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oralhygiene November 2015

THE INFLUENTIAL ORAL HEALTH COACH: Our Emerging Role AN INTERVIEW GOES BOTH WAYS BULIMIA: What Dental

Professionals Need To Know Are Your Computer Systems Jeopardizing Your Patient Privacy? INTRODUCING WHMIS 2015: Are You Ready? THE ORAL WELLNESS LEARNING INSTITUTE IN DENTISTRY

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oralhygiene CONTENTS

Career Planning

An Interview Goes Both Ways: Why It’s Important To Ask The Interviewer Questions

Tonya Lantheir, RDH

Health

Bulimia: What Dental Professionals Need To Know

Amy Pezzente

Practice Manangement

The Influential Oral Health Coach: Our Emerging Role

Peter Barry

Are Your Computer Systems Jeopardizing Your Patient Privacy?

Reem K. Al-Halimi, PhD

Introducing WHMIS 2015: Are You Ready?

Lauren McFarlane, BA, CHSC

Education

The Oral Wellness Learning Institute in Dentistry

Sara DeNino-Paone, RDH, RNCP

Editorial Periodontal Disease, Diabetes and Stroke, Oh My!

News CDHA Awards Journal of Dental Research

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

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November 2015

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EDITORIAL

Periodontal Disease, Diabetes and Stroke, Oh My! No one wants to live in the ‘stroke belt’ and you defi nitely do not want to park on the buckle of the stroke belt…yet millions of (North) Americans do exactly that. This was just one of the startling facts to emerge from the presentation ‘Diabetic Patient Care: Connecting Oral and Systemic Health’, hosted by Philips during the recent ADA meeting in Washington, DC. Souvik Sen, MD, Professor and Chair, USC Neurology, Columbia, South Carolina and Sam Low, DDS, made a compelling case using frankly frightening statistics from the National Institute of Diabetes 2014 Report, which includes: • 29 million people in the United States affected; • 28 percent undiagnosed; • 7th leading cause of death: heart, stroke, kidney blindness; and lower limb amputation; • costing US$245 billion dollars annually. Another staggering statistic is that of those aged 60 and above, 23.8 percent have diabetes. In other words, one out of every 4.2 patients you see in your practice over age 60 will likely have diabetes. And the relationship between periodontal disease and diabetes is bi-directional – diabetes can worsen gum disease and gum disease can make diabetes difficult to control. When severe gum disease is present, some pregnant women may be more likely to deliver pre-term, low birth weight babies. The American Academy of Periodontology warns of a significant public health problem in that half of American adults suffer from ‘gum disease’. Subjects with type 2 diabetes had ap-

proximately threefold-increased odds of having periodontitis compared with subjects without diabetes after adjusting for confounding variables including age, sex and oral hygiene measures. United Concordia’s oral health study, the largest of its kind, encompassing 1.7 million patients, shows that annual healthcare savings of more than US$3,200 are possible when the medical and pharmacy savings are combined for individuals with diabetes who are treated for periodontitis and have at least seven annual visits as part of their therapy. What is periodontal maintenance? Professional interventions that: • occur after active perio therapy (non-surgical, antimicrobial, surgical); • include disruption of biofi lm via scaling and polishing; • include review of plaque control efficiency and effectiveness; • include assessment of risk for future disease activity. As Dr. Low asked during the joint presentation, “If a patient presented with a wound on their body the size of an adult’s palm, would they not seek medical attention? That’s the area affected in the mouth.” Healthy gums, healthy body? A person with a healthy mouth will live 10 years longer’….not a stat from the Internets but rather from the Mayo brothers, quoted in 1910.

Catherine Wilson Editor

REFERENCES www.perio.org www.philipsoralhealthcare.com www.ada.org/meeting

November 2015 www.oralhealthgroup.com

NEWS BRIEFS

Canadian Dental Hygienists Celebrate Excellence in Oral Health and Dental Hygiene The Canadian Dental Hygienists Association (CDHA) recognized 20 leaders in oral health for their outstanding contributions to the professional of dental hygiene, the national association, and to the overall health and well-being of the Canadian public. Since 1975, CDHA’s Dental Hygiene Recognition Program (DHRP) has honoured more than 140 dental hygienists for their excellence in scholarship, leadership, community involvement and research. These award winners have set high goals and achieved much in their professional and personal lives. This year’s DHRP award winners are: Monica Bacica and the Comox Valley Dental Hygiene Society; Cégep Garneau; Ava Chow; Jennifer Cicci; Kimberly Daley; Samantha Kimberley Dalpe; Karen Ergus; Ambreen Khan and Denise Laronde; Megan McConechy; Robert Schroth, Alexandria Wilson, Sarah Prowse, Jeanette Edwards, Janis Gojda, Janet Sarson, Lavonne Harms, Khalida Hai-Santiago, and Michael EK Moffatt; and Jacqueline VanMalsen. In additional to its Dental Hygiene Recognition Program, CDHA also offers three awards to members who have made a significant contribution to the advancement of the dental hygiene profession in Canada. The recipients of this year’s CDHA board of

November 2015

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

directors’ awards are Anne Bosy (Life Membership), Sharon Compton (Distinguished Service Award), and Dawn Mueller (Award of Merit). For award descriptions and brief biographies of the winners, visit www.cdha.ca/DHRP.

Smokers At Higher Risk of Tooth Loss A new study has confi rmed that regular smokers have a significantly increased risk of tooth loss. Male smokers are up to 3.6 times more likely to lose their teeth than non-smokers, whereas female smokers were found to be 2.5 times more likely. The research, published in the Journal of Dental Research, is the output of a long-term longitudinal study of the EPIC Potsdam cohort in Germany carried out by researchers at the University of Birmingham and the German Institute of Human Nutrition. Thomas Dietrich, the lead author professor, said that most teeth were lost because of either caries or chronic periodontitis but smoking was a strong risk factor. The link between smoking and tooth loss was stronger among younger people than in the older groups, and heavy smokers had a higher risk of loosing their teeth than smokers who smoked fewer cigarettes. For more information, visit http://asnanportal.com/index.php/dental-report/news/866smokers-at-higher-risk-of-tooth-loss. OFFICES Located at 80 Valleybrook Drive, Toronto ON M3B 2S9. Telephone 416-4425600, Fax 416-510-5140. Oral Hygiene serves dental hygienists across Canada. The editorial environment speaks to hygienists as professionals, helping them build and develop clinical skills, master new products and technologies and increase their productivity and effectiveness as key members of the dental team. Articles focus on topics of interest to the hygienist, including education, communication, prevention and treatment modalities. Please address all submissions to: The Editor, Oral Hygiene, 80 Valleybrook Drive, Toronto, ON M3B 2S9. Oral Hygiene (ISSN 0827-1305) will be published four times in 2015, 80 Valleybrook Drive, Toronto ON M3B 2S7.

Subscription rates: Canada $25.00/1 year; $47.00/2 years; USA $46.95/1 year; Foreign $46.95/1 year; Single copies Canada & USA $10.00, Foreign $18.00. GST/HST #103862405RT0001.

Printed in Canada. All rights reserved. The contents of this publication may not be reproduced either in part or in full without the written consent of the copyright owner. From time to time we make our subscription list available to select companies and organizations whose product or service may interest you. If you do not wish your contact information to be made available, please contact us via one of the following methods: Phone: 416-614-5831; Fax: 416614-8861; E-mail: mary@newcom.ca; Mail to: Privacy Officer, 451 Attwell Drive, Etobicoke, ON M9W 5C4. Canada Post product agreement No. 40063170. Oral Hygiene is published quarterly by Newcom Business Media Inc., a leading Canadian magazine publishing company. ISSN 0827-1305 (PRINT) ISSN 1923-3450 (ONLINE)

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CAREER PLANNING Tonya Lanthier, RDH, CEO of DentalPost.net

CEO of DentalPost, the leading online and mobile dental job board that has extensive career resources to help dental professionals connect and create teams that excel. DentalPost has more than 600,000 dental professionals and more than 36,000 dental ofﬁ ces registered. She began making introductions based on a networking database she created, connecting job seekers with employers. She started what is now DentalPost.net in 2005. Tonya began her career as a Registered Dental Hygienist (RDH) in Atlanta, Georgia in the mid-90s, and she still practices today.

An Interview Goes Both Ways: Why It’s Important to Ask the Interviewer Questions

ow many times have you been in a job interview and arrived at the inevitable and expected point in which the interviewer asks if you have any questions, only to realize that the questions you had in mind had already been answered? Even if you spent time preparing some questions before the interview, telling the interviewer that they’ve already been answered is not a good response: it might seem that you didn’t plan any thoughtful questions at all. When you do plan what questions to ask, it’s best to not ask about salary and benefits, but instead questions that show you care about the practice and the person interviewing you. Ask questions about the systems they have in place and the practice culture. For example, you can ask what characteristics they consider most important for the position you are interviewing for, or about their chairside priorities. Once you move beyond answering the most important questions (Why did you choose dentistry? How does the practice of dentistry fit into your life as a whole? Why did you choose this practice?), you should be able to ask some very important questions as well. You defi nitely should ask questions that show you are genuinely interested in the position: questions that create conversation and illuminate more aspects of the position and the dental practice. I would suggest asking

friendly questions to get to know the person on the other side of the table. Find out where she’s from, where she went to school. Taking the time to try to get to know the other person and initiate a conversation that’s not necessarily job-related can really help to predict how your working relationship would be if you were to take the job. It’s also important to ask questions about the office and the team to get a feel for the culture. Find out if people are expected to stay late regularly and if the office gets together outside of work. You don’t want to start working somewhere thinking your working hours are the same as the office hours only to fi nd out that the dentist expects his staff to stay after closing every day. You also don’t want to fi nd yourself in the middle of never-ending office drama. Asking questions about the office culture and expectations will show you care and could help you get the job. Asking questions about their values and beliefs will help you decide if you want it.

Questions that weren’t asked I have a friend who interviewed for a job at a dental office and was really impressed by the well-known dentist and glamorous office. She was still working, but desperately wanted to quit her job, so she was in a hurry to fi nd something else. Because of that, her judgment

November 2015 www.oralhealthgroup.com

CAREER PLANNING

Asking questions about the office culture and expectations will show you care and could help you get the job. Asking questions about their values and beliefs will help you decide if you want it. was clouded and she not only ignored her intuition, which was telling her that it wasn’t right, but she also refrained from asking any questions about what the dentist expected of her. It turns out that he expected his staff to stay hours after closing, regardless of the workload. (She learned that the front office staff would stay until he left, wasting time on everything else but work.) She also realized that she was doing the work of two people – something she would have known had she asked better questions in the interview. Not surprisingly, she quit her job within a week. This is why it’s so important to remember that in a job interview, the candidate is also interviewing the office.

Figure out what you want... The fi rst step to asking questions that matter is to determine what you’re looking for as a professional, as a team member, and as an employee. Create a clear picture of where you want to be – the place where you can thrive professionally and personally. Imagine that your ideal office exists, and write their mission statement. Think about who their patients would be, and how you would treat those patients. Think about their standard of care, how they invest in their team, the environment of the practice. Once you have a clear image of your ideal practice, you’ll be

able to ask the questions that will uncover whether you’re interviewing at a place you’d actually like to work. Figuring that out in the interview stage will save you a lot of grief in the future.

...and then stick with it Let’s say you ask really great, thoughtful, important questions in the interview and determined that your values didn’t match up with the practice’s values. Of course, you still impressed the interviewer with great questions and your general awesomeness, so they offered you the job. What do you do? First of all, remember that you do have a choice. It can be scary to turn down a position, but if you are in a place where it’s fi nancially feasible to continue the job search, then I would defi nitely encourage you to do so! You might also consider accepting the position on a trial basis to further determine if there’s a match while you continue to look elsewhere.

Be proactive Remember the image that came to mind when you created your ideal practice? It exists, somewhere! Make a list of the practices that you think are similar to your ideal and start a relationship with them. They might not need to hire anyone today, but when that day inevitably comes, you’ll be at the top of their list! ■

November 2015 www.oralhealthgroup.com

HEALTH

Bulimia: What Dental Health Professionals Need to Know Amy Pezzente

Amy Pezzente works for the Jessie’s Legacy Eating Disorders Prevention Program, where she coordinates the Provincial Eating Disorders Awareness (PEDAW) campaign. Amy presents at schools, conferences, and workplaces on disordered eating, self-esteem, and body image. She is also an Eating Disorders Peer Support Worker at the Kelty Mental Health Resource Centre and is the coordinator for the Looking Glass Foundation for Eating Disorders Online Support Groups. If you’d like to get in touch with Amy, contact her at pedaw@family services.bc.ca.

hen the general public is apprehensive enough about going to the dentist – imagine how terrifying it is for somebody struggling with bulimia. As someone who has recovered from both anorexia and bulimia, I am well aware of the pain and suffering that happened, not only to my selfworth, but also to my teeth. After years of struggling, the white teeth in my smile today have a back-story of tremendous damage. Sure, at the time I knew I was doing damage to my teeth – but the eating disorder convinced me not to care. Bulimia became a vicious cycle; an addiction where I would ravenously stuff down my overwhelming feelings, only to purge them out until I felt completely empty, raw, and numb. Sitting in the dental chair behind a nervous smile may be a fragile patient in severe distress. The nature of bulimia most often demands that the person acts in secret, sheltering their eating disorder from everyone. From the outside, I did a great job of hiding my eating disorder from friends and family, but when it came to dental health professionals, the inside of my mouth couldn’t hide what was going on. Damage is done to the teeth, gums, tongue, palate, and throat from chronic vomiting, and no amount of excuses, games, or secrecy could hide the fact that I was struggling with an eating disorder. This is how the disease of bulimia nervosa presents itself – and dental health professionals are on the frontline when it comes to detecting when something is wrong.

Dental health professionals are obligated to be concerned not just about a patient’s oral health, but their overall health and well-being. As Johansson, et. al., mentioned in the Journal of BMC Oral Health, “The majority reported that they needed more training in the dental management of ED patients. This supports conclusions from previous studies and suggestions to implement more training in the management of ED patients in undergraduate, postgraduate as well as in continuing dental education.” One telltale sign of an eating disorder is the loss of enamel and soft dentin from the upper, front inside surfaces of the teeth. A dental health professional can see other signs as well, such as parotid gland swelling, gum inflammation, dry mouth, and/or trauma. Bulimia produces a unique erosion pattern that acts like a signature in a patient’s mouth. Dental health professionals can tell if a patient has a relatively new or chronic condition by the amount of damage done. There is no way to stop the hydrochloric acid from the stomach stripping the teeth of protective enamel and exposing the dentin underneath. The result is a long list of symptoms and conditions: • Cavities • Enamel erosion and erosive lesions • Gum soreness, pain, and inflammation • Inflammation of the esophagus • Hemorrhaging palates (tiny blood vessels on the roof of the mouth which burst open during purging) • Dramatically reduced saliva production

November 2015 www.oralhealthgroup.com

HEALTH

Sitting in the dental chair behind a nervous smile may be a fragile patient in severe distress. The nature of bulimia most often demands that the person acts in secret, sheltering their eating disorder from everyone. • Dislocations of the lower jaw and temporomandibular joint (where the lower jaw hinges with the rest or the skull) • Severe erosion on lingual surfaces of the maxillary anterior teeth • Moderate erosion on lingual and occlusal surfaces on upper molars • Erosion on lingual and occlusal surfaces on lower posterior teeth • Mucosal lesions • Weakening of incisal edges of incisor teeth • Anterior open bite • Loss of vertical dimension • Bleeding gingiva • Enlargement/swelling of salivary glands (especially parotid glands) or other swelling in cheeks/jaw • Difficulty swallowing (i.e. lump in throat, globas sensation) • Changes in colour, shape and length of teeth or teeth that are brittle, translucent and weak • Moderate to high thermal sensitivity in teeth/gums • Pulp exposure or pulp death • Reports of frequent sore throats or dry mouth, burning tongue • Dry, red or cracked lips Steps to restore a patient’s oral health can only begin once the patient has sought out treatment for their eating disorder. Otherwise, time and money may be wasted on extensive dental work if the patient is still struggling and actively purging. It’s easier to not talk about the eating disor-

der and keep the patient’s mouth condition confidential, but this can be an opportunity to help them take the fi rst step while being compassionate, trustworthy, and respectful to their needs. Dental health professionals can assess how open a patient is to talking about their eating disorder with just a few questions centered not on the disorder, but on the teeth, giving the patient an opportunity to open up and share. Remember that patients can react in a variety of ways. They can become irritated, emotional or defensive. I remember my dentist approached me after conducting the oral exam. He excused the assistant, sat me up, pulled the chair around so we were faceto-face, and then began asking questions: • “I’ve found something I have concerns about and I need more information. Is it okay if I ask you some questions?” • “The condition of your teeth is similar to the condition of others who have an eating disorder. Do you now or have ever had an eating disorder?” • “There are several problems with your teeth, including x, y, z. These problems can be associated with vomiting or a lack of nutrients in your diet.” • Commend the patient if they are willing to talk about their problem, such as “I understand how difficult this is,” or, “I’m really glad you are talking to me.” • Raise the issue in a kind, non-judgmental way. • Reassure the patient that they are not alone and that eating disorders are common. This isn’t their fault.

November 2015 www.oralhealthgroup.com

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• Avoid being critical, suggesting quick fi xes or commenting on the patient’s weight or appearance. • If the patient denies they have an eating issue, accept their answer and focus on restoring their oral health. In this case, all you can do is encourage them to seek help. Since receiving treatment for my eating disorder my health has gotten significantly better. After all of the root canals, fi lled cavities, and bridges I needed to have done due to bulimia, I truly hope that all dental health professionals can show concern for overall health and encourage their patients to seek help when signs of an eating disorder are present. ■

SOURCES:

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• Frydrych AM, Davies GR, McDermott BM. Eating disorders and oral health: A review of the literature. Australian Dental Journal. 2005; 50:6–15 • National Eating Disorders Collaboration. E-bulletin number thirty-three: Early Detection of Eating Disorders in Dental Consultations. nedc.com.au/e-bulletinnumber-thirty-three • Johansson, AK, Johansson, A., Nohlert, E. et al. Eating disorders – knowledge, attitudes, management and clinical experience of Norwegian dentists. Journal of BMC Oral Health. 2015; 15:124

TO FIND OUT MORE INFORMATION ABOUT EATING DISORDERS, VISIT: • Jessie’s Legacy Eating Disorders Prevention Program, www.jessieslegacy.com

- Nancy Johnston, RDH Ontario, Canada

• The Kelty Mental Health Resource Centre, www.keltymentalhealth.ca • The Looking Glass Foundation for Eating Disorders, www.lookingglassbc.com ®

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PRACTICE MANAGEMENT

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is the founder of “Successful Practice Architects”, a highly personalized boutique coaching company that helps dentists achieves extraordinary growth, higher income and exceptional quality of life. He provides customized group and one-on-one “Success Coaching” to dental professionals across North America. He can be reached at peter@practicemastery.com or at 416-568-5456. www.practicemastery. com.

The Influential “ORAL HEALTH COACH”: Our Emerging Role

hat ever happened to the days gone by where you could graduate from dental school, obtain your license and walk into a treatment room feeling highly trusted and influential as an expert? In those days the dentist would simply look into the patient’s mouth, tell them what they see and recommend solutions! The solutions were usually accepted; they thanked you appreciatively and booked an appointment on their way out. Communication consisted primarily of the dentist telling the patient, “You have a problem, and I have the clinical procedure that will solve it.” It was an expert to novice obedient relationship based on a fi re department fi x-and-repair approach to patient care. Insurance plans tended to provide coverage for this type of dentistry as well; and if they didn’t have insurance, they were usually motivated by their discomfort and willing to pay out of pocket. Patient’s took their dentist’s opinion as fact in those days and seldom questioned things except for possibly expressing some fears associated with the procedure itself. In today’s changing world this antiquated approach to patient care will no longer work because the dental healthcare landscape has completely evolved on two significant fronts. Let’s briefly examine each! Firstly, there has been a defi nite shift among the population from wanting to be regarded as “patients,” to one in which they view themselves as “health care consumers” with unique concerns, expectations and needs. “Consumers” who are more informed

and in many cases misinformed or even confused (due to internet and excessive access to information). They arrive to our practice feeling like experts in themselves, and wanting to participate in their care as active and knowledgeable decision‐makers. As healthcare providers we must remember that two people may present with similar clinical circumstances but their needs and desires can turn out to be completely different. In caring for our patients we must appreciate the difference between “good clinical dentistry” and “good patient care”. “Good clinical dentistry” is delivered into a mouth where as “good patient care” is that dentistry served (via personalized communication & collaborative planning) into the life of the person attached to the teeth. Secondly, dentistry is in a period of rapid transformation! The scope of available services is expanding vastly. There has been a defi nite shift from the reparative dentistry model to one where we are more focused on prevention and the enhancement of beauty and comfort. Today our work as clinicians is being conducted and delivered on a modernized playing field as well. Technology has transformed the dental experience for patients across the globe. Procedures are delivered so quickly and expertly that it’s becoming difficult for patients to feel apprehensive. With advances in research and technology today’s dental professionals have access to incredible materials, diagnostic aids and tools of the trade that not only take away some of the discomfort that was associated

November 2015 www.oralhealthgroup.com

PRACTICE MANAGEMENT

Firstly, there has been a definite shift among the population from wanting to be regarded as “patients,” to one in which they view themselves as “health care consumers” with unique concerns, expectations and needs. with sitting in the dentist’s chair, but they also streamline the experience so that it takes less time and becomes a more comfortable and even enjoyable experience. To stay on top of all these clinical advancements dentists are embracing much more continuing education and training. One of the biggest examples of this is the emergence and recent accelerated expansion of dental implants into the marketplace; as well as the number of clinicians offering them as solutions within their practice. Many experienced clinicians are also deciding to advance their existing implant skills by taking more advanced training with the aim of becoming even better at delivering these life enhancing solutions to their patients. The pursuit of clinical excellence is an honorable virtue. But what about expanding our ability to collaborate with patients who are rapidly evolving as healthcare consumers as well? The blunt reality is that we can only grow our clinical skills if we are in the routine “practice” of delivering what we are trained to do. This is where the patient/consumer can become either a catalyst or a barrier to our skill development depending on how we approach them. Most practitioners would experientially agree that the success of a modern dental practice depends entirely on how effectively it can influence patients to want optimal dental health. There is across the board agreement by respected clinicians and opinion leaders that “communication” is the core competency that will inspire your patients to trust you and to work more col-

laboratively with you in pursuit of their best dental health interests. This means that our entire collaboration must be converted from the all too common one-sided regurgitation of dental information (product and services dump) to a more interactive process that gets patients involved and guides them towards discovering for themselves that which is in their best interest. In order to communicate more inspiringly each dentist must fi rst begin to change the way they see themselves and their role in the care of their patients. Dentists/specialists are much more than highly skilled clinicians schooled in art and science of diagnosing and treating oral health conditions. You are also “oral health coaches”. When you feel your role as a coach, this in itself will begin to infect your communication to become more inspiring, more supportive, and more patient centered and solution driven. Remember the old adage “when you change the way you look at things the things you look at change”. It strongly applies here! As oral health coaches, you must take the time to see beyond the mouth to listen, understand and guide patients in self-discovery so that they are able to come to comfortable conclusions in their own mind and be more committed to those choices. In our role as oral health coaches, how can we communicate more effectively? It begins by understanding that human beings are emotional creatures who process all decisions they make with their emotions/feelings. This means that when our patients walk into

November 2015 www.oralhealthgroup.com

PRACTICE MANAGEMENT

our practice they walk in with all of the emotional baggage related to past experiences as well as things that are going on in their life at that time, i.e. trips, career, 1. View the pat work challenges, relationships, “oral health coacient as an ally and adopt a healthy view of general health concerns, family 2. Listen twic hing”. e as much as yo matters, fi nancial demands, 3. G row an on u self-image and self-esteem isgoing list of dee speak. curious before sues, etc. For basic procedures showing up asp probing open-ended questi 4 . ons. the authority on T ak e notes during th that are mostly covered by intheir health. Be e or al he 5 . al M th ake compre nsi co surance we can often get away ve documentati aching interview (consult). information rehe with telling them what they on not views and emotgard ing the unique life circes includ ing need without focusing on person attached ional desires and expectatiumstances, their current life circumons of the 6. Take the ti to the teeth. stances and they’ll usually me to connect accept treatment. However, each patient. on a personal le vel with when the fees get higher 7. Be curious d u ri n g th e consu and the complexity of care 8. Fit the den tistry into thei lt to identify their needs. becomes more involved we rn 9. Don’t just fo cus on cond itio eeds. must factor into our comM ak e connections qual ns and procedures. munication the fact that 10 . Y ou r values and at ity of life beneﬁts. patients have a life outBe open and h titudes are projected to side the office. With the onest and they will trust youp. atients. patient in the driver seat we must embark on a codiscovery journey of fitting the dentistry into their lives not into their mouths. To do this well we must reconnect with our authentic non-dental self. Which is the way we thought and spoke before the having empathy and rapport. world of dentistry started crowding out our Your oral health coaching skills are thinking with dental terms and industry jardeveloped when you ask questions and listen, gon. This is why social skills are so imporwhen you focus to understand different tant. These have little to do with talking, behavior or communication styles, and when or having the “gift of gab”. They’re more you adjust your style to fit other people’s about communicating with people by asking styles. It’s the ability to understand the unquestions, listening, understanding and spoken. To read body language! To pick up

The follow “oral healthincog acarhe 10 tips we can use to and desire for yo ing” skills to increase tru strengthen our ur services: st and value

November 2015 www.oralhealthgroup.com

One in five has it.

Many don’t know it.

They also may not know the oral health consequences.* They’re waiting for guidance.

Dry mouth is an oral health concern that patients are often unaware of. Patients who are on multiple medications are most at risk. So when you recognize the signs, have the conversation about dry mouth and how Biotène® can help.

www.biotene.ca

BIOTÈNE is a registered trademark of the GlaxoSmithKline group of companies. * Dry mouth can disrupt the oral health environment and lead to halitosis, demineralization, increased caries4,5. 1. Sreebny LM. A useful source for the drug-dry mouth relationship. J Dent Educ. 2004;68:6–7. 2. Dawes C. How much saliva is enough for avoidance of xerostomia? Caries Res. 2004;38:236–240. nd 3. Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth, 2 edition. Gerodontology. 1997;14:33–47. 4. Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007;138:15S–20S. 5. Fox PC. J Clin Dent. 2006;17 (Spec Iss):27–28.

PRACTICE MANAGEMENT

We are helping people to make decisions that can add to the quality of their lives.

on voice tones, inflection, and facial expressions. It’s being able to intuitively crawl inside other people, then think and see the world as they do. It’s the willingness to listen to people without biases, and to understand their viewpoint. To suspend your view of how things are and understand their beliefs and opinions. Excellent coaching skills will help us jump onto other people’s trains of thought and ride with them as co-passengers. This is the stage on which the fullest scope of modern dental services can be inspired and delivered. It is important to remember that effective communication through an oral health coaching mindset has important benefits beyond case acceptance. It will also empower you to more constructively fulfi ll the important parameters of informed consent. Like many other professionals in the field of health care, dentists often struggle to fulfi ll these ethical and legal obligations. Practitioners must be mindful to ensure that they apply proper principles and judgment when seeking informed consent for treatment. In this day and age, the mere fact that someone sits down in a dental chair does not amount to giving consent. Obtaining informed consent involves a process of “effective communication” – a mere signed piece of paper may not suffice in the absence of a “meaningful dialogue” with the patient. Any discussion about consent to treatment should take place

before treatment. This discussion needs to include information about the expected benefits of treatment; risks and side effects; alternatives to the proposed treatment, including the likely result if no treatment is done; materials to be used; any unique personal circumstances of the patient; and estimated fees to be charged. The dentist should ensure that he or she answers any questions the patient may have as well. By reminding ourselves that dentistry is a helping profession, we will see more value in “oral health coaching” as a desired and supportive means to an end. We are helping people to make decisions that can add to the quality of their lives. By altering your thinking and approach slightly you can easily shift the focus from “us” and our procedures to “the patient” and the quality of life impact our services can have on their lives. This shift in thinking will enable us to communicate with our patients in a more mentorship based, collaborative and inspiring way. Modern dentistry is bright and fi lled with opportunity when you choose to expand your clinical excellence while concurrently taking the time to grow as “oral health coaches”. “Oral health coaching” is the emerging yardstick that will differentiate you to become more effective as clinicians while feeling more trusted and valued in the eyes of your patients. ■

November 2015 www.oralhealthgroup.com

Ultimate clean. Superior results. *

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Call (800) 278-8282 or visit philipsoralhealthcare.com to order yours *Versus a manual toothbrush 1 Delaurenti M, et al. An Evaluation of Two Toothbrushes on Plaque and Gingivitis. Journal of Dental Research. 2012, 91(Special Issue B):522. 2 Data on file, 2010

PRACTICE MANAGEMENT

Are Your Computer Systems Jeopardizing Your Patient Privacy? Reem K. Al-Halimi, PhD

is an IT consultant and the CTO and cofounder of iKlyk Inc, a Canadian software company dedicated to raising the bar of quality dental practice management, patient privacy, and data security. Prior to establishing iKlyk in 2014, Dr. Al-Halimi was involved in academic research on machine learning and information retrieval. Dr. Al-Halimi also taught multiple computer science courses at the University of Waterloo and Wilfrid Laurier University in Waterloo, Ontario. She can be reached at reem@iklyk.com. Visit http://iKlyk.com for more informatio n.

or the past year, we have been talking to many dental offices in Ontario. We noticed that many offices are unaware of technology loopholes that affect their compliance with privacy regulations. Regulations such as Personal Information Protection and Electronic Documents Act (PIPEDA) and Personal Health Information Protection Act (PHIPA) both include how your practice should deal with patient information from a technical perspective. Dental journals like Oral Health frequently discuss proper procedures to implement for better PIPEDA and PHIPA compliance. However, rarely do these discussions focus on how computer systems in the office can expose or jeopardize patient privacy. Here are four questions to help you evaluate how compliant your office computer systems are.

Does your dental software encrypt data properly? Encryption is the process of encoding messages or information in such a way that only authorized parties can read it. Encryption denies the message content to the interceptor that attempts to steal the information. Sensitive data should be encrypted to prevent unwanted exposure. Under PIPEDA (Office of the Privacy Commissioner of Canada, 2015), the following is considered sensitive or Personally Identifiable Information (PII): • Age, name, ID numbers, income, ethnic origin, or blood type • Opinions, evaluations, comments, social status, or disciplinary actions • Employee fi les, credit records, loan records, medical records, existence of a dispute between a consumer and a merchant, intentions (for example, to acquire goods or services, or change jobs)

This means the moment your receptionist types a new patient’s information into the computer, or you make a digital record of your patient’s treatment, you have the legal responsibility to keep the data safe. If you are using a desktop dental software your data will most likely be stored locally on your machine. If the data was unencrypted then the information will be directly exposed if your laptop or desktop is stolen. It is also possible that your local server uses databases such as MySQL that does not encrypt data. So when you purchase your dental software, it is wise to check with your vendor what the encryption process will be like.

Is your office using a secure operating system? Many dental offices fear malicious hackers but fail to implement effective measures against them. If you are using an old operating system such as Windows XP like many offices do, your computers are more vulnerable to hackers. According to Mike Reavey, Microsoft’s Trustworthy Computing general manager, Windows XP is six times more susceptible to hackers than Windows 8 (RSA Conference, 2013). You are also responsible under PHIPA to install virus protection software (Service Ontario, 2015).

Are your data backups compliant with privacy laws? Our research shows that many offices using desktop-based dental software back up data manually on a flash drive or even multiple USBs. But this hardly guarantees data security. Most of those mobile storage devices do not encrypt data as required. As a result, when the USB stick is lost, unencrypted patient data will be much easier to read and

November 2015 www.oralhealthgroup.com

PRACTICE MANAGEMENT thus more susceptible to illegal use. The consequences of a seemingly small mistake like using an unsecured USB can be detrimental. In an article titled “Protecting Patient Information”, the Canadian Dental Association cites some data loss incidences due to improper storage and backups (Canadian Dental Association, 2014). In one incident, 25,000 client fi les went lost when an employee at an Ottawa hospital loaded the information on an unencrypted USB stick, resulting in a $25 million lawsuit. In another incident, some of the lost data was found up for sale on an online auction site.

Does your dental software functionally protect patient data? Your dental software should be equipped with a couple of functions that will help you protect data. PHIPA requires that your office staff use unique user identification to access electronic records and periodically change passwords to protect documents and records (Service Ontario, 2015). Your dental software should be able to verify user ID and password and deny suspicious login attempts. Another function your dental software should have according to RCDSO’s Guidelines for Electronic Records Management is ‘audit trail’, which allows you to track who has accessed or changed what information, when, and using what IP address (Royal College of Dental Surgeons on Ontario, 2012). This reduces the risk of liability disputes. The Guidelines also require an ‘auto shut off’ function when your computer is idle (Royal College of Dental Surgeons on Ontario, 2012). This means you will be automatically logged out after a period of inactivity to prevent information leaks.

Your office’s hardware and software are vital to the smooth operation of your office. With the data they contain, those systems are also vital for proper compliance with privacy laws. Using proper technologies to protect your patient data will go a long way towards building a trusting relationship with your patients and protecting the wellbeing of your office. ■

REFERENCES 1. Canadian Dental Association. (2014, August 30). Protecting Patient Information. Retrieved from eReferral Service: http://www. ereferralservice.com/protecting-patient-information/ 2. Office of the Privacy Commissioner of Canada. (2015, June 23). The Personal Information Protection and Electronic Documents Act (PIPEDA). Retrieved from https://www. priv.gc.ca/leg_c/r_o_p_e.asp 3. Royal College of Dental Surgeons on Ontario. (2012). Guidelines - Electronic Records Management. Retrieved August 17, 2015, from http://www.rcdso.org/save.aspx?id= e2ef89ce-52e6-40c4-81a1-a74abe4a0049 4. RSA Conference. (2013, November 19). A New Era of Operational Security in Online Services. Retrieved from InformationWeek: https://www.youtube.com/watch?v=s_g1hDIQDIY 5. Service Ontario. (2015, July 1). Personal Health Information Protection Act, 2004. Retrieved from http://www.ontario.ca/laws/ statute/04p03

Acknowledgements We would like to thank Dr. Waleed Akkila, DDS, for his continuous support and his valuable feedback on this article.

November 2015 www.oralhealthgroup.com

oralhygiene guidelines manuscript submission

Oral Health wants to hear from you! We are actively seeking original article submissions from all of our valued readers. Here’s what we need from you: MANUSCRIPTS Manuscripts should run between 1,000 to 5,000 words; any manuscripts submitted on disc or flashdrive should be PC and MAC compatible (i.e., Microsoft Word). Should you have concerns with the compatibility between your word software and that of Oral Health’s, simply save your file as raw text (i.e., Text Only files).

AUTHORS Biographical information regarding the author(s) should be included with the manuscript. The author’s name and degrees, as well as any association the author may have with any institution should be included. The author’s address, including city and province/state should also be included. These requests for standardized submission of material are necessary for correctness of publication. The Editorial Board looks forward to your submission. Please mail original manuscripts to: ORAL HEALTH, 80 Valleybrook Drive, Toronto, ON M3B 2S9

November 2015

ILLUSTRATIONS The quality of photographs supplied contribute directly to the quality of reproduction in Oral Health. Therefore, when making a submission, please consider the following:

> Any artwork submitted should be MAC com-

patible, and should be saved at the highest resolution possible (266 pixels per inch or greater). We cannot accept any digitized photographs/illustrations that have been created in a word processing, spread sheet or presentation package.

> Images should be saved as TIF, JPEG or EPS only. Third-party sites such as WeTransfer or DropBox are accepted. In the case of large file submissions, images can be uploaded to our FTP site at Bigftp.businessinformationgroup.ca. LOGIN: orh PASSWORD: orh662 > Do not embed photos within the article. > The editorial board reserves the right to not

return photos that do not meet quality standards.

> Each illustration provided by the author should be identified and described by a short caption; and this list of figures should follow at the end of the article.

NEWCOM BUSINESS MEDIA INC. TELEPHONE:

(416) 510-6785 E-MAIL:

cwilson@oralhealthgroup.com jcecchini@oralhealthgroup.com FAX

(416) 510-5140 TOLL FREE:

Canada 1-800-268-7742 U.S.A. 1-800-387-0273

November 2015 www.oralhealthgroup.com

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2016 AWA R D S O F D I ST I N C T I O N

GALA SATURDAY, APRIL 2, 2016 Grand Ballroom, Sheraton Centre Toronto, 123 Queen Street West, Toronto

Proudly honouring: Dr. Tom Harle, Dr. Michael Pharoah, Dr. Carolyn Poon Woo SATURDAY, APRIL 2, 2016 6:00 p.m. Cocktails • 7:00 p.m. Dinner Silent Auction, trip raffle, entertainment & dancing $295 per person Black tie preferred

TO MAKE A DONATION OR ASK ABOUT SPONSORSHIP, CONTACT: Sabrina Martinez, Manager of Alumni Relations University of Toronto Faculty of Dentistry at 416-979-4940 or Sabrina.Martinez@dentistry.utoronto.ca

Supporting the Access to Care Fund and the Teaching Clinics Fund – we provide an essential health service for an entire community in need of access to care. At the Faculty of Dentistry we help change lives. Hear from our patient Scott – www.vimeo.com/89940570

ORDER TICKETS ONLINE: www.alumni.utoronto.ca/gala2016

PRACTICE MANAGEMENT

INTRODUCING WHMIS 2015

Are You Ready?

here’s an update in the works for WHMIS, Canada’s Workplace Hazardous Materials Information System: the federal legislation mandating the change came into effect in February 2015. If you haven’t already, it’s time to ensure your practice is prepared.

The Rationale for Change WHMIS 2015 aligns Canada’s system with the worldwide hazard communication system developed by the United Nations, known as GHS: the Globally Harmonized System of Classification and Labelling of Chemicals. While there are obvious trade advantages to harmonizing our system with that of the U.S., the European Union, and other countries that have adopted the GHS, WHMIS 2015 also has some clear advantages for the users of hazardous substances: • Product labels and Safety Data Sheets will follow a standardized format. Information will be easier to fi nd because it will always be presented in the same way. • Categories and Safety Data Sheet requirements will be more comprehensive, giving workers more information about the hazards they may be dealing with.

The Transition Period The federal legislation that is now in force impacts primarily manufacturers and suppliers, requiring them to adopt the new classification, labelling and safety sheet standards. However, manufacturers have until May 31, 2017, to begin using the new system, and distributors may continue to supply products

Phase

with the old labels until May 31, 2018 – to allow existing product to work through the supply chain. That means that over the next three years, workplaces may have a mix of hazardous products on site, some classified and labelled under the old system and some under the new. By December 1, 2018, all hazardous substances on work sites must follow the new WHMIS 2015 regulations. (See Figure 1.) The federal legislation is only the initial step. The provinces and territories, which have responsibilities for occupational health and safety, employment standards, etc., must each also amend their WHMIS legislation to reflect these federal changes. Ontario’s Bill 85, for example, which includes proposed amendments to the Occupational Health and Safety Act (OHSA) to implement WHMIS 2015, was introduced in April 2015 and is awaiting passage, while B.C.’s regulatory amendments have already been approved. Until provincial and territorial amendments come into force, federal and provincial WHMIS requirements will not be aligned. In the interim, provincial and territorial governments will continue to ensure that workers are protected and that the new standards are implemented in a coordinated manner.

Timing

Suppliers Manufacturers and Importers

Distributors

Lauren McFarlane, BA, CHSC

President of Dental Practice Safety A trainer, coach, visionary and consultant who is a leader in the fi eld of Occupational Health and Safety (OHS). Lauren is a certifi ed Consultant and Board Member (Toronto chapter) with the Canadian Society of Safety Engineering (CSSE) and has earned a long list of OHS certifi cations and training. The creation of the Dental Practice Safety Club demonstrates another benchmark achievement for Ms. McFarEmployer* lane and another fi rst within Consult F/P/T OHS regulator* the safety and WHMIS 1988 or dental communities. WHMIS 2015

Phase 1

From February 11, 2015 to May 31, 2017

WHMIS 1988 or WHMIS 2015

Phase 2

From June 1, 2017 to May 31, 2018

WHMIS 2015

WHMIS 1988 or WHMIS 2015

Phase 3

From June 1, 2018 to November 30, 2018

WHMIS 2015

WHMIS 1988 or WHMIS 2015

Completion

December 1, 2018

WHMIS 2015

Figure 1: Transition Phases for WHMIS 2015 Implementation Note: Requirements may vary; consult your local jurisdiction for their WHMIS requirements and transition timing. *F/P/T – federal, provincial, territorial Source: Health Canada, Environmental and Workplace Health, WHMIS Transition

www.oralhealthgroup.com

November 2015

PRACTICE MANAGEMENT

Figure 2: WHMIS 2015 Hazard Classes Health Hazards • Acute toxicity • Skin corrosion/irritation • Serious eye damage/eye irritation • Respiratory or skin sensitization • Germ cell mutagenicity • Carcinogenicity • Reproductive toxicity • Specific target organ toxicity - single exposure • Specific target organ toxicity - repeated exposure • Aspiration hazard

Physical Hazards Environmental • Explosives • Hazardous to the aquatic envi• Flammable gases ronment (acute and chronic) Flame Exclamation Mark Flame Exclamation Mark • Aerosols. • Hazardous to the ozone layers Figure 3 • Oxidizing gases • Gases under pressure • Flammable liquids • Flammable solids Exclamation Hazard FlameFlameFlame Exclamation Mark Mark Mark HealthHealth Hazard Exclamation Health Hazard • Self-reactive substances and mixtures • Pyrophoric liquids HAZArd coMMunicAtion: pictogrAMs And syMboL • Pyrophoric solids Exclamation Mark Mark Health Hazard Flame Flame FlameExclamation Mark Health Hazard Exclamation Hazard SkullHealth &Skull Crossbones BombBomb & Crossbones Exploding Exploding • Self-heating substances and mixtures Flame Exclamation Mark Health Hazard • Substances and mixtures which, in contact with water, emit Flammable Irritation or eyes)Exploding Carcinogenicity flammable gases &Skull Crossbones Exploding BombBomb Over Circle Skull Skull & Crossbones Bomb FlameFlame OverFlame Circle &(skin Crossbones Exploding Over Circle Self-Reactive Skin Sensitization Respiratory Sensitization • Oxidizing liquids Pyrophoric Acute Toxicity (harmful) Reproductive Toxicity Corrosion Gas Cylinder Corrosion Gas Cylinder Self-Heating Specific Target Organ Specific Target Organ • Oxidizing solids Toxicity – Single Exposure Toxicity – Single or In Contact with Water, Emits (drowsiness or dizziness, or Repeated Exposure Flammable Gases • Organic peroxides respiratory irritation) Germ Cell Mutagenicity Organic Peroxide Hazardous to the Ozone Layer Aspiration Hazard • Corrosive to metals

WHMIS 2015

Flammable Irritation (skin or eyes) Carcinogenicity Flammable Irritation (skin or eyes) Carcinogenicity Self-Reactive Skin Sensitization Respiratory Sensitization Self-Reactive Skin Sensitization Respiratory Sensitization Pyrophoric Acute Toxicity (harmful) Reproductive Toxicity Pyrophoric Acute Toxicity (harmful) Reproductive Toxicity WHMIS is a national hazard communication system that provides workers with information on the safe use of hazardous products Canada. Self-Heating Specific TargetinOrgan Specific Target Organ Self-Heating Specific Target Organ Specific Target Organ The global harmonized system (GHS) is an international initiative that standardizes chemical hazard classification and–communication. Toxicity Single Exposure Toxicity – Single or In Contact with Water, Emits Toxicity – Single Exposure Toxicity – Single or WHMIS 1998 hazard symbols have been replaced by GHS styled pictograms for WHMISIn 2015 and are indicated labels and safety sheets Contact with Water, on Emits (drowsiness or data dizziness, or Repeated Exposure (drowsiness or dizziness, or Repeated Exposure Flammable Gases to communicate to workers information about the chemical hazards they may encounter in the workplace. Flammable Gases respiratory irritation)irritation) respiratory Germ Cell Mutagenicity Germ Cell Mutagenicity Organic Peroxide Organic Peroxide Hazardous to the Ozone Layer Hazardous to the Ozone LayerAspiration Hazard Aspiration Hazard FLAME Flammable Flammable

ExcLAMAtion HEALtH skuLL & (skin or eyes) Carcinogenicity IrritationIrritation (skin orIrritation eyes) (skin or eyes)Carcinogenicity Carcinogenicity HAZArd crossbonEs

Flammable MArk Self-Reactive Self-Reactive Self-Reactive Pyrophoric Pyrophoric Pyrophoric

Flammable

Self-Reactive Pyrophoric

Skin Sensitization Respiratory Sensitization Respiratory Sensitization • Skin Sensitization Sensitization • Pyrophoric Skin Sensitization

• Acute Toxicity Pyrophoric Acute Toxicity (harmful) Reproductive Toxicity • Reproductive • Self-Heating Acute Toxicity (harmful) Reproductive Toxicity

Irritation (skin or eyes)

Self-Heating Skin Sensitization

Pyrophoric

Contact with Water,Reproductive Emits Acute ToxicityIn(harmful) Toxicity

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Carcinogenicity

(harmful)

Flame OverOver Circle Flame Circle

Respiratory Sensitization Respiratory Sensitization Respiratory Sensitization Acute Toxicity Reproductive Toxicity Toxicity Acute Toxicity (harmful) Reproductive Toxicity Acute (harmful) Toxicity (harmful) Reproductive

Self-Reactive

Flammable Gases

Skin Sensitization Skin Sensitization Skin Sensitization

Self-Heating Target Target Organ Self-Heating Specific Specific Target Organ Target Organ Self-Heating SpecificOrgan Target OrganSpecific Specific Specific Target Organ Single –Exposure –orSingle–orSingle or Toxicity Toxicity – Single–Toxicity Exposure Toxicity Toxicity – SingleToxicity Single Exposure In Contact Water, In Contact with Water, Emits In with Contact withEmits Water, Emits(drowsiness or dizziness, or Repeated ExposureExposure or or dizziness, Repeated Exposure (drowsiness or Repeated Flammable Gases Gases (drowsiness or dizziness, Flammable GasesFlammable respiratory irritation)irritation) respiratory irritation) respiratory Germ Cell Mutagenicity Germ Cell Mutagenicity Germ Cell Mutagenicity Organic Organic PeroxidePeroxide Organic Peroxide Hazardous to theLayer Ozone Hazardous to theHazardous Ozone to theLayer Ozone LayerAspiration Hazard Hazard Aspiration Hazard Aspiration Explosive Acute Toxicity (fatal(fatal or toxic) Explosive • Flammable • Irritation (skin or (skin or eyes) Acute Toxicity (fatal or toxic) • Carcinogenicity • Acute Toxicity • Self-Reactive (severe) Flammable Irritation Carcinogenicity Irritation (skin or eyes) Carcinogenicity eyes) Self-Reactive or toxic) • Self-Reactive Self-Reactive (severe) (severe) • Respiratory • Organic Peroxide

Flammable

In Contact with Water, Emits Flammable Gases

The New System

Health Hazard Health Hazard

OxidizerOxidizer

(severe) Organic Peroxide Organic Peroxide (severe) (severe)

Toxicity

• In Contact with Self-Heating Target Organ Target Organ Specific Target Organ Specific Target OrganSpecific • Specific Target Organ Specific Respiratory Sensitization • Specific Target Organ Water Emits Toxicity Exposure Toxicity – Single or Toxicity – Single– Single Toxicity ToxicityEmits – Single Exposure – Single or or In Contact withGases Water, Toxicity – Single Flammable (drowsiness or dizziness, or Exposure Repeated Exposure Exposure (drowsiness, Repeated Exposure (drowsiness or dizziness, or Repeated Flammable • Organic Gases Peroxide dizziness or respiratory irritation)• Germ Cell Specific Target Organ respiratory irritation) Germ Cell Mutagenicity Germ Cell Mutagenicity respiratory irritation) Organic Peroxide Toxicity – Single or Mutagenicity Hazardous to the Ozone Layer Hazardous to the Ozone Layer Aspiration Hazard • Hazardous to the Repeated Exposure Aspiration Hazard • Aspiration Hazard Explosive Explosive Explosive

• Explosive (Not Adopted)

Environment Environment

Layer (Not Acute Toxicity (fatal or toxic) Acute Toxicity (fatal orOzone toxic) OxidizerOxidizerOxidizer Acute Toxicity (fatal or toxic) Germ Cell Mutagenicity Adopted) Self-Reactive (severe) (severe) Self-Reactive (severe) Self-Reactive Skull & Crossbones Exploding Bomb Flame Over Circle Hazardous toSkull the Ozone Layer &Skull Crossbones Bomb Over Circle Aspiration Hazard Exploding & Crossbones Exploding Bomb Flame Over Circle Organic (severe) Organic Flame PeroxidePeroxide (severe) Organic Peroxide (severe)

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corrosion

gAs cyLindEr

Corrosive (skin, eyes, or metals) EnVironMEnt

Gas Under Pressure bioHAZArdous

(skin, Environment eyes, or metals) Gas Under Pressure Corrosion Gas Cylinder Environment Corrosion Gas Cylinder Gas Corrosive Cylinder Environment Corrosion FlamecircLE Over Circle inFEctious MAtEriALs

Hazardous to the Aquatic Hazardous to the Aquatic Environment (acute or long Environment (acute or long-term)

Classifi cation: Hazardous materials are classified into two hazard groups: physical hazCorrosion Gas Cylinder Environment Corrosion Gas Cylinder Environment ards and health hazards (there is also an enviCorrosion Gas Cylinder Environment Corrosion Gas Cylinder Environment ronmental hazard class which is not 416-283-7233 dental@actfirstsafety.ca dentalpracticesafety.com mandatory under WHMIS 2015 in Canada, but has been adopted in other countries). *Headings must be present but supplier has option to not These are further subdivided into hazard provide information in these sections classes; there are ten different identified health hazards and 16 physical hazard classes (see Figure 2). if the recommendations are not followed, Labels and Pictograms: The product label how to recognize symptoms of exposure, gives important fi rst-look information to and what to do if emergencies occur. workers about the hazards of the product and The SDS follows a standardized format so safe use recommendation. Under WHMIS that it’s easy to fi nd the information that’s 2015, labels are standardized and will include: needed. There are 16 required categories of • the product name information (compared to the previous 9), • a hazard pictogram: these pictograms (see with the most critical information (e.g. fi rst Figure 3) will replace the previous hazard aid measures, fi re fighting measures, accisymbols (with the exception that the cur- dental release measures) appearing near the rent symbol for Biohazardous and Infec- top of the list (see Figure 4). tious Material will continue to be used) • signal words: the word “Danger” or “Warn- Roles and Responsibilities Suppliers’, employers’ and workers’ roles and ing” indicates the severity of the hazard • hazard statement, briefly summarizing the responsibilities remain unchanged with WHMIS 2015. hazard (e.g. “fatal if swallowed”) Suppliers, manufacturers, importers, and • precautionary statement: recommended measures to minimize or prevent harm distributors must: • Classify hazardous products from exposure to the product • Label their products • supplier identification Safety Data Sheets: The terms “Safety • Prepare and provide SDSs to customers Employers must: Data Sheet” (SDS) replaces the familiar Material Safety Data Sheet (MSDS) under • Ensure that all hazardous products are properly labelled WHMIS 2015. Like their predecessor, the Safety Data Sheets (SDSs) provide more de- • Make SDSs readily available to workers tailed information for employers and work- • Prepare workplace labels and SDSs as necessary ers on how to protect themselves and their clients from hazardous materials. SDSs tell • Provide worker education and training users what the hazards of the product are, • Ensure appropriate control measures to protect the health and safety of workers how to use the product safely, what to expect Acute Toxicity (fatal or toxic)

Explosive

Explosive Acute Toxicity (fatal or toxic) Oxidizer Explosive Acute Toxicity or toxic) Oxidizer Oxidizer Explosive Self-Reactive (severe) Acute(fatal Toxicity (fatal or toxic) Self-Reactive (severe) Corrosive eyes, Gas or metals) Under Pressure Hazardous Hazardous to the Aquatic Self-Reactive (severe) Corrosive (skin, eyes,(skin, or metals) Gas Under Pressure Hazardous to the Aquatic Oxidizer (skin, eyes, metals) Under to the Aquatic • OxidizerCorrosive • or Corrosive (skin, eyes, •Pressure GasGas Under Pressure • Hazardous to the • For organisms or Organic Peroxide (severe) Environment or long-term) or metals) Aquatic Environment toxins that can cause Environment or(acute long-term) Organic Peroxide (severe) Environment (acute or(acute long-term) Organic Peroxide (severe) (acute or long-term) diseases in people or

Self-Reactive (severe)

Organic Peroxide (severe)

(Not Adopted)

Corrosive (skin, eyes, or metals)

animals (Canada only)

Gas Under Pressure Hazardous to the Aquatic Hazardous to the Aquatic Environment (acute or long-term) Hazardous to the Aquatic Environment (acute or long-term) Environment (acute or long-term)

Corrosive (skin, eyes, orHazardous metals) Under Pressure Gas Under Pressure theGas Aquatic Corrosive (skin, eyes, orto metals) Gas Under Pressure Environment (acute or long-term)

November 2015 www.oralhealthgroup.com

SAFETY DATA SHEET REQUIREMENTS Identification Hazard identification Composition/information on ingredients First-aid measures Fire-fighting measures Accidental release measures Handling and storage Exposure controls/personal protection

PRACTICE MANAGEMENT

Figure 4

THE MISSING LINK!

Physical and chemical properties Stability and reactivity Toxicological information Ecological information* Disposal considerations* Transport information* Regulatory information* Other information Workers must: • Participate in WHMIS training programs • Take necessary steps to protect themselves and their co-workers • Participate in identifying and controlling hazards While WHMIS 2015 will be a simpler and safer hazard information system once it’s fully implemented, the transition period will require vigilance on everyone’s part. During the transition period, you will start to see products with new labels and SDSs coming into your office. As an employer, it is your responsibility to ensure your staff are fully trained in how to read and understand the new materials. WHMIS 2015 training is required as soon as 2015-labelled products come into your workplace. At the same time, as long as some hazardous products in your workplace still follow the old WHMIS classification and labelling system, staff must also be trained in the previous WHMIS system. Workplace safety is a shared duty, but the employer bears ultimate responsibility for the safety of staff and clients – in this case by providing the needed training and preparation so that all staff understand the new system and the proper safety procedures for every hazardous material used in your dental office. Preparing for WHMIS 2015 now will position your dental office for a smooth and stress-free switch-over. ■

www.oralhealthgroup.com

Adding Periostat to Scaling & Root Planing (SRP) Increases Clinical Attachment Gain by 71%* Periostat + SRP is proven to be more effective than SRP + Placebo, even in periodontitis patients with these complicating conditions: • Severe and rapidly progressing cases 1-12,19 • Genotype-positive 25

• Smokers 7

• Rheumatoid arthritis 13

• Diabetes 22,23

• Cardiovascular disease 14-17 • Post-menopausal osteoporosis 18,21,24 The safety profile is similar to placebo, with no rebound effect 1-6 For the monography, scientiﬁc references &

NAME / NOM ADDRESS / ADRESSE TEL

prescription kit:

DATE

1 888 442.7070

PERIOSTAT Capsules 20 mg Quantity / Quantité 60 capsules (1 mois / 1 month)

oralscience.com/periostat

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

LIC. #

No replacement / Pas de substitution

DIN 02247104

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

EDUCATION

The Oral Wellness Learning Institute in Dentistry

Sara DeNino Paone, RDH, RNCP

President of Smart Dental Practices, a company dedicated to working with dental teams to advance patients’ oral and overall wellness. Sara’s 20 years experience as a dental hygienist, including the last 10 as a holistic nutritionist, has helped her develop a view that an integrated, wholeperson centred approach best serves our patients. Sara is a member of the AAOSH, IONC, ODHA, CDHA, CHHO, as well as the Complete Oral Health Movement. She can be reached at www.smartdental practices.net

have been fortunate to enjoy a 28 year long career as a dental assistant, dental hygienist, dental consultant, nutritionist and oral health champion, a career I look back on with tremendous satisfaction and pride. I have helped people achieve healthier gums, arrested their oral infections, and educated them about nutrition, empowering them to make lifestyle changes that benefitted their oral and overall health. I have focused on the whole person and, over time, I have come to understand just how important the role that dentistry can play in supporting peoples’ overall health. A central element in my career has been my understanding of the value of oral health. A question that I have asked myself throughout my career is why many patients, as evidenced by the state of their oral hygiene, don’t place the same value on their oral health. Many of us have assumed that the issue is patient motivation and patient behaviour, and although that may be one part, it may not be the entire picture. I think it could be that we have not placed sufficient value on oral health in our dental practices. After all, if a detailed oral wellness discussion with patients is not covered/valued by the applicable insurance company, we often do not provide it. Or we advise our patients on oral hygiene in the fi nal two minutes of an appointment as they get up from the dental chair. How many practices provide oral hygiene instruction and apply a clinical fee for it as we would for any valued, and valuable, service? What have we as dental professionals taught our patients about the value of oral hygiene? Can we really blame our patients if they arrive expecting only a “teeth-cleaning” and develop the expectation that their own responsibility for oral care is limited to showing up for cleanings and, temporarily, devoting more time to

flossing? Could it be that we need to look at our roles in a different manner? My belief is that every dental practice should recognize that they play an important role in the provision of preventative healthcare. The Surgeon General’s fi rst report on oral health in 2000, stressed the important link between oral health and general health: “the terms oral health and general health should not be interpreted as separate entities. Oral health is integral to general health.” The long held belief that gum disease is a localized, minor disease does not stand up to scientific scrutiny. The oral systemic connection is now, more and more understood. What’s missing is a broad take-up of how we can change the way we practice in light of this knowledge. There is much more that we dental professionals can do to contribute to the preventative health of our patients and to an over-stressed health care system. There is also more that I personally can do to play a broader role in how our profession faces these challenges. And because I know I can, I feel that I must. A year ago I decided to embark on a new journey. My idea was to create a teaching institute designed to help more dental professionals understand their role in preventative health care. I was fortunate to fi nd the perfect home for such a teaching institute at The Dental Learning Centre (tdlc.ca) in Oakville established by Dr. Paul Eisner. The TDLC is an ideal venue for hands-on education and learning. The teaching institute, named OWL (the Oral Wellness Learning Institute in Dentistry), is founded with a vision. I believe that the dental profession can play a vital role in the prevention of a range of diseases, including heart disease, stroke, diabetes and arthritis. If our patients understand that their dental appointments are im-

November 2015 www.oralhealthgroup.com

EDUCATION portant moments in their ability to prevent chronic disease, their commitment to be physically and psychologically present at their appointments will be far higher. Every dental team can, and wants to be, inspired to play a key role in the oral and overall health of their patients. And I believe that the key missing ingredient, the ingredient capable of mobilizing our dental practice community into an irresistible force for preventative health, is education. That is why I founded the Oral Wellness Learning Institute for Dentistry (OWL). OWL is an innovative learning experience conducted in three separate day-long sessions one week apart. One important area we cover is oral systemic links. We discuss the relationship between the oral and general health of the body, highlighting common chronic diseases including atherosclerosis (causing heart attack and stroke), diabetes, and arthritis. The science highlighting these links is clear and convincing. Our view is that once dental teams are informed about oral systemic links, there is a greater likelihood that they will be inspired to conduct their treatment with these links in mind. We also focus on practice philosophy and communication skills. If your practice decides to play a more proactive role in your patients’ oral health and overall wellness, everyone on the team needs to be on the same page. That means your teams need to be able to clearly communicate with patients, what they need to do to improve their oral health, and follow system protocols aligned with your practice philosophy. It also means that your team needs to be aware of the technological tools available to your practice. These tools can aid your team in arresting gum disease and they can help educate and motivate your patients to improve their oral health.

We also devote time at OWL to what I call the Preventative Oral Wellness Program. This program creates time for you to educate patients about oral systemic links, nutrition, and the proper use of oral aids to improve their oral health and their overall wellness. The World Health Organization explains in their in 2005 report, “diet and nutrition affects oral health in many ways. Nutrition, for example, influences cranio-facial development, oral cancer, and oral infectious diseases. Dental diseases related to diet include dental carries, developmental defects of the enamel, and periodontal disease.” Cast in this light creating a 60 minute, billable time slot, to discuss what patients can do to improve their oral health, beyond flossing, is central to what our practices are all about improving patients’ lives. The OWL Institute for Dentistry officially launches on January 22, 2016. We hope that all members of dental teams will see its relevance to their daily work (from administration, to assistants, hygienists, treatment coordinators, and dentists). We know that the doctor and the entire team need to be on site to truly maximize the benefits to patients. We also hope, through creating opportunities for OWL alumni to come together, that we can help practices sustain momentum toward becoming truly whole person, health-oriented practices. Over time, we know that our dental field will play a leading role in the health of our communities. The opportunity for dentistry to play a preventative health care role has never been closer. We hope OWL can play a part in this journey for our profession. I look forward to your feedback, and to seeing you at the OWL Institute. For more information, visit www.owldentistry.org. ■

November 2015 www.oralhealthgroup.com

PRODUCT PROFILE

FITEBAC FDA and CDC reviewed fiteBac® SkinCare Gel is designed to help soothe dry, dehydrated skin while keeping hands soft. A unique formulation penetrates the microbe cell wall, instantly killing germs and bacteria. The patent pending antibacterial formula lasts four hours, while alcohol-based hand sanitizers evaporate in two minutes leaving zero germ-fighting protection. fiteBack® was given the Top Infection Control Product Award.

www.fitebac.com

PLAQUE HD™ Patients who wear braces often suffer damage to tooth enamel and gums due to poor oral hygiene, undermining their investment in orthodontics. New Plaque HD™ Professional Plaque-Identifying Toothpaste with Targetol Technology™ helps patients identify and remove all traces of plaque at home. With regular brushing, the one-step, easy-to-use Plaque HD™ formula protects your patient’s investment while fighting cavities, freshening breath, and helping prevent gum disease.

www.plaquehd.com

SLEEPRIGHT® RX DENTAL GUARD The Sleep Right Rx’s adjustable bitepads, made of a hybrid resilient material, fit comfortably between your teeth and are designed to re-establish your natural freeway space. The Sleep Right Rx does not require boiling water. With SleepRight Rx’s patented adjustable technology, you have four bite pad positions, making it easy to customize the size to fit most people. The bitepads adjust forward for a smaller fit and backward for a larger fit, as well as swivel to match the angle of all bites. The SleepRight Rx utilizes natural tissue retention between your lips, cheek, and tongue to be held in place. The flexible, heat sensitive band is positioned between your lower lip, cheek and gums and uses your body’s temperature to quickly adapt to each individual’s anatomy.

COLGATE® SLIM SOFT™ The new Slim Soft™ toothbrush features floss-tip™ bristles that are 17x slimmer at the tip, ideal for cleaning the tight spaces between teeth and gums. The Slim Soft™ has a small, slim head for hard to reach areas and a flexible neck that extends to reach deeper in the mouth. With a comfortable ergonomic rubber handle for a better grip, it provides 6x deeper sub-gingival access for better gum health and 1.5x deeper interproximal access for better interdental cleaning.

www.colgateprofessional.com

www.sleepright.com

TANNER’S TASTY PASTE As a pediatric dentist, Dr. Janelle Holden knows how important it is for children to brush their teeth regularly. As a mom, she also knows how difficult it can be to get children to brush. Dr. Holden created toothpaste that children will look forward to using because it tastes delicious. In collaboration with formulation experts, Tanner’s Tasty Paste is a safe, natural, effective toothpaste that is enjoyable to use. Available in three different flavours – Vanilla Bling, Cha Cha Chololate and Baby Bling.

SHEER WHITE!™ WHITENING STRIPS Sheer White!™ Whitening Strips are easy to apply and adapt tightly to the shape of each patient’s teeth with no leakage. Sheer Firm™ technology ensures a comfortable fit for up to two hours of whitening. With its 20% carbamide peroxide formulation, patients have a pleasant whitening experience with less sensitivity and no effect on their daily activities. Sheer White™ is exclusively available through Henry Schein Dental.

www.caogroup.com/sheerwhite

www.tannerstastypaste.com

November 2015 www.oralhealthgroup.com

DENTAL MARKETPLACE

Contact: Karen Shaw • tel: 416-510-6770 • fax: 416-510-5140 • e-mail: kshaw@oralhealthgroup.com Toll free: CDA 1-800-268-7742, ext 6770 • Toll free: USA 1-800-387-0273, ext. 6770

PRACTICES & OFFICES BARRIE, ON

Available new retail space on busy Mapleview Dr. West. Ideal for Professional Dental Office. Attractive lease rates. Surrounded by residential. National brands in plaza. Contact Michael Pearlman at (416) 567-5101 or pearlmanmichael@gmail.com

OTTAWA, ON DENTAL CLINIC FOR SALE

Established dental clinic, 3000 sq ft with 7 equipped operatories, great location with free parking, high grossing with strong hygiene program and a loyal patient base is offered for sale. For more information please contact dentalofficeopportunities@yahoo.com

NEAR WINNIPEG, MB

Net more than $455k just outside Winnipeg. Two rural practices producing well on 5.5 days will be available. Ideal for a solo dentist who is ready to hit the ground running, or two dentists to share as there is huge potential to expand. These practices are 30 minutes apart and offer an exclusive over an entire area where there are no other dentists. Live in Winnipeg and work in the country, one hour drive to the farthest one. Prompt action in response to serious inquiries. Email correspondence to DentalPracticeMB@gmail.com

ASSOCIATESHIPS YORKVILLE — TORONTO, ON COST SHARING OPPORTUNITY Bring your existing patient base to beautiful Yorkville. Modern operatories available Monday to Friday. Direct access to Bay/ Bloor subway. Email: info@yorkvilledental.net

SOUTHERN MANITOBA — ORTHODONTIC PRACTICE

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

EDMONTON, AB

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

VANCOUVER, BC

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

RICHMOND, BC

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

November 2015

ORILLIA, ON

Part time associate required 1-2 days per week for busy general family practice. Please forward resume to dental_2010@live.ca

THOMPSON, MB

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

EDMONTON, AB Associate position available, 7 chair facility in a very busy established family practice with good new patient flow with a fantastic support team. This makes for a great place to enjoy dentistry. The office is equipped with the latest diagnostic and treatment technologies and has four RDA, 3 hygienists and three dentists. Seeking a motivated team-oriented dentist with great communication skills and commitment. Must be available to work some Saturdays and evenings. Send CV to: doctor.dentist.edmonton@gmail.com

WHITEHORSE, YK Locum/Full Time Dentist Required

Pine Dental is looking for a locum for the fall of 2015. This position has the potential to be full time. Pine Dental is located in the beautiful city of Whitehorse, Yukon. Come and enjoy the great outdoors and live the northern experience. Your adventure is waiting to happen. Don’t let this opportunity pass you by! Email: pinedental@northwestel.net or fax 867-668-5121.

BARRIE, ON

Fast Growing Progressive Dental Practice seeking motivated and enthusiastic candidate to join us in one of our Barrie locations. This is an exceptional opportunity for growth for the dentist with an entrepreneurial mind and drive to succeed. We invite you to contact us for further information on this lucrative opportunity. Right handed dentists only, due to chair limitations. New Grads welcome! E-mail:kris@bigbaydental.ca

MISSISSAUGA, SCARBOROUGH, BARRIE, BRANTFORD, ORILLIA, ON Exciting associate positions available for full and part time opportunities. E-mail: yourdentaldream@gmail.com

www.oralhealthgroup.com

NELSON, BC LIGHTWALKER LASER & AIRWAY-CENTRIC DENTISTRY

EDMONTON, AB

Inviting a like-minded, full-time dentist to share in our whole-body approach to general dentistry. A family business since 1974, this growing family dentistry practice has evolved to include functional appliances, nonretractive ortho, laser perio/endo/pediatrics/esthetics/ snorelase, sleep, TMD. Located in beautiful Nelson, BC, nestled into the shores of Kootenay Lake, this practice offers comprehensive, integrated care with the magic of a quaint mountain lifestyle. Buy-in opportunity.

E-mail: mjmac@telus.net

DENTAL MARKETPLACE

ASSOCIATESHIPS

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

GRANDE PRAIRIE, AB

Full time associate dentist required for busy family practice. Looking for highly motivated associate. Our practice includes the latest in technology (IOC camera, digital x-rays, paperless etc.). Large existing patient base. Current associate moving, team in place to help. Please send resume to pmdcgp@telus.net 780-538-2992. EDMONTON, AB

Periodontist Needed UNIQUE OPPORTUNITY. Busy, established, specialty implant surgery practice is in search of a periodontist associate who has a passion for surgical procedures. Flexible hours, prime location, great staff, modern facilities, and an existing solid referral base. This position may lead to ownership opportunities. Please email edmontonperiopractice@gmail.com

TORONTO, ON

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

KITCHENER-WATERLOO,ON We are looking for a dynamic and self motivated endodontist to join our four office practice located in Kitchener and Waterloo, Ontario. Please submit resume to: sib2@case.edu

MISSISSAUGA,ON ORTHODONTIC ASSOCIATE

An orthodontic associate position is available immediately for orthodontic office in Mississauga. Please call 416-999-5712 to arrange for a meeting.

www.oralhealthgroup.com

ANCASTER, ON

MISSISSAUGA AREA, ON Full time associate dentists required for multiple practices from the Mississauga area to approximately 2 hour east of. All practices are well established with the latest in technology (IOC camera, digital x-rays, paperless etc.). One practice, French speaking would be an asset. Please send resumes to dentalresumes541@gmail.com

CENTRAL MISSISSAUGA AND VAUGHAN, ON

Associate required for multidisciplinary Dental Offices located in Central Mississauga and Vaughan. Position will require some Saturdays. Please email resume to mississaugadentalarts@gmail.com

TORONTO, ON

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

TORONTO DOWNTOWN Part time associate position available immediately at a modern dental practice in the financial district. Monday and Wednesday from 8am to 5pm to start in October. E-mail: torontodentistoffice@gmail.com

Part-Time Position available in sophisticated office with excellent support staff and team environment. Must be highly ethical and dedicated to high quality comprehensive dentistry. Please respond with resume to ancdentresume@aol.com

VICTORIA, B.C.

Part-time associate required to join our dynamic team in one of the most beautiful areas of Victoria, and one of BCâ€™s fastest growing communities. The position is for Saturdays and Mondays with the possibility of becoming full time. The position would be available immediately. Experience required and Cerec experience would be an asset. Must possess strong patient interaction and treatment presentation skills. Please email enquiries and CVs to: dawn@westshoredental.com

EQUIPMENT ETOBICOKE, ON Dental equipment

Marus chair with chair mounted orbital side delivery and cuspidor. With assistant arm. Marus stand alone side delivery unit with F/O. Pelton and Crane Chairman chair with traverse. Second non functional chair for spare parts. Phillips wall mounted X-ray head.

E-mail: drstanleymann@gmail.com

November 2015â€ƒ

ASSOCIATESHIPS

DENTAL MARKETPLACE

FORT ERIE-NIAGARA REGION, ON

Full time associate with experience and excellent chair side manners. Tuesday through Saturday. Should be comfortable with surgical extraction, molar root canal. Fax resume to 905-871-3977 or email forteriedentalgroup@bellnet.ca

KINGSTON, ON

ADVERTISER CALGARY, AB

P/T Associate required for Calgary family dental practice. Position could lead to full-time. Experience an asset. Excellent communication skills required. Please email: gmajella87@gmail.com or call 403-803-6970.

SCARBOROUGH, ON

PAGE

A.R. Medicom . . . . . . . . . . . . . . . . . . . 31 American Eagle . . . . . . . . . . . . . . . . . . 12 Clinical Research Dental . . . . . . . . . . 7 GSK – GlaxoSmithKline . . . . . . 17, IBC

Full time associate required for large group practice in a well established office in new building. Modern, digital, paperless office in a growing part of beautiful Kingston. Please contact: Suzanne@cataraquidental.com

Associate required for a family practice providing full aspect of dentistry. Position available ASAP. Candidate must have self motivation,dedication and caring attitude. E-mail: doffice2000@gmail.com

NORTHERN MANITOBA FULL TIME ASSOCIATE

HAMILTON,ON

Philips Oral Healthcare . . . . . . IFC, 19

Caring dental associate needed in Hamilton. 2 days/week, nice team to work with.

Premier Dental Products . . . . . . . . . . 4

Dentist needed for a busy general dental office in Flin Flon. Excellent net income. New grads welcome. Will help with residence and transportation. Please contact (204) 687-4214 or asfarashraf@gmail.com

MISSISSAUGA, SCARBOROUGH, BARRIE, BRANTFORD, ORILLIA, ON ORTHODONTIST NEEDED Looking for an orthodontist to join our clinic. Must be available to travel between clinics as needed. E-mail: yourdentaldream@gmail.com

If interested please send information to recruitdental@hotmail.com

STOUFFVILLE & UXBRIDGE, ON

P/T associate required. Beautiful, modern, digital office in Stouffville and Uxbridge locations. Position available immediately. Experience an asset. Buy-in potential for the right candidate. Email inquiries and CVs to dentistrygeneral@gmail.com

Kerr Corporation . . . . . . . . . . . . . . . . 23 Oral Science . . . . . . . . . . . . . . . . . . . . 27

Shofu Dental Corporation . . . . . . . . 13 University of Toronto Faculty of Dentistry . . . . . . . . . . . 24 VOCO Canada . . . . . . . . . . . . . . . . .OBC

CAREERS

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

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, orthopaedic and vision care to status patients. Full time, part time, locum 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 oxide 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 leagues 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 for more information www.weeneebaykohealth.ca or call us directly or better yet come up for a no commitment 3 week locum and experience the beauty of the north for yourself. Janice Soltys Director of Non-insured Health Benefits, Dental Program & Chief Privacy Officer Janice.Soltys@waha.ca (705) 336-2947 x 233

November 2015

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

www.oralhealthgroup.com

Sensodyne Repair & Protect ®

Clinically proven to help protect against dentin hypersensitivity 1–4

NovaMin forms a robust hydroxyapatitelike layer that’s similar to natural tooth enamel over exposed areas of dentin and within dentin tubules. ®

1–4

Hydroxyapatite-like layer over exposed dentin

On contact with saliva, NovaMin initiates a cascade of events ®

1,5

Rise in pH in the localized environment as a result of ionic exchange 1,5

Hydroxyapatite-like layer within dentin tubules

In vitro cross-section scanning electron microscope (SEM) image of hydroxyapatite-like layer formed by supersaturated NovaMin solution in artificial saliva after 5 days (no brushing).3 ®

Adapted from GSK data on file.

Release of calcium and phosphate ions from NovaMin particles ®

1,5,6

Think beyond sensitivity pain relief when recommending Sensodyne Repair & Protect. GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4 ©2015 GSK group of companies or its licensor. All rights reserved

1. Greenspan DC, et al. J Clin Dent. 2010;21:61–65. 2. LaTorre G, et al. J Clin Dent. 2010;21(Spec Iss):72–76. 3. Earl J, et al. J Clin Dent. 2011;22(Spec Iss):62–67. 4. Parkinson C, et al. J Clin Dent. 2011;22(Spec Iss):74–81. 5. Layer TM. J Clin Dent. 2011;22(Spec Iss):59–61. 6. Andersson OH and Kangasniemi I. J Biomed Mater Res. 1991;25:1019–1030.

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Dites adieu aux étapes de mordançage et rinçage pour toujours! ■ Relâche et recharge du fluor biodisponible ■ Force de liaison supérieure en seulement en 30 secondes ■ Matériel de remplissage radioopaque cariostatique ■ Lisse, sans formation de bulles ■ Propriétés préventives antibactériennes ■ Sans BPA et HEMA Visitez www.shofu.com ou téléphonez au 800.827.4638

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Une personne sur cinq en souffre . 1

Plusieurs l’ignorent . 2

Ils peuvent aussi en ignorer les conséquences sur leur santé buccodentaire*. Ils attendent vos conseils.

La bouche sèche est un risque pour la santé buccodentaire que bien des patients ignorent . Les patients prenant plusieurs médicaments sont le plus à risque . Par conséquent, lorsque vous en reconnaissez les signes, abordez la question de la bouche sèche et de l’aide que peut apporter Biotène®. 2

www.biotene.ca

BIOTÈNE est une marque déposée du groupe d’entreprises GlaxoSmithKline. * La bouche sèche peut perturber l’environnement de santé buccodentaire et causer la mauvaise haleine, la déminéralisation, l’augmentation des caries4,5. | 1. Sreebny LM. A useful source for the drug-dry mouth relationship. J Dent Educ. 2004;68:6–7. 2. Dawes C. How much saliva is enough for avoidance of xerostomia? Caries Res. 2004;38:236–240. 3. Sreebny LM, Schwartz SS. e A reference guide to drugs and dry mouth, 2 édition. Gerodontology. 1997;14:33–47. 4. Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007;138:15S–20S. 5. Fox PC. J Clin Dent. 2006;17 (numéro spécial):27–28.

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Propreté ultime. Des résultats supérieurs. *

Philips Sonicare DiamondClean élimine 7 fois plus de plaque qu’une brosse à dents manuelle et élimine les taches de surface pour blanchir les dents en une semaine seulement. De plus, les accessoires tels que le verre chargeur innovant pour l’utilisation à la maison et aussi la trousse de voyage avec chargeur USB, en font le joyau de notre collection.

Composez le (800) 278-8282 ou visitez philipsoralhealthcare.com pour commander le votre *Par rapport à une brosse à dents manuelle 1 Delaurenti M, et al. An Evaluation of Two Toothbrushes on Plaque and Gingivitis. Journal of Dental Research. 2012, 91(Special Issue B):522. 2 Données de dossier

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Sensodyne Répare et Protège

Activé par NovaMin

NovaMin crée une solide couche semblable à l’hydroxylapatite, similaire à l’émail dentaire naturel, sur les zones exposées de dentine et dans les tubules dentinaires . ®

1–4

Couche semblable à l’hydroxylapatite sur la dentine exposée

Éprouvé en clinique pour aider à soulager l’hypersensibilité dentinaire

1–4

Au contact de la salive, NovaMin déclenche une série d’actions ®

1,5

La hausse du pH dans la zone localisée en raison d’un échange ionique 1,5

Couche semblable à l’hydroxylapatite dans les tubules dentinaires

Image par microscope électronique à balayage (MEB) de la coupe transversale in vitro d’une couche semblable à l’hydroxylapatite formée par la solution NovaMin sursaturée dans une salive artificielle après 5 jours (sans brossage)3. ®

Fondé sur des données internes de GSK.

La libération d’ions calcium et phosphate par les particules de NovaMin ®1,5,6

Pensez au-delà du soulagement de la douleur lorsque vous recommandez Sensodyne Répare et Protège. GlaxoSmithKline Soins de santé aux consommateurs Inc. Mississauga, Ontario L5N 6L4 ©2015 Le groupe d’entreprises GSK ou son concédant. Tous droits réservés.

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1. Greenspan DC, et al. J Clin Dent. 2010;21:61-65. 2. LaTorre G, et al. J Clin Dent. 2010;21 (numéro spécial):72-76. 3. Earl J, et al. J Clin Dent. 2011;22 (numéro spécial):62-67. 4. Parkinson C, et al. J Clin Dent. 2011;22 (numéro spécial):74-81. 5. Layer TM. J Clin Dent. 2011;22 (numéro spécial):59-61. 6. Andersson OH et Kangasniemi I. J Biomed Mater Res. 1991;25:1019-1030.

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