blew a piece of the crater out of the Blue Hole using dynamite,” says Bill, a park ranger from the Belize Audubon Society. These ominous words float in my head as I nervously fiddle with my snorkel and fins. I’m mentally preparing myself to plunge into the 125-metre-deep sinkhole at Lighthouse Reef, a coral atoll 70 kilometres offshore from mainland Belize. As the story goes, Cousteau wanted to create an opening for his research vessel, Calypso, to enter

this 300-metre-wide natural swimming pool so he could explore its cavernous chambers. “Keep left,” says Rodney. He’s one of the guides leading our group on a snorkel of the inner perimeter of the perfectly circular sinkhole. “It’s going to take us about 45 minutes.” In overhead images I’d seen of this natural phenomenon it looks like the eye of a mythical beast: a dark pupil ringed in turquoise with hundreds of mottled patch reefs forming a limitless body of blues. Some legends say sea monsters

haunt the hole’s depths, but I’m afraid of real creatures like the stingrays and blacktip sharks that make their homes here. Minutes ago I wondered if our boat had stalled, not realizing we’d arrived: the hole’s rim is hidden under a vast expanse of daunting dark water. Rodney dives down and points out colossal tube corals, along with strange black-and-white tiger tail sea cucumbers that shrink away when playfully prodded. It’s a glorious underwater garden with purple and gold coral seafans swaying to a soundless tune.

An artist’s palette of painted fish flit alongside as I swim clockwise around this massive roundabout. They take shortcuts among the coral branches, darting into the light and shadows as brilliant flashes of electric blue and neon yellow. I see a shape moving to my right in the eerie abyss. Twin wraithlike creatures—eagles rays—glide by before being swallowed up by the darkness. It’s then that I get a vivid sense of the mythology surrounding this sweet spot suspended in the sea. Haunting, indeed. —Janet Gyenes

if you go Take an excursion from Island Expedition’s Lighthouse Reef basecamp. islandexpeditions.com read more See story on Belize, page 18.

November/December 2016 Just For Canadian dentists

mix

November/December

high arctic

fashion

light show

[greenland]

Kangerlussuaq Fjord, near the Arctic Circle at ~66°5’N 52°5’W

treip th

Welcome to the ice age

light fantastic L

See story on the Arctic, page 36.

Just For Canadian dentists November/December 2016

ong strands unfurling in atmospheric waves or limbs looming across the sky. Aurora borealis may be a bit of a tease, but this siren of mythic proportions puts on a show of oohs and aahs. Her name literally means “northern lights” and, made up of charged particles from solar activity drawn to earth’s magnetic field lines, she’s at her most flirtatious in the High Arctic. Expeditions north of 66º (like Adventure Canada’s Out of the Northwest Passage voyage; see page 36), offer the best chances of seeing the Northern Lights. And if it’s winter (when nights are dark and long), isolated (with little light pollution, as in Kangerlussuaq Fjord in northwest Greenland; left), the skies are clear (winter in the northern auroral zone tends to have less cloud cover) and you’re near the Arctic Circle (roughly the latitude of 66ºN), then you may be graced with a sighting. But Aurora is fickle. She’s ending a decade-long cycle of high activity and ready for some rest, fading and shying away (following the ebbs and flows of an 11-year solar cycle) and settling into a more dormant phase. Catch her while you can. —Barb Sligl

bottom: barb sligl

northern exposure

inter is coming. Extreme weather holds an icy grip on remote northern reaches. Temperatures are bone-chilling, winds unrelenting, and the scenery so spectacularly sinister it takes your breath away. Here, only the strongest survive—like the musk ox, which inspired Qiviut & Co.’s ultra-luxury flagship jacket. Like its muse, this limited-edition unisex jacket is rare (each one comes with a certificate of authenticity) and thrives in barren landscapes where few dare to wander, thanks to a downy under-fibre called qiviut. Long used by denizens of the frozen north, this rugged natural fibre is actually softer than cashmere and eight times warmer than wool. And like the musk ox, qiviut is scarce. Globally, less than 5,000 kg of the raw fibre is harvested each year from the animals when they shed each spring. Qiviut & Co. launched its innovative outerwear after observing artisans in Alaska using this fibre over two decades. These pioneering jackets are hard-working and stylish shapeshifters. Thermolite Pro™ synthetic and 100% Canadian qiviut work in tandem to deliver high-performance insulation, while a waterproof outer-shell keeps shrouds of mist and lashings of rain at bay. A detachable collar, hood and baffle offer versatility, whatever the weather. Winter is here. But there’s no need to rush in from the cold. From $1,900. Qiviut & Co., qiviutandco.com —Janet Gyenes

sexy selections

November/December

Style or substance? There’s no need to compromise with these 10 great gifts Written + produced by Janet Gyenes

gift

guide

mix

1 Farm Fresh Chef Walt’s newest cookbook, Araxi: Roots to Shoots, Farm Fresh Recipes, serves up inspired recipes such as Roasted Beets with Chickpea Caponata and Nasturtium Pesto. $37.95, Barbara-Jo’s Books to Cooks, bookstocooks.com

2 star struck We’re dazzled by these sublime sparklers. Wear the Tiffany Victoria® mixed-cluster earrings, in platinum with diamonds, at any occasion. $21,700, Tiffany & Co.®, tiffany.ca 3 artful essence Cire Trudon’s slim scented matches are conversation pieces in delightfuly decked packages, like Ottoman (shown). $15, Saks Fifth Avenue, saksfifthavenue.com

5 10

editor’s

pick

4 Cool shades Idaho-based Proof believes in giving back. Funds from the purchase of each pair of glasses, like these Goodson Eco shades in Jade, have helped build eye clinics in India. From $135, iwantproof.com

indulgent offerings

Haute Holiday

5 understated elegance With its simple styling, perforated plaque and snow-white shade, the Hermès Evelyne bag is, hands-down, our winter crush. $3,520, Hermès Canada, canada-en.hermes.com 6 Chic cuffs With their clean lines, scale and nod to architectural styling, these Hermès cufflinks exude gravitas and prove that sophistication is always on trend. $1,015, Hermès Canada, canada-en.hermes.com 7 good grooming Vancouver-based Barber & Co. has nipped all excuses for angry skin and unruly scruff with products such as its smooch-worthy Shave Oil and Beard Balm. Grab a Beard Bundle or Shave Bundle this season. Individual products from $20, unionofbarbers.com

9 6

8 GREAT Gadget No app is as good-looking or functional as this walnut multitool from Proof. Use it for tackling partytime tasks like uncorking wine and slicing cheeses. From $20, iwantproof.com 9 takeaway tin Inspired by the Toronto ‘hood, The Beaches 6 oz soy travel candle lets you transport the heady aroma of orange blossom, jasmine and bergamot on your travels. $20, vancouvercandleco.com

10 skin smart Banish dry skin this season with Skoah’s extra-special Holiday Body Kream packed with good-for-you ingredients like shea butter, ivy extract, sea kelp algae and more. Bonus: it’s infused with brown sugar and vanilla! Available November 12, $38/8 oz, skoah.com

November/December 2016 Just For Canadian dentists

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.

Framing the Antarctic

In the land of ice and penguins, a great shot just needs preparation

Apply your photography skills to the shooting situations and scenery of the antarctic.

add drama + danger

The inhospitable Antarctic is a once-in-alifetime adventure; try to capture its danger and drama in your shots. In Neko Harbour, I photographed our ship amid pack ice (f11 and 1/125 second) as well as during the rough crossing of the infamous Drake Passage (left) as waves broke over the ship’s bow (f16 and 1/30 second). Just For Canadian dentists November/December 2016

if you go

Take a tour with AdventureSmith Explorations. adventuresmithexplorations.com

nder the fading afternoon sun, we pulled our zodiac up to the small dock at Port Lockroy, an old British Antarctic research station turned museum. I wandered through the various rooms taking shots of pantry shelves stacked with old food cans, the old galley and warming room with ancient looking skis and ice ax mounted on the wall. When I entered the radio room I spotted the view from the old wooden window and knew I had the signature shot of my adventure. Using a tripod and wide-angle zoom I selected an aperture of f11 so I could include the entire window in the frame, but render its wooden pane dividers slightly out of focus so they wouldn’t distract from the main view. Outside, a group of gentoo penguins gathered around the flagpole flying the British flag and in the background stood a dark shed with a bright orange door. I composed the shot using the window dividers as individual frames for each element in the scene and waited for wind and penguins to cooperate. Lucky for me they did. The harsh, white environment and unpredictability of the Antarctic creates many photographic challenges, so patience and preparation are key for getting good images. You never know when a shooting situation will present itself, so having different lenses mounted on different camera bodies and presetting controls could mean the difference between getting the shot—or not. As we motored through Gerlache Strait our naturalist guide mentioned that humpback whales frequent the area. Leaving nothing to chance, I affixed medium and long telephoto zoom lenses to two of my camera bodies and preset shutter speeds to 1/800 second to account for ship vibrations and movements as well as camera shake. We had just sat down for lunch when the words “humpback whales” blasted over the ship’s PA system. We all raced for the lower deck. As we jostled for position along the rail the captain cut his motors waiting for the whales to surface again. Thankfully my choice of a medium telephoto lens (24mm to 70mm) paid off when the whales surfaced about 10 metres from the boat. As the others hastily swapped long telephotos for shorter

michael defreitas

destination photography

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

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antarctic window

frame it

Use the mullions of a window and other props, or even ice formations, to frame your photography—and add another dimension to scenery.

ones I fired away. I managed to get off about 20 shots before the whales disappeared into the depths. Some never got a shot. One of the main difficulties in the Antarctic is trying to avoid the ever-present white backgrounds making it tough to get frontal portraits of the birds.

The gentoo penguin colony in Neko Cove provided lots of opportunities to photograph parents and chicks, but few angles to separate them from the whitish rocks and snowy background. After taking a few blah shots near the beach I noticed a few birds on a low hill 200 metres away. On the hilltop I took a position below and slightly to the side of one penguin family so I could shoot up into the blue sky and create balance between their white and black feathers. I used f11 and a 200mm telephoto lens to blur the background a bit and keep some distance between the birds and me. I wanted them to interact with each other rather than gawk at me. Finally, after 20 minutes of lying on cold rocks, I captured some tender

interactions during their feeding time. Bright sunny days are rare and fleeting in the Antarctic—another reason to have cameras ready at all times. Camera meters typically correct for neutral gray, rendering snowy scenes dirty or darkish especially in brilliant sunshine. Presetting your camera’s exposure compensation to +1 will help whiten the snow and bring out a bit more detail in the shadows. It’s also a good idea to utilize props to help augment the general monotone nature of Antarctic scenes. Think ahead about how to use the red survival parkas worn by crew and passengers, the red zodiacs or structures around the boat as frames or leading lines. My prop preparation paid off as we motored through the Lemaire Channel and got a fiveminute window of sun. Just enough time to dash to the bow and fire off a few shots before the clouds engulfed us. Two days earlier I had scouted a large oval iron cleat at the bow that I now used as a frame for my wide-angle lens. The Antarctic is one of the last frontiers. Plan for the unexpected. Take extra equipment and backups for everything. And, of course, expect to be wowed.

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photo prescription [continued]

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This activity has been planned and implemented in accordance with the standards of the Academy of General Dentistry Program Approval for Continuing Education (PACE) through the joint program provider approval of the ThisSchool activity has been planned implemented in accordance with of UNLV of Dental Medicine and and California Implant Institute. UNLV School standards of isthe Academy of General Dentistry credit.â&#x20AC;? Program Approval for Dental Medicine approved for awarding FAGD/MAGD Provider 213111

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Roberta Staley is an award-winning magazine writer and the editor of the Canadian Chemical News, published by the Chemical Institute of Canada. She is also a magazine writing instructor at Douglas College and a graduate student at Simon Fraser University.

Big-picture dentistry

Why programs like COHI, the Children’s Oral Health Initiative, make a difference in dental care

courtesy of Dr. Kavita Mathu-Muju

t could be said that good oral health among children starts at dental school as much as it starts in the home. Certainly, research that takes place within a university setting provides the basis for empirically sound public policy that has the potential to positively influence dentistry standards and government strategies, thus leading to improved overall societal health outcomes. For Dr. Kavita Mathu-Muju, an assistant professor in the University of British Columbia’s Faculty of Dentistry pediatric division since 2011, a passion for both research and public policy was spurred by an acute awareness of societal inequalities. Such inequities quickly became apparent to Mathu-Muju shortly after graduation in 1993 from the University of Manitoba College of Dentistry when she went to work for the First Nations and Inuit Health Branch of Health Canada. The northern Manitoba dental clinics she worked in highlighted the effects of isolation on the health of a community. “You could see the impact of how difficult it is for people living in small, geographically isolated communities to get regular dental care,” Mathu-Muju says. During these early years of practice, Mathu-Muju also undertook international work throughout Central and South America as a volunteer with the Alberta-based organization Kindness in Action, bringing dental care to the poor. These missions further confirmed her belief that oral health—or the lack of it—was directly linked to poverty and social and political injustices. Was it possible to effect change beyond the straightforward delivery of clinical care? “These experiences profoundly shaped me. It opened my eyes to the bigger picture about inequities here in Canada and channelled me towards academics because I wanted to be able to look at issues and research that would help formulate policy that would help reduce these inequities,” Mathu-Muju says. In 2003, Mathu-Muju made the jump to academia, undertaking a pediatric dentistry residency at the University of North Carolina School of Dentistry and a concurrent Master of Public Health degree. “I found pediatric dentistry the most rewarding, because the focus is on primary preventive oral health

care.” This coincided with a shift in pediatric prophylactics as fluoride varnish on kids’ dentistry, with greater value being placed teeth. These aides participate in community upon the health of youngsters’ teeth. events, amalgamating conventional dental “There’s more recognition that baby teeth health messages into traditional wellness matter,” says Mathu-Muju. In addition to the models. issue of aesthetics, sound baby teeth affect For Mathu-Muju, analyzing such the proper development of the permanent initiatives and disseminating her findings is teeth. Moreover, a toothache can have what coming full circle from her early days as a Mathu-Muju calls a “spiralling effect.” Sore care provider in isolated northern communiteeth prevent a child from eating properly, resulting in poor sleep patterns and a failure to thrive. This, in turn, affects school outcomes. “You don’t really learn well because there’s a pain in your mouth.” Through the ensuing years, MathuMuju’s research has resulted in numerous peer-reviewed papers, most recently one in the Canadian Journal of Public Health titled “The Children’s Oral Health Initiative: An intervention to address the challenges of dental caries in early childhood in Canada’s First Nation and Inuit communities.” Better known by its acronym COHI, the Children’s Oral Health Initiative was created in 2004 as a joint effort between Health Canada and First Nation and Inuit communities to tackle the high rate of dental caries in children. Aboriginal kids have higher rates of tooth decay and untreated dental caries than their Canadian peers. Dr. Kavita Among Aboriginal children aged Mathu-Muju three to five, 85 per cent suffered with one of her decay while the average number of young dental decayed, missing or filled primary patients. teeth was 8.22 per child. Nearly half, or 49 per cent, of these decayed teeth ties where she tried to alleviate were untreated. (Data from the Inuit Oral rampant dental problems. Such reHealth Survey Report, 2008–2009, and the First search is the bridge between policy makers, Nations Oral Health Survey, 2010.) healthcare providers and the patients themMathu-Muju’s paper revealed that selves, opening two-way lines of communiCOHI is emerging as a success story and cation that result in empowered Aboriginal is now found in 55% of the country’s 636 communities who see health improvements Aboriginal communities, helping overcome through the creative application of hygiene the historical effects of colonization that education. For Mathu-Muju, such findings have prevented access to health care. The are only a flagstone in the long road of conprogram’s embrace by communities is due in tinuous research that currently includes an large part to its collaborative approach and analysis of the overall effectiveness of COHI emphasis on Aboriginal self-governance and in reducing children’s caries. Ultimately, such traditional models of wellness. Under COHI, research helps the entire dental fraternity a member of the community is trained to “keep evaluating and incorporating the scisupport community awareness and provide entific literature into their individual clinical basic disease prevention by providing such practices.” November/December 2016 Just For Canadian dentists

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

Adventurous imbibing

TH E FR EN CH NE GR ON I

MAKE

SUPERIOR SIPPING 0.75 oz French bitter aperitif, preferably Amer Picon orange zest

Build ingredients in a rocks glass. Add cubed ice and stir. Garnish with orange zest.

Champagne Cocktail Kit This compact kit lets you elevate your in-flight experience by transforming sparkling wine into a quaffable champagne cocktail. $30, Amazon Brew Loops 2017 In autumn Kamloops BC celebrates all things beer and bikes at this three-day festival. brewloopsfest.ca

French Negroni Recipe courtesy Grey Goose® 1 oz Grey Goose L’Orange 1 oz Noilly Prat® Rouge Vermouth

Just For Canadian dentists November/December 2016

It describes the soil and climate in which grapes are grown. But what about that other essential element? Water. Scottish company Uisge Source has taken terroir back to its historic roots. It’s reviving an old tradition in which whisky distillers gave small bottles of their source water to customers for dosing drams to open up the spirit’s aroma and flavours yet preserve the whisky’s character. Uisge Source sells 100 ml bottles of water from three Scotch distilleries in the Highland, Speyside and Islay regions. Champagne producer Moët & Chandon has also taken a look inward at its long history and quite literally raided its cellars to produce MCIII, an ultra-premium cuvée made of multiple vintages. This spring I was one of the first people in Canada to sample MCIII. Vintages ranging from 1993 to 2003 have been chosen to represent the wine’s “three tiers” or essential aging elements: metal (stainless steel vats), wood (oak casks) and glass (bottles). Still wine vintages compose the first and second tiers, while the third tier is a marriage of grand vintage champagnes from five to 10 years old. All three tiers of wines are blended together and aged for an average of 10 years, plus one year post-disgorgement. Complexity doesn’t even begin to describe this unique production process. And while MCIII is pleasing to my palate, it’s aficionados of the bubbly who will truly appreciate the nuances of this superb champagne. If you can get your hands on a bottle (it will set you back about $650), pop the cork and raise a glass. It’s an ideal way to toast a year of adventurous imbibing.

BUY

Canadian distillers are also putting their stamp on spirits—with winning results. For instance, Odd Society Spirits doesn’t use wine barrels for its Barrel-Aged Vermouth but rather charred bourbon barrels. The vermouth is yet to be released to the public (at time of writing), but it’s already snagged a Double Gold medal and Best Vermouth award at the 2016 New York World Wine and Spirits Competition. The Vancouver-based distillery puts masses of botanicals into the mix, including bark foraged from local arbutus and cherry trees. Another BC distillery is getting into the spirit of using local ingredients and earning gold for its efforts. Queensborough Gin, made by Central City Brewers + Distillers, took home gold in the gin category at the 2016 San Diego Spirits Competition. Spruce tips foraged from Vancouver Island and mountain juniper berries from the province’s interior region give this classic London Dry gin its citrus notes and floral nose. The booming craft beer industry has long been known for taking detours from convention. Like Brew Loops, a celebration of the beer and bike culture (responsible biking, of course) in Kamloops, BC. This year’s event, which I participated in, introduced a pub crawl and block party—on bikes. Along with 100 other riders, I cycled and sipped my way from riverfront Pioneer Park to Red Collar and Noble Pig breweries and finished at the block party across the river, anchored by Red Beard. The café specializes in craft brews from BC and beyond. It’s a refreshing way to get a taste of a city’s local flavour along with a little of exercise. Terroir is another topic that constantly comes up, typically in the context of wine.

ystery and history, science and alchemy, evolution and revolution. The world of beverages is both complex and compelling. I’ve fallen down many rabbit holes expanding my knowledge of all things quaffable from amaro to Zwack. This summer I strolled along the French Riviera with a Grey Goose Le Fizz Royale cocktail in hand. In a boulangerie bedecked in the apropos French blue, I sampled a slice of sourdough bread from the baker himself. It seemed like a strange pairing with my effervescent aperitif crafted from vodka, St. Germain Elderflower Liqueur and a splash of soda. And while this European reverie wasn’t exactly real (it was the Grey Goose Boulangerie Bleue event held in Vancouver), what I learned was revelatory. At first flush I failed to make the French connection between vodka and bread. But I realized that the faux wheat fields at the event weren’t just for photo ops. This French vodka, after all, is made from winter wheat, not potatoes. In fact, Grey Goose purchases wheat from a trio of French farming cooperatives that’s the same high-quality grade used for baking bread. Vive la différence! Another unexpected French twist was one of the event’s signature cocktails: the Negroni. Of course, the Negroni is not just the quintessential Italian cocktail, it’s also made with gin, not vodka. Surprisingly, the Grey Goose L’Orange vodka’s bittersweet and oily essence of citrus (almost half a kilo of fruit goes into each bottle) stands up to the sweet vermouth. The verdict: the French might be beating the Italians at their own game. Shake up your own (recipe below) and say à votre santé.

far LEFT: BARB SLIGL; BOTTOM RIGHT: Mary Putnam

Producers are staging a spirit revolution, and changing how—and what—we drink

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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.

Porsche refresh

Restored, re-imagined, reborn for the 0.00000014%

ix years ago I was one of a handful of journalists who showed up for the 20-minute press launch of Singer Vehicle Design. As I recall, minimal signage. No appies, nor libations, nor high-heeled models in formal wear. Just an aging exrocker passionate about his old Porsche 911, expensively modified to look even older (the car, not the rocker). I shook my head…but, as it turns out, for the wrong reasons. I made the mistake of judging Singer Vehicle Design’s prospects based on my perspective. The >$600,000 USD average price for one of their “restored, re-imagined, reborn” treatments of a customer’s old Porsche 911 resulted in exquisite, bespoke creations. But, as a Porsche 911 owner and fanatic myself, I just couldn’t see a market at

half that price. The thing is, there are seven billion people and counting on this planet. Rob Dickinson (the ex-”Singer”) only had to find eight to 10 similarly minded earthlings per year…with bottomless wealth. I ran the math. Dickinson needed to connect and contract with just 0.00000014% of the planet’s population each year. And Singer Vehicle Design has. And the world is a better place for all of us. In fact Dickinson / Singer Vehicle Design now has celebrity status in the ethereal Porsche world. Jay Leno fawns. Jerry Seinfeld too, I’ll bet. Fifty re-imagined Porsche 911s have already been delivered. I ran that math too. Thirty million USD!! And Singer Vehicle Design has 75 more paid deposits waiting in the wings. Seems like front-man Dickinson

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could start planning his second retirement… or at least a Reunion Tour of his old band Catherine Wheel. I feel like a cold-hearted skeptic. I was wrong six years ago. As penance, I’ll tell you now what a more prophetic scribe would have then about Singer Vehicle Design. A Singer Vehicle Design customer needs to provide a “donor car.” The particular car needed is a Type 964, which is 20–25 years old. These are air-cooled, rear-engined Porsche 911s of 1989–1994 vintage. The client and Dickinson’s team then agree on which of a very long list of appearance and oily-bits specification options they will pull together for the re-birth. Each project car is then stripped to a bare shell and refurbished— arguably better than new. Many body panels

DR. REENA M. TALWAR DDS PhD FRCD(C)

Dr. Talwar is an Associate Professor in the Division of Oral and Maxillofacial Surgery, Faculty of Medicine and Dentistry at the University of Alberta. She obtained her Bachelor’s degree from the University of Toronto and her Doctor of Dental Surgery (DDS) degree from Case Western Reserve University in Cleveland, Ohio. She then completed a research fellowship at UT Southwestern Medical Center and received her training in Oral and Maxillofacial Surgery in a combined OMS/PhD training program at Baylor College of Dentistry in Dallas, Texas. Her primary clinical interests include Dentoalveolar Surgery, Implantology, Skeletal and Facial deformities and Trauma. Her PhD was focused on hormonal influences at the cellular and molecular level in chondrocytes from the temporomandibular and femoral condyle. She is currently the director of Implant Surgery for the General Practice residents at the UofA. Her research projects at the University of Alberta aimed at identifying specific cellular events in the oral cavity, in patients with Crohn’s disease as well as using Acellular dermis grafts to increase connective tissue over immediate implant sites. Dr. Talwar was one of the founding developers of the Toronto Maxi Program and continues to instruct and support implant education. She is the founding facilitator for the University of Alberta’s AIR (Alberta Implant Residency) Program.

For more information and to register: www.dentistry.ualberta.ca/CDE PH: 780-492-5391 | EM: dentce@ualberta.ca

Just For Canadian dentists November/December 2016

singer vehicle design

motoring [continued] are replaced with carbon fibre. In particular, the re-imagined cars sport the look of the small-bumper 1964–73 Porsche 911. Which is ironic. Because in 1974–1984 there was an industry morphing the 1973 and earlier Porsche 911 in the other direction, changing small-bumper cars to look more modern as later big-bumper cars. I know because I did this to a 1972 Porsche 911. At the time, my car needed body work anyway, so I went for it largely because as a new-to-911 driver, I had experienced the infamous drop-throttle-oversteer cum dropkicking-into-ditch, a trait 911s prior to the Type 964 had a propensity for. (Some called this character, while the more jaded said, “engineering trying to overcome physics.”) Singer Vehicle Design clients can relax on that front, as the oily bits of their new ride are comprehensively restored to Type 964 specification or better. Depending on options, the brakes, suspension and engine are also far more advanced and higher performing than a 1973 vintage or even 1993 vintage. Of course, the casual bystander can’t see any of these upgrades curbside. What the astute bystander can see in Singer Vehicle Design’s re-born creations are subtle bespoke exterior and interior visual

cues. Some of these borrow inspiration from the factory race-special Porsche 911s of the small-bumper era (911R, 911 S/T, 911 RS, 911 RSR). Other cues are musical, or from Catherine Wheel iconography. Others cues are just different, like two louvers on the Singer Vehicle Design Targa bar versus the three on the Porsche factory-minted item. And the planet’s 0.00000014% are lapping this up. In addition to US customers, Singer Vehicle Design has sold in Canada, Mexico, France, Switzerland, the UK, Russia, Dubai, Bahrain, Hong Kong, Taiwan, Korea and Indonesia. The company reports that buyers in the emerging markets are often Gen X or even Millennial, rather than the early-and-mid Baby Boomers who actually grooved to the small-bumper 911s as teenagers. The loyalty of these owners to Singer Vehicle Design is impressive. There’s no showroom, demo unit or even a show car. All of those roles are played by existing SingerVehicle-Design-creation owners. But it’s not quite like the inauspicious launch of six years ago. Singer Vehicle Design

Hot car!

now gets invited to starring roles at the most prestigious auto-enthusiast events— Goodwood and the Quail Gathering to name just a couple. Many event attendees can recite the Singer Vehicle Design story verbatim. Unlike my prediction, fans flock. Wallets flap. Kool-Aid line forms to the left. You have to love the Dickinson storyline, though. “Follow your passion and great things will transpire.” The world could use more feel-good stories. I’ll pause and reflect the next time I’m tempted to shake my head at someone else’s dream.

November/December 2016 Just For Canadian dentists

into

Jungle zipline, Bocawina Rainforest Resort opposite Jetty, Gloverâ&#x20AC;&#x2122;s Reef Research Station

travel the world

the

wild

Exploring Belizeâ&#x20AC;&#x2122;s untamed jungles and coral reefs story

+ photography by Janet Gyenes

travel the world

n army marches before me, hefty green bundles on their backs. Streaming like a river, they cut a swath through the jungle on this sticky, moonless night. These nocturnal creatures—soldiers, workers and hitch-hikers—are leaf-cutter ants, called wee wees in Belizean Kriol dialect. They’re delivering leaf fragments that dwarf their size to the queen, says Blasio, the local guide leading us on a night hike in Mayflower Bocawina National Park. Located in southern Belize, Central America’s smallest and most sparsely populated country, the park is also home to Bocawina Rainforest Resort. The off-the-grid lodge existed long before the 7,100-acre national park was established in 2001. Our group is staying in the resort’s thatched cabanas tonight, the first day of our 10-day Double Atoll Adventure with BC–based outfitter, Island Expeditions. Tomorrow we’ll continue our off-the-grid excursion

legs. As we walk, Blasio explains how the jewels glinting in the grass are the eyes of wolf spiders. Marc, one of our group, starts wildly slapping his shins. Fire ants. This isn’t the picture of Belize I’d imagined. It’s better. Like an authentic adventure camp for adults where you can practically swing from vines in the jungle—or a zipline, like I did this afternoon—with wild abandon. Luxury lives in Belize’s idyllic islands, or cayes, too. Leonardo DiCaprio has Blackadore Caye; Francis Ford Coppola, Coral Caye. But could these famous filmmakers conjure a paradise as pristine as infamous 17th-century pirate John Glover’s remote retreat? We’ve arrived at Southwest Caye—part of Glover’s namesake 210-squarekilometre coral necklace flung 45 kilometres offshore—and our basecamp for the next two days. The camp almost looks like a film set: a dozen tents are staggered across a stretch of blinding-white sand amid ruffled palms. My tent is a dollhouse with twin beds, a wooden table and a kerosene lantern that looks like a throwback to Glover’s time. But the

Kayaking to a shipwreck, Lighthouse Reef opposite Miss Annette, camp cook at Glover’s Reef

by boat, first travelling 56 kilometres across the Caribbean Sea to Glover’s Reef and later, to Lighthouse Reef where we’ll snorkel the Great Blue Hole, put on the map by French explorer Jacques-Yves Cousteau. Both remote coral atolls are in the Belize Barrier Reef, a UNESCO World Heritage Site and the second-largest reef system in the world. Here on the Antelope Trail, night has descended like a heavy curtain. Rubber trees, palm fronds and underbrush are woven so tightly even pinpricks of starlight don’t penetrate the jungle canopy. We’re on the lookout for wild cats: jaguar, puma, ocelot, jaguarondi and margay. Like detectives on stakeout and armed with headlamps, we spy on nocturnal birds camouflaged in the grass. A kinkajou stares at us from the high branches of a rubber tree, its eyes beacons in the black. We check in on a scorpion with a mob of babies on her back. Blasio pokes a stick into a sandy hole to coax out its occupant: a tarantula. “Nobody’s home,” he says. Then we spot a bright-white golf ball—its egg sac—and the spider’s hairy

Just For Canadian dentists November/December 2016

pirate probably didn’t feast on meals like shrimp in coconut sauce, cooked by Miss Annette and served up in the communal lodge, one of the camp’s few permanent structures. The next morning the sun rises like a shot. Blasting heat is tempered by breezes that nudge forward the double kayak I’m paddling with Gerlinda (a German woman who’s also travelling alone) into the big blue before us. Our guides, Mike and Budge, are leading our group on a 90-minute paddle to Glover’s Reef Research Station, through hundreds of patch reefs harbouring some 500 species of fish. We soon spot a purple plasticky object and Mike warns us that what appears to be a half-deflated buoy is a Portuguese man-of-war. The prospect of getting my paddle entangled in its stinging tentacles that average 10 metres in length reminds me of how the distinction between who’s predator or prey can come down to a chance encounter. Arms spent, we make our last push past mangroves to Middle Caye amid a scene of brown pelicans dive-bombing for fish. There’s

travel the world

Guide Budge, Gloverâ&#x20AC;&#x2122;s Reef Research Station above left Tents, Southwest Caye basecamp, Lighthouse Reef above right Resident hermit crab below left Sunset, Halfmoon Caye below right Guide Jazz (left) and a conch fisherman near the Great Blue Hole

travel the world

Seashells above left Southwest Caye, Glover’s Reef above right Guests Ron and Marc, Southwest Caye basecamp below Halfmoon Caye, Lighthouse Reef

Just For Canadian dentists November/December 2016

little life at the research station today, just some lizards and hermit crabs. We tie up our kayaks near a weathered wooden jetty and slip on our snorkel gear. In minutes I’m immersed in an alien-looking underwater theatre of neon-yellow brain coral and plum-tinged coral fans waving in the waters. Mike pops his head out of the sea to shout out the names of the fish, like monstrous Nassau groupers, stripy sergeant majors, and stoplight parrotfish. “Stingray!” I spot the sand-cloaked diamond shape and its half-metre-long tail. The stingray captures water under its flat body and transforms itself into a magic carpet that does a quick disappearing act as we watch in wonder. After about 45 minutes of underwater exploration it’s time for lunch. I swim toward the jetty and come eye-to-eye with a sliver of silver. Barracuda. The metre-long fish is suspended in the shadows, razor teeth protruding from its hinged jaw. I retreat backwards and make my way to the jetty ladder. Mike and Budge prep a lunch of Johnny cakes with tuna salad, plus watermelon and cookies, to fuel us for our shortcut back to Southwest Caye. We outfit our kayaks with sails and let the wind fast forward us across the channel back to camp. Two days later, we’re onshore at our final outpost, Lighthouse Reef, a dead-ringer for Glover’s, but if you go bigger and wilder. Everything For more info on exploring here is in constant motion. Belize’s jungles and reefs, go Saltwater sprays our tents to travelbelize.org. For excursions facing the churning sea, through Island Expeditions go rangy palms gyrate in the to islandexpeditions.com. gusts and black frigate birds go deeper fly overhead like kites. Jack Read more about Belize and Wilde, the camp naturalget a peek inside the famed ist, gives our group a quick Great Blue Hole on orientation: we’re sharing the page 5. island with members of the Belize Audubon Society, a colony of 3,000 red-footed boobies nesting in the native ziricote trees and hundreds of hermit crabs scrabbling about. I spend the next four days dining on a pirate’s bounty of adventure: hand-line fishing with a piece of conch on a hook, ogling massive nurse sharks lying in repose and kayaking two-metre swells to explore a rusty ship heaped on the reef. And under the grin of a crescent moon and the Big Dipper scooping up a million twinkling stars, I slip a flashlight onto my wrist, walk into the sea and plunge my face into Belize’s deep, dark beyond.

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phoenix / kelowna / leuven / chicago / melbourne … | c a l e n d a r

An intern ation a l guide to continuing denta l Education

fall /winte r 2016 + beyond

phoenix

3 4

phoenix has plenty of Arizona’s desert heat but it has also sparked a spicy and vibrant art and culinary scene…with some sweet spots to rejuvenate (CE events in Phoenix + beyond are highlighted in blue.)

Barb Sligl

fter my Lotus Blossoming Chakra massage, I discover that some of my seven chakras aren’t quite as aligned as they should be. Apparently I need to meditate more. I try to remedy this immediately by walking the labyrinth at The Boulders Resort & Spa. 1 Round and round I shuffle, the scent of sage wafting over me, the sun warming my face, the dry desert wind softly fluttering my robe. I think it’s working. Or it could just be this place, the huge rocks the resort is named for, the tall saguaro cacti, the amber and rusty hues of the baked landscape. The next morning I rise early in my adobe-style casita at The Boulders (theboulders.com) and venture into the desert for a run as the sun is just starting to spread its heat. I feel my chakras realigning… The Sonoran desert may seem harsh but it teems with beauty. Closer to Phoenix (The Boulders is in Scottsdale, just outside Arizona’s capital and largest city), I walk through the Desert Botanical Garden (one of only a few botanical gardens accredited by the American Association of Museums; dbg.org) and then hike nearby Camelback Mountain to marvel at the range of colour this arid land

sprouts, like the magenta spikes of a barrel cactus 2 . The southwest vibe continues at The Camby (thecamby.com), one of Phoenix’s newest hotels (a major refurb and rebrand on the site of an old Rat Pack bar and former Ritz property). Inspired by the surrounding desert (its name is a play on that iconic Camelback peak), the swish hotel is infused with the five Cs of Arizona—cattle, copper, citrus, climate, cotton—including lamps the shape of cow skulls and grapefruits, turquoise and copper accents, luxe pima-cotton sheets and local art 3 . And there’s art everywhere. In the Musical Instrument Museum (MIM; mim.org), a sophisticated conference/meeting site as well as repository of some 15,000 musical instruments from around the world, art is in the form of objects like a horse jawbone from Mexico that rattles when its teeth are scraped or struck with a nail. In downtown Phoenix, Roosevelt Row or RoRo (rooseveltrow.org) is a wild display of commissioned street art that’s as vibrant as some of those desert blooms. The revitalized ’hood is home to artist studios, galleries, boutiques, co-ops, small-stage theatres, coffee shops, restaurants and even a craft

brewery and gastropub, Angel’s Trumpet Ale House 4 (angelstrumpetalehouse.com). Every first Friday night of the month, thousands of people gather in revitalized RoRo for the First Friday Art Walk. At the nearby Phoenix Public Market Café (phxpublicmarket.com), art comes in the form of local food, from coffee roasted in nearby Tempe (try the Desert Dawn: oj and a splash of lemon topped with cold brew coffee) to “Eat the Rainbow,” a combo of farmers’ market veggies (and cool t-shirt 5 ), or the Arroz & Frijoles bowl, a healthy, heaping, hipster take on southwestern fare. More foodie inspiration is found uptown at The Yard, at the graffiti-art-clad Barrio Urbano (barriourbanophx.com). It’s an urban take on traditional Mexican cuisine by Chef Silvana Salcido Esparza 6 , a four-time James Beard Award nominee, where craft cocktails 7 and killer tacos come together in an atmosphere that’s part gritty barrio and part art gallery. And it’s yet another way of finding that desert zen. — Barb Sligl For more info on Phoenix, go to visitphoenix.com, for nearby Scottsdale, check out experiencescottsdale.com, and for Arizona, visit visitarizona.com.

November/December 2016 Just For Canadian dentists

Endodontics

Cosmetics/Aesthetic

Anesthesia/Sedation

ce calendar ce when where

topic

sponsor

contact

website

Dec 02-03

San Marino California

Emergency Medicine In Dentistry & Renaissance In Local Anesthesia - Stanley Malamed, DDS

International Dental Seminars

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Jan 19Feb 11 2017

San Diego California

IV Sedation Training For Dentists

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Feb 10-11 2017

Davie Florida

Nitrous Oxide-Oxygen Training

Nova Southeastern University College of Dental Medicine

800-541-6682

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Mar 11-18 2017

Beaches Turks & Caicos

Dr. David Isen - Advanced Local Anesthesia: Tried & True And What’s New / Medical Emergencies In The Dental Office / Oral Anxiolytics And Nitrous Oxide For Dentistry

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

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Dec 18-21 2017

Miami Beach Florida

Anesthesia Update

Northwest Anesthesia Seminars

800-222-6927

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Ongoing

Leuven Belgium

Biocompatible And Durable Restorations With Glass Ionomers From GC

GC Europe

See Website

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Monthly Courses

Vancouver British Columbia

Botox, Dermal Fillers, Lasers

Pacific Training Institute for Facial Aesthetics

855-681-0066

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Multiple Dates

Edmonton and Calgary Alberta and Las Vegas Nevada

Neuromodulators (Level 1, 2, 3 And 4)

University of Alberta

780-492-5391 See Ad Page 16

dentistry.ualberta.ca/cde

Nov 25-26

Vancouver British Columbia

Soft Tissue Grafting For The GP: A Two Day Hands-On Course With Two Live Demo Surgeries

UBC Continuing Dental Education

877-328-7744

dentistry.ubc. ca/cde

Nov 10Apr 08 2017

Minneapolis Minnesota

Postgraduate Program In Contemporary, Esthetic & Implant Dentistry: Level II—The Patient Series

University of Minnesota School of Dentistry

800-685-1418

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Ongoing

Vancouver British Columbia

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

Endodontics Unsponsored

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Nov 26-27

Vancouver British Columbia

Introduction To Dental Microscopy And Advanced Endodontics

UBC Continuing Dental Education

877-328-7744

dentistry.ubc. ca/cde

Jan 12-13 2017

South Hackensack New Jersey

Intense Endodontics: A 2-Day Hands-On Workshop

Essential Dental Seminars

888-542-6376

essentialseminars.org

Jan 28Feb 04 2017

Costa Rica

Endodontics

Cruise and Travel Partners/ OSU College of Dentistry

800-856-8826

cruiseandtravelpartners.com

Apr 08-11 2018

Vancouver British Columbia

Annual Session

American Association of Endodontists

800-872-3636

aae.org

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Pacific Dental Conference March 9 -11, 2017 Vancouver, BC

Canada’s Premier Dental Conference

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 Registration and program information at...

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Just For Canadian dentists November/December 2016

Manor Haas Endodontics

Lee Anne Brady Materials/Techniques

Jim Grisdale Periodontics

David Clark Aesthetics

Stanley F. Malamed Timothy Donley Enrico DiVito Cathia Bergeron George K. Merijohn Ilay Maden Laurie St-Pierre Karen Davis Brad Labrecque Bobby Birdi Dale Miles Glenn van As Complete speaker roster available for viewing at pdconf.com Ron Zokol Judy Bendit Alan M. Atlas

General Dentistry

calendar

when

where

topic

sponsor

contact

website

Ongoing

Oslo Norway

Multiple Topics

University of Oslo

47-22852000

uio.no

Dec 10

New York New York

7th Annual Columbia University / ICOI Dental Implant Symposium

Columbia University College of Dental Medicine / ICOI

212-305-7124

dental.columbia. edu

Dec 26Jan 08 2017

South East Asia Tour:Vietnam, Cambodia & Thailand

Mini-Mastership In Laser Dentistry With Chris Walinski, DDS

Mindware Educational Seminars

888-574-8288 See Ad Page 27

mindwareseminars.com

Jan 27-28 2017

Winnipeg Manitoba

MDAâ&#x20AC;&#x2122;s 2017 Annual Convention: Dentistry And All That Jazz

Manitoba Dental Association

204-988-5300

manitobadentist.ca

Jan 30-31 2017

Melbourne Australia

Primespeak Seminar

Prime Practice

02-9327-3060

primepractice. com.au

Jan 30Feb 03 2017

Maui Hawaii

Adventure And Learn, Hawaii

UBC Continuing Dental Education

877-328-7744 See Ad Page 30

dentistry.ubc. ca/cde

Feb 03-05 2017

Banff Alberta

Banff Updater - Sedation, Neuromodulators, Endodontics, Hygiene, Business & Practice Mgmt, IPC Sessions And More

University of Alberta

780-492-5391 See Ad Page 16

Feb 04-11 2017

Maui Hawaii

The 37th Annual Dental Forum

952-922-1707 See Ad Page 29

dentsem.com

Feb 11-18 2017

new CE toSeminars & Dental Symposia, LLC be placed

dentistry.ualberta.ca/cde

Kauai Hawaii

The 37th Annual Dental Forum

Dental Seminars & Symposia, LLC

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dentsem.com

Feb 19Mar 03 2017

Mardi Gras Cruise

Clinician & Topic TBA

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

kennedyseminars.com

Feb 23-25 2017

Whistler British Columbia

Ski And Learn

UBC Continuing Dental Education

877-328-7744 See Ad Page 30

dentistry.ubc. ca/cde

Feb 23-25 2017

Chicago Illinois

152nd Chicago Dental Society Mid-Winter Meeting

Chicago Dental Society

312-836-7300 See Ad Page 15

on.cds.org

Mar 09-11 2017

Vancouver British Columbia

Pacific Dental Conference

604-736-3781 See Ad Page 26

pdconf.com

Apr 06-07 2017

Phoenix Arizona

Western Regional Dental Convention

Arizona Dental Association

800-866-2732

azda.org

Oct 19-21 2017

Kelowna British Columbia

2017 TODS Meeting: Multi-Topic Conference

Thompson Okanagan Dental Society

250-832-2811

todsmeeting. com

Dr. Sam Halabo

Dr. Will Martin

MINDWARE EDUCATIONAL SEMINARS

November/December 2016 Just For Canadian dentists

Implantology

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Ongoing

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Periodontal Disease In The Baby Boom Population

Advanced Continuing Education Systems

888-844-2237

aces4ce.com

Nov 09-10

Victoria British Columbia

Current Concepts In Dentistry Geriatric Dentistry: What Do We Do As Our Patients Age?

University of Victoria

250-472-4747

continuingstudies.uvic.ca

Ongoing

Online

Preventing And Controlling Healthcare Associated Infection In The Dental Practice

eDen Education Pty

800-773-7571

e-deneducation. com

Nov 25

Fairfield New Jersey

AIDS

Dental Studies Institute

973-808-1666

dsi-nj.com

Multiple Dates

New York New York

Comprehensive Implantology Continuum, Part I (Option 1: 6 Weekends) Starts: Sept.17-18 Ends: March 11-12

Columbia College of Dental Medicine

212-305-7124

dental.columbia. edu

Multiple Dates

Edmonton Alberta

(A.I.R.) Alberta Implant Residency For General Practitioner (7 Modules)

University of Alberta

780-492-5391 See Ad Page 16

dentistry.ualberta.ca/cde

Nov 08-11

Phoenix Arizona

Hands-On Cadaver Course For Bone And Soft Tissue Grafting

James B. Edwards College of Dental Medicine

843-792-2300

musc.edu

Nov 26

Oslo Norway

Supplementary Courses In Implant Prosthetics

Nobel Biocare Services

800-939-9394

nobelbiocare. com

Dec 01-03

Santo Domingo Dominican Republic

Live Patient Extraction Course (3 Day Course)

305-944-9636 See Ad Page 23

implantseminars.com

Dec 04

Fort Washington Pennsylvania

215-643-5881

iffe.net

Jan to Dec 2017

new CE toImplant Seminars be placedInstitute for Facial Severely Atrophic Maxilla: Stabilizing Implants In The Pterygomaxillary & Zygoma Regions

Esthetics

Multiple Locations

Master Of Oral Implantology Program; 1-Year Track (2-Year Track Also Available)

California Implant Institute

858-496-0574 See Ad Page 11

implanteducation.net

Multiple Dates

San Diego California and Las Vegas Nevada

Annual Fellowship Program January 18-22 & February 15-19 & June 20-25 & July 19-23, 2017 CII Campus San Diego And UNLV Campus Las Vegas

California Implant Institute and University of Nevada, Las Vegas

858-496-0574 See Ad Page 11

implanteducation.net

Feb 09-11 2017

Munich Germany

Class 4: Implantology 1 - Modern Implant Therapy In Daily Practice

HĂźrzeler/Zuhr GmbH

49-89-18-9175-14

huerzelerzuhr. com

Mar 20-25 2017

Baja California Mexico

6-Day Live Patient Surgical Externship (Basics And Beyond)

California Implant Institute

858-496-0574 See Ad Page 11

implanteducation.net

Mar 31Apr 01 2017

Banff Alberta

International Implant Symposium (New Hygiene Sessions Added)

University of Alberta

780-492-5391 See Ad Page 16

dentistry.ualberta.ca/cde

Mindware Educational Seminars

888-574-8288 See Ad Page 27

mindwareseminars.com

Golf &

Building Your Practice With Implants: Enhancing May Gastronomy Diagnosis, Placement, Cementation And Marketing 18-28 Series Tour of 2017 Dr. Sam Halabo DocAd.pdf 1 30/08/2016 6:23:27 With PM Tuscany

CMY

Just For Canadian dentists November/December 2016

Orthodontics

Occlusion

Medical/Dental Issues

Implantology

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May 22-27 2017

Baja California Mexico

6-Day Live Patient Surgical Externship (All-On-4)

California Implant Institute

858-496-0574 See Ad Page 11

implanteducation.net

Jun 03-10 2017

Alaskan Cruise

Dental Implants: An Integral Component Of The Comprehensive Dental Practice

Continuing Education, Inc./University at Sea

800-422-0711

continuingeducation.net

Aug 23Sep 04 2017

Russia & Scandinavia Cruise

Practical Pearls For Achieving Predictable Success In Implants With Dr. Will Martin

Mindware Educational Seminars

888-574-8288 See Ad Page 27

mindwareseminars.com

Sep 01-10 2017

Spain and Portugal

Dr. Ariel J. Raigrodski - The Evolving Impact Of All-Ceramics And CAD/CAM Technology On The Contemporary Dental Practice - From Concepts To Clinical Success

Kennedy Professional Education Seminars

877-536-6736

kennedyseminars.com

Apr 15-26 2018

Japan Cruise

Precision, Productivity And Profitability Of Implant Prosthetics With Dr. Robert Vogel

Mindware Educational Seminars

888-574-8288 See Ad Page 27

mindwareseminars.com

Nov 19-20

Vancouver British Columbia

Make Them Smile Again - Update In Dentoalveolar Trauma

UBC Continuing Dental Education

877-328-7744 See Ad Page 30

dentistry.ubc. ca/cde

Apr 24May 01 2017

The Netherlands & Belgium: Tulip Time River Cruise

Dental, Medical And Public Health Issues/ Roundtrip Amsterdam On AMA Waterways

Professional Education Society

877-737-7005 See Ad Page 47

pestravel.com

Aug 25Sep 06 2017

London to Lisbon Cruise with three days in Bordeaux

Updates In Dentistry / Dental And Medical Symposium At Sea / Western Europe Cruise On The All-Inclusive Crystal Symphony

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Oct 19-31 2017

India: Delhi, Agra, Jaipur and Ganges River Cruise

Dental & Medical Health And Well-Being Updates / 5-Night Oberoi Hotels & 7-Night Uniworld River Cruise

Professional Education Society

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Nov 04-11 2017

Tahiti & the Society Islands Cruise

Updates In Dentistry / Dental & Medical Symposium At Sea On The 5-Star All-Inclusive Luxury Small Ship Paul Gauguin

Professional Education Society

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pestravel.com

Through 2017

BC and Ontario

Functional Occlusion For The General Practitioner

FOCUS Education Continuum

604-922-3465

drracich.ca

Jul 30Aug 06 2017

Eastern Caribbean Cruise

Dental Occlusion: It Can Make You Or Break You! & The Total Wellness Dental Practice Model

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 24

continuingeducation.net

Nov 03-04

Nashville Texas

Advanced Straight Wire For Assistants

American Orthodontic Society

800-448-1601

orthodontics. com

Nov 11-12 Dec 02-03

Toronto Ontario and Vancouver British Columbia

Dentistâ&#x20AC;&#x2122;s Role In Snoring And Sleep Apnea Toronto: November 11 & 12 Vancouver: December 2 & 3

Rondeau Seminars

877-372-7625

rondeauseminars.com

Mar 20-24 2017

Big Island Hawaii

Adventure And Learn, Orthodontic Symposium ~ Advances In Orthodontics

UBC Continuing Dental Education

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new CE to Professional Education be placed Society

donâ&#x20AC;&#x2122;t miss The 37th Annual

Dental Forum In hawaii! maui F EBR ua ry 4-11 &/OR kauai Februa ry 11-18, 2017

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For details & registration, visit

For travel information, call Linda

or call 952.922.1707

or email linda@travelleaders-cf.com

www.dentsem.com

800.826.6644

November/December 2016 Just For Canadian dentists

Practice Management, Technology and Planning

Prosthodontics/Restorative

Periodontics

Pediatric Dentistry

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Mar 11-18 2017

Southern Caribbean Cruise

Pediatric Dental Pearls And Life Planning Gems

Continuing Education, Inc./University at Sea

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Mar 11-18 2017

Southern Caribbean Cruise

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Sea Courses Cruises

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Jul 17-18 2017

Munich Germany

23rd Global Dentists And Pediatric Dentistry Annual Meeting

Conference Series LLC Conferences

888-843-8169

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Nov 19

Seattle Washington

Advanced Periodontal Instrumentation: Getting To The Root Of The Problem

International Dental Seminars

310-717-6637

internationaldentalseminars. com

Jan 19-29 or 22-29 2017

Panama Central America

Dr. Steve Faigan - Tips And Tricks And What Not To Doâ&#x20AC;ŚWhen Performing Periodontal Surgery

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

kennedyseminars.com

Mar 11-18 2017

Riviera Maya Mexico

Progressive Approaches In Periodontal And Implant Therapy For The Modern Dentist - Dr. Veronique Benhamou

Kennedy Professional Education Seminars

877-536-6736

kennedyseminars.com

Dec 08

St. Louis Missouri

The Complete Arch Rehabilitation With Implants: Prosthodontic And Laboratory Principles

Greater St. Louis Dental Society

314-569-0444

greaterstlouisdentalsociety. org

Jan 11Feb 11 2017

Singapore

4th Asia-Pacific CAD/CAM & Digital Dentistry International Conference Singapore 2017 By CAPPmea

Centre for Advanced Professional Practices FZ LLC (CAPPmea)

971-4-3616174

cappmea.com

Jan 27Feb 06 2017

Antarctic Cruise

Dr. Jim McGorman - Antibiotics Use And Abuse; Dr. Dan Izakow - CAD/CAM And Digital Dentistry; Dr. Jack Pipkin - Prosthodontics & Implants

Kennedy Professional Education Seminars

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Nov 10

New Orleans Louisiana

Spice Up Your Practice

Classic Practice Resources

800-928-9289

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Nov 17

Chapel Hill North Carolina

The Roy B. Harrell 62nd Annual Dental Seminar Day With Dr. Harold Crossley

UNC School of Dentistry

919-537-3737

dentistry.unc. edu

Nov 19

Lethbridge Alberta

Dental Practice Transition Seminar

Al Heaps & Associates Inc.

604-220-4830 See Ad Page 12

heapsanddoyle. com

Apr 23-30 2017

Eastern Caribbean Cruise

Comprehensive Dentistry And The Dental Team: The Pursuit Of Excellence

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 24

continuingeducation.net

May 08-09 2017

London England

Joint ADEE/ADEA Meeting

Association for Dental Education in Europe

353-1-612-7287

adee.org

Aug 10-19 2017

Greek Isles Cruise

Predictable Treatment Planning: From The Seemingly Simple To The Worn Dentition...And Everything In Between

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 24

continuingeducation.net

new CE to be placed

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

Travel and Learn, Maui

January 2017

Ski and Learn Whistler, BC

February 2017

Palm Springs, CA

February 2017

Orthodontic Symposium, Hawaii

March 2017

Just For Canadian dentists November/December 2016

Special Advertising Feature

STRATEGICALLY SPEAKING Value-added Solutions for Your Practice

• What to Expect When You are Expecting... an ESA Audit • Two Golden Rules Of Investment Management • STOP CONFIRMING APPOINTMENTS… and other tips for reducing cancellations and no-shows

What to Expect When You are Expecting...an ESA Audit SANDIE BAILLARGEON

entists who employ staff of any number, from 1 to 100 or more, must follow the rules of the Employment Standards Act (ESA) for each province. Knowing the rules that employers must follow as well as the rights and obligations of the employees will help to protect the dentist from unnecessary liability if you need to terminate an employee. If termination is done incorrectly, or an employee’s rights are violated, the employer could end up paying out thousands of dollars to the employee and perhaps face significant fines payable to the provincial government. The Employment Standards Act is a law that establishes minimum employer obligations and employee rights with respect to rates of pay, hours of work and overtime, vacations, public holidays, leaves of absence and more. Every province has similar laws in place to protect employees. The ESA applies to all employees and employers and compliance with this law is mandatory. The ESA is enforced by employment standards officers who visit businesses to help educate employers on their obligations and ensure that employees’ rights are being protected. Employment standards officers proactively visit businesses even if no complaint has been filed by an employee. These officers will help you correct areas where your business is not complying with the ESA. Employment standards officers usually provide advance notice of a visit. They will review your records and speak to you and your employees. If there are issues of noncompliance, they will discuss these with you and depending on the nature of the violation, they may provide an opportunity to correct them before taking enforcement action. The role of an Employment Standards Officer is to conduct inspections and investigations. Employment Standards Officers travel all over the province to inspect workplaces. These inspections make sure employers are complying with their responsibilities under the Provincial Employment Standards Act. Officers focus on standards such as:

• Posting the Employment Standards poster in the workplace and distributing it to employees

• Ensuring that wage statements are timely and accurate with no unauthorized deductions • Accurate record keeping • Proper hours of work and eating periods • Accurate overtime pay • Adherence to minimum wage • Public Holidays and Vacation Pay standards The inspectors will typically give an employer 10 days written notice when that inspection will take place. This gives the employer an opportunity to make their records available. It also gives the Ministry of Labour time to do their preparation. They will check the legal name of the business, whether it is still active, and look at their claims and inspections history. They will also check to see if the workplace is unionized. WHAT TO EXPECT DURING THE INSPECTION The procedure is that they arrive at the workplace and meet the employer or their authorized representative. They review a variety of documents that relate to the Employment Standards Act. Beginning with an employer interview to determine compliance with the ESA. The inspector will take time to answer any questions an employer may have about their responsibilities. EMPLOYEE INTERVIEWS The inspector will also interview employees selected at random. If the inspector has reason to believe that there is not going to be adequate privacy to properly interview employees, he/she will make that known to the employer and let the employer know that they require a place that is comfortable, and that is isolated from the rest of the workforce or work environment. DOCUMENTS NEEDED During the inspection some documents are going to be required from the employer

to prove the various standards are being complied with. The inspector will then use the documents provided by the employer to perform a test audit. The test audit involves the selection and review of payroll and other records. They randomly select employees to determine that at least the minimum standards are being met. When the inspection is completed, the officer will provide the employer with an inspection report which is required to be posted. The employer is asked to complete a Notification of Compliance indicating the dates upon which compliance has been achieved. When the notification of compliance form is returned to the officer the inspection is closed; however, the employer can be identified for a reinspection at a later date to still ensure compliance. For information on how DOCS can help your dental office become compliant with the Employment Standards Act for your province, please send an email to sandiedocs@gmail.com or call DOCS at 905-336-7624 ext. 200. source: Ministry of Labour website

Sandie Baillargeon is a leading authority on how to increase the effectiveness of medical and dental business systems. Ms. Baillargeon is author of two text books, Dental Office Administration and The Canadian Dental Office Administrator, published by 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) 336-7624.

Two Golden Rules Of Investment Management ROB CAMPBELL, CPA, CA, CIM

any Dental professionals don’t have the time or interest to properly manage their investment portfolios and to ensure that it fits with their long term retirement and wealth plan. This is the first in a series of articles providing common sense advice to use when evaluating your portfolio and your investment management strategy. Legendary investor Warren Buffett always proclaimed that there are two golden rules to investing: RULE # 1 – DON’T EVER LOSE MONEY RULE # 2 – DON’T EVER FORGET RULE NUMBER 1! While this may seem like simple advice, it is as important today as it was when Warren Buffett first shared it. Why is that? It all comes down to simple math and this becomes very clear if we envision a one security $1,000 portfolio. If that security is down by 33% (to $660) then one needs a 50% return on the remaining balance to recoup the loss and get back to break even. If things were even worse and the security is down by one half to $500, one then needs a 100% return on the remaining $500 to recoup the loss. Of course, in a world where many investors struggle to earn returns of 5% 10% annually the idea of needing to earn

Rob Campbell is a partner in Bosch Campbell Investment Management (BCIM) at Richardson GMP. BCIM specializes in managing funds for business owners, professionals, Doctors and Dentists. BCIM focuses on understanding the unique investment, tax and financial needs of Dentists and Doctors. BCIM strives to help their clients achieve ‘WorryFree Wealth’. For more information on their services contact them at BCIMG@ RichardsonGMP.com or visit us online at www.boschcampbell.com. Rob Campbell speaks regularly on investment, tax and financial considerations facing dentists at the University of Alberta’s business and practice management continuing education lectures. You can attend one of his sessions at the following dates:

returns of 50% or 100% just to get back to break even is extremely challenging. As a result sustaining losses has a significant detrimental effect on the ability to earn positive long term rates of return… and when it comes to the power of compound interest (more on that in a future article) every incremental percentage point of return makes a dramatic impact on ones’ ability to create wealth over the long term. So, if we can agree that NOT losing money is important, then how does one

...we monitor the relative strength of equity markets as a whole and as a result are able to gauge whether the potential returns available in equities justify the risk of owning them at any point in time.

Second, we use a 20% stop loss on all equity positions (if a position falls by 20% it is automatically sold). This strategy ensures that the mistakes in our portfolios are ‘flesh wounds’ to our overall performance, rather than mortal injuries. Lastly, we monitor the relative strength of equity markets as a whole and as a result are able to gauge whether the potential returns available in equities justify the risk of owning them at any point in time. And if the reward doesn’t justify the risk, then we sell equities and move to cash until conditions improve. Implementing some simple risk management processes to prevent your portfolio from excess downside risk can pay off handsomely in improved long term rates of return. We suggest that you consider taking such steps in your portfolio management process.

accomplish this? Our team uses three simple strategies to avoid dramatic negative swings in portfolio value. First, we ensure that all portfolios are adequately diversified by both asset class and security type. This limits exposure in the event of a problem in a particular area of the market.

November 15 th, 2016: Calgary – Business and practice management evening lecture – Investment Strategies To Navigate Through Increased Volatility & Risk in Today’s Financial Markets February 3 rd-5 th, 2017: Banff – The Banff Updater – Investment Strategies to Navigate Through Increased Volatility and Risk In Today’s Financial Markets April 18th / 20 th, 2017: Calgary th (18 ) – Edmonton (20th) – Business and Practice Management Evening Lecture – Proven Strategies To Manage Your Investment Portfolio and Take Advantage of Opportunities in Today’s Market To register for the above events, kindly email Dentce@ualberta.ca.

The opinions expressed in this report

are the opinions of the author and readers should not assume they reflect the opinions or recommendations of Richardson GMP Limited or its affiliates. Assumptions, opinions and estimates constitute the author’s judgment as of the date of this material and are subject to change without notice. We do not warrant the completeness or accuracy of this material, and it should not be relied upon as such.

Before acting on any recommendation, you

should consider whether it is suitable for your particular circumstances and, if necessary, seek

professional advice. Past performance is not indicative of future results. Richardson GMP

Limited, Member Canadian Investor Protection

Fund. Richardson is a trade-mark of James Richardson & Sons, Limited. GMP is a registered trade-mark of GMP Securities L.P. Both used under license by Richardson GMP Limited.

STOP CONFIRMING APPOINTMENTS …and other tips for reducing cancellations and no-shows JUDY LAROCQUE

t remains one of the greatest frustrations in the day-to-day operation of a dental practice: the patients who call to cancel with little notice, or who just don’t show up for their appointments. Many practices have come to grudgingly accept this state of affairs as being just a part of the reality that comes with dealing with people and their busy schedules. And it is true that a certain amount of unpredictability will always be there, as urgent matters arise in patients’ busy lives that will bump their dental appointment on the priority list. The fact remains, however, that there are many patients who are missing their appointments for less-than-urgent reasons. When a patient cancels because they have limited time that day, they are really saying something important about how much they value their appointment with your practice. Luckily there are things you can do— strategies you can implement quickly—to change patients’ mindsets about how they value appointments. Most of it comes down to three basic principles: SET THE RIGHT EXPECTATIONS FROM THE START Most “lost” appointments were not lost on the day you were expecting to see the patient; they were lost the day the appointment was made, because it was not made with the right value. The only solution is to be clear up front about your expectations. Boilerplate small print text on the appointment card about requiring 48 hours notice is not going to do it—in fact I discourage adding this kind of language to cards, because it encourages people to think of their appointments as being easily changeable. Instead, the team should be trained to have a conversation with patients that instills the right mindset about appointments. Tell patients “an operatory has been reserved for you!” Get patients to make a verbal commitment on the spot, acknowledging that they understand the expectation on their part. Research has shown that the very act of making an outloud affirmation dramatically increases a person’s likelihood of sticking to their promise. This is especially important when scheduling large cases, where you are making a greater commitment of resources

and time. As well, get new patients into the right mindset about what it means to be a patient in your office. You want them to recognize that in your practice, an appointment is a confirmation. Which leads me to my next point… WATCH YOUR LANGUAGE The words we use matter, because different words convey different shadings of meaning and create different expectations in the minds of the people we are trying to influence. Take the word “confirmation.” For years dental offices have been calling (and writing) patients to “confirm” their appointments. But when you are “just calling to confirm” you are making it sound like the patient has the option at that point to confirm or not. As I said, the appointment should be considered a confirmation at the time it is made, and only extraordinary circumstances should change that. So what wording should you use? I suggest that you stop confirming appointments and start saying something like, “This is a courtesy call to remind you that you have an appointment with us on Tuesday at 2 pm.” It’s a subtle but important difference. You are not asking them to confirm or decline. You are reminding them of the commitment they have already made, and that you are expecting them to uphold. This is assuming, of course, that you actually get to speak with the patient on the courtesy call. Leaving messages disappear into a communication black hole. And while you don’t want to confirm, you do want an acknowledgement. So how much energy should you spend on tracking down that acknowledgement? The answer lies in my final point… STOP BABYSITTING We live in a hyper-connected world, with so many options for communicating with each other. Postcards and phone calls are no longer an efficient way of managing your patients and their appointments. A lot of people check their email several times a day. Just about everyone with a smartphone responds to a text in short order. Why not use these methods to streamline the process of ensuring that patients keep their commitments? Just make sure to get

that acknowledgement—a simple “type ‘OK’ to acknowledge that you have received this message” is usually all it takes. How do you know which patients respond best to which mode of communication? Ask them, ideally at the time their first appointment is made, say “Which is the best way to get in touch with you if we need a quick response? Cell phone? Email? Text?” In the end, though, these are just techniques to optimize your team’s time. The real solution to getting near-perfect attendance in your dental chairs will always come back to how much the patient values the treatment. If you find yourself chasing patients to get an acknowledgement, you are taking on the responsibility for their actions, because you are more invested in the appointment than they are. You’re babysitting. The real breakthrough comes when patients take ownership for the commitments they make. That happens when they have been presented with a consistent value message from everyone in the practice— from the clinicians who propose treatment to the front desk team who sees them out the door. It’s a message that says, “We expect you to respect our commitment to you by respecting your commitment to us.” Judy Larocque is a co-owner of Experdent Dental Advisors. She has been involved in the dental practice management industry for more than 30 years. She has headed the consulting divisions of ExperDent Consultants Inc. and Mercer Advisors, where she was responsible for training and overseeing teams of practice consultants, and she herself has helped countless dental practices across North America get on track and optimize their success. She can be reached at judy@heapsanddoyle.com. Henry Doyle graduated from the University of Alberta with an Economics degree and a Bachelors of Education. He worked in the banking industry for 15 years with CIBC, Newcourt and Citibank. In 2009, he purchased Al Heaps & Associates Inc., which specializes in valuating and selling dental practices across Canada. The company has launched a new division, Experdent Dental Advisors (EDA). Henry and Judy are partners in this practice management company.

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Shipping Solutions

Marketing Solutions

E-commerce Solutions November/December 2016

Mailing Solutions Just For Canadian dentists

travel at home

Into the north and out of the Northwest Passage

Iceberg at sunset, 250 km north of the Arctic Circle in Ilulissat Icefjord in Greenland, a UNESCO World Heritage Site

Just For Canadian dentists November/December 2016

travel at home

Storms, swells, snow and ice (topped with polar bears) are all part of this epic voyage story + photography by Barb Sligl

travel at home

High Arctic sunset, like a Rothko painting

Touring Ilulissat Icefjord by zodiac

Polar bear on ice floe in Prince Regent Inlet, Nunavut

Caswell Tower, Devon Island, Nunavut

The graves at Beechey Island

Remains of a musk ox at Anderson Bay, Nunavut

travel at home

Long-abandoned RCMP building at Dundas Harbour on Devon Island, Nunavut above Navigation tools on the Ocean Endeavour’s bridge below Inuk girl in Arctic Bay, Nunavut

omewhere above the Arctic Circle, I see a fata morgana. Low-lying, barren islands—like so many sperm whales with their broad, sloping foreheads—float above the horizon in Coronation Gulf. As if I’m a long-lost sea captain of yore, it’s a glimpse of what’s called a superior mirage. In 1818, on his search for the long-sought Northwest Passage, captain John Ross’s route was barred by an insurmountable range he called Croker’s Mountains. Yet there was no such thing. A year later, another explorer sailed right through the same spot in Lancaster Sound, as did doomed Franklin in 1845 and then the first man to make it through the Northwest Passage in 1906, Roald Amundsen. Today, this storied route is often still blocked—by sea ice. It’s what makes it one of the last untouched places on earth. I’m on Adventure Canada’s Out of the Northwest Passage voyage, and after my fata morgana sighting, I continue to see fantastical things over the next 16 days of this historicyet-still-novel voyage. From a strip of pink on the horizon that hovers between inky sea and dark swathe of clouds like a Rothko painting to storms and swells, snow and ice—all with the seductive whisper of peril. Like in those bygone days, our progress is at the mercy of Mother Nature, but as another intrepid explorer of this land, Knud Rasmussen, wrote: In life, as / On the water, let / The arch of the sky / And the mightiness of storms / Encompass you. / Tremble with joy! It’s hard not to tremble at the Arctic’s vast beauty laid out in such starkness. The Ocean Endeavour bobs like a bath toy amidst primordial elements, stuck at sea for days. We bypass Gjoa Haven, unable to land where Amundsen found sanctuary, and lurch over the wrecks of Franklin’s sunken ships, the second of which, the Terror, was discovered just days before we embarked on this expedition. The most passionate of passengers rise at 3 am to walk the decks, some with an honorary whiskey in hand, to look out upon the unforgiving Arctic waters that swallowed Franklin’s ships. Aboard the Ocean Endeavour, despite cancelled landings, there’s precious little downtime. Lectures, like “Ice: the Shifting Constant” are interspersed with films and readings (Margaret Atwood has graced many Adventure Canada voyages, while this expedition’s author is the award-winning Michael Crummey) as well as interactive workshops or tasting Inuit “country food” like muktuk (whale blubber, which on this voyage is a sampling of narwhal). It’s like being in school. The Adventure Canada crew is made up of biologists, botanists, historians, archaeologists, geologists, ornithologists…I learn Inuit words (from silarluk, “bad weather,” to aliana, “it’s fun”) and listen to serious discussions on the Truth and Reconciliation Commission and climate change. It’s sobering. An Inuit throat-singing demo, deep and resonant, brings tears to my eyes. But the gravitas is offset by aliana. Each recap, briefing and “good morning” announcement has a heaping dose of inspirational words. One of the Adventure Canada crew, Stefan Kindberg, a veteran expedition leader hailing from Sweden (who must have Viking blood coursing through his veins) tells us to make this trip what we will—be it history chasing, wildlife viewing or finding quiet to “sit on a rock and wait for your soul to catch up.” The wildlife viewing’s apex is Ursus maritimus, when someone spots a sea bear on an ice floe off the starboard side of the ship. One of the crew’s naturalists, George Sirk, compares the polar bear’s colouring to vanilla ice cream. And this dollop of cream against stark-white ice and obsidian-like water seems just as soft, almost gentle, as he meanders to-and-fro on his floe. A young male of about 800 pounds, he’s robust and unperturbed by the Ocean Endeavour, which the captain has managed to still to a halt at dawn so most of the bleary-eyed get a chance to bundle up and grab binoculars and long lenses. Watching the bear in the context of this harsh land only underscores the futility of trying to tame such a place. Franklin, Ross, even Amundsen…foolish. I think of a line in North with Franklin: The Lost Journals of James Fitzjames, a fictionalized account of the ill-fated trip that I’ve borrowed from the onboard library: “Perhaps there are places where no man is meant to go.” And yet this expedition follows in their footsteps. We’re another group of interlopers. Place after place—the abandoned Hudson Bay Company’s outpost at Fort Ross on Somerset Island, the long-gone RCMP station at Dundas Harbour on Devon Island, the haunting graves of Franklin’s men at Beechey Island—is a blemish left behind by those who didn’t belong. Only the Inuit have lived here in concert with the bear, for thousands of years and still now in hardscrabble Arctic Bay, our only stop at a November/December 2016 Just For Canadian dentists

travel at home

if you go

Canadian community in

Adventure Canada is one of only a few the High Arctic. operators that offer expeditions in the And then, just as I’ve Canadian High Arctic and beyond. There is become attached to a narrow, four-week window in which icethe moodiness of the strengthened ships like the Ocean Endeavour can Canadian Arctic, we cross sail through the Northwest Passage. Next year, Baffin Bay for Grønland— Adventure Canada has two such expeditions, Into the Northwest Passage, sailing west and its big, bright icebergs. from Greenland to Nunavut (August 22 to The first ones I spot are as September 7, 2017), followed by Out of the magical as the bear. Living Northwest Passage, travelling back things—shifting, shedding, east (September 7 to 23, 2017). disappearing—the crenellated adventurecanada.com

monoliths of ice are beautiful to behold. In Karrat Fjord we pass a limitless variety of giant shards, all calved off glaciers stretching out from Greenland’s massive ice cap. I snap photo after photo but it’s pointless, for each berg is a wholly new wonder, like trying to capture a snowflake. After not being able to land due to thick fog hanging between ice-bedazzled sea and towering mountains (for Greenland is like a lacy fringe of jagged peaks wrapped around its icy core), the ship turns around to continue south. We circumnavigate a city-block-sized iceberg and the scenery gets more and more dramatic. The culmination is in Ilulissat at the mouth of a 56-km ice fjord into which icebergs calve from the most productive glacier in the northern hemisphere—some bergs the height of the Empire State Building and size of Prince Edward Island. “Ilulissat” means icebergs in Greenlandic, and this UNESCO World Heritage Site, which produces enough ice in one day to provide New York City with drinking water for an entire year, is a frozen wonderland. Ironically, we end our expedition where most of those polar explorers started in search of the Northwest Passage. It’s a surreal bit of backward reel, starting from the jeweltoned tundra and whale-like rock formations of western Nunavut, through the rocky archipelago of islands named for erstwhile men and their brethren (Prince of Wales, King William, Somerset and even Boothia, named for Booth’s Gin, the sponsor of Ross’s long-ago voyage) to the cliffs of Devon and Baffin Islands and then, on the other side of Baffin Bay and Davis Strait, the jagged coastline of Grønland and its fairytale-like icebergs. In Ilulissat I look for a tupilak, a totemic carving of avenging creatures once used by shamans. Small, fitting in the palm of my hand and made of caribou antler, this piece of Inuit art is both exotic and somehow utterly familiar. I think of a passenger’s comment overheard on the top deck shortly after the Greenland coast first came into sight: “This is the most savage land I’ve ever seen.” Yes, savage. And katjaarnaqtuq. “It’s beautiful.” A savage beauty that few witness. Once witnessed, much like this mercurial land itself, something shifts inside. I grasp my tupilak and wait for my soul to catch up.

travel at home

this page, clockwise from top

Colourful houses of Upernavik, Greenland; Ocean Endeavour, moored off Beechey Island in Nunavut; a Greenlandic Inuk woman in traditional dress; Arctic fox tracks on an uninhabited beach on Greenland’s northwest coast. opposite, clockwise from top The last Hudson’s Bay Company outpost at Fort Ross in Nunavut; a tupilak; icebergs and mountains near the mouth of Karrat Fjord, Greenland; one of Adventure Canada’s young Inuk mentees, Taya Tootoo

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.

Work less, live more

Lifestyle is just as important as hours worked—and maybe even more

recently sold my dentist’s practice. He’s highly respected by his peers and fortunate to have an exceptional lifestyle while enjoying the many benefits of owning

become a friend. One of the things I admire about him is that he’s maintained strict hours of operation and a close adherence to

Practitioners should look at their incomes and hours worked, examine schedules and simply try to reduce and operating a private dental practice. He’s going to continue in practice as an associate of the purchaser for a number of years, so I’m certain to see him again, as a dentist, but more importantly as someone who has

managing his family and lifestyle as much, if not more so, as his dental practice. In his last 10 years of practice, he’s provided three days a week of full-time dental practise and taken 10–12 weeks

Just For Canadian dentists November/December 2016

a year of holidays. He’s even taken the time to write a book on nutrition, have a daily regimen of physical activity, manage his investment portfolio and work in the freedom to travel at his pleasure. Talk about a work/play balance! While his work schedule equated to roughly 600–800 annual hours of chairside dentistry, depending on the year, he sustained an above average hourly production because he was rested and focused. He never pressured his patients as a result of taking the time to enjoy his life and ensure his own good health. All of the above brings up the issue of income hours and hourly production. What is appropriate for a busy professional in a very high responsibility position, such as a

solution from September/ October 2016 contest

practice management [continued] sudoku 2 harder solution 2 5 8 6 9 1 3 4 7 4 3 7 8 5 2 1 9 6 1 6 9 3 7 4 5 8 2 5 7 6 9 3 8 4 2 1 3 8 2 4 1 6 7 5 9 9 1 4 7 2 5 8 6 3 7 2 1 5 4 9 6 3 8 8 4 3 2 6 7 9 1 5 6 9 5 1 8 3 2 7 4

solution from page 45

Puzzle by websudoku.com

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

Puzzle by websudoku.com

professional practice owner, in terms of the number of hours he or she should be working in the practice? Needless to say, in our early years, we apply as many hours and as much time as we can to get ahead of bank loans, mortgages, student loans and raising our families. At 35 to 45 years of age, most practitioners admit to me they would like to slow down and work a little less, but are afraid of the impact that could have on their practice and/or patients’ perception of their dedication to the profession. Personally, I believe that I’ve worked too many hours a little too late into my career and that I should have cut back sooner. At the age of 35, I decided to focus on a three-day work-week of Tuesdays, Wednesdays and Thursdays, but I admit that I was often drawn into work on Fridays, evenings or weekends because the nature of my work is meeting the demands of clients who need to see brokers and appraisers after hours. Recently, I took considerable time off for personal reasons and to simply take a step back from the demands of a busy

career. Again, I admit that I wish I had done this much sooner. A 30–40 hour work-week in a high-demand profession is probably too many hours after the age of 40, in my professional opinion. I do not have a distinct The solution formula to share, but I suggest is simple: practitioners work seriously look at their incomes live and hours worked, examine schedules and simply try to reduce the hours in business by 5–10% over the next two years. Of those who have done this, most report that their income is more or less the same despite the reduced hours and that they should have done it earlier. When looking at my own practitioner who made this decision many years ago and is continuing to practice dentistry well into his 70s, I think he’s an inspiration—we could all start working less and better a lot sooner.

less, more

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

Get back-up

Recruiting an associate as a future owner

o grow practice revenues, reduce clinic overhead, or execute their transition plan, many practice owners are considering bringing in an associate into the practice. The most common types of practice models are the SoloGroup and TransitionOwnership.

opportunity of bringing another dentist into the practice. Retirement transition is not the desired objective, but rather achieving such goals as reducing the practice time commitment, pursuing a specialty which would require another dentist to look after the general dentistry, or simply cashing in a portion of the practice equity. The incoming dentist often joins the practice as an associate and, once he or she is established and has developed a patient base, the sale of the practice interest is consummated.

Consider bringing an associate into your practice

opp o rt u n it ies

solo group When mid-career dentists work to maximum capacity and have reached a plateau in terms of production and professional challenge, they often will seriously explore the

In the end, there are two independent practices operating in the facility, with very little sharing of staff and expenses. There is no sharing of production. The two dentists may have a buy-out agreement in case of death or disability, but there is no intention that one dentist purchase the dentist’s practice on retirement. Marketing strategies The transition-ownership arises when a dentist, approaching the end of his or her career, looks for a dentist to implement the retirement transition. While the two dentists may work as two separate legal entities, mainly for tax purposes, they share many common expenses and even some practice income. continued on page 45

COME WORK AND PLAY ON THE JAMES BAY FRONTIER WEENEEBAYKO AREA HEALTH AUTHORITY MOOSE FACTORY, ONTARIO DENTAL DEPARTMENT – Phone: 705-658-4544 x 2207 – Fax: 705-658-2366

e mp l oym e nt

Come experience northern island living and make a difference providing much needed dental services to Cree first nation’s communities. NIHB, Non Insured Health Benefits, is a federally funded program that provides dental, pharmacological, orthopedic and vision care to status patients. Full time and job share opportunities available for experienced dentists and new graduates. Competitive salary, free housing, paid travel and incentives provided to attract quality oriented, culturally sensitive, compassionate, ethical dentists to our communities. Ideal candidates must be self motivated, comfortable with surgical extractions, certified in nitrous sedation and be willing to use amalgam. Nestled on an island in the Moose River, near the tip of James Bay, Moose Factory is home of the Weeneebayko General Hospital which serves the town of Moosonee, the James Bay communities of Attawapiskat, Kashechewan, Fort Albany and Peawanuck (on Hudson Bay). The James Bay Frontier is an outdoor enthusiast’s dream with kayaking, canoeing, boating, fishing, hiking, hunting, snowmobiling, and cross country skiing all at our doorstep. The community is very active offering basketball and volleyball all year round and seasonal baseball and hockey. With no commuting to and from work, there is plenty of time to enjoy the amenities that the area has to offer. The town of Moosonee is located on the mainland 5 km’s from the island and is accessible by boat taxi in the spring, summer, and fall. Helicopter transportation is used during freeze up and break up, and an ice road in the winter. Moosonee is the terminus of the Polar Bear Express train that runs 5-6 days a week from Cochrane depending on the season and also has an airport with connecting flights via Timmins to Toronto daily. Please visit our website www.weeneebaykohealth.ca for more information, or call us directly. Janice Soltys Director of NIHB, Dental Program & Chief Privacy Officer Janice.Soltys@waha.ca

Just For Canadian dentists November/December 2016

Sheila Gagnon, RDH Dental Coordinator, Weeneebayko General Hospital Sheila.Gagnon@waha.ca (705) 658-4544 x 2207

diversion

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

continued from page 44 The key element of the co-ownership is to execute the exit strategy for the retiring dentist. Here are 5 tips to make sure your associate-to-owner transition is successful.

sudoku Solve puzzle #2 for a chance to win a $50 VISA gift card!

1 Select a compatible candidate Determine the new dentist’s practice philosophy, work ethic, integrity and the desire to put the patients’ well-being first. You must be prepared to create a mentoring relationship with the new dentist. Involve your senior staff members in the hiring process.

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.

2 A written agreement Make sure that there is a written agreement in place before the new dentist sees any patients. The agreement should cover the initial associate period and address all phases of the transition process.

GOOD LUCK!

sudoku 2 harder solution in next issue

sudoku 1 easier solution on page 43

$50 Visa Gift Card winner: Dr. Elena Olewsky of North York, ON

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

Share the

responsibilities, costs (and maybe even some ideas) of running a practice

3 A good faith deposit The fact that the new dentist is committed to the practice means nothing unless that commitment is backed by cash. If the issue of the deposit becomes a deal breaker, break the deal! Never enter into a transition arrangement without receiving a sizeable non-refundable deposit. 4 Assist in developing the patient base Assist in building the new dentist’s revenue sources, such as extending the practice hours to evenings and weekends to accommodate working families. 5 Have a flexible buy-in date The new dentist who works as an associate in the practice can only proceed with the purchase of the partial interest when the practice generates sufficient income to pay for the clinic expenses and service the bank debt. Consider making the closing date flexible, for example, when the new dentist reaches a monthly production of $60,000.

Puzzle by websudoku.com

6 2

1 7 5 4 2

2 9 7 7

4 6

Sudoku Contest entry form (solve + send in sudoku!) 3 7

6 4 7 8 9

5 2 4 7 3

Puzzle by websudoku.com

Yes, I would like to receive the CE newsletter & updates by e-mail. NB: Information collected will not be shared with any third party.

Name: __________________________________________________________ Address: ________________________________________________________ City, Province, Postal Code: _________________________________________

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 – 896 Cambie St., Vancouver, BC, V6B 2P6 or fax 604-681-0456. Entries must be received by December 9, 2016. 3. Prize: $50 VISA 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.

November/December 2016 Just For Canadian dentists

pa r t i n g s h o t

wish you were here on the west coast of Greenland, 250 km north of the Arctic Circle, you can stand at the edge of the Ilulissat Icefjord.

This UNESCO World Heritage Site is the only spot (other than Antarctica; see page 8) where you can watch a massive ice sheet, glacial ice-stream and calved icebergs empty—in real-time, hi-def drama—into a fjord. See story on the Arctic, page 36.

n St o r y o pa g e 3 6

behind the scene

Greenland’s ILULISSAT ICEFJORD is huge (40,240 hectares huge). This is where Sermeq Kujalleq, one of the fastest and most active glaciers in the world, stretches from the Greenland ice cap into the sea, calving icebergs into Disko Bay and then Davis Strait, Baffin Bay and beyond. To stand at the edge of this river of ice, as it gurgles, crackles and shimmers, is like spying on a living thing. Or dying. It’s the last bit of the Northern Hemisphere’s continental ice sheets from the Quaternary Ice Age. The oldest ice here dates back 250,000 years, a Pandora’s Box of knowledge about climate change. —B.Sligl

Just For Canadian dentists November/December 2016

barb sligl

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